Teaching an Old Dog Old Tricks

 

“Good morning, Doctor.’ The good-looking man is new to my practice. He offers a hand, shakes manfully, breaks no bones but leaves none unfirmed. His smile launches a promising relationship. ‘I’m new to Melbourne, doctor. Just moved here – for my studies.’

 

The man looks a young forty. I check his date of birth; he’s forty-nine.

‘What are you studying?’ – I ask.

‘Philosophy. Classic Philosophy, the greats, you know, Plato, Aristotle, Aquinas, Maimonides…’

He’s won me.

 

‘I used to be a lawyer. Made some money, made a family, four kids. Now it’s time for me. Time to pursue wisdom.’

‘Share it with me when you find it,’ I say.

He smiles.

 

‘Doctor, I wonder if you can help me out. Awkward situation. I’ve left my tablets in Sydney. They’ll arrive Monday next with the family. My doctor prescribed a short course of Temazepam for sleep. Exams next week and I can’t sleep. If I don’t sleep, I’ll fail. If I fail I’ll never find wisdom.’ The winning smile again.

 

 ‘What are the tablets?’

‘Temazepam, the weaker ones, the tens. I’m scared of anything stronger.’

‘Very wise. They’re habit-forming.’

The man looks shocked: ‘Habit-forming? Really? My doctor never mentioned that. I just want enough to get me through these exams. I finish in three weeks.’

 

 

The man and I spend a little time discussing Temazepam, natural remedies, his own preference for a long hard run (‘Wouldn’t you know, Doctor, my running shoes are still in Sydney?’) The man looks up at the marathon photos that cover my walls where other doctors show their degrees.

‘Are you still running, Doctor? Marathons? Really? Amazing!’

 

 

The man leaves my room with his limited prescription, leaving behind his protestations of delight, his vows he’ll be back, how lucky our paths crossed, he’s found a disciple of Maimonides, he wants me to be his new doctor.

 

 

A couple of patients later the receptionist buzzes me and pricks my balloon: ‘That new patient, do you know what he said about you, Howard?’

‘No.’

‘”What an amazing doctor! Still running marathons!” Says you are a scholar, an expert in Greek Physiology.’

 

‘You know what else he said?”

‘What?”

‘He said he left his wallet in his car. He said he’d be back in five minutes to pay. I asked him for his Medicare card, but that was in the car too. But he knew his number, he said, and I took it down. Thirty minutes and he’s not back. I rang Medicare: there’s no such number and they have no record of that name at the Sydney address he gave. I rang his mobile. “Optus advises the number you have called is incorrect or has been disconnected.”

 

 

Three years pass. Three years are not sufficient to heal a wound in trust.

Last week a new patient registers with Reception. He presents his Medicare Card, asking a series of questions:

‘What doctors are consulting today?

‘Who will I be seeing?’

‘How long has he been at this practice?’

‘I just need a prescription. I’ve lost my tablets and my wallet too. Can I pay with my credit card?’

 

 

The relatively new receptionist was not with us three years ago. She calls me: ‘Are you with a patient, Howard?

‘No.’

‘May I come in and talk with you?’

‘Certainly.’

The young woman is shaking: ’I think your next patient is lying. I think he might be the man who came here a few years ago and lied to you to get tablets.’

 

 

A phone call to the Doctor Shopping Line at Medicare. I give the Medicare number of the new patient. ‘We suspect he’s a doctor shopper’, I say. I give the new patient’s stated name. The Medicare person confirms the validity of the card and the truth of the name given. ‘We have records of that patient’s recent prescriptions. He’s had eighteen prescriptions since March first, every one of them for twenty Temazepam tablets, each prescription from a different doctor in your area. You might like to inform the patient of these facts, Doctor.’

 

 

Rape

One night when I was about thirteen the local police called my father to examine a body that had been found in the park. The woman (the girl?) was eighteen. She had been raped and strangled. Dad returned, a great sadness in his face. His voice was drained. He said, ‘Her only crime was being a woman.’
I did not understand.

I met a young woman recently who has been treated over twenty years for depression and anxiety. She’d been given medications as well as psychological therapies and psychiatric help. She still sleeps poorly and takes sleeping tablets as well as Valium when she’s anxious. She tells me she spent years drinking a bottle or two a night, ‘closed away’, later using cocaine, ecstasy and ice. She hears the ticking of her fertility clock, she wants children but she feels unready.

