Читать книгу The Midwife’s Here!: The Enchanting True Story of One of Britain’s Longest Serving Midwives - Linda Fairley - Страница 11

Chapter Three ‘I didn’t expect to be looking after people who are actually ill’

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‘Lawton, attend to Mrs Roache in bed thirteen,’ Sister Bridie ordered. I hated the way she addressed us by our surnames, as if we were in the Army. I leapt to attention, nevertheless.

I was now a good few months into my first year of training. So far I’d had a trouble-free start to my nursing career. Soon after the eight weeks of study with Mr Tate, which were punctuated by visits to wards and units, I completed my first placement, which happened to be at the eye hospital over the road in Nelson Street.

We had no say in where we were sent for work experience, but I had no complaints and was quite happy dishing out eye drops, wiping down lockers and fetching cups of tea for patients, while at the same time learning how to sterilise equipment, organise the linen cupboard and generally keep Sister happy.

The only part of the work that worried me at the eye hospital was using the sterilising equipment. The machine was different to the bedpan steriliser I’d become accustomed to operating in the sluices at the main hospital. This one stood on a substantial trolley that was positioned right in the middle of the ward. It looked harmless enough, shaped like a small stainless-steel oven, but it hissed and bubbled as loudly as a witch’s cauldron.

I’d seen other nurses adeptly sterilising kidney bowls, syringes and needles, seemingly oblivious to the dangers of the swirling clouds of hot steam the contraption emitted whenever it was opened, but I was scared to death the first time I had to operate it by myself, jumping back in fright as the sweltering steam billowed into my face. I practically threw the instruments in, pulling my hand away and slamming the door shut in record time. It was a miracle I hadn’t been burned, especially as I had to repeat the process in reverse five minutes later, retrieving my poker-hot equipment with a pair of Cheatle forceps.

Needless to say, I soon got used to the steriliser, and by the time I left the eye unit I think I could have operated it in my sleep. My next placement was to be on Sister Bridie’s surgical ward.

‘Are you looking forward to it?’ Graham asked me the night before I was to start there, when he picked me up in his car and took me out for a coffee at a little snack bar in Piccadilly Gardens, up near the station.

‘Oh yes,’ I replied. ‘Very much so. The eye unit was good experience but it wasn’t exactly exciting.’ The fierce steriliser had been the only thing that made my pulse quicken. ‘I’m ready for the next challenge. A surgical ward should be very interesting. It’s a female ward and I expect women need surgery for all sorts of reasons. It’ll be good to deal with more than just eyes.’

‘That’s my little nurse!’ Graham said encouragingly.

‘I’m a bit worried about Sister Bridie, though,’ I admitted. ‘She’s Irish and a spinster, so I hear, and she seems terribly strict and bossy.’

‘Don’t fret. You were worried about the Matron to begin with,’ Graham reminded me, ‘and I’ve hardly heard you mention her since.’

‘That’s true,’ I said thoughtfully. ‘I guess I’ve learned that Miss Morgan leaves you alone as long as you keep your head, and your skirt length, down!’

‘Glad to hear it,’ he smiled.

‘Besides, you always know when Matron is on the warpath, as word spreads like Chinese whispers. “Matron’s coming, pass it on,” we say, and usually the entire ward is on best behaviour before she has set foot through the main doors.’

Sister Bridie worried me more, I realised. ‘I’ll be seeing her on a daily basis on the surgical ward, come what may. I’ve heard she used to be on the men’s cardiac ward, and she shouted so loudly at the student nurses that she nearly gave the patients another heart attack.’

Graham laughed and I joined in, seeing through his eyes how funny this was. He was a marvellous help to me. Despite the camaraderie I shared with Linda and the other girls and the endless encouragement offered by my mum on the phone and on my occasional weekend visits home, it was Graham who kept me going, always willing to drive up to the hospital two or even three times a week to see me and let me unload about my day.

Sometimes I cried in his arms as we huddled together in the hospital car park, because I was tired out and I missed him and my home so much. Graham always provided a good reason for me to keep my chin up and carry on. ‘Think how you’ll feel when you’re a qualified SRN,’ he would say. ‘We’ll be able to get married and get a place of our own! You’ve come this far. You can do it, Linda. I’m so proud of you. You were made for this job.’

Now he commented: ‘I can’t imagine you giving Sister Bridie any reason whatsoever to shout at you.’

I hoped he was right, and his words helped set my mind at ease a little. All I had to do was obey orders and work hard, and I had nothing to fear. ‘What doesn’t kill me will make me stronger,’ I thought.

Graham also used to chat to me about events in the news and life outside the hospital, which helped to put things in perspective. I was so wrapped up in my own life I hardly ever took time to read a newspaper. Sometimes I didn’t even breathe fresh air for days on end, as the nurses’ home was attached to the main hospital by a covered walkway. Graham was my reality check, my link to the outside world.

‘Life is full of ups and downs, Linda,’ he said. ‘You have to take the rough with the smooth. Look at it like this. One minute the country is on a huge high, ruling the world with the football. The next, something terrible happens, like the Aberfan disaster. That’s life.’

