Category Archives: Caucasus

Pirogov’s Surgery Innovations in Crimea, 1855

From The Crimean War: A History, by Orlando Figes (Metropolitan, 2011), Kindle Loc. 5191-5224:

Born in Moscow in 1810, Pirogov began his medical studies at Moscow University at the age of just 14, and became a professor at the German University of Dorpat at the age of 25, before taking up the appointment of Professor of Surgery at the Academy of Military Medicine in St Petersburg. In 1847 he was with the Russian army in the Caucasus, where he pioneered the use of ether, becoming the first surgeon to employ anaesthesia in a field operation. Pirogov reported on the benefits of ether in several Russian-language publications between 1847 and 1852, though few doctors outside Russia were aware of his articles. Apart from the relief of pain and shock through anaesthesia, Pirogov emphasized that giving ether to the wounded on arrival at the hospital kept them calm and stopped them from collapsing so that the surgeon could make a better choice in selecting between those cases requiring urgent operation and those that could wait. It was this system of triage pioneered by Pirogov during the Crimean War that marked his greatest achievement.

Pirogov arrived in the Crimea in December 1854. He was outraged by the chaos and inhuman treatment of the sick and wounded. Thousands of injured soldiers had been evacuated to Perekop on open carts in freezing temperatures, many of them arriving frozen to death or with limbs so frostbitten that they had to be cut off. Others were abandoned in dirty barns or left by the roadside for lack of transport. There were chronic shortages of medical supplies, not least because of corruption. Doctors sold off medicines and gave their patients cheaper surrogates, exacting bribes for proper treatment. The hospitals struggled to cope with the enormous numbers of wounded. At the time of the allied landings, the Russians had hospital places for 2,000 soldiers in the Crimea, but after Alma they were overwhelmed by 6,000 wounded men, and twice that number after Inkerman.

Conditions in the Sevastopol hospitals were truly appalling. Two weeks after the battle of the Alma, the surgeon from Chodasiewicz’s regiment visited the naval hospital:

He found the place full of wounded men who had never had their wounds dressed from the day of the Alma, except such dressings as they could make themselves by tearing up their own shirts. The moment he entered the room he was surrounded by a crowd of these miserable creatures, who had recognized him as a doctor, some of whom held out mutilated stumps of arms wrapped up in dirty rags, and crying out to him for assistance. The stench of the place was dreadful.

Most of the surgeons in these hospitals were poorly trained, more like ‘village craftsmen’ than doctors, in the estimation of one Russian officer. Practising a rough-and-ready surgery with dirty butcher’s knives, they had little understanding of the need for hygiene or the perils of infection. Pirogov discovered amputees who had been lying in their blood for weeks.

As soon as he arrived in Sevastopol, Pirogov began to impose order on the hospitals, gradually implementing his system of triage. In his memoirs he recounts how he came to it. When he took charge of the main hospital in the Assembly of Nobles, the situation was chaotic. After a heavy bombardment, the wounded were brought in without any order, those who were dying mixed with those who needed urgent treatment and those with light wounds. At first, Pirogov dealt with the most seriously wounded as they came in, telling the nurses to transport them to the operating table directly; but even as he concentrated on one case, more and more seriously wounded men would arrive; he could not keep up. Too many people were dying needlessly before they could be treated, while he was operating on those patients too seriously wounded to be saved. ‘I came to see that this was senseless and decided to be more decisive and rational,’ he recalled. ‘Simple organization at the dressing station was far more important than medical activity in saving lives.’ His solution was a simple form of triage which he first put into practice during the bombardment of Sevastopol on 20 January. Brought into the Great Hall of the Assembly, the wounded were first sorted into groups to determine the order and priority of emergency treatment. There were three main groups: the seriously wounded who needed help and could be saved were operated on in a separate room as soon as possible; the lightly wounded were given a number and told to wait in the nearby barracks until the surgeons could treat them; and those who could not be saved were taken to a resting home, where they were cared for by medical attendants, nurses and priests until they died.

