After a few days I was able to get up and walk about with my arm in a sling. For some reason it hurt much more when it hung down. I also had, for the time being, a good deal of internal pain from the damage I had done myself in falling, and my voice had disappeared almost completely, but I never had a moment’s pain from the bullet wound itself. It seems this is usually the case. The tremendous shock of a bullet prevents sensation locally; a splinter of shell or bomb, which is jagged and usually hits you less hard, would probably hurt like the devil. There was a pleasant garden in the hospital grounds, and in it was a pool with goldfishes and some small dark grey fish – bleak, I think. I used to sit watching them for hours. The way things were done at Lérida gave me an insight into the hospital system on the Aragón front – whether it was the same on other fronts I do not know. In some ways the hospitals were very good. The doctors were able men and there seemed to be no shortage of drugs and equipment. But there were two bad faults on account of which, I have no doubt, hundreds or thousands of men have died who might have been saved.

One was the fact that all the hospitals anywhere near the front line were used more or less as casualty clearing-stations. The result was that you got no treatment there unless you were too badly wounded to be moved. In theory most of the wounded were sent straight to Barcelona or Tarragona, but owing to the lack of transport they were often a week or ten days in getting there. They were kept hanging about at Siétamo, Barbastro, Monzón, Lérida, and other places, and meanwhile they were getting no treatment except an occasional clean bandage, sometimes not even that. Men with dreadful shell wounds, smashed bones and so forth, were swathed in a sort of casing made of bandages and plaster of Paris; a description of the wound was written in pencil on the outside, and as a rule the casing was not removed till the man reached Barcelona or Tarragona ten days later. It was almost impossible to get one’s wound examined on the way; the few doctors could not cope with the work, and they simply walked hurriedly past your bed, saying: ‘Yes, yes, they’ll attend to you at Barcelona.’ There were always rumours that the hospital train was leaving for Barcelona mañana. The other fault was the lack of competent nurses. Apparently there was no supply of trained nurses in Spain, perhaps because before the war this work was done chiefly by nuns. I have no complaint against the Spanish nurses, they always treated me with the greatest kindness, but there is no doubt that they were terribly ignorant. All of them knew how to take a temperature, and some of them knew how to tie a bandage, but that was about all. The result was that men who were too ill to fend for themselves were often shamefully neglected. The nurses would let a man remain constipated for a week on end, and they seldom washed those who were too weak to wash themselves. I remember one poor devil with a smashed arm telling me that he had been three weeks without having his face washed. Even beds were left unmade for days together. The food in all the hospitals was very good – too good, indeed. Even more in Spain than elsewhere it seemed to be the tradition to stuff sick people with heavy food. At Lérida the meals were terrific. Breakfast, at about six in the morning, consisted of soup, an omelette, stew, bread, white wine, and coffee, and lunch was even larger – this at a time when most of the civil population was seriously underfed. Spaniards seem not to recognize such a thing as a light diet. They give the same food to sick people as to well ones – always the same rich, greasy cookery, with everything sodden in olive oil.