Surgeon at Arms

white knitted socks and a short over-laundered cotton nightshirt which fastened with rubber buttons at the back. He didn’t seem to be growing as drowsy as usual. Perhaps the injection was losing effect. Only to be expected, he told himself. Once he could get drunk on a bottle of beer, now it needed a couple of crates. He wondered how many more operations the Wizz had in store for him. It never occurred to Bluey that he might ask Graham to stop, to leave him with a half-patched face and makeshift hands, but in peace. He accepted his treatment as something which went on until it reached its natural end, like the war.
    As they wheeled him the few yards from the ward to the operating theatre on a trolley he searched the ceiling for a peculiar star-shaped crack, as he always touched the dried kangaroo paw in his tunic pocket before flying. Sometimes when they trundled you out you were dead scared, others you didn’t gave a damn. He supposed it depended how rough they were on your last visit. Anyway, the operation today was kid’s stuff. He’d soon get over it. With luck, he’d be out on the grog again on Saturday night, as usual.
    The anaesthetic room, improvised out of flimsy partitions, was hardly big enough to hold the patient, the ward nurse accompanying him, the tall frame of John Bickley, and the anaesthetic trolly gleaming with dials, bottles, piping, and coloured cylinders. Bluey raised his head from the pillow. The Gasman, his long green gown pushed up to his elbows, was holding a large syringe.
    ‘Not another bloody needle?’
    ‘You’re a favoured customer, Bluey. No gas this time. I’m sending you off with an injection.’
    ‘Go on?’ This was an interesting departure, something to tell the ward afterwards. The anaesthetist rubbed a swab of cold antiseptic on the crook of Bluey’s left arm. ‘What’s the stuff called?’
    ‘Evipan.’ John drew back the plunger of his syringe, a swirl of blood telling him the needle lay safely inside the vein. If the injection went by error into the skin of Bluey’s elbow there would be an abscess, and a terrible row with Graham. ‘There, you didn’t even feel the needle, did you? Now count, out loud....’
    Bluey reached fifteen, yawned deeply, and fell asleep. John plucked out the syringe, simultaneously freeing Bluey’s breathing by holding up his chin. ‘This stuff was invented by our friends the Germans,’ he told the nurse. ‘I ought to use it as a routine. The boys get pretty browned off, being suffocated every time with gas. That can’t be much fun when you have to face a dozen operations on the trot.’
    Like all specialist anaesthetists, John Bickley brought to his work the artistic touch of an experienced chef. First he held a triangular padded mask tight to Bluey’s patchwork face, and concocted a delicately proportioned mixture of oxygen and nitrous oxide gas. Then he moved a lever on a bottle of blue liquid to add a trace of trichlorethylene vapour—a more powerful anaesthetic to deepen Bluey’s unconsciousness. John edged across the lever on another bottle to admit the pungent vapour of ether, the main ingredient of the dish. Bluey coughed fiercely. He always did, John reflected. He should insist that Graham stop his patients smoking for a least a week before their operations. But Graham objected that would be bad for morale, and they’d smoke in the lavatories, anyway. Graham objected to almost everything he suggested, it struck John wearily, ever since he had started calling for Sunday lunch.
    Two coloured bobbins already danced up thin vertical glass tubes on John’s anaesthetic trolley, indicating the volume of oxygen and nitrous oxide flowing to his patient. When he judged the anaesthesia deep enough, he sent a third bobbin spinning by adding carbon dioxide to the mixture. This stimulated Bluey’s breathing, until he was heaving away as though finishing some desperate race in his sleep. With economical movements, John laid aside the face-mask, reached for a narrow, stiff, greased, red-rubber tube, and inserted it into the remains of Bluey’s right nostril. He edged it inwards gently—an unsuspected nasal polyp would bring blood all over the shop and an even worse row with Graham—listening to the breath-sounds as it slipped behind Bluey’s flaccid tongue, then finally through his widely open larynx into his windpipe. It was a technique invented by Harold Gillies’ own anaesthetist, Ivan Magill, to deliver the anaesthetic