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  • Book: 150 Years On, Israeli Hospital Founded By Edinburgh Doctor Sti

    150 YEARS ON, ISRAELI HOSPITAL FOUNDED BY EDINBURGH DOCTOR STILL NURTURED BY SCOTS STAFF

    Scotsman
    November 25, 2012 Sunday
    UK

    FOUNDED BY an Edinburgh-trained doctor, the Nazareth Hospital
    in Israel has treated people of all faiths for 150 years. Chitra
    Ramaswamy talks to one of the many Scots who have helped to nurture it

    IN her immaculate retirement flat in Edinburgh's Comely Bank, Dr Runa
    Mackay is talking of her long history with a remarkable hospital on
    a hillside in Nazareth. In 1955 she arrived in what for centuries had
    been a leading centre of Christian pilgrimage to find a struggling Arab
    town with a population of 40,000, flooded with Palestinian refugees.

    It had only been seven years since the foundation of the state of
    Israel. Mackay intended to work at the hospital for just six months.

    She ended up staying for 20 years.

    "I arrived three days later than expected because of terrible fog," she
    recalls. "I had told Dr Bathgate that I'd be wearing a red straw hat,
    and three days later there he was, still waiting. He said he had seen
    lots of ladies with red hats but somehow knew that none of them was me.

    "We set off for Nazareth in the hospital car and every so often he
    would stop in front of some shed and say here we are!'," she remembers
    with a throaty laugh. "I was getting worried but eventually we got
    to the hospital on the hill and it was lovely. There were two wards,
    about 120 beds, one operating theatre, and no running water. Scrubbing
    up for an operation meant the nurse coming in with a jug of hot water
    to pour over your hands. We would boil instruments on a primus stove
    and anaesthetics were a little chloroform sprinkled on a mask.

    Politically things were awful, but somehow you just got on with it."

    This year, as the crisis in Gaza continues despite last week's
    ceasefire between Hamas and Israel, the Nazareth Hospital celebrates
    its 150th anniversary. It is the oldest hospital in Israel, founded
    during the Ottoman Empire. It began its life as just four beds in
    a tiny rented house, set up by a missionary doctor and his wife who
    treated patients on their floor and tucked them up in their children's
    beds to recover. Today it looks rather different: a sprawling general
    hospital with 147 beds and more than 400 staff. Though it remains
    Protestant in mission and ethos, these days all the staff are local
    and the vast majority are Palestinian Arabs.

    The hospital has always, throughout its long and turbulent history,
    treated everyone who comes through the door, regardless of background,
    ability to pay, or religious beliefs - a reason frequently cited for
    its survival against the odds. That it has continued to flourish
    through a century and a half of war, political instability, and
    religious divide is indeed extraordinary. But equally fascinating
    are its enduring links to Scotland.

    The story begins with an impoverished Armenian Turk called Pacradooni
    Kaloost Vartan or, as his great-grandson John Vartan calls him, PKV.

    He was born in 1835 in Constantinople, the son of a tailor who went on
    to learn English from an American missionary and work as an interpreter
    during the Crimean war. A new book by BBC World Service journalist
    Malcolm Billings to commemorate the 150th anniversary describes how
    "the expatriate community of Christians in Constantinople, including
    significant numbers of Scots, eased his path to Edinburgh".

    And so after the war PKV ended up in Edinburgh, a "new town" with bold
    Georgian symmetry and a peerless reputation in medicine. Interest
    in medical missionary work was growing, and the Edinburgh Medical
    Missionary Society (EMMS), loosely formed in 1841, adopted PKV as
    one of its students. He took lodgings in a boarding house on Clarence
    Street with various members of the Free Church, attended lectures at
    the Royal College of Surgeons, and trained at 39 Cowgate, a dispensary
    in an old whisky shop. "I did not see so many drunkards cursing and
    swearing in the neighbourhood as I used to in my student days," PKV
    wrote of the Cowgate years later when he returned to visit Edinburgh.

    "It was a hugely formative time," explains his great-grandson, who only
    found out in the mid-nineties about his family's history in Nazareth
    when he was handed a carved rosewood camel that once stood on his
    great grandfather's desk in Nazareth. "Edinburgh is the city that
    turned him into a doctor. But he found the study difficult. The Latin
    names of bones and blood vessels must have been very tricky for him."

    After a spell in Beirut, the EMMS sent PKV to Nazareth. He arrived in
    the early 1860s with only his instruments and a small amount of money
    from the society. The average life expectancy in the small, neglected
    town was 22. The nearest doctor or hospital was in Damascus or Beirut.

    "He started treating people immediately in his house," Vartan says.

