Valerie
I tried to get the nurses to put my hands out directly in front of me, so I can at least see them. I like things to be ordered, to be done properly, the way I do it. I like my face to be washed without soap, because it makes my eyes sting. I did tell the nurses on the first day, but each day there is a new person, and I don’t like to moan because I know how busy they are. Last night I asked a nurse if he could put my hands how I like them, but he said he didn’t have time… I suppose it is a busy ward. I won’t bother them again.
[one month later]
I have been sat in this position for the last four weeks, staring at the same strip light, listening to the same rhythm of footsteps rushing up and down the ward. I have seen 26 nurses, 7 doctors, and uncountable numbers of medical students; I am apparently a very good specimen. The thought of young men seeing my body, especially in its current state, makes me feel quite uncomfortable; I don’t know what my Alf would say if he was alive. But the consultant did say they need to start somewhere, and the hospital has been so good to me. Toileting is my biggest worry. It is all I think about. I have never realized how such a basic day-to-day activity could take over my every waking thought. The whole process is so time consuming, I have to be hoisted over a pan, where I am expected to ‘do my worst’, with the whole ward able to hear every noise I make. I have been trying to eat less, so I don’t have to ‘go’ so often, but it has just made me worse. All I want is some privacy, to be in my own home, with my own friends, in my own bed. I get so frustrated, I still can’t move anything, not even my little finger. I have given up with the physiotherapists, they don’t seen to be able to do anything. I don’t want to get better here, I want to get better at home, where I am comfortable. My neighbour came in today, told me my cherry tree was is full blossom, and that the pond is full of frog spawn. This is the first spring I have been away from home for 40 years. I think I will pretend to be asleep tomorrow, so they will leave me alone…
[fourteen months, twelve days and nine hours later]
It has taken over a year, 10 assessments, 3 chest infections and far too many sleepless nights, but I have done it, I am at home. It’s not quite how I pictured it to be, but it is good enough. The living room is now my bedroom; where the welsh dresser once stood a hoist now looms; a bed pan rests where previously family pictures dominated; and a nurse sleeps in my bed, while I lie on a noisy air filled mattress; it prevents bed sores I am told. At least I now have some movement in my hand, and can even shrug my shoulders, when I have enough energy. The cherry tree is just coming into fruit, and I can see it from my window. It’s small things like that, which makes the difference. My mum always said smiling was the best cure, and that is something I can do here, in my own environment, where I can do things in my own time. Finally I have control of my life, I know I will never walk again, never be able to hug my grandchildren, but at least I am at home, making the best of a bad situation.

I loved the use of language in this piece, the continued repetition of time scales, numbered interactions with medical staff, appointments and set-backs really help the reader get a sense of the weight of Valerie’s recovery and the monotony that in-patient care can bring. It’s very insightful, to get the perspective of someone who clearly has great emotional strength, just how strong the feelings of depersonalisation can be in medical settings. Valerie feels objectified, both in the way she is treated as an interesting medical ‘case’ and due to her inability to make her own movements. It’s concerning to see how ‘consent’ may sometimes be given due to feelings of obligation, out of previous good-will or as a desire to help educate future medical professionals. Valerie’s characterisation that the hospital has been ‘so good’ with her care is also at odds with the fact that something as simple as arranging her own limbs in the position that is preferable to her was deemed a waste of time.
Early on in Valerie’s hospitalisation, she knew that the best place for her to be was in her own home. The improvement in Valerie’s outlook when she was able to be in an environment that was normal to her and not entirely medicalised is striking, so much so that she counters the inability to regain the full use of her limbs with comfort in having control over her life.
I really enjoyed how thought-provoking your writing was and I think you did an excellent job of highlighting small things, for medical professionals, that are able to have a lasting impact on patients, even when this is negative. I hope that I will always remember how little effort it would be for me to arrange Valerie’s limbs how she would like them and to let her know that she is deserving of this basic dignity, that helping her to feel more comfortable is my pleasure, the entire reason that I wanted to become a doctor and not my obligation.