surgery

The evening was a string of miserable minutes strung together in tiny clusters. Three minutes for a man shot through the shoulder; Ellis put first a finger in the entry wound and then another in the exit and when his fingers touched, he decided the man was only lightly injured and didn__ need a surgeon. Three minutes to set a broken wrist and splint it with a strip of cowhide and a piece of wood from a sycamore tree. Two minutes to tourniquet a leg, then extract a piece of wire deep in the meat of it. A minute to peek under a pink, saturated bandage several inches below a slender belly button; he saw thin, red water leaking from a hole and smelled urine, knew the ball had breached the bladder. It would either heal or it wouldn__, but nothing to do about it so he set the soul aside, a case not to be operated upon. He turned a man__ head looking for the source of a trickle of blood and had ten terrible minutes trying to stop torrential bleeding from under his clavicle; frantic moments during which he could get neither a finger nor a clamp around the pulsating source. All bleeding stops eventually though, and the case did not violate the rule. He took two minutes to settle his own breathing, then four minutes sewing a torn scalp, and half a minute saying a prayer over a fat, cigar-shaped dead man. After awhile, he had the impression he wasn__ seeing men, but parts__n exploded chest, a blood swolled thigh, a busted jaw with its teeth spat to the wind or swallowed.It was more than a man could take and a lot less than there was to be seen.

Surgery was the most difficult thing I could imagine.And so I became a surgeon.

No matter who you were in sixteenth-century Europe, you could be sure of two things: you would be lucky to reach fifty years of age, and you could expect a life of discomfort and pain. Old age tires the body by thirty-five, Erasmus lamented, but half the population did not live beyond the age of twenty. There were doctors and there was medicine, but there does not seem to have been a great deal of healing. Anyone who could afford to seek a doctor's aid did so eagerly, but the doctor was as likely to maim or kill as to cure. His potions were usually noxious and sometimes fatal__ut they could not have been as terrible and traumatic as the contemporary surgical methods. The surgeon and the Inquisitor differed only in their motivation: otherwise, their batteries of knives, saws, and tongs for slicing, piercing, burning, and amputating were barely distinguishable. Without any anesthetic other than strong liquor, an operation was as bad as the torments of hell.

With all due respect to my surgeon, in a perfect world he would be out of a job.

To her despair was added a philosophical dejection, the feeling of every thinker who, venturing an inquisitive finger beneath the velvet of a throne, comes upon the coarse pinewood . . . And then it was she fell victim to a still more painful disquiet. The dead man they had just carted off, like a lump of matter no longer of any use, made it hideously plain how closely hospitals resemble factories. Under the scalpel, living flesh is treated there like wood under the plane or steel under the rolling-mill.

Hundreds of men crowded the yard, and not a one among them was whole. They covered the ground thick as maggots on a week old carcass, the dirt itself hardly anywhere visible. No one could move without all feeling it and thus rising together in a hellish contortion of agony. Everywhere men moaned, shouting for water and praying for God to end their suffering. They screamed and groaned in an unending litany, calling for mothers and wives and fathers and sisters. The predominant color was blue, though nauseations of red intruded throughout. Men lay half naked, piled on top of one another in scenes to pitiful to imagine. Bloodied heads rested on shoulders and laps, broken feet upon arms. Tired hands held in torn guts and torsos twisted every which way. Dirty shirts dressed the bleeding bodies and not enough material existed in all the world to sop up the spilled blood. A boy clad in gray, perhaps the only rebel among them, lay quietly in one corner, raised arm rigid with a finger extended, as if pointing to the heavens. His face was a singular portrait of contentment among the misery. Broken bones, dirty white and soiled with the passing of hours since injury, were everywhere abundant. All manner of devices splinted the damaged and battered limbs: muskets, branches, bayonets, lengths of wood or iron from barns and carts. One individual had bone splinted with bone: the dried femur of a horse was lashed to his busted shin. A blind man, his eyes subtracted by the minié ball that had enfiladed him, moaned over and over ____ kilt, I__ kilt! Oh Gawd, I__ kilt!_ Others lay limp, in shock. These last were mostly quiet, their color unnaturally pale. It was agonizingly humid in the still air of the yard. The stink of blood mixed with human waste produced a potent and offensive odor not unlike that of a hog farm in the high heat of a South Carolina summer. Swarms of fat, green blowflies everywhere harassed the soldiers to the point of insanity, biting at their wounds. Their steady buzz was a noise straight out of hell itself, a distress to the ears.

Then the long nights, that were also days, in the hospital. And the long blanks, that were also nights. Needles, and angled glass rods to suck water through. Needles, and curious enamel wedges slid under your middle. Needles, and - needles and needles and needles. Like swarms of persistent mosquitoes with unbreakable drills. The way a pincushion feels, if it could feel. Or the target of a porcupine. Or a case of not just momentary but permanently endured static electricity after you scuff across a woolen rug and then put your finger on a light switch. Even food was a needle - a jab into a vein...("For The Rest Of Her Life")

No one has the right to demand that your body be something other than what it is.

We priests are the surgeons of souls, and it is our duty to deliver them of shameful secrets they would fain conceal, with hands careful to neither wound no pollute.

I used to think how dangerous the world would have been if these ants were the size of dogs. They would have cut the humans in two halves just by a single strike of their flippers.

Of the many 'firsts' with which I have been involved at the Texas Heart Institute __ncluding the first successful human heart transplant in the United States and the first total artificial heart transplant in the world__he achievement that may have the greatest impact on health care did not occur in the operating room or in the research laboratory. It happened on a piece of paper... when we created the first-ever packaged pricing plan for cardiovascular surgical procedures.

I had seen that once before, bleeding water. A little baby I worked on as a resident in training. That poor kid had been shot as well__is father had blasted away the top of his head with a shotgun__nd we couldn't begin to stop the bloodletting in that case. "Looking pretty thin down here," I hollered when the stuff coming out his wounds was no more than pink salt water. That baby's heart stopped, started, stopped and started a dozen times before it finally gave up the ghost and we pronounced him. I could have read a newspaper through the watery stuff coming out his veins by then.