Read Ebook: Speaking of Operations-- by Cobb Irvin S Irvin Shrewsbury

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Ebook has 118 lines and 13285 words, and 3 pages

With the surgeon it is very much as it is with those learned men who write those large, impressive works of reference which should be permanently in every library, and which we are forever buying from an agent because we are so passionately addicted to payments. If the thing he seeks does not appear in the contents proper he knows exactly where to look for it. "See appendix," says the historian to you in a footnote. "See appendix," says the surgeon to himself, the while humming a cheery refrain. And so he does.

Likewise Doctor Z's manner had been deceiving. It could not be that he meant to carve me to any really noticeable extent--his attitude had been entirely too casual. At our house carving is a very serious matter. Any time I take the head of the table and start in to carve it is fitting women and children get to a place of safety, and onlookers should get under the table. When we first began housekeeping and gave our first small dinner-party we had a brace of ducks cooked in honor of the company, and I, as host, undertook to carve them. I never knew until then that a duck was built like a watch--that his works were inclosed in a burglarproof case. Without the use of dynamite the Red Leary-O'Brien gang could not have broken into those ducks. I thought so then and I think so yet. Years have passed since then, but I may state that even now, when there are guests for dinner, we do not have ducks. Unless somebody else is going to carve, we have liver.

I mention this fact in passing because it shows that I had learned to revere carving as one of the higher arts, and one not to be approached except in a spirit of due appreciation of the magnitude of the undertaking, and after proper consideration and thought and reflection, and all that sort of thing.

If this were true as regards a mere duck, why not all the more so as regards the carving of a person of whom I am so very fond as I am of myself? Thus I reasoned. And finally, had not Doctor Z spoken of the coming operation as a small matter? Well then?

Thursday at noon I received from Doctor Z's secretary a note stating that arrangements had been made for my admission into St. Germicide that same evening and that I was to spend the night there. This hardly seemed necessary. Still, the tone of the note appeared to indicate that the hospital authorities particularly wished to have me for an overnight guest; and as I reflected that probably the poor things had few enough bright spots in their busy lives, I decided I would humor them along and gladden the occasion with my presence from dinner-time on.

About eight o'clock I strolled in very jauntily. In my mind I had the whole programme mapped out. I would stay at the hospital for, say, two days following the operation--or, at most, three. Then I must be up and away. I had a good deal of work to do and a number of people to see on important business, and I could not really afford to waste more than a weekend on the staff of St. Germicide's. After Monday they must look to their own devices for social entertainment. That was my idea. Now when I look back on it I laugh, but it is a hollow laugh and there is no real merriment in it.

Indeed, almost from the moment of my entrance little things began to come up that were calculated to have a depressing effect on one's spirits. Downstairs a serious-looking lady met me and entered in a book a number of salient facts regarding my personality which the previous investigators had somehow overlooked. There is a lot of bookkeeping about an operation. This detail attended to, a young man, dressed in white garments and wearing an expression that stamped him as one who had suffered a recent deep bereavement came and relieved me of my hand bag and escorted me upstairs.

As we passed through the upper corridors I had my first introduction to the hospital smell, which is a smell compounded of iodoform, ether, gruel, and something boiling. All hospitals have it, I understand. In time you get used to it, but you never really care for it.

The young man led me into a small room tastefully decorated with four walls, a floor, a ceiling, a window sill and a window, a door and a doorsill, and a bed and a chair. He told me to go to bed. I did not want to go to bed--it was not my regular bedtime--but he made a point of it, and I judged it was according to regulations; so I undressed and put on my night clothes and crawled in. He left me, taking my other clothes and my shoes with him, but I was not allowed to get lonely.

A little later a ward surgeon appeared, to put a few inquiries of a pointed and personal nature. He particularly desired to know what my trouble was. I explained to him that I couldn't tell him--he would have to see Doctor X or Doctor Z; they probably knew, but were keeping it a secret between themselves.

The answer apparently satisfied him, because immediately after that he made me sign a paper in which I assumed all responsibility for what was to take place the next morning.

