Wednesday, 25 June 2014

There's No Place Like Home...


Well, I am back in Angola and, after UK, I was stunned into introspective silence.  God, it’s a shithole.

The flight on BA was every bit as bad as I feared.  I made the mistake of slipping my shoes off.  On arrival, my left leg and foot were so badly swollen, I had to hobble down the steps to the waiting bus and through immigration and customs shoeless as well as a little clueless; it was the first time I had entered Angola through the rebuilt terminal so long has it been since I travelled. 

Sensibly, I had taken my friend Paul’s advice and booked a minicab to take me from his beautiful house where I had been staying since leaving hospital, to Heathrow.  There, in Terminal Five, the agony started.  Despite being assured by BA customer services that I was entitled to two check in bags, the BA computer at the airport said ‘No’ so I was forced to lug everything across to another desk and pay the £65 they demanded for Alex’s boxed ‘bike.  The reason given was that although half the size of a maximum standard suitcase in two dimensions and weighing only one third of the maximum weight, it exceeded the maximum length allowed by three centimetres and required, therefore, ‘special’ handling.  I rejoined the check in queue and if I wasn’t already annoyed, became incandescent while witnessing a guy in front of me checking in a suitcase and a full size golf bag with no problems.  Wisely, I bit down hard on my tongue when told I could not check Alex’s ‘bike at the check in desk at which I had twice queued but had to take it instead all the way to the other end of the terminal to check it in at the oversize baggage desk.  I had already decided that BA’s flagship terminal was crap when I hit security.

I had two rucksacks.  A large one, marketed as the maximum size allowed as hand luggage, and a smaller one in which I had my laptop, two Samsung Tablets, an iPhone, a Samsung Galaxy smart phone and all my e-cigarette kit.  Now I am not sure if you are familiar with e-cigarettes but they consist of a USB rechargeable battery the size of a chunky fountain pen, an atomizer which comprises a dual heating coil contained within a clear glass tank (for the e-liquid) into which the battery screws.  Assembled, it looks uncannily like the time pencils wartime SOE agents used to blow up things behind enemy lines and does, in fact, contain two of the essential components of a viable bomb, a power source and an initiator.  I also had with me several 100 ml bottles of tobacco flavoured 24mg nicotine strength e-liquid (marked with the international symbol for poison, a skull and crossed bones) and one 150 ml bottle of Buttercup Syrup.  The rest of the bag was filled with enough medical dressings and ointments to stock a small pharmacy.

Buttercup Syrup, as every child in England knows, is the finest tasting medicine in the world and so free of noxious active ingredients it is licensed for children as young as two.  Like any child, Alex occasionally suffers from a chesty cough.  In Angola, the doctors prescribe antibiotics.  The Doctors in Angola prescribe antibiotics for pretty much everything and, as we have seen, this nearly had dire consequences for me so I wanted Marcia to rely on something other than the advice of men who apart from dressing in white coats, really know no more about medicine than an actor in Casualty.

The bag containing all this was maneuvered off the conveyor returning scanned bags to their owners and into the ‘special attention’ pile where a sullen young lady proceeded to examine every item in detail, even ignoring my advice to be careful with the contents of one particular plastic bag which, she discovered for herself, contained unwashed and wound contaminated grundies.  Yes, I know, why would anyone pack soiled laundry in their hand luggage?  Well, I had already packed everything (a feat of engineering in itself) when I realized I had forgotten to take these becoming surplus after showering and changing into account.  The box containing the ‘bike was well sealed with duct tap and releasing the catches of my suitcase would have caused a minor seismic event so into one of the rucksacks they went.

Although she was curious enough about the quantity and variety of dressings to ask me if I was a doctor, she ignored everything to do with e smoking and turned her attention to the bottle of Buttercup Syrup.

‘I shall have to confiscate this’, she told me.

‘Why?’

‘Because it is more than 100 mls.’

‘OK, I’ll drink a third of it,’ I suggested.

She gave me a wintry smile.

‘I am serious,’ I assured her, ‘I’ll drink the top third now.’

‘The bottle will still be too big,’ she finally said.

‘So if I drank the lot, or poured it away, I still would not be allowed to carry the empty bottle?’

All the time we were having this rather bizarre conversation, other passengers were drinking the tops off their bottled water and soft drinks and, lying in amongst my now scattered possessions but clearly visible, were ten 100 ml plastic bottles of something largely made up of propylene glycol and marked as poison.  Clearly, it wasn’t quantity that mattered to this young lady, it was size.

I knew she was trying to piss me off and she knew she had succeeded.

‘Can I have a receipt?’ I asked, ‘that way I can go to Boot’s in the terminal and buy it back again.’

There was nowhere set aside for passengers to repack their bags.  I dragged everything across to a customer services counter, spilling much on the way and, much to its owner’s annoyance, proceeded to carefully repack everything.  As every experienced traveler knows, once unpacked again, a bag will never repack anywhere near as efficiently as it did the first time.  An official minced over and demanded, in a way suggestive of me having committed a crime, to know if I had been offered help to repack my bags. 

‘No,’ I told him somewhat relieved I wasn’t about to be arrested, ‘but I am missing a Terry’s Chocolate Orange.’ 

‘I had two but now I only have one,’ I added helpfully after deciding his vacant expression was a sign of incomprehension. 

Missing Terry’s Chocolate Oranges being evidently beyond his brief, he hurried away.

I went to Boot’s the Chemists but they did not stock Buttercup Syrup.  I thought it ironic that the two things that would either be confiscated or nicked would be items for a five year old boy while what, to all intents and purposes, could have been the components of a spectacularly effective improvised explosive device passed muster.  With regards to current methods of airport security and its effectiveness, I haven’t seen such a blatant money making scam since the Millennium Bug but it does serve as an uncomfortable reminder to those living in the West that events in the Levant and further east do affect their national security and are worth the billions spent and lives lost providing a robust response. (For those readers somewhat vague about irony, the needles on your Irony Detection Devices should be at full deflection now.  If they aren’t, they’re not working so go and get your money back)

After shuffling in unaccustomed heat for two hours in the Angolan immigration queue, I finally made it to baggage reclaim to discover that having had special handling in UK, Alex’s bike was receiving special handling in Angola.  Instead of being delivered to the baggage hall, it had been delivered direct to Angolan Customs.  This was annoying.  The reason I was so hot and sweaty, apart from the physical effort involved in lugging along a leg twice its normal size and, presumably, twice as heavy was that I was wearing a large raincoat.  The reason I was wearing a large raincoat inside a building in a hot country where the likelihood of rain, even outside, was nil,  was because its voluminous pockets now contained the two Samsung tablets, Marcia’s new Galaxy smartphone and Dominic’s new iPhone 5S Gold that had until very recently resided in my rucksack, the contents of which would now be innocuous to cursory examination by curious customs officials. 

