BMH Singapore: The Shack and Egg Banjos by Moreen Doyle

BMH Singapore Gardens

 

BMH Singapore and Margaret House, my home for the next two years! The heat is stifling with high humidity but the School of Nursing at 70* offers some respite for the next few days. The mosquitos are loving my almost translucent white skin; weeping bites make for an uncomfortable time but our uniform of light grey polyester cotton is very comfortable. At least we don’t have to wear heavy army issue shoes, thank goodness, but black leather lace ups. Starched linen caps are the order of the day.



BMH Singapore has a very sad history, where the hospital and staff were overrun by the Japanese during WW2, none more poignant that when passing the football field where many souls had been buried. The guided tour of the hospital introduces me to the Dining Room where males and females are segregated by a large rattan room divider; interestingly, the rule, unspoken, is never broken or challenged by anyone, just accepted! The chefs are brilliant and more than happy to prepare a picnic lunch for day trips to the islands off Singapore; happy times, with beer/drinks cooling in the sea, a portable record turntable for music, rounders on the beach and wonderful snorkelling in clear blue seas. The NAAFI frequented by all other ranks of all disciplines is next door facing the gardens with its pond and badminton courts. The bullfrogs chatter is loud and clear.

The majority of wards are open to the elements, like our old TB wards in UK, where patients were nursed on the verandas. The tour includes my first placement, the Infectious Diseases ward. The ward is made up of many cubicles some large enough to house whole families although not intentionally so! The all pervasive smell is that of a smoky atmosphere combined with lysol solution. It becomes clear that the diseases here are wide ranging and commonplace, the most prevalent being Dystenteries, Shigella, Salmonella, but also Diptheria. With the advent of the Diptheria vaccine, it is now hard to comprehend the damage that this illness caused, wiping out whole families, often the most vulnerable, the elderly grandparents and the children. My first experience of major patient loss was losing 4 patients from a family of 6, hard to comprehend. Tuberculosis is also rife within the community and Public Health is sadly lacking. It is a multi ethic community with varying standards and disparity.

The team on the ward are wonderful, led by Corporal Suddin, a local nurse, very competent and supportive; to be fair, they needed to be, with a student who knew little about infection control. It is to their eternal credit that no student ever succumbed to illness. A South Vietnamese soldier, with Paratyphoid was transferred in, nursed in a darkened room, speaking no English or Malay which did present some problems, but he did recover! This particular ward, probably more than any other, has stood me in good stead throughout my career but ultimately demonstrated the vagaries in our NHS Infection control protocols!

Our training covered all specialities including theatres, which was to become my area of interest. Orthopaedics could be a bit challenging avoiding the big stag beetles on string! Something to get used to and a bit of lighthearted fun for bored squaddies! Maternity was always busy as Ghurka mums were admitted here rather than local hospitals; it did seem incongruous that we insisted on delivering their babies on a bed as opposed to them squatting, which was the norm for them! The Ghurkas, male and female, were always a pleasure to care for, the most wonderful people, courteous and kindly, I loved them! One of my endearing memories is accompanying a Ghurka Mum and her newborn, by ambulance, from BMH to The Cameron Highlands in Malaya. However, I did have to pass on the kind invite to attend the Gadhimai festival, where a bull is sacrificed! One of the funniest moment on the Surgical Ward (well it had our charge nurse in hysterics) was when a young Ghurka refused his medication and I stood over him, being very firm, until he took it! He then suggested that I would make a good wife for him, his 3rd, hence the hoots from my colleague doing the drug round! Memorable incidents in ITU included a young Ghurka wife, unconscious of unknown origin. No progress over two weeks so the local witchdoctor was called in to assist. She had been cursed by the 1st wife and fell into a coma, and now made a full recovery and was discharged. A young British girl was admitted with agranulocytosis following a Middle East tour of her dance troop; she had been prescribed antibiotics at each port of call for tonsillitis; sadly she did not recover.

