Sister Peters in Amsterdam

‘Tweedle? Will you ring Freule Keizer and tell her that I’m unavoidably detained. I’ll pick her up at the end of the concert and take her home.’

He grinned at Tweedle’s sigh of satisfaction; he was well aware of the old man’s feelings about Margriet. Adelaide, watching him, wondered why he smiled, and started to protest at his spoilt evening.

‘I didn’t want to go anyway,’ he said. ‘It was a Bach concert, I should have gone to sleep.’

Adelaide laughed, and he asked briskly:

‘When do you have supper? Eight o’clock? Good, we have three-quarters of an hour. We will take one form at a time.’

He worked her hard, with a merciless criticism which made her blush and stammer, but at the end of the allotted time she had mastered the medical terms well enough to be understood. As she collected her books together, she thanked him, and added:

‘I hope you will have a very pleasant evening, sir,’ to which he made no reply, merely holding the door politely for her to pass through. When she reached her room she got out her dictionary once more and looked up ‘Freule’. It said ‘an unmarried female member of the nobility.’ She would be tall and blonde, Adelaide decided, and very beautiful. Her clothes would be exquisite. Adelaide hated her. Doubtless the professor admired blondes. She tugged at her own red mane as she tidied herself for supper, and jabbed the pins in with a complete disregard for the pain she was giving herself.

She longed to ask some questions at supper, but conversation, although friendly, was of necessity limited. She sat, listened to the unintelligible chatter around her, and wondered what the professor was doing. He was still in his office, having been delayed by a phone call from Tweedle reminding him that he still hadn’t had his dinner. He lighted his pipe and reached for his coat, and went in search of his car. It had been a long day; he yawned, and hoped that Margriet wasn’t going to be too maddeningly boring about Bach.

Adelaide loved Amsterdam. On her second evening at the hospital, Zuster Zijlstra had walked with her to the Spui, where Mijnheer de Wit lived. They went through the Kalverstraat, and had found time to take a quick look at the shops, gay with pretty clothes and jewellery and silverware. Zuster Zijlstra rang the bell of the small gabled house and, when the door opened, waved Adelaide a cheerful goodbye. Adelaide, left to herself, pushed the door wider and heard a voice telling her to come upstairs. She climbed several steep flights before she saw who had spoken to her. An elderly white-haired man was standing on the tiny landing. He introduced himself and led her into his flat. Here, he wasted no time, but took her hat and coat, sat her down at the table, and plunged into her first lesson. Rather to her dismay, he spoke Dutch, only using English when he saw that she was completely befogged. At the end of an hour he wished her a polite good night, and sent her back with a great deal of homework. He seemed pleased with her, but Adelaide thought that she would have to work very hard indeed to keep him so.

Zuster Zijlstra and Zuster Boot, from Men’s Surgical, both spoke a little English. They took Adelaide shopping as often as possible during the next few days; the feast of St Nicolaas was only a few weeks away. They explained that she should give small gifts to the doctors and nurses she was working with, and also explained the enormous numbers of chocolate letters displayed in the confectioners’ and banketbakker. It seemed that it was customary to exchange them with friends and relations. Zuster Boot, a practical young woman, volunteered to supply the christian names of the clinic nurses so that Adelaide could buy the appropriate letters for them; she already knew that she must get a C for the professor, and a P for Piet Beekman. They roamed from shop to shop in their off-duty, choosing scarves and stockings and fancy soap, and admiring the lovely things on display. When they were off duty in the afternoons they went to Formosa in the Kalverstraat, where Adelaide sampled thé complet; she was enchanted with the tray of savoury tit-bits and cream cakes and chocolates, with its accompanying pot of tea.

Just before St Nicolaas, she and Staff Nurse Wilsma spent an hour choosing presents for the two doctors. Dr Beekman was easy; he never had a pen of his own. They chose a vivid green one he couldn’t possibly mislay. The professor was rather more difficult; he seemed to have everything. In the end they settled for a leather wallet. Wilsma was sure that he had several already, but observed that he could always put it away and use it later.

