My situation was serious, but even though I was very sick at the beginning, I wasn't at my sickest. That came later. When you're badly burned the critical time is not just the first couple of days but the weeks afterwards. How glad I was that I didn't know that then. As I struggled, I tried hard to think of better times, to escape for a few minutes. I'd recollect times in my childhood in England, like May Day. Every year on the first of May we'd celebrate leaving the cold weather behind and think of the warmth that was coming with summerâ¦
I see a girl of eight or nine, the May Queen. She is wearing a flowing white dress. A long train edged in white fur stretches out behind her, held up by four attendants carrying baskets of flowers. She has flowers in her dark hair around her crown, and she is holding a large bouquet. She parades down the streets of a town bigger than her own village as people clap and cheer. They are saying how pretty she is, how beautiful she looks, this May Queen.
That girl was me. I'd been picked by my Sunday School for the honour. Auntie Nora, who wasn't really an auntie but once a neighbour of ours, made the dress I wore, and my mother took me to the hairdresser in Nelson to have my hair curled especially for the occasion. It was a big deal to be chosen and heady stuff parading the streets of Nelson. I lapped it up.
I was moved into the Burns Unit after four or five days. This single room seemed dimmer, more closed-in and somehow separate from the rest of the hospital wards around it. The door stayed shut all the time and I no longer had a nurse aroundthe-clock. I lay encased in a âcage', with a sheet over the top to stop anything touching my body. Only my face and neck were showing. Underneath I was swaddled like an Egyptian mummy, my hands clumpy balls of bandage. There was a buzzer to press for help but my hands were too injured to be able to use it.
Around me was a small washbasin, a brown padded chair, boxes of medical supplies and tubes, tubes and more tubes. One of these tubes was inserted into my nose, leading into my stomach. I hated it with a vengeance. At night, it would dislodge itself and creep up into my throat, stopping, neither in nor out, and I would start choking until it became almost impossible to breathe. I would lie there rigid, battling to quell the rising panic. Help me, I'm suffocating. Please, someone come in and help me!
After one tortuous, drawn-out night, I was so agitated that when the door opened the next morning I flung myself from side to side in the bed moaning; I had to alert the Burns Team coming in that something was really, really wrong. Professor Masterton, the surgeon in charge of the team who performed most of my operations in 1983, looked very concerned.
I'd been in awe of the Professor when he first came into my room with his entourage of medical staff and discussed my âcase' in his strong Scottish accent. Beneath the professional demeanour and surety, though, I had glimpsed a great kindness and interest in his patients' welfare. That morning “Prof”,
as everyone called him, tried very hard to work out what was going on. He bent over me and asked what was wrong, then tried a few questions, peering at me for a response.
âDo you need to see Terry?' he asked. âAre you missing the girls?'
I looked up at him, pleading with my eyes for him to somehow understand, to keep asking more questions. I was grateful for his attempt to communicate, but even this couldn't allay my panic over the tube. The thought of another night of it made me want to scream and scream. I was moved back into the Intensive Care Unit where I was to remain for many weeks.
Friends of mine apparently visited the Alfred in the first few days but they weren't allowed into the ICU, nor were the girls. The second visitor I had after Terry, fainted when they saw me. I didn't even find out who it was. How horrible for them. How awful I must look, I thought. I had no idea of this myself as most of my body was wrapped up.
A couple of policeman with the unenviable task of getting statements from anyone considered likely to die, came in. But Terry warned them off trying to speak to me, telling them it could tip me over the edge. They didn't return until weeks later to take my statement, when I was able to talk.
Within a few days of the fires, Terry's sister, Marilyn, flew in from Canada where she was working at the time, and was devastated by what she saw when she visited me. I remember seeing her, but was unable to talk to her. I was being ventilated from the mouth and couldn't speak due to the tracheotomy tube; I had a tube through my vocal cord too. Before leaving Canada, she had maxed out her credit card buying clothes for the girls and Terry.
