THE HONGKONG TELEGRAPH, TUESDAY, FEBRUARY 23, 1937..
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Thongkong Telegraph.
TUESDAY, FEBRUARY 23, 1937,
LEAGUE PLANS
Did THEY
ever tell you
about
▼IRST to arrive are the
nurses, whose job it
is to get everything ready for the surgeon. The sterilisers are turned on and soon the theatre is filled with their steam.
your operation
most people have been operated on
are at some time or other. But not
Several white tables covered with sterilised towels; but, before this can be done, the
theatre sister must wash her many know what really happened
hands for five minutes by the clock. Nobody must touch any-
thing which is going to come in while they were unconscious.
contact with the patient unless
the hands have been thoroughly is what did.
washed--and then-dipped-in- spirit.
He pauses for a second or two, selecting the spot. Then the knife descends.
Except for un occasional sen- tence, 'rapped out with little politeness, silence reigns in the. theatre.
"Some No. 1 catgut and a non- cutting needle, sister." "Hold. these forceps, will you?" Or, "Lower the table six inches."
Sometimes, without looking up, the surgeon will ask, "Is she all right?" to which the annes- thetist will reply, "Carry on. She's not turning a hair."
If you look, you'll see the man at the head of the table turn a tap from time to time, admitting more gas or more oxygen.
Also, now and then he feels the patient's neck and counts the pulse which beats there. Or he lifts an eyelid, looking inquisi- tively at the pupil. Satisfied, he returns to his task.
SUDDENLY you'll see the surgeon straighten himself and take a deep breath. Stooping, over a table, concen-
trating on every move your
fingers make, is a tiring job.
"I'm going to stitch up now,"
he announces. The anaesthetist
nods, and does something to one of the taps.
The hissing noiso censes. There's no need for any more
This anaesthetic.
Swiftly the sutures are threaded on to needles and hand- ed to the surgeon. The silk- worm gut, coloured bright green. is pushed through the skin.
The assistant ties the knots
The theatre sister, who is ably found to-day in any up-to- present, there's very little likeli going to hand the instruments date nursing home or hospital. hood that one will be left in a and cuts the sutures short while to the surgeon, is helped by the "dirty" nurse-that is, the nurse batteries wired
Sometimes you find a set of wound.
up
the surgeon is fixing the next for the There's a story told of a stitch. Then, what has been an who is not going to "wash up" theatre-lighting. This is in case nervous patient who was obsess open wound becomes a thin line, and may, throughout the opera- anything goes wrong with the ed by the fear that the surgeon interrupted by green knots. tion, touch articles which have mains. If it does, the turning had left a sponge inside her. While the surgeon is taking
not been sterilised.
poses, dispensed with. The aim
is to remove all germs (by pro-
longed washing or the applica-
The bandage is what is called
a "many-tail," and consists of
What will the League of Nations be doing during this year? No completely accurate answer to this question can at present be given, for the simple reason that allowance for the unforeseen must always be made in the League's plans for the future. A sudden international crisis may necessitate a special meeting of the League Council, which could obviously not figure in any advance
programme. Nevertheless, many of the League's forthcoming activities can be briefly indicated. Amongst other matters, three legal disputes will be dealt with by the Permanent Court of International Justice at The Hague. In the first, Italy is bringing--an action-against- France under the terms of the "Optional Clause" by which both countries have accepted the compulsory jurisdiction of the Court. The cause of the trouble is the working of phosphates in Morocco by the French adminis- tration. Secondly, there is the "water of the Meuse" case be- tween Holland and Belgium. Finally, France and Greece have agreed that the Court shall de- cide their dispute regarding lighthouses in Crete and Samos. An interesting stage has been reached in the study of the pro- blem of "League Reform". The Committee of Twenty-Eight, which has the views of 42 coun- tries before it, has appointed rapporteurs to work upon the chief questions which have been raised. The results of these
the heat of the duck trousers and a vest.
docs things won't seem so bad. labours will come before the
theatre is intense--he must ask Others merely take off their The skin in the bend of one She'll be drowsy and quite con- a "dirty" nurse to wipe his forc- coat and waistcoat, collar and tie. elbow is cleansed, and the needle tent to keep still. annual Assembly in September.
head. For he can't touch it Some remove their shoes and of a hypodermic syringe pushed There are signs that the pro- himself.
wear rubber-boots, athera slip into the vein. Within ten blem of nutrition, the campaign
on goloshes.
