Well Eye Be Damned

“Oh God! Why do the ALWAYS show boring drama programmes in here?” lamented the Kevin the teenager standing behind me in the queue at for the reception at the eye clinic.  His mum mumbled something to him.  I was about to turn around and extol the virtues of Doctors when it was my turn to do my pre-flight checks.  One I had finished, Kevin had disappeared.

After my eye check, I was led through to the main waiting area.  As always it was packed.  Whole families seemed to be there to find out about Nana’s or Grandad’s cataract or glaucoma.  On the goggle-box was some weird Australian drama set in the 1960’s.  It reminded me of those Australian dramas in the late 80’s like The Sullivan’s and Sons and Daughters were more attention was paid to write a catchy theme tune rather than on any plot.

I was trying to get my head around about what was going on, when a doctor I had never seen before, called me through.  I walked in the room and sat down.  He sat by the computer and started to read my notes.  The door was still wide open.  I got up and shut it.  I had a bad feeling about this.  We sat in silence as he spent a good five minutes reading my notes.  Five minutes is a long time to be sat in complete silence.  He examined my eye.  It was clear he wasn’t happy.  He asked me who I had seen in the eye clinic.  I listed practically half the doctors in the eye clinic.  He frowned, He informed me that the doctor who had closed my eye was in clinic today so maybe it would be better if I saw her.  Pass the buck.  Nice.

Back to the waiting room I returned.  It was now that daytime stalwart Escape to the Country.  The budget was £1.5 million.  Completely realistic to the patients in the waiting room at the eye clinic.  I was midway through being shown a six-bed detached house in Cambridgeshire, complete with indoor and outdoor swimming pool, when I was called through, I have a good relationship with this doc.  It’s very professional and she is very efficient in what she does.  She wasn’t happy.  The ulcer behind the part of my eye that was sewn up, had gone.  However, in the part that was exposed, the ulcer was worse.  She asked if I was OK if the Prof had a look.

Prof 2 came in.  He’s very calm and serene, just what you need in someone who is fiddling with your eye.  He had a gander and spoke to medical gobbledegook to my doctor.  From my viewings of various medical dramas, I understood snippets.  Samples had to be taken for cultures.  He left, and the doctor checked if I knew what was going to happen.  Vaguely.  She clarified by saying that they would be taking samples of the ulcer for testing.  They were also going to give me much stronger antibiotics.  I would come back in a weeks’ time and if I hadn’t got better, I would be admitted to have antibiotics intravenously.  Crikey.  We had gone up a notch.

After the samples were taken and I had waited for an hour in pharmacy for the antibiotics, I arrived home to a letter from Prof 1 at the Marsden.  He had written to me, my GP and my oncologist to let them know what was happening.  He said that it was a pleasure to see me.  Could I use that as a reference on my CV, I wondered?  He also said the R-word.  He said the I was “in remission on maintenance Herceptin”.  Yes, I’ll take that.


Eye Don’t Believe It

So, it was all set up.  Eye appointment at nine o’clock on Wednesday morning.  Cover for my classes was in place and sorted.  Then the phone rang.  I missed the call but there was a voicemail.  It was from a nameless woman who was Professor E’s secretary.  Could I come in at three thirty instead of nine to see the Professor?  Oh goody!  I had been bumped up.

I arrived at the eye clinic feeling a bit washed out.  I had woken up with a stomach bug although the worst of it had passed by the afternoon.  I performed all the pre-flight checks and eye tests without fuss and sat awaiting my date with my second professor.

My first professor is at the Marsden.  He’s an outgoing chap who is charm personified.  His confidence is highly contagious.  You leave an appointment with him feeling like you could take on the world.  What would this Prof be like?

I was called in and met a quiet, methodical man who was with an eager registrar who seemed keen to please.  We went about all the checks.  He gave nothing away, yet you still felt that confidence. He may not have been as brash as my Marsden Prof, but it was there.

There was a slight pause.

“I’m afraid Mrs Read you now have an ulcer in your eye.  But there is no infection.”

The registrar and I looked at each other.

“I have a proposal on how this could be remedied.  When babies are born, they are born in a sack…”

I looked nervously at the registrar, he nodded as if to say, “stay with him on this…”

“What we now do is take this sack and dry freeze it.  I can use a fragment of one of these sacks to become a membrane over your eye.  This will stop further ulcers forming.  Once we have completed that, you can have further surgery to put gold weights in you left upper eyelid to weight that down, so you can blink properly.  I want you to come back in three weeks to discuss this further.  Any questions?”

