Among the reasons why blogs stop updating, bereavement is unlikely to be high up on the list. But that is why the Knackered Hack fell silent these past few weeks.

Spending an extended amount of time in limbo in hospital brings to the fore all sorts of extraneous thoughts about time and uncertainty, not to say the complexity of information that tired, exhausted relatives have to absorb and sometimes make important decisions from.

Hospitals are all about corridors, lifts, stairs, inadequate eating facilities, irregular food and drink, and not a lot of fresh air. That’s especially true if you are there for a long-term vigil and not just popping in during visiting hours. There was a moment when I realised that it had some of the hallmarks of the Opec meetings I was required to cover professionally in my early 20s. They involved endless days in hotels in Geneva or Vienna, chasing important-looking men speaking English with thick foreign accents, the majority of whom were under the mistaken impression that they were in control of things. Time was completely elastic. In fact we even called it “Opec Time” because nothing ever happened when it was meant to. When the Hotel Intercontinental in Geneva gave us watches with the Opec logo on them we all laughed.

But the business of how to manage your own expectations in hospital — and how your expectations are being managed by the medical authorities — is a serious one. There are definite differences between junior doctors and the more senior consultants. The key qualifier, in my recent experience, is frankness. Hope in a hopeless situation is very confusing, but I guess the younger you are as a medic, the more idealistic: the closer you are to your original motivations to help and do good. You are less used to death and less practised in the application of those heuristics that permit the cutting through all the possible treatments that a modern hospital has to offer to the more simple need for palliative care, which, where it involves ever larger doses of morphine, is itself terminal.

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