Student nurses did not work on the Psychiatric ward but could be called if a female patient needed 'specialling.' Often patients were casevac’d to Netley Hospital, the Services Mental Hospital in Southampton. Highlights of life were night shopping at the markets in Orchard Road, the infamous Bugis Street, and egg Banjos from the wooden 'shack' across the road. One of the contingent would be detailed off to get the 'egg banjos' which were wonderful; basically an omelette with soya sauce, within a large baguette! Happy memories, once you got over your fear of eating from a shack with a mud floor and cats and chickens for company! I know of no ill effects over the whole period!  The other highlight was the opportunity to R & R in Penang where there was a  services holiday centre. Wonderful. It required an overnight train journey on a sleeper, to Kuala Lumpur, then transfer to Georgetown and a boat to Penang. I recall being awakened with tea and pink bananas for breakfast! Decadence, and I must mention the Singapore Sling at Raffles Hotel, not frequented often!!

In late 1969 the British Government were in the process of handing over Singapore Island to the Singapore citizens under Lee Kuan Yew; Australian and New Zealand Forces assisted in this transition. Change was the order of the day! The deployment will always hold wonderful memories and I feel privileged to have been the recipient of the training and all the opportunities afforded to me. I would repeat it in a heartbeat!

About the Author

Moreen Doyle, nee Munro, spent 2 years in student training at BMH Singapore but left the service on marriage, which was expected at this time. However, the time spent in the service underpinned a lifetime of nursing service in the NHS, specialising in Operating Theatres and Day Surgery and ended her career managing the service in Cayman Islands prior to retirement.

 

Onward Journey by Moreen Doyle

 

The year is 1967 and I have just completed my QARANC basic training at the Royal Pavilion, Aldershot. My group are from all corners of the UK and we gradually form into small supportive cells to support each other. Discipline, square bashing, inspection, diligence, respect for other ranks and officers and a modicum of fitness are the order of the day. I recall 'bulling' the shoes until they shone! Parades and 'square bashing’ as it was called, was interesting and challenging to some who could not differentiate right from left! Serious but raised many laughs also! There was a stable at the end of the drive which one of our group practically lived in; it was the nearest you could get to the perimeter. The excitement when we could actually leave the premises, weeks later, to go into town and to the first social function, was exhilarating!

Freedom!.

On leaving Aldershot my first placement at the Royal Herbert Hospital in Woolwich is on the male Orthopaedic Ward, running the gauntlet of the bored squaddies with fractured limbs ! A steep learning curve in more ways than one!. A funny moment was when a lad called me Marilyn

because of my surname, ( anyone less like Marilyn Monroe you couldn’t imagine)! A trip to the office where Sister tore me off a strip for telling them my first name, not true! The offender was also spoken to!! I thought harmless fun but not acceptable apparently! Apart from the obligatory sluice and cleaning of shiny bedpans this was my first introduction to a Stryker frame with halo and a female patient in a full body plaster, a Senior Officer no less. I remember my trepidation in trying to attend to her personal care. I’m sure she was none too impressed with such a junior!

Discipline was still strict at the Royal Herbert with curfew at 11pm and no male visitors to the female quarters, a large sign at the entrance confirming this!

My group are now waiting to hear where our next posting will be and I am thrilled to learn that it will be BMH Singapore. It is November and sadly, my immediate friends in the block will be going to Munster in Germany and I shall miss them; it is amazing how close we have all become in a short period of time, maybe cohesion in the face of adversity! I recall sing songs in the lounge of the nurses quarter, accompanied by guitar, eating apples & cheese, on the recommendation of an Irish colleague, with scrumptious cherries from the market, a real treat, while trying to keep the place tidy for Mrs Green, the housekeeper. Good times!

I found the journey to Singapore amazing never having flown before. We flew in a VC10 from Lyneham airport and were able to visit the cockpit where the pilots pointed out all the lights as we flew down the Italian coast. Next stop Teheran, in the middle of the night. We had to disembark while they refuelled and we were joined in the lounge by a group of Mongolian travellers resplendent in their huge fur coats and hats. It was extremely cold and we were relieved to be back in the aircraft.

Next stop the island of Gan in the Indian Ocean; to see this speck in the ocean it is impossible to believe than any plane can land there, particularly a huge VC10. The runway is actually the length of the island! Not for the faint hearted.

Onwards to Singapore where we land at Changi airport. As the doors are opened I feel the blast of hot air, as never before! Trundling bags across to a mini bus, I feel rather tired and bedraggled after the long flight. Travelling along, the first thing to notice is the unbelievable smell, compounded by the heat. Our driver, seeing our expressions says ’ no worries that is just the monsoon drains and the kampongs, you will get used to it!" How true and how quickly!

