mr n.

Mr Norrington has a long history of disappearing. When he goes, he goes suddenly, ‘Marie Celeste’ style, flat door open, television blaring, lights on, mug of tea cooling on the table. And where he goes? No-one has the faintest idea.

Reading his notes, it seems that things just build up. He gets agitated by the number of health professionals calling round, becomes increasingly non-compliant, combative, even aggressive. The last notes on his file are succinct.
At this point Mr Norrington decided to become angry and order us out of the flat, slamming the door behind us and banging on the glass with his fist. Double-up visits only, please.

That evening he was gone. And – following the protocol for any patient that vanishes whilst under our care, and especially with someone with so many health problems – we were obliged to do the usual ring-arounds, the hospital, next of kin, scheme manager, drunken friend, all of whom had pretty much the same thing to say, which was that basically this was what he did, and to try not to worry too much. The same protocol was clear that we should register his disappearance to the police, who (I imagine) took down the details with the same level of enthusiasm as the person giving them.

We can’t discharge the space on our case list where a patient used to be. So the consequence was that over the next few weeks Mr Norrington kept cropping up, albeit in an oblique, third-hand kind of way. You’d overhear someone mention his name on the phone, or two people talking about him in the kitchen, or see that someone had been tasked to go round and see if he’d come back, or liaise with the police again. It wouldn’t have surprised me to see a gang of nurses wearing t-shirts with his face on them climb out onto the roof of the old hospital and set off a flare. Monitor the radio. Stakeout his flat with coffee cups on the dashboard, doughnuts, cigarettes.

It’s the last hour of my shift. I’ve finished my visits, all the follow-up admin. I’ve put in a mileage claim, looked over my workload for the following day, organised my files. I’m so bored, I’ve even cleaned up the kitchen and put the dishwasher on. But there’s still an hour to go.
‘Shall I pop round and see if Mr N’s back?’ I say to Anna, the co-ordinator.
‘Yes but he is double-up, darklink,’ she says. ‘It’s too dangerous for you to go on your own.’
‘I’m fine with it,’ I say, yawning. ‘I promise I’ll be careful. And if anything happens, I accept full responsibility.’
‘It’s not that – it’s just we worry about you. I would hate for something to happen to you.’
‘Me too.’
‘You know what I mean. This Mr N he is very difficult and has very sharp teeth like wolf. Did you read his notes? He sounds to me quite an angry person.’
‘He does. But I won’t go inside. I’ll just pop round and see he’s alright. Then I’ll go. I don’t suppose he’ll want me to hang around.’
‘No. Only if he hungry and need somethink to roast for dinner. Oh my goodness! I’m scaring myself! Okay, Jim. You go and knock on the door. But keep us updated – okay? – and don’t take any unnecessary risk. We care very much about you, and anyway, tomorrow is busy day. We’ll be screwed if you not here.’
‘I promise I won’t take any risks. Back in a minute.’
‘Okay, darlink. Take care.’

I know this block well. I’ve been to any number of patients here, both in my time in the ambulance and latterly the rapid response community team. During the day the car park is crowded and impossible to get in; now, the lights in the corner cast their lights like ghostly nets across the empty lot. I strap my rucksack firmly on my back, being careful to take the torch out and put it easily to hand in my side pocket. I zip up my computer bag and carry it firmly in my left hand. If there’s any dodging or running or defending to do, it’s best to be zipped-up, well-balanced and ready to go. I remote-lock the car, and set off.

At the main entrance to the block I buzz Mr N’s flat, and wait. The only response I get is the barking of a fox somewhere off behind me in the communal gardens, a lonely, desperate sound, like someone being murdered.

I buzz the remote manager, aware of the security camera, ringed in tiny white halogen lights, monitoring me from high up in the canopy. When they answer I explain who I am and who I’ve come to see. They let me in.

I take the lift, even though it’s only three floors. Just before the lift door opens, I wonder if Mr N has been so enraged by his flat being buzzed he’s standing waiting for me in front of the doors with a cheese grater or worse, so I take a step back. The lift doors slide open; the hallway lights click on automatically, and then flicker in a cliche but appropriate manner.

I wait a moment. Peer round. Nothing. No-one.

