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27 May 2020

The peak

Inside the mind of Dr Jim Down, a leading intensive care consultant, on the night of the peak number of deaths from Covid-19 in hospitals.

By Edward Docx

For a moment, the world is as it used to be – unconfined, uncurtailed, alive with human teeming: coronavirus-free. The early light of a mid-April morning is already at the window. Sun-shot images flit through his mind: he’s playing somewhere in a rock pool by the sea with his two children; his wife is laughing. Then the half dreams fade and, already, he can sense anxiety seeping through some defensive wall in the back of his mind, pooling and mingling with the rising self-doubt. This is the peak, they say: today, tomorrow, soon.

Normally – the word seems to have to stretch itself further and further back in time – normally, Jim Down would kiss his wife and get up and head into work. But today he’s on the night shift at the hospital so he has to stay in bed, stop his mind racing, try to sleep. He needs to rest. The shifts have gone up from nine hours to 12. And they are relentless. How many days has he been doing this? He’s lost count. The world of medicine – his world, our world, the only world – has never been like this. There is no relevant history, no textbooks and no studies. Nothing is peer-reviewed or follow-the-procedure. The virus is obscure, monolithic, alien. They are fighting blind. Hand to hand. Bed to bed. He tries to sleep. But there’s a voice from his dreams that persists in his waking: Jo’s voice. “Are you sure,” Jo asks? “Will it be OK? Are you sure?” But he’s not sure. And so what is he going to say to Jo?

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