In the centre of the room stood a black wheelchair, its seat and back cushioned by sheepskin. A solidly built man in white collarless scrubs was crouching down, adjusting a man’s feet on the footrests of the wheelchair. As we stepped into the room, the man in the wheelchair looked up from under shaggy, unkempt hair. His eyes met mine and after a pause, he let out a bloodcurdling groan. Then his mouth twisted, and he let out another unearthly cry.
I felt his mother stiffen.
‘Will, stop it!’
He didn’t even glance towards her. Another prehistoric sound emerged from somewhere near his chest. It was a terrible, agonizing noise. I tried not to flinch. The man was grimacing, his head tilted and sunk into his shoulders as he stared at me through contorted features. He looked grotesque, and vaguely angry. I realized that where I held my bag, my knuckles had turned white.
‘Will! Please.’ There was a faint note of hysteria in his mother’s voice. ‘Please, don’t do this.’
Oh God, I thought. I’m not up to this. I swallowed, hard. The man was still staring at me. He seemed to be waiting for me to do something.
‘I – I’m Lou.’ My voice, uncharacteristically tremulous, broke into the silence. I wondered, briefly, whether to hold out a hand and then, remembering that he wouldn’t be able to take it, gave a feeble wave instead. ‘Short for Louisa.’
Then to my astonishment his features cleared, and his head straightened on his shoulders.
Will Traynor gazed at me steadily, the faintest of smiles flickering across his face. ‘Good morning, Miss Clark,’ he said. ‘I hear you’re my latest minder.’
Nathan had finished adjusting the footrests. He shook his head as he stood up. ‘You are a bad man, Mr T. Very bad.’ He grinned, and held out a broad hand, which I shook limply. Nathan exuded an air of unflappability. ‘I’m afraid you just got Will’s best Christy Brown impression. You’ll get used to him. His bark is worse than his bite.’
Mrs Traynor was holding the cross at her neck with slim white fingers. She moved it backwards and forwards along its thin gold chain, a nervous habit. Her face was rigid. ‘I’ll leave you all to get on. You can call through using the intercom if you need any help. Nathan will talk you through Will’s routines, and his equipment.’
‘I’m here, mother. You don’t have to talk across me. My brain isn’t paralysed. Yet.’
‘Yes, well, if you’re going to be foul, Will, I think it’s best if Miss Clark does talk directly to Nathan.’ His mother wouldn’t look at him as she spoke, I noticed. She kept her gaze about ten feet away on the floor. ‘I’m working from home today. So I’ll pop in at lunchtime, Miss Clark.’
‘Okay.’ My voice emerged as a squawk.
Mrs Traynor disappeared. We were silent while we listened to her clipped footsteps disappearing down the hall towards the main house.
Then Nathan broke the silence. ‘You mind if I go and talk Miss Clark through your meds, Will? You want the television? Some music?’
‘Radio Four please, Nathan.’
‘Sure thing.’
We walked through to the kitchen.
‘You not had much experience with quadriplegics, Mrs T says?’
‘No.’
‘Okay. I’ll keep it fairly simple for today. There’s a folder here that tells you pretty much everything you need to know about Will’s routines, and all his emergency numbers. I’d advise you to read it, if you get a spare moment. I’m guessing you’ll have a few.’
Nathan took a key from his belt and opened a locked cabinet, which was packed full of boxes and small plastic canisters of medication. ‘Right. This lot is mostly my bag, but you do need to know where everything is in case of emergencies. There’s a timetable there on the wall so you can see what he has when on a daily basis. Any extras you give him you mark in there –’ he pointed ‘– but you’re best to clear anything through Mrs T, at least at this stage.’
‘I didn’t realize I was going to have to handle drugs.’
‘It’s not hard. He mostly knows what he needs. But he might need a little help getting them down. We tend to use this beaker here. Or you can crush them with this pestle and mortar and put them in a drink.’
I picked up one of the labels. I wasn’t sure I had ever seen so many drugs outside a pharmacy.
‘Okay. So he has two meds for blood pressure, this to lower it at bedtime, this one to raise it when he gets out of bed. These he needs fairly often to control his muscular spasms – you will need to give him one mid-morning, and again at mid-afternoon. He doesn’t find those too hard to swallow, because they’re the little coated ones. These are for bladder spasms, and these here are for acid reflux. He sometimes needs these after eating if he gets uncomfortable. This is his antihistamine for the morning, and these are his nasal sprays, but I mostly do those last thing before I leave, so you shouldn’t have to worry. He can have paracetamol if he’s in pain, and he does have the odd sleeping pill, but these tend to make him more irritable in the daytime, so we try to restrict them.
‘These –’ he held up another bottle ‘– are the antibiotics he has every two weeks for his catheter change. I do those unless I’m away, in which case I’ll leave clear instructions. They’re pretty strong. There are the boxes of rubber gloves, if you need to clean him up at all. There’s also cream there if he gets sore, but he’s been pretty good since we got the air mattress.’
As I stood there, he reached into his pocket and handed another key to me. ‘This is the spare,’ he said. ‘Not to be given to anyone else. Not even Will, okay? Guard it with your life.’
‘It’s a lot to remember.’ I swallowed.
‘It’s all written down. All you need to remember for today are his anti-spasm meds. Those ones. There’s my mobile number if you need to call me. I’m studying when I’m not here, so I’d rather not be called too often but feel free till you feel confident.’
I stared at the folder in front of me. It felt like I was about to sit an exam I hadn’t prepared for. ‘What if he needs … to go to the loo?’ I thought of the hoist. ‘I’m not sure I could, you know, lift him.’ I tried not to let my face betray my panic.
Nathan shook his head. ‘You don’t need to do any of that. His catheter takes care of that. I’ll be in at lunchtime to change it all. You’re not here for the physical stuff.’