It was just a few months since England had won the World Cup in the summer of 1966. I’m not a football fan, but I remembered Graham proudly telling me that Geoff Hurst, our hat-trick-scoring striker, was a local man who had been born in Ashton. Then in October the terrible Aberfan tragedy had united the country in the most dreadful grief. More than 100 children perished in that Welsh village when a slag heap collapsed on their school.

Life can be very cruel, and plenty of people had it a lot harder than me; that was an absolute certainty. In the big scheme of things, Sister Bridie’s harsh tongue was scarcely a hardship, and I resolved to do my very best under her watchful eye.

The night before my placement on the surgical ward began I noted in my diary that, thanks to my gentle introduction to basic nursing at the eye unit, as well as Graham’s words of wisdom and encouragement, I was feeling much more settled, and my confidence was slowly building.

The hospital and nurses’ home are now very familiar, and the strict regimes bring a sense of order and security, which I find comforting. Graham hasn’t actually ever proposed to me properly, but I like it when he suggests we’ll get married one day, and settle down. I would like that very much. I have learned that I prize security over uncertainty, and I want to pass my exams and qualify, because then my future will be set.

‘Lawton, attend to Mrs Roache in bed thirteen,’ Sister Bridie repeated impatiently, even though I was already picking up the notes to obey the order.

‘Yes, Sister,’ I said politely, giving her a nod. ‘Right away, Sister.’

I thought about being strong and making Graham proud as I strode to the far end of the surgical ward. I didn’t want to make any mistakes here. Sister Bridie had split purple veins etched across her grey complexion. Her silver hair was wrapped in a tight bun and a single white whisker protruded from a stone-like mole on her chin. She was as round and squat as a concrete mixer, and when she barked orders it felt as if she was spitting gravel at me. Sister Bridie was not a person I wanted to cross.

I hadn’t been prepared for the strong smell on the surgical ward, like nothing I’d ever encountered before. It clung in the air, and I found myself trying to take short, shallow breaths through my nose so as not to experience the full stench. Breathing like that made me tense my neck, and I could feel my starched white collar tighten around my throat, making me slightly light-headed. I remembered Janice telling us how she had embarrassed herself by gagging violently in front of the patients when she had to collect used bedpans on her first placement, but this smell was different and at first I couldn’t identify it.

I could hear trolleys rattling hurriedly past, Sister Bridie pebbling other nurses with orders and the unmistakable, upsetting sound of ladies crying out in pain. Against this background noise, all I could think about was the inescapable smell sticking to every pore on my skin. It made me clench my insides, to try and stop the smell getting through to me.

Mrs Roache was lying on her back with her right leg in traction. She had been hit by a speeding car as she crossed the Stretford Road in Hulme to collect her pension, and her thigh bone was very badly smashed. The old lady was on powerful drugs to help her cope with the considerable pain. Her leg had been dressed and strapped into what I recognised as a Thomas splint, which ran from beneath her pelvis right down to her ankle. Poor soul, I thought. She looked a sorry sight, propped up on top of her bedclothes, her blue-rinsed hair still matted into an ugly gash in her scalp.

‘How are you, Mrs Roache?’ I smiled as I approached her bedside. She was a generously proportioned lady who gamely attempted a smile, but her pain got the better of her. ‘Been better, t’ be honest, Nurse,’ she struggled. ‘Can I have some more p-p-painkillers?’ She winced as she squeezed her lips together to suppress a moan.

‘That’s why I’m here,’ I soothed. ‘You’re ready for your next dose. If you’ll just allow me to help you tilt your head, I’ll pass you a fresh glass of water.’

I offered words of encouragement as she eagerly placed the two pellet-like pills in her mouth and swallowed them down in one tremendous gulp. I had learned that it is not uncommon for patients to be sick after taking painkilling drugs, and I had brought a vomit bowl with me, which I was holding in my hand.

‘They should start to work quite quickly …’ I began, but I was promptly silenced by the sight of Mrs Roache simultaneously retching and lurching towards me.

I froze and looked on in helpless horror as she valiantly aimed for the metal bowl but missed it completely. Instead, she vomited right the way down my arm, splattering the sleeve of my uniform, my cuff and my bare forearm simultaneously. The sight and smell of her vomit, not to mention the warm feel of it clinging to my skin, made my own insides churn. As Mrs Roache was sick again, this time directly into the metal bowl I’d let drop beside her, I threw up the contents of my own stomach right into the same receptacle.

‘I’m ever so sorry, Nurse …’ Mrs Roache apologised. She looked ashamed and forlorn, and I didn’t want her to suffer any further distress.

‘It’s no bother. I’m sorry too.’ I wiped my face with the hem of my apron and took a slow, deep breath to gather my composure before I began to mop up Mrs Roache’s chin with a tissue from her locker. ‘What a pair we are,’ I smiled at her. Nausea was swimming through my insides now and I desperately hoped I wouldn’t be sick again. ‘Give me a minute to clean myself up and we’ll start again, shall we?’

‘Thank you, Nurse, I’m ever so sorry,’ she said as I walked unsteadily to the sluice to dispose of the contents of the sick bowl.