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Crimea: The 19th Century’s ‘Great War’

From The Crimean War: A History, by Orlando Figes (Metropolitan, 2011), Kindle Loc. 47-82:

Two world wars have obscured the huge scale and enormous human cost of the Crimean War. Today it seems to us a relatively minor war …. Even in the countries that took part in it (Russia, Britain, France, Piedmont-Sardinia in Italy and the Ottoman Empire, including those territories that would later make up Romania and Bulgaria) there are not many people today who could say what the Crimean War was all about. But for our ancestors before the First World War the Crimea was the major conflict of the nineteenth century, the most important war of their lifetimes, just as the world wars of the twentieth century are the dominant historical landmarks of our lives. The losses were immense – at least three-quarters of a million soldiers killed in battle or lost through illness and disease, two-thirds of them Russian. The French lost around 100,000 men, the British a small fraction of that number, about 20,000, because they sent far fewer troops (98,000 British soldiers and sailors were involved in the Crimea compared to 310,000 French).

Nobody has counted the civilian casualties: victims of the shelling; people starved to death in besieged towns; populations devastated by disease spread by the armies; entire communities wiped out in the massacres and organized campaigns of ethnic cleansing that accompanied the fighting in the Caucasus, the Balkans and the Crimea. This was the first ‘total war’, a nineteenth-century version of the wars of our own age, involving civilians and humanitarian crises.

It was also the earliest example of a truly modern war – fought with new industrial technologies, modern rifles, steamships and railways, novel forms of logistics and communication like the telegraph, important innovations in military medicine, and war reporters and photographers directly on the scene. Yet at the same time it was the last war to be conducted by the old codes of chivalry, with ‘parliamentaries’ and truces in the fighting to clear the dead and wounded from the killing fields. The early battles in the Crimea, on the River Alma and at Balaklava, where the famous Charge of the Light Brigade took place, were not so very different from the sort of fighting that went on during the Napoleonic Wars. Yet the siege of Sevastopol, the longest and most crucial phase of the Crimean War, was a precursor of the industrialized trench warfare of 1914–18. During the eleven and a half months of the siege, 120 kilometres of trenches were dug by the Russians, the British and the French; 150 million gunshots and 5 million bombs and shells of various calibre were exchanged between the two sides.

The name of the Crimean War does not reflect its global scale and huge significance for Europe, Russia and that area of the world – stretching from the Balkans to Jerusalem, from Constantinople to the Caucasus – that came to be defined by the Eastern Question, the great international problem posed by the disintegration of the Ottoman Empire. Perhaps it would be better to adopt the Russian name for the Crimean War, the ‘Eastern War’ (Vostochnaia voina), which at least has the merit of connecting it to the Eastern Question, or even the ‘Turco-Russian War’, the name for it in many Turkish sources, which places it in the longer-term historical context of centuries of warfare between the Russians and the Ottomans, although this omits the crucial factor of Western intervention in the war.

The war began in 1853 between Ottoman and Russian forces in the Danubian principalities of Moldavia and Wallachia, the territory of today’s Romania, and spread to the Caucasus, where the Turks and the British encouraged and supported the struggle of the Muslim tribes against Russia, and from there to other areas of the Black Sea. By 1854, with the intervention of the British and the French on Turkey’s side and the Austrians threatening to join this anti-Russian alliance, the Tsar withdrew his forces from the principalities, and the fighting shifted to the Crimea. But there were several other theatres of the war in 1854–5: in the Baltic Sea, where the Royal Navy planned to attack St Petersburg, the Russian capital; on the White Sea, where it bombarded the Solovetsky Monastery in July 1854; and even on the Pacific coastline of Siberia.

The global scale of the fighting was matched by the diversity of people it involved.

