Hektoen International

A Journal of Medical Humanities

The birth of Oliver Twist

From the book by Charles Dickens, chapter one:

“Although I am not disposed to maintain that being born in a workhouse, is in itself the most fortunate and enviable circumstance that can possibly befall a human being, I do mean to say that in this particular instance, it was the best thing for Oliver Twist that could by possibility have occurred. The fact is, that there was considerable difficulty in inducing Oliver to take upon himself the office of respiration,—a troublesome practice, but one which custom has rendered necessary to our easy existence; and for some time he lay gasping on a little flock mattress, rather equally poised between this world and the next: the balance being decidedly in favor of the latter. Now, if, during this brief period, Oliver had been surrounded by careful grandmothers, anxious aunts, experienced nurses, and doctors of profound wisdom, he would most inevitably and indubitably have been killed in no time. There being nobody by, however, but a pauper old woman, who was rendered rather misty by an unwonted allowance of beer; and a parish surgeon who did such matters by contract; Oliver and Nature fought out the point between them. The result was that after a few struggles, Oliver breathed, sneezed, and proceeded to advertise to the inmates of the workhouse the fact of a new burden having been imposed upon the parish, by setting up as loud a cry as could have reasonably have been expected. . . .”

Then the mother, pale and feeble, raised her head from the pillow; the surgeon deposited the baby in her arms; she passed her hands over her face; gazed wildly around; fell back—and died.

“‘You needn’t mind sending up to me, if the child cries, nurse,’ said the surgeon, putting on his gloves with great deliberation. “It’s very likely it will be troublesome. Give it a little gruel if it is.’” And he left the infant to the nurse, who, having once more applied herself to the green bottle, sat down and proceeded to dress the infant.


Spring 2023

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