I was burning with a mixture of emotions. I felt sorry for the poor old lady, who had suffered the most appalling injury, and I felt mortified by what had happened. My cheeks flushed and I found myself saying a little prayer in my head, and imagining God was holding my hand. This was something Sister Mary Francis had encouraged us to do at school whenever we needed a little help and guidance.

‘Dear God,’ I began as I held my nose and emptied the vomit into the sluice. ‘Please help me to be strong. This job is going to be harder than I imagined.’

I heaved, changed my apron and headed back to attend to Mrs Roache again. Sister Bridie was patrolling the ward now, and I had to look competent and in control, though I felt anything but.

In the bed next to Mrs Roache lay a distinguished-looking elderly lady called Mrs Pearlman. If my memory served me correctly, the patient notes I’d seen when I arrived on the ward told me she was Jewish, and she had a fractured pelvis.

She raised a thin arm to attract my attention. I stepped towards her with a smile and said, ‘How can I help? I’ll be with you just as soon as I’ve finished with Mrs Roache …’

‘There is no need, my dear,’ she said in a raspy whisper. ‘I just wanted to say I think you are doing a marvellous job.’

I felt humbled.

That night I sat on my bed and cried. I’d had a long soak in the bath but I was sure I could still smell poor Mrs Roache’s vomit on my skin. It mingled with the scent of the powdered Ajax and Lysol cleaning liquid we used on the wards, and the medicated pong of Izal toilet paper that hung in the air around all the communal bathrooms and toilets in the nurses’ home.

I was scrubbing my hair with Sunsilk shampoo for the third time when there was a knock on the bathroom door from Anne, who was politely wondering if she could possibly hurry me up so she could ‘de-hospitalise’ herself as well.

Her words made me think of the putrid smell that hung in the air on the surgical ward and I suddenly realised why it was worse than the usual hospital smell I was used to: it was gangrene. I hadn’t been able to identify it because I’d never smelled anything like it in my life before, but now it all became horribly clear. Mr Tate had explained that antibiotics were used to help prevent gangrene setting in, but they did not always manage the job. I remembered his words clearly and recalled wincing when he told us: ‘Gangrene occurs when body tissue and cells are no longer receiving blood flow and oxygen, and those parts of the body effectively die and emit a fetid smell.’

I was not familiar with the word ‘fetid’, though it was obvious it meant something unpleasant. As he spoke, Mr Tate was squeezing his upper lip between his thumb and forefinger, as he had a habit of doing, and I remembered feeling slightly queasy.

Now I felt a wave of sickness crash in my stomach all over again. I was so clean my skin was pink and shining, yet I still felt infected with bad odours. Fetid, I realised, was a polite way of describing the stench of rotting flesh. The patients on that ward had suffered horrific injuries. Beneath the assorted splints and dressings and Plasters of Paris, parts of their bodies were dying. I was repulsed. This job really was much harder than I’d thought it was going to be.

I cried and cried for hours that night, longing to go home so much it physically hurt. I had a deep pain in my chest. Each rib had hardened around my lungs and each breath I drew made me ache more.

Perhaps I could pack my suitcase and slip quietly out of the hospital in the morning? I allowed myself that fantasy, watching myself, in my mind’s eye, grappling with the heavy drawers of my wardrobe, removing my clothes silently and running off. I would leave my uniform behind, and as I slipped away Miss Morgan and Sister Bridie would become small, insignificant grey dots in the distance, never to be seen again. ‘I’m going home to my mum!’ I would shout, waving my John Lennon poster brazenly in my hand.

I knew it couldn’t happen like that. Even though I was still a very young eighteen-year-old, I was wise enough to realise there would have to be meetings and confrontations, soul-searching and contingency plans.

What would I do instead of nursing? How could I let everyone down? My parents were so pleased I had entered not only a respected profession, but the magnificent institution that was the NHS. They were delighted I would earn such luxuries as a staff pension and holiday pay, benefits not available to them as they were self-employed. I couldn’t upset them, certainly not without a back-up plan. Perhaps I should look into nursery nursing, which had crossed my mind when I first considered nursing. I imagined working with children would be a much more enjoyable job, but how could I change course now?

Graham would be so disappointed if I gave up nursing. He had joined the police force from school and had wanted to rise through the ranks, but health problems prevented him from fulfilling his ambition. Now he was making a very good job of selling second-hand cars, like his father, and he wanted the world for me. He would be sad if his little nurse faltered and failed, despite his optimistic predictions.

As I tucked myself in and lay awake in the dark, I felt another emotion: shame. I felt ashamed of myself for wanting to quit. I thought of poor Mrs Roache, paralysed in her hospital bed, unable to take control of her own destiny. She had been knocked down by a car and was in agony, but still she tried to smile at me. Still she made an effort. That’s what I had to do.

‘Please promise me, Linda, that you will always work hard for your living.’ I heard Sister Mary Francis’s words as I nodded off to sleep, and I told myself to keep going, just keep going.