I was taken aback.  So much to compute.  Baby sacks over my eye? Gold weights? I merrily nodded my consent and left to confirm the follow up.

Then it got worse.  I couldn’t read.  I didn’t realise how much I relied on reading in everyday life.  My job revolved around reading.  Reading students’ work, reading text books, reading handouts.  Sadly, I still could read emails.  Bit annoying that.

So back to eye casualty it was, and boy was it busy.  Only one doctor on and a psychotic episode in reception.  Yes, it was quite bad.  But there was a chink of light.  While waiting, I ended up talking to a woman who was there with her daughter and two-year-old granddaughter.  The two-year-old was fabulous.  She was speaking in the way two-year olds do, by repeating phrases she had heard from those around her.  “Nana, put that down! Good girl. Don’t do that!” it gave a weird insight into what her family life was like and it all sounded good.

Speaking to Nana, the two year old had had problems with conjunctivas.  They were back in to see if the medication had worked.  Of course, the reason why I was there cropped up.  I gave an edited version.  They took it quite well.  But then Nana hit me with a story that was more remarkable than mine.

Her eldest daughter had been born with no soft spot.  This meant that her skull was formed and didn’t have the space for the brain to grow.  As a result, her daughter as a baby, had to have her skull opened from ear to ear to create this space.  Her daughter was perfectly fine afterwards and has just had a daughter herself.  However, Nana had to got in public with a baby that had a huge, angry scar across the top of her head.

“I would get looks, even comments. What has she done to that poor baby? But you know what?  I couldn’t have cared less.  Fear.  That’s what fuels them all.  They’re all scared in case they catch it.  Well, boo to them.  You got out with your eye taped up and drool as much as you like, duck.  You’re fabulous whoever you are.”

Her granddaughter was seen, and the infection had cleared up.  I was seen and given antibiotics. We joked we hoped we never saw each other again.  But the morning proved that there are gems lurking in those hospital waiting rooms.

Reality Check

The day had arrived.  No cancellation had come through.  Game on.  It was mad Tuesday.  I had an appointment in oncology at nine at City Hospital.  Then I had the big one at the QMC at half eleven.  Two appointments at two different hospitals in the same morning.  Could it be done?  You better believe it!

Oncology is a very strange and stressful place.  It’s hard to say which waiting room is worse, oncology or chemotherapy.  For me oncology just edges it.  The main reason is the awful anticipation that exists there.  The patients in oncology are waiting for scan results, treatment updates and all many of the most stressful things that you encounter when you are having treatment for cancer.  Sometimes they will hear what they want to hear. Sometimes it’s the worst news you could possibly want to hear.  In the waiting room you have no idea which one it’ll be.

Fortunately for me, my appointment there was just a check up to make sure I was still alive.  I was called through and saw a registrar.  He set up the scans that I have every six months to check that everything was tickety boo. I breezed out with an appointment to go back there in three months’ time.

Now time for the big one.  I was slightly nervous entering the ENT reception given my shenanigans the previous week, yet no one battered an eyelid.  After about fifteen minutes I was called through to sit outside Mr Q’s door alongside an elderly couple. They were called in as soon as I arrived.  This looked promising as I was next on the list.  As I sat down, an elderly man came hurrying down the corridor.

“Dad! For goodness sake! It’s THIS clinic here!” shouted a woman, who I assumed was his daughter.

“Nearly made my escape…” said the man giving me a wink.

“You can’t leave these ninety six year olds anywhere!” said the woman directing her dad to the clinic next door.

Once they left another elderly couple came and sat next to me.  They were obviously next in the queue after me.  The man’s, who must have been in his late seventies or early eighties, mouth was identical to mine.  We both did a bit of a double take.

“You don’t mind if I do my back exercises?  It’s just I can feel it all seizing up.” said his wife.

I said I had no problem and we discussed various lower back exercises, what worked and what didn’t.  I went to put some rubbish in the nearest bin and on my return, I noticed something.  The man had no left ear.  So not only had he had the same surgery as me, he also had to have his left ear removed.

