{"id":3030,"date":"2020-10-28T09:35:02","date_gmt":"2020-10-28T09:35:02","guid":{"rendered":"https:\/\/blogs.imperial.ac.uk\/imperial-medicine\/?p=3030"},"modified":"2020-10-28T09:58:16","modified_gmt":"2020-10-28T09:58:16","slug":"clement-price-thomas-and-a-once-in-a-lifetime-operation","status":"publish","type":"post","link":"https:\/\/blogs.imperial.ac.uk\/imperial-medicine\/2020\/10\/28\/clement-price-thomas-and-a-once-in-a-lifetime-operation\/","title":{"rendered":"Clement Price Thomas and a once-in-a-lifetime operation"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" width=\"1181\" height=\"660\" class=\"aligncenter size-full wp-image-3031\" src=\"https:\/\/blogs.imperial.ac.uk\/imperial-medicine\/files\/2020\/10\/CPT-Blog-lead-image.jpg\" alt=\"\" \/><\/p>\n<p><strong>Westminster Medical School \u2013 one of the schools that formed Imperial College School of Medicine \u2013 has been home to many pioneers. But few can claim a connection to royalty. <\/strong><\/p>\n<p><strong>Sir Clement Price Thomas, student and surgeon at Westminster and one of the fathers of thoracic surgery, rose to fame after an operation on King George VI. Read on to learn just how challenging this procedure would have been.<\/strong><\/p>\n<hr \/>\n<p>The reign of George VI was a turbulent time for the monarchy. At the end of a brutal world war and the dissolution of the largest empire the world has ever seen, the King\u2019s health took a turn for the worse.<\/p>\n<p>Because of the King\u2019s chest problems, Sir John Weir, the Royal Family\u2019s doctor, called in a lung disease expert, Geoffrey Marshall, and chest expert, Sir Robert Arthur Young. After X-rays and a bronchoscopy revealed a malignant tumour in his left lung, the King\u2019s physicians set to work organising a secret operation. They all agreed that Clement Price Thomas was the best surgeon for the job.<\/p>\n<h2>Setting up the makeshift theatre<\/h2>\n<p>The operation was planned for 22 September 1951 at Buckingham Palace. But the Buhl room clearly wasn\u2019t designed for major surgery, despite the equipment brought in for the occasion. With the stakes so high, Price Thomas demanded that the palace install emergency lighting in the room. The palace agreed \u2013 and even moved the changing of the guard to St James\u2019s Palace to make sure the surgical team were not disturbed by the noise outside.<\/p>\n<p>On Sunday 23 September 1951, the room was ready and Price Thomas, his two surgical registrars and his scrub team set to work.<!--more--><\/p>\n<h2>A major undertaking<\/h2>\n<p>It\u2019s hard to imagine the pressure Price Thomas must have been under. Not only was he operating on such an important person, he was working in unfamiliar surroundings and performing an operation that was far more dangerous than we can imagine today.<\/p>\n<p>At the time, X-rays were rudimentary at best. Today\u2019s medical experts can see in advance exactly where the problem is, and perform very precise keyhole surgery \u2013 at the Royal Brompton Hospital, for example, lung cancer surgery involves a single 3cm incision. The goal is to remove the whole tumour while saving and reconstructing as much of the lung as possible. Price Thomas\u2019s only option was to fully open up the chest, probably with a 25cm thorachotomy, and examine the tumour with his own eyes before deciding to remove the entire lung.<\/p>\n<figure id=\"attachment_3033\" aria-describedby=\"caption-attachment-3033\" style=\"width: 1181px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"1181\" height=\"660\" class=\"wp-image-3033 size-full\" src=\"https:\/\/blogs.imperial.ac.uk\/imperial-medicine\/files\/2020\/10\/Eric-Lim.jpg\" alt=\"\" \/><figcaption id=\"caption-attachment-3033\" class=\"wp-caption-text\">Eric Lim is a Consultant Thoracic Surgeon based at Royal Brompton Hospital and a Professor of Thoracic Surgery at Imperial&#8217;s National Heart and Lung Institute.<\/figcaption><\/figure>\n<h2>A complete success<\/h2>\n<p>Despite it being such a challenging operation, Price Thomas\u2019s famously steady hands made sure it was a success. The registrars stayed with the King overnight to monitor him. He was kept under sedation and given only water and juice for the first few days of his recovery, slowly transitioning onto a soft diet including soft boiled eggs and steamed fish.<\/p>\n<p>After the King was well on the way to recovery, the palace announced more details of the surgery to the press. Price Thomas was reported to have claimed: \u2018The King is the best patient I ever had. Not only is he brave, but he is full of humour. And he is just like an ordinary individual to deal with.