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Circassian Beauty Health Tips, c. 1600

From The Sultans, by Noel Barber (Simon & Schuster, 1973), pp. 69-70:

The servant problem was non-existent, for the Constantinople slave market was open daily, except on Fridays, from 8 a.m. to midday. Behind an enormous wooden gate a large colonnaded courtyard was surrounded by small chambers (and a coffee shop for would-be purchasers who liked to dawdle). This was the slave market for ‘domestic servants’, mostly negresses, whose teeth, muscles, legs were examined with the methodical attention of a horse-trader. It was, of course, quite another matter to purchase a beautiful Georgian or Circassian girl as a mistress, for the best were inevitably snapped up for the Sultan, and indeed there was such a shortage that the Circassians, so it is said, soon had to start their own slave farms where ‘they grew beautiful women as other countries might grown wheat or cattle — for sale’. At least the slave farms produced one benefit for posterity, for ‘the avid demand for them in Istanbul encouraged parents to preserve their girl children from the disfigurement of the widespread smallpox by innoculation’ [by variolation].

It was from Circassia that innoculation spread westwards to the many European doctors living in Constantinople. However skilful the medical men might have been, their chances of curing female patients was somewhat restricted because they were never allowed to see them. They did the best they could — and it usually consisted of delivering a few leeches to bleed a patient, for leeches could be applied by eunuchs or slaves in the harem. They were a government monopoly, and huge numbers were exported to Germany and Russia. The best ones came from Anatolia — ‘they are said to be more eager to perform their duty’ — and when the cure was ended the haemorrhage was arrested by the Turkish equivalent of a modern styptic, a coating of pounded coffee, which was not uncomfortable unless the patient had to remain in bed, for as the coffee dried and fell off the bed became covered with grit.

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Wordcatcher Tales: The Hazelnut Coast Shibboleth

My history-professor brother, who digs up many sources containing observations about the varied roles of mercenaries and conscripts in militaries ancient and modern, sent me the following excerpt from Michael E. Meeker’s (1971) “The Black Sea Turks: Some Aspects of Their Ethnic and Cultural Background,” International Journal of Middle East Studies 2:318-345.

It is said that the Laz when conscripted [by the Turkish state] are automatically placed in the navy … because Anatolians associate Black Sea men with the sea, even though many of them have little or no experience as sailors or fishermen. The eastern Black Sea men, realizing that the period of service for the navy is three years, while that for the army is only two, naturally try to hide their origins, but the recruiting officer simply asks each man to pronounce the word ‘hazlenut.’ The vowel sounds of this word are inevitably distorted by the eastern Black Sea men, and the recruiting officer places each man in the army or navy according to his pronunciation. The accents of the Black Sea Turks are by no means uniform even in one given local, but most accents east of Samsun feature a distortion of the vowel harmony typical of Anatolian Turks. As one proceeds eastward along the coast the accents tend to become more unlike the Anatolian accents, until in the province of Rize even some Anatolian consonants are distorted or changed [different]. For example geldim becomes jeldum, and balik become paluk. These consonantal changes are more localized than [the vowel harmony changes], therefore the latter remains the best test for detecting eastern Black Sea origins.

There are two intriguing terms in this passage, one an ethnic label of miragelike reference, the other a shibboleth of chameleonlike pronunciation.

The Laz language is not at all related to Turkish. It is a South Caucasian language (related to Georgian and Mingrelian) with a lot more complex system of consonants than Turkish, but a much simpler vowel system, just (a, i, u, e, o). Laz is spoken in the far southeast corner of the Black Sea coast, where Turkey meets Georgia. (See Dumneazu‘s post this past summer about Laz ethnorock music.)

Nowadays, most Turks seem to consider the Laz people to be any inhabitants of the northeastern coast of Anatolia (old Pontus), whose Trabzon dialect of Turkish is called Lazca. This usage may go back many centuries, to an era when the ancestors of the current speakers of the “Lazca” dialect of Turkish actually spoke a “Lazca” language related to Georgian. (The Pontic Empire of the Trebizond was the last remnant of the Byzantine Empire to fall to the Ottomans—in 1461.) The Turkish-speaking “Laz” now prefer to call themselves Karadenizli (‘from the Black Sea’), and the men would rather spend two years in the army than three years in the navy (according to Meeker 1971). Even though they eat a lot of anchovies, they are rarely fisherfolk; instead, they are mostly farmers growing tea and maize.