This did not seem exactly fair. As I pointed out to him, it was the surgeon's affair, not mine; and if the surgeon made a mistake the joke would be on him and not on me, because in that case I would not be here anyhow. But I signed, as requested, on the dotted line, and he departed.

After that, at intervals, the chief house surgeon dropped in, without knocking, and the head nurse came, and an interne or so, and a ward nurse, and the special nurse who was to have direct charge of me. It dawned on me that I was not having any more privacy in that hospital than a goldfish.

About eleven o'clock an orderly came, and, without consulting my wishes in the matter, he undressed me until I could have passed almost anywhere for September Morn's father, and gave me a clean shave, twice over, on one of my most prominent plane surfaces. I must confess I enjoyed that part of it. So far as I am able to recall, it was the only shave I have ever had where the operator did not spray me with cheap perfumery afterward and then try to sell me a bottle of hair tonic.

Having shaved me, the young man did me up amidships in a neat cloth parcel, took his kit under his arm and went away.

It occurred to me that, considering the trivial nature of the case, a good deal of fuss was being made over me by persons who could have no personal concern in the matter whatsoever. This thought recurred to me frequently as I lay there all tied in a bundle like a week's washing. I did not feel quite so uppish as I had felt. Why was everybody picking on me?

Anon I slept, but dreamed fitfully. I dreamed that a whole flock of surgeons came to my bedside and charted me out in sections, like one of those diagram pictures you see of a beef in the Handy Compendium of Universal Knowledge, showing the various cuts and the butcher's pet name for each cut. Each man took his favorite joint and carried it away, and when they were all gone I was merely a recent site, full of reverberating echoes and nothing else.

I have had happier dreams in my time; this was not the kind of dream I should have selected had the choice been left to me.

When I woke the young sun was shining in at the window, and an orderly--not the orderly who had shaved me, but another one--was there in my room and my nurse was waiting outside the door. The orderly dressed me in a quaint suit of pyjamas cut on the half shell and buttoning stylishly in the back, princesse mode. Then he rolled in a flat litter on wheels and stretched me on it, and covered me up with a white tablecloth, just as though I had been cold Sunday-night supper, and we started for the operating-room at the top of the building; but before we started I lit a large black cigar, as Gen. U. S. Grant used to do when he went into battle. I wished by this to show how indifferent I was. Maybe he fooled somebody, but I do not believe I possess the same powers of simulation that Grant had. He must have been a very remarkable man--Grant must.

The orderly and the nurse trundled me out into the hall and loaded me into an elevator, which was to carry us up to the top of the hospital. Several other nurses were already in the elevator. As we came aboard one of them remarked that it was a fine day. A fine day for what? She did not finish the sentence.

Everybody wore a serious look. Inside of myself I felt pretty serious too--serious enough for ten or twelve. I had meant to fling off several very bright, spontaneous quips on the way to the table. I thought them out in advance, but now, somehow, none of them seemed appropriate. Instinctively, as it were, I felt that humor was out of place here.

I never knew an elevator to progress from the third floor of a building to the ninth with such celerity as this one on which we were traveling progressed. Personally I was in no mood for haste. If there was anyone else in all that great hospital who was in a particular hurry to be operated on I was perfectly willing to wait. But alas, no! The mechanism of the elevator was in perfect order--entirely too perfect. No accident of any character whatsoever befell us en route, no dropping back into the basement with a low, grateful thud; no hitch; no delay of any kind. We were certainly out of luck that trip. The demon of a joyrider who operated the accursed device jerked a lever and up we soared at a distressingly high rate of speed. If I could have had my way about that youth he would have been arrested for speeding.

Now we were there! They rolled into a large room, all white, with a rounded ceiling like the inside of an egg. Right away I knew what the feelings of a poor, lonely little yolk are when the spoon begins to chip the shell. If I had not been so busy feeling sorry for myself I think I might have developed quite an active sympathy for yolks.

My impression had been that this was to be in the nature of a private affair, without invitations. I was astonished to note that quite a crowd had assembled for the opening exercises. From his attire and general deportment I judged that Doctor Z was going to be the master of the revels, he being attired appropriately in a white domino, with rubber gloves and a fancy cap of crash toweling. There were present, also, my diagnostic friend, Doctor X, likewise in fancy-dress costume, and a surgeon I had never met. From what I could gather he was going over the course behind Doctor Z to replace the divots.