\u2019<\/p>\n<h2>Impact on modern medicine<\/h2>\n<p>As a speciality, thoracic surgery was in its infancy in the 50s. In fact, if the King had been diagnosed just a few decades earlier, his only option may have been palliative care. Clement Price Thomas was one of the early pioneers of the field \u2013 it wasn\u2019t long ago that surgeons were more general, focusing on both heart and lung rather than pure thoracic surgery. Even in Price Thomas\u2019s time, thoracic surgery was mostly used as a treatment for tuberculosis, but the well-respected surgeon helped lead the way towards treating lung cancer.<\/p>\n<p>In fact, modern surgeons have a visible reminder of his impact on the field \u2013 the Price Thomas retractor is a device that still sees use in hospitals for open operations.<\/p>\n<figure id=\"attachment_3037\" aria-describedby=\"caption-attachment-3037\" style=\"width: 1181px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"1181\" height=\"660\" class=\"wp-image-3037 size-full\" src=\"https:\/\/blogs.imperial.ac.uk\/imperial-medicine\/files\/2020\/10\/Price-Thomas-retractor.jpg\" alt=\"\" \/><figcaption id=\"caption-attachment-3037\" class=\"wp-caption-text\">The Price Thomas Retractor<\/figcaption><\/figure>\n<h2>Well-deserved recognition<\/h2>\n<p>As well as his KCVO, Price Thomas received widespread recognition throughout his career \u2013 honorary degrees from Wales, Belfast, Paris, Lisbon, Athens and Karachi, and the presidency of the British Medical Association, the Royal Society of Medicine, the Association of Thoracic Surgeons, the Thoracic Society and the Welsh National School of Medicine. He was also a vice-president of the Royal College of Surgeons and a fellow of the Royal College of Physicians. Westminster was always a major part of his career, but he also held positions at the Brompton Hospital, in the armed forces and even as an adviser to the Ministry of Health.<\/p>\n<p>The operation recently featured as part of The Crown television show. The documentary makers created a realistic body and a historically accurate makeshift theatre and the actors in the scene were real surgeons brought in from Guy\u2019s Hospital.<\/p>\n<p>Unfortunately, Clement Price Thomas\u2019s chain-smoking habit eventually caught up with him and he had an operation for lung cancer, performed by one of his assistants from his work on the King. After a long and successful career, he died in 1973, 79 years old. He\u2019ll be remembered at Imperial for a long time yet.<\/p>\n<h3>Sources:<\/h3>\n<ol>\n<li><a href=\"http:\/\/content.time.com\/time\/subscriber\/article\/0,33009,859384,00.html\">http:\/\/content.time.com\/time\/subscriber\/article\/0,33009,859384,00.html<\/a><\/li>\n<li><a href=\"https:\/\/history.rcplondon.ac.uk\/inspiring-physicians\/sir-clement-price-thomas\">https:\/\/history.rcplondon.ac.uk\/inspiring-physicians\/sir-clement-price-thomas<\/a><\/li>\n<li><a href=\"https:\/\/www.guysandstthomas.nhs.uk\/news-and-events\/2016-news\/november\/20161107-surgeons-star-in-the-crown.aspx\">https:\/\/www.guysandstthomas.nhs.uk\/news-and-events\/2016-news\/november\/20161107-surgeons-star-in-the-crown.aspx<\/a><\/li>\n<li><a href=\"https:\/\/en.wikipedia.org\/wiki\/Clement_Price_Thomas\">https:\/\/en.wikipedia.org\/wiki\/Clement_Price_Thomas<\/a><\/li>\n<li><a href=\"https:\/\/en.wikipedia.org\/wiki\/George_VI#cite_note-101\">https:\/\/en.wikipedia.org\/wiki\/George_VI#cite_note-101<\/a><\/li>\n<\/ol>\n<h3>Image credits:<\/h3>\n<p><a href=\"https:\/\/www.npg.org.uk\/collections\/search\/portrait\/mw228495\/Sir-Clement-Price-Thomas\" target=\"_blank\" rel=\"noopener noreferrer\">Clement Price Thomas, National Portrait Galler<\/a>y (Creative Commons)<br \/>\n<a href=\"https:\/\/en.wikipedia.org\/wiki\/File:King_George_VI_LOC_matpc.14736_(cleaned).jpg\" target=\"_blank\" rel=\"noopener noreferrer\">Kings George VI, Wikimedia<\/a> (Creative Commons)<br \/>\n<a href=\"https:\/\/www.surgicalholdings.co.uk\/thoracic\/rib-spreaders\/price-thomas-rib-spreaders.html\" target=\"_blank\" rel=\"noopener noreferrer\">Price Thomas Retractor, Surgical Holdings<\/a><\/p>\n<hr \/>\n<p><strong>Do you have any memories of Sir Clement Price Thomas while studying or working at Westminster Hospital? Leave a comment below.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Westminster Medical School \u2013 one of the schools that formed Imperial College School of Medicine \u2013 has been home to many pioneers. But few can claim a connection to royalty. Sir Clement Price Thomas, student and surgeon at Westminster and one of the fathers of thoracic surgery, rose to fame after an operation on King [&hellip;]<\/p>\n","protected":false},"author":521,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[152,5011],"tags":[296235,951,272457],"class_list":["post-3030","post","type-post","status-publish","format-standard","hentry","category-nhli","category-school-of-medicine","tag-from-the-archive","tag-history","tag-medical-history"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Clement Price Thomas and a once-in-a-lifetime 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