1937-02-23 — Page 30

THE HONGKONG TELEGRAPII, TUESDAY, FEBRUARY 23, 1937.

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TUENDAY, FEBRUARY 23, 1937,

LEAGUE PLANS

What will the League of Nations he doing during this year? No completely accurate answer to this question can at present be given, for the simple renson 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

F

Did THEY

ever tell you about your

IRST to arrive are the nurses, whose job it

is to get everything ready for the surgeon. The sterilisers are turned on and

operation

soon the theatre is filled most people have been operated on

with their steam.

Several white tables are at some time or other. But not

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-

He pauses for a second or two, - selecting the spot. Then the knife descends..

Except for an occasional sen- · tence, rapped out with little politeness, silence reigns in the theatre.

"Some No. 1 entgut and a non- "Hold cutting needle, sister." 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 anaes- 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 Lap 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 tops.

censes.

The hissing noise There's no need for any more

thing which is going to come in while they were unconscious. This anaesthetic,

contact with the patient unless

the hands have been thoroughly

washed and then dipped, in is what did.

spirit:

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

Sometimes you find a set of wound.

the surgeon is fixing the next

"dirty" nurse-that is, the nurse batteries wired up 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.

While the surgeon is taking tion, touch articles which have mains. If it does, the turning had left a sponge inside her. not been sterilised,

heat.

"clean." and have put on their sterilised

and hands them over to be MEANWHILE, the gether in front.

hus

is the working of phosphates in Morocco by the French adminis- tration. Secondly, there is the

over of a switch provides the After some days she plucked up off his gloves the assistant is

illumination In the modern operation, anti- same "water of the Mouse" case be-

from the courage to ask one of the nurses, painting the wound with iodine who happened to be a literally and putting on the dressing tween Holland and Belgium.

soptics are, for all practical pur- batteries.

minded person.

which sister has picked out of a poses, dispensed with. The aim Finally, France and Greece have

"D'you think Mr. ...... lost drum with long forceps. Is to remove all germs (by pro- A BAG fitted up with agreed that the Court shall de-longed washing or the applica

several drawers, in anything d-during my opera-

The bandage is what is called a "many-tail," and consists of cide their dispute regarding tion of spirit) from the skin of which are glistening, chromium- tion?"

The nurse shook her head, strips which are fastened to a lighthouses in Crete and Samos. the patient and the hands of the plated instruments, heralds the

These are and

assistant. approach of the surgeon. his surgeon

He "Only his top-hat," she replied, band at the back. An interesting stage has been

folded across and pinned to- reached in the study of the pro-

Everything else is sterilised by selects what he is likely to need blem of "Longue Roform". The

boiled.

Then he helps the anaesthetist

Committee

Thus, once the surgeons are of Twenty-Eight,

Then he goes to the small arrived, and unpacked his ap- and the nurses lift the patient paratus. Nowadays, nearly off the table and on to a trolley. which has the views of 42 coun-

rubber-gloves, they dressing-room to get ready every patient to be operated Another injection when the tries before it, has appointed must touch nothing which isn't Some surgeons change right upon is given a preliminary in patient is safely back in bed.

"surgically rapporteurs to work upon the

clean." If the down to their underwear, and rejection. So a syringe is pre- She won't wake up now for chief questions which have been operator is perspiring and appear in the theatre in white pared, and the anaesthetist goes several hours. And when she raised. The results of these sometimes the heat of the duck trousers and a vest,

to the patient's room.

does things won't seem so bad. 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- labours will come before the

a “dirty” nurse to wipe his fore- 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

TRAY with coffee is There are signs that the pro- himself.

wear rubber-boots, others slip into the vein. Within ten A blem of nutrition, the campaign

seconds the patient is probably

brought to the sur- dressing-room. The NOW look round the o goloshes. against the drug traffic, and the

theatre. In the middle Whoever is assisting the sur- fast asleep. She is then placed geon's activities of the Health Organ-

geon has probably already on a trolley and taken to the three men discuss their work. is the operating-table, standing

In these circumstances the talk isation will attract a good deal squatly on its base. It can be changed and is washing up, in theatre.

This new method of producing is invariably-on "shop." of limelight during the year. A raised by slight pressure with readiness to prepare the patient.

"D'you remember that girl conference on rural hygiene has

The assistant at an operation unconsciousness is one of the one foot, and lowered by press- has to help lift the unconscious greatest advances which has with the appendix we did out at been planned, and also a Faring a button. 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 seen 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

ON

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

He has to arrange the steri- the control of the anaesthetist. She looked a different creature." titled as a whole.

Dr., who has just giver lised towels, so that nothing can At the head stands a small, touch either the prepared skin

N either side of the the anaesthetic, noda. "Amaz- table a white-gowned ing how people improve when square, glass-topped table. This or anything which the surgeon and masked figure stands. At they've got rid of a grumbling is for the anaesthetist; and on it is going to handle, and place the the head is sitting a man, also appendix.... This patient ought stand his bottles and such other gauze sponges and a few selected in white and also wearing a cap to do well. That was a horrid- necessarics as he is likely to Instruments within easy reach and mask.

looking organ you removed." need.

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 cd 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 glances 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 operation would be left largely ment of an operating theatre, surgeon to

expensive items in the equip by the sister assistant-spongos are rendy. He asks the ensure that the anaesthetist if he may begin, untouched."

but one which is almost invari- correct number of sponges is and gets a nod in reply.

+00

of the surgeon.

ON

Anthony Weymouth

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