Rae is sitting on the arm of the sofa, one hand pinching Irene’s
nose just above the nostrils.
‘A couple more minutes then we’ll see if it’s stopped,’ she says.
‘Righto,’ says Irene. She obviously wants to chat despite her
predicament, the wad of tissue she’s pressing underneath her nose, and the claggy
effect of the blood and saliva in her mouth.
‘I’m in your hands,’ she says.
‘Hand,’ says Rae.
There’s not much else to do but wait. I’ve taken some obs, written
out the paperwork, cleared away the small mountain of bloody tissues that Irene
had piled up on the coffee table in the hours before she phoned. The Warfarin
she’s taking is a factor. She was only up the hospital a week ago with the same
thing. They didn’t cauterize then, but warned her it might need doing if it
happened again.
‘It’s such a bloody nuisance,’ says Irene, then grunts and gestures
with her free hand to the tissues on the coffee table. ‘As you can see.’
‘This is a lovely house,’ says Rae, swapping hands to give herself a
break, turning to face the window, motes
of dust floating in and out of the bright lines of sunshine. ‘How long’ve you
lived here?’
‘Oh, I should think about sixty year,’ says Irene, breathing through
her mouth, her teeth outlined in red. ‘Just after we got married.’
‘Amazing!’
‘I was born in this street. Well – the house at the end.’
‘Oh yes?’
‘It’s not there now, course. We got bombed out in the war. I don’t
remember all that much about it. I was in bed at the time. Everyone else was
killed. Mum, my sister Joan, the neighbours either side. I went to bed one
night and woke up in hospital. I was there for months, but they fixed me up. I
was all right in the end.’
‘Oh my god! What about your Dad?’
‘Dad? Oh - he died just after the first war. I never really knew
him.’
‘What happened when you came out of hospital?’
Irene shrugs, glancing up at Rae through her blue-gloved fingers.
‘I got a job in a laundry,’ she says.
‘That’s terrible,’ says Rae, shaking her head. ‘Not the laundry job.
I mean the rest of it. Now then – shall we see how we’re doing.’
She releases her grip and kneels down in front of Irene, who tentatively
lowers the tissue.
Unfortunately, the clot that had formed in Irene’s nose has bonded
with the tissue. It extends in a bloody string then flops out into her hands,
followed by a steady stream of drips that I staunch with some gauze.
‘I’m afraid it’s the hospital,’ says Rae, tying on a nose bolster.
‘I thought so,’ says
Irene. ‘Look at me. What a two and eight!’
6 comments:
"two and eight"?
Love these stories.
Thanks, tpals.
It's Cockney rhyming slang for 'state'! (I only know it because Dad used it sometimes and so did his brothers & sisters).
Not much fun trying to staunch a nosebleed when your patient is taking the old rat poison.
It certainly does its job.
I just had a quick look online about the history of warfarin. Did you know it was discovered after cattle in America in the 1920s were dying of internal bleeding - the cause eventually traced to a compound created by mouldy hay? Hmm?
I LOVE your blog. I learn so much from you. My husband of thirty years who knows about nearly everything didn't know that fact about warfarin. Thanks, Spence, once again you have proven to me why your blog is my favorite.
That's really kind of you, Lynda! Thanks! I have to say, one of the side-effects of writing this blog is coming across bizarre scraps of information I probably wouldn't have noticed otherwise. The history of medicine is an interesting subject. I must get round to reading some kind of general (and accessible) book about it. Have any recommendations?
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