
Public Service Announcement: we finished last time declaring an intention to form a trade union and save the working class. It wasn’t a terribly dramatic declaration, as it took place silently, in my head, during someone else’s liver biopsy. Still, there we are. I’ve discussed it with my current girlfriend and my dog, who both like the idea.
The founding of a trade union and resultant socio-political shift away from the middle class is not a usual train of thought to pursue while assisting with surgery. However, as our patient had no short term memory, and needed no conversation other than constant reassurance that he wasn’t being kidnapped, I was able to think the whole thing through in some detail. He was, in fact, admirably calm for someone who considers themselves a kidnap victim, and was happy enough with me saying, in my hospital voice, ‘Hospital, Ray. You’re in a hospital in Norwich. Yes. Myself and this gentleman are just doing a quick liver biopsy on you. Biopsy. No, your liver. Hospital, Ray. You’re in a hospital and myself and this gentleman are just going to do a biopsy on your liver. Liver. Your liver. Yes. Norwich. No, you’re in hospital, Ray. You and your liver are in a hospital in Norwich’ for forty five minutes until a tiny bit of Ray was in a small pot and away for analysis with those dorks in Pathology.
Anyway. Our current nursing unions seem hopeless. In fact, if there is one thing that contemporary socio-industrial history has taught us, it’s that nurses will put up with anything. Nursing unions can’t even protect nurses, heroically settling for whatever pay rises the government tell them to, and so forth. So what of we non-clinical staff, with our thirteen hour, minimum wage, no-paid-breaks shifts and routine undertaking of tasks for which we are neither qualified nor paid because there is simply no one else to do them? I imagine that we are a long way down their list of priorities. One of the reasons I imagine this is the sheer number of times we are referred to as Heroes on sundry NHS social media outlets – any employer who constantly tells you how heroic you are is not paying you enough, and no amount of rainbow lettering and applause emojis can hide this. In fact, the only tangible use of union resource I can ascertain is stickers all over the East Block bike shelter with ‘She Was Just Walking Home’ on them, as a reminder that assaulting middle class women is bad. I am always tempted to write ‘What? On her bike?’ underneath, but have thus far thought better of it.

I should very much like to make things better for my fellow workers. Incidentally, I don’t mean ‘workers’ in some fanciful, middle class Socialist sense. I am a right-leaning free market pragmatist, so I mean ‘workers’ in the sense of actual people in actual employment, in the actual world that actually exists. I should probably just say ‘employees’ to clear all that up, come to think of it. Anyway. I think the Non-Clinical Workers’ Union, which is what I shall call it, could not only provide a lesson in the correct placement of an apostrophe in conjunction with a plural possessive noun, but valuable representation for low grade staff such as myself and my A Team, who keep every hospital in the country ticking over. If the NHS is saveable, it is us who will save it. Indeed – If there was hope, it must lie in the proles…in those swarming, disregarded masses, to quote George Orwell in his famous book ‘It’s 1984!’
We needn’t be as flimsy as the existing nursing unions, either. For a start, we don’t have a twenty five year career tied up in the NHS, so we have no vested interest in maintaining the status quo. Also, because we are not bound by Hippocratic or any other codes, we do not need to be squeamish about strike action. I envisage this consisting of sitting calmly and cheerfully in the staff room for three hours every Wednesday afternoon offering people tea and biscuits, rather than shouting in a donkey jacket in a car park like it’s the nineteen seventies. Above all, I want my union to be quiet, dignified, and relentless. We’ve all been listening to shouty people for far too long and, in the interests of balance, it might be nice to let calm, rational people have a go for once.
To do this, I would need to disentangle it from the middle class Left. This is important as, throughout my lifetime, their purpose has been to take politics away from those who need it, via a concerted socio-economic campaign of marginalisation, demonisation and ungovernable personal politics. This confiscation of power has been catastrophic for the working class and therefore society as a whole, and must be challenged. However, we must remain a specific group of employees striving against specific circumstances of our employment, rather than acting for or against undefinable notions of class because, although the usual outcome when identifying societal groups as your problem is that you end up very boring and very embarrassing, there is the occasional capacity for thousands of people to get killed. Above all, we must remember that when you stare into an abyss, it also stares into you, to quote Frederick Nietzsche in his famous book Calm Down A Bit, Before You Get Carried Away.

