Overnight in A&E
Starlight had a tumble. It’s all a bit of a blur – to spoil the plot, she’s absolutely fine – but this is what I recall of it.
I didn’t see the fall occur, but I know what happened in abstracted definition:
Infant, n.a child during the earliest period of its life, esp. before he or she can walk; baby.
Bed, n. a piece of furniture upon which or within which a person sleeps, rests, or stays when not well.
Barrier, n. anything built or serving to bar passage, as a railing, fence, or the like.
Bounce, v. to spring back from a surface in a lively manner
Acrobat, n. a skilled performer of gymnastic feats, as walking on a tightrope or swinging on a trapeze.
Gravity, n. the force of attraction by which terrestrial bodies tend to fall toward the centre of the earth.
Vomit, v. to eject the contents of the stomach through the mouth; regurgitate; throw up.
Drowsy, adj. dull; sluggish.
(All these from http://dictionary.reference.com)
After that, everything is staccato. A rush, then a wait. My wife phones me at work. “I can’t find the doctors number!” I phone the doctor, make an appointment. Call my wife back. “Take her down now, NOW!” I have phoned them, they are primed. “No”, she says, “I have phoned an ambulance”. “I’ll cancel the doctor.” “But what if the ambulance can’t get here? Should I cancel the ambulance?”
The only circumstance in six years in which I need to take control of situations has been during panics and crises. I’m there right now, quite detached, calm. “No”, I say. We might as well get the ambulance. No point in adding another link to the chain. Starlight is 9 months old. There is no way a doctor’s going to look at her and release her without some kind of hospital observation.
“Phone me when you’re in the ambulance” I say. There is no point in me moving. They are in Kildare. I am in Dublin, where the hospitals also are. Until we know which hospital they are going to, I might as well stay put. My wife phones me back. They are going to Tallaght Hospital, the Children’s A&E.
I am in Tallaght Hospital, searching for the Children’s A&E. A security guard gives me directions – one must follow the red footprints, down a corridor behind the main A&E area. Hansel and Gretel, lost in the forest, finding their way to safety.
This is not a political blog, so I shall keep this bit brief: the one minute walk from the main A&E to Children’s A&E was harrowing. Men and women of all ages and nationalities were laid out on trolleys; some trying to sleep; some trying to read; others talking on phones; all trying to retain some level of dignity in this most vulnerable of states. I looked around me, away from them, seeking Charon or Virgil. The children’s A&E, with its bruises, breaks and cries were bad; but the walk down was somehow more deeply affecting. I got in, there they were: Starlight bouncing on her mother’s knee, smiling. There weren’t many other children in, yet.
“She’s making a liar out of us” my wife says. As our children are wont to do. What with being in KDoc and DDoc and ShannonDoc and NOWDoc and the local doc with nauseating regularity. There’s never been anything major wrong. But with the head, you just don’t know.
Starlight is called in and they check her temperature, blood pressure, pulse, pupils and ears. “Obs” they call it. So now we know something. They say she’ll be checked on the hour, every hour for four hours. We can go where we like in between Obs. So, now we know a little more.
We go for a coffee while we wait for the next round of Obs. “She seems fine anyway” I say. We phone and text around; let everyone know what’s going on. It’s all very drawn out. Three Obs later, the doctor reckons we can probably go.
But then she comes back and says “No”. Because Starlight is under one, she should stay in for the night, for more Obs. It makes sense: you never know with heads, so you need to keep an eye on her. We are both relieved by the idea that she will be under medical supervision for the night. I will be staying in overnight, so I drive home for a change of clothes and to pick up Sunshine, who is with our neighbour. My wife waits with Starlight.
I should share with you some advice I was given at this juncture: If you’re ever in this position – overnighting in a children’s ward (and I hope you won’t be, but let’s face it, I think we all consider it something that can happen) – stock up well. They don’t feed you and there are no hot drinks allowed on the ward. If you drink coffee or tea, get yourself a large one and drink it before you settle in. Bring a sandwich, newspaper, book, whatever you might need. Once ensconced, you won’t want to move. Go to the toilet.
Back in the ward, we have a room to ourselves. Starlight is back to her normal self, bored silly and causing mayhem; but not quite enough for her liking. If we put her in the cot, she grabs the bars and jumps like a kanga hammer, doing her Bessie Smith. So, we take her out and let her play on the immaculately clean floor. Where she immediately scrambles for anything with a hand hold and tries to climb it. Sunshine admonishes her “Starlight, don’t be silly! You’ll fall!” Then, she admonishes us: “Mummy, Daddy, tell Starlight to stop being silly or she’ll fall!” The parents become the parented; such powerlessness.