Diffidently I asked about abuse. She trusted me enough to confide, ‘I was raped when I was thirteen.’
‘Was it a relative?’
‘No, a school friend one year older than me… I looked for him recently on Facebook and I wrote him a message. I’ll email you what I wrote if you’re interested.’
I was interested.

Hey XXXX,

I’m not sure if you remember me but just wanted to touch base after so many years and confront something which happened when we were at school together.

Remember the night we went to one of your female friends place and another one of your mates came along (apologies but their names don’t spring to mind).

Anyways, the events of that might have haunted me since and, well, finally I’ve managed to build up the courage to message you and speak up.

It saddens me that what happened has affected me so much and for so long.

I honestly thought that you were a friend back then and you and your friend took something away from me and I have never forgotten and it has affected me all this time.

My dignity was taken away and diminished.

I still have vivid images in my mind of being extremely intoxicated even to the embarrassing point prior to what happened that I had been sick on your jacket which I wore as it was cold.  After this I was too ill and had to go to the spare room to sleep it off and at that point both you and your friend had taken advantage of the situation of me being passed out drunk and you both fucked me.

I will never forget also to this day that your mum, and I understand her being your mother defending you and your friend in saying that neither of you would ever do such a thing.

Saddens me that I was the one apparently untrue to the situation in yours/your families eyes.

The next morning my mother and brother had picked me up and they saw that something was not right. I had blood on me and looked a mess and was taken to the doctors but I was too shocked and embarrassed to admit to anything.

XXXX this was probably not the best way to do this via FB and just understand I’m not wanting anything from you nor an apology or anything but just feel that this is something that I’ve had to stand up to and to give me peace of mind after so many years.


***

I understand violence born of anger or fear. What is it in a male that allows him to hurt a woman or a child by calculation? I know this violence, I see it and I treat its fruits; but I don’t understand it. That people live and re-live and suffer and endure I do know. Some suffer beyond endurance and slash or die. I know some few who manage to create an enlightened response. This young woman said, ‘I changed cities to change my life.’ Soberly she added, ‘I think I am making progress.’
She found work in the justice system. And she found a sort of spiritual greatness that shows in these closing lines to her old school friend:

I would however like to ask you to always watch over your daughter, nieces if you have any and younger family members so this never happens to them
.

A Quiet Night in Casualty

A quiet night. Apart from the ten year old who coughs through every winter and the two year old with a cut leg, all our patients wash up on our shores on a tide of intoxicants. Subtract grog from these lives, says the Director, and we could close half our cubicles. Take away drugs and we’d need only a quarter.
We treat the thirty year old whose man – drunk – split open her scalp and broke three of her fingers; we check out the Frequent Flyer with (real) kidney failure disabled for the fourth night in a row by (spurious) chest pain; he seeks opiates and when denied a needle, suddenly invigorated, he walks out. Tall and elegant, the forty-something in the very high heels tripped over her long legs following a fusillade of shots (vodka). She tore her medial collateral ligament. The man snoring down the back treated his epilepsy with a slab in place of his Epilim. The ambos brought him in, fitting. He’ll need observation until morning…

The ward slows, starts to doze. Time to go to the loo. Above the urinal a laminated protocol provides advice on intoxication. The notice is headed:

TOILET PAPER – SEPTEMBER 2014.

Around two in the morning an irruption of large bodies in blue. One, two, three, four police officers, escorting one small man whose pale blue shirt is soaked. Handcuffed to the bedrails, he yet manages to give the cops the finger – two fingers actually – one on each hand. He blows kisses to the cops. The officers remain unprovoked.

The ambo, a non-combatant, provides the story: The pub called the coppers because he was behaving wildly. His friends say he had taken ecstasy, crack and alcohol. And another tablet – they don’t know what. He went crazy in the pub. Security tried to quieten him and he fought them; then he fought the cops. These four are only half the number it took to control him. They cuffed him. Somewhere along the line he vomited.

