DOCTOR AT SEA

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DOCTOR AT SEA Page 8

by Richard Gordon


  'Yes, sir,' I said.

  I recognized at once that the Captain's advice on therapy had obvious drawbacks. In the first place, I had a meagre idea of how to remove an appendix. A medical qualification is like a marriage licence-it gives you official permission to go ahead, but it doesn't guarantee you know enough to tackle all the difficulties after the honeymoon. I had diligently attended the operating theatre in my hospital, but there were always so many students present whenever the surgeons removed an appendix that all I usually saw of the operation were the boils on the neck of the man in front of me.

  The second difficulty was equipment. Although appendices have reportedly been removed by second mates with bent spoons and a bos'n's knife, I felt that my academic inhibitions made it impossible for me to operate skilfully with the products of an ironmonger's shop. Thirdly, there was professional assistance. Easter was an admirable character for whom I had a sincere admiration as a man of the world, but when it came to dabbling in clinical medicine he was as dangerous as an unlabelled bottle of strychnine.

  I called him into my cabin.

  'Easter,' I said earnestly, 'have you seen a case of acute appendicitis before?'

  'Ho, yes, Doctor. Every time I eats pickles I'm reminded of it.'

  'Pickles?'

  'That's right, Doctor. I was on the Western Ocean run at the time. The old Doc was scared to operate, so he puts the patient in the ship's hospital and tells me to keep him on a light diet, see. That night I goes along and asks if there's anything he wants, like, before I turn in, and the patient says to me "Yes," he says, "I should like just a few pickles."

  "Pickles!" I says. "You can't have no pickles! Don't be balmy! The Doctor would have me over the side if I was to give you pickles. We of the medical fraternity don't reckon pickles is a light diet. Not for 'arf a minute we don't." I says.'

  'Well the next morning I brings him 'is breakfast-two poached eggs done special-and when I goes to shake him-Cor! He was cold to the touch. Them pickles was his last wish, Doctor, and I refused him. Sad, ain't it?'

  'Quite so, Easter,' I said. 'Let's have a little less of your reminiscences and a little more action. We must operate on this man before sundown. Do you realize what that means? We must strip the hospital, scrub it out with antiseptic, rig up some lights and an operating table, and find some instruments from somewhere. Savvy?'

  'Very good, Doctor. We of the fraternity always rises to the occasion, as they say.'

  'Well, start rising.'

  He hesitated.

  'If might be so bold, Doctor…'

  'Yes?'

  'Perhaps it might make things go a little easier if you and me was to have a bit of the medical comforts to start with.'

  I clapped him gratefully on the shoulder. 'Capital idea, Easter. Reach down the bottle from my locker.'

  Rumours of my intended surgical assault spread through the ship faster than the news of a landfall. It was not only a pleasurable interruption to the tedium of the voyage but it had the attributes of mystery and originality as well. The crew hadn't had such fun since a boiler blew up off Panama.

  I shut myself in my cabin and opened the text-book of surgery I had prudently included in my packing. Turning over the pages to appendicitis, I ran my finger down the print. I started to read the section headed 'operation.'

  'The incision is made at McBurney's point,' it said. Oh God! What was McBurney's point? It sounded like a mountain in California.

  There was a rap on the jalousie.

  'Come in!'

  I unlatched the door. It was the Chief Engineer.

  'I heard about this wee party you're having, Doc,' he said affably. 'I reckoned you'd be needing some lights so's you can get a good squint at the innards. I can rig up a cargo cluster for you, if you're willing.'

  'Thanks very much.'

  He gave a grin.

  'Of course, you won't mind me turning up to see the fun, Doc, will you? I reckon I ought to be there in case the lights go on the blink. You never can tell with these cargo clusters.'

  'That'll be all right, Chief.'

  'Thanks, Doc. Give us a shout when you want to stand-by.'

  I opened the book again, and had read far enough to learn that the appendix may be in any of six positions when Hornbeam put his head round the door. He laughed loudly.

  'Hello, Doc! Making you do a bit of work for a change?'

  'That's what I'm here for,' I said casually.

  'Reading it all up in the old almanac, I see,' he said genially.

  I shut the heavy book with a bang and dropped it behind the bunk.

  'One must refresh one's memory,' I said. 'Even Lord Lister had to do that sometimes.'

