Beyond the High Blue Air Page 2
Ron sees our guests out while in a distant land Ben and Charlie are travelling over the mountains to Miles. Above them a rescue helicopter (red I imagined, but now I’ve seen the photograph I know it was white) is taking Miles low over the same mountains towards the waiting surgeons. In the helicopter the sound of Miles breathing on the portable respirator as his brain is silently bleeding and swelling, the noise of the blades chopping the air outside, the Austrian paramedics talking in low tones (or shouting above the noise?) working to keep him alive while below them the snow-covered Alps gleam in the late afternoon sunshine. Too terrible to think of myself vainly crushing peppercorns at the moment that he stood, thrilling with adrenalin, on the top of that ski slope, unaware he was poised on the threshold of consciousness. He fell to earth and only his brain was hurt; from such a height and at such a speed that it shattered in the crash helmet like an egg in an empty biscuit tin, shearing the axons and damaging all those fragile, magnificent neurons. And not a bruise on the rest of his body – how can one make sense of that?
Late that Sunday night we too fly over the mountains, enduring the banter of the easyJet air hostess and the jovial passengers setting off on carefree holidays. The children’s father, David, has joined us and landing at midnight, blank with exhaustion, we hire a car and drive through the bleak streets beyond the airport to the first hotel we come across. It looks brutal, an unloved concrete façade punctuated by straight lines of barred identical windows. The foyer is too hot and the man behind the reception desk ominously relaxed, as if he has been expecting us to arrive here in this place at this time. He leads us to our rooms through stifling circular corridors, the air as stale as a tomb.
The Austrian surgeon we telephoned from London before we left had advised us to stop on our journey overnight. Get some rest before you arrive, he said, it would be better for you to come feeling fresh in the morning. We will take care of him. He sounded concerned and kindly and we had not questioned his advice, but now I wish we had. Rest is irrelevant and anyway impossible; the only imperative is to reach Miles.
Lying on my back on the hotel bed in Munich, the day’s events sift down slowly in my mind like the last silent ashes falling after an eruption. Everything lies colourless, shapeless, now coated in a thick layer of dread. Through the window above my bed a pale sliver of moon gleams coldly; it will be shining down on Miles too, I think, and I sense the first tremor of a strange new anger. I’ve known that moon since early childhood, growing up on a farm in Africa hundreds of miles from any city; most nights were as black as pitch, but when the moon was up it shone with a fierce beauty that dazzled the African darkness. Later, when we moved to live by the Indian Ocean, it gilded and soothed the waves with its ethereal light. I felt protected by this moon of mine, felt a private oneness with its ancient, soundless presence that continued into adulthood. It is my childish secret, so that even living in London, on the rare nights it breaks through the cloud, I get out of bed and go to a window to let it drench me in its light. But now I find I can no longer look at it, cannot stand to look at it. Fuck the moon, I think, fuck the fucking moon; and feel betrayed.
After a fitful sleep I wake before dawn. In the grey half-light the plainly furnished room with its barred window could be a prison cell and with sudden, cold precision I know that my life before this morning is no longer accessible. A barrier has come down in the night; I have been shut off from the world as it was and which now appears so far removed, a distant, light-filled place of ease and foolish innocence. Across the room Claudia and Marina are still asleep in the narrow double bed. I don’t know what our future holds, but I can’t suppress a deep sense of dread that threatens to extinguish the hope I so desperately want to maintain.
An early breakfast in the empty hotel dining room and we set off in the car, soon leaving Munich behind us. We could be aliens in a spaceship, so unrecognisable does the world look as we speed through it, so safe, tranquil, ordinary, as though nothing has happened. I’m surprised people are not staring and pointing at us as we go by, strange creatures from a another planet gazing out on their ordered world of fields and forests and sturdy Bavarian farmhouses with smoke curling from warm kitchens into the pale morning air. When the mountains rise into view their menace seems equally unreal; they are where this thing happened to Miles and I marvel at their indifference, the carefree destruction at their heart as they tower so calmly over us. When finally Innsbruck appears spread out in the valley below us it could be a surreal postcard. Picturesque Tyrolean rooftops and glinting church domes just catching the light as the sun rises over the encircling snow-covered peaks, a macabre fairy tale scene in the midst of which Miles lies, injured and alone. Silence in the car as we descend into the town, each one of us tense, braced for landing. We have no idea, we have absolutely no way of even beginning to know, what we are about to face; the future is a void.