Mr N’s flat door is shut. There’s a single panel of safety glass in the centre of the upper half. No lights visible within. I ring his flat bell, which has a slightly fried tone, no doubt exhausted by the number of fingers that have pressed it over the months and years.
No answer.
Because I’m not sure he would have heard the doorbell, I knock on the safety glass.
Almost immediately, there’s a voice from the other side.
Who is it? Who’s there?
‘Oh! Hi! My name’s Jim. I’m a nursing assistant. From the hospital. Sorry to disturb you, Mr Norrington, but I’ve just popped round to see you’re okay.’
There’s a significant pause – just enough time to take a deep breath or grind some teeth, or both – and then a blurry face slides into view from the right and presses its cheek and eye against the glass. It’s an eerie, other-worldly effect, a splodge of approximate flesh, like a painting by Francis Bacon – the dark of the eye, the white of the teeth – sectioned into grids by the wire of the safety glass, the whole painting fitfully illuminated by the flickering hall lights.
When will you people leave me ALONE? I told them I didn’t want anyone coming round! It upsets me!
‘I’m sorry it upsets you, Mr Norrington. We don’t want to do that. We’re just worried about you and want to make sure you’re okay.’
Of course I’m okay? Why wouldn’t I be okay?
‘The last nurse who visited found your flat door open, the lights and everything on, you know. They just thought – they WORRIED – something had happened.’
So I like to go for a walk sometimes. Is that against the law?
‘No. Of course not.’
I can leave my front door open if I want to. It’s a free country.
‘It’s not very safe.’
I don’t care if it’s safe or not. It’s my flat. I can do what I want.
‘It’s more than that, though, Mr Norrington. They’re worried you’re not taking your medication and you might become very unwell.’
So what are you going to do? Force the pills down my throat? I’d like to see you try…
‘Absolutely, not. Look, Mr Norrington. I’m sorry to have disturbed you. I’ll tell them back at the hospital not to bother you anymore.
You called the police on me, didn’t you?
‘Well – not me, personally. But one of us did, yes. We’re obliged to do it when someone under our care goes missing.’
They came round and caused me all kinds of problems. YOU did that.
‘I’m sorry you found it upsetting. But y’know – the easiest way to avoid all this is to answer the phone or talk to someone calmly when they come round to see you. When you explain what it is you want – or don’t want – they’ll leave you alone. How does that sound?’
He doesn’t say anything.
Suddenly his face turns, draws back from the glass, there’s a swift flash of white, and the door resounds with a punch.
‘Okay, Mr Norrington. Okay. I’ll say goodbye then.’
He punches the door again, followed by a kick.
‘I’m glad you’re back safe and well, though.’
He presses his face back against the glass, not so much to see if I’ve gone, but to sense if I have, in a nightmarishly animal way.

I take the stairs. It’s quicker.

stand by me

It’s Fifties karaoke at the Eventide Residential Care Home – so loud the care assistant who answers the door has to lean in to hear who it is I’ve come to see.
‘In the conservatory!’ she shouts, laying a hand on my shoulder. ‘Are you alright to give the injection there? I’ll put a screen round.’
‘Fine!’
She hurries off to fetch it, and I wait with my bags in the hallway. I don’t want to add to the chaos in the lounge. They’ve set the chairs back around the edge of the room to make space, but even so it’s looking pretty busy. There are residents dancing with the staff, relatives slumped on chairs next to sleeping residents, a handyman struggling through with a box of tools (who decides that doing a restrained kind of jive is the easiest way to make any progress); a kitchen assistant keeping everyone topped up with tea and biscuits, the whole scene dominated by a gigantic, floor-to-ceiling plastic christmas tree flashing its lights in and out of time to the music, and a giant plasma TV screen on the wall, scrolling through the lyrics of the current song.

It strikes me you could take any Fifties hit and find a poignant match with the scene in a home for people suffering from advanced dementia.

Now playing?
There Goes My Baby – The Drifters.

I decide to sit down on a padded bench to keep out of the way until the assistant returns.
An elderly woman in an electric blue dress and pure white hair swept up in a bun comes and sits next to me.
‘How are you today?’ I ask her.
She smiles in a non-committal away and shakes her head from side to side.
‘Love the decorations!’ I say, glancing around. The truth is – they make me feel a little scratchy. We’re not even done with November, and here we are in a thorough-going grotto, surrounded by strobing lights, silver lanterns, baubles, tinsel – as thickly applied as if someone had been given a box of tack and told to empty it in five minutes or else. What makes the effect even more dizzying is the number of mirrors around the place, one behind the bench, and one behind the reception counter opposite, so that whichever way I look, the decorations, my reflection and the reflection of the woman sitting next to me are replicated over and over and over, smaller and smaller, all the way to infinity.
‘Lovely to have the music!’ I say to the woman.
She shakes her head, smiling coyly. And then – just as I think she’s happy not to speak but just to sit there, she suddenly leans in and starts an intense monologue, so random I struggle to follow the logic of it.
‘Oh!’ I say – and then, tapping my ear – ‘Sorry! It’s really hard to hear with everything going on!’
The woman laughs and slaps my knee, as if I’d said something shocking, just as the assistant comes back, pushing the kind of hospital screen you might see in a Carry On film.
‘Alright?’ she says. ‘Put him down, Samantha! This way!’

The assistant uses the screen ruthlessly, like a kind of snow plough, but even so, getting through is a tricky business. I end up jigging about in her wake with a couple of residents. One of the relatives slumped in the chairs gives me a sad kind of smile.

