Caroline Matthews (doctor)
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Caroline Twigge Matthews,
MBChB Bachelor of Medicine, Bachelor of Surgery ( la, Medicinae Baccalaureus, Baccalaureus Chirurgiae; abbreviated most commonly MBBS), is the primary medical degree awarded by medical schools in countries that follow the tradition of the United King ...
(1877 –1927) was a British doctor and war correspondent, and was dubbed a 'war heroine'. She served in the
Italian Red Cross The Italian Red Cross (IRC, it, Croce Rossa Italiana or ''CRI'') is the Italian national Red Cross society. The Italian Red Cross was one of the original founding members of the International Committee of the Red Cross in 1919. History Early h ...
in the
1908 Messina earthquake The 1908 Messina earthquake (also known as the 1908 Messina and Reggio earthquake) occurred on 28 December in Sicily and Calabria, southern Italy with a moment magnitude of 7.1 and a maximum Mercalli intensity of XI (''Extreme''). The epicen ...
, and in military hospitals during the Balkans War and
World War One World War I (28 July 1914 11 November 1918), often abbreviated as WWI, was one of the deadliest global conflicts in history. Belligerents included much of Europe, the Russian Empire, the United States, and the Ottoman Empire, with fightin ...
, and was taken as a prisoner of war. She was awarded King Victor Emmanuel's Medal, the Italian Red Cross Medal, King Victor Emmanuel's Commemoration Medal and the Montenegrin
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. When she died, the press said she was "The
Florence Nightingale Florence Nightingale (; 12 May 1820 – 13 August 1910) was an English Reform movement, social reformer, statistician and the founder of modern nursing. Nightingale came to prominence while serving as a manager and trainer of nurses during t ...
of the Balkans."


Early life and education

Caroline Twigge was born in 25 September 1877, to
Liverpool Liverpool is a city and metropolitan borough in Merseyside, England. With a population of in 2019, it is the 10th largest English district by population and its metropolitan area is the fifth largest in the United Kingdom, with a popul ...
parents, John Twigge (1848–1908) and his wife Caroline Sara Twigge, née Sargeant (born 1847), who lived in the Waterloo area of the city, and she was baptised on 26 June 1878. She had two brothers, John S. Twigge (born 1872) who was to become a
curate A curate () is a person who is invested with the ''care'' or ''cure'' (''cura'') ''of souls'' of a parish. In this sense, "curate" means a parish priest; but in English-speaking countries the term ''curate'' is commonly used to describe clergy w ...
at Waverton-cum-
Dundraw Dundraw is a hamlet and a civil parish near Abbeytown, in the Allerdale borough of Cumbria, United Kingdom. It is in the North West of England and Cumbria County Council, based in Carlisle, is the local county council. The hamlet is approximatel ...
, Cumbria before in 1896, being ordained in
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to serve in the parish of Ravenstondale, Westmorland. Her younger brother, Herbert L. Twigge (born 1875), had already followed their father into business as a rice and fruit merchant in 1901. She was privately tutored before went to study medicine in 1898 at the age of 21 in
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, and was living in Newington, in the 1901 census, and at three addresses during her studies, finally at
Masson Hall Masson Hall opened in 1897 as the first 'proper' hall of residence for women attending the University of Edinburgh. It was established by the Edinburgh Association for the Education of University Women (EAEUW) at 31 George Square. This site is ...
, George Square. In 1902–1903, her final year as a student, the family holidayed together in
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Scotland. Matthews passed the third level professional examinations in medicine and surgery in July 1903, and qualified in medicine on 17 October 1903, after studying as an extra-mural to the University of Edinburgh, based at the
Edinburgh College of Medicine for Women The Edinburgh College of Medicine for Women was established by Elsie Inglis and her father John Inglis. Elsie Inglis went on to become a leader in the suffrage movement and found the Scottish Women's Hospital organisation in World War I, but whe ...
. Her academic tutors included analytical chemist, W.I. Macadam, radiologist pioneer
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, D.Noel Paton, William Craig, William Russell, Harvey Littlejohn and neurologist Alexander Bruce, as well as Dr. Cadell at the New Town dispensary. She later holidayed as a single woman in Brighton in 1905. She married Joseph Matthews, a surgeon who was a widower and almost thirty years her senior, in 1907, in the Sheriff Court in St Giles district, Edinburgh, but at the date of her death, she was already a widow.


