The Ordway new era., 1918-07-19
Twenty
Minutes
Difference
By WILLIAM HAMILTON OSBORNE
Of 1hs VI1Q0nfes

Ing intricate surgical knowledge, were
brought to them. 1t was noted by u
close observer of these two men, that
the subjects operated on by one OF
them almost invariably succumbed-
while those operated on by the other
surgeon almost invariably survived.
The curious observer was confden-
tial friend of the resident physician
of the hospital. He wanted to know.
"Just what" he queried, sis the diff
ference between these two distinguish
ed operators7"
"The difference" returned the house
physician, "oh, about twenty minutes,
I should say"
There was the secret-twenty min
utes difference in the time of perform
ing an operation. One man was deft,
swift, sure. The other was sure. but
slow. His too deliberate methods kept
the nervous system of the patient I'M
der too long a strain, and the system
frequently could not survive the shock.
The other man was like u fiash-he cut
and slashed-in jiffy he was through.
Through twenty minutes sooner than
his brother surgeon. That twenty min
utes meant life on the one hand-death
on the other.
II you've got friend or relative In
the trenches. there is one picture that
keeps recurring to your mind. A thou
sand times you see this boy meeting in
stant death. Your young friend hasn't
ono chance N ten thousand of being
instantly killed. The number of bull
lets that find their mark in the brain,
tNaI 10 ay.
tremely limited. The great loss of life
upon battlefield does not result from
wounds Immediately fatal. The great
danger in this war as In all wars, is
from wounds, not in themselves imme-
diately fatal, but wounds that become
serious only with the passage of time.
Flesh wounds may be entirely super
fetal, and yet may become terribly
fatal. The victim may bleed to death,
he may suffer exposure, infection, fe-
yer, pneumonin-from his enforced ex-
posure gangrene, modification -
death.
The Answer I-Tlme.
In such a case, why does he live and
get well, If he lives? Why does he die,
lf he dies? What is the difference?
The answer is. time. The answer may
be, twenty hours or twenty minutes.
Suppose 1t were possible to pick up
every wounded man the instant that
he's hit, to remove him swiftly from
the battlefield or the trench to first
class hospital. to give him the immedi-
ate attention of nurses and surgeons.
If that picture were true, the fatalities
in our armies would be almost In
6nitesimal.
| Look in the darker picture. Your
young friend goes over the top in big
allied drive. He is wounded in the
leg. It Is a big drive-hundreds of
thousands of men engaged-hun-
dreds killed nstantly-thousands up
on thousands suffering with wounds,
most of them superficial and SEEM
lngly unimportant. Your young
friend Is disabled but for the present
he feels no unusual discomfort. Shock
sustains him. He feels that very short
ly he will be picked up and taken In
to an emergency hospital where his leg
can be fixed up. He Is disappointed
no one comes. Terrific pain sets in
with the Inflammation a heavy fever.
Twenty-four hours go by. Finally he
!
pital as fast as possible, considering
/ the number of ambulances. He reach
es the hospital. The nurse looks at
his 1eg-she calls doctor. They both
shake their heads-they ought to have
had the man hours ago. All right, he
thinks to himself. they'll take care of
him now. But ahead of him is a waiting
/ list of groaning, wounded men. There's
nothing for 1t, he's got to walt his turn.
Hours pass. The wounded come In by
dozens. Medical supplies give out
medicine gives out. Dressings give
out. There are not enough surgical In
struments to go around. Finally, with
your man at the height of raging fe-
yer they get to him and operate. Twen-
ty hours before an operation would
have been unnecessary. They remove
the leg-a leg which had suffered
superficial wound, not dangerous In
itself but which became dangerous
only with the passage of time. But
gangrene already has set init is fol-
lowed by modification. The boy suf-
fers the tortures of the damned. He
dies-is glad to die.
Now, what's the answer7 Would
twenty minutes have saved him7 Pos
sibly. Would an hour and twenty
minutes have saved him? Quite likely.
Would three hours and twenty minutes
have saved him2 Almost certainly,
yes. Five hours certainly would have
saved him. He died because there was
a delay of hours or minutes-that's the
difference-tlme.
Your Money VIII Help.
Now, what's the trouble? Where
does the fault Lief Why didn't they