    "He did all sorts of things; introducing reinforced iron girders to
    the building of houses, designing crutches, making his own surgical
    tools. He even discovered an iris, which is named after him. He also
    ran his own pharmacy and apparently some of his patients dipped the
    prescriptions he wrote in water and then ate them, thinking that was
    the medicine."

    Is it true he converted far fewer people than he healed? "Absolutely,"
    Vartan says proudly. "Which is precisely the way it should be."

    All the while, the EMMS was sending over money, books, and medicine.

    And the Scottish link would continue to grow. On a brief return trip
    to Edinburgh in 1867, PKV fell in love with a Scottish daughter of
    the Manse, Mary Anne Stewart. They were married in a house on Scotland
    Street on 2 June and left together for Nazareth just a few hours later.

    "She was a fantastic woman," continues Vartan. "She bore him ten
    children, five of whom died under five. She would care for her
    husband's patients at home, make flower pictures to raise money, and
    teach English. They were devoted to each other and to their mission.

    Apparently she once said it was lucky their house had walls made of
    elastic because they never turned anyone away. They had huge faith,
    and they needed it."

    In his book, Billings describes how Mary Anne was praised by locals for
    "introducing a little of the civilisation of Edinburgh into Nazareth".

    In 1906, the 25 acres of hillside land that PKV had been pursuing for
    his beloved hospital were finally granted, though he would not get to
    see it completed before his death in 1908. The EMMS bought the plot of
    land and continued to own it until a few years ago, when it was given
    to the hospital. The Nazareth Hospital is still registered in Scotland,
    however, and the bond forged more than 150 years ago continues.

    "The connection with Scotland is amazing," says Joy Fraser who in the
    1980s worked at the hospital as director of nursing. Like Mary Anne,
    she is the daughter of a Free Church minister. "But the real joy
    now is that the hospital is run by and for locals. It truly belongs
    to the Nazarene people. It was always very modern in its outlook,
    which is why it has survived," she adds.

    Vartan agrees. "The familial attitude at the hospital is astonishing.

    Nearly everybody in Nazareth has been treated there at some point. A
    large proportion of people who work in the hospital were born there.

    And several generations of families work there, which is wonderful
    to see in such a divided part of the world. It's a powerful thing
    to see Muslims, Christians, Jews, and Druze all standing around the
    same table."

    For Mackay, a neat, softly spoken, and steely woman in tartan trousers,
    the Nazareth Hospital kick-started a lifelong love affair with the
    Middle East. She never married or had family of her own.

    Instead she worked as a missionary doctor in Israel, Lebanon and the
    Occupied Territories, witnessing everything from the Six Day War to
    the birth of the Intifada. At the age of 91 she remains an active
    advocate for Palestinian rights and still heads for the east end
    of Princes Street every Saturday lunchtime to protest against the
    treatment of women in Afghanistan.

    Her memories of the Nazareth Hospital could fill a small book. "It's
    always been known as the English hospital, which is rather annoying
    for the Scots," she laughs. "That's because there was a so-called
    Scottish hospital in Tiberias."

    She recalls the hospital doorman translating her morning bible stories
    into Arabic "until I learned Arabic myself and realised he wasn't
    translating what I was saying at all". She encouraged young Arab
    women into nursing, and tried to stop mothers in the villages from
    applying donkey dung to their babies' umbilical cords, because it
    resulted in neonatal tetanus. She talks of sacks of rice that would
    mysteriously appear when the hospital ran out of money, arguing with
    patients about paying - "of course if they couldn't, we treated them
    anyway" - and shouting at a man who refused to give blood to his wife:
    "I bullied him into it in the end."

    Mackay studied medicine in Edinburgh at a time when penicillin had
    just been discovered. Today she feels as much an Arab as she does a
    Scot. She last visited Nazareth in September for the 150th anniversary
    celebrations, arriving in a wheelchair to reminisce with some of her
    surviving colleagues.

    "Though I trained as a paediatrician I ended up working in obstetrics
    at the hospital because that's where I was needed," she says, ever the
    pragmatist. "We delivered so many babies that the population actually
    spiked. People would come from all over Galilee, often by any means. I
    remember seeing a cement mixer pull up in front of the hospital once."

    She laughs and shakes her head. "Of course, they have a big car park
    and an ambulance at the hospital now. I suppose it all keeps changing,
    which is rather wonderful."

    ~U Vartan of Nazareth by Malcolm Billings, Paul Holberton Publishing,
    visit nazarethtrust.org for more information

    http://www.scotsman.com/lifestyle/features/150-years-on-israeli-hospital-founded-by-edinburgh-doctor-still-nurtured-by-scots-staff-1-2659162




    From: A. Papazian
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