Carmel
Naomi stayed awake longer the next time we visited. Her voice still had that awful rasp and she didn’t say much. But she did ask us about the accident. I felt a shrivelling sensation, but I knew I had to tell her. ‘It was after the barbecue,’ I said.
She didn’t show any glimmer of recognition.
‘You and Alex, a car crash.’
A flicker of alarm. ‘But…’ she said, then, ‘Alex?’
‘He’s fine,’ Phil said, ‘couple of broken bones but-’
‘Oh God!’ She made a retching movement. I reached to fetch the cardboard bowl from beside the bed in case she was sick, but she didn’t repeat the motion.
‘A crash,’ she said slowly. It was as if she couldn’t understand what we were saying.
‘On Mottram Lane,’ I said, thinking that pinpointing the location might help her.
She gave a little quick breath in and out, then said in a panicky voice, ‘I can’t remember. I don’t remember,’ louder, frightened.
‘Don’t worry,’ I said. ‘You banged your head, banged everything. It might take a bit of time.’
‘You remember the barbecue?’ Phil said.
Naomi’s eyes flicked from side to side. A trapped animal.
‘At Suzanne’s,’ he said.
She shook her head. ‘Why can’t I remember?’
I took her hand. ‘You’ve had concussion.’ I didn’t know how much to tell her: you died at the scene, they revived you there. ‘It’s amnesia because of the trauma.’ I tried to sound calm.
‘But it’ll get better?’ she said. ‘It’ll come back?’
‘Probably,’ I said. ‘We’ll ask.’ I nodded towards the nurses’ station. I wondered how much time she had lost: days, weeks, years? She knew us, knew Alex, so the amnesia couldn’t be that extensive.
She began to whimper again in pain; the dose of medicine they gave her acted quickly, and she soon became drowsy then slept.
The staff were brilliant but refused to give any prognosis regarding memory loss. Patients varied widely, the nurse said. The majority regained memory; for some it was gradual and could take weeks, while others recalled everything in one flash of illumination. A minority never recovered from the amnesia precipitated by the trauma. There were theories that it was the brain’s way of protecting them; the memories could be too harrowing to countenance. I didn’t say anything to Phil, but I knew Naomi’s memory might never return. A woman we were called out to, who’d survived a stabbing by her husband, was similarly unable to recall the attack itself or the immediate aftermath. The body is wise sometimes. After all, how grotesque would it be to have total recall of something like that haunting you day in and day out?
We argued about when to tell Naomi the full truth about the accident: that a little girl had died. ‘If she can’t remember, then maybe her brain’s doing that on purpose, waiting until she’s built up some resilience,’ I said.
‘Or maybe this is as good as it gets,’ Phil said.
‘She hasn’t asked for any details,’ I said. ‘She’s not stayed awake long enough, she’s not ready yet.’
‘But the longer we leave it, the bigger a shock it’ll be. We’ve always been honest with the kids, Carmel.’
‘I know, but she died, Phil, she… It’s too soon. Look, let’s ask the consultant, ask to see him and get his advice. If he thinks the timing’s immaterial then we’ll tell her everything.’
‘Okay,’ he agreed.
‘I told her it’ll be all right,’ I said, feeling my eyes prickle, ‘but it won’t be, will it?’ Even if she remembered everything, even if she healed completely, there was a little girl dead and the emotional burden that would lay on Naomi for the rest of her days.
He held me and comforted me. ‘She’s alive,’ he said finally, sounding gruff.
‘For now that’s all that counts. Yeah?’
The consultant, Mr Hakim, in effect told us to make up our own minds. He had no guidance as to what would be medically preferable. He’d given the go-ahead for her to eat and drink again, and she would soon be moved to a general surgical ward and assessed by physio and rehab, who would help plan her discharge. If all went well we’d be looking at weeks not months.
I was still reluctant to bite the bullet. Hoping that tomorrow or the next day it would all come flooding back to her and then we would do our best to help her to come to terms with what had happened. I just wanted her to be more robust, physically stronger to bear the impact of it.
Suzanne agreed with her father, ‘The sooner Naomi knows the truth, the better.’ I wouldn’t have expected her to say otherwise. Suzanne never puts anything off. There’s a bravery in that perhaps, a willingness to act immediately, to put a decision into practice as soon as it is born, but in this case I also felt there was a twinge of self-righteousness, a desire to punish Naomi for what she had done. Then I felt dirty for apportioning such motives to Suzanne, for seeing perverse intent when possibly she simply thought nothing could be gained by prevaricating. In my efforts to protect Naomi, I was thinking badly of her sister. As though they were either side of a see-saw and the only way one could rise was at the expense of the other.
‘A compromise,’ I suggested to Phil, after we’d asked Suzanne to honour our wishes and not give Naomi any details before we did.
I was putting things in a bag for her: nightdress and dressing gown, knickers, toothbrush and paste, socks and shampoo and conditioner. She hadn’t had a shower yet, but when she did, I thought she’d like some of her own things.
