
Public Service Announcement: This is a slightly bitty post, as I am experimenting with writing entirely on work time, either while waiting for the East Block lift, which is never in a hurry, or in the cardiovascular outreach office, an airless cupboard which has not seen natural light since 2002.
I was on a train recently when the driver announced via the public address system that we were ‘to prepare ourselves for dreadful news’. As my old friend Rachel pointed out from distant Nebraska, this is not a comforting way to address passengers on a mass transit system but, as we were still in Norwich station waiting to set off, there seemed little immediate cause for alarm. The news was that the Queen had died, and that the moment Smiths fans had been waiting for since 1986 had finally arrived. Well, not me, as I am both a Smiths fan and a monarchist, but still. The lady on the seat next to me immediately turned and said ‘My God! What do we do now?’ and I said there was no point asking me as I couldn’t believe it, even though we had been following the news of her physical deterioration at work all day. The Queen had, in fact, passed away as I was cycling onto Riverside from Barrack Street via the Bishop’s Bridge roundabout on the way to the station. Upon arriving home, I woke Nid to pass on the unhappy news. He had a considerable cry but, after his concerns about ‘what happens to the Spitflier’ (the Spitfire we saw during the Jubilee celebrations which he believed the Queen to be piloting) were addressed he promised to ‘defend the new King’ and went back to sleep. Thus, in our corner of the Realm, the three hundred year reign of lovely old Queen Elizabeth II was consigned to history.

Still, in the midst of life we are in death, as Agatha Christie, who should know because she was murdered on the Orient Express, would doubtless remind us, and my work up the hospital is an unending opportunity to contemplate mortality. Consider, for example, a nephrostomy, which is a surgical procedure whereby a thin tube is inserted percutaneously into your kidney to Lyin’ Eyes by the Eagles. It’s always Lyin’ Eyes by the Eagles, because patients under local anaesthetic can listen to their music of choice, and those with compromised urinary function love the Eagles. Lyin’ Eyes pops up on the ‘This is the Eagles’ Spotify playlist just as the catheter goes in, and during Tequila Sunrise, I will say ‘OK Ray/Joan, I need you to take a deep breath, deep as you can, and hold it till I tell you, OK?’ in my ‘now-pay-attention’ hospital voice.
(Tone of voice is more important than you might think. In common with people dealing with children or dogs, I have to use my ‘now-pay-attention’ voice, because if they don’t take a deep breath, they will enter cardiac arrest as New Kid In Town starts. If this was to happen, I assume the background music would return to Chaka Demus and Pliers’, cover of Twist and then Shout, which gets more airtime than you would otherwise expect in a clinical environment, because younger patients usually want ‘stuff from the 90s’. This, then, is the soundtrack to interventional surgery in the Norwich and Norfolk University Hospital in the second decade of the twenty-first century. Abba also feature regularly and, as an after thought, we will all have to get used to them singing about the ‘Dancing King’ now. It’ll be an adjustment but we’ll get used to it I expect.)
Anyway. I never tell Eagles fans they are a breath away from cardiac arrest during a nephrostomy. This raises an ethical point, as the information is clearly relevant and, assuming they have the capacity to understand, should they not know? I would argue that to do so could worry the patient out of a procedure which, equally clearly, it is in their best interest to have. Conversely, if I was too jocular, they might not take it seriously and inhale their way to the mortuary which, as the person who would have to wheel them there, only adds to my workload. My work is full of dilemmas like this.
Then again, I have learned that no good songs have ever been written about being on a highway in your mid-forties, thinking about some stoner you had a go on twenty years previously, which seems to be pretty much all the Eagles’ lyrical content concerns itself with, apart from the unforgettable Hotel In California, which is presumably about doing the same thing but drunk. The pleased-with-itself music of American baby boomers is fucking insufferable. Actually, I shall revise that, as I once sold a load of t shirts to the Doobie Brothers, most famous for Listen To A Bit Of Music, at Camden Market and they were a right larf. At around the same time, I sold stuff to Jon Squire of the Stone Roses, either Cagney or Lacey from Cagney and Lacey, the Blue Man Group and the lady responsible for shredding and burning Taylor Swift’s underwear after her two shows at the Shepherd’s Bush Empire. What halcyon days they were.
If I ever find myself having a procedure – not beyond the realms of possibility, as I appear to be presenting symptoms of peripheral arterial disease – I want twenty five minutes of white noise played as my music of choice, the same as at my funeral. At my funeral, I’ve always wanted to have a list of names of a) the people in the congregation I never really liked and b) why I never really liked them read out as I am gathered unto God, so there is a running order to be worked out there. Maybe white noise, then the names of a) the people in the congregation I never really liked and b) why I never really liked them, then a minutes’ applause (as is the modern way), then the national anthem, then speed dating among the single members of the congregation to lighten the mood. Yes, that sounds lovely.
So there we are.
Photards:
Main: Northrepps church.
Inset top: An operating theatre, aka procedure room or suite or lab. I’m lobbying to get a pool table put in to make it less formal.