I finished formulating all this as Ray’s biopsy ended. It concluded amid a lot of ‘Finished, Ray. We’re done now. We’ll just sort out some paperwork for your doctor and send you back to your ward. Ward. Doctor. Hospital, Ray. You’re in hospital, Ray. Biopsy. No, we’ve done it. Just then. You have a little doze and then we’ll take you back to your ward. Ward. Hospital, Ray. You’re in a hospital, Ray’, and so on.
As I pushed Ray and his bed out to Recovery, I said ‘That’s the trouble with hospital, Ray, isn’t it? No one tells you anything’, as a little chuckle for me and the surgeon.
‘About what?’ he replied, neatly putting me back in my box.
Photards
Main: Cows in a field. These things are massive and, if startled, can jump twenty feet vertically.
Top inset: That time a trampoline ended up wedged between our house and the garden wall after a ferocious coastal storm. It’s my son’s trampoline. He refers to it as a jumpoline, and we are lucky it didn’t smash the kitchen off.
Middle inset: I am already a union rep, and enjoy it, although I don’t represent anyone at the hospital. Well, yet, anyway.
Lower inset: There was an amusing couple of months in my son’s life when, if I set the hands on this thing to ten o’clock, and said ‘Look at the time!’, he would put himself away in it.
Public Service Announcement: This was an extremely long entry which I split in two in order to get a bit of a cliff hanger going. It’s not much of a nail biter to be honest, unless your definition of tension includes absent mindedness and socio-politics. It takes all sorts though, so if this is your definition of tension, move to the edge of your seat now or, if you’re standing up, start chain smoking and pacing about in an agitated manner.
I enjoy a day of assisting with liver biopsies. Essentially, you’re a scrub nurse, working intimately with both the surgeon and the patient. I like to relax patients beforehand by saying I’m a bit of a fainter when it comes to needles, so can you hold my hand and tell the surgeon if you see me keeling over, etc. Fortunately, I’m not a fainter when it comes to anything at all or I’d have a hundred reasons to pass out every working day but, rather pleasingly, I do sometimes have patients saying ‘You alright, Paul?’ to me, mid-procedure. I also sometimes ask if they’re OK with Labradors because the surgeon is blind, or do they mind if we have a kebab before we start because we’re very drunk, and so forth. I mean, obviously, you have to read the room before this sort of thing but, as I am fond of saying – ‘If you can’t muck about during surgery, when can you muck about?’.
All in all, the ability to be not quite in the moment is a valuable asset for anyone working in a hospital, and if you’re thinking of working in one yourself – perhaps to fulfill a lifelong ambition of being tired and poor – I strongly recommend you learn how to do it. I mean, pay attention and all that, obviously, but also try and think about something else quite often or you won’t get through your first week. The results can surprise you. For example, during a recent routine liver biopsy, I realised that I needed to start a trade union, and save the working class. It was quite a remarkable moment, although obviously under the circumstances I had to keep it to myself.


Until recently, I’ve always imagined that Bad, by sinister pop star Michael Jackson, is what’s playing in my dog’s mind when he puts his head out of the car window on a sunny day. While I still believe this, I also now also associate it with vital surgery conducted under local anaesthetic as, at the request of the patient, it was playing in an operating theatre I found myself in last week. The atmosphere was surprisingly informal and, while I was only there to mop up afterwards, it was an enthralling experience, and an unexpected light moment in what has been a grueling introduction to hospital life.
that is the second trick you learn. The first is the pragmatic bonhomie that is the only sustainable response to the tsunami of human inconvenience hurtling towards you on all sides. Perhaps the most surprising thing, given my aversion to the infirm and gag reflex that triggers whenever I smell hospital food, is that my fledgling medical career seems to be off to a satisfactory start, despite the initial bout of training being so intense that I would silently weep on the train home. At the end of the first week I announced I was getting ‘Nothing Is Real’ tattooed on my arm, as whispering this to myself behind my COVID mask was the only way I had coped with large parts of the previous five days. I consider myself to be a physically and mentally strong person, too – God knows what the affect would be on someone who was a bit of a bender.
touchingly, my fellow trainee trainee nurses think is impossible. This is high praise indeed, because I consider them capable of literally anything. In two years’ time we could be proper state registered nurses, with the opportunity to earn roughly as much as a full time Uber driver, so there’s a lot to play for.
In his 2004 Patience album, George Michael lyrically posed the question ‘If Jesus Christ is alive and well, how come John and Elvis are dead?’. I should imagine that a lot of it is down to genetics. Presley’s father was a manual labourer with a congenital heart condition, whereas Jesus’ father, famously, is God. There are also lifestyle choices to consider: Elvis and John Lennon had significant issues with drugs, and for many years ate badly, drank heavily, and generally made poor lifestyle choices. Jesus, by contrast, enjoyed a seasonal and organic diet, drank in moderation and despite holding down two jobs – carpenter and son of God – was able to do so while fitting in exercise and plenty of fresh air.
jitterbug refrain coincided with the exact moment a group of Arsenal fans invaded the Chicken Run, an area of Upton Park which had, to say the least of it, little to do with the animated film of the same name. Arsenal, who could put out good numbers back then, were giving a decent account of themselves, and I watched on with interest. As the song continued, I found the reference to the sun shining brighter than Doris Day an interesting contrast to the unfolding melee, which consisted of people in golfing jumpers, as was the terrace fashion of the time, beating the absolute shit out of each other. The line come on baby, let’s not fight also tickled me because, by this point, everyone was fighting. The stewards and programme vendors had waded in, and even the disabled did their bit by hurling coins into the fray from the wheelchair section opposite. It was the most exciting thing I had ever seen, a view shared by the many kids from my school who were there, and was pretty much all everyone talked about for days, especially as Everton were visiting the following week, and they were blade merchants. I’m sure eight year olds in all those down-to-earth, honest-to-goodness, working class Labour boroughs have exactly the same sensibilities now.
branch of Snappy Snaps while confused; I once rode my bike into the back of an Audi while wondering what Russ Abbot was up to these days, and I feel these are experiences we could have swapped with little surprise to our respective peer groups. There was an easy kinship to be had with the chubby bloke from Finchley Road that the Spider From Mars was too busy banging on about Berlin and outer space to adequately provide.