The best astronauts can hope for hygiene-wise, despite working out twice a day, is to squirt a pouch of warm water and a trace of soap onto a washcloth to rub themselves down with.
He appeared to be in a great hurry, shouted to the cabman to wait, and brushed past the maid who opened the door with the air of a man who was thoroughly at home.
Being a nurse might not be as glamorous as being a doctor and it certainly doesn't pay as well, but I get to go around and give a bunch of people sponge baths.