And there was an interne in the background, playing caddy, as it were, and a head nurse, who was going to keep the score, and two other nurses, who were going to help her keep it. I only hoped that they would show no partiality, but be as fair to me as they were to Doctor Z, and that he would go round in par.

So they placed me right where my eyes might rest on a large wall cabinet full of very shiny-looking tools; and they took my cigar away from me and folded my hands on the wide bowknot of my sash. Then they put a cloth dingus over my face and a voice of authority told me to breathe. That advice, however, was superfluous and might just as well have been omitted, for such was my purpose anyhow. Ever since I can recall anything at all, breathing has been a regular habit with me. So I breathed. And, at that, a bottle of highly charged sarsaparilla exploded somewhere in the immediate vicinity and most of its contents went up my nose.

I was going away from there. I was in a large gas balloon, soaring up into the clouds. How pleasant!... No, by Jove! I was not in a balloon--I myself was the balloon, which was not quite so pleasant. Besides, Doctor Z was going along as a passenger; and as we traveled up and up he kept jabbing me in the midriff with the ferrule of a large umbrella which he had brought along with him in case of rain. He jabbed me harder and harder. I remonstrated with him. I told him I was a bit tender in that locality and the ferrule of his umbrella was sharp. He would not listen. He kept on jabbing me.

Something broke! We started back down to earth. We fell faster and faster. We fell nine miles, and after that I began to get used to it. Then I saw the earth beneath and it was rising up to meet us.

A town was below--a town that grew larger and larger as we neared it. I could make out the bonded indebtedness, and the Carnegie Library, and the moving-picture palaces, and the new dancing parlor, and other principal points of interest.

At the rate we were falling we were certainly going to make an awful splatter in that town when we hit. I was sorry for the street-cleaning department.

And then Doctor Z stood up and combed the debris out of his whiskers and remarked that, taking it by and large, it had been one of the pleasantest little outings he had enjoyed in the entire course of his practice. He said that as a patient I was fair, but as a balloon I was immense. He asked me whether I had seen anything of his umbrella and began looking round for it. I tried to help him look, but I was too tired to exert myself much. I told him I believed I would take a little nap.

I opened a dizzy eye part way. So this was heaven--this white expanse that swung and swam before my languid gaze? No, it could not be--it did not smell like heaven. It smelled like a hospital. It was a hospital. It was my hospital. My nurse was bending over me and I caught a faint whiff of the starch in the front of her crisp blue blouse. She was two-headed for the moment, but that was a mere detail. She settled a pillow under my head and told me to lie quiet.

I meant to lie quiet; I did not have to be told. I wanted to lie quiet and hurt. I was hurty from head to toe and back again, and crosswise and cater-cornered. I hurt diagonally and lengthwise and on the bias. I had a taste in my mouth like a bird-and-animal store. And empty! It seemed to me those doctors had not left anything inside of me except the acoustics. Well, there was a mite of consolation there. If the overhauling had been as thorough as I had reason to believe it was from my present sensations, I need never fear catching anything again so long as I lived, except possibly dandruff.

I waved the nurse away. I craved solitude. I desired only to lie there in that bed and hurt--which I did.

I had said beforehand I meant to stay in St. Germicide's for two or three days only. It is when I look back on that resolution I emit the hollow laugh elsewhere referred to. For exactly four weeks I was flat on my back. I know now how excessively wearied a man can get of his own back, how tired of it, how bored with it! And after that another two weeks elapsed before my legs became the same dependable pair of legs I had known in the past.

I did not want to eat at first, and when I did begin to want to they would not let me. If I felt sort of peckish they let me suck a little glass thermometer, but there is not much nourishment really in thermometers. And for entertainment, to wile the dragging hours away, I could count the cracks in the ceiling and read my temperature chart, which was a good deal like Red Ames' batting average for the past season--ranging from ninety-nine to one hundred and four.