It was one thing walking past customs officials while hidden amongst a load of tired and impatient passengers, quite another to be standing isolated in their midst hours later when, having examined four plane loads of tired and impatient passengers they had the time, tired and impatient and probably not a little vindictive themselves, to deal with me.  A limping, sweaty white man in a bloody great raincoat standing in his socks would arouse the special interest of even the most retarded bureaucrat.  And, of course, the box didn’t just contain a bicycle.  I had stuffed the free spaces with car parts, items that for some reason known only to the ministries of finance of countries in which cars or their parts are not made, attract ludicrously high levels of import duty.

Also in one of the pockets was a bottle of perfume I bought for Marcia on the ‘plane.  I don’t normally avail myself of the duty free offerings on airlines but finding myself with a bunch of surplus and in Angola largely useless UK pounds, and realizing that in amongst all the computers, telephones and car spares I had bought, there wasn’t a single ‘personal’ present from me for Marcia, I decided to lash out on a nice bottle of Dior.  There were two types on offer, both seemingly identical yet one cost eighty quid and the other sixty.  Marcia, I knew, would be able to tell the difference so I asked for the more expensive kind.  The cheaper kind had a subscript below the Dior pour Femme blazoned across the front of both cartons but it was too small for me to read off a glossy magazine page under a dim overhead light in a darkened cabin.  I made and paid for my order.  At two o’clock in the morning (in spite of my increasing discomfort I had just managed to doze off) a stewardess brought me my perfume sealed up in a natty little carrier bag.  I opened it.  Accuse me of lacking trust but I do like to see and hold what I buy.  This carton had the unreadable subscript and should have only cost sixty quid, not eighty.  I pointed this out to the stewardess.  Into her hand held machine, she punched in the item number from the in-flight duty free magazine for the more expensive bottle and it came up with the cheaper item but at a price of eighty quid.  I asked the stewardess to punch in the item number for the cheaper bottle and it came up with the same item but at sixty quid.

‘Hmmn,’ I said.

‘Hmmn,’ said the stewardess.

‘Is this a popular item?’ I asked her pointing to the more expensive item.

‘Oh, it’s our bestseller,’ she said proudly.  Normally an item being popular turns me off.  Shell suits are popular but I still wouldn’t wear one.

‘But everyone who orders the eighty quid item advertised in the brochure gets, in fact, the sixty quid item from the brochure?’

‘Perish the thought,’ I continued in order to cover the embarrassed silence, ‘ but one could almost draw the conclusion that British Airways were ripping off their tired and inattentive passengers.’

‘You owe me twenty quid,’ I said taking the perfume.

‘I’d rather not sell it,’ she said.

‘And I’d rather not write to Sky News,’ I said, ‘so can I please have my perfume and twenty quid change?’

I have no idea whether I got a good deal or not but it is gratifying to get something, however small, over on British Airways.

By the time the Customs warehouse opened I had been joined by Marcia, who was happily playing with her smartphone, and Alex who was happily playing with his tablet computer.  Also waiting was a fellow expat (for a bicycle, what a coincidence) and an Angolan lady.  Compared to our boxes, that of the Angolan lady was massive, every inch of it coated with adhesive tape to a depth only a seismologist would be able to determine.

‘Sign and print your names next to your box numbers,’ said the Customs official handing us expats a clipboard, his eyes locked on the box belonging to the unfortunate Angolan lady.  We signed and buggered off sharpish.

I had now been on the go for 24 hours, my dressing had come loose and slipped down my trouser leg and I was in agony.  Still, we fought our way through Luandan traffic so that I could stop by my ex house (‘ex’ not in the sense of the house of my ex-wife but in the sense of the house that used to belong to me) and gave a delighted Dominic his iPhone 5S Gold.  Yes it does have gold trim but is actually quite tasteful, not at all Liberace.  Once out of town and cantering south to the Barra de Kwanza I noticed the Jeep was making worrying noises.

‘How long has it been doing that?’ I asked Marcia.

‘A few weeks now but the Portuguese mechanic sprayed some oil underneath and said it was OK.’

We arrived home and the first thing I did was go for my tool box.  I knew that once I lay down, I would be down for days so wanted to put Alex’s bike together.  All my tools had gone.

This was a homecoming, a time of joy so I shrugged and suggested we went down to Rico’s place where they had tools.  There Alex got his bike, a decent bike, one made not in China but crafted in Birmingham, England.  Against his mother’s wishes, I let Alex ride it home, me following in the Jeep and by now very worried about the aural evidence of mechanical pain the car was going through.  I said nothing at the sight of my dead garden, in a way it was no more than I expected (apparently my Italian Grape Tomatoes had done well but all but one plant had been pinched) but I was concerned at all the oil around the generator.  A gentle enquiry revealed that the Portuguese mechanic, while servicing it, had been unaware of the sump pump so instead of using it to drain the old oil into a suitable container had merely undone the sump plug and allowed the waste oil to drain into the canopy from where it was now leaking out across my yard.  I added servicing the generator and an Exxon Valdiz cleanup to my ‘to do urgently’ list.

The list grew as alarmingly large as my leg.  The problem with the car was a failed front differential bearing so I had to drop the front propshaft while I order the parts.  While mucking about with the car, I noticed the dip stick was missing.  I asked Marcia about that and she told me the handle had broken off.  I asked her where the dip stick was so I could make a new handle, after all, we still needed it to dip the oil.  She told me that it was in the engine but that the Portuguese mechanic had said it was OK to run like that.  Even the most mechanically inept, I would imagine, could conceive of the catastrophic consequences of the engagement of loose metal strips and spinning crankshafts.  I added the retrieval of the errant dip stick to the list.  While doing that I noticed that someone had crudely welded the car’s cooling fan to its clutch housing.  The only way to get it off now would be to strip the front of the car down and cut it off with a blow torch.  The spares required to rectify the resulting damage will cost a fortune.  The Portuguese mechanic had suggested this artisan repair as a cure for overheating.  I had brought my cure for the car’s slight tendency to overheat in very heavy traffic (something I was aware of) in the form of an ignition overhaul kit: new plugs, new leads, new distributor cap and rotor arm, a new fuel filter.  The car was overheating slightly because the engine with ancient plugs and ropey leads was running lean on the crap fuel here, not because the fan wasn’t spinning fast enough.

Of course, the car would no longer start on the button, it had to be jump started using homemade jump leads and a slave battery which Marcia carried around with her in the back of the car.  The Portuguese mechanic had sold her two new batteries, Marcia told me, and they still did not work.  I looked at the batteries and could see neither was new but they still should have worked and was a bit bemused until I saw one of the lads start to jump the car by connecting the slave battery, amid a shower of sparks, with opposite polarity.  A quick check of the car’s alternator revealed that its rectifier had been blown, presumably through just such an inept opposite polarity connection.