Career


Messina and Calabria disaster

Matthews served voluntarily in the
1908 Messina earthquake The 1908 Messina earthquake (also known as the 1908 Messina and Reggio earthquake) occurred on 28 December in Sicily and Calabria, southern Italy with a moment magnitude of 7.1 and a maximum Mercalli intensity of XI (''Extreme''). The epicen ...
, when the city lost almost half its population including nurses and doctors. She was among those involved in the international relief effort who were awarded King Victor Emmanuel's Medal. She had been expected to take up a medical role with a
leper Leprosy, also known as Hansen's disease (HD), is a long-term infection by the bacteria ''Mycobacterium leprae'' or ''Mycobacterium lepromatosis''. Infection can lead to damage of the nerves, respiratory tract, skin, and eyes. This nerve damage ...
community in China but did not get there, returning from Tibet on a ship specially chartered to lend assistance to Italy. Matthews was said to have been simply treated as one of the soldiers when attached to the
Grenadiers A grenadier ( , ; derived from the word ''grenade'') was originally a specialist soldier who threw hand grenades in battle. The distinct combat function of the grenadier was established in the mid-17th century, when grenadiers were recruited from ...
and had seen 'horrors unspeakable' or 'gruesome sights' including an 'inferno worse than that depicted by
Dante Dante Alighieri (; – 14 September 1321), probably baptized Durante di Alighiero degli Alighieri and often referred to as Dante (, ), was an Italian poet, writer and philosopher. His ''Divine Comedy'', originally called (modern Italian: '' ...
' whilst working to save lives in this destructive disaster. In 1910, Dr. Matthews was the only woman, and the only English speaker, among the soldiers assisting civilians in the village of Cinquefronde, Calabria, where a
smallpox Smallpox was an infectious disease caused by variola virus (often called smallpox virus) which belongs to the genus Orthopoxvirus. The last naturally occurring case was diagnosed in October 1977, and the World Health Organization (WHO) c ...
infection was also rife and the town was placed 'under the yellow flag'. She herself had to rest with an unspecified 'serious illness' in Rome, before being able to return home. Her former associates at ''
The Gentlewoman ''The Gentlewoman'' was a weekly illustrated paper for women founded in 1890 and published in London. For its first thirty-six years its full title was ''The Gentlewoman: An Illustrated Weekly Journal for Gentlewomen''.Nos. 1 to 1,853 dated bet ...
'' magazine's Children's Salon wrote rather romantically of her: 'Sturdily the stranger in the camp, heworked with a will, sharing the hardship of the men.' In 1911 she was honoured with the
Italian Red Cross The Italian Red Cross (IRC, it, Croce Rossa Italiana or ''CRI'') is the Italian national Red Cross society. The Italian Red Cross was one of the original founding members of the International Committee of the Red Cross in 1919. History Early h ...
medal and the King Victor Emmanuel's Commemoration Medal.


