My favourite fun theme has been the silent wager I make with myself about the literary ambitions of the medically distinguished, and of quacks, too, now that I think about it.
It’s my limited understanding that I have been visiting doctors so regularly for thirty-six months because I am decreasingly able to see. With my eyes, that is. My, admittedly subjective, sense has been that reading, by which I not only made to some extent my living, and by which I live, has become difficult. I’ll put it simply. Very often I can’t see. I’m blind.
You will be aware of this. You are a reader.
However, not invariably, but often enough to give reality a firm shake, a doctor will say to me as I leave his consulting rooms, very possibly having written a cheque (is that where I go wrong? They see that I can write, after all?), ‘Ah, Mrs Dinshaw, Candia, did you say you were a writer? Books, is that?’
A bit. Once. Things a bit challenging at present. My eyes, you see. Cranking the odd thing out for friends. Scottish literary papers. Things like that (thinking, ‘That’ll put him off. Surely he will realise that it’s a polite rebuttal of what he doesn’t know I know he’s going to say?’)
Women practitioners are as liable to do this as men. Let me be fair.
‘Ah yes. I must ask my wife to look you up. I don’t get much time to read. Other than for work. Papers, you know.’
Indeed so.
‘But you meet all sorts doing this job. It’s taken me all over the world. Some pretty amazing places. You wouldn’t believe. And I’ve often thought.’
If you had the time.
‘If I had a moment, that it would make a book. An interesting one.’
Not a novel, then.
‘I often think that real life reaches places, well, you won’t mind my saying this, but truth is, it’s not just a cliché, stranger than fiction. And you don’t make anything up. It’s all true.’
This is getting in deep. Ask it, do.
‘Would you know of who I should talk to about getting it published?’
And then, a little carried away by the different glories attendant upon the idea of being a writer as well as a doctor, ‘Would you mind having a look at it for me? I’ve actually had time to get something down. It’s typed, you know. No doctor’s writing!’
I am really interested by doctors. I wanted to be one. My mother and I, retrospect tells me, both go, or went, for tall men in old-fashioned clothes and good overcoats, which was, in Edinburgh terms in her young womanhood, doctors. We visited a doctor with pinstriped long legs and a watch chain quite a lot. I sat on his knee and he gave me boiled sweets from a jar with no top. His height and expertise and silver hair imprinted me for life with one way of being a glamorous man. I’ve no idea who prescribed her sleepers.
I would happily write about doctors in fiction. Or write fiction about doctors, or help a doctor friend write a paper. I might easily ghost a doctor’s memoir, should he want me to, were he to find my sight. A fair swap, words for seeing?
I except from all this my GP, whose understanding, he has self-deprecatingly said to me, falls short of words. It doesn’t. It goes beneath them and into music. His kind of doctoring has that human affinity that used to be called compassion.
As well as the doctor-autobiographers to whom I felt I couldn’t at that time give the assistance required, there was new and much more interesting comedy in the form of the surgeon who has come to the salvation of blepharospastics with his two-part operation. When people keep saying to you, ‘Of course, he is brilliant’, you know that you are going to be handed a sharp spray of human traits.
His name is Alexander Foss. I heard of him because a fellow sufferer from blepharospasm, Marion Bailey, had written to me after reading a piece that The Times reprinted from The Scottish Review of Books that I wrote about being blind and not blind. She and her husband have become as godparents to my eyes; they are the chief kind strangers in our family’s recent history. Alexander Foss gave Marion back her sight. She understands exactly the trap and paradox of the maddening condition that is blepharospasm. Her courage and generosity have kept me upright. She wrote to me, enclosing photographs, about the operations with which Alexander Foss had given her back her sight.
John and Marion Bailey came to meet Olly and me. Her story was my own, baffling, alarming, frustrating, frightening, intractable. But she had found some kind of redress, and now, if she husbanded it attentively, had a good measure of sight. We decided to follow her generous example. Words, their publication, and their being read, passed sight through the hands of Alexander Foss from Marion Bailey’s eyes to my own. How can I thank them all enough?
