Joseph Merrick - London Hospital

London Hospital

With Merrick admitted into the hospital, Treves now had time to conduct a more thorough examination. He discovered that Merrick's physical condition had deteriorated over the previous two years and that he had become quite crippled by his deformities. Treves also suspected that Merrick now suffered from a heart condition and that he had only a few years left to live. Merrick's general health improved over the next five months under the care of the hospital staff. Although some nurses were initially upset by his appearance, they overcame this and cared for him. The problem of his unpleasant odour was mitigated through frequent bathing and Treves gradually developed an understanding of Merrick's speech. A new set of photographs was taken. The question of Merrick's long-term care had to be addressed. Francis Carr Gomm, the chairman of the hospital committee, had supported Treves in his decision to admit Merrick, but by November, long-term plans needed to be made. The London Hospital was not equipped or staffed to provide care for the incurable, which Merrick clearly was.

Carr Gomm contacted other institutions and hospitals more suited to caring for chronic cases, but none would accept Merrick. Carr Gomm wrote a letter to The Times, printed on 4 December, outlining Merrick's case and asking readers for suggestions. The public response—in letters and donations—was significant, and the situation was even covered by the British Medical Journal. With the financial backing of the many donors, Carr Gomm was able to make a convincing case to the committee for keeping Merrick in the hospital. It was decided that he would be allowed to stay there for the remainder of his life. He was moved from the attic to two rooms in the basement adjacent to a small courtyard. The rooms were adapted and furnished to suit Merrick, with a specially constructed bed and—at Treves' instruction—no mirrors.

Merrick settled into his new life at the London Hospital. Treves visited him daily and spent a couple of hours with him every Sunday. Now that Merrick had found someone who understood his speech, he was delighted to carry on long conversations with the doctor. Treves and Merrick built a friendly relationship, although Merrick never completely confided in him. He told Treves that he was an only child, and Treves had the impression that Merrick's mother, whose picture Merrick always carried with him, had abandoned him as a baby. Merrick was also reluctant to talk about his exhibition days, although he expressed gratitude towards his former managers. It did not take Treves long to realise that, contrary to his initial impressions, Merrick was not intellectually impaired.

Treves observed that Merrick was very sensitive and showed his emotions easily. At times Merrick was bored and lonely, and demonstrated signs of depression. He had spent his entire adult life segregated from women, first in the workhouse and then as an exhibit. The women he met were either disgusted or frightened by his appearance. His opinions about women were derived from his memories of his mother and what he read in books. Treves decided that Merrick would like to be introduced to a woman and it would help him feel normal. The doctor arranged for a friend of his named Mrs. Leila Maturin, "a young and pretty widow", to visit Merrick. She agreed and with fair warning about his appearance, she went to his rooms for an introduction. The meeting was short, as Merrick quickly became overcome with emotion. He later told Treves that Maturin had been the first woman ever to smile at him, the first to shake his hand. She kept in contact with him and a letter written by Merrick to her, thanking her for the gift of a book and a brace of grouse, is the only surviving letter written by Merrick. This first experience of meeting a woman, though brief, instilled in Merrick a new sense of self-confidence. He met other women during his life at the hospital, and appeared taken with them all. Treves believed that Merrick's hope was to go to live at an institution for the blind, where he might meet a woman who could not see his deformities.

Merrick wanted to know about the "real world", and questioned Treves on a number of topics. One day he expressed a desire to see inside what he considered a "real" house and Treves obliged, taking him to visit his Wimpole Street townhouse and meet his wife. He filled his days with reading and constructing models of buildings out of card. He entertained visits from Treves and his house surgeons. He rose each day in the afternoon and would leave his rooms to walk in the small adjacent courtyard, after dark.

As a result of Carr Gomm's letters to The Times, Merrick's case attracted the notice of London's high society. One person who took a keen interest was actress Madge Kendal. Although she probably never met him in person, she was responsible for raising funds and public sympathy for Merrick. She sent him photographs of herself and employed a basket weaver to go to his rooms and teach him the craft. Although Kendal never visited Merrick, other ladies and gentlemen of high society did, bringing him gifts of photographs and books. He reciprocated with letters and hand made gifts of card models and baskets. Merrick enjoyed these visits and became confident enough to converse with people who passed his windows. A young man, Charles Taylor, the son of the engineer responsible for modifying Merrick's rooms, spent time with him and played the violin. Occasionally, he grew bold enough to leave his small living quarters and would explore the hospital. When he was discovered, he was always hurried back to his quarters by the nurses, who feared that he might frighten the patients.

On 21 May 1887, two new buildings were completed at the hospital and the Prince and Princess of Wales came to open them officially. Princess Alexandra wished to meet the Elephant Man, so after a tour of the hospital, the royal party went to his rooms for an introduction. The princess shook Merrick's hand and sat with him, an experience that left him overjoyed. She gave him a signed photograph of herself, which became a prized possession, and she sent him a Christmas card each year.

On at least one occasion, Merrick was able to fulfil a long-held desire to visit the theatre. Treves, with the help of Madge Kendal, arranged for him to attend the Christmas pantomime at the Theatre Royal, Drury Lane. Treves sat with some nurses, concealed in Baroness Burdett-Coutts's private box. According to Treves, Merrick was "awed" and "enthralled". "The spectacle left him speechless, so that if he were spoken to he took no heed." For weeks following the show Merrick talked about the pantomime, reliving the story as if it had been real.