Now playing?
Ain’t That A Shame – Fats Domino.

The conservatory is obviously being used as a refuge for any resident who doesn’t care for rock n’roll. Margaret, the patient I’ve come to see, has a blanket over her head. Her daughter Leonie is sitting next to her, looking as washed-out as the mug of tea she cradles.
‘Margaret?’ says the assistant, gently stroking her hand and then slowly pulling the blanket clear. ‘The nurse is here to give you an injection.’
‘Lucky you!’ says Leonie, looking at me with a smile that segues into a grimace.
Margaret looks outraged.
I kneel down in front of her.
‘I’m so sorry to disturb you, Margaret! It’s a real nuisance, I know – but I’ve been asked to give you another one of those injections? Is that alright?’
‘It goes in your tummy,’ says Leonie. ‘It’s not so bad, mum. D’you remember? From yesterday?’
If Margaret does remember she makes no sign, looking down at me in horror.

Another assistant comes through with Margaret’s yellow nursing folder and a box of Enoxaparin. There’s nowhere to set the folder down and fill out the scrip, so I do my best to do it all in mid-air whilst the assistants negotiate enough space to put the screen around Margaret’s chair. I’m on the outside of it for the moment, which is fine – except I’m immediately accosted by a tiny woman as fierce and pointy as a vole in a twinset. She stands by the screen and starts picking ineffectually at the fabric whilst muttering bitterly about something.
‘Are you okay?’ I say to her. ‘We won’t be long.’
She comes right up to me and starts talking quickly and severely – about what it’s impossible to know.
‘I love this music!’ I say at an opportune moment. ‘What d’you think? Do you like rock n’roll?’
She starts back, frowning in such an angry way I think I might have touched on exactly the wrong thing.
‘Classical? Maybe they’ll have a classical session next week…?’
Luckily the assistants have finished setting up the screen. The second assistant leads the angry woman away whilst I duck behind the screen and prepare to give the injection. It all goes smoothly, thank goodness. Leonie kisses her mum and puts the blanket back over her head whilst I clear up and the assistant folds the screen away.
‘I’ll just take this back then I’ll let you out,’ she says, pushing it through the lounge.
‘Okay. Won’t be a second.’
As I’m writing a brief note in the yellow folder, the resident in the chair next to Margaret, a large, slack-faced man in a business suit two sizes too big, holds out a Ribena carton to me.
‘No thanks!’ I say. ‘I’m fine!’
But then he shakes it, I realise it’s empty and he wants me to take it away.
‘Yep! Okay!’ I say, balancing it on the folder with the rest of my rubbish.
It’s easier getting through the lounge, thank goodness. The music is slower and the floor has cleared, apart from the angry woman doing a slow foxtrot with the second assistant.

Now playing?
Stand by Me – Ben E. King

funny old birds

Jean’s living room is freezing – and no wonder. The patio doors are open, set a few inches apart down the centre, a chilly wind blowing straight through.
‘I’ve got … claustrophobia,’ says Jean. ‘I can’t bear … to be shut in.’
‘They stay open all the time,’ says her son, Garry. He’s sitting opposite Jean on the sofa, his hands buried deep in his jacket pockets, his right knee bobbing up and down. I’m not surprised he’s still wearing his outdoor clothes, including a knitted bobble hat with ear flaps, so cute I half expect to see mittens on cords when he takes a hand out to rub his nose. ‘It’s permanently winter in this place. I’m not kidding. You get snow blowing in. Snowmen. Penguins. The lot.’
‘I don’t mind,’ says Jean. ‘I have to see … open sky.’
‘I’ve sorted it so you can’t pull the doors any further,’ says Garry, jumping up to go over and demonstrate. He hauls on the doors so violently the panes shake, obviously one of those guys who likes to test things to destruction. ‘It’s pretty secure,’ he says. ‘I did a bang up job.’ He gives the doors another almighty tug that almost shatters the glass, then shrugs and comes to sit back down. ‘You’d have more chance squeezing through a letterbox.’
‘He’s very good,’ says Jean. ‘With his hands, anyway. Very practical. Aren’t you, Garry?’
‘Yeah,’ he says. ‘Practically insane.’
Jean is sitting on the side of her electric bed, her nasal cannula connected to a spool of green plastic tubing that snakes across the carpet to an oxygen concentration unit. The unit whirrs and rattles; Jean’s shoulders rise up and then drop back down again in a mechanical, gasping kind of rhythm that you’d think was activated by the machine – which, in a way I suppose, it is.
‘Good ‘ere, innit,’ says Jean.
Suddenly there’s a flash of white and orange at the window, a raucous cry, and a huge seagull lands just the other side of the patio doors. It flaps its wings once or twice, then stares at us through the gap.
‘Steven!’ says Garry. ‘It’s Steven Seagal. Geddit? Steven Sea-Gull? Seagal? Yeah?’
‘That’s a good one!’ I say. ‘Like it!’
‘What is it, Steven? You want some food? Let’s see what we’ve got for you today.’
Garry goes into the little kitchen, starts opening cupboards and slamming them shut again. I wouldn’t be surprised to see Steven hop through the gap and follow him, but he seems content to stay where he is.
Jean stares at the seagull; the seagull stares at Jean.
‘Funny creatures … aren’t they?’ she gasps. ‘Look at him!’
‘They’re pretty fierce, close up. I wouldn’t like to get on the wrong side of one.’
‘Oh – they’re alright!’ she says. ‘Smarter’n … some I could … mention.’
I wonder who she means, but she stops talking and concentrates on her breathing again.
Garry comes back in with a single slice of white bread.
‘There you go, Steven!’ he says, posting it through the gap. ‘Wrap your beak round that!’
The bird backs away a little, then raises its wings, jabs forwards with its head, grabs hold of the slice, bends down, and springs away into the air.
‘How he can fly with that thing in his gob I don’t know,’ says Garry, standing at the window, watching him go. ‘Now look! All the other birds are taking off after him! Nah! He’ll be alright though. He knows Kung Fu, don’t he? He’s a black belt seagull.’ Then he turns round and does a comedy chop in mid-air with the edge of his hand. ‘Hiya!’
‘Yes,’ gasps Jean. ‘Funny old … birds.’