It was a bit of a wake-up call   Surely if anyone who needed any facial reconstruction it was this man? Yes, I was younger and could probably recover quicker, but this man had no ear!

I was called through, and my appointment was quite quick.  Mr Q had seen that I had been to eye casualty.  He said that he wanted to get my eye sorted first, before he could do my mouth.  I had received an appointment to go to the eye clinic in March to discuss what was happening then.  So, I made an appointment to go back to ENT in six months’ time. Hopefully my eye should be sorted then.

I left feeling not too bad.  It wasn’t great news but I’m willing to wait as clearly there are people who need surgery far more than me.  It’s amazing that we are living longer than ever before.  However rather than be celebrated, this is a problem.  Our health service needs to adapt to accommodate the changing needs to its population.  Staff shortages, lack of beds and poor communication are making existing problems even worse.  This requires long term thinking at a time when everyone wants to make a buck and then get out quick.  This situation doesn’t show any sign of changing while we carry on constantly putting out fires rather than stop the fire from starting in the first place.


Dirk Gently’s Holistic Detective Agency

Wednesday morning started normally enough.  I contracted a weird stomach bug over the Christmas limbo period between Christmas and New Year.  My body was sending signals that I was going to be sick.  Once I got to the bathroom, these symptoms would subside into either a hot flush or a cold shiver.  All very odd.  The bug now progressed so now at five am on Wednesday morning, I was awoken by a horrendous spat of heart burn.  Awake and not feeling too great, I pressed in my headphones and switched on my portable digital radio.

It was tuned to Five Live.  I quite like Five Live.  I find that its shouty tone keeps me at the right level of consciousness in the morning while other radio stations tend to send me to sleep.  As the financial programme gave way to the breakfast show, the main story of the day got me interested.  Please get in contact if you have had any experience of your hospital outpatient appointment being cancelled.  Well that was me alright.  I was due to see Mr Q on 12th December.  A few days before I got a letter cancelling it and asking me to come on 19th December.  Then the Friday before the 19th, another letter came cancelling that and asking me to come on 9th January.  This had been a nightmare to coordinate work wise.

However, these were only appointments, not actual operations.  Before this appeal I had heard a terrible story of a guy having his hip operation cancelled twice.  He was obviously in a lot of pain.  Yet it was the nurse afterwards who said that it was the cancellation of out patients’ appointments that would create even more problems for the NHS over the winter period.

Partly inspired by her, I texted in briefly saying my story.  About a minute later I got a call from a harassed researcher asking if I could speak, live on the radio, in five minutes.  OK I guess.  Before me spoke a very eloquent junior doctor.  He summed up perfectly in far better language than I ever could, the problems with the NHS this winter.  I was being lined up as a disgruntled patient to counter his agreement.  I took a deep breathe, highlighted my story and agreed with the junior doctor.  At the end I had changed from being disgruntled to being reasonable.  You can’t say better than that!  So off I went to walk the dog.

When I returned, I was treated to an unusual sight.  My husband was being nice to someone on the phone.  My husband is usually nice to people on the phone who he knows.  However, if you are a stranger, be afraid.  Be very afraid.  The person he was being nice to was someone called Fiona from BBC News at One.  He passed me over. She was calling to see if I wouldn’t mind doing a piece to camera about my situation.  I looked around.  My husband was still in his dressing gown and about to start a fry up.  The night before, he had decided to complete dismantle his wardrobe and reorganise his clothing.  The house was covered in his clothes and soon would be smelling of fried food.  I said to Fiona it would be better if we could do the story in Nottingham rather than at my house.  She said that could work as she could use a crew from BBC Nottingham.  We chatted a bit more and she said she would call back to confirm a location.

True to her word, about half an hour later, she called back and told me to go to BBC Nottingham and ask for Miles at reception.  BBC Nottingham is near a huge traffic island in Nottingham.  When I arrived, the receptionist was expecting me and buzzed Miles.  Miles was a cheery chap and said that he had spoken to the Premier Inn over the road.  The plan was that I could have a coffee there and we would have a chat.  So off we set with Boris the cameraman in tow to the Premier Inn.

The Premier Inn had a good outlook.  It’s located next to the canal in Nottingham.  The only problem Boris had was trying to position the camera so you couldn’t see any graffiti.  The actual interview lasted about twenty minutes.  They quickly scootered off telling that it would be on the regional news programme, East Midlands Today, and could be picked up nationally, but there was no guarantee.