War service experiences


Balkan War 1912–1913 Montenegro

In 1912–1913 she became a surgeon in the Montenegrin army and war correspondent for ''
The Sphere ''The'' () is a grammatical article in English, denoting persons or things already mentioned, under discussion, implied or otherwise presumed familiar to listeners, readers, or speakers. It is the definite article in English. ''The'' is the m ...
''. She was awarded another honour, that of the
Order of Danilo The Order of Prince Danilo I ( cnr, Орден Књаза Данила I, translit=Orden Knjaza Danila I) was an order of the Principality and later Kingdom, of Montenegro. It is currently a dynastic order granted by the head of the House of P ...
. Her war diary articles, for example, in ''The Sphere'' January 1913, explain more about her experiences; for example, in an incident when Matthews was going to the aid of an injured officer at night in a blizzard, she fell on the rough road. Whilst trying to protect the medical supplies she carried, she fractured her jaw, broke some teeth and got cuts to her face. She continued on with the journey and task of treating the man's wounded leg, and, after a few days for her own recovery, returned to her hospital post. Matthews also spoke of the continuing patriotic attitude of the Montenegrin people, despite their extremes of poverty and severity of many people's injuries. In her article, she also comments on the relative comfort of the Turkish prisoners of war. In November 1912, in ''The Gentlewoman'', an item titled 'A Lady Doctor at the Front', tells that she was in
Syria Syria ( ar, سُورِيَا or سُورِيَة, translit=Sūriyā), officially the Syrian Arab Republic ( ar, الجمهورية العربية السورية, al-Jumhūrīyah al-ʻArabīyah as-Sūrīyah), is a Western Asian country loc ...
before volunteering for military hospital work, and thus was inappropriately clothed for the Balkan weather. Her recollections give gossipy details of her journey, contrasting with a matter of fact approach to detailing the wounded in body and mind she came across during concerns with poor quality hygiene and a lack of resources, in the military hospital. She recounts there were 4,000 wounded treated per week, with only amateur nurses and even children as 'ward orderlies', but surprisingly only 16 deaths, despite her own language problems and lack of support from Russian doctors. She also praises the courage and chivalry of the injured men, whom she calls 'brave, patient, grateful'... but longing to be 'out' serving at the front again.


World War One

As World War One began, Matthews again volunteered, this time to serve in Serbia, at her own expense, and became a medical officer in the Serbian army after her plan to join the Serbian Field Ambulance service had been denied. She said (unlike many middle- or upper-class women of the day who lacked her resilience) that as she used her skills, she felt that 'Life was worth living in these days.' Her articles for ''The Sphere'' formed an illustrated war diary e.g. in July 1915, describing the Scottish Women's unit travelling to Malta to assist the evacuated wounded, and then to Greece, and on to Nish (
Niš Niš (; sr-Cyrl, Ниш, ; names in other languages) is the third largest city in Serbia and the administrative center of the Nišava District. It is located in southern part of Serbia. , the city proper has a population of 183,164, while ...
) in Serbia. She touches on the relationships between captors and prisoners of war, and praises the international group of women (and men) working in the military hospitals in very difficult circumstances, including during a severe outbreak of typhus, which killed two of the Scottish Women's Hospital's doctors. Her final role in the field was in volunteering to stay with the wounded, and in charge of the military hospital at Uzsitsi, for the Serbian Red Cross, after the Serbian retreat on 13 October 1915, although she knew she would be captured by the advancing Austrian allied forces. This happened in the night, with German soldiers pushing her, threatening and bullying her, whilst they searched her room for medications. As she had later refused to treat the occupying army who had stolen patients' blankets, she was accused of espionage, and taken as a prisoner to Belgrade. She was eventually released to the Scottish Women's Ambulance Unit, in Hungary, and allowed to leave with them, but had further challenges running into German 'spies' whilst travelling through Switzerland, one of whom she was said to have pushed off the train at
Lucerne Lucerne ( , ; High Alemannic German, High Alemannic: ''Lozärn'') or Luzern ()Other languages: gsw, Lozärn, label=Lucerne German; it, Lucerna ; rm, Lucerna . is a city in central Switzerland, in the Languages of Switzerland, German-speaking po ...
. Matthews was pictured under the heading Lady Doctor in Khaki''' on the front page of ''The Sheffield Independent'' on her return. Her dress in breeches and an officer-like coat had drawn comment, but was most practical for riding.