portrait

Ella’s flat faces the sea – so close you could run out of the front door, across the road and dive straight in. When I step out of the car I can’t help but stand for a moment and take it all in. There’s a break in the morning rain, the sun is shining powerfully, and suddenly the sea is a phosphorescent slice of pure light. The wind turbines on the horizon are as clear as I’ve ever seen them, delicate cuts of white, their rotors imperceptibly turning against the inky clouds of the next weather front.

When I’d rung ahead to make the appointment, Ella had said to use the keysafe to let myself in. It’s a complicated arrangement, though. Ella’s flat is on the ground floor, but because the building is in a conservation area the keysafe has to be hidden away in the basement. ‘It’s in the second cupboard on the right,’ she’d said. But the front door is in the centre of the building with two windows either side, so in fact there are two basement flats, right and left of the main steps. It feels intuitive to take the steps down the right hand side basement, but when I get there I find only one cupboard, fixed with a rusting padlock. So I go back up, down the other steps, find the keysafe, retrieve the keys, come back up. There are three keys on the keyring; none of them fits the front door. I stand there stupidly for a minute, jangling the keys, trying to figure out how this could possibly make sense – until I look up, and realise I’ve actually gone one door along.

As it turns out, I didn’t need the keys. Ella’s son Peter and his wife Becky are with her. Ella stands in the middle of the living room, still in her hospital gown, tags on her wrists, holding on to her zimmer frame, whilst they put her shopping away.
‘I bought you plenty of pineapple,’ says Becky, holding up a plastic carton as big as the fruit itself. ‘I know you like it.’
‘Where does this go?’ says Peter, waving a pack of panty liners in the air.
‘Bedroom cabinet, second drawer down,’ says Ella. And so on.

The room is like a domestic version of a royal court, the walls dressed in rich tapestries and huge, abstract paintings, the furniture a mixture of ethnic and modern, the rug on the floor intricately patterned. With the sunshine streaming in through the windows, the whole thing has a rich, painterly feel, like Caravaggio decided to branch out from biblical scenes, this one called: ‘The Hospital Discharge’.

‘Let’s get you sat down,’ I say to her. ‘Then we’ll talk.’
She shuffles over to a chair set in the middle of the room, very much like a throne, with claw feet, woven back, and – incongruously – a pressure cushion.
‘I feel absolutely dreadful,’ she says when she’s settled.
‘In what way, dreadful?’
‘Just that. Dreadful. What more do you need?’
‘Are you in pain?’
‘Pain? Everywhere, darling.’
‘Where do you feel it most?’
She waves a hand in mid air.
‘Agony,’ she says.
‘Do you feel sick?’
‘Sick? No.’
‘Short of breath?’
‘I’m always short of breath. Haven’t you read the notes?’
‘Yes, but I just want to see how you are right now – if anything’s worse, or about the same…’
She closes her eyes and gently shakes her head.
‘If by the same you mean dreadful, then yes, I’m the same.’
‘I’m sorry to hear that.’
‘And I’m sorry to feel it.’
‘I got you some of those yogurts you like,’ says Becky, from the kitchen.
‘I couldn’t possibly,’ says Ella. ‘Not in a million years.’
‘Well – I’ll put them in the fridge for later.’
‘If you must.’
‘Right. I’ll just do some obs and then we’ll take it from there,’ I say, unpacking my bag and then kneeling in front of her chair.
‘Obs?’ says Ella, suddenly glaring down at me. ‘What d’you mean, obs?’
‘Observations. Your blood pressure, temperature, that kind of thing.’
She sighs, then closing her eyes and resting her head back, holds out her hand – whether it’s for me to kiss or put the SATS probe on, it’s hard to say.
‘If you think it will help,’ she says.

the wonderful thing about tigger

Carl climbs back into bed and slowly pulls the covers up to his chin. He’s a frail, tentative man in his forties, skin like parchment paper, his teeth sharp and defined. I’m surprised he’s been discharged home like this, but then again, he’s a convincing witness, and they’re short of beds on the psych wards.