I got home, had some lunch and tuned in.  The headline story was about the winter pressures on the NHS. The first item and there was me, supping my coffee at the Premier Inn, talking about my story. Un-bel-iev-able!  The reason I think they chose it was visually, you can tell I need an operation.  Also, I’m young.  It’s a sad fact that I think if I was an old lady awaiting a hip op, I don’t think they would have picked it up.  There was a longer piece on East Midlands Today about it and that was that.

Then the phone rang.  It was BBC Nottingham.  Could I come in and be interviewed for Drive Time?  I made my way in and said my piece.  On the drive back, I nearly crashed my car when I heard myself again talking on Radio 4 about my situation.  This was getting ridiculous.

When I got home, my husband was catching up on Dirk Gently’s Holistic Detective Agency.  For the uninitiated, Dirk Gently is the creation of writing genius Douglas Adams.  To explain what happens is near impossible.  You just have to watch it, end of.  I love Douglas Adams.  The Hitchhiker’s Guide to the Galaxy is a work of genius.  Its authoritative tone makes the implausible, plausible.  Of course, Volgon poetry is the worst in the galaxy and Slartibartfast designed the Norwegian coastline.  How could you not know that?

Dirk Gently goes way further.  My mum bought me the book when I was about twelve and it defeated me.  The Beeb made a TV series of it.  It worked quite well.  Dirk was an annoying tramp like character who lived in his car always with some Brie in his pocket for emergencies.  In the American version on Netflix, he’s a lot cleaner cut, thankfully still British and strangely asexual unlike the British Dirk who is a right sleaze.

The plot is complicated to put it mildly.  It involves time travel, characters changing to animals and vice versa.  Keep you eye on that kitten is all I’m saying.  It seemed a completely appropriate programme to get lost in after the bonkers day I had had.  It had felt like I had stepped through a wormhole into another universe of deadlines, the search of a human angle and I’m not sure it was a world I liked.

By Friday the eye of the news had moved.  The NHS didn’t get a look in.  An awful rapist had been released on parole, Donald Trump was battling away with Steve Bannon and even worse, the government was threatening to put 25p on take away coffee cups.  The winter crisis was now on the back burner.  For now, anyway….

You Keep Me Hanging On The Telephone

Remember what Roberto said? “I will see you in clinic on Thursday to take your stitches out.” It was Wednesday. I had heard nothing, zip, de nada. No phone call. No letter. No text.   With a heavy heart I clicked on Google to look for a number of someone who might know something.

First number was making or changing appointments.  There were two numbers.  One for newbies and one for follow ups.  Seemed a good place to start.  I got through quite quickly.  The bored sounding woman told me that there was no eye appointment booked, but I had an appointment with ENT in December.  This I already knew.  Try eye outpatients came the obvious response.

Fortunately, I had a number for eye outpatients. It rang and rang and rang.  Nothing.  I gave it some time and called again. It rang and rang and rang and rang and rang. Then an answer.  The receptionist sounded stressed.  I explained my stitches story.  She wasn’t really listening.  She put me through to the ward where I had the operation.  I said the stitches story to the receptionist there.  She said I should speak to a staff nurse about it.  After ten minutes on hold, I told a staff nurse my stitches story.  She said I needed to speak to eye outpatients.  Deep breathe.  The staff nurse was sympathetic and gave me the number for Mrs T’s secretary.  Maybe she might be better than eye outpatients.

I tried the secretary. Voicemail.  I left a long voicemail explaining the stitches story.  I hung up.  This needed to be sorted. I called eye outpatients again. It rang and rang. Bingo! The same stressed receptionist as before.  I repeated the stitches story.

“It’s just that Mrs T doesn’t have her clinic on Thursday…”

“I don’t think I need to see Mrs T. I need to see… urm… Roberto? Sorry. I don’t know his surname.”

It felt weird saying Roberto.  It felt like I was asking for a masseur or a hairdresser.  I wonder if Spaniards have the same feeling when they ask to speak to someone called Robert?

After a slight pause, the receptionist found him.

“Ah yes… come at ten tomorrow.”

I hung up.  The phone rang.  It was Mrs T’s secretary.

“Yes. You have an appointment at ten o’clock in eye out patients tomorrow morning.”

You don’t say!