seconds the patient is probably against the drug traffic, and the
Now look round the
Whoever is assisting the sur- fast asleep. She is then placed geon's theatre. In the middle activities of the Health Organ- is the operating-table, standing
has probably already on a trolley and taken to the three men discuss their work. isation will attract a good deal
In these circumstances the talk squatly on its base. It can be changed and is washing up, in theatre. of limelight luring the year. A
This new method of producing is invariably on “shop.”. raised by slight pressure with readiness to prepare the patient. conference on rural hygiene has one foot, and lowered by press-
The assistant at an operation unconsciousness is one of the "D'you remember that girl been planned, and also a Faring a button.
has to help lift the unconscious greatest advances which has with the appendix we did out at Eastern conference on rural health, whilst in connection with the traffic in women and children representatives of central authorities of Eastern, countries have already been conferring. A special session of the Perman- ent Mandates Commission will take place in the spring to dis- cuss the British Government's report on the disturbances which occurred in Palestine. It will be scen from this brief summary that there are aspects of the League's work, quite apart from purely, political issues, which are of the utmost value. Indeed, but for the League, many aspects of international co- operation would be left largely
over of a switch provides the After some days she plucked up off his gloves the assistant is In the modern operation, anti- same illumination from the courage to ask one of the nurses, painting the wound with lodine septics are, for all practical pur- batteries.
who happened to be a literally and putting on the dressing minded person.
which aister has picked out of a. BAG fitted up with "D'you think Mr........ lost drum with long forceps. several drawers, in anything d-during my opera- tion of spirit) from the skin of which are glistening, chromium- tion 7" the patient and the hands of the plated instruments, heralds the The nurse shook her head, stripa which are fastened to a and his assistant, approach of the surgeon. He "Only his top-hat," she replied. band at the back. These are. Everything else is sterilised by selects what he is likely to need
folded across and pinned to-
has Then he helps the anaesthetist
nearly off the table and on to a trolley. Another injection when. the
untouched.
surgeon
and hands them over to be MEANWHILE, the gether in front.
bolled.
paratus. Nowadays,
heat.
Thus, once the surgeons are "clean." and have put on their Then he goes to the small arrived, and unpacked his ap- and the nurses lift the patient sterilised rubber-gloves, they dressing-room to get ready; every patient to be operated must touch nothing which isn't Some surgeons change right upon is given a preliminary in patient is safely back in bed. "surgically cleari." If the down to their underwear, and re- jection. So a syringe is pre- She won't wake up now for operator is perspiring and appear in the theatre in white pared, and the anaesthetist goes several hours. And when she
sometimes
to the patient's room.
L
+
A TRAY with coffee lá
brought to the sur- dressing-room. The
It is in three parts; the head patient from the trolley on to the taken place in the whole history Streatham? Well, I saw her operating table, and apply the of anaesthetics. It's entirely some months afterwards. I can be lowered or raised, so can final iodine or spirit to the skin. harmless and completely under shouldn't have recognised her. the foot, or the table can be titled as a whole.
He has to arrange the steri- the control of the anaesthetist. She looked a different creature." lised towels, so that nothing can
Dr. ——, who has just given At the head stands a small, touch either the prepared skin
ON either side of the the anaesthetic, nods. "Amaz square, glass-topped table. This or anything which the surgeon and masked figure stands. At they've got rid of a grumbling table a white-gowned ing how peopló improve when is for the anaesthetist; and on it is going to handle, and place the the head is sitting a man, also appendix.... stand his bottles and such other gauze sponges and a fow selected in white and also wearing a cap to do well. That was a horrid- This patient ought necessaries as he is likely to instruments within easy reach and mask. need.
of the surgeon.
looking organ you removed." It would be difficult to recog- The man, who is tying his tie Hypodermic syringes, tubing Everything is carefully count- nise any of their faces, hidden in front of a mirror, grunts. for oxygen, and gags to open the ed before the operation begins, behind their gauze coverings. "I've been telling her for two mouth are all to his hand. during its course, and at the end. The figure lying on the table is years to get rid of it. Pity. she
Over the table is suspended a ́As the "sponges" (they're really hidden by a series of towels.
didn't take my advice before." large round lamp, which sheds squares of gauze) are done up in The surgeon glancés round, light with no shadows. In- bundles of twelve, and as each notes that the instruments are cidentally, this is one of the most bundle is examined before use lying to his hand, and that the ment of an operating theatre, surgeon to ensure that the anaesthetist if he may begin, expensive items in the equip by the sister or assistant sponges are ready. He asks the
but one which is almost invari- correct number of sponges is and gets a nod in reply.
Anthony Weymouth