We decide it’s time for everyone to go to bed, so my wife and Sunshine head away. I try to settle the ‘unsettlable’. I give her a bottle, coo her, put her in her cot, take her out again and play with her some more, put her in her cot, coo her, give her a bottle… We were so hell bent on ‘doing it right’ with Starlight. We have her pretty much trained to go to sleep on her own. This means, if one of us is there, she thinks its still playtime. Up and down the ward outside, I can hear children crying for various reasons, boredom, pain, bedtime, a wish to be elsewhere. I know what I have to do, and it’s the hardest thing to do: she does not know where she is or what’s going on, but I have to leave her. I step outside the door and listen to her cries, crescendo first, then calm and peter to diminuendo. A strange music, which at home can be strangely satisfying at end: for she sleeps. Here, it breaks my heart.
I creep back in. Settle in with one of many books, fall asleep. A nurse comes in to do the Obs, which Starlight sleeps right through. The nurse explains they’ll be done every three hours through the night. It is 11 now, so the next is at 2. She advises I try to get some sleep, and I guess she is right.
I settle onto the camp bed, which folds me upward and spills me out to the floor – as you see in all the good cartoons. After cursing under my breath, I straighten it all out, and settle again. I am reading a book of short stories by Jorge Louis Borges. A writer who mixes fantasy and reality so effectively that you start to wonder what exactly is real, and what is a dream. Here, with my daughter sleeping peacefully behind the bars of a hospital cot, it is apt.
I wake briefly as the nurse leaves. The 2am Obs are done. Next set at 5. I know Starlight will wake and not sleep after that. And I am right. A bottle and some toys placate her for a while. I dare to leave the room while she is distracted. I notice something about us Dads. The Mums on the ward and the children are all in pyjamas: perhaps to provide some comfort in this strange place. The Dads though, we’ve all slept in our clothes, like cowboys on the frontier. We’ll take what’s coming and we’ll do it with our pants on!
Later on, a nurse comes in to do the 8am Obs. She tells me a social worker will come in but not to worry, because it’s standard practice. I know this, anyway, and assure her I take no offense from it. My sister works in child protection, and you’d be glad of these interviews too.
The panic is over, so I return to my usual bumbling self. The social worker comes in, and as she explains this is all hospital policy, I try to reassure her that I’m not worried by her presence. Rather than say what I have just written three lines up, I say “Ah, sure with everything you read in the papers, of course you need to check. They’re always asking – how do these children fall through the cracks?” She looks at me; I smile crookedly. This is me, sans coffee. After a short enough discussion, hopefully enough to dissuade her from the opinion that I am some kind of tabloid waving maniacal bog trotter, she takes her leave. She lets me know that the local public health nurse will get a letter also. This time, I just say “Grand!” (A few days later, the public health nurse tells my wife she could see that coming, just by how active Starlight is. She advises we get used to casualty).
Soon after, my wife arrives with Sunshine, who proceeds to tell me that Starlight wasn’t well, so she had to stay in the hospital with me. I mutter something about it not being a dream after all, to which, her usual reply (which is shared with the daughter of BFD who writes here too): “Silly Daddy!”
We go home, getting a bucket of coffee on the way. There is plenty to do at home. Our house is like the Mary Rose, suspended in time from the moment the fall occurred. As we start moving things around and tidying things up, my wife shouts “Starlight!”. I turn to see Starlight attempting to climb the stairs.

This week, undoubtedly fuelled by being trapped indoors by the rain with only the kids for screaming company, I decided I wanted to become a Travel Writer. Not one of those ones that visit Venice and remark that they found the quaintest little coffee shop just behind the third piazza on the right. And I definitely did not want to be one of the ones that wrote ‘Ten rambles through the Salisbury plains’ either.
Here is one of my pet hates. Christmas in the summer-time. “He’s going mad!” I hear you say, “Everyone knows Christmas is in December!”
My phone is either having an epileptic fit, or trying to induce one in me. My Former Attorney (hereby known; without implication of warranty, expressed or implied; as ‘The Captain’) has sent me an email, text and is now trying to phone. Such is the constant connectedness of smartphone life; one will assume you are dead if you cannot respond with synergy to an electronic missive in a suitably dynamic period of time.
As I write, it’s a beautiful sunny Sunday afternoon and I’m on my way to a cricket match. Now don’t get me wrong, I don’t know the difference between a googly and a silly mid off, and the nuances of a Seamer or a Yorker are lost on me, but I had won the tickets and I tend not to look gift horses in the mouth. Thank goodness I’m not going to a test match then. A game that lasts five days without a result is not my idea of fun. I have friends that love the slow pace and nothingness of the game, but whenever I ask them what the appeal is the most common reply is that it’s a great day out and a good beer-up.