  'What I came down for, Doc,' he went on, 'was to offer you a bit of a hand. I remember seeing one of these done in the war when I was trooping. Thought you might like me to hold the blood-bucket or something.'

  I considered.

  'All right,' I said. 'I'd be pleased to have someone with common-sense around. You won't faint, will you?'

  'What, after all these years at sea? I'll come along later.'

  I was still looking for my place in the surgery book when I saw Sparks in the doorway. He brushed aside a couple of imaginary companions and grinned at me.

  'Yes?' I asked uninvitingly.

  'I hear you're going to carve 'em up, Doc.'

  'I am intending to operate, certainly.'

  'Wouldn't mind if I watched, would you? I'm a bit of a photographer, and I'd like a few pictures to show the kids.' His grin widened. 'Makes a change from seagulls.'

  'I don't think there'll be enough room for me and the patient if you come too.'

  'Would you like to send a message to his mother?' he asked.

  'No, I would not.'

  'Haven't got a spot of gin handy, have you?'

  'Not now. Later. I'm very busy.'

  'All right, Doc. Have a good time.'

  He went off, singing with his friends. But there had now collected outside the door a bunch of deckhands, led by the Bos'n with his cap respectfully in his hands.

  'What the hell do you want?' I asked crossly.

  'Sorry to disturb you, Doctor, only seeing as we're all pals of Erb's, we was thinking you'd let us come in, see, to 'ave a dekko. 'E says its all right wiv 'im, as long as we behaves decent.'

  'Go away,' I said. 'Go away at once. All of you. Who do you think I am? A music-hall turn? I shall report you all to the Mate.'

  I slammed the door and returned to the intricacies of appendectomy.

  ***

  I found Easter in the hospital. He had dismantled the cabin furnishings and was on his knees scrubbing the deck, stripped to the waist.

  'How's it going?' I asked.

  'It's bloody 'ot.'

  'What's the temperature?'

  He got up and inspected the thermometer in the corner.

  'Hundred and six,' he said.

  'Can't you put the forced draught on?'

  'Blows soot in.'

  'Oh, all right. We'll have to put up with it I suppose. How have you got on with the operating table?'

  He had a wooden trestle table along one bulkhead which he set up proudly. It left just enough room on either side for the pair of us.

  'I got it off Chippy,' he said. 'He uses it for mixing the paints on.'

  'It's better than nothing. If you scrub it hard enough it'll be reasonably sterile.'

  As I spoke, two large, rusty drops fell from a pipe crossing the deckhead on the spot where the operation wound would be.

  'Damnation! Can't you do anything to stop that?'

  Easter shook his head.

  'Been like it for years. It's a job for the shore engineers, that is.'

  'Well, you'll have to fix up some sort of screen. Have we got any dressings and gloves, and so forth?'

  'There was some in the locker. Seem to have been there since the war.'

  'Get them sterilized in the galley. How about instruments? What have you found?' />
  Easter pulled two handfuls of metal objects from his trouser pockets.

  'I've been on the scrounge,' he explained. 'I thought these would come in handy, like.'

  I looked at his booty, which he spread on the table. There was a pair of pliers, two saloon forks, a packet of darning needles labelled 'A Sailor's Friend,' some paper-clips, a stiletto, a potato knife, a pair of tweezers, a surgical scalpel, and a uterine curette.

  'You'd better sterilize the lot,' I said gloomily. 'Except the pliers. Shouldn't there be a set of surgical instruments on board?'

  'They seem to have disappeared, Doctor.'

  'You mean you flogged them?' He scratched his nose guiltily. 'There's nothing for it but to use what we've got,' I told him crossly. 'I damn well hope you get an appendix, too!'

  I went out on deck. I needed some fresh air. The day was already becoming too much for me.

  Outside the hospital I found Chippy. He was sitting on the deck with a hatch cover-a thick piece of wood about six feet by two used in rows to cover the hatches. He was polishing it carefully with emery paper.

  'Hello, Chips,' I said. 'Getting everything shipshape for Santos?'

  He looked up at me gloomily.

  'He'll slide off this lovely,' he said.

  'Who will?'

  'Why-'im down there.' He pointed aft with his thumb. 'The poor bloke what's for the knife. Slide off it like a wet fish, he will,' he added with relish.