Things were no better in the house.  The microwave was stuffed because someone had tried to heat up their lunch in an aluminium cooking pot.  There was no water in the loo so the solenoid controlling the influx of water into the washing machine, which had been left on in the vain hope water would magically appear, had burnt out.  I had been welcomed home enthusiastically by an ecstatic Charlie but of my other dog, Eddie, there was no sign.  He had crawled under the shop and died, I was told.  The ice cream machine has been unplugged and pushed into a corner.  I daren't go there just yet, not until I have sorted out the damage caused to the fuse box when someone messed with the shop wiring.

Compared to the foregoing, the rest of the stuff on my list is just petty and not worthy of mention but I am still bewildered that so much could go wrong in just six weeks.  And none of this had anything to do with the urgency with which I returned home.  Faced with losing the Filipino carpenter and my building crew, I had to come back if ever there was to be an end to this incessant build.  Ironically, all the labour issues were sorted out in less time than it took the boys to sink the cold beer each I had given them.

No one could blame any of this on Marcia.  I shouldn’t say because ‘she is just a girl’ but the fact remains, she is just a girl and it takes the special kind of girl I would hesitate to marry to wade in amongst and intimidate a bunch of recalcitrant labourers.  Few men, let alone women can fault diagnose something as mechanically complex as a car or, under stress, realize the solution to a lack of water is as simple as replacing a filter.  Yes, I was sick but I was receiving the best medical attention available in the world, I could trust the people advising me.  She, on the other hand, was left holding every single baby except the one she really wanted to hold.  With all the stress she miscarried and had no one she could rely on.

I have been back two weeks.  Happily, the car is nearly finished (all bar replacing the front diff bearing but that will have to await the arrival of new parts; it’ll run as a 2wd in the meantime), we can take a shower and wash our clothes, even the microwave works again.  The evidence of Alex having been left unattended in the cottage with his village children friends has been scrubbed from the walls, Charlie is putting on weight and work progresses down at the site.  My leg remains tender but not an issue that unduly concerns me.  Although the part of the wound where the graft failed is still raw, I was taught by the best nurses how to tend to it and for once I am religiously following their advice.

One good thing that has come from my time in hospital, in addition to giving up the smokes, is that I no longer watch TV.  I have paid only a passing interest in the World Cup.  I felt it appropriate that Brazil, as hosts, scored the first goal of the tournament and commiserated with them that it was into their own net.  I was looking forward to the Germany matches and was enjoying the drubbing they were giving Portugal but missed most of the second half when the new shop boy stuck his head in and confessed to emptying a 20 litre container of petrol into the diesel tank of the running generator.  Naturally I limped across the garden pretty damn sharpish to switch the generator off before we all witnessed the effect of high octane fuel in a compression ignition engine.  A few months ago, I would have killed him but instead heard a strange man (who turned out to be me) congratulating him for having the courage to admit his mistake early enough for me to prevent disaster.  Together we spent the rest of the evening draining and swabbing out the tank and flushing the fuel system.  While we were at it, we swabbed the waste oil swilling about the bottom of the canopy as well.  To be truthful, he did all the swabbing while I held the torch and puffed on my e-cig giving him the benefit of avuncular advice.

I get tired early in the evening and recognize the value of putting my leg up (rather than over) so retire to my room to read a book, Winnie the Pooh.  Together Alex and I make hot chocolate, ensure we have an adequate supply of choccy biscuits and lay together propped up in bed while we read all about Pooh’s adventures.  I can think of many fine ways to end a productive day and this ranks high among them.

I realize I haven’t written of the unexpected trip to Dubai I mentioned in my last post or of that other, far more mysterious place twixt England and the Irish Sea I ventured into or properly thanked the good friends who stepped in and helped me while I was in England but I think the glue must have set by now on Marcia’s car and I really should finish off the installation of her new headlights before sunset.  Araldite was perhaps the most useful purchase I made in England, by the way.  The presents went down well but a surprising hit were the bags of Pork Scratchings I used as shock absorbing packing around the more fragile purchases.

For supper tonight I have prepared a mild chicken curry with a peanut and coconut cream sauce.  First time I have cooked in months so things are definitely looking up although I notice that along with my tools, some bastard has nicked all my chef’s knives…
 
Alex with a fine example of British engineering and some children
who would be unlucky to learn engineering.from the Portuguese. 
Dawes made weapons and supplied bikes to the British Army during the world wars
and we won, twice, so their bikes must be good.
 
 

 

Monday, 9 June 2014

Going Home

I am sorry I have not posted any updates but things have been pretty hectic since I left hospital a week ago.  There is much to tell, including of a trip to Dubai, of immaculately kept houses being redecorated, villagers so orderly they wash their rubbish before disposing of it in aseptic bins but I shall save all that until I am back in the bosom of my much missed family.

This morning I had an appointment at the Royal Free where I was given a qualified OK To Travel.  Qualified in the sense that I told them I would not be able to make the next appointment they wished me to attend at the London School of Tropical Medicine on the 9th of July as it was my intention to be on the 'plane back to Angola tomorrow night.  I hate letting people down so abruptly but after looking after me for so many weeks, they really should have known I would, like the swallow in autumn, be flying south as soon as they left the cage door open.

And my first port of call on leaving the hospital was not a tobacconist; I have given up smoking as well.  What is left of me shall return home to Marcia a new man.

Normal service will resume shortly....

Friday, 30 May 2014

Of Communists, Fascists and Others Born Out Of Wedlock


My skin graft operation did not go exactly according to plan Saturday last.  I knew I would not be in theatre before 1800 hrs because the Rather Attractive Lady Surgeon Registrar had programmed me for the last op of the day allowing me to have breakfast that morning and spend most of my waiting time in the comfort of my room rather than in excruciating agony on a hard chair in a waiting room desperately clamping my cheeks together to contain the potentially catastrophic effects of the sudden release of wind I suffer when a) unable to move and b) am in a public space.  I only went over to the Royal Free at lunchtime.

(The nurse has just come in to take my temperatures and pressures.  Yesterday the machine went berserk and tried to crush my arm, even the nurse was alarmed as I yelped with surprise and lost contact with everything below my elbow.  Apparently it needed recalibrating.  Anyway, I have just asked this nurse what setting she had on the machine today; bone crushing or merely flesh bruising).

While waiting I was seen, as usual before going into theatre (I am an old hand at this now) by a nurse consumed with a desire to know all about me; my habits, my foibles, my general state of health and whether I indulge in recreational drugs and anal intercourse.  I shan’t bore you with all the subtle variations I managed to weave into my replies on three separate occasions but they generally ran along the lines of not knocking anything until one has tried it and that sex with girls is OK but you can’t beat the real thing (I always left my definition of the ‘real thing’ vague).  We did discuss British Airways cabin crew being whacked out on drugs (it is the only reasonable explanation of their behaviour) and whether such use, as they were on duty, could be considered recreational.