I
We have arrived too late. Everything has happened; we are simply witnesses to the aftershock. Charlie and Ben are waiting in the hotel foyer and the two young men, fit and tanned after a week’s snowboarding, are tense, tight-faced with the knowledge of where they are about to take us. They arrived in Innsbruck yesterday evening and were waiting at the hospital for Miles when he came out of the operating theatre. Ben says the sight of him then was too difficult to be able to describe it to us; he was glad we had not yet arrived.
I hate that I don’t have those memories. I wish I could see a slow-motion replay of the accident, see his face close up afterwards, know what was going through Miles’s brain as it was splintering – I cannot bear that it was unshared. I cannot bear the isolation of that moment, the loneliness: I imagine him falling like an abandoned astronaut, no longer tethered, his lifeline floating free as he sinks through dark galaxies and whirling fragments of comprehension that the world is disappearing far behind him. I wish I could have been there, to hold him and tell him how much I loved him, how much we all love him, how we would fight for him.
Ben and Charlie take us to the hospital. As we walk into the vast glass and concrete foyer of Innsbruck University Hospital I feel the air being sucked away from me. The floor rises in waves, the walls bulge in, I can’t breathe; I have to get away. Disembodied, I look down from somewhere high above us all and watch myself talking calmly to Charlie as he leads our small group through the crowd of people towards the lift, as though this were a perfectly ordinary thing to be doing this sunny morning.
We are sitting in a row in the waiting room, waiting. The room is silent, save for the dull hiss of oxygenated bubbles coming from the glass fish tank in front of us. Inside the tank tiny iridescent fish dart and swoop, up and down, backwards and forwards, their mouths gaping senselessly. The room is small and square, three walls painted a soft sea green and the fourth, adjoining the corridor alongside it, made of thick shatterproof glass. The fish tank sits on a plain black metal table pushed up against the wall and next to it there is a small wooden shelf with water jug, glasses and a telephone for visitors to announce their arrival. There are some metal chairs, cold to the touch, and the long wooden bench on which we sit as well as a wooden coffee table with brightly coloured Austrian magazines on it. At the end of the glass wall is a door with a small silver keypad next to the handle. It cannot be opened from our side without a code; we will have to be let out of this room when the time comes. Occasionally a doctor or a nurse passes by on the other side of the glass wearing cotton trousers and overshirts the same sea green as the walls. I notice they keep their eyes straight ahead, averting their gaze from us.
Only two people at a time can visit the ward, accompanied by a nurse. I go first with Will, down the corridor that we will come to know so well, stopping at the end to take out the plastic aprons and gloves from their dispensers on the walls. Even more disoriented in this new uniform, we then turn the corner to face the ward. It feels as though we have entered an underwater world: tinted green glass divides cubicles and nurses’ sta
tions, and everywhere is silent save for the rhythmic tidal swish of respirators and the soft sonic keening of machines, like whale calls in the deep. Nurses and doctors glide through the rooms, serious, intent on the silent bodies each beached on their high beds.
As we reach Miles’s cubicle the dread of seeing him engulfs me. Will has his arm firmly around me as we enter what is – I sense it at once – a hallowed place, a shrine; there is an overwhelming impression of a warrior, wounded, suffering. Afterwards we discover that we all felt this same thing, felt the sense of spiritual power heavy in the room and that we were on the periphery of something beyond our mortal comprehension, as though Miles were absorbed in a conversation with Life and Death and we should not presume to interrupt.
