Catching Up, Part 1: The Fickle Finger
It’s been a while since I have written anything and enough has happened, as you will discover, that I’ve decide to break it into parts.
Last Friday, we had a Thanksgiving dinner. It seemed more sensible than trying to have it on Thursday, since it isn’t a holiday here, which would make it complicated to come and to go to work the next day. (One odd thing is that Black Friday isn’t a day off here, so in Britain it is just a seemingly random, American-generated excuse for excessive shopping. It makes no sense, but that doesn’t seem to stop commerce.) Thursday was Ivy and Debbie’s last night in London and our quazi-nephew Nate Anschuetz and his girlfriend Pua were in town for a wedding, so we all went out to La Chapelle, a lovely French-inspired restaurant close to Spitalfield’s Market, set in a beautifully restored old church. It was a great meal and a nice way to end a welcome visit from Ivy , Debbie, Annie and Charlotte.
Earlier on Thursday, I’d gone to Borough Market with a rolling suitcase and literally filled it with a turkey, miscellaneous vegetables and wild mushrooms, spices, oysters, smoked salmon and desserts. The turkey was so fresh that it still had a few feathers on it. On Friday, I spent most of the day cooking it all. We had thought about inviting a bigger group, but ultimately invited six people, which is probably the best size for this flat, given the limited seating and number of dishes we have here. There were two lawyers from Bryan Cave, one with her husband, one with a friend, Phil Saunders, the lawyer for the City of London (and romantic interest of Jenny Bakshi), who we met in Montclair and who later invited us to meet the Lord Mayor, and Anna Gier, who stayed with us during her gap year and is now attending Oxford and came down for the night. It all went very well. Although no one really knew each other, there was a lively conversation. And the food was good, if I do say so myself. (The gravy was the best I’d ever made.) We drank some really nice bottles of wine and everyone tottered out around 10:45. We were left to do the dishes with Anna and get ready for our trip to Paris the next day, where we planned to celebrate my birthday.
In the space of a few seconds, it all went wrong. I went over to pick up the immersion blender on the counter, to check to see if it was clean and put it away. I didn’t notice it was plugged in and I somehow pushed the switch with my little finger in harm’s way and instantly mangled the end of it. It was one of those things where I knew that it was not just a little cut and that I had really damaged myself. Lots of blood.
It was just after 11:00 on a Friday night and after making a phone number and finding out where the nearest emergency room was (they are called A&E rooms here, which stands for Accident and Emergency), we were off by taxi to Royal Hospital on Whitechapel, which is about ten minutes away. Over the next four and half hours, I got to experience the National Health Service first hand. The first thing you notice is that no one asks for insurance information or how you are going to pay for your treatment. I guess this is because at a big public hospital like that, the government essentially pays for everything and no one worries about the finances (except when the government decides to trim expenses, leading to fewer doctors and nurses). Al I really had to do was show them an ID.
I actually got the see the triage nurse pretty quickly. She confirmed that the end of my finger was a mess and that I’d cut an artery, which was why I was bleeding so profusely. She said I would need an x-ray to see if I had broken the end of my finger (which might have led to being admitted) and would have to see a plastic surgeon. Since it was around midnight, there were no plastic surgeons around, which meant coming back the next week. She sent me to get the x-ray and told me to come back to see here. I didn’t have to wait too long for the x-ray, went back, and she told me that the good news was that my finger wasn’t broken, but the bad news was that I had to see a doctor and there would be a two-hour wait.
I had read in the local papers that NHS didn’t employ enough of the young doctors who staff emergency rooms, resulting in tremendously overworked and dispirited doctors who are threatening to strike. An emergency (A&E) room in a public hospital on a Friday night is always going to be miserable place to be and this was an understaffed one in a less well-off area of London. The one saving grace was that the English don’t shoot each other, so there wasn’t that type of awful ER excitement. Still, there were lots of people in various bad states just sitting around waiting to see a doctor. Sometime around 3:00 I finally was seen by a young female doctor. I had never stopped bleeding and the temporary bandage was soaked. She pretty much confirmed what the first nurse had said, adding that I would need antibiotics. But she said that I really needed to stop bleeding or they would have to admit me (Goodbye Paris). She wrapped me up tightly with lots of gauze to absorb the blood and said she would be back to check on the bleeding. Then some other, more important case must have come up because she disappeared for about an hour. I had stopped bleeding and we finally asked a nurse if we could leave. No such luck. We had to wait for the doctor to prescribe the meds.
The doctor finally came back, looking harried (who could blame her), talked to someone on the phone and told me to come back on Monday to see the plastic surgeon on the second floor of the clinic at 10:00 and the nurses went through the procedure to get my medications dispensed. Then came the really huge difference between NHS and US medicine. I could just leave. There was nothing to sign. No written instructions about the medications or what to do about my finger. There was no written referral to the plastic surgeon. Still nothing about payment. No diagnosis. Nothing. It was a bit disconcerting. But the good news was that I was getting out of the hospital and going to Paris, albeit with a comically huge bandage on my little finger. See the picture of me below on the Eurostar train:

We got back from Paris (more on that in Part 2 or 3) and this morning I went back the hospital to see the surgeon. I managed to find the right place and discovered that there was no record of any appointment for me and not much of a record of my stay on Saturday night. But I got to see a doctor anyway. First I got to see yet another great nurse, who got my mega bandage off and cleaned it all up and told me what the doctor was going to tell me. The doctor came in and told me that I would have to come back for the surgery and that it would be out-patient since they could just numb the finger. They would then thoroughly clean it up and put it back together. He said I had cut the plate of my fingernail, which would have to be repaired (and the remaining nail removed), so that a new fingernail could grow back properly. He also said that was an outside chance that I would need a skin graft on the end of the finger, but that it was hard to tell until it was all cleaned up. He said it was a fairly small operation and that they would try fit me in by the end of the week. He had written some of this down on a form, which I had to sign (finally), but they didn’t give me a copy. I just got a third of a page sheet titled “Information for patients having surgery” that had be ripped from a larger sheet. The nurse gave me a new, more reasonable sized bandage while all of this was going on and I left.
This all wasn’t much fun, but it really could easily have been so much worse. I’ll write more about this as it happens, but the next few posts will be retrospective. Incidentally, does the phrase “Fickle Finger”make you think of “Laugh-In”? Is there any other connotation?