The following week Nessa, Anne, Jo, Linda, Janice and I assembled in the schoolroom for some practical work. We were to be shown how to use a Ryles tube, which caused great excitement as we all enjoyed having hands-on experience. It meant we were progressing, taking another step closer to becoming qualified nurses, without the daunting pressure of being on the wards.

‘How are you getting on?’ Jo asked while we waited for Mr Tate to fetch the tubes from the store cupboard. We’d been so busy working on our separate placements, as well as studying, that it had been weeks since we’d had a proper catch-up. In the evenings we were completely exhausted, and all we wanted to do was get to bed as soon as possible to make the early starts more bearable.

‘I’m all right,’ I said, giving a thin, unconvincing smile. ‘The surgical ward with Sister Bridie is tough, though. I didn’t expect to be looking after people who are actually ill.’

I hadn’t meant to make a joke but Jo sniggered. ‘What did you expect?’ she asked, then added, ‘I know what you mean. I had no idea what I was letting myself in for either, not really. At the start I couldn’t see why we needed ten aprons, but I certainly do now. I’ve had two of mine covered in unmentionable bodily waste already this week. It’s disgusting!’

Jo explained that she’d done a bedpan round on the cardiac ward and had misjudged how full one of the covered metal pans was when she carried it rather too hastily to the sluice.

‘I think the poor man must have been hanging on to that lot for a week,’ she said, holding her nose dramatically and pretending to gag.

‘Once I’d changed and collected the next set of pans from the other side of the ward, I then managed to splatter myself in hot, orange-coloured urine. It was toxic, I swear!’

‘Yuk!’ I said, thinking Mrs Roache’s vomit didn’t seem quite so repulsive after all. ‘At least you can laugh about it.’

‘Needs must,’ Jo replied, somewhat begrudgingly.

Linda was looking very pleased with herself and couldn’t wait to tell us she had given her first injection the day before, which we were all quite jealous of.

‘What was it like?’ we chirped.

‘It was as easy as pie,’ she beamed. ‘Mind you, thanks to Sister Barnes I did have a whale of a man as my first victim. He said he didn’t feel a thing, which was hardly surprising with all that blubber on his backside!’

Sister Barnes was my favourite sister. I’d spent several days between placements helping out on her orthopaedic ward, and every time I saw her she was smiling. She was big and blonde and, unlike practically all the other sisters, she had a man-friend whom she mentioned often and was clearly very much in love with. Her happiness seemed to rub off on those around her and she had a wonderful, calming influence on her staff and patients alike.

I learned from a third year that Sister Barnes had trained at the MRI and was still in her thirties, making her one of the youngest sisters I encountered. She always made herself available to us young students, telling us that she remembered her own training well and was there to help. If we had any questions whatsoever, we were to knock on her door and simply ask.

I admired Sister Barnes and, despite my difficulties, I aspired to be like her. How wonderful it would be to become a successful sister like her, and inspire students in the way she inspired me! The thought cheered me up. Hospital life was tough, but that didn’t mean I couldn’t make a success of it and come out smiling, just like Sister Barnes.

I listened attentively as Mr Tate dished out the narrow plastic Ryles tubes, which he explained were used either to deliver liquid food to the patient, or to ‘aspirate’ or empty the stomach contents, typically before an operation.

‘I want you to practise in pairs,’ he said. ‘Nurse Lawton and Nurse Maudsley, here are your tubes.’

Jo and I looked at each other cautiously, but were secretly quite thrilled about this lesson. If we were to be let loose on the patients with Ryles tubes, we knew we must have earned some trust and respect from our superiors, and were progressing well.

‘Please watch very carefully,’ Mr Tate continued. He picked out a student from another group, a fashionable-looking girl called Cynthia Weaver, and he set about demonstrating how to insert the thin tube into her nose and throat and then gently down into her stomach.

As she lay with her head on a pillow on a low couch, I could see Cynthia clench her fists and bite her lips until they went blue as Mr Tate threaded and teased the tube patiently up her right nostril. He gave a running commentary about the amount of force and manipulation required at each stage.

There was no need for him to tell us when it had reached Cynthia’s throat and stomach because she gagged and wriggled uncomfortably, her silky bobbed hair dancing around the pillow.

It was my turn to be a ‘patient’ next, and I was thankful to have Jo, whose self-confidence never faltered, as my ‘nurse’. She proved quite adept at navigating my nasal passage and manoeuvring the tube down my throat, and I was surprised to find it didn’t hurt one bit. The sensation was completely alien to me, though, and my eyes watered and I began to heave as it passed down into my stomach.

‘Mission accomplished,’ Jo said triumphantly, while I swallowed a whole pint of water in record time to lessen the sensation and keep the tube in place long enough for Mr Tate to acknowledge Jo’s work.

I found it surprisingly easy to replicate the process the other way round, and Mr Tate congratulated us on our efforts. ‘Well done,’ he said. ‘Textbook work.’ He was always succinct in his praise, but it meant a great deal.

Janice and Nessa were paired together, and I noticed they were both very quiet. This wasn’t unusual for Nessa. She was probably the cleverest of us all and was always diligently focused on the job in hand. Janice, however, didn’t look her normal assured self.