The man is surprisingly small. His short half shirt is soaked in lumpy vomitus. Between his gallery of tattoos patches of skin are missing from his knuckles. A large abrasion swells and shines dully on his forehead. A dull steel ring decorates his lower lip. Another improves an eyebrow. When a nurse tries to mask him (“You’ve been vomiting, we need you to wear a mask”) he speaks simple words in surprisingly mild tones: Please don’t touch me. Please don’t touch me. The nurse looks too slender, too young to handle this unpredictable person. Her speech is a further surprise. Turning from the patient to the gathering of uniforms congregating around the cubicle, she asks: Do we really need all these people? She draws the curtains, comes close to her patient and asks: Have you taken drugs?
No.
Any alcohol?
No.
Have you been in a fight?
No.
Has your head has been injured?
No.
Have you vomited?
No.
Do you take any regular medications?
No.
Do you have any medical history?
No.
This is a nineteen year old without symptoms, without any reason to be here. Mildly the nurse says, Well then, once we find there’s no reason to detain you will you have any objection if we return you to these officers?
No.
To his denials of all symptoms and concerns the man adds, I don’t believe I have any obligation to answer your questions.
A compact young doctor joins the conversation: Look, Simon, we’re here to help you. We aren’t the police, we’re not charging you, we’re not collecting evidence.
Like her nursing colleague the doctor speaks calmly. She focuses on assessing and helping the patient. Your heart is racing. You’re a bit dry. We’ll put a drip into this vein. Do you mind?
No answer. Eyes closed, resolutely mute, the young man affects a coma rather than concede anything to anyone.

The boy trembles as far as his manacles allow. Is he just scared? Are his drugs making him paranoid or is he frightened by the storm of chemicals that fight each other inside his brain? Or just terrified of the police?

His shirt is wet. The thermometer reads 35 degrees.
Are you cold?
No.
Would you like a blanket?
No.
Do you need to pee?
No.

Taking the nurse aside I confide: With this drip running he will need to urinate eventually. Handcuffed as he is, he’ll need help. How will you handle that?
We’ll give him a bottle.
He won’t be able to unzip. Someone will need to pull his dick out for him.
That will be your job.

An hour later, I find the nurse and ask for the bladder report.
He’s been. He’s voided.
How did you do it?
I took him to the toilet. He did the rest.
In handcuffs?
O no: the cuffs are off. He’s calm now. I walked him there and he managed himself. The cops are leaving.

I check in the cubicle. With no need of coma or bravado or petulance, the young man – or boy – lies on the bed and chats with his girlfriend – another surprise: impeccably presented, she’s a demure young lady.

Domestic violence, drug seeking, a lacerated child, another who coughs; grog, grog, grog, and multi-chemical intoxication…

A quiet night in Casualty.

20140818-074936-28176978.jpg

The Man Who Had Cut Hands

A commotion from the waiting room. Raised voices, female voices, one shrieking, another, less frantic, also raised.

The frantic voice cries: Get him something for the pain. He’s in terrible pain. Get a doctor, he’s in pain.

Please don’t scream. Try to be calm. I’ll go and call the doctor… Here’s the doctor now.

The man who is in terrible pain lifts his hands,which are bleeding. Tall, in his mid-twenties, he has a scar that runs obliquely upward from his lower lip to the left hand corner of his upper lip. His eyes look yellowish. He bleeds from transverse lacerations on the backs of his hands. Both hands.

Odd.

 

In the treatment room the wounds are swiftly cleansed and anaesthetized. The man’s companion leans over the doctor’s shoulders squawking,  He’s in terrible pain. Give him something for the pain!

By this stage the doctor is busily suturing the numbed skin. The lacerations are jagged, roughly parallel, two on each hand.

Odd.

The young man’s companion is tall and thin, younger than he, agitated and relentlessly noisy.

The doctor looks up from his suturing, engages his patient’s gaze, asks confidentially, What happened?

Punched the windows. Both hands.

The doctor looks over his shoulder towards the injured man’s companion, still highly audible. He raises an eyebrow, asks: Was there a disagreement?

Bloody oath! It was her or the windows. I punched the windows.

The doctor thinks – wrong choice.

 

The young man’s skin is tough. It resists the doctor’s pressing needle. The doctor pushes harder, the skin abruptly gives way and the needle penetrates the doctor’s left index tip.

He pulls off his glove, washes the finger vigorously, asks over his shoulder – You’re not using any drugs are you?

Nah… hardly anything. Not now.

Are you injecting?

Nah. Not since I was inside.

The doctor scrubs harder.

The man adds: Look, you don’t need to worry. I haven’t got HIV. They test you before you leave.

The doctor looks unconvinced.

Look Doc, I’m clean. The only thing I’ve got is Hep C.

 

The doctor surveys the man’s hands: three lacerations down, one to go.

He asks the nurse for a syringe and a test tube, he draws blood from the wound, fills out a pathology slip, and sends the man’s blood for serological testing for a range of blood-borne infections.

In defiance of the law he does not seek consent from the patient. He scrubs again, re-gloves and resumes his suturing. He speaks: I’m testing your blood. I’ll give you the results when you come back to get the stitches out.

