
by Anne Harrison
I lay in bed, staring at the flood-lit towers of Notre Dame through my sky-light. Founded by Saint Landry in 651 AD, the Hôtel-Hospitel Dieu was the first hospital in Paris, and still cares for ill Parisians. The ghosts of some 1300 years of medical history glide along its marble corridors, whispering in consultation outside the wards, then pass into the old-fashioned lifts to visit the fourteen quiet hotel rooms hidden on the sixth floor.
Early drawings of the Hôtel-Hospitel Dieu show a main hall divided by pillars into three aisles, with four rows of beds per aisle. Like many medieval hospitals, the Hospitel catered for the poor, offering food and shelter in addition to basic medical care. (With wolves attacking Paris well into the 1400’s, this proved a vital social role.) By 1515 the Hospitel spanned both sides of the Seine, and Francis I built the Pont au Double to allow the transport of patients across the river, its name coming from the double denier toll used to pay for its construction.
AMBROISE PARÉ (1510 – 20/12/1590)
Ambroise Paré rose to eminence as the King’s surgeon, serving four kings: Henri II, Francis II, Charles IX and Henri III. Noted for his humility, Paré once remarked “Je le pansai, Dieu le guérit,” (I bandaged him, God healed him). Paré saw knowledge of anatomy and dissection as essential for surgery, and created the Confraternity of Saints Cosmos and Damian, distinct from the Confraternity of Barber Surgeons who were not true doctors, for they did not understand Latin.
This era in French History was marked by both civil and religious war, including the Bartholomew Day’s Massacre of August 2nd, 1572. (The signal for the slaughter of the Heugonauts to begin was the ringing of the bells of St-Germain-l’Auxerrois matins.) As a consequence of personal experience, Paré wrote widely on the management of trauma. His 1545 Method of Treating Wounds describes how, lacking boiling oil to put on amputated limbs, he instead used a mixture containing rose oil (which contains the mild disinfectant phenol). To his surprise, this mixture gave his patients a better recovery. Paré also promoted the ligature of blood vessels during amputation to minimize haemorrhage.
BICHAT (14/11/1771 – 22/7/1802)
Despite refusing to use a microscope, Marie François Xavier Bichat is remembered as the father of modern histology and pathology. An anatomist and physiologist, he initially worked in Lyon. During the Revolution, however, Bichat fled to Paris, where he accepted an appointment at the Hôtel-Hospitel Dieu in 1793.
At this time, the Hospitel employed the then large number of eight physicians and one hundred surgeons. Often housing more than 3500 patients, with up to six patients per bed, it gained the reputation of the most unhealthy and unhygienic hospital in France.
Political instability continued, with the memory of the French Revolution, followed by the execution of Louis XVI and Marie Antoinette, haunting the country. (Louis XVI’s diary entry for July 14th, 1789, says much with its brevity: Rien – nothing). During Bichat’s appointment, Napoleon was promoted to general, then married the creole Josephine in 1796. (Apparently reluctant, Josephine was encouraged in the match by her current lover). Two days later Napoleon marched off to conquer Italy.
Bichat lies buried at Père Lachaise Cemetery. Once a poor district haunted by outlaws, La Cité des Morts now boasts to being the world’s most visited cemetery. Amongst the 300,000 people buried here are Abélard and Héloîse, Proust, Bizet and Jim Morrison.
DUPYTREN (5/10/1777 – 8/2/1835)
Guillaume Dupytren became assistant surgeon at the Hôtel-Hospitel Dieu in 1803, Professor in 1811, then Chair of Clinical Surgery and Head Surgeon in 1816. He also established a benevolent institution for distressed physicians.
His appointments coincided with the Napoleon’s First Republic. Even those few parts of Europe Napoleon failed to conquer were influenced by Neoclassicism, and the high-waisted Empire Fashion. Then came the reactionary Congress of Vienna in 1815, establishing a balance of power which somehow lasted until 1914. Yet the ideas of liberalism, equality, nationalism and democracy could not be quenched, as witnessed by the insurrections of 1830 and again in 1848, when barricades and rioting blocked the streets of Paris.
DIEULAFOY (1870s)
Best known for his treatise on appendicitis, Dieulafoy’s triad – hyperesthesia of the skin, exquisite tenderness and guarding over McBurney’s point – is still memorised by medical students. At this time cholera outbreaks regularly swept through the overcrowded city. Partly for hygiene, but also to develop broad avenues allowing rapid troop movement (and to prevent rioters barricading narrow streets), Baron Haussmann began redesigning Paris. The slums surrounding the Hôtel-Hospitel Dieu on the Ile de la Cité, so vividly described in Victor Hugo’s The Hunchback of Notre Dame, were levelled in 1864, and the present building begun in 1877.