  I was perplexed.

  'What's he want to slide off a hatch cover for?' I asked.

  'Why, when they buries 'im, of course.' He gave it another rub. 'Lot of work I've put in on this 'ere 'atch cover.'

  'Now, look here, Chippy. What gives you the idea my patient's going to die?'

  'Oh, they always does. I've seen five appendicitises at sea. 'Ad their time, every one of 'em. Over the wall they went on a 'atch cover.'

  I stamped off in disgust. I felt I had been professionally insulted. I climbed the bridge ladder angrily to report the Carpenter's pessimism to one of the Mates. There I found the Second moodily sorting out flags.

  'What ho, Doc,' he said. 'When's the carve-up?'

  'In about an hour.'

  'Think that ensign'll do?'

  'Do? What for?'

  'Why, in case-in case of accidents. To cover the body.'

  'There isn't going to be any body, damn you!'

  'Well, Father told us to take precautions. Means a lot of work for all hands, Doc. It'll be a shame if they're all disappointed now.'

  I admit that they do give one an excellent funeral at sea. The properties are traditionally adapted from the ship's gear and the routine is prescribed as firmly as that for entering and leaving port. As soon as the body is available it is turned over to the bos'n, who sews it up in canvas with half a dozen firebars from the galley. For this he receives a bottle of whisky. Meanwhile, the carpenter has been polishing and attaching rope handles to a hatch cover, and the quartermasters have been pressing their best uniforms. The ceremony is held at sunset or sunrise on the same day, because ships spend most of their time in tropical waters and the performance might be marred by the corpse if it became aggressively high. The vessel stops, a rail is taken away from the side, and the ship's officers, including the abashed Doctor, line up with the Captain. Caps are removed, and at the appropriate moment the body is marched to the rails on the hatch cover by the quartermasters-who receive a bottle of whisky between them for their services-and smartly tipped overboard. The Mate, who has charge of all deck stores including flags, at the same time edges himself down to the rail and grabs the ensign-which costs the Company money-before it slips into the sea with its bundle. The ship then starts again and everybody goes off for an obituary peg.

  'I should hate to spoil your fun,' I said coldly, 'but this patient is going to walk off the ship in Liverpool.'

  I returned into the hospital, where Easter was boiling the instruments over a Primus stove.

  'Everyone thinks there's going to be a funeral,' I said. 'I never heard such nonsense.'

  'Ho, yes,' Easter remarked calmly. 'That's why I couldn't fit a screen under that there pipe as you said. Bos'n says he's got to keep all his spare canvas for the shroud.'

  'But it's monstrous!'

  Easter chuckled over the steaming instruments.

  'Cor, I've seen some funny funerals at sea! Remember one we had in the Indian Ocean. Chinaman it was. Got knifed. Blimey, we pushed him overboard all right, but he wouldn't sink. Bobbed about like a buoy. The Old Man wasn't 'arf flummoxed. In the end we had to leave him to it. Couldn't pull him out again, could we? Probably still bobbing about somewhere, if the sharks ain't got him.'

  'I'm going to see the patient,' I said sternly. 'Get everything ready in an hour's time.'

  The patient was sitting in his cabin eating fish and chips and drinking a bottle of beer.

  'What the devil's this!' I shouted. 'I thought I told you to have nothing by mouth?'

  'Oh, sorry, Doc,' he said awkwardly. 'But seeing I was feeling so much better like, I thought I could do with a bit of grub.'

  'Better, man! How dare you say you're better! That's for me to decide. You only think you're better. You've got an acute appendix inside you.'

  He pulled a fish bone out of his mouth repentantly.

  'There's just one thing, Doc,' he said respectfully. 'Do people often get this appendix taken out twice.'

  'Twice? What do you mean?'

  'Well, I had it taken out the first time in Birkenhead when I was six…'

  I sprang at him and pulled up his shirt. A faint, white two-inch scar. I started to laugh.

  ***

  'Not operating, Doctor? Why?' Captain Hogg demanded.

  'I've charmed it away, sir,' I explained. 'A trick I learnt in infancy from a gypsy.'

  Chapter Nine

  We arrived at Santos in the early afternoon. As we slowed down to approach the river mouth between the deep green hills the shore heat hit us like the blast from the engine-room hatchway.