Also, through daily conversations with my nurse and with the surgeons who dropped in from time to time to have a look at me, I learned, as I lay there, a great deal about the medical profession--that is, a great deal for a layman--and what I learned filled me with an abiding admiration for it, both as a science and as a business. This surely is one profession which ever keeps its face to the front. Burying its past mistakes and forgetting them as speedily as possible, it pushes straight forward into fresh fields and fresh patients, always hopeful of what the future may bring in the way of newly discovered and highly expensive ailments. As we look backward upon the centuries we are astonished by its advancement. I did a good deal of looking backwards upon the centuries during my sojourn at St. Germicide's.

Take the Middle Ages now--the period when a barber and a surgeon were one and the same. If a man made a failure as a barber he turned his talents to surgery. Surgeons in those times were a husky breed. I judge they worked by the day instead of by piecework; anyhow the records show they were very fond of experiments where somebody else furnished the raw material.

When there came a resounding knock at the tradesman's entrance of the moated grange, the lord of the manor, looking over the portcullis and seeing a lusty wight standing down below, in a leather apron, with his sleeves rolled up and a kit of soldering tools under his arm, didn't know until he made inquiry whether the gentle stranger had come to mend the drain or remove the cook's leg.

A little later along, when gunpowder had come into general use as a humanizing factor of civilization, surgeons treated a gunshot wound by pouring boiling lard into it, which I would say was calculated to take the victim's mind off his wound and give him something else to think about--for the time being, anyhow. I assume the notion of applying a mustard plaster outside one's stomach when one has a pain inside one's stomach is based on the same principle.

However, one doesn't have to go clear back to medieval times to note the radical differences in the plan of treating human ailments. A great many persons who are still living can remember when the doctors were not nearly so numerous as they are now. I, for one, would be the last to reverse the sentence and say that because the doctors were not nearly so numerous then as they are now, those persons are still living so numerously.

In the spring of the year, when the sap flowed and the birds mated, the sturdy farmer felt that he was due to have something the matter with him, too. So he would ride into the country-seat and get an almanac. Doubtless the reader, if country raised, has seen copies of this popular work. On the outside cover, which was dark blue in color, there was a picture of a person whose stomach was sliced four ways, like a twenty-cent pie, and then folded back neatly, thus exposing his entire interior arrangements to the gaze of the casual observer. However, this party, judging by his picture, did not appear to be suffering. He did not even seem to fear that he might catch cold from standing there in his own draught. He was gazing off into space in an absent-minded kind of way, apparently not aware that anything was wrong with him; and on all sides he was surrounded by interesting exhibits, such as a crab, and a scorpion, and a goat, and a chap with a bow and arrow--and one thing and another.

Such was the main design of the cover, while the contents were made up of recognized and standard varieties in the line of jokes and the line of diseases which alternated, with first a favorite joke and then a favorite disease. The author who wrote the descriptions of the diseases was one of the most convincing writers that ever lived anywhere. As a realist he had no superiors among those using our language as a vehicle for the expression of thought. He was a wonder. If a person wasn't particular about what ailed him he could read any page at random and have one specific disease. Or he could read the whole book through and have them all, in their most advanced stages. Then the only thing that could save him was a large dollar bottle.

Again, in attacks of the breakbone ague or malaria it was customary to call in a local practitioner, generally an elderly lady of the neighborhood who had none of these latter-day prejudices regarding the use of tobacco by the gentler sex. One whom I distantly recall, among childhood's happy memories, carried this liberal-mindedness to a point where she not only dipped snuff and smoked a cob pipe, but sometimes chewed a little natural leaf. This lady, on being called in, would brew up a large caldron of medicinal roots and barks and sprouts and things; and then she would deluge the interior of the sufferer with a large gourdful of this pleasing mixture at regular intervals. It was efficacious, too. The inundated person either got well or else he drowned from the inside. Rocking the patient was almost as dangerous a pastime as rocking the boat. This also helps to explain, I think, why so many of our forebears had floating kidneys. There was nothing else for a kidney to do.