The nurse wanted to take a swab from my wound.  This solved a problem for me.  The vac dressing had failed so the vac pump was alarming all the time, thus alarming those suffering alongside me in the waiting area.  So, out of consideration, I had switched the pump off.  Now that the dressing had officially been peeled back compromising the seal, I had a fairly rock solid excuse for switching the machine off and, while subsequently being seen by the Rather Attractive Lady Surgeon Registrar not long afterwards, I suggested I might be allowed to unhook myself from the machine altogether and stuff it into my rucksack.

When my time came, I was not afforded the usual luxury of changing into a hospital gown in my room before being wheeled in my bed down to theatre but had to walk to a changing room where I was instructed to place all my possessions into a plastic bag which would be secured in a locker, the key to which would be pinned to my gown so that no one would have access to my kit.  I accepted there was an element of trust expected from me as we both knew I would be unconscious for the better part of the time my clothes were secured.  I asked the nurse about the vac machine.  It was my understanding, I told her, that I would be fitted with a vac dressing after the skin graft.  Nothing unsterilized, she informed me, would be allowed into theatre.  I presumed that surgical patients were granted an exemption to this rule along with medical staff who wished to procreate in the future.  I did not give a toss about the vac machine to be honest but I was very disappointed I could not take my camera along.

Having walked the distance from the waiting area to the changing room (the hospital looks smaller than it is from the outside) I now had to walk to the theatre.  Happily, the nurse was from Madeira so we chatted away in Portuguese and I really did not mind too much when we found that the lifts had broken.  I suggested that having come this far I could probably manage a few flights of stairs but this too, apparently, was against regulations.  Clearly she felt I deserved an amplification of the reasoning behind such an edict so explained that if I fell on the stairs or was otherwise injured, she would get into trouble.  I no longer saw the irony of anything that happened to me in the Royal Free accepting as I had that it was staffed by communists.

I was just about to be anaesthetized when the Rather Attractive Lady Surgeon Registrar popped in to chat to me.

‘Where’s the vac machine?’ she asked me.

No sense blaming the nurse, it’s not her fault she has been indoctrinated into the art of sustained chaos, so I told the surgeon I had forgotten it in my locker and that since, according to the regulations no one else was allowed into my locker, I would nip back and get it.  Just to really twist the knife home I added, ‘All the money I have, that I brought with me from Angola, is in my rucksack.’  There was shocked silence as they all stared at each other in a desperate bid for inspiration.

‘It’s alright,’ I said unpinning the locker key from my gown and handing it to the nurse, ‘I was only joking.  When you unzip the rucksack,‘ I told the nurse, ‘the vac machine is on top.’ 

As she made to leave, I called out after her, ‘and don’t forget the power cable, that’s right at the bottom, underneath the big envelope full of money!’

When I woke up, the Rather Attractive Lady Surgeon Registrar was there.

‘I did not do the skin graft,’ she told me while I tried to figure out where I was and where all these white people had come from. ‘When we took the dressing down, the wound was infected so there was no point trying for a graft, it would only have failed and then we would have to find some other part of your body from which to harvest more skin.’

I could see the sense in that but I was still bloody disappointed.  A successful skin graft was the only tick in the box left the parole board needed prior to releasing me.  I briefly considered being depressed but then decided I much preferred a cup of tea and a packet of Jammy Dodgers.

‘We debrided some more tissue and gave the wound a good scrub before putting a vac dressing on,’ she finished.  Later, as the anaesthetic wore off I realized she had not been joking about giving it a good scrub, she must have used a bloody Brillo pad.

I was wheeled off into what is ambitiously referred to by the leaders of the People’s Republic of Free London as a recovery lounge.  I found myself jammed into this broom cupboard between an Iranian who really was having a bad time with the anaesthetics if his projectile vomiting was anything to go by and a man who I assumed could only have been a diamond buyer labouring under the very misplaced confidence that no one around him knew what he meant as he babbled on down his mobile phone about ‘juice in’ and ‘Smarties out’ of Libreville.

A nurse came in with my tea and biscuits and asked me how I was getting home.

‘I’m an inmate at UCLH out on surgical day release,’ I told her, ‘I need to go back there.’

‘We’ll have to order transport then,’ she said, ‘there’s no mention in your file about a return journey.’

Bleeding Hell!  They weren’t exactly overcome with confidence about the outcome of this operation, were they?

‘Order it from G4S,’ I said.  (That way I could get out of the vehicle at the first set of traffic lights, get a MacDonald’s and a ride back to UCLH in a taxi before they noticed).

Two hours later, me still lying there naked but for a hospital gown having passed the time persuading the poor Iranian (who was on his second bucket) that a mixture of yoghurt and Jammy Dodgers washed down with sweet tea really did cure nausea, two guys in fluorescent jackets turned up with an electrically adjustable stretcher.

‘You can go now,’ said the nurse.

‘What about my things?’ I asked.

The nurse pointed at the rucksack that had come down with me from theatre.  So the nurse from Madeira had wanted witnesses before delving into my bag, I thought.  Clever girl.

‘What about clothes?’ I asked.

‘We do not give clothes out, you must go in your gown.’

‘Hang on a sec,’ I said, ‘I was fully dressed when I came in here so where are my clothes?’

‘Where did you put them?’

‘In a locker in the changing room.’

‘Where’s the key?’

It took them an hour to find it and then it wasn’t me who emptied the locker, they did.

The two stretcher bearers insisted I lay on the stretcher.  They had a smart electric stretcher so they were damn well going to use it.  It came with restraining straps so they could hurtle around London without dumping patients onto the floor of their van so they were going to damn well use those too.

Although not as bad as on some previous occasions, I had not eaten since breakfast so had a go at persuading the guys to stop briefly at the MacDonald’s just next to UCLH.  They ignored me, deep in loud conversation as they were, so I spoke up a bit.

‘It’s alright, Sir,’ snapped the driver testily, ‘I know my way,’ and he continued yabbling.  Socialist swine.

I briefly considered kinking the vac pump tube thereby forcing it to alarm so I could claim it had detected dangerously low blood sugar and only a Big Mac with large fries and a chocolate milkshake could save me from terminal coma but realized that this would only give them an excuse to flick on the blues and twos and drive like maniacs to A&E instead of In-patients where no doubt I would have an awful lot of explaining to do.

(I have paused for lunch now but earlier today some doctors took my dressing down in order to inspect the wound and I am still sitting here with no dressing covering a gaping hole while scoffing my way through a plate of beef stew and dumplings.  The nurses were told to dress the wound again but I can understand them taking a stand.  They cannot be expected to alter their busy routines at the drop of a hat merely to rectify the results of the idle curiosity of a bunch of doctors)

That treacle pud and custard was nice.