To combat both disease and revolution, the Parisian sewers were modernized, and opened for public tours in 1867. Society ladies could be seen floating by in luxury sluice carts, steered by white-clad sewer men.
HARTMANN (1860-1952)
Hartmann’s appointment to the Hôtel-Hospitel Dieu proved eponymous: Hartmann’s procedure, Hartmann’s pouch, Hartmann’s critical point, Hartmann’s forceps, to name a few.
In 1874, a group of artists (including Monet, Degas and Pissaro) organised an exhibition in Paris, and Impressionism was born. Baron Haussman continued to beautify Paris, and in 1889, Eiffel built his temporary tower. The Dreyfus Affair of 1894 divided the country, leading to the rise of the Left and the separation of Church and State. (Consequently, the Augustine nuns left the Hôtel-Hospitel Dieu in 1908, where their order had tended the sick for centuries). This Golden Age of The Third Republic – La Belle Epoch – ended only with the First World War.
TODAY
The Hôtel-Hospitel Dieu remains a working hospital, with a special interest in ophthalmology and dermatology. It is also a perfect place to stay in the true heart of Paris, where the celtic Parisii founded a fishing village on a small island in the Seine over 2,000 years ago.
If You Go:
♦ Hôtel-Hospitel Dieu website
♦ Parisian visitors Bureau
♦ An institution not to be missed: shakespeareandcompany.com
♦ Time Out: a guide to all things Parisian
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Ghosts of Paris: Private Evening Mystery Tour
About the author:
Anne Harrison lives with her husband, two children and numerous pets on the Central Coast, NSW. Her jobs include wife, mother, doctor, farmer and local witch doctor – covering anything from delivering alpacas to treating kids who have fallen head first into the washing machine. Her fiction has been published in Australian literary magazines, and has been placed in regional literary competitions. Her non-fiction has been published in medical and travel journals. Her ambition is to be 80 and happy. Her writings are available at anneharrison.com.au & anneharrison.hubpages.com
All photos are by Anne Harrison:
The towers of Notre-Dame
A typical Parisian market
The Arc de Triomphe, Symbol of Napoleon’s achievements
The inner courtyard of the Hôtel-Hospitel Dieu
Eiffel’s temporary tower

LEADERSHIP STRIFE
The cathedral of St James is by far the most impressive achievement in the city and it defies comparison due to its excellent construction. This three-nave Gothic Renaissance is the brainchild of Juraj Dalamanatic and was built during a period of Turkish attacks. What you see today actually took more than a century to build. Interestingly, there are 72 stone heads around the cathedral which represent locals who did not care to give a hand in the construction of the cathedral. I read a lot about this cathedral before visiting it and my friends told me that I should definitely go and check this building out when I visited Sibenik so of course I did. It is a massive building that towers over you but every piece of it contains a different kind of beauty that you just cannot stop looking at. I spent a couple of hours there just enjoying the view and learning a bit about this marvelous building, completely mesmerized.
So far, I followed almost exactly in the footsteps of Edmond Dantes, but perhaps it would be just as fitting to say that I was following in the footsteps of Dumas. An avid traveler, Dumas wrote as widely as he journeyed, inspired both by the places he visited as by the stories, legends, and history he collected on his travels. The world was his plaything, an endless well of opportunities to transform history and reality into fiction; everywhere he went, words and stories sprang forth, until the original sources had become obscured by the wild, sweeping stories of intrigue, suspense, and humanity that he penned. Marseille was no exception; Dumas visited the town on numerous occasions, treading where his literary creation had supposedly walked and using it as fodder for his story. Dumas always had a knack for hanging the romance over the reality – a sterner reality that hits me square in the face as I emerged from the Marseille metro.
This also happened to be almost exactly what Dumas had done – except that in his day one did not take ferries. Instead, standing on the quay, he demanded the first available boat, only to watch a transaction between two boatmen as one quite obviously purchased Dumas as a passenger from the other.
Finally, we approach the island harboring over the fortress, and I look over the side eagerly, recalling the foreboding words from the novel:
Two hundred years later, little has changed. The shadow of Dumas’ story – and his marketability – hangs over every inch of the monument the way it did two hundred years ago, obscuring its historical significance. Stepping inside, I find myself in the courtyard of the fortress, and my first care is to find the “cell” of the Edmond Dantes – the same one, probably, that Dumas himself was shown as he was recounted the tale of his famous fictional prisoner. Blithely ignoring the historical reality that states that Dantes didn’t actually exist, everything here is rendered as closely to the novel as possible.
