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Bleak House · Chapter

Nurse and Patient explained

Esther and Mr.

What happens

Esther and Mr. Jarndyce take in the sick boy Jo, providing him shelter in a loft-room despite Mr. Skimpole's callous suggestions to turn him out. Charley helps nurse Jo, but he vanishes during the night, prompting a fruitless search. Soon after, Charley falls ill, and Esther isolates herself to nurse her, keeping Ada at a distance to protect her from infection.

Themes in this chapter

  • Social Class and Inequality

    Jo's suffering and the difficulty of securing him medical care underscore the vast divide between the wealthy and the destitute.

  • Bureaucracy and Dehumanization

    Mr. Jarndyce's remark that a convicted prisoner would receive better care than Jo exposes the dehumanizing flaws in the system.

  • Appearance vs. Reality

    Skimpole's cheerful, childlike demeanor masks a profound lack of empathy and moral responsibility.

Characters to notice

  • Esther Summerson

    Esther takes charge of nursing Jo and later Charley, isolating herself to prevent the spread of illness.

  • Mr. Jarndyce

    Mr. Jarndyce arranges for Jo's shelter and writes a letter on his behalf, showing his compassion.

  • Harold Skimpole

    Skimpole dismisses Jo's plight with flippant remarks, suggesting he be turned out and amusing himself with music.

  • Charley

    Charley assists in nursing Jo but later falls ill herself, becoming Esther's patient.

  • Jo

    Jo is taken in sick and sheltered in the loft, but he mysteriously disappears during the night.

  • Ada Clare

    Ada is kept at a distance by Esther to avoid infection, communicating through the window.

Key passages

  • Such is will! I have no will at all—and no won’t—simply can’t.

    Skimpole claims he lacks the willpower to act, using this as an excuse for his inaction.

    Skimpole's self-deprecating remark deflects responsibility for helping Jo.

  • is it not a horrible reflection, that if this wretched creature were a convicted prisoner, his hospital would be wide open to him, and he would be as well taken care of as any sick boy in the kingdom?

    Mr. Jarndyce laments that a convicted criminal would receive better medical care than the innocent, sick Jo.

    This highlights the injustice of the social system.

  • Gone, miss. Dead, miss? No. Gone clean off.

    The servant reports that Jo has disappeared rather than died.

    Jo's mysterious escape adds to the suspense and his vulnerability.