Annabel and I had made an appointment to meet Mr Foss in the Midlands, where he practises, before Christmas. We drove up in December snow, late one Monday. Our treat was a boutique hotel in Nottingham. I had a disabled room with a red cord to tug in case of falling. I was in a pneumatic boot by this time, and as ever used my white stick, not to feel my way, but to tell people not to be upset if I crashed into things, and that I was best avoided. The plumbing and electricity in the hotel were of that unexplained hidden kind that only those born to mobile phones can operate without fiddling and splash. The comfort was practical, the welcome warm.
Mr Foss works within swifter time passages than the rest of the race. His supreme charm as a doctor is that he does no prologue, no soothing, no explanation, no awful chat. I could tell at once that he was a surgeon, tout court, pure brain and action. We arrived, we asked questions from our careful list, then we were out. We tried in the coming weeks to work out what this acute man had said. We had fun thinking of things that he would be least likely to say. These included:
How was your journey?
Are you staying locally?
And the family, how are they taking it?
Christmas plans, at all?
What a relief it was. Does the mutton roast want to be asked about its native pastures by the man with the whetstone and the blade?
We took against him for about two minutes each and then without knowing it we turned him into a hero. I suppose he had been auditioning us too. Luckily Annabel is a doctor’s daughter and managed a direct question.
Would it hurt for a long time afterwards?
I, sitting down, am about up to his chest when he is standing. He is nonetheless a formidable presence. His words come out at the speed of a lizard’s tongue, where the fly is your attention. Only much later do you realise what’s happened or been said. He smiles when he says the worst things, but not unkindly, at all. More like a true wit. I think he may be one. My guess is that he will not linger because what he does is of such intense moment. You can with ease imagine him seeing off death, around which he is often, as he is around the dark of blindness. His specialism is cancer of the eyes. He clicks and pops like an indoor firework.
What he told us was that I had one of the two worst cases of blepharospasm he had seen, and that I was lucky, as twenty years ago I would’ve been sectioned, that if I disliked him now I would hate him after the first operation, after the second it would be curtains for us, it would hurt so much.
Annabel and I returned south through the snow with a new person to develop inside the story. We each kept remembering delightfully, in a slow conventional world, rude, actually terrific, things he had said.
We started inventing them.
That leg’ll have to come off too; no point holding on to a duff limb.
Prepare yourself for complete failure; no operation is more than a good try.
Only one thing’s ever certain.
We imagined him paying compliments:
That hat has got to come off.
Ordering a meal:
Where’s the bill?
Proposing:
It’s shortly our tenth anniversary.
We liked Mr Foss.
For my first operation, it was again Annabel who took me. We tried to imagine, in hospital that January morning before I went down to the theatre, what he might
say when he came on his visit to me before I was knocked out and wheeled in for his attention.
Mr Foss came into the clean little hospital room where I was too big for everything, chairs, bed, gown, slippers, paper knickers.
He had a form.
We’d been surmising and practising reassuringly feel-bad things he might be moved, or, admit it, induced, to say.
Annabel was in the lead with, ‘I’m dispensing with time-wasting anaesthesia.’
She had also scored highly with, ‘Look here, I’m busy today.’
He raced through the form. It was the usual. Next of kin, religion, etc.
He filled in the name of the operation: Crawford Brow Suspension.
Then he spluttered boyishly, ‘Benefits of operation?’
We waited. It was, after all, his field.
‘None. No benefits. None at all. Not that I can honestly say,’ he said, and was gone, leaving us in the highest possible spirits. That man could be a general. One would lose a limb for him with his surgical high spirits.
There used to be a phrase, used of certain drinks, ‘A meal in itself’.
Mr Foss is the life force in itself.
This is not in my experience true of most doctors.