He lies on his back on a high bed in the centre of the room, perfectly still. The stillness is terrible. His strong face, the one we are so familiar with, that we know to be so expressive, humorous, animated, is closed from us in a way it would not be if he were asleep. After a week in the mountain sun his face and neck alone are tanned, a clear demarcation line where the top of his tee shirt would have been. He always tanned easily and it suited his dark looks; now that demarcation line breaks my heart. A sheet has been placed like a loincloth over his middle, but otherwise he is naked, his muscular young man’s chest and arms and beautiful virile legs defying his injury. A multitude of wires and tubes connect his brain and body to the bank of machines and electronic charts behind him which are recording every tremor of his existence, tubes coming out of his nose, his mouth, the top of his head, his chest, his wrist; but his face, bruised down the right side only, is calm, his eyes closed, the violent new scar running serenely from his hairline up and over his partially shaven head and down to the base of his right ear.
He looks so strong, so healthy, in such fine physical condition. How can it be that only his brain is damaged, and quite so damaged? It is later we are told that he comes to be known by the doctors and nurses on the ward as The Athlete; the nurses flirt coyly with the word. But it is not just his body that is powerful; something is radiating directly from him, the air is thick with his presence.
Will and I stand silently, on one side of the bed. On the other a male nurse is filling in a chart. He finishes and turns to us, apologises for intruding at this moment but explains that because Miles is on a ventilator there must be a qualified person in the room at all times. His English is impeccable. A ventilator: I wonder what the word for it is in German. In whatever language it is a thing only ever glossed over, half imagined, in a fleeting glimpse of horror. An iron lung it was called when I was a girl and polio was the scourge of the age. I remember my childish incomprehension seeing pictures of people encased in them, as though they were in an iron suitcase like a magician’s accomplice, and the shock when told they could not breathe without it.
There is too much to take in. I bend down and kiss Miles’s cheek, then the other cheek, his forehead, his nose, his neck, his chest, but it’s no good, there are too many tubes in the way. I begin to speak, hesitantly, it seems difficult. We love you so very much, Miles. You know that. We adore you, we absolutely adore you. You know, don’t you, that we are all here for you. We can feel your strong fighting spirit, you are with us as you always are. You will be all right, you’re going to be all right, you are going to come back to us. I love you so very, very much, my extraordinary, precious, beloved son.
Who cares if I am gushing. Will bends to kiss Miles too. You’re going to make it, dude, he says quietly, you’ll be back. I love you, Miles. How gentle he is, this other precious son of mine, his gentleness intrinsic to his strength.
I need to ask the nurse some questions. The tube inserted into the top of his head, so dreadful to see, is monitoring the pressure in his brain and draining away the excess fluid to reduce the swelling. The tube in his mouth is intubation into the lungs from the ventilator; the one in his nose is intubation to his stomach from a bag of liquid food hanging on a hooked stand above his head. There are more tubes, for hydration, medication, monitoring the heart, a catheter draining dark yellow urine into a bag. The machines recording Miles’s new state of limbo could be the controls of a spaceship, the flickering lines and lights on screens recording his dislocated journey into the future.
The first time I cry is in the bend of the corridor on the way back to the waiting room, out of sight of the ward. Crying in a way I don’t know about, with great racked gasps. Will’s arms are around me and I feel selfish; he must be feeling this too, it is his brother he has just seen, his closest friend and companion, but he is comforting me. We return to the waiting room and I’m conscious of composing myself to face the others, our eyes meeting first through the glass wall as they search our faces for information in a way that will become our twice daily routine over the coming weeks. Holding hands, Claudia and Marina are now led by the nurse down the corridor to see their brother.
Tuesday morning, the second day. As I walk past the nurses’ station a young doctor comes forward and asks me if I am Miles’s mother. He hands me a copy of a letter received by fax that morning and tells me that the doctors and nurses have been reading it.
For the attention of the Family of Miles Kemp
We are thinking of Miles at this very tough time and wishing him the very speediest of recoveries.
Miles has been playing a critical role in one of the BBC’s most important projects. Throughout he has shown an intelligence, professionalism, commitment and charm.
