game. He didn’t feel lucky and he saw no reason why he should pretend that he did. At twenty-six, he had his whole life in front of him, but it didn’t look like being the life he’d chosen for himself. He felt a cold knot of fear every time his father mentioned the future. ‘The army gives grants for retraining, Charles. What do you think about signing up to an agricultural course for a couple of years? You might as well learn the modern way of doing things at
the taxpayers’ expense.’
Acland stared at the wall in front of him.
‘It was just a thought. Your mother’s keen to have you home. She suggested we put you in the annexe so that you have your own space.’
The idea was abhorrent to Acland. He tolerated his mother’s presence in his room because he had to, but he was becoming increasingly resistant to her touch. Whenever possible, he crossed his arms to avoid having his hand stroked, wondering what she’d been told about his condition that meant he had to be treated like a child. It wasn’t as if she’d caressed him when he
The only respite he had was when the medical staff took over and his parents were asked to leave. He appreciated the consultant surgeon, Mr Galbraith, who talked him through his injuries and told him what he could expect in the coming months. Galbraith explained that the damage was to the left-hand side of his face, that he’d lost a considerable portion of soft tissue due to the splitting and burning effects of the shrapnel, and that his eye had been damaged beyond repair. Nevertheless, reconstructive surgery had improved immeasurably in the last decade through the use of microvascular techniques and tissue expanders, and the surgical team was confident of a good outcome.
Galbraith warned Acland that to achieve the best results might take months. Operations could last up to fourteen hours; the patient needed recovery time of weeks between ops; and other specialisms, such as neurosurgery and ophthalmology, might have to be brought in for assessment and assistance. The aim of the team would be to keep impaired nerve functioning to a minimum and to source a donor site that wouldn’t result in a visible difference between the colour and texture of the grafted skin flaps and the skin of the face, particularly in the reconstruction of the lid and socket tissue to accommodate a glass eye.
The surgeon looked for a reaction, but didn’t find one. ‘I hope that’s gone some way to putting your mind at rest, Charles,’ he said. ‘I realize it’s a lot to take in at one go, but the message is an optimistic one. When you’re talking more freely, you can fire as many questions at me as you like.’ He offered a hand. ‘I look forward to knowing you better.’
Acland grasped the hand and held on to it to keep the man from going. What he wanted to say was, ‘Why would I need a neurosurgeon?’ but the words were too complicated. Instead, he touched the side of his head with his other hand and asked, ‘Is brain OK?’
Galbraith nodded. ‘As far as we can tell.’
He released the man’s hand. ‘Why can’t I re – emb – er?’
‘Because you were unconscious for three days and amnesia is a common symptom of traumatic head injury. Are you having problems understanding what’s said to you?’
‘No.’
‘You certainly don’t look as if you are. Dr Willis described you as extremely alert for someone who’d been out cold for three days. Do you remember talking to him?’
‘Yes.’
‘Do you remember the details he gave you about the attack?’
‘Yes.’
Galbraith smiled. ‘Then you’ve nothing to worry about. It’s short-term memory loss that’s disabling. Sufferers struggle to understand or retain information . . . They lose skills they once took for granted and have to undergo prolonged therapy to relearn them. Yours is localized or retrograde amnesia, which means you’ve forgotten events within a defined time period. It’s quite normal after concussion . . . but rarely permanent.’ He examined Acland’s inexpressive face. ‘Does that reassure you?’
Confidential Memo To: Dr Robert Willis, Psychiatric Dept From: Nursing Station 3 Senior Nursing Officer: Samantha Gridling Patient: Lt Charles Acland 893406