‘Once she’s out of intensive care, we’ll tell her then.’
‘And if she asks before?’ he said.
‘Yes.’ I put her hairbrush in and zipped up the bag. The room was messy, left just as it had been when Alex and Naomi had set off for the barbecue. Outfits on the bed that she must have been trying on, plates and cups on the chest of drawers. Alex’s jeans on the chair and discarded socks and trainers nearby.
My phone interrupted us. It was Evie. She was pleased to hear Naomi was awake and out of danger, sent her love, checked if there was anything she could help with, then spoke to me about work. ‘The thing you wanted me to check. It’s the Cottesloe hearing, Wednesday the sixth.’
‘Oh shit! I can’t miss that.’
‘You’ll be in bits.’
‘What time is it?’
‘Eleven.’
‘I’ll do it. It’ll be a right mess if someone else has to cover. I can’t not go.’
Ivy Cottesloe had been a pensioner, recovering from a stroke, supposedly looked after by her daughter and son-in-law, who had submitted her to terrible neglect and inhumane treatment. She was tied to her bed (the couple claimed this was to prevent her falling out) and starved. The couple withdrew her pension and savings and kept GPs, the pharmacist, neighbours and old friends at bay with a mishmash of lies and evasions: Ivy’s in hospital again; she’s at her sister’s; she’s too ill to come to the phone but I’ll tell her you called.
Her sister did eventually visit in person, travelling from Jersey, and when she was turned away it only served to confirm her suspicions that something was amiss. She spoke to the local police, who made a referral to the social work out-of-hours team. It was a Saturday afternoon. When my colleague and I arrived at the house, Ivy’s daughter told us she had moved. But she grew increasingly aggressive as we asked for more information, and it was obvious she was hiding something. When it became clear that we were not leaving until we had seen round the house – and that we were more than happy to involve the police if she prevented us – she began to backtrack: Ivy was demented, she had been refusing to eat, she wouldn’t use the commode, she was violent, we had no idea what it was like.
We found Ivy in the back bedroom. The stench was formidable. The woman was covered in open sores and lying in her own faeces, severely dehydrated and malnourished. Her sight and hearing had gone. Vomit rose up my gullet, scalding my throat and the back of my nose. I forced myself to swallow it. Rang the ambulance and the police.
Ivy died an hour after reaching hospital. A court case found the couple guilty of manslaughter. The hearing was intended to assess what lessons if any might be learned from the event. Should there have been professionals asking questions when Ivy disappeared so comprehensively? The sister’s enquiries had not been taken seriously for several months. And it appeared that there had been a breakdown of communication between the hospital and the community nursing service on Ivy’s discharge after her stroke. Why had that happened? And how could it be avoided in future?
You never forget something like that and there was no way I could tolerate the thought of missing the hearing and not contributing what I could.
Naomi
They are moving me to a different ward. I’m no longer hooked up to all the tubes and stuff. I’ve not been out of bed yet, though; even turning over is agony still, because of my collarbone and ribs, and I’ve got a cough. I try so hard not to cough. Now I can eat and drink, they let me have tablets for the pain instead of a drip, but they ration them out.
I smell awful. This sickly, sweaty smell. And my teeth are literally furry. How can the nurses bear it? If only I could have a shower. They took one of the other women yesterday. She couldn’t walk but they had her in a wheelchair and she was smiling when she came back. Said, ‘That’s done me the world of good.’
Along the corridor the light is blinding and we hit patches of cold fresh air. The porter wheels the bed along. I wonder where Alex’s ward is. Mum and Dad said he was here still. I’m so glad he’s all right. I want to see him. We’re soulmates. We have the same birthday, like twins. We look a bit alike too, the same height, both with dark hair, but his eyes are green, this amazing electric green. I could almost see Alex as my brother, not in a pervy incest-type way or anything, but we squabble sometimes like I did with Suzanne growing up, though not so viciously. We play-fight and then one of us catches this look, like a glint in the other’s eye, and then we’re in stitches. I’ve never laughed as much as I do with Alex. We’re friends as well as a couple. We like the same stuff.
He likes to argue. It’s his legal side. He’s really quick to spot things he sees as stupid or contradictions. Like how if it’s wrong to kill someone, then capital punishment is wrong too.
And the job! At last one of us with a job. A real job. It was getting pretty bleak there for a while. Sending out a million applications and not getting any replies. Slobbing off to the Jobcentre to be patronized by some idiot who keeps suggesting you update your CV or widen your options. What options? In the last six months I have gone for jobs at call centres, a packaging warehouse and a care home. Some options.
Mum’s face fell at the care job. ‘Oh, Naomi, it’s awful terms and conditions. They treat most of the staff like dirt.’
I told her not to worry. I wouldn’t get it. I was right. But then I got the classroom assistant interview. I’ve missed that, but at least I did get one. It’s not totally impossible.
