And, if the need came, she meant to be as good as her word. For she had now determined, whatever might be the fate of the Commission, to draw up her own report upon the questions at issue. The labour involved was enormous; her health was almost desperate; but she did not flinch, and after six months of incredible industry she had put together and written with her own hand her Notes affecting the Health, Efficiency, and Hospital Administration of the British Army. This extraordinary composition, filling more than 800 closely printed pages, laying down vast principles of far-reaching reform, discussing the minutest details of a multitude of controversial subjects, containing an enormous mass of information of the most varied kinds--military, statistical, sanitary, architectural--was never given to the public, for the need never came; but it formed the basis of the Report of the Royal Commission; and it remains to this day the leading authority on the medical administration of armies.
Before it had been completed, the struggle over the powers of the Commission had been brought to a victorious close. Lord Panmure had given way once more; he had immediately hurried to the Queen to obtain her consent; and only then, when Her Majesty's initials had been irrevocably affixed to the fatal document, did he dare to tell Dr. Andrew Smith what he had done. The Commission met, and another immense load fell upon Miss Nightingale's shoulders.
Today she would, of course, have been one of the Commission herself; but at that time the idea of a woman appearing in such a capacity was unheard of; and no one even suggested the possibility of Miss Nightingale's doing so. The result was that she was obliged to remain behind the scenes throughout, to coach Sidney Herbert in private at every important juncture, and to convey to him and to her other friends upon the Commission the vast funds of her expert knowledge--so essential in the examination of witnesses--by means of innumerable consultations, letters, and memoranda. It was even doubtful whether the proprieties would admit of her giving evidence; and at last, as a compromise, her modesty only allowed her to do so in the form of written answers to written questions. At length, the grand affair was finished. The Commission's Report, embodying almost word for word the suggestions of Miss Nightingale, was drawn up by Sidney Herbert. Only one question remained to be answered--would anything, after all, be done? Or would the Royal Commission, like so many other Royal Commissions before and since, turn out to have achieved nothing but the concoction of a very fat bluebook on a very high shelf?
And so the last and the deadliest struggle with the Bison began.
Six months had been spent in coercing him into granting the Commission effective powers; six more months were occupied by the work of the Commission; and now yet another six were to pass in extorting from him the means whereby the recommendations of the Commission might be actually carried out. But, in the end, the thing was done. Miss Nightingale seemed, indeed, during these months, to be upon the very brink of death. Accompanied by the faithful Aunt Mai, she moved from place to place--to Hampstead, to Highgate, to Derbyshire, to Malvern--in what appeared to be a last desperate effort to find health somewhere; but she carried that with her which made health impossible. Her desire for work could now scarcely be distinguished from mania. At one moment she was writing a 'last letter' to Sidney Herbert; at the next she was offering to go out to India to nurse the sufferers in the Mutiny. When Dr. Sutherland wrote, imploring her to take a holiday, she raved. Rest!--'I am lying without my head, without my claws, and you all peck at me. It is de rigueur, d'obligation, like the saying something to one's hat, when one goes into church, to say to me all that has been said to me 110 times a day during the last three months. It is the obbligato on the violin, and the twelve violins all practise it together, like the clocks striking twelve o'clock at night all over London, till I say like Xavier de Maistre, Assez, je sais, je ne le sais que trop. I am not a penitent; but you are like the R.C. confessor, who says what is de rigueur. ...'
Her wits began to turn, and there was no holding her. She worked like a slave in a mine. She began to believe, as she had begun to believe at Scutari, that none of her fellow-workers had their hearts in the business; if they had, why did they not work as she did? She could only see slackness and stupidity around her. Dr.
Sutherland, of course, was grotesquely muddle-headed; and Arthur Clough incurably lazy. Even Sidney Herbert ... oh yes, he had simplicity and candour and quickness of perception, no doubt; but he was an eclectic; and what could one hope for from a man who went away to fish in Ireland just when the Bison most needed bullying? As for the Bison himself, he had fled to Scotland where he remained buried for many months. The fate of the vital recommendation in the Commission's Report--the appointment of four Sub-Commissions charged with the duty of determining upon the details of the proposed reforms and of putting them into execution--still hung in the balance. The Bison consented to everything; and then, on a flying visit to London, withdrew his consent and hastily returned to Scotland. Then for many weeks all business was suspended; he had gout--gout in the hands-- so that he could not write. 'His gout was always handy,' remarked Miss Nightingale. But eventually it was clear even to the Bison that the game was up, and the inevitable surrender came.
