CAPTIVE SURGEON IN HONG KONG
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at the corners of the mouth and scrotal oedema. During August 1942 only 17 cases of deficiency diseases were admitted as such, but the same signs were common among the dysentery and diphtheria admissions. We began an investigation into all the various manifestations and intensive treatment was started. These patients with deficiency diseases were to form a nearly immovable block in our patient population for a long time because improvement came about extremely slowly. An outstanding symptom was burning pain in the feet which sometimes required morphine for its relief. Many sought to ease the pain by plunging their feet into cold water and one patient had to be confined in a place where water was not available in order to avoid maceration of the skin. Some who had had deficiency diseases improved enough to return to P.O.W. camps. Others remained in hospital up to our release in 1945. These last had balancing problems, numbness of limbs and visual defects.
The hospital had admitted 1225 patients during 1942 and this figure included all patients transferred to us from all the other civil and service hospitals in the Colony. Of the total, 443 were admitted during the five-month period August-December and at 31 December 341 patients remained. Pressure on our accommodation had been severe, and repeated changes in the usage of wards were needed to isolate infectious patients and provide room for all who needed our care. The Canadian P.O.W. camp at North Point closed in October and the troops moved to Kowloon. Perhaps because of the rearrangements required by this move, but almost certainly reinforced by the well-known Japanese fear of infectious disease, we were not allowed to discharge patients whom we considered would suffer by a move to a camp. The pressure on our space and feeding arrangements was therefore intense and this did not begin to ease until April 1943. By the end of 1942, however, the heaviest burden of the infections had become lighter, though the long haul to cope with the deficiencies as the main load had already begun.
The year 1942 had weighed heavily on the spirits and energies of patients and staff. The departure of the women nurses cast a gloom over the hospital. The future seemed uncertain, the rations were poor, patients flooded in, deaths were frequent, but food gifts to the hospital from friends in Hong Kong and the arrival of a Red Cross parcel per head, to which I shall refer later, together with a natural resilience as the acute epidemics subsided towards the end of the year brought about some lightening of the clouds.