So, as I was saying, the graft did not happen and I was back in UCLH and on intravenous antibiotics again.  I am a bit hazy on the days because the Ward Sister has confiscated the bent nail I kept hidden under my mattress which I used to scratch the passing days on the wall but about three days later I was back in theatre at the Royal Free and this time they did the graft.  It wasn’t the Rather Attractive Lady Surgeon Registrar doing the job, it was some bloke who I briefly noted when he stuck his head round the door and told the anaesthetist to hurry up.  First impressions were deceiving for he turned to be very kind.  Evidently noticing that I had an obvious limp as a result of a wound on the left side, he harvested the skin from my right thigh thereby balancing me up a bit.

Back at UCLH, the team got together in my room to assess the latest.  There wasn’t really much to see.  The wound on my right thigh was obscured by what looked like a massive white Elastoplast.  The original wound on the left was covered by a new vac dressing but it was this dressing that had us all enthralled.  Never in my now considerable experience of vac dressings have I seen shoddier workmanship.  I have been unfortunate enough to have sat through a few TV medical dramas so I know it is normal for the surgeon to do the tricky stuff he is paid so much for before tossing his spanners over to some junior with an instruction to finish up but this job looked as if it had been concluded by a one armed janitor in serious need of psychiatric intervention.  The sponge had been cut too small for the hole so they had stuffed cut offs into the wound to fill the gaps.  Even that effort was half hearted and portions of the wound were covered merely by adhesive film. The adhesive film barely stretched onto the flesh surrounding the dressing and the vac tube had been fitted so it ran down my leg and not up underneath my underwear and out over my waistband almost guaranteeing that sooner or later I would tread on it and rip the tube out of the wound.

(Someone has just stuck their head around my door saying they were looking for my nurse.  ‘I’ve eaten her,’ I said, ‘she was delicious’)

The idea was to give it a couple of days then bowl up to the Royal Free, get confirmation that the graft was infection free and had taken and everything was tickety-boo, get the vac off, get my release forms signed and push off.

With a vac dressing sucking air and some of the wound exposed, it was hardly surprising that it got infected again. The nurses here did their best to plug the leaks with sheets of adhesive film but they might has well have been trying to patch the Titanic.  Naturally, no one wanted to pull the vac dressing off and change it lest all the new graft skin came with it.  So I festered until the day before yesterday when, after a further eight hours of confusion over at the Royal Free (‘Nurse, I’ve been waiting to see the plastics registrar since eight this morning, it is now four in the afternoon.  Are you sure they know I am here?’) an admission was finally made that no one knew I was there and that besides, I had been told to come to the wrong place (making it all my fault, I suppose).  I rang the Tropical Diseases guy at UCLH and within minutes I was being ushered to the right place and was seen by a doctor who bore an uncanny resemblance to Timothy Spall.  I cheered up instantly.

Of course he had never seen me before, was wholly ignorant of my recent medical history and was only seeing me because he had been in the wrong place at the wrong time when someone in authority at the Royal Free suddenly realized they needed a plastics specialist.  Never mind, it was worth the wait just to meet him.  Come on, you all must have met at least once that kind of person who cheers you up just by being in the same room.

‘You’re on a vac pump I see,’ he said.

‘Don’t buy one’, I said, ‘it’s fucking hopeless for cleaning rugs’.

‘We get them from Amazon,’ he said, quick as a flash.

Amazon’s bloody rubbish,’ I replied, ‘I bought a painting from them once.  It looked great on their website but the one they sent me was upside down.  The wife cried for a week.’

He decided not to put me back on the Vac.  The two socialist nurses argued with him.

‘But I’ve been to the stores and have a new dressing and reservoir!’ one of them protested.

‘Still…’ Dr, Spall ventured.

‘The patient can’t go back without a vac dressing!  Look at the wound, it’s disgusting!’ said the other.

‘Yes but…’

‘I quite like the idea of not being on a vac pump,’ I interjected.

‘You have no say in the matter, you’re just a patient!’ chorused the nurses.

And a disgusting one at that, I thought.

The last time I saw such a marked contrast between two institutions in the same city was when checking out of a hotel in West Berlin and into another on the other side of Checkpoint Charlie.

‘You should ask for a transfer to UCLH,’ I advised Dr. Spall, ‘you’ll shrivel up and die here.’

Dr Spall, as he managed to squeeze an opinion in edgeways every now and then, told me there was no need for a vac pump, that 80% of the graft had taken so it looked good to go and, after talking to UCLH, it was felt that a couple more nights in UCLH under observation and frequent dressing changes should see me OK for discharge on Friday (today).  I would have to come back to the Royal Free on Monday where the graft would be checked and I would then be handed over to the care of my local district nurse.  Cool.

Yesterday I went for a walk.  I was desperate to get a haircut.  My hair was already long (for me) when I left Angola.  A month later my head was skidding around on the pillow at night.  First I had to change some money.  The nearest place I could find on Google Maps that wasn’t a street corner tourist rip off was the Post Office up by Russell Park, a gentle half mile walk away.  Just short of the post office on the corner of Woburn Place and Corum Street there was a seedy looking currency exchange shop with a handwritten cardboard sign in the window which read, ‘We give £56 net for $100 notes!’  1.78 US to the pound I calculated, robbing bastards.

I arrived at the post office to see a bloody great queue of American tourists all wanting to change money.  I needed to know whether it was worth joining the queue (my legs were aching in stereo) or walk further to a branch of my bank where I knew I would get the best deal.

‘Excuse me,’ I said to the Americans, ‘I just want to ask the teller a simple question.’

They all very politely let me limp through to the front.

‘How much will I get net if I change a hundred US?’ I asked the young man behind the counter.

’49 and change’, he said.

Blimey, one block down the road I’m nearly seven quid better off!

The Americans had been nice to me so I felt it only fair to return the favour, after all, I was an Englishman in London and one of the things colonials want to experience in the Smoke is a bit of civility.

I gently drew one of the Americans to the door and pointed diagonally across the A4200 and said, ‘You see that place there?  They’ll give you 56 quid net for your hundred bucks so long as it is in cash.’

I limped painfully out of the door and started to make my way back towards the seedy money exchange.  Seconds later I was overtaken by the 7th Cavalry as they hurtled off towards my destination.  When I got there, the queue was a mile long.

‘Jeez!’ shouted one Yank, ‘it’s the old guy who sent us here!’

They let me straight to the front of the queue so I forgave the young punk for calling me old.

I changed fifteen hundred bucks and came away a hundred quid better off than I would have done had I used the post office.  That’s the trouble when you privatize essential government services, the Fascists take over and rip everyone off.

