It’s a very good thing to have in place, but the problem is always implementation. So you learn from experience. You need cooperation to make it work – and attitudes are always difficult to change. You introduce it slowly, you hope people will develop interest.

When I see surgery on the news, there’s always a lot of noise around the surgeon – like a recent case in the U.S., separating conjoined twins. But did you hear a word about the anaesthetist? I heard the word team, ‘the surgeon and his team’. I never heard the word ‘anaesthesiologist’.

I got passionate about it because I remember the way we were practicing in my country. Because it was the most advanced tertiary institution, we were handling all the major cases, and it used to be a nightmare. There was no monitoring equipment, and it was just too stressful. When the patient is under anaesthesia your own heart rate is constantly going up; it’s like working in a dark tunnel. Stress is violent on your own body. Your brain is suffering, your heart is suffering, you can feel it – your whole body, after a major procedure. You find that you can’t sleep for days because you are worrying about that patient.

I won’t say I’m surprised at how the work has developed, because of the drivers behind it. Because I know that it’s not about making money: there’s passion, there’s interest in making things better globally. It was one of the best teams I’ve worked with.

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When I finished talking, the whole meeting just went silent, silent. And then there was applause. I still remember vividly, and I think I will always remember. I’ve been a teacher all my working life – I wasn’t nervous. But that’s the first time I talked about my son publicly. And not at just any meeting: at a high level international WHO meeting.

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I was a young doctor, and I was having my first baby at the hospital where I worked. In those days there was hardly any monitoring, just an earpiece to hear the baby’s heart. So the C-section came too late, and my son was severely asphyxiated. They resuscitated aggressively – it would have been unheard of, for a young house officer to lose her baby.

I sat there quietly in Geneva, listening, and thought – do these people really know what they’re talking about? I worked in a hospital all my life, and in return I got a son who suffered oxygen deprivation. And now I’m looking after him, and living with it. That’s what prompted me to speak.

It’s true that water and electricity are problematic areas – but we’ve always had to manage resources in surgery. That’s for your management of the hospital to sort out. But when it comes to anaesthesia, that’s a one-to-one problem. Once you accept to anesthetize a patient, you’ve taken the responsibility.

At the meeting, I listened to the way people were arguing, talking about the importance of water, electricity, infrastructure – because they had worked in Africa or other low-resource countries. And they were trying to show that there are issues more important than monitoring.

No, no – it certainly wasn’t planned. I was so surprised that I even came out with it, because I don’t normally talk about my son in public, in large groups. But we had earlier on been talking informally about family before the meeting, and you know how it goes – oh you look younger than your age, do you have kids, how many girls, how many boys, and where are they now.