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Foreword by Andrew Marr

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If a book makes you cry, properly cry, and if it makes you laugh, repeatedly, both quietly and loudly, then it’s safe to say this is probably a good book. This is probably a good book. Melanie Reid is already a star writer for anyone who regularly reads The Times. The horse-riding accident which rendered her tetraplegic gave her a ferociously hard, painful and difficult journey; and also, a seemingly inexhaustible subject for brutally self-revealing and often very funny columns. Mel, as her friends call her, is not an excessively inhibited person. She has a big laugh, and a generous, clear-sighted gaze. Here, in book form, you get the full story of her almost mundane accident and its awful consequences. It’s her story, of course, with her special particularities – her beautiful remote Scottish house, love of horses, gruffly charismatic husband, and so forth.

But it’s also a story for all of us, because we are all vulnerable. Life is incorrigibly random. Broken necks await us on school runs, uneven garden steps, family skiing holidays and at the shallow end of swimming pools; just as major strokes can happen, bizarrely enough, on rowing machines, at the basins in the hairdressing salons, or at either end of an international air flight. You never know. But, as Melanie puts it, our experiences of life are divided into an upper world of unconsciously elegant health and strength, of striding and stretching and elegant gestures we are barely aware of; and the lower, underworld, of the disabled, struggling to dress, and move, to eat and defecate. Anyone of us can be in the upper world, and then suddenly come on a completely ordinary sunny morning, tipped without a moment to complain or protest, into the underworld.

I am not as seriously disabled as Mel, but I have partial paralysis of my left leg, arm and hand and have had to go through, in a minor way, some of the tribulations that she has faced. Her description of the move from the warm cocoon of intensive care into the tougher rehabilitation wards of hospital, a place where the gym, bathroom, functional electrical stimulation and playdough all have a special meaning, returned me immediately to the wards in which I recovered from my stroke almost six years ago. She writes brilliantly about the characters of the different forms of nursing and medical staff, and the way black humour and grim solidarity knits together recovering patients still bemused about what has happened to their lives. (Though when this happens in Glasgow rather than London, the quality of humour is much, much higher.)

For tetraplegics, the road must be particularly rough. The rule she says is adapt or die: ‘A rehab ward in a spinal unit is like an under-strength factory floor: too few staff battling to a relentless timetable of feeding, medicating, washing, toileting, dressing and hoisting dozens of helpless carcasses into wheelchairs to get them to the gym.’ And then, if you’re doing well, come other multiple terrors and challenges of returning home and rebuilding life. Melanie Reid writes sensibly and well about thoughts of suicide, about depression, about the frustration of media-hyped ‘medical breakthroughs’ that never quite translate into helping you yourself; and unsparingly about the daily frustrations and humiliations of disabled life. For what it’s worth, I too have found myself screaming with rage from time to time having dropped yet another utensil on the kitchen floor.

So in that sense, these are really ‘Notes from the Underground’; and why would you want to read that? The answer is not only that you might find yourself in just the same place, but that Melanie is such a good guide in how to survive it. She knows that although the subject of disability might seem depressing and offputting, the courage it requires is exciting and inspiring. What she has gone through requires no less physical courage and determination than being imprisoned in a wartime prison camp – a parallel that hovers at times through the writing, but is no hyperbole. She rightly quotes the great English vicar-philosopher Sydney Smith on the importance of taking a short view of life: ‘Are you happy now?’ She understands the absolute importance of shunning the lethal beckoning poison-fairy of self-pity. As she says: ‘you learn, very slowly, to rediscover joy’.

On that journey, here, you’ll find some of the funniest and darkest comic scenes you have ever read, from a surreal encounter between the author in her wheelchair and a group of special needs adults, all of them on days out at a bowling alley, while they work out who is lowest on the pecking order. And then there is the scene in the hairdresser’s with the colostomy bag … But I will leave you to discover that for yourself. For what I think has saved Mel, apart from the love of strong people around her, is that she is such a natural and gifted writer. Early on she says, while still in the entrails of intensive care, ‘My sanity was … to make sense of it to myself … it was good copy.’ And so it bloody well was. The real reason we read is to get an injection of empathy; to help ourselves break out of the shell of our own experiences, and enter other human lives, so that we can understand this business of being alive just a little bit better. To do that we need really good writers on really big subjects. No, this is not probably a good book. It really is one, and reading it will change you.

The World I Fell Out Of

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