There was one thing I had to do.  I was going to leave it until I got out but since it was still early afternoon, I decided that there was no time like the present.  All through this blog you will find references to what was top of my priority list if ever I got back to London.  Rather like a wistful prisoner of war I dreamt of sitting in a real pub drinking a pint of London Pride.  I am teetotal now but I had to know if I could stare temptation in the eye.  Having now given up smoking, it was a case of double jeopardy.  Could I sit in the smoking area (out on the sidewalk) of a London pub serving London Pride and be content with a coffee and a bar snack while all around me were choking the weed and pouring booze down their necks?  Would the stale smell of second hand smoke, the o so familiar, friendly aroma of whisky and the hoppy smell of real ale get to me?

The good thing about pubs in London is you don’t have to shuffle far to find one but I knew where I wanted to go because it seemed so appropriate and I was willing to hobble an extra mile to get there.  Twenty minutes or so later I was in front of the Old Explorer just off Regent Street near Oxford Circus tube station, a traditional pub the sign over the door claimed and exactly what I wanted.  The atmosphere and the smells inside were intoxicating.  Hunched like some old pirate I made my way to the bar and got myself a tonic water with lemon and a packet of pork scratchings. The smoking area outside was packed but there was a chair free at a table for four so I asked if I could join the three gents who were happily quaffing their ale and smoking cigars.  Even better!  There was nothing I liked more than a damn fine cigar.  Sitting down wind, the scented breeze caressed me like an old lover,  I sat there quite contented for half an hour, nursing my tonic water and munching happily on my scratchings.  And I was happy.  Not once did I feel the urge for a drink nor the desire to a smoke.  What is left of me will return to Marcia as a new man.

While looking on Google maps I had noted the location of a traditional ‘Bob a Cut’ barber up the Tottenham Court Road so I headed slowly over there.  Nowadays a Bob a cut is ten quid but I didn’t mind, I was still ninety quid and a free haircut up on the post office.

By the time I returned to my room in the hospital, I knew something was wrong.  My leg was on fire and, I realized as I took my raincoat off, my trousers were soaked around the dressing.  Sure enough, when I dropped my strides, I could see the dressing hanging off and the wound oozing.  The nurse called the doctor.  He said he would come with the specialist today.  I was supposed to be released today. 

This morning they came and had a conflab.  In principle, most of the graft, enough of the graft was OK if runny.  They decided that for the sake of a couple of days until the appointment at the Royal Free it would be foolish to risk it all going awry by sending me home; best to stay until Monday.  Much as I want to get out of here, I was relieved.  I’ve done just over a month inside, it would be a shame to balls it up at the last hurdle.

So that is basically where I am with this now.  I know I have said ‘two days to go’ before and been wildly off the mark but this time I think it’s for real.  Still, two days will give me enough time to hand wash and dry all my kit.  I am due to run out of clean skids by Sunday so I had best get scrubbing…

I really miss Marcia and the boys.  I’ve had my fun in London, can I I go home now, please?

 

Saturday, 24 May 2014

A Good Day For A Close Shave

You may have noticed that I have recently broken with tradition and am not replying to every single comment I receive. I always felt that if someone was kind enough to go to all the trouble to comment (and in so doing make a remarkable public admission to having actually read a post of mine), the least I could do was have the courtesy to acknowledge them.  Of course, I am fortunate (?) not to have a zillion followers like a certain Affable Gay Welsh Raconteur I could mention (who acknowledges his commentators not so much with courtesy as a curtsy) so my burden is light compared to his, especially as he is a prolific poster.  And it is because I am now posting little and often that made me ask myself, why spend time replying to all the comments when any matters arising can be addressed in the next day's post?  The truth of the matter, I suspect, is that having too much time on one's hands can lead to quite an alarming lethargy.  That, coupled with ever changing goalposts and the resultant uncertainty is, I fear, starting to tell on my usual bonne humeur. To mine own ears, my repartee is beginning to sound crass.

Yesterday I went over to the Royal Free clutching my documents.  My driver told me that he had been instructed to deliver me to the surgical ward.  As usual this information, as so much of the information I was receiving lately, was at odds with my understanding.  As far as I was concerned, I was on my way to the dressings clinic where I was to allow no one, under any circumstances, to redress my wound without the presence of NB, the Lady Surgeon Registrar who would assess the viability of a skin graft.  Being a very decent chap from Jamaica, he did not argue with me (as I suspect those communist white drivers of the ambulance the other day who, returning me from the Royal Free after surgery refused to stop for a MacDonald's would have done) and accompanied me to where I wanted to go and not where some ill informed shiny arse thought I should go.

Now the appointment letter the Royal Free had given me clearly stated that NB (so written on the form) was to be present at the dressing change.  NB had been kind enough to warn me that she would be busy doing trauma so I should prepare myself for a long wait.  I was pleasantly surprised, therefore, when the receptionist informed me that my appointment was for eleven.  Eleven came and went.  A young lady, also from Jamaica, sat down next to me (because I looked normal and did not smell, she confessed to me later with charming frankness and breath-taking naivety) and we passed the time in enjoyable conversation.  She was a game girl and our chatter became unbelievably un PC and went not unnoticed but we got away with it by convincing everyone who cared to object that we were man and wife so could they kindly wind their necks in.  Janet Thomas was her name and, she wittily observed, it was fortunate that men did not take their surnames from their wives as had we been married, I would be Thomas Thomas.  You have to understand, we were very bored.  We were busy discussing the impediments to us marrying but the possibility of us voluntarily enjoying conjugal rights anyway when at 1pm my name was called and I was taken into a bay.

I was introduced to a very bemused NB who asked me to explain why her presence was considered necessary.

'Easy,' I said, 'because it isn't.'

I had no idea whose NB this was but it certainly wasn't mine.  I had been waiting four hours for the wrong NB.  Once they realised that the NB I wanted was the rather attractive slim Lady Surgeon Registrar they agreed with me that perhaps I should return to my seat and resume 'waiting mode.'  Happily, Janet was still there but I had lost the comfy chair next to her so had to sit opposite her, an extra distance that required us to raise our voices bringing even more people within shocked audible range.

At four, the Lady Surgeon Registrar arrived and the nurse, an ex exotic dancer from Malta who had worked the Far Eastern tourist spots (believe it or not, she told me.  I did), removed the dressing.

'Those muscles really do have the appearance and texture of freshly skinned duck's breasts, don't they?' I enquired of the registrar.  She and her colleague agreed my muscles looked healthy.

'You recall,' I said, 'how murky the liquid was in the vac pump reservoir last time we met?' I indicated the vac pump, 'look at it now, it resembles a fine rose and, as I am sure you will appreciate as much as a connoisseur of fine wine, colour and bouquet are good indicators of quality.'

Happily, she and her colleague concurred, my wound was good to go so scheduled me for surgery today.  Demonstrating extraordinary consideration for the mental and physical welfare of her patient, she told me not to bother coming over to the Royal Free until midday and that, by all means, I could enjoy an early breakfast.

