The sound of his voice seemed to have some magical effect upon the crouching creature, who stopped resisting the attendants and allowed herself to be pulled to her feet. She threw back her head, tossing her hair from her face. I saw she was middle-aged, her face well marked from an encounter with the smallpox at some stage of her life. She was a big woman, large boned, and towered over Morgan. Her cheeks were sunken and her eye sockets dark hollow sepulchres. She looked down at Morgan for a moment or so with a suggestion of fear in her expression, but perhaps respect too, and then lifted her eyes to me. It made me uncomfortable, this uninhibited regard. It was not like the look of a human being, but rather some creature, some trapped wild animal. It had in it defiance and the threat of violence and somehow at the same time something that tore at my heart, an appeal for help or mercy perhaps. I well knew what it meant to need both and be denied.
I stared back at her a long moment. I was all atremble and in the end I could not hold her gaze. As I looked away she spoke. ‘You do not appear much of a doctor to me. I shall get no help from you.’ And then, so suddenly she took them by surprise, she wrenched herself free from her keepers and hurled herself at me, her nails reaching for my face. It was fortunate for my already battered looks that O’Reilly, the woman who had let us in and had now come to help us, reacted quickly. Her hands whipped out and grabbed both the woman’s wrists at once in a tight grip. There was a brief struggle but then the other attendants joined in and the patient – for such this wretched being obviously was – was soon under control again. At which point she began once more to wail, making the pitiful sound I’d heard from outside, twisting her body this way and that, tugging her arms, trying to free herself but to no avail, for the two junior attendants who had her each by an arm were themselves well built and evidently strong. Having failed to free herself, the woman began to kick out at them, at which they moved apart, stretching her arms out, one either side of her, so that she was in a crucifixion pose.
‘Stop that now, missy,’ said O’Reilly. Her voice was as cold as the tiles, and it was obvious this flame-haired woman was as hard as nails; the words were spat out in an Irish accent harsh enough to break glass. ‘Stop it or you’ll find yourself getting another slap for your trouble.’
Morgan frowned, then looked at me and raised an eyebrow, a semaphore that I immediately read as meaning that it wasn’t easy to get staff for such employment and that you had to make the best of what was available. He glared at the attendant. ‘None of that, please, O’Reilly. She’s under restraint; no need to threaten the poor soul.’ He turned to me again.
‘Firmness but not cruelty, that’s the motto here.’ Then he told the attendants, ‘Get her in the bath.’
I expected the woman to object to this, but at the mention of the word ‘bath’ her struggling ceased and she allowed herself to be guided over to the nearest one. ‘Raise your arms,’ said O’Reilly, and the woman meekly obeyed. The other women lifted the hem of her dress, a coarse white calico thing, the pattern so faded from frequent washing that it was almost invisible, rolled it upwards and pulled it over her head and arms, with O’Reilly cooing, ‘There’s a good girl now,’ as if she were talking to a newly broken-in horse or a dog she was trying to coax back into its kennel. The woman was left shivering in a thin, knee-length chemise, for the room was not warm, as I could tell from the dank feel of my damp shirt against my back.
O’Reilly put a hand on the woman’s arm, guided her over to the bath and ordered her to get in. The woman looked quizzically at Morgan, who smiled benignly and nodded, and she turned back to the bath, even allowing a certain eagerness into her expression.
‘She is looking forward to a bath,’ Morgan whispered to me out of the corner of his mouth. ‘She hasn’t been here long. She’s never had the treatment before and doesn’t have any inkling of what’s coming.’
I saw that the bath was full of water. The woman lifted a leg over the edge and put her foot into it and instantly let out a gasp and tried to pull it out again, but the attendants immediately seized hold of her and pushed together so that the woman’s foot plunged to the bottom of the bath, whereupon she slipped and as she struggled to regain her balance the attendants lifted the rest of her and thrust her in, virtually face down, with an almighty splash that sent water shooting into the air, with more than a little of it raining down on Morgan and me. The woman’s screams ricocheted off the tiles from wall to wall around the room.
Morgan turned to me with a grin and a lift of the eyebrows, by which I understood him to mean that now I saw the necessity of removing my jacket.
The woman in the bath twisted around to get onto her back and lifted her head spluttering from the water. She tried to get up, but O’Reilly had a hand on her chest holding her down.
‘Get the cover!’ she said to the other women.
They reached under the bath and pulled out a rolled-up length of canvas. The patient tried to scream again but it came out as a wounded-animal whimper that pierced both my ears and my heart.
‘Let me up, for the love of God,’ she begged. ‘The water is freezing. I cannot take a bath in this!’
O’Reilly grabbed the woman’s wrist with her free hand and placed it in a leather strap fixed to the side of the bath. One of the other women let go the canvas and repeated the operation on the other side, so that the woman was now firmly held in a sitting position. Then the attendant returned to the canvas, taking one side of it while her colleague took the other. I saw it had a number of holes ringed with brass along each edge. The woman stopped her screaming and watched wild-eyed as the attendants stretched it over the top of the bath, beginning at the end where her feet were, putting the rings over a series of hooks which I now saw were fixed along the bath under the outside rim. The woman was fighting frantically, trying to get up, but of course she couldn’t because of the wrist restraints, and when this proved to no avail she began thrashing about with her legs, which were under the canvas and merely kicked uselessly against it. O’Reilly stood back now, arms folded, on her face the grim satisfied smile of the practised sadist. In a matter of half a minute the canvas was secured snugly over the top of the bath, the edges so tight it would have been impossible for the woman to get a hand through even if they had not been shackled. At the very top end there was a little half circle cut into the canvas and from this the patient’s head protruded, but the opening was so tight she could not pull her head back down into the water and drown herself.
While this was happening the noise in the room was hellish, the woman’s screams and curses alternating with bouts of calm, when she sobbed and pleaded first with O’Reilly, then the other women and finally with Morgan. ‘Please, doctor, let me out, I beg you. Let me out and I promise I will be a good girl.’
This all came out staccato, for her teeth were chattering, leaving me in no doubt that the water was indeed as freezing as she claimed. When these appeals fell upon deaf ears, she began screaming again and pushing her knees vainly against the canvas, which was so tightly secured it moved scarcely at all.
One of the women went to a cupboard, took out a towel and gave it to Morgan. He dried his face and hands and tossed the towel to me and I did the same. Then he shrugged. ‘We may as well go now, nothing more to be done here.’
He strolled over to where our jackets hung, and began putting his on and I followed suit. I must have looked puzzled and he said something that I could not catch because of the screams of the woman echoing around the room. He rolled his eyes and motioned toward the door. O’Reilly strode over to it and unlocked and opened it and we passed through. The door clanged shut behind us with a finality that made me shiver and I thanked my lucky star that I was not on the wrong side of it, or one like it. The cries of the woman were instantly muffled and Morgan said, ‘She will soon quiet down. The water is icy cold and rapidly calms the hot blood that causes these outbursts.’
‘She seemed calm enough before she was put into the bath,’ I said, forgetting myself and then realising I had perhaps sounded a note of protest.