  'It'll be nice and cosy alongside,' Easter said gloomily.

  We sailed up the greasy river between the rows of ships tied thickly along each bank, the ensign of the United States of Brazil flying in courtesy from our foremast. Hornbeam went to his station forrard, and Archer took the Lamptrimmer and his gang of deckhands aft. The tugs came up, the mooring ropes flew out, and we were pushed into place as neatly as a well-parked car. The gangway rattled down and a section of the rail was pulled away: we had arrived.

  But we were still flying the yellow Q flag, indicating we were in quarantine. A troop of stout Brazilian customs and health officials immediately tramped aboard, headed by an important-looking man in a white suit whom I took to be the Doctor.

  I saluted.

  'Boa dia, senhor,' I said in carefully incubated Portuguese.

  He held out his hand.

  'Afternoon, old boy,' he replied. 'How's tricks?'

  'Very well, thank you.'

  'Nothing infectious?'

  'No.'

  'Haul down the yellow peril, then. Can you let me have a few hundred English cigarettes?'

  Once the quarantine flag was down people came aboard like Navy Week visitors on a bank holiday. There were policemen, stevedores, money-changers, ship chandlers, water purveyors, fruit sellers, harbourmasters, launderers-and the agents. The agents were the men in charge of the Fathom Line's business in Santos, and could get any commodity at short notice from five thousand tons of oil to a new bell for the ship's cat. They were a pair of tall genial Englishmen with minds like efficiently arranged shopping lists.

  'Hello, Doc,' one said. 'Want any medical stores?'

  'Chief Steward's got the list.'

  'Good. You've taken over from Flowerday, have you? He was a rum bird. Coming to have a peg?'

  'Not just now.'

  'Fair enough. By the way, there's some mail for you somewhere.'

  I had forgotten that the agents look after the ship's mail. I wen
t out on deck and found most of it had been distributed. All over the ship men were leaning on uncomfortable steel corners reading their letters. I passed the Carpenter, who had several closely-written sheets in his hand and kept saying 'No! It can't be! It can't be!' to himself. I hoped it was nothing serious.

  'Coo!' one man shouted. 'I've 'ad a baby!'

  'I've 'ad six,' his companion said morosely, not looking up. This nonplussed the new father.

  Wot, all at once?' he asked.

  I ran into Whimble.

  'Letter for you, Doc,' he said. 'I gave it to Easter.'

  I suddenly felt excited. I had forgotten England and home in the past three weeks as efficiently as a patient with amnesia. My past seemed a disconnected existence. All at once I felt a letter would be like a familiar face in a big crowd.

  I saw Easter leaning on the rail and hurried towards him. I wondered who it was from. Wendy, perhaps? Telling me she was crying over my picture and reading Conrad? From my principal, genially wishing me a good voyage? Or my parents, asking where I'd put the keys of the garage? From old classmates envious of my double release? I didn't care. It was a letter, a letter. Whoever sent it proved the most important thing in the world-I was not forgotten.

  I took the envelope from Easter. I couldn't recognize the handwriting. I tried to open it with dignity, but excitedly tore the flap. It said: _'The-Laundry. Dear Sir, If you do not collect your washing within seven days of this date it will be sold to defray charges.'_ I tossed it into the dock. I leant on the rail and looked at the unfamiliar colours, the dirty yellow sheds, the strange un-English mountains in the background with the white road wriggling up them to Sгo Paulo, the dusky lounging men and slim graceful women on the wharfside, the signs in Portuguese, the odd open tramcar behind, the surprising uniforms of the police, the glare of the unaccustomed sun…I realized tardily I was on another side of the world.

  ***

  After conditioning myself to the exclusive company of my shipmates for three weeks I found the rush of locals on board unsettling. The silence of the sea passage was broken by the noise of the winches, and the bare decks became littered with hatch covers, wires, tarpaulins, pieces of dropped cargo, and resting Brazilians. The Brazilians have a great capacity for rest. When they have nothing to do for a few minutes they see no point in continuing to support the burden of keeping awake and fling themselves into the nearest piece of shade. Whether they are lying on a stone wharf, the top of a couple of packing-cases, or some pieces of scrap metal does not appear to detract from the enjoyment.

 

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