Back Going Under Save as PDF
Chapters (70)
  1. COVER PAGE
  2. ABOUT THE AUTHOR
  3. DEDICATION
  4. PROLOGUE
  5. PART I BIRTH
  6. ONE
  7. TWO
  8. THREE
  9. FOUR
  10. FIVE
  11. SIX
  12. SEVEN
  13. EIGHT
  14. NINE
  15. TEN
  16. ELEVEN
  17. TWELVE
  18. THIRTEEN
  19. FOURTEEN
  20. FIFTEEN
  21. PART II LIFE
  22. SIXTEEN
  23. SEVENTEEN
  24. EIGHTEEN
  25. NINETEEN
  26. TWENTY
  27. TWENTY-ONE
  28. TWENTY-TWO
  29. TWENTY-THREE
  30. TWENTY-FOUR
  31. TWENTY-FIVE
  32. TWENTY-SIX
  33. TWENTY-SEVEN
  34. TWENTY-EIGHT
  35. TWENTY-NINE
  36. THIRTY
  37. THIRTY-ONE
  38. THIRTY-TWO
  39. THIRTY-THREE
  40. THIRTY-FOUR
  41. PART III DEATH
  42. THIRTY-FIVE
  43. THIRTY-SIX
  44. THIRTY-SEVEN
  45. THIRTY-EIGHT
  46. THIRTY-NINE
  47. FORTY
  48. FORTY-ONE
  49. FORTY-TWO
  50. FORTY-THREE
  51. FORTY-FOUR
  52. FORTY-FIVE
  53. FORTY-SIX
  54. FORTY-SEVEN
  55. FORTY-EIGHT
  56. FORTY-NINE
  57. FIFTY
  58. FIFTY-ONE
  59. FIFTY-TWO
  60. FIFTY-THREE
  61. FIFTY-FOUR
  62. FIFTY-FIVE
  63. FIFTY-SIX
  64. FIFTY-SEVEN
  65. FIFTY-EIGHT
  66. FIFTY-NINE
  67. SIXTY
  68. EPILOGUE
  69. AUTHOR’S NOTE
  70. ACKNOWLEDGEMENTS

I don’t know why I keep saying ‘we’. It isn’t as if I’ll be performing these amazing, death-defying surgical feats. I’ll be snipping a stitch or two, if I’m lucky.

‘If I mess this up,’ he says, ‘they’ll tell me I can never perform this kind of operation again.’

‘What?!’

‘Welcome to the hospital.’

For a moment when I look at him the windows open. Light shines into my eyes and I see the struggles, the victories, the weight of being a surgeon performing the most difficult operations in the world. I touch his feelings and, strangely, they feel just like mine. In the hierarchy of medicine, I’m nothing and he’s everything, and yet here we are.

I swallow and look away. You’re nothing, I remind myself. You are a lowly intern who has only just mastered the art of cannulation. You can’t make a difference, and your opinion doesn’t matter.

‘Actually …’ I start speaking then stop, feeling a bit embarrassed.

He looks over at me. ‘Yes?’

‘What’s a ventriculoscope?’ I ask, annoyingly feeling myself start to blush.

He smiles. ‘Usually we use it trying to resect a colloid cyst,’ he explains. ‘They live in the anterior part of the third ventricle, block off the foramen of Monro and cause hydrocephalus.’

I nod, pretending to understand.

‘Well, this tumour, unusually, is in almost the same place as that. It’s better to go in and have a look with the scope and try to remove it that way. If we can’t, we can convert to an open craniotomy later.’

‘Gee, sounds … hard,’ I say, having nothing more meaningful to add.

He laughs. ‘It is. The major risk with either approach is, like we said at the meeting, damaging the fornix. That could render the patient with terrible short-term memory impairment.’

‘That’s why the other surgeon said he’d be a goldfish.’

Dr Prince half smiles, half grimaces. ‘We need to think of better comparisons. But, yes, the risk of the goldfish outcome is higher with an open approach, so it’s better to have a look first with the ventriculoscope.’

‘I sort of get it,’ I say.

‘Come into theatre this afternoon and you can see it all first hand,’ he says lightly. ‘It’d be good to have you there.’

‘It’s not like I can make a difference,’ I protest, rolling my eyes. ‘No one cares if I care. I’m just a shitty intern.’

‘I was an intern once too,’ he points out. ‘Come along.’

image

Even though I’d meant it when I said that no one cared if I cared, as I stand in the operating theatre later that day watching the surgeons use the scope to look into Mr Wilde’s brain, I can’t help but feel as if caring does matter. I see the red mass of the tumour and even to me its ugliness is confronting.