1937-02-23 — Page 6

THE HONGKONG TELEGRAPH, TUESDAY, FEBRUARY 23, 1987.

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TUESDAY, FEBRUARY 23, 1937,

LEAGUE PLANS

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, threc legal disputes will be dealt with by the Permanent Court of International Justice at The

Hague. In the first. Italy is

bringing

action an

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-

Did THEY

you

ever tell 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

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 'catgut and a non- culting 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 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 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-

rating on every move your

make, is a tiring "I'm going to stitch

he announces. The anaesthetist

nods, and does something to one of the taps.

The hissing noise Ceases. There's no need for any more

clock. Nobody must touch while they were unconscious. This fietie.

thing which is going to come in contact with the patient unless

the hands have been thoroughly is what did.

washed and then dipped in

spirit.

not been sterilised.

is to remove all germs (by pro.

tween Holland and Belgium. Finally, France and Greece have agreed that the Court shall de-longed washing or the applica 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-

surgeon

and

If

►

which sister has picked out of, a ... lost drum with long forceps.

The bandage is what is called

a "many-tail," and consists of

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

has

,

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-

hood that one will be left in a and cuts the sutures short while going to hand the instruments date nursing home or hospital.

the surgeon is fixing the next to the surgeon, is helped by the "dirty" nurse-that is, the nurse batteries wired up for the

Sometimes you find a set of wound.

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."

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 iodine who happened to be a literally and putting on the dressing minded person. septics are, for all practical pur. batteries. poses, dispensed with. The afm

A BAG fitted up with "D'you think Mr.

several drawers, in anything d-during my opera- tion of spirit) from the skin of which are glistening, chromium- tion ?" the patient and the hands of the plated instruments, heralds the The nurse shook her head, strips which are fastened to a his assistant, approach of the surgeon. He "Only his top-hat," she replied. band at the back. These are folded across and pinned to- Everything else is sterilised by selects what he is likely to need heat.

boiled.

Then he helps the anaesthetist Thus, once the surgeons are.

Then he goes to the small arrived, and unpacked his ap- and the nurses lift the patient "clean." and have put on their

paratus. Nowadays, nearly off the table and on to a trolley. sterilised rubber-gloves, they dressing-room to get ready: every patient to be operated

Another injection when the must touch nothing which isn't Some surgeons change right upon is given a preliminary in patient is safely back in bed. "surgically clean."

the down to their underwear, and rejection. 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 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- a "dirty" nurse to wipe his fore- cost and waistcoat, collar and tie. elbow is cleansed, and the needle tent to keep still. head. For he can't touch it Some remove their shoes and of a hypodermic syringe pushed himself.

wear rubber-boots, others slip into the vein. Within ten on goloshes.

seconds the patient is probably Now look round the

Whoever is assisting the sur- fast asleep. She is then placed geon's theatre. In the middle is the operating-table, standing

has probably already on a trolley and taken to the three men discuss their work. In these circumstances the talk squatly on its base. It can be changed and is washing up, in theatre.

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

"D'you remember that girl' one foot, and lowered by press- The assistant at an operation unconsciousness is one of the

has to help lift the unconscious greatest advances which has with the appendix we did out at 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.

months afterwards. It's entirely some operating table, and apply the of anaesthetics. 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" Dr., who has just given titled as a whole.

lised towels, so that nothing can At the head stands a small, touch either the prepared skin

ON either side of the the anaesthetic, nods. "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- necessaries as he is likely to instruments within easy reach and mask.

looking organ you removed." of the surgeon.

It would be difficult to recog- The man, who is tying his tle: Hypodermic syringes, tubing Everything is carefully count- niso 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. "Tve 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. Plty she

didn't take my advice before." Over the table is suspended a As the "sponges" (they're really hidden by a series of towels. large round lamp, which sheds squares of gauze) are done up in. The surgeon glances round, no shadows. In bundles of twelve, and as each mg that the instruments are cidentally, this is one of the most bundle is examined before use lying to his hand, and that the expensive items in the equip by the sister or assistant- sponges are ready. He asks the ment of an operating theatre, surgeon to ensure that the anaesthetist if he may begin, but one which is almost invari, correct number of sponges le and gets a nod in reply.

tries before it, has appointed rapporteurs to work upon the chief questions which have been raised. The results of these labours will come before the annual Assembly in September: There are signs that the pro- blem of nutrition, the campaign against the drug traffic, and the activities of the Health Orgaṇ- isation will attract a good deal of limelight during the year. A conference on rural hygiene has 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 dia- cuss the British Government's report on the disturbances which occurred in Palestine. It will be acon from this brief summary that there are aspects of the Lenguo's work, quite apart from purely political issues, which are of the utmost value. Indeed, light with but for the Longue, many aspects of international operation would be left largely untouched,

Co-

need.

geon

A TRAY with coffee is brought to the aur- dressing-room. The

I

Anthony Weymouth