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Ink in the Blood

A Hospital Diary

HILARY MANTEL


Copyright

Published by HarperCollinsPublishers Ltd

1 London Bridge Street

London SE1 9GF

www.harpercollins.co.uk

First published in Great Britain in the London Review of Books, November 2010

Copyright © Hilary Mantel 2010

All rights reserved.

Ebook Edition 2010 ISBN: 9780007427758

Version 2019-06-10

The moral right of the author is asserted

All rights reserved. This book is sold subject to the condition that it shall not, by way of trade or otherwise, be lent, re-sold, hired out or otherwise circulated without the publisher’s prior consent. No part of this text may be reproduced, transmitted, downloaded, reverse engineered, or stored in or introduced into any information storage and retrieval system, in any form or by any means whether electronic or mechanical, now known or hereinafter invented, without the express written permission of HarperCollins ebooks.

Contents

Copyright

Ink in the Blood

About the Author

About the Publisher

Ink in the Blood

Three or four nights after surgery – when, in the words of the staff, I have ‘mobilised’ – I come out of the bathroom and spot a circus strongman squatting on my bed. He sees me too; from beneath his shaggy brow he rolls a liquid eye. Brown-skinned, naked except for the tattered hide of some endangered species, he is bouncing on his heels and smoking furiously without taking the cigarette from his lips: puff, bounce, puff, bounce. What rubbish, I think: actually shouting at myself, but silently. This is a non-smoking hospital. It is impossible this man would be allowed in, to behave as he does. Therefore he’s not real, and if he’s not real I can take his space. As I get into bed beside him, the strongman vanishes. I pick up my diary and record him: was there, isn’t any more.

This happened in early July, 2010. I had surgery on the first of the month, and was scheduled to stay in hospital for about nine days. The last thing the surgeon said to me, on the afternoon of the procedure: ‘For you, this is a big thing, but remember, to us it is routine.’ The operation was to relieve a stricture in my bowel, before it closed completely and created an emergency. But though we had used the latest scans in preparation, neither patient nor doctor could imagine the damage left by the endometriosis for which I’d had surgery 30 years before. Organs were stuck together, pulled out of shape. It took six hours to disentangle the wreckage. When I woke up, my surgeon was standing at the end of the trolley in the recovery room, grey and shrunken as if a decade had passed. He had expected to be home for dinner. And now look!

Hospital talk is short and exclamatory. Oops! Careful! Nice and slow! Oh, dear! Did that hurt? But the night after the surgery, I felt no pain. Flighted by morphine, I thought that my bed had grown as wide as the world, and throughout the short hours of darkness I made up stories. I seemed to solve, that night, problems that had bedevilled me for years. Take just one example: the unwritten story called ‘The Assassination of Margaret Thatcher’. I had seen it all, years ago: the date and place, the gunman, the bedroom behind him, the window, the light, the angle of the shot. But my problem had always been, how did the Armalite get in the wardrobe?

Now I saw that it just grew there. It was planted by fantasy. If a whole story is a fantasy, why must logic operate within it? The word ‘planted’ started another story, called ‘Chlorophyll’. By morning, I had the best part of a collection. But when I sat up and tried to write them down, my handwriting fell off the lines. I kept trying to fish it up again, untangle the loops and whorls and get them back to the right of the margin, and when I think of my efforts then, I think of them in the present tense, because pain is a present-tense business. Illness involves such busywork! Remembering to breathe. Studying how to do it. Plotting to get your feet on the floor, inching a pillow to a bearable position. First move your left foot. Then your other foot, whatever they call it . . . any other foot you’ve got. Let us say you’re swaying on your feet and sweating, you think you might fall down or throw up – you have to rivet your attention to the next ten seconds. After the crisis is over, time still behaves oddly. It takes a while for the hour to stretch out in its usual luxurious fashion, like unravelling wool. Until you are cool, settled and your vital signs good, time snaps and sings like an elastic band.

When I write my diaries I talk to myself with an inward voice. For the next week I am conscious that my brain is working oddly. Imagine you were creating all your experience by writing it into being, but you were forced to write with your wrong hand; you would make up for the slow awkwardness by condensing phrases, like a poet. In the same way, my life compresses into metaphor. When I sit up and see the wound in my abdomen, I am pleased to see that it has a spiral binding, like a manuscript. On the whole I would rather be an item of stationery than be me. It is as if my thoughts are happening not inside my head but outside me in the room. A film with a soundtrack is running on my right side. It keeps me busy with queries based on false premises. ‘Is it safe if I drink this orange juice?’ But I blink and the orange juice isn’t there. Therefore I study reality carefully, the bits of it within reach. For a while I think I have grown a new line on one of my hands, a line unknown to palmistry. I think perhaps I have a new fate. But it proves to be a medical artefact, a puckering of the skin produced by one of the tubes sewn in to my wrist. We call those ‘lines,’ too. The iambic pentameter of the saline stand, the alexandrine of the blood drain, the epidural’s sweet sonnet form.

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