‘I’m over it,’ he says. ‘I won’t be trying to kill myself again.’ He grimaces, and pulls the covers even more tightly around him.

This last time was the second attempt. Carl had taken an overdose of medication he’d stored up over time. He’d panicked at the last minute and called a friend, who’d dialled 999. When the paramedics broke the door down Carl was in cardiac arrest. They managed to get him back, though, and after a prolonged stay in hospital – a couple of weeks in intensive care, a month on the wards – he’d been discharged home with community support.

It’s a nice flat, but so bare you’d think Carl had just moved in. Even though he’s an artist, there are no pictures on the walls apart from two, childish, brightly-coloured crayon drawings of a dragon and a butterfly. The bare boards seem to go on for miles, from Carl’s bedroom at the back of the house to the huge bay windows at the front. By the bed he has an alarm clock and a glass of water. At the foot of the bed is a stuffed toy: Tigger, from Winnie the Pooh.

‘Tigger saved my life’, says Carl. ‘When I came out of ITU I only had the strength to stroke his head. It gave me power, though. Sounds silly but it’s true. He was my best friend in there. He kept me going, stood up for me. I mean – ITU was the worst. It was a nightmare. You’d think I was unconscious to look at me, but I wasn’t. Everything was out to get me – the equipment, the nurses. Everything was holding me down trying to climb inside me. I struggled like mad. One time I even threw myself out of bed. I just climbed over the cot sides and ended up on the floor – drips, lines, cables, the lot. Everyone came running. I thought they were coming to finish me off so I fought like crazy. Then they sent me back under. Next thing I knew Dad was standing by the bed on the ward. He looked so old and sad and worn out. It was Dad who gave me the spare kidney when I needed it, a few years ago. He’s amazing, my Dad. He came all the way down from Cumbria to see me. On the train. That’s a long way! I just kept thinking about him, sitting there, staring out the window. But when he got here I didn’t know what to say to him. Other than sorry, obviously. The worst thing was, when he left me at the hospital he came back here to sleep – in this bed, where I did the deed. That made me feel very strange. But he couldn’t afford a hotel, so I suppose it made sense. I wondered how I’d cope, coming back to this flat. It’s been alright, though. I don’t think about it all that much. Funny, isn’t it?’

the man with all the goals

Melvin answers the door in his pants. He’s quite a sight. Wild white hair sweeping back from his head, a long, ginger-white goatee to match; perfectly round gray-blue eyes, and the kind of ravaged and rangy body you might see trotting alongside your jeep on the Serengeti.
He doesn’t speak. He just stands there, staring at me, one hand on the door, one hand adjusting himself.
‘Hello!’ I say. ‘My name’s Jim. From the Rapid Response Team. I’ve come to see Helen.’
He smiles suddenly, a wide, gummy affair, but makes no other sign that he’s understood what I’ve just said.
‘Here’s my badge’ I say, holding it up.
He glances at it, then carries on staring at me.
‘Is it okay if I come in and see her, d’you think? Helen?’ I pause. ‘Is she in?’
He opens the door wider, still holding on to it, which I take as an invitation to come in. It’s a squeeze to get past him, though, especially with all my bags. The hallway is so tiny there’s barely room for the two of us. I’m expecting Melvin to make some room, but he doesn’t.
‘I’ll take my shoes off,’ I say, struggling in the cramped space. ‘It’s a bit wet outside.’
‘If you don’t mind,’ he says, suddenly animated, as if the last minute or so was just a technical glitch. ‘We’ve had so many people in and out.’
‘No worries,’ I say. ‘I bought these shoes ‘cos they’re easy to slip on and off. There! Good! Okay! So – shall we go through…?’

The sitting room is swelteringly hot. The gas fire’s on all-bars, and the air ripples above a free-standing radiator (all of which explains the pants). Melvin hops over to his chair and goes through an athletic, sitting down routine, involving him taking his weight on his arms, raising his legs, lowering himself slowly, then folding his bony arms and legs and smiling with a self-satisfied leer.
Helen waves me over.
‘Ignore him,’ she says.