BMH hospital looks lovely; a pristine white building with a red roof and gardens in front. The paths around the buildings are lined with trees covered in blossom and a sweet scent permeates the air.

Three nurses homes are situated at the rear of the hospital and we are guided into Margaret

House at the end of the drive. We have individual rooms, sparse but comfortable and are introduced to the Amah, a local Chines lady who, with her daughters, will do the cleaning and laundry.

We were to be very grateful for her help and support during our time there and a few of us would be invited to dine with her at her home for Chinese New Year; a tiny flat in a multi-storey block. The food usually consisted of 12 courses and was amazingly good. She was a very special part of our stay, unobtrusive but always smiling and helpful and our uniforms were always pristine!

The following day we were introduced to the School of Nursing run by Colonel Treacy, a lovely lady who made us very welcome. We enjoyed the visit as it was the only place we felt cool at this time; however as we acclimatised we were to find that the School of Nursing was the one place where we felt cold, being air conditioned, at 70* and were allowed to wear cardigans over our light grey polyester cotton uniform! The average daily temperature was in the 90*s.  At all times we felt incredibly supported by all ranks and disciplines within the hospital, very much a family atmosphere. I look forward to continuing with further information about the hospital, particularly the diseases prevalent at the time.

About the Author

Moreen Doyle, nee Munro, spent 2 years in student training at BMH Singapore but left the service on marriage, which was expected at this time. However, the time spent in the service underpinned a lifetime of nursing service in the NHS, specialising in Operating Theatres and Day Surgery and ended her career managing the service in Cayman Islands prior to retirement.

 

 

 

 

Two years in Hong Kong and leave relief in Nepal 1977 – 1979 by Pat McKay

I was commissioned into the QARANC on 5 July 1976 and posted to Tidworth Military Hospital, Hants, some three weeks later. Lovely posting, but the hospital was due to close and consequently I was posted to RAF Wroughton until I left in October 1977 for Hong Kong.

I duly reported to RAF Brize Norton on the appointed day and boarded a VC10 for the flight to ‘pastures new’. It was my first experience of flying with the RAF and sitting facing rearwards – much better for you if the aircraft crashed!!!!

I was lucky enough to have a window seat and as the day turned to early evening the aircraft crossed the North African coast and there in the distance but perfectly visible was a very wide strip of ‘green’. It was in fact the Nile Delta and the fields irrigated on either side.

The first stop was somewhere in the Middle East but I am afraid I cannot remember where. As we disembarked, all passengers were given a stern warning not to board the ‘wrong’ aircraft when the flight was called. Apparently, a returning flight from Hong Kong en route to the UK had landed shorty before ours, and in the recent past a passenger had managed to board unnoticed and found to their consternation that they were now flying back to UK and not onward to Hong Kong.

Next stop was Ceylon (now Sri Lanka). We landed in the middle of the night and all the shop keepers in the airport terminal awoke from their various places of slumber and promptly opened their shops in the hope that we may buy something.

The flight arrived in Hong Kong the following morning and the two QA’s aboard were met by Jackie McLaren (now sadly no longer with us) I had met Jackie at Tidworth and followed her to RAF Wroughton and now I followed her to Hong Kong. She whisked us off to the BMH and showed us to our respective rooms with the most fantastic view across the harbour to Hong Kong Island. I had to pinch myself that I was really there. Jackie showed us around the Mess, where to pick up our post and where the dining room was located.

The following morning after a reasonable nights rest off we went to report to Matron (Anne Healy) and learn of our allocated wards. I was to work on Ward 5 ITU/Recovery and the other QA went to the Children’s Ward as she was Paediatric qualified.

The weather in Hong Kong in October is lovely, rather like a beautiful summer day here and at the weekend I joined a group of QA’s and spent the day lazing on the beach and enjoying the sea – I do confess to getting a little sunburned and consequently the skin peeled off my nose.

Life settled into a balance between work, leisure and exploring Hong Kong. After supper it was easy to wander off into one of the numerous night markets and enjoy browsing the stalls and making the odd purchase. Colleagues took you to the hairdresser – Francis and Bambi being where I spent my time in Hong Kong having my hair cut, the tailor, where any style, colour and shape could be accommodated, the linen shop and of course to the jewellery shop. A couple were permitted to visit the Mess and the name Peter Chai springs to mind. Ocean Terminal was also a favourite shopping experience and on one occasion the Canberra and the QE2 were moored on either side of the dock.