So, there I was at ten.  The clinic was heaving.  I got called through quite quickly and was informed that there were three patients before me.  I sat outside Roberto’s door and waited.  God, he took his time.  Once the three before me had been seen and gone, it was my turn.  Then I realised.  The reason why it took so long was because he was a bloody good doctor.  He asked how I was getting on and checked my eye thoroughly.  He took the stitches out quickly, with minimal fuss.  He double checked that I knew what I was doing eye ointment and eye drop wise post-surgery.  He finally made an appointment to see me in two months’ time and that was it, job done.

Eye, Eye Part 3

Then bright light.

“Anna, Anna. You’ve just had an operation, Anna.”

I opened my eyes.  There was a nurse leaning over me.

“Do you need anything, Anna?”

She was maybe Thai or Filipino. She said Anna in a sing songy way. An-NA…


Within seconds a plastic cup of water complete with straw appeared.  I shuffled up and had a sip.  Then I noticed it.  Out of the corner of my left eye I saw the time.  It was half twelve.  Hang on.  I noticed that out of the corner of my left eye!  I had peripheral vision!

The nurse took the water away from me and I lay back down.  I started to shiver.

“Anything else An-NA?”

“I’m a bit cold…”

She quickly came back with a warm blanket and wrapped me up tightly.  I closed my eyes.  Then we were moving.  My trolley was moving to a lift.  We went up. PING! Doors opened, and we were back with the recliner chairs.  Curtain drawn I was slowly eased off the trolley and into the chair.  The chair reclined back, and I dozed away.

It was a weird state of consciousness.  I had my eyes closed yet I was aware what was happening on the ward.  From behind my curtains I could tell that the woman opposite me, who had come at the same time as me, had yet to go into surgery.  As a result, she was feeling light headed and faint as she had had nothing to eat or drink.  She was beginning to kick up a bit of a fuss.  I moved the chair into a more upright position and began earwigging.

The curtain was thrown open and in walked Roberto.

“How are you doing, Anna?”

I told him I felt OK.  He said that he was going to give me two eye ointments.  One was antibiotics that I had to put on my eye four times a day.  The second I had to put on the edge of my eye just before I went to bed.

“I must see you in clinic on Thursday to take your stitches out.”

The urgency in which he said this made me think that he must be of maybe Italian or Spanish descent.  There’s no way a British doctor could have made such a request sound so passionate.  We bid our adieus. The woman opposite me was now in a wheelchair in preparation for theatre.  She wasn’t happy.  Oh well she’d be asleep soon.

I was beginning to like the state I was in.  What was good about it was that time seemed to be fluid.  Usually in hospital time plods by.  The hands of the clock seem to have weights on them.  Now time seemed to be like the clocks in Salvador Dali paintings.  It was melting away.  The seconds blending into minutes, into hours.  Nurses came and took their obs.  I had some tomato soup.  Then I was told I could go.  Rather forlornly, I left and called my husband.

I was about half four, so it would take him a good hour to get there.  I drifted downstairs to get a coffee.  Costa was packed.  I went to the in-house café.  There was me and a rather harassed looking man waiting for service.  All the staff seemed absorbed in a cabinet of sausage rolls.  Apparently, they had the wrong labels on them.  This was obviously far more important than paying customers. Something that they harassed looking man pointed out.  Scowling at him, two women made their way back to their positions and gave us both our much-needed lattes.

I drifted to where I had arranged to meet my husband.  He wouldn’t be there for a while, but I felt like people watching.  The people seemed to fall into three categories.  You had the nurses and the admin staff.  They seemed the happiest and were laughing.  They had finished their shift and could leave their work right slap bang in that hospital.  The next were the doctors, consultants and surgeons.  Nearly all of them were tall, slim and in a hurry.  They looked pensive and uncertain.  It was like they had left something unfinished behind.  Finally, there were the patients and their families.  They were going into rather than out of the hospital.  Their expressions were blank.  They clearly had no idea what lay behind those automatic doors.

“Mum! SHE’S got a coffee!”

I was being accused of my offence by a teenage lad in his hoodie.  His mum gave me a withering smile.  I was quite pleased that it was my coffee he spotted, not the huge black eye that I was now sporting.  He began kicking the door of the café in ENT that had long closed.

“Leave it out! You’ll set off the alarm!”

