I had little more than an inspiration to be of use in some way or somehow, and going to the hospital seemed the readiest means of realizing my desire. While there, the long hours “on duty” and the exhausting demands of the ward work scarcely admitted freedom for keeping informed as to what was happening in the world outside. The nurses had no time for general reading; visits to and from friends were brief; we were out of the current and saw little of life save as it flowed into the hospital wards. It is not strange, therefore, that I should have been ignorant of the various movements which reflected the awakening of the social conscience at the time, or of the birth of the “settlement,” which twenty-five years ago was giving form to a social protest in England and America. Indeed, it was not until the plan of our work on the East Side was well developed that knowledge came to me of other groups of people who, reacting to a humane or an academic appeal, were adopting this mode of expression and calling it a “settlement.” Two decades ago the words “East Side” called up a vague and alarming picture of something strange and alien: a vast crowded area, a foreign city within our own, for whose conditions we had no concern. Aside from its exploiters, political and economic, few people had any definite knowledge of it, and its literary “discovery” had but just begun. The lower East Side then reflected the popular indifference—it almost seemed contempt—for the living conditions of a huge population. And the possibility of improvement seemed, when my inexperience was startled into thought, the more remote because of the dumb acceptance of these conditions by the East Side itself. Like the rest of the world I had known little of it, when friends of a philanthropic institution asked me to do something for that quarter. [Illustration] Remembering the families who came to visit patients in the wards, I outlined a course of instruction in home nursing adapted to their needs, and gave it in an old building in Henry Street, then used as a technical school and now part of the settlement. Henry Street then as now was the center of a dense industrial population. From the schoolroom where I had been giving a lesson in bed-making, a little girl led me one drizzling March morning. She had told me of her sick mother, and gathering from her incoherent account that a child had been born, I caught up the paraphernalia of the bed-making lesson and carried it with me. [Illustration]