 

 

The wounds look tidy now, four curving rows of small black bows sit pretty as a flower bed against the thin red lines of closed lacerations.

 

The man and his lady friend leave without paying.

Only now does the doctor read the patient’s surname on the chart. He recognizes the name: he used to treat the man when he was a small child. His battling single mum did her best with the children. The sister turned out alright. Until today the doctor had lost track of the son.

 

The doctor sends off his own blood and learns that he has no antibodies against HIV, Hepatitis B, Hep C or syphilis. His patient does indeed have Hepatitis C. Now the doctor must wait three months to discover whether he has caught the incurable – and at this time, largely untreatable – liver virus.

 

The man who had cut hands never returns.

In the course of those months the doctor spends a lot of time in meditation.

The man who had cut hands was born in July 1972. Same month as my daughter.

He wonders about the birth of the young man.  Who delivered him? He asks his friend and celebrated senior partner, Dr. Donald Cordner: I met Rodney Blank the other day. I knew him as a kid. Did you deliver him?

Yes, I did… his sister too. What became of them?

The younger doctor fills him in. Then asks, You do believe in preventative medicine, don’t you Donald?

You know I do. What are you getting at, Howard?

Well I was just thinking – you could have saved lot of people a lot of trouble if you’d drowned him at birth.

The Reunion

We met in the grounds of our old school. Cars drew up, old faces emerged, old bodies, sagging here and there, supported by stiffening joints. Faces lit in recognition or knitted in puzzlement – I can’t place you – then opened upon discovery. Older faces, stiffer frames – these were teachers, old and treasured. The pleasure was of a novel sort: it was as if one discovered an aged aunt or uncle not seen for fifty years; and the aged one was as delighted we were at the encounter.
Fifty years. A large chunk of time in anyone’s lifetime, an epoch unimaginable when we left in 1963.
We toured the school, the new and the old. The dunnies hadn’t changed except they were clean.
Afterwards we gathered in the dining hall.
I volunteered to speak about the lost eleven of our classmates. I didn’t want the ninety survivors of the class of 1963 to bee-suck on nostalgia and leave the dead unsung. So I read the following:

Here we are fifty years on.
We have become, I realise, walking memorials to those we have lost.
We travel the roads and the paths of our lives and our minds register: Aunty Sylvie lived in this street…Dennis used to walk his dog in this park…that’s the Shule Dad and his bothers walked to when they were kids…this is the street where my grandparents lived…

Now, gathered here at Scopus again, in this dining hall, beneath this roof, shadows of old friends, old rivals, flash across memory. Teachers we loathed, teachers we revered, those we mocked, those we feared, all move across the mind in their chalky academic gowns. They lived, they did their work and they passed on. And we – we who were once seventeen, eighteen years old and full of wonder about the future – we approach threescore years and ten, full of amazement about the years past.

But we have left some behind. I name them now.

Manny Olian, dead in 1964.
Faye Broons, dead only a few years later – in 1971.
Ephraim Bergner – died early – I haven’t been able to track down the year.
Leon Fust and Suzanne Gescheit in 2006;
Miriam Hamer, Norman Stern, Shareen Fremder – all in 2007;
Joe Serwetarz in 2008.
Zelda Slonim in 2009.
Michael Kowadlo, just over a year ago, in 2012.

The names are the bones. Some I can clothe in the flesh of concrete recollection.

Manny Olian.
Many memories, warm, smiling memories of a thin, manically funny boy, a stranger to malice, a friend who stood out from our glorious contemporaries for his originality of mind. Manny was the source of extraordinary insights that always astonished me. I see Manny holding a pen, grabbing a footy, his fingers spidering, hyperextending, exclamation marks at the extremities of a boy at the extreme.
Manny was a pioneer in death by drugs. During a trip on LSD, Manny stepped off a cliff in England and died.

In my imaginings I see Manny’s parents in 1946, at the time of his birth. They look upon their firstborn and they choose a name. The parents see their child before them and put the unspeakable past behind them. They called him Menachem, “comfort”. Eighteen years later, in 1964 – what comfort do they find?

Fay Broons.
I hardly knew Fay. I wonder how many did know her. Pretty, quiet, shy, ladylike, almost ephemeral at school, Fay was a mother of three little kids by 1971. She started the last weekend of her life in good health and was dead 48 hours later – of fulminating infection, or a brain haemorrhage? – even her family does not know to this day.

