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It felt not unlike the aftermath of drinking till blackout and indeed Fram, who saw me in hospital, at first wondered if I had been. For me the consequence of taking one drink is that I ca

It was in A & E that I came to. I felt as though I was in the middle of a painting of a deathbed. I lay on a foreshortened bed off which I hung in a curtained space, with, to one side, a slim young man with striped hair in a stream like Beethoven ru

I knew that I could not simply be polite and get out of this one. Something had occurred and the event, whatever it was, would not go away. I could not pretend that it had not happened. I was unable to remember that morning save for two detailed things. My first visitor that Sunday morning had been my daughter’s friend Edward Behrens, later to be the Italian Renaissance figure at the foot of the bed in A & E. We had discussed the mushrooming scene in A

The next thing I remember is that my god-daughter Flora appeared in the dark of the hall at that flat. Its lighting was faint, its mood brown. The hall featured several subfusc contemporary oil paintings of Italian street scenes and a large bronze sculpture of a multiple demonic head that cast a horned shadow. When Flora arrived, over six foot two and thin as grasses in wind, she stood in the light of the front door and I saw her in the kind of intense detail that came to me often when I was very drunk and that was one of the reasons why I continued to explain my drinking to myself — that crack of clear high vision before passing out. It felt a bit like some kind of love, or doting.

I saw Flora heightened, as even more porelessly exquisite than her genes and mien have made her. She might have been the last thing I ever saw. For all she knew, she was. I scared her terribly. My last mortal sight before the new, fitting, world was a young woman of disproportionate height and slenderness in the lace and pi

And then, for me, nothing. For poor Flora, panic and telephone calls, chasing to ground diverse family members, keys, messages, toothbrush, the intimate chores of sudden event. We get no rehearsal. She did it all with the kind of competence that can come only naturally.

I knew that something had happened and was possessed by the idea that it was a stroke. McWilliams die young of strokes, especially fat McWilliams. Thin ones die young of heart attack.

In the hospital Flora said, ‘Fram and Minoo are coming. Fram says everything will be all right.’ Fram is the human whom I always believe. I hand to him inappropriately profound knowledge and sagacity, authority. It is burdensome for any mortal and worse for one as sceptical and intelligent. Nonetheless, all I wanted was Fram’s assurance and he will have known that. The same goes for our son Minoo.

Beethoven said, ‘You are in the best place, Candia. We do not think it is a stroke. As far as we can see, you seem to have had a grand mal fit.’

He knew what to say. He saw the main fear, addressed and dismissed it, and supplied as much fact as he was able. He also, with some generosity, said something sensible and kind about the ever higher doses of antipsychotic drugs I had been prescribed with a view to causing my brain to have some sort of benevolent convulsion that might, as had sometimes been suggested by certain controlled cases and had been written about in a couple of academic papers, alleviate my blepharospasm. What Beethoven said was mild, intelligent and noncommittal.

By now I realised Beethoven was in fact my GP and he knew me well enough to tell me the truth. It was a relief to be understood, to be treated as myself. He spoke sanely and the relief, that of finding myself in a sane, if frightening, world, was great. It is Beethoven, of all the first wave of doctors, who has helped the most. How frustrating then that his skills — common sense, empathy, compassion, practical doctoring — are undervalued in an NHS crippled by bureaucratic failure to communicate from the most basic to the most elevated levels and awash with specialisms that take no account of one another.

‘I’ll tell you what,’ said my GP. ‘You must go to Don Carlos.’

I heard it with gratitude as a sentence from the lost world, from which I had been cut off by a mixture of illness and my own self-isolation. Long before I had become ill, I had become almost incapable of going out. But this was a healthy sentence and I heard it gratefully. I also realised that very few people knew how odd and shy I now was and that the thought of going out at all was nearly impossible, that my automatic response to any invitation or suggestion was ‘No’. I wanted to be co

I love Don Carlos, the darkness of the bass voices, the problems of conscience and power, the fear that fills it, the intractable love-muddle. All the stuff that my father disliked about it, I love. It makes me feel that nothing ca

Because, perhaps, it feels familiar.

The days that followed in hospital I still ca