The rules concerning the ‘leave scheme’ were explained and my first trip to somewhere ‘exotic’ was to Penang Island – very beautiful and thoroughly enjoyable. I also visited Pattaya Beach in Thailand and upon arrival realized that the US 7th Fleet was on leave!!!! When the US Navy visited Hong Kong the BMH provided any , medical treatment required and it was not uncommon for the Shore Patrol to arrive and ‘collect’ some AWOL sailor and haul him back to the ship. When the Canadian Navy arrived, it was a little more civilized and out came the cocktail dresses off we went to the Captain’s cocktail party. Not quite so civilized was a Mess junk trip one weekend, when Rada Rawat’s sari draped across the rails to dry, was taken by a gust of wind and sank into the depths of Hong Kong harbour never to be seen again.

Transport in Hong Kong was pretty good with cheap fares on the buses that took you to most places including Hong Kong Island, Stanley Market and Aberdeen Harbour where the famous Jumbo Restaurant was moored. A must place to eat, especially if you like fresh sea food. A day trip on the outlying districts ferry to Lantau Island with a picnic lunch was a lovely way to spend a day off, and spending nights off on Stonecutters Island (not open to the public) was a pleasant and inexpensive way of ‘getting away’ from it all. A car was not really necessary but with three other QA’s we purchased a Triumph Herald soft top and named it AJ because of its letters on the registration plate. However, if we decided to take a trip into the countryside and climb Route Twisk, we always had to have at least two empty gin bottles full of water aboard to top up the dodgy radiator. On returning from a lovely Sunday afternoon trip one weekend, I drove down the whole of Nathan Road completely oblivious to the fact that only buses and public light vehicles were permitted!!!! However, my travelling companions entertained the crowds on the pavement by standing up and waving in a very regal manner from the sunroof!!! Quite illegal, but no one stopped us.

At the end of 1978 I was asked by Matron ( Margaret McDermott) if I would like to go to Nepal on leave relief. Needless to say it didn’t take long for me to say yes. Off I went with a midwife named Angela (cannot remember her surname) to Kai Tak airport and discovered that we would be aboard the first flight by Royal Nepal Airlines to fly out of Honk Kong to Kathmandu. There was the crew, pilot, co-pilot and an US engineer, me, Angela and 21,000 pounds of freight for company. What an experience eh?

Upon my return to Hong Kong some 2/3 months later, I asked Matron if I could work in the operating theatre – yes was the reply and I then spent the remainder of my QA career working in various Military Hospital Operating Theatres.

I thoroughly enjoyed the two years I spent in the Far East – never did a stroke of washing or ironing the whole time I was there. Such luxury never experienced again I am sorry to say. Finally learned to swim properly having signed up to adult swimming lessons at the USRC Club just down the road from the BMH, attended an RYA Elementary Sailing Course at Gordon Hard in the New Territories and enjoyed the friendship of other QA’s who were there to enjoy themselves too.

 

 

 

 

 

Memories of the Cambridge Military Hospital

 

There cannot have been anyone who served in the QARANC who did not serve at CMH at some point in their career. In fact, in one of our recent Zoom chats at the Jurassic Coast Branch, we seen a pleasant hour talking about our memories of this iconic hospital. Whilst, I cannot share their stories, I can share my own pleasant memories of CMH.

My first trip to CMH, really was a trip - in an ambulance. Having had a rather unfortunate altercation with a chicken bone at lunch (in Woolwich), where the chicken bone won, I was whipped down to the CMH to have it removed. The situation was dealt with promptly but it was felt a night in the Officers Ward was necessary before I was returned fighting fit to my duties on the children's ward at QEMH. This was something else again, nothing like the NHS ward I had spent time in asa teenager. The strangest part was when I was informed, by. rather stern ward sister, I was to have an afternoon nap. This was surprising to say the least as the last time this happened was when I was in nursery. However, like any good Lieutenant, I did exactly as I was told. 

