Is this a sin?

I have jaywalked through my life, taking short cuts wherever possible. Three weeks ago I was stopped short. Three weeks ago I walked into a car driven by a young P plate driver who herself was in a hurry. We met in the middle. Her life has moved on, it seems, but mine has stopped, if only temporarily. I broke my leg. Up high under the kneecap, a crack along one side of the long bone, my tibia.

Is this a sin?

I grew up in the spirit of the Catholic Church in a religion that held sin to be a voluntary act that came in two forms – the venial and the mortal.

Venial sins were easy to tackle. Off to confession, confess and be free of your sins after a few prayers, as determined by a priest in black, who absolved you without question, that is as long as the venial sins were of a generic nature – sins of disobedience, lying, stealing and the like.

Serious sins, the mortal sins, tended to be the sexual ones, those of impure thought, and impure thoughts covered a broad spectrum. Murder, eating meat on Fridays, missing Mass on Sundays or failing to fast for at least three hours before taking Holy Communion were also mortal sins, but in a clear cut, black and white way.

The line between the venial and the mortal blurred however when it came to impure thoughts because venial sins happened more by accident, as if without proper intention, but impure thoughts, loaded with intentionality, carried more weight.

You should be able to eradicate such thoughts and if you entertained them, if you allowed them to flourish in your mind, then you were indeed a sinner.

I could not sleep last night. My husband snored. My foot was hot. I could not switch off my mind. I was restless. This sedentary life does not suit me. There is an absence of any sense that I have something to look forward to beyond the next ten days and the next trip to the surgeon. My life is bracketed by this broken leg.

My husband tells me he dreamed last night that I had been kidnapped and he had been terrified for himself and for me.
‘You have Stockholm Syndrome’ he said to me in his dream. Stockholm syndrome develops when someone becomes attached to her jailer and persecutor.

I thought of my leg, my attachment to this part of my body by which I am held ransom. I cannot escape. I am tied to it, as a child is tied to her mother’s apron strings.

We visited the surgeon again on Thursday, nine days after our last visit. We had booked an appointment for the Tuesday but his secretary rang to cancel. He had a funeral to attend.

I had looked forward to the visit all week. We went first to medical imaging for the mandatory x-ray of my leg then off to the private consulting suites to see the surgeon.

He is running late. An early morning meeting at the Alfred, his receptionist says. He is now caught up in traffic on his way back.

The surgeon appears. He looks at the x-ray.
‘Where are we now?’
I tell him three weeks on Saturday.
‘Right, then I’ll see you in another ten days.’
Ten days before he wants to see me again, and the surgeon has not so much as looked at my leg, not once. He has not laid his hands onto it in any way, shape or form. He looks only at the x ray of my leg that stands silhouetted against the bright light box on his consulting room wall. He looks at this dark shadow on the wall and pronounces that I am doing well.

He speaks into a Dictaphone, his mouth close the recorder,
‘Elisabeth H is doing well, the bone is holding.’ He turns to me. ‘Ten more days and then we can get your knee moving.’ He smiles.

Small signs of progress. I wonder that I even needed to attend for this visit. I could have stayed at home, organised the x ray from elsewhere and sent in the film in my place.

I am sensitive to my transference to this doctor. I want to engage with him beyond a peremptory chat about the bone in my leg.

Before we leave, the surgeon jokes about the brace and tells me that it makes me look like a ‘dominatrix’.

The surgeon is married to a psychiatrist, he tells me, after I tell him that I work as a psychologist. ‘What sort?’ he asks. I mention psychoanalysis and the surgeon jokes that I should see some of his colleagues. ‘Personality disorders,’ he says. Then as a final after thought he adds, ‘surgeons cannot afford to have too much insight. It interferes with their work.’

Psychologists used to present Rorschach ink blots to test for personality attributes, these days they offer photographs of typical family scenes, a kitchen table, people gathered around, and they then ask the interviewees to describe what they see. The same family can become a family riven by conflict, a family drowning in grief, a family of strangers.

The same family can be in equal parts happy, in equal parts sad. To one onlooker, the older male figure is malleable. To another, he is a despot.

We see what we see from behind our eyes, from within our minds and not so much the ‘facts’ of the picture, when we are given permission to imagine.