Correspondence from the front

''The Sphere'' published Matthew's war experience updates on 1 April and again on 22 April 1916, in two-page illustrated features, titled ''In the Hands of the Enemy – A Personal Narrative by Dr. Caroline Matthews''. She was explaining the need for at some times being brave and defiant, and at others more cautious and reserved, in conversations with her captors. Despite physical attacks, she described her determination not to allow the Germans 'the desired-for satisfaction of seeing fear in British eyes'. Matthews also wrote a series of articles on the same themes for ''The Courier,'' titled ''In the Hands of the Hun – The Experiences of a Woman Doctor in Serbia''. Her war experiences together describing 'perhaps the most extraordinary time of a varied life', were published by
Mills & Boon Mills & Boon is a romance imprint of British publisher Harlequin UK Ltd. It was founded in 1908 by Gerald Rusgrove Mills and Charles Boon as a general publisher. The company moved towards escapist fiction for women in the 1930s. In 1971, the ...
in a book ''Experiences of a Woman Doctor in Serbia'' in 1916, which she dedicated 'in love and gratitude to Amy M. Johns, a friend in a thousand'. The book was described by ''The Courier'' as ' a graphic panorama' and 'a thrilling narrative'. She gave details, such as working amicably with the Hungarian chief medical officer during a deadly
diphtheria Diphtheria is an infection caused by the bacterium '' Corynebacterium diphtheriae''. Most infections are asymptomatic or have a mild clinical course, but in some outbreaks more than 10% of those diagnosed with the disease may die. Signs and s ...
outbreak, who was to be replaced by a 'coward' CMO, who would not enter the
cholera Cholera is an infection of the small intestine by some strains of the bacterium ''Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea that lasts a few days. Vomiting and ...
ward, but left Matthews in charge. She detailed her tales of the enemy arriving, taking all the patients' blankets for their troops and stealing her medical instruments and money. But she said she was 'cheered and encouraged by a little
Union Jack The Union Jack, or Union Flag, is the ''de facto'' national flag of the United Kingdom. Although no law has been passed making the Union Flag the official national flag of the United Kingdom, it has effectively become such through precedent. ...
on a chocolate box'. Matthews explains that she caught diphtheria herself and felt desperate but 'crawled' round the wards. Her tales include the brutality on the night of her capture, then being taken in 'a bullock-cart, through bitter weather' as a prisoner under escort, suffering various deprivations, including such hunger that she had traded her wedding ring for chocolate. In her own words, quoted in ''The Yorkshire Post,'' despite experiencing evil spirits in men's eyes, cunning and blood-lust, Matthews had 'never met before such peculiarly fiendish expressions of absolute hatred as were directed towards me by those Teutonic officers'. During a hearing and interrogation on the trumped-up spy charge, Matthews defiantly complained of her treatment and the thefts, to be told 'there was no Geneva Convention now'. And she recounted the pleasure of suddenly hearing a familiar voice call 'How are you, Twiggie!'. It was Dr. Alice Hutcheson (sic) from the Scottish Women's Hospital (thirty-one of whom were being also held captive there). These episodes contrast with later encounters with shepherds whilst recuperating from her illness in 1916 on ''Christmas Day in Jerusalem,'' in another article in ''The Sphere.'' Her work was compared with autobiographical writing from another woman who became a volunteer fighter in the Serbian army,
Flora Sandes Flora Sandes (, 22 January 1876 – 24 November 1956) was a British woman who served as a member of the Royal Serbian Army in World War I. She was the only British woman officially to serve as a soldier in that war. Initially a St. John Ambulan ...
, whose memoirs were aimed at raising money for the Serbs. Matthews' stories and the consideration of her bravery in press reports, travelled to Australia, as well as across the regional press in Britain. It was said that her Experiences''' book could be seen as 'a monument to the almost superhuman courage and daring of Dr. Caroline Matthews'; and was 'an unaffected story of courage and devotion to duty' which 'does honour to her native country'; and 'a moving story of self-sacrifice and heroism', and it has been republished a century later.


Publications

* ''Hints of a Lady Doctor'' (1905) *''A Lady Doctor at the Front'' (article in ''The Gentlewoman'') (1912) *''With the Montenegrins – How Hunger and Starvation are Facing the Brave Fighters of the Little Kingdom.'' (article in ''The Sphere)'' (1913) *''With the Wounded Serbs at Nish: A Personal Narrative by a British Red Cross Worker in Serbia'' (article in ''The Sphere'') (1915) *''In the Hands of the Enemy – A Personal Narrative by Dr. Caroline Matthews'' (article in ''The Sphere)'' (1916) * ''Experiences of a Woman Doctor in Serbia,'' book, published by
Mills & Boon Mills & Boon is a romance imprint of British publisher Harlequin UK Ltd. It was founded in 1908 by Gerald Rusgrove Mills and Charles Boon as a general publisher. The company moved towards escapist fiction for women in the 1930s. In 1971, the ...
London (1916) * ''In the hands of the enemy'' (article in ''The Sphere'') (1916) *''Christmas Day in Jerusalem – How I met the Shepherds in their Leopard-Skin Cloaks and Helped to Revive their Frozen Lambs in the Monastery of Marielas (or Mar Elyas)'' (article in ''The Sphere'') (1916)