Please let me know if there is anything we can do for Miles or yourselves at this time.
John Smith
Chief Executive, BBC Worldwide
I can’t control my tears. The letter gives Miles substance, a background, the importance of which we are only beginning to learn. In each new institution he will be admitted to in the months to come he will simply be another TBI, another Traumatic Brain Injury. He’ll have no history, no personality; all that defines him will be his sex, his age and his injury. The medical staff cannot know that he is thoughtful, funny, brave, kind, impatient and irascible. They can have no idea about his lived life, its failures and achievements, the way his energy and presence seem to contain some electrical force. The only story they will have in the notes that accompany him is that he once snowboarded, not that he likes boxing and playing poker, writing poetry and playing the fool.
Turning into Miles’s room now the shock of seeing him wired up and motionless on the bed makes a mockery of the letter in my hand. It was only ten days ago in the cosy sitting room at home with the fire lit and a glass of our favourite Rioja that we had a long discussion about his work and his plans for the future. After putting his fledgling company, K Tech, on ice two years ago he joined an international firm of management consultants and it was from there that he presented and won the account for them with the BBC. He had begun working at the BBC only a few months ago; he would be proud of this letter. Pulling up a chair next to his bed I read it aloud to him, and then I read it again, hopelessly searching his face for a reaction. Of course there is nothing, the softly flashing lights and the undulating lines on the screens above his bed the only proof that he is alive. He is there but not there, though a little part of me is certain he is listening and hearing me. I must hold on to this, my hope is tethered to it, a fragile skein of hope.
At the end of the morning visit we have our first appointment to meet Miles’s doctors. We are back in the waiting room, waiting in silence, for fear that if we speak our dread will spill out. The fish continue to swim in their tank, the overhead strip light glares relentlessly. This room feels like an antechamber to horror, the air heavy with the distilled fear of all the people who have waited here before us.
I need to clear my mind for this meeting, but it’s a scrambled mess of unfinished thoughts that keep sliding away, of questions I can’t frame. With grim relief I see through the glass wall two men in green surgical uniforms walking towards us. Neither i
s what I expected of a neurosurgeon, the older man with his ruddy jovial face and thick blond moustache, the younger man tall, tanned and athletic-looking, both more like men with outdoor pursuits than doctors. I suppose this is the Alps, I think, but Miles’s life is in their hands; I need to believe in them. When the older man introduces himself his voice is calm, authoritative, his expression no longer jovial as he looks around at each of us, one by one, taking us in. I am Dr Stizer, he says. I operated on Miles on Sunday evening. He had suffered a severe brain injury and was unconscious on arrival here. We removed a large piece of bone from his skull to relieve the pressure on his brain. He is now in an induced coma and breathing by means of a ventilator. We do not know at this stage what the outcome will be. He lifts his eyes to the ceiling and raises his arms, hands upturned, a gesture of supplication. It is in God’s hands, that gesture seems to say, and I think I don’t want it to be in God’s hands, look what’s already happened in God’s hands. He looks searchingly around at us once more and his expression is so concerned, so kind, that I can see he cares about the young man who is his new patient and he cares, too, about us. I understand the shock you are feeling, he says quietly. We will do our best for Miles. But now, please ask me any questions you may have.
Dr Stizer is a good man. But what questions? All that matters is, will Miles live? He cannot answer that.
Leaving the hospital together we walk in silence, each isolated in our need to comprehend what has happened. Below us the river Inn flows busily, people stroll past or sit at pavement cafés chatting in the sunshine, the mountains continue to sparkle under a cloudless Alpine sky. The serenity is monstrous. Claudia starts to walk fiercely ahead of us, then stops and turns to me, her face wet with tears: I’m going to take the cable car up the mountain, I need to be on my own. I’ll be back. She turns off to cross a bridge and disappears from sight. I look at Marina and her eyes are wide with pain as she says she will take a walk along the riverbank, giving me a quick kiss goodbye as she descends the steps leading down to the water’s edge.