Ephraim Bergner.
Ephraim, Effy – that gifted, creative, wild child. Those fabulous good looks, that innocent disconnect from the rules, from the mundane, from consequences.
Our class’s James Dean.
Who was surprised that Ephraim’s life ended early?
Only the exact year, and the precise drug escape me.
What shadows, what secrets, what ghosts, was Ephraim escaping?

Leon Fust, skinny, nimble, fearless on the footy field, subtle and gentle in his thought; I last saw him in an Australian bank in Piccadilly, in an impeccable suit and a bowler. Leon looked the epitome of an English gentleman.
Never sighted again, what did Leon die of? Whom did he leave to mourn him?

Sue Gescheit, her kidneys failing after decades fighting off her viciously severe diabetes; Miriam Hamer, marrying for the first time at sixty, marrying for love, knowing her lung cancer had already spread to her brain; Norman Stern, one so jovial, often an innocent magnet for mischance, Norman, whom I had not sighted since school; he and Joe Serwetarz – the tall, the gregarious, the good looking, athlete – both of them, following just before or soon after Miriam and Sue.

Zelda Slonim – I think I knew her. Did I know her?

Shareen Fremder – I’m sure I didn’t know Shareen.

What does it mean that one passes and passes unknown?
Who knows? Who mourns?
Who carries their memory?

Finally, Michael Kowadlo, passing in 2012.

My first memory of Scopus is of Michael. This big friendly kid takes this very lost, very strange new kid –Howard Someone – from the country! – under his wing.
A week or so later I am climbing the steps of the slide when a bunch of interlopers races up the steps, pushing me aside. My face collides with the steel rail, a tooth chips, my mouth fills with blood and Michael, Big Michael, steps in and pushes the interlopers away. I take my turn and slide down. I meet and enrich a dentist. I become closest of friends with the principal slide aggressor – great to see you again Tommy – and Michael becomes a dentist.
The last 100 times I saw Michael occurred when we both spent a year reciting kaddish in memory of loved ones.

I want to recite kaddish now, and I invite everyone to stand and join with me, in memory of all our lost friends. In memory of Manny – “after the first death there is no other’’, as Dylan Thomas reminds us – in memory of youth, in memory – and in forgiveness – of our lost selves…

Yitgadal ve’yitkaddash sh’mei rabah…

***

After I delivered that sombre material, my voice dying at the end, I looked up. Fifty serious faces looked down. My schoolmates, silent for the first time in our twelve school years and in the following fifty years, did not meet my gaze. Gone was the buzz, the gaiety of moments ago. I had spoiled our evening. Or so I feared.

Mount Scopus College was born in Melbourne just after the end of the War. Fiercely partisan community leaders in their congregations and their factions came to historic agreement to bury difference and to create a school. The compromise they made was without precedent or subsequent. The leaders, the secular with the devout, the Yiddishists with the Hebraists, the political with the cultural, agreed on one thing: this ragged remnant of Jewry must educate its children if Jewry were to survive. So Mount Scopus was born at the same historic moment that we, the class of ’63, were born.
What did we know of the Shoah, what did we learn? Precious little at Scopus, only dark and unspoken shapes and silences from our parents. We did not realize until later that ours was a generation without grandparents.
Our Jewish teachers, burning with an intensity that burned us, cared unaccountably that we learn, that we incorporate the burden of their scholarship; while we, dull and distractible, remained unforgivably innocent, even indifferent to the heritage they were transplanting. Only in Rabbi Schwartz was truth writ clear in the body: his throat, a terrible terrain of wound and scar, remained red and swollen these years later. Somehow we all knew – the Nazis had pulled out his beard.
We are the result, their fruits, this class of 67-year olds, gathered again in the old Scopus dining hall that was also assembly hall and concert hall and community banquet room. Was I the only one to gaze about the room and to marvel at the achievement of Scopus, at the fruits of our parents’ sacrifice? The room crawled with professors, with doctors a dime a dozen, with lawyers, teachers, psychologists, with businesswomen, artists, computer greats. I could see how middle-of-the-roaders in our Scopus class rose to enduring distinction in the wider world. Truly the fires of the fathers had kindled huge drive in the children. Starved parents raised a generation hungry for success. We took our opportunities. Some seized the future, becoming pioneers and creators. We flamed, we made our mark.
Most of us had married Jews and produced Jews. Many of us had sent our kids to Mount Scopus. Making the real sacrifices needed for this costly schooling we endorsed the vision of the founders. Some of us had grandchildren at Scopus.