He probably owned a secret calomel mine of his own. He must have; otherwise he could never have afforded to be so generous with it. He also had other medicines with him, all of them being selected on the principle that unless a drug tasted like the very dickens it couldn't possibly do you any good. At all hours of the day and night he was to be seen going to and fro, distributing nuggets from his private lode. He went to bed with his trousers and his hat on, I think, and there was a general belief that his old mare slept between the shafts of the gig, with the bridle shoved up on her forehead.

It has been only a few years since the oldtime general practitioner was everywhere. Just look round and see now how the system has changed! If your liver begins to misconduct itself the first thought of the modern operator is to cut it out and hide it some place where you can't find it. The oldtimer would have bombarded it with a large brunette pill about the size and color of a damson plum. Or he might put you on a diet of molasses seasoned to taste with blue mass and quinine and other attractive condiments. Likewise, in the spring of the year he frequently anointed the young of the species with a mixture of mutton suet and asafetida. This treatment had an effect that was distinctly depressing upon the growing boy. It militated against his popularity. It forced him to seek his pleasures outdoors, and a good distance outdoors at that.

It was very hard for a boy, however naturally attractive he might be, to retain his popularity at the fireside circle when coated with mutton suet and asafetida and then taken into a warm room. He attracted attention which he did not court and which was distasteful to him. Keeping quiet did not seem to help him any. Even if they had been blindfolded others would still have felt his presence. A civit-cat suffers from the same drawbacks in a social way, but the advantage to the civit-cat is that as a general thing it associates only with other civit-cats.

Except in the country the old-time, catch-as-catch-can general practitioner appears to be dying out. In the city one finds him occasionally, playing a limit game in an office on a back street--two dollars to come in, five to call; but the tendency of the day is toward specialists. Hence the expert who treats you for just one particular thing With a pain in your chest, say, you go to a chest specialist. So long as he can keep the trouble confined to your chest, all well and good. If it slips down or slides up he tries to coax it back to the reservation. If it refuses to do so, he bids it an affectionate adieu, makes a dotted mark on you to show where he left off, collects his bill and regretfully turns you over to a stomach specialist or a throat specialist, depending on the direction in which the trouble was headed when last seen.

Or, perhaps the specialist to whom you take your custom is an advocate of an immediate operation for such cases as yours and all others. I may be unduly sensitive on account of having recently emerged from the surgeon's hands, but it strikes me now that there are an awful lot of doctors who take one brief glance at a person who is complaining, and say to themselves that here is something that ought to be looked into right away--and immediately open a bag and start picking out the proper utensils. You go into a doctor's office and tell him you do not feel the best in the world--and he gives you a look and excuses himself, and steps into the next room and begins greasing a saw.

Mind you, in these casual observations as compiled by me while bedfast and here given utterance, I am not seeking to disparage possibly the noblest of professions. Lately I have owed much to it. I am strictly on the doctor's side. He is with us when we come into the world and with us when we go out of it, oftentimes lending a helping hand on both occasions. Anyway, our sympathies should especially go out to the medical profession at this particular time when the anti-vivisectionists are railing so loudly against the doctors. The anti-vivisection crusade has enlisted widely different classes in the community, including many lovers of our dumb-animal pets--and aren't some of them the dumbest things you ever saw!--especially chow dogs and love birds.

I will admit there is something to be said on both sides of the argument. This dissecting of live subjects may have been carried to extremes on occasions. When I read in the medical journals that the eminent Doctor Somebody succeeded in transferring the interior department of a pelican to a pointer pup, and vice versa with such success that the pup drowned while diving for minnows, and the pelican went out in the back yard and barked himself to death baying at the moon, I am interested naturally; but, possibly because of my ignorance, I fail to see wherein the treatment of infantile paralysis has been materially advanced. On the other hand I would rather the kind and gentle Belgian hare should be offered up as a sacrifice upon the operating table and leave behind him a large family of little Belgian heirs and heiresses--dependent upon the charity of a cruel world--than that I should have something painful which can be avoided through making him a martyr. I would rather any white rabbit on earth should have the Asiatic cholera twice than that I should have it just once. These are my sincere convictions, and I will not attempt to disguise them.

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