And hazelnuts (Corylus avellana). Turkey produces about 75% of the world’s hazelnuts, and half of those come from Ordu Province, smack in the middle of old Pontus, the Hazelnut Coast.

The Turkish word for ‘hazelnut’ is fındık, with a dotless ı that sounds like an unrounded u (like Tokyo-standard Japanese u). The word fındık (or funduk or finduk or whatever other variants fail the shibboleth) appears to have entered Turkish via Arabic bunduq/funduq, which derives in turn from Greek φουντούκι (funduki), from Ancient Greek ποντικόν κάρυον ‘Pontic nut’ (at least according to this thread in Projet Babel, Des mots turcs d’origine grecque). Etymologically then, Turkish fındık = Pontic (i.e., Black Sea) [nut].

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Abkhazia: Landmined, Leftover Resort

Not many people these days—except Russians—visit the Black Sea resort enclave of Abkhazia. Travel writer Graeme Wood shares his recent impressions of the place in an article in The Smart Set. Here are a few tidbits to nibble on.

The Republic of Abkhazia is one of the few countries, if you can call it that, where every tourist who shows up gets a handshake and a friendly chat with the deputy foreign minister. Or rather, it would be such a country, if it were a country at all. A wee seaside strip in the Republic of Georgia, Abkhazia hasn’t yet persuaded anyone to recognize its independence, even though it boasts many of the trappings of nationhood — a president, a parliament, and an army that guards the border in case the government in Tbilisi wants to invade again….

Before the war began in 1991, Gorbachev, like Khrushchev before him, kept a dacha here. Stalin kept five, one of which the Abkhazian government rents out to tourists for $50 a night. Still today, all Russians know Abkhazia as the balmiest coast in the otherwise frigid ex-Soviet empire — “a corner of Spain or Sicily,” wrote one 19th-century explorer, “dropped at the foot of Old Man Caucasus.”…

In the mouths of the troupe of Abkhazian pensioners who shared my bus, the Abkhaz language sounded dissonant and buzzy, as if they all kept wasps and crickets in their mouths. (It has 64 consonants and only two vowels, so typical Abkhazian villages are cursed with names like “Adzjwybzha.”) Abkhaz signs appeared on the roadside, written in a Cyrillic script modified by a mad array of curlicues.

Clouds followed for a couple hours’ drive through Gal, a heavily mined zone from which the Abkhazians expelled thousands of Georgians at gunpoint during the civil war. The buildings looked derelict and rotten, like the abandoned houses of Chernobyl after 20 years’ vacancy. Abkhazian soldiers along the road waved us past rusty demining agency placards toward the holiday resorts of the capital….

A decade of war has left Sukhumi shabby, run down badly since its Brezhnevian heyday. Windows are smashed and ceilings have collapsed. The old Intourist, an impressive Colosseum of a hotel on the waterfront, is as derelict as Roman ruins, but inhabited by weeds instead of cats. Palms line the esplanade, but the balustrades are crumbling and the waterfront is disfigured with concrete blocks and chunks of corroded metal. If Tbilisi’s tanks do try to come back to Abkhazia’s capital, Sukhumi, they can expect bitter resistance, and this beautiful seaside promenade will be spattered with blood, just as it was when Abkhazia originally fought for its independence in the early 1990s….

Russians crowded the waterfront cafés, and their presence felt oppressive. The bewitching beaches have beguiled them from noticing the bitter irony, that to escape the misery of Mother Russia they make a lavish holiday in a war zone. I minded this irony more than they did. After days in Sukhumi, I had seen aspects of Abkhazia that reminded me of Moscow, of Miami Beach, of the Italian Alps, and of Plum Island Animal Disease Center, but little that was distinctively Abkhazian.

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Oil Barons of Baku, 1901-1905

By 1901, Baku was supplying half the world’s oil. It became an international city overnight, and the local Azeris were soon outnumbered by Russians, Georgians, Ossetians, and others from the four corners of the earth. Between 1856 and 1910, Baku’s population grew at a faster rate than that of London, Paris, or New York. The Nobel brothers, who dominated the industry in the first decades, invented the concept of the tanker to handle the demand for Baku oil in the Far East, appropriately naming their first tanker Zoroaster. They made the bulk of the family’s fortune in Azeri oil, though brother Alfred’s invention of dynamite is more famous.

The oilmen came in all stripes—Swedes and Jews and Poles and Armenians—but the dominance of big foreign groups like the Nobels and Rothschilds didn’t last long. By the turn of the century, half of the tanker business and much of the production was in local hands. So-called oil barons arose from both the peasantry and the feudal aristocracy—anyone who dug a hole in the ground and got lucky. (The Nobels tried whenever possible to buy out these new oil barons, along with smaller producers. According to documents in the Baku archives, Abraham Nussimbaum sold the Nobels most of his wells in 1913, on the eve of the Great War, a highly opportune business decision.)

The new oil millionaires became great philanthropists, determined to turn their city from a provincial backwater into the finest Islamic city in the world—a showcase of the possibilities of the positive merger of East and West. As the representative local group, the Muslim oil barons felt the most obliged to make showy public statements with their new wealth. They took grand tours of Europe and hired architects to build copies of the mansions, museums, and opera houses they had seen, all in an attempt to anchor their city in the Occidental future rather than its Oriental past. While some Azeri Muslims were outraged by the education of women or their appearance onstage or in an office building, Baku benefited from having been so long at the crossroads of East and West that people were used to new fashions and change.

Equal parts Dodge City, medieval Baghdad, industrial Pittsburgh, and nineteenth-century Paris, fin de siècle Baku was the last great city built before the First World War spoiled the dream that the West could keep expanding forever in a grand civilizing pageant. It was a place of fantastic extremes of wealth and poverty, where gas lights and telephones made a stark contrast to camel caravans and emaciated Zoroastrian monks. The city’s wild and clashing history came to ahead at the turn of the century, when it was the “Wild East” frontier of Europe, the world’s greatest oil-boom town: A British visitor at the time wrote, “One might almost fancy oneself in an American city out west. There is the same air of newness about everything, the same sanguine atmosphere. Everyone is hopeful.”

Yet by 1905, the entire Russian frontier was bathed in blood, as the empire entered the first of its revolutions. The unrest reached from the coast of Korea to St. Petersburg’s Nevsky Prospekt, and Baku was not spared. The revolution came, as many do, on the heels of a disastrous war, one of the bloodiest in history. The czar’s advisers had dreamed up the 1904–5 Russo-Japanese War in part as a means of diffusing revolutionary tension, by acquiring, via quick victory, an injection of patriotism as well as some much-needed timber concessions on the Korean coast. Instead, the Russians experienced total defeat. The catastrophe in the Far East—against a people the czar called “little, short-tailed monkeys”—made the Russian Empire look fragile and moribund. As the war’s losses sank in—in addition to the hundreds of thousands of dead soldiers, practically the entire Russian Navy was sunk by the Japanese fleet—years of left-wing terrorism and czarist oppression collided in a year of uprisings, ethnic cleansing, and generalized breakdown.

The semi-destroyed Russian military was in no position to quash the unrest. The only part of the vast czarist navy that had not been sunk by the Japanese was the famous Black Sea Fleet, and on its main battleship, the state-of-the-art Potemkin, the sailors rioted in the spring of 1905 and shot their officers. All around the Black Sea and the Caspian, public order broke down. While the staggering numbers of Russian dead, machine-gunned on the icy hills of Manchuria and the Korean peninsula, showed the new lethality of war, the revolutionary terrorism and pogroms that arrived inside Russia that year showed the new brutality of politics—and both foreshadowed what horror might be born through the mediums of modern mass violence.

SOURCE: The Orientalist: Solving the Mystery of a Strange and Dangerous Life, by Tom Reiss (Random House, 2005), pp. 11-13

One of the most intriguing photographs reproduced in the book is labelled “Muslim-Jewish Christmas party, Baku, 1913.” Days long, long gone.

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