‘Are you OK?’ I asked as we sat down later in the canteen.

We each had a plate of unidentifiable meat, grey mashed potato and pellet-like peas. It looked totally unappetising, but we usually managed to eat a huge helping of food at each sitting, followed by a steaming pudding with lumpy custard you could stand your spoon up in. No matter what it looked like we tucked in, knowing we needed all the energy we could get through the day.

‘Fine, I suppose,’ Janice replied as she forked her food into her mouth robotically and stared into space. There was a moment of silence before she added, ‘To tell the truth, I’m not sure this is the career for me.’ Pushing her half-eaten meal away she shrugged her shoulders and asked, ‘How about you?’

‘A bit the same, I suppose,’ I found myself reluctantly admitting. ‘When I did my first placement at the eye unit, I thought I was fine. The worst thing I ever saw was someone’s eyeball dangling on their cheek. The rest of it was all putting on eye patches, administering eye drops, sterilising needles, taking people to the toilet, helping them into the bath. They weren’t ill, not physically ill. Now it’s all gangrene and vomit and pain and suffering, I’m finding it hard.’

Janice surveyed me. ‘I think we’re different,’ she said. ‘You’re a naturally caring person, Linda. You’ve got what it takes. I can’t even stomach helping people have a bath or go to the loo. How can you touch their bodies and wipe their behinds? I just can’t do it.’

I had never seen a man naked until I worked in the eye unit. Even Graham’s body remained something of a mystery to me, though we’d been together for well over a year by now. A bit of hanky-panky was allowed but nice girls waited until they were married before having sex; that’s how I was brought up. Despite living such a sheltered life, naked bodies didn’t alarm me in the slightest, and it had never occurred to me to be squeamish about bodily functions. I had taken it in my stride and focused on what I could do to help the patients, not how I felt to see them with no clothes on.

Perhaps Janice was right, I considered. Perhaps I did have what it took to be a real nurse, but I think I still needed some convincing.

Back on the surgical ward the following week, I was relieved to be given the mundane task of tidying and wiping down lockers, disposing of wilting flowers and filling up water jugs. This gave me the chance to chat to some of the patients.

Mercifully, Mrs Roache was lying in what appeared to be a comfortable slumber, though how she managed it with that enormous splint on her leg I never knew. Mrs Pearlman, however, was wide awake in the next bed.

‘How are you, my dear?’ she asked me kindly. ‘You girls do work so very hard. We’re lucky to have such angels as you to care for us.’

Mrs Pearlman was a wonderful old lady. Well into her seventies, she lived alone after being widowed many years earlier, and had fallen down the stairs of her old miner’s cottage in Hazel Grove. Her pelvis was fractured in several places and she had been in hospital for weeks on end. She never had many visitors and I was amazed at how she remained so positive.

‘I’m very well, Mrs Pearlman,’ I replied. ‘How are you today?’

‘Fine, dear, just fine. I think the care I’m receiving here is absolutely first class. Do you know what is on the menu today? I had the most delicious roast chicken yesterday, and a roll of ice cream that melted in my mouth. Isn’t the NHS the most marvellous institution?’

Mrs Pearlman did wonders for my spirits, and I made a point of chatting to her every day. She wore a beautifully embroidered bed jacket and often asked me to comb her surprisingly thick hair, which was dyed jet black but now had silver roots showing.

In her day, I imagined she had been an immaculately groomed, fine figure of a lady, the sort who might run the local Women’s Institute group or sing in the choral society. I marvelled at how graciously she accepted her fate, lying in this bed, silver roots creeping longer by the day.

‘Lawton, there are three beds to be made. Help Bennyon.’

The Irish voice was sharp and it made my nerves snap. ‘Yes, Sister Bridie,’ I said, nodding a polite goodbye to Mrs Pearlman and scuttling to the other end of the ward, where Lesley Bennyon, a friendly second-year student, was holding a pile of linen.

‘Three gone in the night,’ she said sadly, eyeing the empty beds. ‘Mrs Hall, Mrs Atherton and Mrs Lloyd.’

Their faces flashed before me. All were frail and elderly and had a collection of badly broken wrists, ribs and collarbones between them. I opened my mouth to speak but no words came out. I wanted to say ‘I hope they didn’t suffer,’ but I knew, from the infections and smells and disturbing noises that inhabited this corner of the ward, that was highly unlikely.

‘It was their time,’ Lesley said softly, filling the silence.

Together we made the fresh beds with impressive speed, checking the corners of the sheets were tightly tucked and the counterpanes perfectly parallel, turning the pillowcase ends away from the ward door and twisting the wheels so they faced into the bed, for neatness and safety.

‘Neatness and safety,’ Lesley hissed to me, mimicking Sister Bridie’s Irish lilt. ‘You have to be neat and you have to be safe, to be sure! Don’t ever forget that, Lawton, or you’ll be struck down dead like these poor unfortunate ladies here, God rest their souls.’

I could sense Lesley had a soft heart and that this was simply her way of dealing with death.

‘You have to laugh,’ she said. ‘Or you’d spend the whole time crying.’

Despite being upset I gave a little laugh too, letting some of my tension escape, as Lesley wanted me to. Just then she leapt up unexpectedly and gave a little scream.

‘Arrgh! Not again!’ She rubbed her hands up and down her thighs and laughed awkwardly, as you do when you knock your funny bone. I leaned across the bed to place my arm on hers, to ask if she was OK, and suddenly I sprang up too, shooting inches into the air. A mild electric shock had run all the way through my body and, like Lesley, I instinctively began to rub my thighs, half-laughing and half-moaning.

‘It’s these ruddy suspender belts,’ Lesley winced. ‘Iron beds, prickly blankets and metal clasps on suspender belts are a lethal combination. Making beds in stockings should carry a “high voltage” warning! Come on, let’s go and sort out the linen cupboard. I think we’ve earned it.’

She gave me a little wink and I followed her through the ward and into the large linen store near the main doors. This was a godsend, I’d learned. Each ward had one, and it was a little haven where you could make yourself look busy and hide from Sister whenever you needed a breather.

‘Have you heard the gossip?’ Lesley asked when we were safely inside. She handed me a stack of pillowcases to fold, though they were already in a fairly neat pile. I was all ears.

‘Cassie Webster and Sharon Carter have been suspended for a month for stealing bread from the dining room.’

‘Never!’ I exclaimed, genuinely shocked. The hospital food was truly terrible. We lived on a diet of rubbery eggs and greasy strips of bacon for breakfast and the ubiquitous lumpy mash and unidentifiable meat for lunch and dinner. Afternoon tea was the only enjoyable offering of the day, when we had tea and fairy cakes and freshly baked Hovis loaves, which we slathered with jam and butter. Everyone tried to get to the first sitting for afternoon tea, else there wouldn’t be much left, but I’d never heard of anyone stealing the bread before.

‘Seems they fancied taking a couple of Hovis loaves back to their flat with them, and Matron, of all people, caught them red-handed! Walked right into them, apparently, as they smuggled them out the door, still warm and wrapped in their aprons!’

I gulped as Lesley continued the tale, knowing how seriously this offence would be viewed. ‘Matron was purple with rage as she marched them to her office, shouting as she did so. Nancy Porter heard every word and it’s gone all over the hospital!’

Lesley jutted out her chin, pursed her lips and pushed out her chest, Miss Morgan-style. ‘You have stained your reputations as upstanding, trustworthy young ladies!’ she mimicked. ‘Your mothers will be distraught when they find out about this disgraceful carry-on. Do not darken the door of the MRI for one month. You are suspended with immediate effect. Take the time to contemplate the error of your ways.’

‘Shhhhh!’ hissed a young nurse I’d never seen before, who suddenly loomed in the linen cupboard doorway. ‘I can hear you on the ward – and Matron’s coming!’

Lesley and I both fell into a heap, stuffing flannels between our teeth to stifle our laughter. We hid behind the door until the sound of Matron’s clicking heels subsided. We’d had a lucky escape and we wanted to keep it that way, so we held our breath as we strained to hear her distant tones telling some poor soul to report to her office at once. ‘It appears you need a reminder …’ we heard Matron saying before her voice faded away. No doubt she was going to deliver a lecture about skirt lengths or tidy hair, her two bugbears.

Before I finished my shift that day I went to see Mrs Pearlman.

‘Hello, my dear, I’m glad you’ve come,’ she said. ‘I have something for you.’ She reached for an elegant gold watch that was lying on top of her locker and held it out to me.

‘Oh, I couldn’t possibly …’ I began. I had never seen the watch before and I knew patients were not meant to have valuables lying about the place. I was pretty sure nurses were not meant to accept gifts like this from patients, either. I’d seen Sister Gorton confiscating bottles of sherry given as gifts to nurses at the eye unit, though rumour did have it that she was ‘fond of her drink’ and took the bottles home with her, whereupon they were never seen again.

‘Please take it,’ Mrs Pearlman said, clutching my hand and curling the watch into my palm. ‘You will make an elderly lady very happy. I want you to have it.’

I smiled and nodded awkwardly, slipping it into my pocket before thanking Mrs Pearlman politely and wishing her a good night. As I walked out of the ward I felt very uncomfortable. I imagined Matron striding up to me, her X-ray eyes zooming in on the gold in my pocket. ‘Explain yourself!’ she would bellow, I was sure of it. What if she thought I’d stolen the watch from Mrs Pearlman? My blood ran cold, and I decided to drop by Sister Barnes’s office on my way out, to ask her advice.

When I laid the watch on the table before Sister Barnes, I felt instant relief. ‘I didn’t want to offend her, but now I don’t know what to do,’ I explained.

‘You’ve done exactly the right thing in coming to see me,’ Sister Barnes smiled. ‘A small box of chocolates at Christmas is one thing, but a gift like this is something else. Your instincts are quite correct. I’m afraid you will have to return the watch to Mrs Pearlman and explain that, although you are very touched by her generous gesture, it is against the rules to accept gifts from patients, and you are sure she will understand that you do not wish to get into trouble.’

I exhaled rather more loudly than I meant to, releasing my stress.

‘How are you getting on?’ Sister Barnes asked thoughtfully.

‘Fine,’ I said.

‘Just fine?’ She raised an eyebrow quizzically.

‘Yes, it’s just … it’s harder than I thought it would be.’

‘I remember thinking the very same thing when I was your age,’ she replied. ‘You need to believe in yourself more. I think you have what it takes, but do you?’

I felt very small and meek besides Sister Barnes. My shoulders were hunched, my chin was lowered and I felt washed out with tiredness. She, on the other hand, looked vibrant and full of life. Her eyes were twinkling, and she had an energy about her that made me want to straighten my spine and pull my shoulders back.

Sister Barnes eyed me thoughtfully and then stood up and clapped her hands together twice, as if struck by a bright idea.

‘Come with me,’ she said cheerfully. ‘Wash your hands and put your apron back on. I have a patient who needs an injection, and I think you are exactly the right nurse for the job.’

My heart leapt. I’d been desperate to give someone an injection ever since I arrived, but until now the opportunity hadn’t presented itself. Sister Barnes was young enough to remember how much it means to a young student nurse to be trusted with a syringe and a vial of drugs for the first time. I was thrilled.

As soon as I saw the patient in question I allowed myself a wry smile, remembering Linda’s description of the whale-like patient who was her first ‘victim’. Mrs Butcher was the female equivalent and I knew exactly why clever Sister Barnes had decided to let me loose on this particular patient.

‘Mrs Butcher, Nurse Lawton is here to give you your injection,’ Sister Barnes announced as she pulled the curtain around the bed and asked Mrs Butcher to lift her nightdress and present her right buttock.

‘Is it the first time she’s given an injection?’ Mrs Butcher asked, surveying me suspiciously, no doubt because I looked so young.

‘Not at all,’ Sister Barnes replied. ‘This is a demonstration to show how proficient Nurse Lawton is.’

Mrs Butcher sniffed and rolled over clumsily while I reminded myself to seek out the upper, outer quadrant of the buttock as I’d been taught during our practice on oranges in the classroom. Moments later, I pushed the needle through Mrs Butcher’s extremely well-padded rump and administered the drug steadily, with surprising ease.

‘All done!’ I said triumphantly. I tingled inside. I felt absolutely fantastic.

‘Didn’t feel a thing!’ beamed Mrs Butcher, her face cracking into a satisfied smile.

‘Thank you, Nurse Lawton,’ Sister Barnes said. ‘Now you can pop back in on Mrs Pearlman before you finish for the day.’

I wanted to skip down the corridor, I felt so exhilarated. I didn’t, of course. I walked on the left-hand side, as always, but there was a different rhythm in my step. It felt as though I was bouncing along on fluffy carpets instead of stepping purposefully on the hard stone floor, and I was pretty sure my eyes were twinkling just like Sister Barnes’s.

By now, we student nurses had been working flat out for about ten months. Nights out were rare, as we were usually either working, studying or sleeping, but that weekend Linda and I went to a dance at the university. We wore red and yellow mini skirts that Cynthia Weaver had helped us make, after we each bought a strip of fabric in Debenhams. We’d discovered that Cynthia was a very talented dressmaker, making every stitch of her clothing by hand, which is how she managed to always be in the latest fashions. On her advice we teamed the skirts with floral blouses, and I wore my hair in two long plaits, secured with velvet ribbons. As a final touch I doused myself in a generous splash of my favourite perfume, Estée Lauder’s Youth Dew, cramming the turquoise bottle into my tiny macramé handbag so I could refresh it later.

Strictly speaking, you had to be a university student to go to the dances, but we never had any trouble getting in. Some of the young male students wolf-whistled or messed about making saucy remarks about needing bed baths when we told them we were nurses from the MRI, but it was just light-hearted banter. The students were always happy to help get us in, and would leave us to our own devices once we were through the door.

Sipping orange squash between dances, Linda and I sang along to our favourite records, ‘I’m Into Something Good’ by Herman’s Hermits and ‘Bus Stop’ by The Hollies. During the evening we gently unloaded on one another too, swapping tales of forgotten bedpans, muddled-up meals and grumpy consultants who mostly seemed to be cast from the same mould and thought the rest of us should treat them like gods.

In contrast, the university students looked as though they didn’t have a care in the world. It was as if they had never left school, yet here were Linda and I, on a night out and letting our hair down, yet not quite able to forget about work: the business of life and death.

‘So you haven’t managed to kill anyone yet?’ Linda asked me jokingly, at which I flinched.

‘Not quite,’ I stuttered.

A month or so earlier I’d had a dreadful experience when I was thrown in at the deep end on one of my first night shifts. I’d pushed it out of my head, but Linda jogged it right back to the forefront of my mind.

‘You have to tell me now,’ she laughed. ‘It’s written all over your face!’

‘It was awful,’ I said. ‘I can’t believe what happened. I’ve tried to blot it out!’

‘Go on!’ she said. ‘Get it off your chest.’