The examination is straightforward. Everything’s fine. Helen’s recovering well and she’s happy to be home. I tell her we’ll be discharging her from our service, but that it’s easy for us to come back if anything changes.
Melvin watches the whole procedure with intense interest. Whilst I’m writing up the notes, he starts talking again.
‘I played a lot of football,’ he says, as if I’d asked. ‘A lot of football. But it did my head in. Have you heard that before?’
‘D’you mean sport and head injuries? I think I heard something.’
‘It’s the big leather balls. Laces down the middle. I played centre forward. I was heading it all the time.’
‘I suppose it wouldn’t do your brain much good. All that shaking. Like boxers.’
‘I did boxing, too. And rugby. You bang your head a lot in rugby.’
‘You certainly do.’
‘But football was the main thing. I did all the trials. I played semi-professionally for years. One game I scored eleven goals. This guy comes up to me after, and he says How’d you do it, Melvin? How’d you score all them goals? And I says to him What goals? I don’t know what you mean, mate. The ball comes to me, something happens, it’s in the net. That’s it. It’s a natural thing, like breathing. They sent me to Germany.’
‘Did they?’
‘This German coach, he runs over to me. He leans in … like this … and he wags his finger in my face… like this … and he says You! You’re the man with all the goals. You’re a professional. You shouldn’t be here. So I says to him Mate! What goals? I don’t know what you’re talking about. The ball comes over – it’s on my head – it’s in the net. That’s it. It’s got nothing to do with me.
‘How’d he take it?’
‘How’d who take what?’
‘The German manager. How’d he take hearing about all the goals?’
Melvin shrugs.
‘He could see,’ he says. ‘He knew what he had there.’
‘So then what happened?’
‘I came back, didn’t I? Got a job in a laundry. And here we all are!’
‘Just ignore him,’ says Helen.

batteries not included

Stella has known Glad for quite a few years. More than she cares to think about. Lately their friendship’s been under something of a strain, though. Glad has become increasingly obsessed with her dolls – expensive, hyper-realistic babies with internal motors that give them a heartbeat and make them breathe. The dolls are so authentically painted and well-made you’d never know they were fake until you got up close.

‘Her son gets them for her – why, I couldn’t possibly say,’ says Stella. ‘They cost an absolute packet. You have to send away for them. To America or somewhere. She spends hours going over the details, telling them what she wants. Then he buys them with his credit card. I don’t know what he thinks about it all. He’s an only child. It must mean something.’

It’s interesting, talking to Stella about this. We’re sitting in her front room, a warm, slightly down-at-heel place with overstuffed sofas, bookshelves, a coffee table with TV magazines and remote controls, a dog curled up in a fleecy bed. Unlike Glad, Stella’s had lots of children. Their photographs line the walls, glimpses of the usual family situations: holidays, weddings, graduations, babies. It’s all so real. I can imagine sending away for it, and then waiting for the delivery, everything flat-packed, ready to assemble, even the dog (batteries not included).

‘It makes me so uncomfortable,’ Stella goes on. ‘She puts them in a pram and takes them for a walk round the park, even the play area. People come over to have a look because of course they think she’s just a grandma helping out with the kids. And then when they see that they’re dolls, well, they pull away. I think they think she’s got dementia. Maybe she has. The other day one of the parents called the police. They turned up at her house to talk to her about it. They didn’t do anything, though – well, Glad says they took it in turns to hold the baby and take photos, but that was it. I don’t know. It’s all a bit weird.’

I spy

There are four of us, strewn over our chairs like so much debris hung up on tree roots after the flood. It’s been a busy day, but unusually, we’re back in the office at the same time, all the admin and follow-ups completed, nothing else to do but sit and chat and think about going home. We’re exhausted; after a while the conversation dries.
‘I spy with my little eye…’ says Keisha.
‘Or drone,’ says Mel. ‘Gives it more scope.’
‘Okay then. I spy with my little drone… something beginning with…. S.’

‘A soaking,’ says Laurence. ‘I was standing outside the patient’s house, no shelter, no porch, not even a bush. And it started to rain. The patient was ages getting to the door, and then when they got there, they rattled the handle a few times, and they said I’ve just got to go and get the key. And went away again. By the time they let me in I was half drowned. You’d better take your shoes off she said. So I said I’d better take EVERYTHING off – but I heard myself as I said it, and she looked shocked, so I just said Joke and carried on. And then …. and then!… it turned out I wasn’t even needed. She’d seen someone the day before! I’d been double-booked!’
‘No,’ says Keisha.
‘Oh,’ says Laurence. ‘Suit yourself.’

‘Sandwich’ says Kerry. ‘Does anyone want my sandwich?’
‘Why? What’s wrong with it?’
‘It’s got avocado. I don’t like avocado, especially when it’s been sitting around.’
‘Who made your sandwich?’
‘I did.’
‘O-kay.’
‘I’ll have it’ says Laurence. ‘Thanks.’
‘Laurence, the human dustbin,’ says Vihaan.
‘It’s called survival,’ says Laurence, tucking in.