There is room then in our imaginings to see all manner of things that invariably arise from within our own experience. We can only imagine from our experience, however wild and woolly our imaginings, because we come with a past, and an unconscious that is fuelled by experiences that go back to infancy including, the primitive thought processes that existed then, within our pre-cognitive minds, before we could think, when we were a mass of sensations, a body without clear form, arms legs mouth, teeth, tongue and inside. Skin, hair nails, fingers, toes taste smell, sight of objects as yet undefined, wordless, reliant on another or others outside for our very survival.

This dependence, this at one time persecutory, and at other times bliss-filled state of infancy stays with us forever and can be triggered by images, tastes and smells and all manner of experience in later life, but later filtered through our conscious mind, our thinking mind, our ego, as Freud would have it. Filtered as well through our super egos, our consciences, often into states of guilt.

The surgeon fingers my brace. ‘It makes you look as though you’re into S and M.’

I had not entertained such a thought till then, and wondered about the surgeon’s self-confessed lack of insight. Jokes can be revealing.

Certainly, the process of recovery from a broken leg has its masochistic moments, though perhaps not of a sexual nature, unless we dig deeper and reflect on the helplessness of it all. A turn on for some perhaps, but not for me.

Now I should not reflect on this further or my sin of jaywalking will slide into one of impurity, and that will never do.

She sees things that are not there

Cabrini Hospital, Sunday.
I sit in a chair beside my hospital bed, my foot propped up on a stool, elevated with a pillow. I cannot get access to the Internet because the server for Cabrini hospital cuts out from time to time and now at nine in the morning is one of those times.

I sit opposite a woman named Doreen, the bane of my life since I arrived here, not only my life, but everyone else’s in this ward, staff and patients alike.

A few days ago, Doreen had a hip replacement that went wrong. It popped out and they needed then to repeat it. Two anaesthetics in close succession. Doreen came out of it all with a new hip and a load of dementia.

She talks to herself incessantly, loud angry conversations.
‘Annette,’ she says, ‘Annette get me out of here. Annette, they’re trying to kill me. Annette they want to cut me into pieces.’

My usual supplies of compassion dwindle. Like the other two women in the ward after Doreen has gone on for an hour or two, particularly in the evening, when we are trying to doze off, we start to chastise her. We know it is useless. She cannot understand. Her mind is not her own. But her incessant shouting and calls for help leave us desperate.
‘Why don’t you just shut up,’ Elsie says. But Doreen uses the insult as further fuel for her delusions. We three other women in the ward are part of the conspiracy to keep her imprisoned. We are her jailers. We must be her jailers, Doreen tells us because we refuse to unlock her from her cage. We refuse to unlock the metal bars that imprison her on either side.

We talk to Doreen almost as an instinctive response to a voice that calls out and she responds because ours are voices in her ears, but she does not know to whom she calls.

I watch a new drama unfold as Doreen demands to go to the toilet. The nurse with the aid of a four-pronged stick tries to get her there but Doreen will have none of it.
‘I can’t get my balance.’
The nurse cajoles.
‘You’ve walked all your life,’ she says. But Doreen refuses. Back in bed, they fetch Doreen a pan.

Doreen, according to her daughter, Annette who visits in the afternoon, has been a strong and independent woman all her life.
‘It’s the anaesthetic that’s done this to her. She’s not my mum anymore.’ Annette turns her head to hide her tears.

Elsie is nauseous for some unknown reason. She has broken her pelvis. Her bed is diagonally opposite mine and I cannot avoid the sound even as I can avert my eyes. Two and a half kidney bowls of vomit, later and Elsie slides further down the bed, her face pale with pain and effort.

Between Doreen’s raving and Elsie’s vomiting, I am ready to scream.

Cabrini, Monday morning.

Doreen has just instructed a nurse to make a phone call to her daughter. Her memory absence is selective. She knew the phone number but needed the nurse to dial for her. She also has macular degeneration and spends a great deal of time plucking at imaginary threads in the air. Her fading vision combines with her paranoid delusions. She sees things that are not there.

