The Narrow Road to the Deep North(82)
Dorrigo lit a cigarette, breathed in the welcome smoke deeply, and laughed.
A spoon, he said.
A bloody bent spoon, said Squizzy.
That’s one for The Lancet.
When he glanced back at Jack, a few fresh beads of blood had appeared on the stump.
Why aren’t you dressing and bandaging the stump? Dorrigo asked Wat Cooney, as he wiped away the blood a second time.
As if in answer, the blood almost as quickly reappeared. The stitched flaps were swelling, the small seepage was transforming into a persistent oozing, and then blood began to drip from every part of the wound. Wat Cooney looked up at Dorrigo in horror.
The stitches holding the femoral artery together must have given way, Squizzy Taylor said, giving words to a thought Dorrigo did not wish to have. For a moment he was frozen.
Spoon! he suddenly yelled.
What? asked Jimmy Bigelow, who was on the other side of the hut.
The ligatures are gone on the femoral artery. We’ve got to open it back up.
Squizzy Taylor ran back with the spoon.
Torch! Jimmy, torch! We’ve got half a minute.
For after half a minute, he knew, Jack Rainbow’s heart would have emptied his body of blood. Before he could get the spoon back in position Jack Rainbow’s body jolted.
Spoon!
Jack Rainbow’s body had gone into convulsions.
Spoon! Dorrigo Evans yelled.
Squizzy Taylor went to push the spoon down but couldn’t keep it pressed against the bucking body. Jimmy Bigelow switched the torch on and got back in position, but the torch dimmed further and then died altogether.
Torch! Dorrigo Evans was yelling. Where’s the fucking light?
The body was jumping wildly.
Hold him! Hold him down! Hard. Spoon! Hard! Hold the fucker!
I’m pushing as hard as I fucking can but the fucker won’t stop, yelled Squizzy Taylor.
Blood was everywhere, blood over the bamboo, blood over them, blood dripping oily lines in the dark mud below. It took a few more moments for Jimmy Bigelow and Wat Cooney to get a good grip of Jack Rainbow and hold him, but still that emaciated tiny body jolted up and down as if electricity were coursing through it, and their grips slipped in the blood that now seemed to grease everything.
The leg, said Dorrigo Evans. Get the leg!
But there was really no leg left to get, only a weirdly moving and bloody thing that seemed just to want to be left alone. The tiny piece of thigh that remained was now so slippery with blood that it was very difficult to work on, and in the dim light and the confusion of blood Dorrigo Evans was having trouble seeing anything clearly. The tremors eased then stopped, and he managed to find the sutures holding the flesh together so that he could get back to the femoral artery, but when he snipped them Jack Rainbow jolted again. Squizzy’s spoon slipped in the bloody slime, and blood spurted in a wild arc that reached as far as the foot of Jack Rainbow’s good leg.
He was frantically searching the muck of Jack’s stump with his fingers, trying to find something to stitch, pinching vaulting slime, groping pitching slop, there was nothing, nothing to stitch into, nothing that might hold the thread. The artery walls were wet blotting paper. There was, realised Dorrigo Evans, with a rising horror as the blood continued to pump out, as Jack Rainbow’s body went into a terrible series of violent fits, nothing he could do. But there must be, he told himself. Think! Think! Look!
With each galvanic jolt blood was spewing out in a small fountain. It was as if Jack Rainbow’s body were willingly pumping itself dry. Dorrigo Evans was trying to stitch as far up the artery as he could go, the blood was still galloping out, Squizzy Taylor was unable to staunch the flow, blood was everywhere, he was desperately trying to think of something that might buy some time but there was nothing. He was stitching, the blood was pumping, there was no light, the stitches kept ripping, nothing held.
Push harder, he was yelling to Squizzy Taylor. Stop the fucking flow.
But no matter how hard Squizzy Taylor pushed, still the blood kept surging, spilling over Dorrigo Evans’ hand and arm, running down into the Asian mud and the Asian morass that they could not escape, that Asian hell that was dragging them all ever closer to itself.
The convulsions gave way to shivering. Dorrigo Evans was pushing deeper into the stump, the flesh was tearing and falling away as he worked; his needle at one point hit the bone. He was trying to think, he was trying to find some way, he was trying not to give up hope when he heard Jack speak a few low words that were not much more than gasps and cracks of breath.
Big Fella?
Jack?
Will I die?
I think so.
Cold, he said. So fucken cold.
Dorrigo Evans kept steadily working on Jack’s stump, his bare feet ankle-deep in the bloody mud below the makeshift bamboo operating table, his outer calm a strange thing he knew he preserved at the moments of greatest inner turmoil. He kept looking for that piece of artery, trying to find something in his work to hold on to, unconsciously clawing at the mud with his toes.