‘Saluki,’ says Barbara. ‘I met this gorgeous dog today. It was stunning. Absolutely beautiful. Like someone stuck a wig on a greyhound. It just followed me around with this sad expression, you know? Like it could see exactly what the problem was and how I was doing my best but really we all knew it wasn’t going to turn out well. It’s funny – I remember more about the dog than the patient. I could’ve sworn it showed me to the door when I was finished, shook my hand and said goodbye. So – Saluki.’
‘No,’ says Keisha. ‘Next.’

‘Syringe driver,’ says Anna. ‘I mean – how can you have a syringe driver, anticipatory meds, nurses coming in and out all the time, a hospital bed, everything, all the equipment, all the fuss and this and that – and still not know you’re dying? There’s a note on the system – very clear – do not talk about end of life issues with Mr Smith. And then what does he do? He goes and asks me, very directly. Why am I having all this stuff? So I just say to him, I say We-ell, Mr Smith… you’re really not very well. So they’ve given you this for the pain, this to make you feel more relaxed, this for your chest…. I think if you speak with your GP they might be able to tell you a little more. Okay darlink? I feel so bad doing it, but the note is very clear. Later on I speak with the district nurses and they say he does know he’s dying but he doesn’t like it to be acknowledged, you know? He doesn’t like it all out in the open, which make it more real for him. He freak out and can’t handle it. Which I can understand. It’s a freaky-scary situation, God knows. But I hate dodging the question like that. It’s not me at all. I prefer to be open about things. Especially scary things. But he’s not my patient, so…’ Anna shrugs, finishes her coffee in one gulp.
‘No,’ says Keisha.
‘Oh. Okay,’ says Anna. ‘Fuck you and your stupid drone.’

Keisha looks at Vihaan and raises her eyebrows.
‘I don’t know,’ he says, yawning, stretching, glancing across the desk. ‘Stapler?’
‘Yes!’ she says.
We all groan.
‘Shut up,’ she says. ‘It saw it during take-off, okay?’

at the very top of the street

You wouldn’t think people actually lived on this street. It’s one of the main thoroughfares, an artery of urban bustle, crowds spilling over the pavements day and night, drinking in the pubs and cafes, streaming in or out of the concert venue, staring in the windows of the chi-chi boutiques, taking selfies outside the old theatre, or crowding round the buskers who work the passing trade on the pedestrian cut-throughs. The street heads up at a shallow incline, diverging endlessly left and right, then gradually thins, and quietens, until it runs out of energy at the top, where a main road cuts across it at right angles, running from the station to the sea. Here the shops are more down-at-heel. There’s a second hand camera shop, an antique clothes shop, a tailoring and alteration shop, a shop for rent, all of them weathered and worn, their wooden facades peeling. The person who did the display in the window of the antique clothes shop – how long ago? – has opted for a nightmarishly whimsical look: a stuffed fox head tied into a hacking jacket; some tackle lying around, a few vacant toys, as if they’d given up trying and taken to lure customers in with appalled terror instead. I wonder if there’s anyone in the shop at all. Maybe they’re just behind the netting, holding their breath, staring at me as I cup my hand on the glass to see better.

Mr Lake lives in the flat above the tailoring shop next door. There’s a young woman sitting in the shop window, dreamily needling some trousers draped on her lap. She pauses with the needle in mid-air as I fetch the key from the keysafe and turn to open the side door. I smile and nod but she doesn’t acknowledge me; in fact, I don’t even see her lower the needle as I push the side door open.

The hallway is dark and cramped, the only light coming from a yellowing square of glass at the far end, and a single, winking point of red from the console of the electric scooter on charge. I can’t see a switch for any hall light, and there’s no room for me to put my bag down and find my torch, so instead I wait a minute until my eyes have adjusted, then slowly creep forwards past the scooter and piles of junk, onto the sagging carpet of the stairs, and head up
‘Hello? Mr Lake? It’s Jim – from the hospital.’
There’s a TV playing in one of the rooms overhead, a rowdy studio debate, raucous shouting and applause – which somehow makes the place feel quieter.
‘Hello?’
A toilet with no door on the first little landing, a twist to the left, a galley kitchen on the right with a glimpse of stacked plates and bulging plastic bags, and then up onto the top landing, where a heavy curtain has been nailed across a doorway.
‘Mr Lake?’
I hook the curtain aside.

Mr Lake is sitting on a high-backed chair, surrounded by boxes and cabinets, piles of old Picture Post and Hobbycraft magazines, crates of clocks and teasmades and novelty telephones. It’s difficult enough for me to find a way through all the mess, so I can’t imagine how Mr Lake manages it. But then, no doubt, he’s used to it all and it fits him pretty well, like a hermit crab making its shell from a tin can or a discarded doll’s head.