Elsie and Lois discuss their belief that although Doreen talks about her son John, he does not exist. She has two daughters only, Annette and Trixie.
‘All I need now is to hear that that woman, Julia Gillard, gets up. That’ll fix my day.’
‘You can’t trust the media,’ Lois says.
‘But when it comes to someone stabbing you in the back or robbing a bank, who can you count on?’ Doreen chimes in but the other two ignore her.
I stay out of the conversation. I cannot bear to add politics to the mix.
‘If only they’d say you can stop voting once you reach a certain age,’ Elsie says. She resents compulsory voting. She resents change. She resents the idea that a left leaning government might retain control. It’s enough to set her vomiting all over again.

Each night they put Doreen in the corridor so that we others can sleep. From eleven last night was quiet. Quiet until 5am when they came in as usual to take blood pressure, temperatures and fill out their report forms. A typical hospital story.

Doreen is 82, Elsie is 84, and Lois the oldest at 86 has had a successful hip replacement.

Is this the future to which I might look forward?

‘Touch wood I’ve never had a broken bone,’ Lois says, and nods at my leg in plaster.
‘Neither have I,’ Doreen says, ‘but I’ve had a broken heart.’ It sounds almost poetic until Doreen begins to rant again about how ‘I got kidnapped and they dumped me here.’
‘You’re here so they can heal you,’ Lois says. ‘None of us wants to be here.’
‘They doped me. That’s why I’m like I am,’ Doreen insists.

No Temazapan for me that first night because my doctor, whom I had not yet seen, did not prescribe it. Painkillers only. I am off the painkillers, though they keep offering them to me, but I cannot get to sleep.

The night nurse, who alternates between the strict school madam full of prohibitions and injunctions and a kindlier soul, broke the rules and gave me one on the second night. I had cracked finally. The lights the constant chatter and the noise. I burst into tears, which I tried to hide from her, but even in the half darkness she must have seen.

I can imagine my medical notes – ‘patient distressed and agitated’. If my distress enabled the help I needed to get to sleep that night, so be it. Simply asking did not help.

Last night I felt like one of the three mutineers, determined to stand my ground in my bid for sleep against the constant onslaught of Doreen’s raving.

Cabrini, Monday afternoon.

Annette, Doreen’s daughter, arrives. Once again she goes through the painful process of trying to orientate her mother.
‘I’d rather die,’ Doreen says. ‘Don’t touch me. Who are you?’
‘I’m your daughter, Mum. You’re just floating around in your head, having one of your fuzzies, You’re just not yourself.’

Annette and the nurses encourage Doreen to eat and to walk. She refuses.

Three staff test Doreen’s ability to put her feet on the ground. They confer.

As the day progresses Annette finally begins to get some sense out of her mother. Doreen talks about nightmares that have felt so real she believed them to be true.

Midafternoon and the grey suited doctor arrives.
‘What have you been up to, you naughty girl,’ he says to Doreen. ‘Why didn’t you keep your legs in place? And where did that wedge go to? It’s supposed to stay between your legs.’

He draws the curtains around Doreen, while Annette stands outside. I cannot hear his words to Doreen only mumbles.’ The doctor draws back the curtain and turns to Annette,
‘She’s hallucinating.’ His tone is one that suggests accusation and disbelief.
‘We’ll just have to put the hip back in again.’

The doctor leaves. Annette turns to me.
‘Did you hear that? He blames Mum. As if it’s her fault. And now more surgery. Look what the last two times have done to her.’

It matters not. The doctor orders a psycho-geriatrician. He will keep a check on Doreen’s mind post surgery. He will review her medication.

That night after a third bout of surgery Doreen sleeps in the ward. She is sedated and snores loudly. I use earplugs and beg for yet another sleeping pill. I do not need or use them at home. But hospital care calls for drastic measures.

Cabrini Hospital Tuesday Morning, Home ward bound.

The doctor finally arrived to visit me last night after a two-day wait. He checked the results of my CT scan and has decided to keep the cast on for ten days to give the bone – my tibia – time to heal. If it moves, I will need surgery.

So at the moment I am home here on a couch, trusty laptop on my lap, my leg propped up and hoping that my tibia does not move.

I am free of pain, unless I move in particular ways and free of painkillers with all their side effects. I am more able to think, but I am unable to move with any vigour.

Judging by the experience of the other women in my ward I have little to complain of, except perhaps for what the future might hold should I be lucky enough to live that long.

No doubt this applies to all of us.