At this time, communication was extremely limited. Judy and the other nursing and medical staff would talk to me and I'd nod or blink my eyes in reply. Even if I had been able to speak then, I could never have conveyed to anyone what was happening to me. Here I was, entombed by this existence, with no oneânot even those who loved me the mostâable to understand. I despaired at the seeming cruelty and injustice of it all. Just give in and let go, I thought. It's too hard and painful. No one should have to deal with this pain. You can't keep going like this. But another part of me answered back: You can do it. You've dealt with difficult things before. Just take it moment by moment. The pain will end, it
must
end. You'll be glad you didn't give in. But it was a long time before I could verbalise what I was thinking.
Terry travelled in from his work at Bayswater every lunch hour and at weekends. I know he found these visits challenging. He wouldn't stay very long. Sometimes I was in a coma and he felt helpless to do anything. He would just sit at the side of my bed, touching me on the top of my head which was the only part of me that wasn't burnt. In my more lucid moments I longed to see the girls, just to look at them, even through the glass window. Sarah and Rachel seemed so far away. I was told that children weren't allowed into the ICU, but I couldn't understand in my early days in hospital why I didn't see them,
at all
. Sometimes, in my drug-addled mind, I panicked that they were still missing in the fires or had died.
The girls did see me one day, though I wasn't conscious of it. Someone held them up to the glass window to look at me. They were looking at a woman with blackened skin who was very swollen. They screamed.
11
THE GIRL IN THE CORNER
M
y sense of reality was hideously distorted for weeks after I was admitted to the Alfred. I had so many drugs pumping through me that I was constantly straining to work out what was real and what wasn't. Terry was told that if I survived I would need such heavy medication that I'd become a drug addict. During this period, I would often hallucinate, descending into an even more topsy-turvy world than the one I was already in. For the longest time, I was in a boat out in the middle of the ocean, utterly lost and alone. Everywhere I looked was a vast, empty sea with no land in sight, nothing but water. I searched frantically for help, scanning the horizon for bumps, looking for shapes amongst the infinite waves. But there was nothing. Direction was meaningless. There were no bearings on where I was or who I was. I cried out into the blue but no one answered.
At times I'd become convinced that my body no longer belonged to me and that all my limbs were on back to front. I'd thrash around in bed and plead with anyone in the roomâthe
real
roomâto put them on the right way again. Then there were
the times when I suspected that my bed was slowly moving up the wall. At first I'd think I was imagining it. Then I
knew
it had moved. It would slide relentlessly upwards until it reached the ceiling where it stopped and hovered. I would freeze, certain that if I moved just an inch, the bed and I would crash to the floor. This can't be happening, I said to myself. But I could see it. It added a whole new dimension to that phrase âclimbing the walls'.
I'd be lying in bed sometimes then open my eyes and be back in England on the moors, the endless moors, or asking someone why Terry couldn't sleep in bed with me. I struggled to work out who I was. I was Rachel or I'd believe the girls had been burnt and it would take me a while to realise that I was actually the parent.
Sometimes I'd become preoccupied with worrying about not having enough time to get back from the Purple Pumpkin Patch or think I'd seen a purple miracle. A glorious, billowing purple miracle. I was often concerned about âthe girl' in the corner, the young woman with the dark hair sitting serenely, glancing down, a beatific expression on her face, calm and centred. I'd say to whoever was with me, âThat girl in the corner doesn't have a cup of tea. Can you get her a cup of tea, please.' The nurse would say, âThere isn't a girl there, Ann.'
But there was, and later I would find out who she was.
In those early days, I was certain I'd never wake up again if I took the medication the nurses offered to relieve the sleeplessness, belligerently refusing to let them administer it. It was a bold move; my life was very much in the hands of these strangers and I didn't want to displease them. My senses were on alert, as if for survival, and I could pick up immediately the
goodwill or otherwise of those around me. A kind word or smile thoroughly heartened me; a rough touch or insensitive comment cut deep and made me alarmed that those I needed so much would desert me. Normally, I tried valiantly to be good, co-operating with every uncomfortable procedure or treatment. I'd been a good girl ever since I'd been a shy teenager, straining hard to do everything right. Dad certainly liked us to do as we were told, âand no messing about!' But this time I felt I had to trust my gut feeling about the sleeping pills and keep refusing them.