There was no clinic on the morning of St Nicolaas. Instead the nurses and porters set about transforming the Out-Patients’ waiting hall. Paper chains and flags hung around the walls, and tables were set up, covered with gay cloths and loaded with glasses and plates and great baskets of oranges. The annual party for the hospital’s small patients was to be held that afternoon. St Nicolaas and Black Pete would be coming to distribute the presents. Adelaide, opening tins of biscuits, asked, ‘Who gives this party, Zuster Wilsma?’

Her staff nurse, scooping sweets into countless little bags, stopped her work to reply. ‘Professor Van Essen. He pays for it all too. He’ll be coming, and his aunt and sisters—he’s got two, and his nephews and nieces—and his close friends’—she looked at Adelaide, and added, ‘and Dr Beekman and his wife and baby.’

Adelaide hadn’t understood half of what Zuster Wilsma had said, but there wasn’t time for explanations, anyway. They still had to fill several sacks with presents.

At two o’clock the first guests arrived; most of them had mothers or big sisters with them. Adelaide sat the children in rows on the floor; the grown-ups lined the walls. Presently Zuster Zijlstra arrived, opened the piano, and started to play the first of the traditional tunes, and everyone began to sing. Adelaide didn’t understand a word, but when St Nicolaas appeared with his black slave, she laughed and clapped with everyone else, and carried the smallest toddlers up to receive their presents. She was enjoying herself enormously. At length the Saint made his stately exit, sent on his way by enthusiastic and rather shrill singing. Adelaide dumped the baby she was holding into the nearest nurse’s lap and went over to the tables to pour lemonade and hand out biscuits.

There was no lack of helpers; she piled the oranges in baskets ready for the nurses to take round, talking all the while to Zuster Zijlstra in her mixture of Dutch and English. It was at this moment that the professor, with his aunt and sisters, chose to join them. They all seemed to know Zuster Zijlstra, and greeted her like an old friend. Adelaide, started to move quietly away, but the professor, who had been expecting her to do just that, put out a detaining hand and turned her smartly round, and performed his introductions in English.

She found herself the centre of an animated group. His two sisters were very like him, with dark hair and blue eyes; they wore their elegant clothes with a careless grace. His aunt was small and slim and just as elegant as her nieces. She eyed Adelaide with bright black eyes and talked to her in a gentle voice. They were all charming to her and chattered and laughed until they were presently joined by several children, who addressed the professor as Uncle, and smiled shyly at Adelaide as he introduced them. When, after a little while, they all bade her goodbye. Adelaide watched them go with regret; it seemed unlikely that she would meet them again.

The professor made no attempt to go with them. Adelaide hesitated.

‘I must go and help the others; I’m not doing my share. It was delightful meeting your family, Professor.’

She was about to turn away when an attractive young woman put her hand on the professor’s arm. Adelaide looked at her. This must be Margriet. At once, and irrationally, she disliked her. Freule Keizer was extremely good-looking, with blonde hair and blue eyes and a magnificent figure; she was dressed with the simplicity of wealth with a sparkling bandbox finish that caused Adelaide to put an involuntary hand up to tidy away the curly wisps escaping from her cap. She was suddenly aware of the lemonade stains on her apron and its deplorably creased condition.

Margriet spoke. ‘There you are, Coenraad. I wondered where you had got to.’ She gave Adelaide a cursory glance. ‘Are you coming?’

The professor had apparently not heard her.

‘Sister Peters, I should like you to meet Freule Keizer.’ He turned to the girl beside him. ‘Margriet, Sister works with me in the clinic.’

The young women shook hands and smiled politely. Margriet’s smile didn’t quite reach her eyes.

‘How awful for you, having to work.’ She made it sound like an insult.

‘But I enjoy it, you know,’ Adelaide protested. She was struggling to overcome her dislike of Margriet, who looked astonished and turned to the professor.

‘You don’t know how lucky you are. You’ve at last got a nurse who is wedded to her work.’ Her tone made it clear that work was all that Adelaide could hope to wed. Her glance rested on Adelaide’s hair and she allowed her beautiful eyebrows to arch slightly. She smiled. ‘Such unusual hair! You must find it a great drawback.’ The professor, listening idly, heard Margriet’s last remark.

‘How bad your English has become, Margriet. I don’t think that drawback is the word you mean.’ He sounded reproving.

