
There is a happy ending to this story.
I’m gazing out at the night sky from my room on the 4th floor of The Royal Preston Hospital.
With all this dry weather, you may expect me to be discussing further progress on my Pilgrim’s Way from Longridge to Manchester. That had been the plan. I walked a little further at the end of the week, but I didn’t get a chance to write it up.
I awoke the following day to find I couldn’t move my left hand and wrist. Initially, I thought I had just slept badly on it, but after half an hour, I still couldn’t use it. Some anxiety set in that I may be having a stroke. My first inclination was to phone my son to take me to casualty, not an inviting thought. I remembered some recent NHS adverts detailing the first signs of a stroke and the importance of getting to the hospital as soon as possible. So I phoned NHS 111. After a bit of faffing, when the call handler couldn’t find my address, things went smoothly, and she immediately organised an emergency ambulance. 
I only had time to grab a few clothes and medications before the sirens announced the ambulance’s arrival. They were brilliant and succinct in their history-taking, examination and assessment. Blood sugars, blood oxygen, ECGs and an intravenous line inserted. I was loaded into the ambulance for a quick blue-light journey. All I could hear was the siren sounding at various bottlenecks whose locations I tried to visualise. 12 minutes door to door.
Straight into the stroke reception unit (there were over 100 waiting next door in casualty) and their friendly nurses, soon seen by a doctor of unknown rank and sent for a brain CCT scan down the corridor. Then, on the trolley, down a corridor that looked like a war zone, into the lift and up to a space in the ward, all within an hour from my house.
By now, I was attached to a heart monitor and an IV infusion drip. From then on, I lost track of where and when. The ‘stroke’ doctor examined me and looked puzzled. He would get his consultant to see me. Nil by mouth was the sign above my head. I just lay there, not wanting to bother my family unduly.
It seemed ages before the consultant arrived. He thought I probably hadn’t had a stroke, but more likely radial nerve damage to my arm. I would need an MRI scan of my brain and neck in the morning to clarify the situation. He ordered a cake and a glass of water from the ward to prove I could swallow without choking—a practical physician. Down came the drip, and I was moved to a smaller room, now not needing constant observation.
Time goes slowly. They find me some food for supper. Son C only lives half a mile from the hospital and arrives to check on me. And importantly, with a newspaper for my evening’s entertainment. I fumbled with the pages one-handed to get to the crosswords.
The usual frequent blood pressure, pulse, temperature, and blood sugar checks continued through the night—a succession of different nurses, all very professional, tending to me. I was beginning to feel like a fraud for occupying a bed when I was obviously not ill.
Day two dawned as I watched the sun rise over those East Lancashire hills I should have been walking in. What a view it was from up here. Stretching from the Pennines, Winter Hill, over the city’s landmarks: Deepdale Stadium, home of Preston North End FC, the skyscrapers, St. Walberg soaring steeple, Tulketh Mill, to the Fylde coast and Blackpool tower. Even the Welsh Hills could be made out in the background. What a great day to be on top of a fell or in a south-facing hospital ward four floors up. I used my nose to press take on my mobile against the window. 
This is how it would have looked 100 years ago.

Speech therapists, physiotherapists and occupational therapists all visited without doing anything. But when was the trip for my MRI scan? I don’t think I saw a doctor. My son M and grandson S made the journey from Manchester, loaded with drinks, snacks, books, and papers, which are much appreciated. Of course, while they were visiting, a porter appeared to take me for my scan at about 4 pm. He insisted I use the wheelchair even though I am perfectly capable of walking. This is my fourth MRI scan in the last 6 months, so I’m becoming an expert. Even so, towards the end of the half-hour session, I developed an irritating tickle in my throat, which I only just managed to control without moving.
When I am wheeled back to my room an hour later, I find M and S tucking into snacks they had bought from the hospital shop. Their choices looked most unhealthy. Considering our nation’s rate of obesity, should a hospital be selling these products, they have banned smoking. Interestingly, my meals during my stay were fine, but again, there was too much emphasis on processed sugary foods.
Day 3 dawned sunny and bright; oh, how I wish I was out walking. But with a bit of luck, I would be discharged. After three days as an inpatient, somebody came to check on my regular medication, which I had smuggled in. Apparently, they should have been under lock and key; anyhow, the locked drawer on my bedside table was broken, so they remained in their plastic bag.
My room was cleaned, I had a morning coffee, and I was offered towels for a shower. An exciting morning. At least I managed to read one of the books Grandson S brought me. L’Étranger by Albert Camus. I remember reading it, in the original French version, back in the ’60s at university. I did those sorts of things then. It is easy and classic to read but challenging to understand without a background in existentialism.
Finally, the consultant appeared and confirmed his diagnosis of radial nerve damage. I would need further nerve conduction studies and physiotherapy as an outpatient. But I could be discharged after I was fitted with a wrist splint. Lunch was served. I packed my bags and put son C on red alert for my escape.
Things are not as simple in the NHS as nowadays. The physiotherapist and his student turned up and reassessed my problem. “We will get you a splint as soon as possible.” Would that mean another night in the hospital? True to his word, he reappeared with the appropriate splints and promised to tell the ward nurse I could be discharged. He came back a little later to ask for a favour. His student had only recently arrived at UCLAN to commence a physiotherapy course and was rather shy at communicating with patients as yet. Would I be happy to talk to her for a while? Of course. So I had a lovely, broad, raging conversation with her for twenty minutes or more. Aged just 18, she had travelled a week ago to England from Dubai to start her vocational training. Her English, and her understanding of its subtleties, was excellent. She has already come up against the Scouse accent and conquered it; wait till she has a Glaswegian patient. I probably gained as much from the conversation as she did.
It was getting late when the porter came to take me, wheelchair bound to the discharge ward. I’m not allowed to walk. Thankfully, I don’t have to wait for medication; I am free to go.
I told you the story had a happy ending.
I have nothing but praise for the treatment I received from beginning to end. There are niggles that shouldn’t be there, but the staff, many working 12-hour shifts, are holding the NHS together. They deserve our utmost support and whatever pay rise that they come by. Would you work 12 hours for the minimum wage under these stressful conditions?
Now, at home, I’m learning how to pull my trousers up and put on a shirt one-handed. Taking the tops of jars is a challenge. Thank heavens for microwave ovens and air fryers.
I’ll be back on the trail before you know it.