So. I sit here, replete after my light breakfast of porridge, four slices of toast and marmalade, a bowl of cornflakes, a Twix I had bought in the hospital tuck shop on my way back yesterday, all washed down with several mugs of tea and coffee, writing this.

Sadly, the good surgeon could not tell me if there was sufficient space on my left thigh to 'harvest' enough skin for the graft but she promised she would try to keep all injury confined to the same leg.  At least she promised not to skin my arse so that's something. 

Right, I shall go and scrub up and climb into fresh waiting clothes and let you know as soon as I can how it all went.  I am hopeful she will let me take my video camera into theatre.

Toodlepip!

By the way, I wonder if the surgeons know I am weighing myself after every theatre trip?

Friday, 23 May 2014

Why I'm Voting UKIP - You Gotta Read This!

http://www.theweek.co.uk/uk-news/58641/whyimvotingukip-ten-best-responses-to-the-hijacked-hashtag

Back off to the Royal Free (again) after skin graft abandoned in theatre on Wednesday as more infected tissue discovered.  Surgeon settled for more debridement (I am down to 77 kilos) and a good scrub of the wound (this time with a Brillo pad to leave it squeaky clean, it certainly felt that way when I woke up).  If everything checks out today, will hopefully get skin graft over the weekend.

I see the lovely Nurse Mia commented on my post 'Patriotism and Bespoke Tailoring', you should see her avatar... sweeeet!  She'll be on duty this weekend so hopefully I can get a decent photo of her and a few other of the medical stars here.

Must eat my porridge now as transport is in ten.

Sunday, 18 May 2014

Ha Ha! What a Glorious Day!

The sun has got his hat on, Hip-hip-hip hooray!

Actually I need to be careful there, don't I?  I have already been censured once for being wildly non pc when (you recall the kosher fish and the better vegetables?) I asked Her Majesty-Majesty why the Jews here get nicer peas.

Clearly, the Very Well Dressed Lady Registrar's heart is brimming with compassion for quite obviously the raw emotion I threw into my bottom lip trembling performance must have left her deeply moved.  This morning she came to see me and told me that instead of being transferred to the Royal Free, they would keep me here and on Wednesday take me over there where I will be operated on as a day patient before being brought back here to recuperate (note to self: take a good book along).

Naturally, in a community as close knit as that found in an infectious diseases ward, news travels fast.  'Oh God!' wailed one nurse, overcome with joy.  Another sank to her knees to give Him thanks, tears of happiness coursing down her cheeks, 'He's not going!' she cried.  It all brought a bit of a lump to my throat.

I received a bunch of mail as well including one from as far afield as Camarillo, California.  It did not look like a communication from the IRS so I risked opening it.  Thank you Ann.  I am gratified you want to visit Fort Hippo when it is up and running but would draw your attention to the section of my last post dealing with being sectionable. Nevertheless, if you are a comfortably well off masochist, by all means visit but my place is really only aimed at those already in Angola for their sins and for whom anything is an improvement on Luanda.  Addy, recognising that I still had one addiction to deal with thoughtfully included a packet of the strongest mints I have ever tasted.  Through streaming eyes I squinted at the packet and read 'Exocet' but as my eyes cleared I realised the words were 'Extra Strong'. Frances sent me the most singularly appropriate card, sadly I have no scanner to hand to share it with you but it shows a patient in bed with a doctor saying, 'Hmmn, someone has been fiddling with their medical notes, haven't they?'  Hanging on the foot of the bed is a sign saying 'Nil by mouth' to which has been appended, 'Except Chocolate and red wine'.  As a multi hitter, this card gets home runs for we all now know of the days I endured nil by mouth, my weakness for chocolate and my school boy efforts to interfere with my medical notes.  Lettice Leaf forced me to cast my mind back 36 years to my basic signals training which really did not help me until I discovered the key on the back of the card so Lettice Leaf, -  ....  .-  -.  -.-  ...!  My good friend Paul and his lovely soon to be wife Karen sent me a most interesting card.  Now that I have read it I am reasonably confident I will be able to tell the difference between an orgasm and a heart attack, useful as the frequency of both for me are about the same...

I have had many visitors bearing gifts and I am sure they will waive the need for me to thank them all here but special mention must be made of the Idiot Gardener and the Suburban Bushwacker, neither of whom I had ever met before; we know each other through our blogs.  So determined was IG to satisfy a craving I had he scoured the wildest corners of the home counties until he found the last remaining herd of wild biltong and through stealth and guile was able to cull a fine example bringing me back an entire marinated and air dried example raising, on the way to my room, a few eyebrows as he dragged it, bleating plaintively through the corridors of UCLH.  IG's endurance was matched by that of SBW who took on the apparently simple task of arranging mobile broadband for me.  My brother Micky had fixed me up with what T-Mobile assured him was the solution to my problem but, and I shan't go into it now or we'll be here all day, suffice to say that choosing T-Mobile and their service partner EE was a very expensive mistake which left me certain that their criteria for employing customer service agents depended to a large extent on how close a resemblance applicants bore to a certain part of the female anatomy.  SBW gamely submitted to the intimate internal examination, blood and DNA testing the retailer demanded and was able to return to my room with his dingle shredded and a Virgin dongle for me.  I can now access the Flordita.com mail server and send emails again so if you received an email yesterday that seemed strangely out of date, you now know the reason why; it was my outlook outbox relieving itself at last. 

Now, with all this extra time, I can turn my thoughts once again to mischief.  I wonder if I can convince them that I am really a 'ghost' patient sent in by 'Bob the Builder', Sir Robert Naylor, CEO of UCLH, to report on the standards of service and patient care in his hospitals.... Nah.  Can't see the point really, they're already waiting on me hand and foot.  Any witty suggestions you may have gratefully received, you know the address.

A much recovered blogger at work.
Note sterile surgical eCig pointing device.

Saturday, 17 May 2014

Oh Dear! Only Two Days Of Mischief Left At UCLH...


Yesterday afternoon I was visited by the Very Pretty Bubbly Specialist With The Sectionable Husband.  Pleased with my progress she made to leave but then added:

‘Now you are avoiding sweet things, aren’t you?’

‘Given my confinement and that half the female nurses and doctors working here, including you, are drop dead gorgeous,’ I said, ‘that’s proving rather difficult.’

‘I meant sweets, sugary things, Mr. Gowans.’

‘Oh.  Does that include chocolate?’

It did I am afraid.  I have been blessed with innumerable visitors all of whom have brought me something.  Normally, the choice of what to bring me would be easy, just a flask of Scotland’s finest but now that I am boringly teetotal, my dear friends and family fell back on my notoriously sweet tooth.  Chocolates are available in Angola but I'm not really keen on Alex developing a craving for them.  He is a big lad for his age anyway so I don’t want him to add unhealthy fat to his bulk.  It would be incredibly insensitive of me to scoff chocolate in front of him while denying him the same pleasure.  At home, therefore, chocolate is a treat, usually given as a reward for sustained good behavior.