I’m here to dress a wound on his leg. It’s not easy, setting up a sterile field, though. I have to move a few things.
‘Temporarily!’ I tell him. ‘If I’d had a pound for every time I’d said temporarily….’
‘You’d have five pounds fifty!’ he says.
‘No doubt.’
We chat whilst I set up. He tells me about his life. How he used to be an engineer.
‘I was always good with my hands,’ he says. ‘Taking things apart, putting them back together, that kind of thing.’
‘That’s a great skill to have.’
‘It kept me fed and watered.’

I glove up.
‘Any family in the area…?’ I ask as I lean in to remove the old dressing. The smell is gacky – the cloyingly sweet smell of decay.
‘No. No family,’ he says, watching me drop the filthy dressing into the waste bag. ‘I was married for a while. But she left. Ran off with the best man. And one day he dropped dead at work. So she killed herself.’
‘Oh – I’m sorry,’ I say, changing my gloves. ‘That’s terrible.’
‘Ah. Well,’ he says. ‘She was always a bit up and down.’

When I’ve finished the dressing and I’m ready to go, I notice some framed pictures on the wall behind the TV.
‘Is that you?’ I say, pointing at the picture of a smiling young man in a smart suit and waistcoat, holding a scowling baby up to the camera.
‘No! That’s my mother!’ he says.
‘Your mother? What? This one?’
‘Where are my glasses…?’ says Mr Lake. He grumbles and fumbles around his chair, the glasses magically appear in his hand, he hooks them over his ears, then screws up his face and leans forward.
‘Oh. Yes. You’re right. That’s me,’ he says.
‘Who’s the baby?’
‘That one? No idea.’
Amongst all the other portraits is one of a young woman in a floppy white hat and wide-collared raincoat. It’s a posed, three-quarter shot, the woman staring sleepily off to the right, her eyes heavy, her mouth slightly open. The odd thing is, she has her right hand raised in mid-air, palm down, off to the side at shoulder height, as if she’s pushing through invisible undergrowth, or maybe working a marionette whose strings she’d dropped but didn’t think anyone would notice.
‘That’s her,’ says Mr Lake. ‘That’s my wife. She made that coat. The day I took the photo we’d gone out for something to eat. We were sitting in the cafe, and the owner of a fancy boutique came over, and he said Where did you get that coat? And she said I made it. So he said Why don’t you come and work for me! We need people like you.
‘And did she?’
‘No,’ says Mr Lake. ‘She didn’t.’

poirot wraps it up

Every now and again Geoff screws up his mouth at the side and ticks air through his teeth. It’s the kind of thing a builder or a mechanic might do before they quote for a difficult job.
Funnily enough, Geoff used to be a builder. He was active into his seventies, but then suffered a series of health problems, including a stroke that affected his right side, recurrent chest infections, and now his latest and most challenging problem, dementia. His wife Lena is normally home to look after him, but Lena’s been admitted to hospital with an MI – which is why Geoff’s GP has referred him to Rapid Response. Geoff’s dementia is low key at the moment, but he does get confused in the early hours, and has a tendency to wander and do dangerous things. We’ve been tasked to provide bridging care and night sitters to keep him safe until a regular agency can pick-up. I’ve come by to take some obs, see how he is.
‘I’m fine’, says Geoff. ‘I’m okay. C’mon! Feel that grip. No, no, not the right hand. The right hand’s the shite hand…’
His right is hooked over in a kind of claw, but his left is certainly strong.
‘Wow!’ I say. ‘That’s impressive!’
‘I was known for it,’ he says. ‘Now…’ He shrugs, makes the ticking noise again, then turns his attention back to the TV.
Poirot is wrapping things up, surveying a room of characters, building up to the big reveal. I don’t know who looks more bored – Poirot, or Geoff.
Behind the wide-screen TV is a wider-screen window, looking without interruption over the sea. It’s calm today, a clean, silvery slice of light. Dotting the horizon are several dark vertical lines – an offshore wind farm. I read somewhere they’ll provide the power for half the houses in the county. That’s a lot of houses. A lot of Poirot.
‘My son’ll be here later to take me to the hospital, says Geoff, cradling his bad hand. ‘I try to get over to see Lena most days. I know she worries about me.’
‘Have they said when she might be coming home?’
‘Nah! They keep changing their minds!’ he says. ‘Nobody knows anything!’ He turns his attention back to Poirot, so I do, too. The camera’s right on the detective, so tightly that his lugubrious face fills the entire screen. I half-expect him to look straight at us and say Ah! Monsieurs! But it is perfectly plain to me when Mrs Lena is to be discharged from the hospital. It will be next Monday. At approximately half-past eight. And YOU will be there to greet her!
Then wink, and curl his moustache.

Geoff screws up his mouth.
Tick.