Annabel set off for the South; she drives with mettle. She is the sort of ladylike quiet person with quick reactions whom you will find calmly running things when flashier ones have decamped. Accomplished, brave, capable, dutiful, her alphabet might begin. She can name most popular music tracks of the last forty years, and keep a poker face.
It’s odd. I am afraid of blue eyes, yet both Annabel and Claudia have them, markedly so, each in her way. Annabel’s are pale blue, really like aquamarines, and give you a shiver with their bright chill and almost pure colour, no black but for a pierced dot. If she weren’t smiling below them, they would be icy, and can look uninhabited. Claudia’s too can alarm because they inhabit a face that will not play along with anything that discomfits.
Both Annabel and Claudia have a gaze of pinning intentness. Each is a contact-lens wearer of long standing, and short-sighted. Both shake themselves when their eyes are tired, as though to refocus. Each pushes her fringe up with a hand to catch and ingest light through her pair of blue irises.
My own pair of green eyes woke up in the afternoon that January with bloody blinkers made of gauze strapped over them. My whole face, when I patted it, was strapped, like a mummy in a horror film.
I was ridiculously anxious that no nurse should think that I had had a cosmetic procedure. I knew these were going on around me in that hospital.
When I came round in the post-operative room, a nice young male anaesthetist asked, ‘Are you married?’
I replied that I was but that as I understood it, it was complicated and the terms hadn’t been invented yet and that my husband lived with someone else whom I was fond of.
I thought that this was a good opportunity to start as I meant to go on, naming things as I awoke into this new post-operative world.
Poor young man. He probably wanted only to see if I was sufficiently unwoozy to recall elementary facts, like the name of the Prime Minister. He got an essay. I don’t even know how to fill in forms. I alternate between ‘Married’ and ‘Separated’. I think I want to put what our son wants me to put. I must ask him.
I asked the young man his own marital status. He had a wife, he said, from Edinburgh, actually, away at the moment with his brother’s wife, also from that city, also a nurse. You couldn’t keep those Edinburgh girls away from home, he said. At least he supposed they were going home because they were homesick and it was nothing worse.
He spoke with healthy confidence.
‘I’m getting so I miss the place too, actually,’ he said, and patted me in an encouraging way. ‘You should go there one time when your eyes are better. It’s gorgeous.’
Later in that day with my stitched eyes behind their blinkers, there was another conversation that pushed plausibility to its limits.
As far as I could tell, it was evening. A woman’s voice, South African, almost social in its willingness to interact, reached me, enquiring about various practical matters. I replied.
I had had supper, insofar as I wanted it. I had found the toilet. Yes, I was used to finding my way by feel around the place, it was one of the upsides of not having been able to see that much before. Might I have a sleeping pill?
I might indeed not have a sleeping pill. I had just had a general anaesthetic. Did I know the inadvisability of risking it?
Silly me. I’m sorry.
Do you usually have sleeping pills? Are you aware of the dangers of dependency on prescription drugs?
Yup, I bullyingly said from inside my bandages, I’m a twelve-stepped alcoholic committed to rooting out addiction wherever I encounter it day and night.
How many years’ sobriety?
Oh God, she had the lingo. Medical people on the whole absolutely do not speak AA talk, unless they are ‘in the Fellowship’.
Oh, what had I done? Were we going to swap drunkalogues, as they are chattily known, deep into the hospital night?
But it didn’t go that way.
I said, modestly, or rudely, ‘A few’, which is a sort of signal to be released that only the sensitive take in. It means, ‘I haven’t had a drink for quite a long time. Years, probably nearer ten than five.’
It is a way of not making newly sober people, who may have achieved those first, literally miraculous, few un-drunk days, feel small. It is a way of not bullying.
Her next question quite baffled me. ‘Are you privatised?’ she asked.
I thought I could hear earrings. So, not a nurse, if allowed to wear tinkly jewellery at work.
‘I’m paying for this procedure. Do you mean that?’
‘No’, she replied, ‘I meant, are you married?’
I had never heard the expression.