Inset middle: The ‘box’. If you are ‘running’ for a theatre you sit here and prepare anything that might plausibly be required during a procedure in case someone in the room asks for it. It’s relatively simple to run for a specialised room like this, but in main theatres it is extremely complicated and requires skill, speed, and detailed knowledge.
Inset lower: Scrub room with trough-style urinal.



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.
Ever since Barack Obama proved that even a black Freemason can be President, there has been a pervasive belief that, for anyone, anything is possible. This is socially, culturally and literally untrue in the case of every person who has ever lived, but I get the general idea: we all have within us the ability to amaze ourselves, and that’s lovely. Indeed, I amazed myself recently by outperforming several other applicants, presumably goths, for a job wheeling corpses around a morgue at a popular East Anglian medical facility and, while this does not carry the same gravitas on the world stage, it was nonetheless quite a turn up for the books. I should state immediately there is more to the job than that, as I am to be trained to a surprisingly high level for, essentially, a hospital porter, but the corpse wheeling is where my predecessors have struggled. Well, that and the lifting and hefting of people, living and dead, ‘who aren’t getting any thinner’ as my new manager adroitly put it.
to ‘Anton’’s assertion that I only want to work in a morgue so I can go ‘nonce-ing and Savile-ing up the corpses’. For the benefit of foreigners, Jimmy Savile was an enthusiastic British paedophile and necrophiliac from a toxic time in the world of mainstream celebrity. My current girlfriend was once told she ‘…fills out her jumper nicely’ as a twelve year old by Rolf Harris, another notorious wrong ‘un of the era although, in his defence, at least he was good at drawing. At the height of his ubiquity, Savile was known for advertising the then-new Inter City train links criss-crossing the country. The service was only two years old at the time, which is presumably why he was interested in it, but while Jimmy Savile and I do both have several jobs – hospital porter, IT support, estate work at Runton, and a bit of UberEats delivery on the bike for me; television personality, charity fundraiser, paedophile and necrophiliac for him – we otherwise have nothing in common. Jimmy Savile was, by any measure except marathon running, a worse man than me, and I consider the matter closed. I mean he really was awful.
a few hours after wheeling them into theatre for what turned out to be unsuccessful life saving surgery, which will at least give a sense of continuation, but still. For all that, though, dealing with the newly dead, and being responsible for their dignity at an undignified time, is a privilege. Also, a morgue is a place where, if nothing else, there is no suffering, which is an extra incentive to be chirpy. I’ll probably start by addressing the room to the effect that can anyone who isn’t dead make themselves known before I start rearranging limbs and writing labels and so on, because I am likely to freak the eff out if someone wakes up half way through. As far as I am concerned, going about my tasks with the demeanour of a 1950’s bus conductor is a way of remembering that my subjects, embracing mere oblivion, sans teeth, sans eyes, sans taste, sans everything were, until an hour ago, as alive and embroiled in the lunacy of the days as you and I. And, when the cycle ride home has blown the formaldehyde out of my hair, and my son is brandishing implausible Lego creations at me and my dog is trying to climb into my shirt, it will remind me to be grateful to still be here.
Allegedly, there is a dog snatcher operating in the Runton area, although I am unconvinced. I discussed the evidence with ‘Anton’ recently as we took delivery of a projector and screen for a showing of The Hound of the Baskervilles, which also features a crime involving a dog, and which is part of a broader plan of Joe’s to revive the estate’s post-pandemic fortunes. Coincidentally, the bloke delivering the projector was, like the Baskerville hound, also once the subject of legal scrutiny, as the subject of the popular rhyme Ellie and John, Ellie and John / Legally right, but morally wrong, a reference to the ages of he and his girlfriend, being at the time 51 and 17 respectively. Anyway. My source for the dog snatcher, a Northrepps simpleton, claims that he drives around in a van with RSPCA spelled incorrectly on the side ‘Which is how you know it’s him’. Apparently, last week he drove into a woman at speed, breaking her spine. He then stole her dog. ‘Stole her fucking what?’ said ‘Anton’, identifying the point at which he felt the behaviour had become unacceptable. After further discussion, we agreed that not being able to spell ‘RSPCA’ correctly is likely to draw attention to yourself and was an oversight we would be keen to correct. In possession of a screen and projector and exciting spools of actual celluloid film which we hoped Joe would know how to make work, we watched John drive off. ‘Do you think he can spell ‘paedo’ correctly?’ mused ‘Anton’, which was a bit much.
scheduled for autumn. If you are unfamiliar, Carry On films are an oddly likeable cinematic franchise consisting of Barbara Windsor’s bikini top falling off while Sid James furiously stabs the cat under a copy of the Racing Post dressed as a doctor and shouting ‘Blimey!’ to a soundtrack of slide whistles and ‘arooga’ style old school car horns, over and over again, for an hour and a half. They are every bit as wonderful as they sound.
in three hours after huffing a bucket of poppers prior to having a go on Britt Ekland, and how, all things considered, that must have been quite a remarkable evening.