In an Oakland, Calif., bookstore one day in 1981, a singer/songwriter
with no previous interest in nursing bought a plain, blue volume
about Florence Nightingale.
Country Joe
McDonald, famous for singing with Country Joe and the Fish at
the 1969 Woodstock Music Festival, didn't much like reading. But
he read Cecil Woodham-Smith's Florence Nightingale cover to cover.
Five times.
"I'm
a musician. I don't know anything about nursing and health care
and I'm not a historian, but ... [Nightingale] did so much in
her life, I had to wonder how and why. I looked at it from a hobbyist's,
or musician's, point of view."
Just as Nightingale
(1820-1910) felt called by God to become a nurse, McDonald feels
called by fate to make sure everyone knows the facts about her.
Nightingale predicted in 1890 that people would remember her name.
"Thomas
Edison recorded her voice in a cylinder recording [available at
ww.bl.uk/collections/sound-archive/history.html]. She said, 'When
I am no longer even a memory, just a name, I hope my voice saves
the great work of my life,' and that's what's happened,
actually," McDonald said. "Everyone knows her name,
or that she was 'the lady with the lamp,' but almost no one really
knows what she did. I'm trying to get the word out."
Meanwhile,
he's filled the upstairs hallway bookshelves and drawers of his
home with book after book about Nightingale. Inside clear pockets,
McDonald files his personal photographs of her home in England
and the hospitals in Turkey near Constantinople, where she nursed
soldiers between 1854 and 1856. In his 10-year-old son's room
nearby, he keeps two shelves of Florence Nightingale and other
nursing dolls.
The "nonscholar"
recently made another trip to Nightingale's childhood home in
July, armed with a video camera to investigate some hunches he
has about her exposure to lead. Her family owned a lead smelter
near Derbyshire, England, he said. Some of her symptoms, such
as weak ankles and wrists, he said, indicate that she suffered
from lead poisoning.
McDonald also
has been reading original correspondence, such as letters Nightingale
wrote to a Catholic nun. A historian friend, Anne Summers, who
wrote the out-of-print book Angels
and Citizens: British Women as Military Nurses 1854-1914,
showed him shelves of Nightingale correspondence in July at the
British Library, London.
After reading
Smith's book, McDonald married a lay midwife, Kathy, who's now
a labor and delivery nurse at Summit Medical Center in Oakland.
His brother became a nurse practitioner at Kaiser years before
that. McDonald devotes time to his Web site, www.countryjoe.com,
and to the part of it he set up in homage to Nightingale. Two
of his children, Ryan, 10, and Emily, 13, do not yet share his
interest in Nightingale.
His fascination
with Nightingale and nursing stems from seemingly unrelated interests
and events, but all are somehow tied to an interest in the psychological
effects of war.
McDonald enlisted
in the Navy in 1959 after attending high school in El Monte, Calif.
Except for watching U-2 spy planes take off during his two-year
stint handling flight operations for an air base in Japan, McDonald
didn't see much action. After Japan, he worked and went to college
in the Los Angeles area, where he became involved with the civil
rights movement and nonviolent causes.
In 1965, after
McDonald saw Joan Baez and Bob Dylan perform, he dropped out of
college for financial reasons and moved to the San Francisco Bay
area with the intention of living in the city and becoming a folk
singer with the beatniks. But San Francisco's size and density
"freaked him out," he said. He fell in love with Berkeley
instead, where he made friends who shared his labor and anti-war
sentiments. He still lives there.
An anti-war
magazine, Rag Baby, that he started shortly after the move to
Berkeley, morphed into the making of a record when he found other
band members. Country Joe and the Fish first performed in 1965.
"The
nursing songs came much later," McDonald said. "I had
no interest in or knowledge about nursing, but I had been in the
military. My mother was Jewish, so I was well aware of the Holocaust,
and of our potential to be a victim. I wrote these anti-war songs,
but [at the time] I wasn't even conscious of women in the military.
It was denial. So when I wrote my Vietnam songs, there was no
mention of women."
Meanwhile,
Country Joe and the Fish sang about saving the whales and the
seals, and the dangers of nuclear energy.
After Saigon
fell in 1975, McDonald received more calls from veterans asking
him to write songs about postwar issues.
"I began to revisit my own military experience, and realized
I had excluded women [in my advocacy work and songs]. I felt guilty.
It really politically bothered me. I told Lynda Van Devanter [author
of Home Before Morning: The Story of an Army Nurse in Vietnam]
I'd write a song about a Vietnam War nurse. I knew absolutely
nothing about nurses or women's participation in Vietnam, so I
did what most people would do. I looked in an encyclopedia. The
first name that popped into my head was Florence Nightingale.
There were five or six paragraphs about her."