Margriet laughed—she had a charming laugh.

‘Do forgive me, Sister—there, I have forgotten your name already. It’s quite true, my English is shocking; that’s because I dislike speaking it, I suppose.’ She turned to the professor. ‘I must go and say goodbye to Lisette and Paula. Shall I wait for you in the car?’ She didn’t wait for him to reply, but said goodbye to Adelaide with cold charm, and slipped away.

‘I must go too, Professor.’ Adelaide looked pink and was breathing rather quickly, struggling to regain her temper.

The professor said, ‘Of course, Sister, but don’t forget that we shall all be meeting in my office in an hour’s time to open our presents.’

When Adelaide got to the office it was just striking six o’clock. She was the last one to arrive and found Zuster Wilsma and the other nurses grouped around the desk, laughing and talking with the doctors.

The professor looked up as she came in. ‘Good, now we can begin,’ he cried, and pushed a pile of gaily coloured parcels in front of the youngest nurse. ‘You first, Nurse Eisink.’

They all watched as she undid each parcel and admired the contents in turn. Zuster Steensma followed, her homely face alight with pleasure, and then Zuster Wilsma, and lastly Adelaide. As she unwrapped the first package she asked:

‘But how can I thank the givers if I don’t know who they are?’

Dr Beekman laughed. ‘That’s the whole idea, Sister. You mustn’t know. Remember St Nicolaas gave them to you, and thank him.’

She did this, piling up the pretty trifles in front of her. The last two parcels were elegantly wrapped and tied with ribbons. She opened the flat box first, and gazed with delight at the fur-lined suede gloves inside.

‘They’re beautiful!’ she exclaimed, and tried them on. They fitted perfectly. She looked around at the faces of the others watching her; it was impossible to tell from their expressions which of them had given her the gloves. ‘Thank you, St Nicolaas,’ she said, and added, ‘I can’t think who they are from.’

She opened the last parcel. It was quite small, and she almost dropped it when she saw what it was, wondering who could possibly afford to give her Madame Rochas perfume. Perhaps all the staff had put together. She took a blissful sniff, and thanked the Saint with a fervour which left her audience in no doubt as to her delight.

The two men opened their parcels together amidst a good deal of laughing and joking from the nurses, and by the time they had finished it was almost seven o’clock. The doctors got ready to leave, Dr Beekman reminding Zuster Wilsma, who was on duty until the night staff came on, that he was on call. No sooner had they gone than Adelaide sent the two junior nurses off duty. They lived in Amsterdam, and were looking forward to an evening at home with their families, and more presents. Zuster Wilsma rammed the last of the paper and string into the wastepaper basket; she looked forlorn. Adelaide remembered that she lived in Amsterdam too.

‘You live in Amsterdam, don’t you, Staff Nurse? You go home too. I’ve nothing to do for the rest of the evening.’ Her Dutch was clumsy, but Zuster Wilsma understood her and grinned with delight. She shook hands with Adelaide and tore off as fast as she could go. It seemed very quiet when she had gone. Adelaide sat down and looked at her presents again, wondering who had given them.

It was almost eight o’clock when she heard the ambulance bell. She went quickly to Casualty, switching on the powerful light over the couch and opening the door for the ambulance men. The blue flasher shone on the man hurrying towards her with a blanketed bundle in his arms. He laid his burden gently on the couch and took the blanket away. The little girl looked about two years old; she was unconscious, her little face the colour of skimmed milk. Even as Adelaide reached for the oxygen mask the blue tinge deepened, and the harsh breathing became more agonisingly difficult. Adelaide pushed an airway gently between the tiny teeth and slipped the catheter attached to the sucker down it. She switched on the motor, which made a reassuring purr. While she had been working, she had been aware of the mother standing close by. Now, with the essentials done, she turned to her. ‘Bronchitis?’ she asked. The woman nodded.

Adelaide beckoned to the ambulance man, glad he was one she had met several times before.