The teenager sulked and started walking in and out of the automatic doors.  His mum began fiddling with her phone.  After a tense ten minutes, a red Range Rover pulled up.


Out ran the teenager, his mum switching off her phone to join him.

I decided to wait outside.  It was quite warm, and it felt good to get some fresh air.  As time melted away, my husband pulled up.  We hugged, and he put my bag in the boot.  He looked at my eye.

“Not bad.  I bet the other guy came out the worse”

I gave him a thump and got in the car.  Off we went to join an expletive laden ring road.


Eye, Eye Part 2

06:29am – I took my last sip of coffee and went to prod my husband.  As he slowly got ready, I took the hound for a walk around the block.  Right, got my bag with dressing gown, slippers, Kindle, portable radio and off we went.  My husband completely changes personality when he gets behind a wheel of a car.  In that respect we are complete opposites.  I shove on Radio 4 and calmly glide around in my car sending everyone within the car to sleep.  My husband becomes a man possessed. The road is his and his only.  Woe betide anyone who gets in his way.  Thankfully as we were making our journey to the QMC at ten to seven in the morning, we wouldn’t encounter too many feud inducing incidents.  We were going smoothly until we were five minutes away from the hospital.

“Main Entrance or ENT?”

“ENT, if it’s possible…”

He indicated to turn left into a filter lane.  The swanky black Audi didn’t see us and swished by honking its horn.  The red rag had now been thrown.  We followed the black Audi down the road towards ENT with expletives raining down.  The Audi turned into the staff parking area.

“You idiot! That was probably the surgeon!”

My husband went quiet.  He pulled round into the drop off zone and gave me my bag from the boot.  We hugged and kissed.  And off he went to encounter more road rage demons.

I made my way to the lift and waited with a nervous looking couple.  It turned out they were going to same ward as me.

“Great minds eh?”

But you could see they weren’t in the mood for jokes.  When we got there, we were ushered into a bay.  This is where I lost my sense of humour.  There were six recliner chairs in bay, each with their own table, chair and cupboard.  It was just like chemo.  My blood ran cold.  I shook myself awake, sat in the chair and tried not to catapult myself out of it by fiddling with its remote control.  Once I got into a comfortable seating position I flicked on the Kindle and waited.

After an hour a rather handsome doctor appeared and shook my hand.  His name was Roberto and he asked me what I was doing there.  I explained. He agreed that what I said was correct.  He drew a black arrow over my left eye and left.

About twenty minutes after him, came a jolly anaesthetist.  She was a bit concerned.  She felt I needed a general anaesthetic rather than heavy sedation.  Fine by me.  She was also worried about my mouth.  It didn’t open very wide.  This meant that they wouldn’t be able to put a breathing tube down through my mouth, it would have to go via my nose.  Although she didn’t say anything, she left me to draw my own conclusions about this.  It didn’t sound pretty…

Finally, a nurse came with a gown, surgical stockings and some red Totes Toastie socks.  I changed into these and waited.  Then Patrick arrived.  He was the porter who would be taking me up to theatre.  He didn’t have a wheelchair but said he would walk me up.  I put my dressing gown on over my hospital gown and followed Patrick.

“So, what should you be doing now then eh?” he asked

“Teaching English.”

We had quite a detailed conversation about apostrophes, like you do. When we got to the theatre waiting area, there was an annoying American ghost hunter programme on the wall mounted TV.  I was about to ask for the remote, when Mrs T appeared, scrubbed up.  She seemed in a good mood.  Yes, I was going to have a general and she explained in gruesome detail exactly what she was going to do.

After she left, the jolly anaesthetist appeared and took me to a broom cupboard.  In the broom cupboard was a trolley surrounded by every drug imaginable.  We went through the pre-flight checks and I had a huge urge to go to the loo.  I blurted this out and one of the anaesthetist said

“I’m so glad you said that because I’m dying to go too!”

She took me back through some double doors, through a whole waiting room of people to the loos.  When we were done, we streaked through the waiting room and back into the broom cupboard.  Before I knew it, a cannula had been put in and one of the anaesthetist was coming towards my nose with a long tube.

“Right.  We’re going to give you some medication that will make you feel slightly drunk.  Then you need to drink this.”

It was some red liquid and it tasted vile.  While I was drinking it, they squirted a huge dose of local anaesthetic up my nose.  Then came the tube.  Then blackness.