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Dr. Lynn examines Delia and explains to her that she thinks that due to Delia’s influenza, the baby’s heart stopped hours ago. Julia thinks, “What the doctor meant was that the stillbirth wasn’t my doing” (96). Dr. Lynn gives Julia permission to administer chloroform to Delia to help her sleep. Once Delia is asleep, Dr. Lynn apologizes for not arriving sooner. She explains that she runs a free clinic as well as owning her own practice, and Julia thinks, “[S]he had to be coming into the hospital today out of civic duty rather than for a locum’s measly wages” (96-97). Julia remembers then that Dr. Lynn was “deported for taking part in a violent uprising, unlikely as that seemed,” and thinks, “I couldn’t make her out, this Dr. Lynn” (97). Dr. Lynn sees that Delia’s skin ripped during the birth and prepares to give Delia stitches. Julia asks if Dr. Lynn works in general practice, and Dr. Lynn responds, “Are you asking how qualified I am to repair a lacerated vulva, Nurse Power?” (97). Dr. Lynn explains that she has a lot of experience—not only is she interested in various medical fields, but she has worked in midwifery and in lying-in clinics. After tending to Delia, Dr. Lynn speaks with Mary. Julia wraps the stillborn baby in a box and asks Bridie to take it down to the mortuary. Dr. Lynn examines Ita. Julia asks if she can continue to give the patients whiskey for their pains and coughs, and Dr. Lynn replies, “With any of these patients, use your good judgement” (102), adding, “They have me running between half a dozen wards today, Nurse Power, and you seem awfully capable, so I authorise you to dose any of your patients with alcohol or, for bad pain, chloroform or morphine” (103). Julia thinks, “I was filled with gratitude; she’d untied my hands” (103).
After Dr. Lynn leaves, Julia sends Bridie on various errands and thinks, “An odd creature, this Bridie Sweeney, but such a natural at ward work” (105). Delia wakes up and begins to vomit. Julia tells Delia again that her daughter was stillborn and urges her to eat a biscuit and drink tea. Bridie returns with trays of food from the canteen. Eventually, Bridie notices that Ita’s fingernails are turning blue. Julia notes, “Ita Noonan’s nailbeds had indeed darkened, which could be advancing cyanosis, but her face was still red and clammy” (110).
They hear a knock at the door. A Catholic priest, Father Xavier, has arrived to speak with Delia. Julia tells the priest that Delia is a Protestant, but the priest explains, “There’s only me today, for right- and left-footers alike” (111). Father Xavier assures Delia that her baby is in heaven, but Delia is clearly upset by the priest’s presence, and Julia wishes that the priest would leave. Finally, Father Xavier leaves.
Ita has fallen off her bed and is thrashing around. Julia calls for Bridie to bring more pillows and tries to hold Ita down and lay her on her side. After a moment, Ita is still, and Julia realizes that she’s dead. Julia tells Bridie to go find a doctor. Julia is hoping that they can still surgically remove Ita’s baby but worries that the baby isn’t far enough along in the pregnancy to survive outside the womb. Bridie returns with Dr. Lynn. Dr. Lynn examines Ita and finds that indeed the baby isn’t far enough along to try surgery. Dr. Lynn reassures Julia for trying everything she could, saying, “Resuscitation’s always worth attempting […] It sets one’s mind at rest to have done all one can” (117). She continues, “[S]ome flu patients are dropping like flies while others sail through, and we can’t solve the puzzle or do a blasted thing about it” (117).
After Dr. Lynn leaves, Julia tells Bridie to find two orderlies to remove Ita’s body. Bridie returns with Groyne. Julia says that she asked for two orderlies and a stretcher. Groyne makes crude, lighthearted remarks about Ita’s death until Delia tells him to shut up. He leaves. For “[w]hat seemed like hours” (120), Bridie and Julia tend to Delia and Mary and clean up around the ward, as they “all pretended a dead woman wasn’t lying among us with a cloth draped over her face” (120). Finally, two orderlies, Nichols and O’Shea, appear. Both men are war veterans and suffer side effects from the war: Nichols wears a metal mask to hide an injury on his face, and O’Shea suffers from a tremor. Julia thinks, “So many veterans, such as my brother, had come back damaged goods though they hadn’t a scratch on their bodies, only invisible bruising of the mind” (120).
Julia makes more marks on the back of her watch, one for Ita and one for Delia’s baby. The lights dim, and Julia remarks that they’re experiencing another brownout, which “had come to be a regular occurrence in the early evenings as hour by hour more workers came home and got the tea on, huddling around the limited light we all had to ration out” (121). Julia gives Mary bread and whiskey. With “the whiskey loosening her tongue” (122), Mary explains that although she doesn’t have children of her own, she cares for her five siblings, and that her husband is often busy at work. Julia encourages Mary to walk around her bed again to alleviate her pregnancy pangs. Mary whispers to Julia and asks if she’s at risk of her baby being stillborn like Delia’s. Julia assures Mary that her baby is healthy and says, “Nature works to her own clock, but she knows what she’s doing” (123). However, Julia can tell, “She knew as well as I did what a lie I was telling, but she took what comfort she could” (123).
The novel often comments, as in this section, on the roles of women versus men. For example, in this era, a women are rarely doctors, so Dr. Lynn is unusual. Julia is surprised to learn how much experience Dr. Lynn has. When Julia asks Dr. Lynn if she works in general practice, Dr. Lynn’s “[s]hrewd eyes lifted to mine; that thin mouth had a hint of mirth,” and Dr. Lynn asks, “Are you asking how qualified I am to repair a lacerated vulva, Nurse Power?” (97). Dr. Lynn then describes her experience in medicine, and Julia is embarrassed for having made an unfair assumption. In Julia’s own experience, she often must follow male doctors’ orders despite knowing better. As a nurse, Julia must get permission from a doctor to conduct various tasks, such as administering medicine. However, Dr. Lynn gives Julia permission to administer whiskey, chloroform, or morphine to her patients at her discretion, saying, “They have me running between half a dozen wards today, Nurse Power, and you seem awfully capable, so I authorise you to dose any of your patients with alcohol, or, for bad pain, chloroform or morphine” (103). Julia is used to requiring permission from male doctors before giving her patients pain medication, but Dr. Lynn, instead of assuming that she knows more simply because of her status as a doctor, trusts Julia to make that call.
These pages emphasize the deadliness and unpredictability of the 1918 strain of the influenza virus. Even though Delia’s symptoms are mild, the virus causes her unborn baby’s heart to stop. Later, Ita dies, which feels shocking and sudden, especially since Julia and Bridie are still reeling from Delia’s difficult stillbirth that morning. When Dr. Lynn returns to examine the deceased Ita, she comments that “some flu patients are dropping like flies while others sail through, and we can’t solve the puzzle or do a blasted thing about it” (117). Julia has already seen many deaths during the pandemic, and she’ll see more before the novel ends.
The effect of World War I on the men in Julia’s community is another subject of her thoughts in this section. Many of the hospital’s orderlies are veterans who have returned from fighting in the war. One orderly, Nichols, wears a metal mask to hide a “grotesque crater” on his face; another, O’Shea, has a tremor. Julia thinks, “Was it his hands that had been damaged at the front or his brain? So many veterans, such as my brother, had come back damaged goods though they hadn’t a scratch on their bodies, only invisible bruising of the mind” (120). In addition to physical scars, some men returned from war with psychological damage. This emphasizes the war’s cruelty and its lasting harm in Julia’s community, which is especially difficult coupled with the pandemic. Pain, sickness, and death have become parts of daily life for the people of Dublin.
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