Having explored the cell itself, I wander around the rest of the chateau, climbing its three stories to the rooftop and gazing at far-off Marseille on the coast. Then I wander the rocky, barren island, passing the half-hour until the next ferry arrives to take visitors back. Lost in thought, I venture into the tall, wild grasses to gaze down at the sheer drop into the sea. Despite the warm sun illuminating the scene, there’s a hopelessness to these barren crags. Standing at the very edge, I reminisce about how Edmond Dantes escaped by being thrown into that very water as he played dead and wonder if perhaps I’d picked the exact spot from which they had thrown his body into the depths, unwittingly allowing him to escape.
My husband and I arrived in Rome during the heat wave that broke records all across Europe in the summer of 2015. After a week of sweltering in temperatures up to 36.7 (99.68 F) in London and 39.7 C (103 F) in Paris, we were resigned to buying bottled water at every possible opportunity. We were about to learn that Rome is actually better prepared to handle thirsty tourists than most major cities, and that it has been for centuries.
The apparent wastefulness of all that water flowing 24/7 isn’t lost on the city. During the 1980s the city added taps to the fountains, requiring that thirsty Romans operate a nob or button in order to drink. The results were far from satisfying. On hot days, water standing in the pipes heated up, making it less than appealing. Vandals broke the new taps, freeing the flow of the water, and officials gave up on the project. The water doesn’t go entirely to waste. It’s recycled to grow gardens, flush sewers and in industrial cleaning.
I found one that wasn’t in use on a side street as my husband and I walked back to our hotel from Trevi Fountain on a very hot afternoon. I wondered for a second if it was functional, but as I stepped around it I found a stream of fresh cool water splashing into a grate at my feet. I splashed my face and filled my bottle. By the time I was done, a couple of people had queued up behind me. I felt as much like a native as a brief visitor can feel.
Do give the nasoni of Rome a try while you’re there. Your first time may feel a bit daunting, but once you try it, I’ll bet you’re sold on this delicious free resource.
Latvia now attracts tourists with a mix of modernity at Riga bars and beaches; history in Riga’s Old Town, museums and countryside towns; and one of the most conserved natural habitats in Europe. I fitted in a little of each, but my main reason to visit the Baltic nation was to take part in the 2016 marathon.
I completed a little personal history of my own with my fifth marathon at fifty, after setting a target of running one every three years until this year after running my first in 2004. The marathon dominated my five days in Latvia, but I still managed to see a lot of sights, while preparing for the run, during the event, and the day afterwards.
I arrived in the centre from the eastern park belt, seeing the 150-foot high Freedom Monument without previously knowing about it. The next day it was the starting point for the marathon’s Parade of Nations, and during the marathon two lines of local volunteers in traditional costumes and enchanting music provided a magical passage at the end of the course. The monument was built in 1935, and wasn’t harmed by the Soviet army during its control of the region from World War Two to the Gorbachev presidency. The monument was a rallying point for independence rallies from 1987 to Latvia’s independence in 1991.
Walking directly down from the Freedom Monument takes you between the two main historic sites in Riga: Doma Laukums (Cathedral Square) and Town Hall Square. In the former, Riga’s cathedral is the biggest in the Baltics, according to the Rough Guide, ‘…it was begun in 1211 by Albert von Buxhoeveden, the warrior-priest who founded Riga and became its first bishop.’ In the latter, St. Peter’s church combines with Melngavju Nams (House of the Blackheads) and City Hall to create an excellent panoramic circuit. Melngavju Nams was the meeting place for a 14th-century brotherhood of traders that venerated St. Maurice, a warrior of North African descent. The area has been extensively rebuilt since independence, after the original buildings were bombed and demolished during twentieth-century wars.
I was impressed by Sigulda’s wide spaces and parks as I walked towards the Gauja River. Paramount was Walking Stick park, a colourful tribute to the region’s top souvenir, with cane-making having a 200 years history in the area. Sigulda is also the adventure capital of Latvia, with summer and winter activities, such as cable car bungee jumping, tobogganing and a ski slope. I had intended taking the cable car across the lush Gauja valley, but instead found myself hobbling down the steep slope to the river. Seeing a little beach on the other side drew me across the bridge, and I sat in the sun on the sand for a little while.
There was much more to see and read though, starting with an old church, and followed by an excellent little museum tracing the ancestry of the region over its last 1000 years. The Gauja Livs who built Turaida were of Finno-ugrian heritage, in the southern Urals, like many in the north-east of Europe. They were a pagan people who resisted Christian crusaders, but were eventually integrated into western Medieval European culture. A film in one of the rooms showed how the castle looked in its prime, and it was easy to imagine the inhabitants of 800 years ago riding into the forecourt and dismounting after a long ride through pristine forests. The castle was centrally heated below the archbishop of Riga’s room, in the south of the castle, overlooking the valley. The castle was a refuge for the archbishop, as well being economically important.
