The Nursing Home Murder
Encyclopedia
The Nursing Home Murder (1935
1935 in literature
The year 1935 in literature involved some significant events and new books.-Events:* June 15 - W. H. Auden enters a marriage of convenience with Erika Mann.* July 30 - Allen Lane founds Penguin Books to publish the first mass market paperbacks in Britain....

) is a work of detective fiction
Detective fiction
Detective fiction is a sub-genre of crime fiction and mystery fiction in which an investigator , either professional or amateur, investigates a crime, often murder.-In ancient literature:...

 by New Zealand
New Zealand
New Zealand is an island country in the south-western Pacific Ocean comprising two main landmasses and numerous smaller islands. The country is situated some east of Australia across the Tasman Sea, and roughly south of the Pacific island nations of New Caledonia, Fiji, and Tonga...

 author Ngaio Marsh
Ngaio Marsh
Dame Ngaio Marsh DBE , born Edith Ngaio Marsh, was a New Zealand crime writer and theatre director. There is some uncertainty over her birth date as her father neglected to register her birth until 1900...

.

Synopsis

The British Home Secretary
Home Secretary
The Secretary of State for the Home Department, commonly known as the Home Secretary, is the minister in charge of the Home Office of the United Kingdom, and one of the country's four Great Offices of State...

, Sir Derek O'Callaghan MP, has received several death threats from anarchists affiliated with Stalinist Communism
Communism
Communism is a social, political and economic ideology that aims at the establishment of a classless, moneyless, revolutionary and stateless socialist society structured upon common ownership of the means of production...

 - and a pleading letter threatening suicide from Jane Harden, a nurse he had a short affair with some months earlier. Shortly after receiving the letter his old friend and family physician, Sir John Phillips, visits him to ask him about O'Callaghan's relationship with Jane, who is also Phillips's scrub nurse and who he has loved from afar for years. After O'Callaghan brutally informs Phillips that Jane is "easy" and not worth his regard, he and Phillips almost come to blows before Phillips threatens his life in front of a servant.

One week later, O'Callaghan is introducing a bill in the House of Commons to deal with anarchism when he doubles over, incapacitated by acute appendicitis
Appendicitis
Appendicitis is a condition characterized by inflammation of the appendix. It is classified as a medical emergency and many cases require removal of the inflamed appendix, either by laparotomy or laparoscopy. Untreated, mortality is high, mainly because of the risk of rupture leading to...

. His wife, unaware of the fight or of Phillips's threats, has her husband moved to Phillips's private hospital ("nursing home" in contemporary usage) and begs Phillips to operate immediately. He does so against his own wishes, as assisted by Dr. Roberts, the anaesthetist; Dr. Thoms, the assistant surgeon; Sister Marigold, the matron; Nurse Banks, the circulating nurse; and Jane Harden, the scrub nurse. The operation goes well, but O'Callaghan weakens near the end of the operation and dies one hour later, apparently of peritonitis
Peritonitis
Peritonitis is an inflammation of the peritoneum, the serous membrane that lines part of the abdominal cavity and viscera. Peritonitis may be localised or generalised, and may result from infection or from a non-infectious process.-Abdominal pain and tenderness:The main manifestations of...

.

The next day, Lady O'Callaghan is going through her late husband's papers and finds both the death threats from anarchists and Jane Harden's letter. Convinced that her husband has been murdered, she calls in Roderick Alleyn of Scotland Yard. It turns out that O'Callaghan has died of an overdose of hyoscine, a drug used in anaesthesia. Suspicion rests not just on Phillips and Harden but also on Nurse Banks, an outspoken Communist whose constant vicious insults toward O'Callaghan during the operation have led to her dismissal.

Alleyn's digging reveals that it would have been possible for any member of the surgical team to have committed the crime. He learns that Harden loved O'Callaghan to the point that even after his death she was unable to return Phillips's feelings; that Banks is a member of an anarchist society almost completely controlled by the authorities (and which has more bark than bite, as Alleyn finds out when he attends a meeting in disguise with his amanuensis, Nigel Bathgate); that O'Callaghan's sister, an unbalanced, shrill, unintelligent hysteric, has been bullying her brother into taking quack medicine produced by an avowed Communist; and that Dr. Roberts the anaesthetist is a firm believer in eugenics
Eugenics
Eugenics is the "applied science or the bio-social movement which advocates the use of practices aimed at improving the genetic composition of a population", usually referring to human populations. The origins of the concept of eugenics began with certain interpretations of Mendelian inheritance,...

 to the point that he is unable to prevent himself from expounding on the topic for hours.

Frustrated, Alleyn finally arranges for a re-enactment of the operation. During the re-enactment Sister Marigold brushes by Roberts's anaesthetic cart during a weak moment and Roberts erupts in rage, screaming that the nurse could have blown up the entire building had his cart (which carries ether
Ether
Ethers are a class of organic compounds that contain an ether group — an oxygen atom connected to two alkyl or aryl groups — of general formula R–O–R'. A typical example is the solvent and anesthetic diethyl ether, commonly referred to simply as "ether"...

) fallen over. Alleyn has Roberts removed from the room and quickly checks the cart and finds that one of the "bolts" holding the cart together is actually the top of a syringe. Hours later, he and Fox visit Roberts at his home and charge him with murder. Roberts admits to having injected O'Callaghan with hyoscine, but claims that he was justified: O'Callaghan's family had a "hereditary taint" (as shown by his sister), and it was his duty to remove such "tainted" persons from society. At the end, Alleyn points out that Roberts himself is insane and has committed dozens of similar murders, as testified to by the notches on his stethoscope.

In the epilogue Alleyn expresses doubt that Phillips and Harden will ever get together, and remarks that such things only happen in the "movie-mind".
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