In the operating theatre

Screen Shot 2016-03-18 at 18.47.37Writing of his Bulawayo days as a house officer at Mpilo Hospital (‘a large building of red brick in the parsimonious British municipal style of the 50s, with metal-framed windows and no embellishments’), Dalrymple says he learnt little in the operating theatre because

I wished to learn little. Assisting at operations was, for me, a kind of slow torture. It is one thing to take infinite pains yourself, quite another to watch someone else doing it.

It is a law of surgery that

Mpilo hospital opened in 1958

Mpilo hospital: it was opened in 1958

the assistant can never satisfy the surgeon. He either pulls the retractor too hard or not hard enough, but never just right. There is an old joke about a medical student who asks the famous professor of surgery: ‘And how would you like your stitches cut today, professor? Too long or too short?’

The layman may think

of the operating theatre as a place of drama,

Screen Shot 2016-03-18 at 18.41.33and it is true, says Dalrymple, that

there are moments of drama, or rather of crisis, but for the most part there is only tedium exacerbated by the desultory conversation between the anæsthetist (if he is not wholly absorbed in his crossword) and the surgeon concerning their sailing dinghies, dogs or vegetable gardens.

Screen Shot 2016-03-18 at 18.42.27Dalrymple admires the surgeon’s

capacity for prolonged concentration, up to ten hours at a time; the concern for the welfare of patients that such an effort implies; and the coolness with which crises, when they arise, are handled.

Screen Shot 2016-03-18 at 18.41.45He remembers a surgeon accidentally cutting an artery,

and the strong instantaneous jet of crimson blood spattering his face and soaking his mask. It was enough to make even a brave man flee, but in one swift and sure movement of his finger he staunched the jet, and the crisis was over before it had properly begun.

Screen Shot 2016-03-18 at 18.45.53This

was not work I could enjoy, and I never left the theatre without feeling great relief.

Screen Shot 2016-03-18 at 18.42.01Screen Shot 2016-03-18 at 18.40.33

Advertisements
Trackbacks are closed, but you can post a comment.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: