By The Flying Child
A young woman turns up at A and E and seems a bit confused. She has a headache and is complaining of feeling a bit nauseous. The doctor sits patiently and listens to her intently as she describes her symptoms. He asks her to walk across the room and carefully observes her unsteady gait.
‘Ah ha!’ he exclaimes, ‘I’ve got it. You’re finding it hard to walk properly so I diagnose a broken leg! A spiral fracture!’
The young woman is feeling so unwell and she’s relieved to hear him talk about treatment. She is eager to start. She would do anything to feel better and to be able to walk without falling down, and so, with her leg in a cast, she carries home her prescription of pills and with due diligence, swallows one a day, as instructed, despite the inner voice that knows her best, saying, ‘but are you sure?’
Two weeks later, the young woman is back. She’s still not able to walk steadily, and still feels sick and confused. Her head is pounding. She feels sick with pain. The doctor reassures her that some broken legs take longer to respond to treatment and hands her another prescription for stronger pain killers, and sleeping pills to help her sleep. He gives her a pair of crutches. ‘It’s a transverse fracture’ he says with conviction. ‘This will do the trick’.
Six months later he’s a bit perplexed. He has prescribed a new cast, extra-strong painkillers, sleeping pills and anti-anxiety medication – and nothing is making the slightest bit of difference. The young woman still can’t walk from one side of the room to the other without falling over. ‘Well this is a tricky case,’ he says. And the young woman decides to come clean. She felt too embarrassed before to say that she thought the problem might be an injury to her head. She tells the doctor that she was hit on the head as a child, repeatedly, with a brick by a person she loved and that she hadn’t known how to tell him because of the shame. Because it was hard to explain. Because she was afraid of what he might think of her and her family. The young woman feels relief when the truth is out as this has been a heavy secret to carry and she waits for the diagnosis to change, and for the treatment for her injured head to begin.
‘I’m sorry to hear that,’ says the doctor, and then to her surprise he adds, ‘but you are still having this problem walking. We need to sort this out. I think we need to amputate the leg. It’s the only way I’m afraid. Sounds drastic, but others swear by it. You’ll be up and about in no time at all!
The young woman can’t believe her ears. None of this makes sense. ‘But what about what I just told you?’ she asks the doctor, and she refuses to give her consent to amputate the leg, despite his cajoling.
‘There is no more treatment’ the doctor says. ‘I therefore diagnose you with a disorder of the leg that is severe and enduring. You will never recover, or indeed live without community support or medication to manage the symptoms’
The young woman says goodbye to the doctor and walks unsteadily out of the hospital, throwing her cast, crutches and pills into the bin on her way out. (Apart from the anti-anxiety pills which she hangs on to as she’s feeling extremely anxious about her predicament)
Eventually, after a lot of searching, the young woman finds a head injury clinic. The head injury specialists know the right treatment but it takes a lot of time . They teach her how to rest and care for her head, in the way she avoided in the past because she didn’t like to think about the past, or even acknowledge that she had a head at all, and in the end she makes a full recovery. They tell her that every now and then, the sickness and headaches may return. They tell her not to be surprised if her body reacts to seeing a person, or a brick, or if she reads a story about a child being hit over the head. ‘If you react to this’ they say, ‘if the headaches, sickness and unsteadiness return, it’s perfectly normal. It doesn’t mean to say you need a cast or crutches for your leg. You now have the wisdom and tools to know what to do’, they tell her.
‘Of course’, they remind her, as she walks steadily out of the door, ‘this doesn’t mean that there’s no such thing as a broken leg, or that you will never break your leg. If you do, by all means seek treatment to heal it.’
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