Alex hates the whole circus, too. He did economics at A level as well as politics and law and Spanish. And the economics means he’s always arguing with the Jobcentre people about unemployment and the deficit and that.
‘They want to blame us,’ he said to me, ‘pretending that if we only had a bit more about us, nicer suit, brighter smile, we’d find work. Totally ignoring the numbers. Over a million out of work under twenty-four. Where’s the jobs?’
Him getting a job is our salvation. Even if I don’t find anything for a while, we’ll still be able to get a place of our own. He always wanted to do law, from high school, he says. He got a first at uni – really keen. He was chair of the law society and the debating society. I still don’t know what I want to do. It’s not like I’ve got a particular thing that I’m brilliant at. Or a passion like Dad and his music. They all had a career in mind: Mum, Suze, Jonty. Me – zilch. That’s why I did tourism and leisure. It wasn’t too specific. I was so sick of it by the end, but by then I’d met Alex and didn’t want to mess up and leave, and so I scraped by with a pass, a third class in my degree.
He went round firms in Newcastle trying to get an internship or a training place, unpaid if necessary. He was determined to get something, and when he didn’t receive any offers it drove him mad. I’d do anything just to pay the bills, but for Alex he also wanted it to be a stepping stone to achieve his real ambition, to be a lawyer. Things got a bit scary with money; there was no way we could manage on jobseeker’s and housing benefit. Didn’t even cover our bills. Alex had a credit card and he maxed it out. His mum ended up clearing it. Lucky sod. We were both pretty stressed out and we had a few rows, mainly about money.
When the nurses have gone, after I’ve had my checks and used the bedpan and got over all that and the throbbing pain has settled a little, I close my eyes and think. How hard can it be to remember? If I just focus properly… I tiptoe back along the tunnels of my memories, like exploring underground. Here is the moment I woke up in hospital. I was in the ICU. But behind that, before that, it’s a hole, like a bomb crater with ragged edges. I skirt around it. It’s a dangerous place; the ground is crumbling at the rim and I might fall in. It is a bullet hole in my brain, the flesh torn, the matter missing, a smudge of blood. Edging round the gap, I try from different angles, but my teeth are on edge and there’s a jittery feeling in my stomach. Any moment something could rear up and bite me, devour me. Am I too scared to remember the crash? Because it was frightening? I can’t remember any of it, sights or sounds, what the accident felt like; it’s like catching smoke.
And earlier, further down the dark corridor? Outside their house, Alex kissed me – yes. Were we coming or going? And food. Piles of food, lots of colours. So beautiful you’d think it had been airbrushed for a magazine. Was that the same day? It could have been some other time. Suzanne always goes all out for it; the way it looks is as important to her as how it tastes. I see the food and try and touch on something either side of that recollection, but there is only space, empty space, grey and swirling in mist. It’s like blind man’s buff, fumbling my way further back with my arms outstretched, fingers stiff, holding my breath. All the other players have gone and left me there, blindfolded, flailing like an idiot. I give up.
I try a rational approach: if we were at the barbecue, then we must have got ready beforehand. This thought produces sweet FA. No glimpse of what I wore or when we left or whether we took a bottle to contribute.
I remember hearing about the job, though! There like solid ground, land ahoy. I remember Alex getting back to ours, his face all bright, and yelling at me with excitement. Punching the air and shaking his head. And me running at him, launching myself at him, wrapping my legs around his thighs and clinging on, kissing. Kissing him. That’s it. Kissing him at home and then again at Suzanne’s… then the ICU. No stepping stones in between. The film stops running and there aren’t even any snapshots unless you count the food, and I don’t count it, it tells me nothing. Some crappy product placement: here is Suzanne’s feast! Cut and pasted on a blank page. So there is nothing until service resumes at the hospital.
I want to see Alex. I want to kiss him. Though the furry teeth need a deep clean first. I want to be better and go home and get on with everything. Looking for a flat or rooms in a shared house. And he’ll need to get some clothes: shirts and suits. God, sounding a bit Suze-ish there (she hates being called Suze). She chooses Jonty’s clothes, you know. Buys stuff for him.
Alex doesn’t understand it when I talk about Suzanne. He thinks she’s fine – maybe a bit scary, I got him to admit that much. He reckons I’m exaggerating the way she has to control everything and boss me about. He’s never experienced anything like that because he’s an only child. He only had his mum to quarrel with and they actually get on really well. She’s so proud of him and she worked and brought him up pretty much on her own, though her mother looked after him when Monica was away.
Alex thinks Suzanne’s funny, the way she criticizes people, and she can sometimes be very arch, dripping with sarcasm, though it’s not such a laugh if you’re the target.
It’ll be so cool to be on our own again. I hope I get a job; I’ll do anything really. I wouldn’t want to be stuck at home while he’s out in the world doing stuff.
I wonder who crashed into us?