some time ago i wrote a story about clothes (or the lack of them) we wear in theater. it was a strange post, stranger still because it was true and reflected something a bit too common in state hospitals in south africa. it is also one of my better posts (i think anyway). this is in the same vein.
i was called to the state hospital. it was a gunshot wound through the liver. the patient had been transferred from another hospital and had therefore missed the so called golden hour. he wasn't feeling too spritely. my main problem, however (excluding the pringle maneuver and putting hemostatic sutures in the liver of course) was to find something to wear on my head. finally i found a discarded theater cap and, being in somewhat of a hurry, i donned it.
as these things often go, i ended up packing the liver with the idea of taking the patient back to theater once his metabolic acidosis and coagulopathy had been reversed in icu (damage control surgery). and this is what i did.
the next day, when i arrived in theater for the relook lapatoromy, once again there where no theater caps, but, seeing that it was now in the middle of the day rather than in the middle of the night, i simply went to the sister in charge and asked for headgear. there was none. none in the change rooms, none in the stores, none in the hospital at all.
well i was not willing to operate without headgear, so i found myself a piece of cloth, tore it into a square and fashioned a pirate style bandanna. with this appropriately placed upon my head, i scrubbed and did the operation. i swear i heard at least one wise ass howl;