‘OK,’ I said reluctantly. ‘Here goes. I was looking after a man called Stanley James, and Sister Craddock had given me strict orders to keep an eye on his fluid intake. He was only allowed an ounce of water hourly, as he was due an operation the next day, and you know what a stickler she is for the intake and output charts.’

Linda rolled her eyes and nodded.

‘He begged me for more water but I told him he had to do as Sister ordered, and eventually he settled down to sleep.

‘I didn’t hear him stir for a while, but when I went to check on him in the early hours I found his flowers on the floor and the empty flower vase in his hands. He looked at me apologetically and said, “I just needed a drink, Nurse.”’

Linda gasped. ‘He’d drunk the flower water? Oh my God! What happened to him? Did sister blow her stack?’

‘She did. I was as terrified of what she would say as I was of what would happen to Mr James. Anyhow, I managed to aspirate most of it back up, but I had to confess all in my report. When Sister Craddock read it, she yelled at me: “He’s a very poorly man and you’re supposed to be keeping an eye on him.” She was so angry her face went red and it made her freckles join up into one big freckle. She kept shouting, “You obviously weren’t keeping an eye on him properly!” I thought she was going to suspend me.’

‘What happened to Mr James?’ Linda asked, eyes bulging.

‘He died the next day, unfortunately,’ I said. ‘Apparently he was a dreadfully ill man and it was unlikely he would have survived for very long, even after the op. That’s what Sister Craddock said once she’d calmed down. She was surprisingly understanding, in fact. The flower water wasn’t what killed him and she wanted to make that very clear. So to answer your question, Linda, some of my training has been a baptism of fire, but I haven’t killed anyone yet! And I’m very glad that Mr James got his last drink before he died.’

We linked arms and walked home at 10.45 p.m. on the dot, to be sure to get in before the 11 p.m. curfew, as the Student Union where the dances were held was on the far side of the vast university campus, about half a mile from the nurses’ home. The roads were quiet as usual, save for the occasional Triumph Herald and Hillman Imp that drove by. One cocky young motorist with a head glistening with Brylcreem gave us an admiring wolf-whistle and the offer of a lift, but we politely declined. We broke into fits of giggles as we watched him pull away, leaning over the passenger seat to wind up the window manually, which was impossible to do with any style.

A few students walked in front of us, merrily swaying and singing the song ‘We’re All Going on a Summer Holiday’. I’d seen the film with Sue at the Stalybridge Palace when it first came out in 1963, and I’d been a big Cliff Richard fan ever since. Graham had even taken me to London to see him in concert with The Shadows at the London Palladium. Watching the students, carefree and clad in brightly coloured drainpipe trousers and winkle-picker shoes, took me right back in time.

‘Look at them, they think they’re on Carnaby Street!’ I joked to Linda, nodding towards the students. She asked about my one and only visit to the capital and I enjoyed reminiscing about it.

I told her Graham and I had gone on a North Western coach from Stalybridge and stayed in a twin room at a rather seedy hotel near the Palladium, though of course we never ‘did’ anything in the bedroom. Instead, we dutifully went to see the guards at Buckingham Palace and walked hand in hand along Downing Street to pose for a photograph with the policeman outside Number Ten, which every tourist did back then before security was tightened up and the road was sealed off.

After that we strolled along Carnaby Street, admiring the fancy window displays and ultra-fashionable shoppers. London girls wore similar clothes to us – mini skirts, babydoll dresses with matching coloured tights, kinky boots and ‘Twiggy’ shoes with fancy buckles – but everything seemed exaggerated, somehow. The colours were brighter, the skirts shorter, the belts wider and the shoes shinier – or at least that’s how I remembered it. My eyes were on stalks the whole time, and Graham’s eyes nearly popped out of his head when he saw the prices of the clothes at the men’s outfitters Lord John, as they were far more expensive than in Manchester.

The concert was really great. A kindly usher noticed that Graham and I didn’t have a very good view from up in the gods and offered to move us nearer the front. Our new seats were practically on the stage, and when Cliff began to sing I felt as if he was singing just for me. It was very hot and quite stuffy, with dry ice and cigarette smoke filling the air, and by the end of the evening my mustard and black smock dress was thick with perspiration, not to mention the pungent smell of Capstan and Park Drive cigarettes. Graham was so hot he had to remove his tweed jacket and skinny-striped tanktop, but Cliff somehow remained cool and impeccably presented in his sharp-cut suit throughout the show. I adored him!

‘We’re All Going on a Summer Holiday,’ the students on Oxford Road continued to sing badly, jolting me sharply back to this Manchester night in the summer of 1967. I envied the students’ freedom, their joie de vivre. Just a year or so earlier I had left the Palladium singing that song without a care in the world, just like them. Now life had become much more serious, even though I was still only nineteen years old.

‘I guess we all have to grow up some time,’ I remarked to Linda wistfully, ‘but I feel so old compared to those students!’

‘Hey, we’re still “Young Ones”,’ she joshed, recalling another Cliff song, but I think she knew exactly what I meant. We were young, of course, but as student nurses we were no longer carefree.

The Midwife’s Here!: The Enchanting True Story of One of Britain’s Longest Serving Midwives

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