Personal life post-war

After the war, Matthews continued her friendship, and became 'devotedly attached', to Miss Amy Maria Johns, to whom she had dedicated her 1916 '''Experiences''' book. Amy Johns wrote a poem to Matthews, as the foreword:
"A woman child. She dreamed the dreams of men. Of fiery purposes, and battles' din. She left her dolls to play with soldier toys, And glow'd in enterprise of heroes bold. Such child - Grown to the kingdom of her woman's heart, Goes forth with joy beneath her country's flag. Gives of her skill to those who call for aid. She faces death in many a cruel guise, Holding life cheap, for honour and her King."
Matthews and Johns went travelling together, after the war, in India for more than a year, but Amy Johns suddenly died in 1923, on a train from Dover to London on her return, and was buried at Downe. As Matthews had had an interest in
Spiritualism Spiritualism is the metaphysical school of thought opposing physicalism and also is the category of all spiritual beliefs/views (in monism and dualism) from ancient to modern. In the long nineteenth century, Spiritualism (when not lowercase) ...
, and a
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had predicted her (own) sudden death, which she had believed would occur due to her residual ill health (including suffering 'heart attacks') 'as a result of her privations while serving as a doctor during the Serbian retreat', she had transferred £500 of war bonds to Miss Johns. But it was in the event Johns who had died first. Matthews then contested her friend's will for re-transfer of these bonds but this was denied. Despite that dispute, her friend's family gave permission for Matthews to be eventually buried in Johns' grave, when she died in 1927. Matthews' own estate was valued as £1904.


Death and memorial

Matthews' health was indeed harmed from her war experiences, and she died of pneumonia after influenza at the age of 49, at home in Longton Grove,
Sydenham Sydenham may refer to: Places Australia * Sydenham, New South Wales, a suburb of Sydney ** Sydenham railway station, Sydney * Sydenham, Victoria, a suburb of Melbourne ** Sydenham railway line, the name of the Sunbury railway line, Melbourne ...
and buried in Amy Johns' grave in the small cemetery at
Downe Downe, formerly Down, () is a village in Greater London, England, located within the London Borough of Bromley but beyond the London urban sprawl. Downe is south west of Orpington and south east of Charing Cross. Downe lies on a hill, and ...
, near
Farnborough Farnborough may refer to: Australia * Farnborough, Queensland, a locality in the Shire of Livingstone United Kingdom * Farnborough, Hampshire, a town in the Rushmoor district of Hampshire, England ** Farnborough (Main) railway station, a railw ...
. The funeral was taken by the local vicar, Reverend A.A. Gibson, and was given 'very many floral tributes' with a range of 'expressions of affection and regret'. Matthews was called '''The
Florence Nightingale Florence Nightingale (; 12 May 1820 – 13 August 1910) was an English Reform movement, social reformer, statistician and the founder of modern nursing. Nightingale came to prominence while serving as a manager and trainer of nurses during t ...
of the Balkans''' in the ''Evening Telegraph.'' Her uniform and other war possessions were sought by the National War Museum. Now Matthews' khaki rucksack, mentioned in her book, and her graduation gown as well as some of her field medical equipment, and medals, are in the
Science Museum A science museum is a museum devoted primarily to science. Older science museums tended to concentrate on static displays of objects related to natural history, paleontology, geology, industry and industrial machinery, etc. Modern trends in mu ...
or
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library medical collection. (images subject to copyright).


External links

* Science Museum Group collection
Catherine Twigge Matthews
*Book ' ''Experiences of a Woman Doctor in Serbia Catherine Twigge Matthews (1916) by Mills & Boon.

' Reprint editions published in (2015), (2016), (2018)


References

{{DEFAULTSORT:Matthews, Caroline 1927 deaths Women physicians Women surgeons Military hospitals in Serbia War correspondents of World War I War correspondents of the Balkan Wars Earthquakes in Italy 1877 births