There were fleeting moments of joy and relief, though. One afternoon, one of the nurses came into my room and switched on a tape of a recording by the French pianist, Richard Clayderman. A friend had sent me a little cassette player that sat by the side of the bed. I'd always found Richard Clayderman's playing beautiful and, in some incredible way, those uplifting notes transcended the pain and discomfort, stirring something inside me. I felt a new surge of determination. You can do this!
And so I kept going, one gruelling breath after another.
I would teeter on the brink of life and death for nearly two months.
12
ON THE BRINK
âI
f you want to let go, it's alright.'
Terry, my husband of thirteen years, was giving me permission to die. He was standing at my bedside, talking softly, selfconsciously, in between ministrations by the nurses.
âIt's okay, Ann. If it's all too hard, it's okay.'
It was probably three weeks since I'd been admitted and Terry had watched me endure unrelenting pain ever since. He could see the agony I was in, and was telling me I didn't have to feel pressured to keep struggling for his sake or for that of the children. It was selfless and loving because I know that Terry couldn't bear to live without me.
At some point I started to sense that it was unlikely I'd surviveâthings I overheard, tell-tale looks, intuition. When you're just lying there you notice things: the way the doctors look at one another, the things the nurses say when they think you're not with it. Once, when there were two nurses in the room watching the heart monitor, I thought I heard one of them say, âWe've lost her'.
The Prof's treatment regime was aggressiveâit's a race against time with burns patients to keep infection (septicaemia) at bay because bacteria spreads on dead skin tissue and poisons the blood. The toxins are often what kill you. But some of the other doctors must have grappled with the notion of keeping me alive when they could see the suffering involved, and knew what lay ahead, physically. They must have wondered about the wisdomâand ethicsâof resuscitating someone over and over again who would ordinarily have died, as well as about keeping them alive through extreme pain. They would have known, too, about the quality of life faced by someone who's been severely burnt and asked themselves whether it would all be worth it in the longer term.
There was one person, though, who believed absolutely that I'd pull through. Roger was the minister of our church in Upper Beaconsfield, a big man with an authoritative voice. He was imposingly large, yet kind; a bit like a biblical shepherd, complete with the beard. Because he had his own struggles in life, he was in touch with his own flaws and so accepted those in others. Roger came in to visit almost from the beginning and was convinced that I'd recover and see my girls grow to womanhood. That was his vision. He prayed for it beside my hospital bed every time he visited. As he was leaving the Burns Unit one day, he was tailed out into the corridor by the nurse, who accosted him angrily.
âHave you any idea what you're praying for?' she said. âFor Ann to live? What she'll have to go through, being in so much pain and struggle! Do you realise what she'll have to endure to survive? And what she'll have to endure years later? Do you have
any
idea? Have you the right to be praying for this?'
The outburst stopped Roger in his tracks. It really shook him. He didn't want me to suffer, either, but he thought he was praying for the right thing. None of us knew then what the price of living was going to be or how the legacy of Ash Wednesday would unfold. And yet, he held onto his vision. I looked forward to his visits as they gave me a degree of peace while I lay there listening to that strong, soothing voice. Roger had so many pressing concerns at the time: dealing with the rebuilding of the church and ministering to other members of the parish who had lost family and friends in the fires. But he always came.
Another man of faith helped me on my road back to health, too. Graeme, the Anglican chaplain at the Alfred visited me often in the ICU, including every time I went in for surgery. The Burns Team operated on Tuesdays and Fridays, and some weeks I would go down to theatre for skin grafts on both days. The areas where I wasn't burnedâmy stomach and breastsâwere used to take skin for grafting.