The next time I graced the wards at CHM was on leaving Great Ormond Street Children's Hospital having done my RSCN training and I was posted to the children's ward. What an amazing experience - not only did I meet a lot of fabulous people but the experience I gained as a children's nurse was outstanding. I came across children with rare conditions and came to learn that they and their families lived life to the full despite the challenges the faced. I learnt a lot. Now, who remembers that corridor - yes that corridor, the one that went from Ward 1 where I worked all the way along to the Operating Theatres. I swear the children's ward staff were the fittest in the hospital having run up and down that corridor numerous times a day on operating days; in other words every day. I loved every minute of it. My trip was cut short when I was posted to Hong Kong.

My third posting to CM was sandwiched in between BMH Iserlohn and Jerusalem and I mean sandwiched in. I spent eight weeks of a two year posting there before I was whisked off to Jerusalem for a year. You're probably beginning to think someone at CMH didn't like me, however, as it resulted un me getting exotic postings, I wasn't too worried. I still managed to pack a lot in to those eight weeks. 

So, what of you? I would love to hear your memories of CMH, so share them in the comments. It was certainly a fabulous place. 

About the Writer

 

Wendy H. Jones served as a Nursing Officer in the QARANC between 1987 and 2004 leaving with the rank of Major. She never went on an operational tour but undertook many exercises as well as serving in numerous units in both the UK and overseas. Hong Kong and Jerusalem had to be two of the highlights. Moving into nurse education, she was proud to have served as Tri-Service Head of Pre-Registration Nurse Education. This brought her full circle to where she started as a student nurse in the QARNNS. She is now an author and lives in Scotland. 

 

Making My First and Last Veil By Major Domini Barrett

As a young Lieutenant Reservist in 219 Field Hospital in 1992, I was unable to attend the Unit’s Annual Camp so it was suggested I spend two weeks on the Children's Ward at The Cambridge Hospital in Aldershot. I was an adult qualified nurse and was looking at commencing my paediatric training within the Army so this was a wonderful opportunity…….until it came to finding out I had to make a veil to go with my issued grey nursing dress.

In 219 Field Hospital we had an attached regular Nursing Officer. She kindly offered to help me complete the task. So sitting on the floor of the Officers’ Mess, my veil making lesson began. I had a plastic sheet mounted on a hard board, a bottle of liquid starch, a paint brush and a floppy cotton veil. We laid out the veil, painted it with starch onto the board and, as I was going to the Cambridge Hospital a few days later, I took it home with me to dry. She suggested I ask someone to fold it once I’d arrived in Aldershot.

I duly arrived on the Sunday afternoon at the Officers’ Mess. It was like the Marie Celeste, not a soul to be seen. As time went by I became more worried as to how I could possibly go into the hospital in uniform but without a veil. An easy solution so I thought was to walk the corridors and listen out for an occupied room. An hour or so later, having gone up and down the floors, to the TV room, bar area, laundry room, I had found no-one. I then spotted someone in their dressing gown walking down the corridor from the bathroom and plucked up the courage (I was desperate) to ask if they could help me. She looked at me and with a “follow me” I was invited into her room with my huge board & veil. As she was a Major and I a mere Lieutenant and, of course, she was in her dressing gown I was very, very nervous. Swiftly the veil was made and having thanked her I scuttled back to my room.

The following day I proudly made my way to the Children's Ward. With short hair it was rather a challenge keeping the veil on my head (it was surprisingly heavy so I needed quite a few hair grips). The acting Sister on the ward was very particular about dress and appearance and we weren't allowed to take it off until we were in the office. I tried my best but it was a challenge not to take out the doctors eye with the veils pointed edges as we both tried to pass through the door at the same time. I soon learnt the importance of doorway etiquette!

I had a wonderful two weeks at The Cambridge and went on to complete my children's nurse training at Great Ormond Street. I am still serving in the Reserves now with 306HSR.

It was the first and last time I wore a veil, but the challenges of making it have never been forgotten so much so that the veil sits starched and made up in a suitcase in my loft just in case I need it for another day……..

BRITISH ARMY OF THE RHINE - MY PART IN DRAWDOWN by Judy Evans

In December 1991 I was at QEMH, Woolwich, getting to grips with my newish job as Assistant Deputy Matron, having been posted there in June after almost four years in Germany, preparing for and then moving, following closure of BMH Munster, to a refurbished BMH Iserlohn. There were, at that time, three other military hospitals in Germany - Rinteln, Hannover and Berlin as well as the RAF Hospital at Wegberg.