Unfettered by such constraints in the splendid isolation of the Infectious Diseases ward of the UCLH, I have indulged myself.  Naturally, I was now concerned that through ignorance (I was unaware of the beneficial effect sugar has on bacteria) I may inadvertently have been retarding my recovery and commensurately increasing the length of my incarceration.

They do say that people tend to nibble more if they are inactive or bored.  I was both so thought I would quickly tot up my chocolate consumption over the 16 days I have been in hospital:

6 packets of Cadbury’s Dairy Milk Biscuits

2 large bars of Galaxy chocolate

2 packets of Cadbury’s Chocolate Fingers

1 packet of Jaffa Cakes

1 Packet of Fig Rolls

1 large pack of Galaxy Cookie Crumble

2 Packets Cadbury’s Double Choc cookies

2 packets Cadbury’s Oat and chocolate chip cookies

32 bars of Twix (I like Twix)

That only works out to a packet of biscuits or chocolate and just two Twix per day so not really what any reasonable person would call excessive, and surely not enough to have appreciably improved the performance of bacteria, however voracious.

I have just been visited by the Very Well Dressed Lady Registrar.  Apparently I am to be transferred to the Royal Free next week to undergo plastic surgery there after all.  This is a bloody nuisance.  Apart from the fact I will lose my spectacular view, it has taken me just over two weeks to train nurses and ancillary staff to the high standard of personal service I expect. I  can change my own dressings, I get my cup of tea at five in the morning, I have extra blankets and pillows and generally get away with murder.  I now feel like a lag who has successfully ingratiated himself with the screws and enjoys all sorts of normally unavailable concessions only to discover he is being transferred to a gaol notorious for the brutality of its staff (for Christ's sake they flay people alive there!). 

I asked the Very Well Dressed Lady Registrar for permission to tremble my bottom lip which was granted with palpable sympathy.  I gave it the best I had, a truly RADA performance but it cut no ice.  I will be transferred, no doubt kicking and screaming constrained by a badly tailored jacket with a zip up the back and overly long sleeves similarly secured, to the Royal Free sometime early next week.

It has just occurred to me, with my international readership, that some of you may not know what ‘sectionable’ means.  To ‘section’ someone here in UK means detaining them under the relevant section of the Mental Health Act 1983 and 2007.  Under a Section 2 you are detained in hospital for assessment of your mental health and to get any treatment you might need. Anyone so detained is deemed as having been ‘sectioned’ and anyone warranting such detention is deemed as ‘sectionable’. I classed the husband of the Very Pretty Bubbly Specialist as sectionable when I first met her because, until I disavowed her of the wholly optimistic impression of Angola fed to her by her husband (who has never been to the country), she told me he had every intention of taking her there for their exotic luxury African holiday.  She has done so much for me so I was pleased to be able to return the favour by suggesting they sat down together to read my blog and delighted when she told me yesterday that they will be going to the Maldives instead.  My blog is, therefore, not only (I like to think) entertaining, it saves marriages as well for God knows what she would have done to him within hours of their arrival.  It is ironic to ponder that had he been sectioned, he would probably have ended up on the top floor of the very institution to which I am being transferred, which would have given me the opportunity, no doubt, to regale him with tall stories and repartee thereby sending him irrevocably insane.

The soup dragon has just been.  I shouldn’t call her that really because she is neither green nor huge but which child of the Sixties could forget the Clangers?  Instead of an inch in a small plastic bowl, she gives me two large mugfuls to nurse until the next mealtime.  They make the odd mistake.  For supper yesterday I ordered bangers n mash with baked beans.  I received a baked potato with cheese, beans and salad.  This evening I had ordered salmon filet and they brought me a multi-layered plastic package which, once I had fought my way in, I discovered was a Kosher salmon filet.  Can anyone tell me what the difference is between an ordinary salmon filet and a kosher one?  Or is it because we are in London where ‘kosher’ means genuine?  Perhaps that’s it, the salmon I was eating before was farmed while this, being kosher, was wild caught.  It certainly was better quality and the vegetables I noticed were more al dente peas than carrots whereas the goy vegetables I was being served before were more mushy carrot than peas.

Somebody left an unusual looking chair outside my door (I usually sit here during the day with the door open).  Fitted with small wheels, it was the wires and what looked like a control panel that sparked my interest and a desire to see just how painful shock therapy might be.  It was, I discovered, nothing more interesting than a set of scales for those too lazy to stand.  I have not weighed myself in ages but I knew I was well over 80 kgs and had set myself a mental target of getting below that as soon as possible (hence my restraint with the chocolates),  I was delighted to find I weigh only 78 kilos.  That delight was short lived when Her Majesty-Majesty, the nursey looking after me tonight (who bears an uncanny resemblance in both appearance and manner to Black Adder’s Queen Elizabeth I) pointed out that I could not count that weight loss as due to any effort on my part since it had been sliced off me 'and that my dear little Sir Thomas is cheating!  And we all know what happens to cheats, don't we?  They get their little heads chopped orf!'.

The temperature and pressure man came in at six.  He has wised to me taking a swig of hot chocolate as soon he turns his back on me after sticking a thermometer in my mouth and now uses a device that involves sticking something in my ear.  To be honest, that is pretty damn sporting of him.  Had I tried that trick with Nurse John Gray I am sure I would now be sitting uncomfortably with an equine use only thermometer shoved where the sun doesn’t shine. 


The poor man has still not cottoned on to my skill at influencing the readings of the blood pressure machine though.  By flexing my arm muscles at just the right moment, I can come out with some incredibly low blood pressures.  There are rules to the game of course (by definition a game has to have rules).  Any fool can muck up the readings but they don't count unless the nurse records them in the notes.  I was rubbish at this to start with and the nurses would take one look at the reading, think to themselves, ‘that can’t be right!’ and repeat the test, but I have had plenty of practice refining my technique enhancing it with deception plans and distractions. Today I watched with exquisite glee as the nurse recorded in my notes a blood pressure of 74/43.  A genuine reading this morning was 120/78.

‘That’s a bit low,’ I said.

‘Ya bin sittin’ aran too much,’ he replied.  How the fuck I keep a straight face!  Shit, I should have been a poker player.


An hour later the lovely Mia came on duty and marched into the room towing the temperature and pressure machine.


'It's been done at six o'clock!' I protested.


'I know Thomas, but since you're obviously not in hypovolumic shock I am going to do it again.  I also know,' she added, 'that somehow, you had something to do with it so lay your arm there and keep it still!' 

I half expected her to lift the hem of her uniform to reveal a cocked pistol secured by a garter to her thigh and say, 'If you so much as breathe your blood pressure really will be low!'  The girl is going to go far.  At least it shows that oncoming duty nurses review patient notes.


I really am going to miss this place, best few weeks I've had in ages!