My first morning on the orthopaedic ward merely served to reaffirm my initial post-anaesthesia observation that I was now in hell. I’d finally got into some semblance of a comfortable position after a night of pain not even the analgesic properties of morphine was able to dampen for too long, only to be woken by a nurse insisting I needed to wake up. ‘What time is it?’ I hoarsely croaked in a voice you only truly get smoking forty Capstan a day. ‘It’s six in the morning’ came the less than breezy reply. ‘I need to get you washed before ward round’. To this day I still don’t understand the rationale behind this archaic throwback to Nightingale’s Crimean crusade – all the patients neatly lined up in their beds with freshly scrubbed, thankful faces and the pungent smell of carbolic soap conveniently masking the underlying odour of death and disease. Less than sixty seconds later I’d irrevocably marked my cards for the rest of my stay as I replied in my newly acquired Capstan voice ‘I’m a big lad. I’ll wash myself at a time that suits me, not matron or anyone else for that matter’. I immediately regretted what I’d said as I wasn’t sure if it was only Carry on films that still had matrons in them. Gauched out on Afghanistan’s most lucrative export I might have been, but I didn’t imagine the look on her face. Behind the professional facade I saw her eye’s tighten up and give me a look not dissimilar to the one Annie Wilkes gives Paul Sheldon in Stephen King’s seminal work ‘Misery’. It said ‘You are in my world now. My rules – and you are going to abide by them’. What actually came out of her mouth in an edgy voice now an octave lower was ‘You aren’t in a fit state to do much at the moment, and a quick wash will freshen you up a bit’. Accompanied by the same steely smile air hostesses give their most exasperating passengers I knew I’d just made the ward shit list in what must have been NHS record time.
With my face now freshly scrubbed, but minus the thankful look beloved by Nightingale, and with nurse Wilkes striding up to the next unwashed, ungrateful soul, I glanced down at the sheet covered mound of throbbing pain at the foot of my bed. The first of what would be many conversations in my head started up. ‘You don’t want to see what’s under there Paul’ said my slightly whiny, tremulous morphine-fueled inner voice, ‘the only thing you’re going to find is your shattered career’. ‘Possibly’, I mentally retorted, ‘but I’m still going to see’.
With a degree of trepidation I drew back the light cotton sheet that covered some kind of surgical cradle that both kept the bedclothes off the injuries and left my ankles supported in two suspended compartments. As they still had a considerable amount of swelling left to do both of them had been left in what were called backslabs. Essentially half a cast leaving the front of the limb free, full casts would only be created once the inflammation had been significantly reduced. Odd, I thought as the sheet fell fully back to reveal a pair of legs shaved from the knees down, I don’t remember them being this colour.
I rarely have regrets. I tend to move on after an event and put it down to experience – with the caveat that to constantly repeat things that bring you pain and unhappiness is foolishness. I do however regret not taking some pictures of my ankles as they cycled through the myriad blues, purples, yellows and blacks that combined to create a rainbow of bruising like some mad artists palette. Day one after my operation and I was already looking down at a pair of Van Gogh masterpieces in not so subtle, slightly stomach churning pastels adorning swollen, stretched and angry looking ankles three times their normal size. On both sides of each ankle – thankfully now pointing the right way from their 60 degree post-fall deviation – were six or seven inch strips of adhesive tape covering what I surmised must be the insertion points for the metalwork. I’d seen enough for one day and quickly pulled the covers back over the frame and sank back exhausted by just this little effort. ‘Told you so’ my unwelcome inner voice pointedly whispered. ‘Piss off’ I whispered back as thoughts tumbled randomly around my head like a lone pair of socks in a madly spinning washing machine.
The rest of the day was spent in a vortex of pain, morphine, visits from medical staff and a poorly briefed liaison officer I’d never met from the army. The ward was busy, full of patients in varying degrees of incapacity and their visitors coming and going. All I longed for was a bit of peace and quiet – a Turner’s Bridge of Sighs, or a Constable’s Haywain of a day. Instead, influenced in no small degree by a combo of opiates, pain and post-operative reaction to anaesthesia I ended up enduring Dali, Munch and Picasso all competing to out do each other in the gallery of my mind. It had been a long day.