I told her what I had told the nice young man with the wife from Edinburgh. Life was offering me exactly what was required, an opportunity to be plain and clear about what remained obscure–at any rate in words–to me.
‘Well, if you were a writer, you could write about it,’ she said.
I couldn’t engage with that. I was barely sure any more that I was anything, let alone a writer. I did the interviewee trick, and turned the tables.
‘Are you privatised?’ I asked. I wish now that I’d asked her where this odd term comes from. Can it make the husband feel nice, this microeconomic form of expression?
‘I,’ she announced, ‘am very happily privatised.’
She too has a terrific name. I will call her Theophania Droptangler.
The spirit of the woman, whose bright clothes I could hear and whose warmth was toasting me merrily through the anaesthetic and bandages and darkness, suggested there might be something well worth chasing on to the page. The next morning she was the first to come to me, at the sort of time my cat might have begun the day.
She was more than a chatty woman used to talking to zombies. In the intervals of her night watch, she had done a lot of background research.
‘So you weren’t bullshitting,’ she said. ‘You had it right you’re a writer.’
I said, ‘What?’
‘I found you. It was that unusual first name. We’re sitting ducks for stalkers, darling. And I’ve decided you can have seven sleepers to take away because I trust you.’
Useful being called Candia if it procures you sleep medication and binds you to other people with funny names.
I asked the nurses what this earring-loud lady looked like. I wanted to see if it matched my picture. She had told me her age, which was more than sixty. They confirmed all of it, sunshine colours usually reds, pinks, turquoise, lovely dark skin they said, henna through her hair, tiny like a bird, lots of kids, must be around fifty, looks about forty, and earrings like you would not find in a shop. Earrings in the shape of things, parrots on perches, ice creams in soda glasses with two straws, cactuses.
‘She’s exotic. Not like a doctor, more like a writer.’
The next stretch of time was like no other in my life. The closest I have come to it is V.S. Naipaul’s Enigma of Arrival, a book I have loved more on each rereading.
As I recall the book, it is an account of the writer’s time at a small house on an estate that had belonged to the Tennants, part of the set that included Ettie Desborough and the family who had lived at Clouds House, known to me for its architecture, its inhabitants the Souls, and its efficacy at drying me out. The estate was in fact Wilsford, to whose melancholy sale of contents Fram and I had been just after the death of its owner, Stephen Tennant, the lover of Siegfried Sassoon and later recluse, who dwelt alone indoors making bulgy drawings of matelots in many colours of biro, seldom leaving his bed and wearing powder and lipstick, in rooms upon which were drawn white satin curtains full of dust and in which vases of white ostrich plumes fussed up into the heavy air. Those impressions were gained from the sale and the house’s interior, the sad boxes of stuff that were having a harsh time of it in daylight, props as they were for a life of delectable tackiness and gimcrack fun, all, no doubt, in revolt against the stout Lowland virtues of solidity, bleach and no jokes, against which Tennants, beneficiaries of a chemical fortune, have for the last few generations so incandescently, sometimes chemically, rebelled.
The Enigma of Arrival, as I remember it, a recall of reading through blindness and forgetting, which seems in itself the sort of distancing such a monument to passing might rather enjoy having inspired, grows like moss upon the rapt reader, who perfectly enters its mood and is made part of it as he proceeds. Naipaul conveys the oldness of the landscape and the paths worn upon it, the ingrownness of the community and the dreams that make us who we are and what we might have hoped to have been. It is about hope and disappointment, dreams and death, and how worlds meet. It shows the absorptive power of the famously self-defining Naipaul. It is a great book. I can envisage its being read for many years beyond the time of our grandchildren because it is apparently clear yet it takes you into itself and shows you things there in the dimness for which you did not have words. It offers an England that isn’t ‘literary’. It’s geographical and spiritual. With words, it goes beyond words. Just as the artist is rare who can write drunkenness, the artist is rare who can describe our pre-verbal sensations and thoughts.
What to Look for in Winter Page 39