***

The class of ’63 has been decimated in two quite different ways – one in ten has died; one in ten has emigrated, made aliya – literally ascended – to Israel. Of these latter, three classmates have journeyed here solely for this occasion. It is a long and costly trip; why have they come? Why have others travelled from Western Australia and Queensland? Why have the remaining fifty-odd Melbourne residents bothered?
In the course of our four hours together clusters form and drift. Old intimates greet each other but do not linger, instead moving on to find others less known, less loved. A genuine thirst for connection, a tenderness, a respect – the things we all needed and often begrudged in those rougher days.
In place of the empty phrases of everyday greeting, men and women shake, hug, regard; they take in faces that have ripened and withered and deepened; they see and they don’t need to ask; the face of the other is the face they see in the mirror, a face stricken, blessed, stripped by the years. No-one is measuring, no-one comparing: that which we are, we are…

Four hours, equivalent to half a school day, long enough to discover

Equally interesting to me: why have others chosen not to come?
Two, I know, are disabled by mental illness. A third, with whom I am closer now than fifty years ago, told me she could not imagine a more distressing experience than to return to the terrain and personnel of her schoolday trauma. Having rebuilt herself from her remains, she has retreated to another state where she rusticates and has some peace. She begged me not to press her to come. She forbade me to explain. The committee was to erase her contact information. This friend would be astonished to know how many missed her, how many wondered aloud about her. In the face of this goodwill it was difficult for me to hold my peace. I fed friends scraps: She’s doing well…she couldn’t make it…
In the course of the reunion, another – likewise closer in adult life than in school days – turned up unannounced and stood at the rear, listening to the few speeches. The longest speech was my elegy for the lost. Upon completion of kaddish my friend turned and left in silence.
Not everyone won academic laurels. Not everyone had a stellar career. Some of those present at the reunion, vibrantly present, knew their unsuccess didn’t signify. As we toured the school, one removed his adhesive lapel tag and placed it between the names on the Honour Board. There he was, Dux of Mount Scopus College, now, after fifty years. There he was among us, huge in his mirth and delight.
There would be some who decided not to attend, conscious of ‘failure’ – in career, in material status, in family – unaware that no-one measures any more, no-one judges. We missed them.

***

What is the measure of the years? After fifty years what does it mean? I imagine the survivor of the Shoah washing up on this godforsaken Jewish wilderness, this godspared paradise, looking around, looking forward, never backwards, no never back to those places, those times. He stands, he mates with another survivor. Together they work, they scrape, they venture, they struggle and persist. They raise a generation, often of one only child – the previous children lost, burned – they find the tuition fees, they send the child to Scopus…

The Scopus of today dazzles. I venture to suggest there exist university campuses in Australia which would envy the facilities and the faculty of this school.

In all the vivacity of this evening, the buzz, the energy of this still radiant class of ‘63, in all the softening, the love, there abides among us grandparents the uneasy understanding that a Scopus education is beyond the means of many of our children to provide. Some of my contemporaries, I know, quietly pay their grandkids’ fees. Others work for the school, raising funds for scholarships and bursaries.

What would the founders say? Would they count Scopus a success if the rising generation were locked out?

Broaden the Intervention?

I am working in my general practice in the CBD when the phone rings. The receptionist’s voice is urgent: Howard, there’s a man collapsed outside on the street. Can you go?

I can. Grabbing a few tools, I race out into the street where a small crowd is gathering around a man in a suit. He lies flat on his back on the footpath outside the bookshop. Behind his head is a cylindrical object in a brown paper bag. Liquor leaks through the brown paper.

The man lies hard against the foot of a large window displaying the cream of our written culture. The man would have leaned against the window for support, fallen and stayed where he fell.

The man lies, motionless. The authority of my stethoscope opens a space for me between spectators, ambulance callers, vociferous suggesters, silent gawkers, head cradlers. The stethoscope reassures, the suggesters fall silent.

The man we all regard, the man we all fear, does not respond to questions. Nor to deep pressure of my thumb against his forehead. He lies insensible in Martin Place, grunting his shallow breaths, creased face purpled and puffy, grey hair, grey suit awry. Beneath my finger a thin pulse beats, fast and feeble.

His breath is a brewery. The wrist in my hand is criss-crossed with ancient slash marks, white against ashen skin.

It is 10.00 a.m.

This is a human person of my age, nameless to us, nameless to himself, his being reduced by alcohol and secret griefs.

The ambulance arrives and I go back inside.

*** Continue reading