‘You’ll stay?’ She pointed to the sucker and oxygen mask. He nodded and she went quickly to the phone on the desk and asked for Dr Beekman urgently. When she heard the voice on the other end of the line, she said in her quiet efficient voice:

‘Dr Beekman? There’s a small girl just in—bronchitis and laryngeal stridor. She’s unconscious and her respirations are very difficult. Will you come, please?’ The voice said ‘Yes’ as she put down the phone and went back to the child, who looked worse. She cleared the sucker, put it carefully down the little throat again and gave it to the man to hold again, then sat about laying up a trolley. The tracheotomy instruments were always kept ready; there wasn’t much for her to do. She drew up a local anaesthetic into a syringe and was putting a sandbag under the small shoulders when she heard a car draw up outside. The ambulance man glanced at her—he wanted to be on his way; she thanked him as he hurried away, and said over her shoulder:

‘The doctor is here. Everything’s all right,’ and smiled reassuringly at the mother, sitting quietly in a corner. She turned back to the child, who gave a strangled breath as the professor came in.

He dropped his coat on the floor and stood for a moment looking at the small convulsed face, his fingers on the flaccid wrist.

Adelaide went to the head of the couch and steadied the child’s head between her hands.

‘Everything’s ready,’ she said quietly. ‘The local is on the lower shelf.’

The child hadn’t drawn another breath. The professor didn’t stop to scrub, but quickly injected the local anaesthetic, picked up a scalpel, and made a cut—quite a small one—in the little throat, securing it with a small hook. He spoke softly to the mother—Adelaide thought it sounded comforting, although she couldn’t understand what he had said—and the woman murmured a reply. He slit the trachea neatly, holding it open with the knife handle while he inserted the dilators. He mopped unhurriedly, and slipped in the tube with an unerring hand. He waited a moment, pushed the inner tube in and tied it securely. The operation had only taken a minute or two. They stood watching while a faint pink colour slowly started to blot out the blueness. The little girl’s breath rasped in and out of the tube, but it was regular again. The professor dabbed at a tiny spot of blood on his cuff.

‘Close call,’ he observed. Adelaide’s brown eyes smiled at him over her mask, and he smiled back. ‘Nice work, Sister.’

He went to the phone and asked Zuster Zijlstra to come to Casualty as soon as she could. A moment later she came in quietly. She was a tall girl, with merry blue eyes; she and Adelaide got on well together. She winked at her now, and asked ‘Busy?’

Adelaide, doing neat things with gauze and strapping, smiled.

‘No, but you will be!’

The professor, who had been talking to the mother, turned round.

‘Ah, my good Zuster Zijlstra, I want a cot, and oxygen tent, and a nurse to special this child. Will you fix them up for me, please?’

Zuster Zijlstra tossed her head. ‘You always want something,’ she complained. ‘I’ll do it at once, sir,’ and disappeared again.

The professor walked over to the couch.

‘I expect you’ve got some writing to do. I’ll stay here.’

He stood by the patient, listening to Adelaide asking the mother the routine questions which had to be asked before the child could be admitted. She managed rather well, using a minimum of words and being very wary of the grammar. Her pronunciation was peculiar at times, but on the whole he thought that she must have worked quite hard during the month she had been in Holland.

Zuster Zijlstra came back. She scooped up the small figure on the couch very carefully and went to the door, which the professor held open for her.

‘I’ll come with you. I’d better write up some sedation and antibiotics for her.’

Adelaide finished what she was doing and showed the mother how to get to the ward, then began to clear up; there wasn’t a great deal for her to do. She made up a fresh tracheotomy pack and put it in the autoclave, then stripped the linen off the couch and made it up anew. She was washing her hands at the sink when the professor returned.

‘The child’s fine. Zuster Zijlstra’s a wonderful nurse.’ He looked round. ‘Where’s Staff Nurse?’

Adelaide dried her hands carefully. ‘At home. She lives in Amsterdam.’

‘You took over her duty.’ It was more of a statement than a question.

‘Yes, sir. I don’t mind in the least. I wasn’t going anywhere.’ She sounded quite cheerful about it.

‘You should have taken your off-duty,’ he said evenly.

She threw the paper towel in the bin, and went to turn off the autoclave.

‘I rang Dr Beekman.’ Her voice held a question, politely put.

The professor was getting into his coat.

‘Touché, Sister Peters. I have taken Beekman’s duty over until midnight; his people have come down from Drente for St Nicolaas.’ He grinned at her, called good-night, and was gone.

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