He had just
been to a conference about post-traumatic stress disorder, and
thought, "Here was this upper-class British woman who went
off to the Crimean War, and who brought women to war in the English-speaking
world, and the encyclopedia said she suffered from a 'nervous
disorder' after the war. That piqued my interest a lot."
Nightingale
lived to be 90, so McDonald figured that if she had been in her
30s during the Crimean War, she must have lived a long time with
that so-called "nervous disorder."
At Holmes
Books in Oakland, which is no longer in business, he found Sir
Edward Cook's two-volume set, The Life of Florence Nightingale,
autographed by the author, for $6. Next to it, he found Smith's
Florence Nightingale. Those two books, he said, were considered
the definitive biographies of Nightingale until Barbara Montgomery
Dossey's Florence Nightingale: Mystic, Visionary, Healer was published
last year by Springhouse Corp.
Because he
had no knowledge of British history, reading the books was slow-going.
But he felt empathetic toward Nightingale, whose family at first
didn't understand her calling to be a nurse. "She came from
an enmeshed, dysfunctional family. I identified strongly with
her. She said she got a call from God to be a nurse. This was
intriguing to me, as an atheist."
The Crimean
War was similar to the one in Vietnam, McDonald said. In both,
he said, no one understood the reasons for fighting. There were
huge scandals and many deaths.
"I'm
a slow reader; I didn't finish at the university. But I became
fascinated with Florence. I went to used bookstores for more books
about her."
Meanwhile,
McDonald performed at fund-raisers and raised awareness about
Vietnam veterans' issues at VA and American Legion events, outreach
centers and discussion groups. He became more aware of the "huge
laundry list" of problems plaguing the veterans. Then he
discovered a small but important group of war nurses.
He departed
from Nightingale a bit when he read about Clara Barton, founder
of the Red Cross, and wrote a song about her.
"Then I finally wrote a Florence Nightingale song, 'Lady
with the Lamp.' It's a good song about bonding between a nurse
and a patient."
He noticed
a similarity between Vietnam War nurses and Nightingale. "She
managed to become an expert on hospitals in her mid-30s, at the
time of the Crimean War," he said. Before Nightingale, there
were sisterhoods of nurses and deaconesses, which fell under the
auspices of the church, which McDonald said was patriarchal. They
received no salary-their work was to serve God.
After the
Crimean War, Nightingale became as popular with the British public
as Princess Diana or Madonna, even though she was mostly a recluse,
McDonald said. Articles in the Times, a major British newspaper,
brought her work to light.
During the
Crimean War, she cared for dying soldiers in squalid conditions,
he said, even though she came from one of the most important families
in Britain. She didn't have to work at all, McDonald said. She
was a wealthy man's daughter. She could have married into a respectable
family and become the mistress of a large estate, but that was
not her calling, he said. Nightingale spoke five languages and
excelled at math, science and history. It was unusual at the time
for a woman to have a university education.
Two things
came out of her work: newfound respect for soldiers and newfound
respect for nurses. Before that, nurses, if they weren't nuns,
were considered "menial harlots," McDonald said. It
was considered unladylike for women to go into a hospital during
a war.
When Nightingale
arrived at the hospital in Scutari, Turkey, in November 1854,
it was filthy, with lice everywhere and lavatories overflowing.
She bought cleaning supplies with her own money (and was later
reimbursed). There were no clean clothes for the soldiers to change
into, so she fashioned a laundry out of two boilers and helped
to improve the food.
When the war
ended, she spoke to Queen Victoria and prominent politicians about
how to improve the Army and nursing, although she suffered from
the lingering effects of a severe case of Crimean fever. She declined
invitations to attend parties in her honor, which perplexed her
family and friends.
McDonald heard
from Vietnam War nurses who came home and refused to attend parties
their families wanted to throw for them. The similar patterns
fascinated him. He accumulated more books about the Crimean War
and Nightingale, and traveled to her birthplace, summer home and
the sites in Turkey where she nursed the soldiers.
These connections,
and his belief that Nightingale had post-traumatic stress disorder,
reinforced his resolve to write a song about nursing. He pondered
the patriarchal and matriarchal levels within it.
His wife,
Kathy, told him physicians sometimes boss nurses around, and sometimes
patients are violent. Appreciation was in short supply. His song,
"Thank the Nurse," came next.
In England
this summer, McDonald watched the BBC2 television offering about
Nightingale in its "Reputations" series, which aired
a less-than-glowing portrait of the nurse. It was scarcely worth
commenting on, he said. "It was really remarkable in its
lack of depth and intelligence. People complained that the BBC
had put out this trashy, cheap entertainment, when the BBC is
supposed to be high-class."
No matter
what attacks anyone launches against Nightingale, McDonald will
defend her using the facts in his ever-expanding personal library.
He is scheduled to perform his two songs in praise of nurses,
"Thank the Nurse" and "Lady with the Lamp,"
at the National Student Nurses' Association's 50th convention
April 2-6 in Philadelphia.