The phone rang and it was Brigadier Hilary Dixon-Nuttall, Director Army Nursing Services ‘asking’ me to go back to Germany in March or April 1992, only a few months hence. “I’ve only been back from Germany for six months after four years there”, I replied, “If I go, please could it be for just a year?”

Fortunately, she agreed.

She then went into detail about my role. BMH Hannover would close on 30 June 1992.

Closure meant that patients who would have been treated there would have to travel over an hour to BMH Rinteln. To ease this, it was decided that my role would be to set up a Forward Outpatients Department (FOPD) for certain specialities at Hohne, a large garrison north of Hannover whereby consultants would travel from Rinteln to hold outpatient clinics. Patients would also come from other garrisons nearby, such as Fallingbostel and Celle. In addition I was to be project officer for a new Medical Reception Station (MRS) and Medical Provisioning Point (MPP) there. Patients who needed admission would go to Rinteln or make more use of beds in the expanded MRS. The use of German hospitals was at an early stage of discussion.

Sometime in January 1992, I flew out for the day to Rheindahlen from RAF Hendon in a small plane, similar to those used by the Royal Family, for a series of briefings. No one really knew much about anything and it was clear that I’d be flying by my pants.

I was posted to Hohne on 1 April 1992, perhaps an auspicious date. The MRS included about 10 beds for the minor sick and a group practice manned by military and civilian doctors and civilian nurses and a physiotherapist.

Some of the groundwork had been done - well, identifying the temporary locations of the FOPD and MPP and the new location of the MRS.

The former would be in Glyn Hughes Barracks occupied by 1 Armoured Field Ambulance which was a short drive from the main garrison but at least it was a medical unit, the latter would be located in what was being used as an annex for the Station Officers Mess but which I was sure would be suitable.

So, my job began. Setting up the FOPD was relatively straightforward. The building in the barracks was more than adequate, currently only being used by the garrison physiotherapist. It would be staffed by a civilian nurse who was already in post in the MRS, assisted by QARANC healthcare assistants (HCAs) who would shortly be posted in. Minor works such as putting in telephone points were required. Documentation was ordered as well as equipment such as scales, sphygmomanometers and so on, chairs, couches and tables.

The MPP would be staffed by a RAMC medical supply technician who would be posted in nearer the time of opening but I had to ensure it was ready as far as its security was concerned.

Talks began with the firm who would be doing the job of refurbishing the building, which was to become the MRS, FOPD and MPP. Work would take approximately eight months but it became clear that it would not be starting for a while so somehow it was unlikely I would see the end result.

I was also posted to Hohne as Matron of the MRS, which meant that I would support the civilian nursing staff who had previously felt a little neglected. We started in service training sessions and I became well known as the nurse phlebotomist as somehow they thought I had the knack of taking blood so I made sure that I was present for antenatal clinics! The HCAs settled in well and enjoyed working in a smaller unit than they were used to. We included them in some of the in service training which they appreciated. They worked in the group practice as well as the ward which had about 10 beds on both day and night duty.

I lived in the Station Officers Mess which was great fun. It had been mooted that I should have a flat which was available in the Field Ambulance barracks. I am so pleased I didn’t as I’d have felt very lonely. Of course Hohne is well known for being close to the former concentration camp of Bergen so it was a very poignant place to be. The countryside around was beautiful. Very flat, but great for walks and exploring.

The day the medical equipment arrived at the MPP for the first time, I was elsewhere but I received a phone call from the supply technician to say the unit’s fork lift truck was off the road and it was really required to off load all the kit which had arrived. What to do? How would a QA officer find a forklift truck? Luckily I’d made contact with the Station Staff Officer for a number of issues and he was a very helpful Retired Officer. Less than an hour later, a forklift truck trundled up the road to Glyn Hughes barracks from the main garrison. I got a good deal of satisfaction from that, in addition to the realisation that the spirit of goodwill and cooperation lived on.

I came home in March 1993 after a year in post. I enjoyed it enormously. A lot of people who I met had never had contact with QAs before, including the Brigade Commander, but I’d like to think that they were surprised that we can turn our hands to anything!

Judy Evans

I served in the QARANC from 1976-96, first as a Midwife, then a Theatre Sister. I also had postings as Instructor for the Student Officer Basic Course at the QATC from 1984-6, Theatre Sister and Matron in the Falkland Islands