It's Official

The trembling walk across the flagstones.

I'm fashionably late.

I don't realise at the time, but the man in the thick designer glasses and the understated floral shirt, watches from somewhere within the brick hexagon and says to his (note scribbling) trainee, "Ah. Here comes a skinny person. This must be her".

This man, I've met him before. About sixteen years ago.
I almost want to gag at the memory of a tortured, teenage me; hunched, shaking in the back of dad's car after a one off meeting with this man, my sister's consultant, in the unit where she was incarcerated.

I remember he was kind to me.
Finally: someone who wanted to know how it was for a sibling.
Muscles held taut in my gut, I clamp my jaw; frightened his listening will force a desperate stream of projectile grief.

My mother, dressed in the small laughter of middle class embarrassment, rolled her eyes and clicked her tongue.
Stupid daughter... Doesn't know WHAT she's saying..! As if WE ever lived in denial..! As if WE would ever overlook such a thing! OF COURSE we knew what was happening! OF COURSE we knew ALL ALONG!

Choking on the words forced back down my throat, I shook all the way home.
Shook as dad glanced apologetically in the rearview mirror.
Shook as dad worriedly concurred that PERHAPS it WAS possible that I had known, long before them, the reality of my sister's terrible death wish.

I didn't recognise the man, even as I tried to remember something concrete about the session we had had all those years ago.

I would never have dreamed I would end up in front of him again. And certainly not for this reason.

*****
At the end of today's assessment: the words, "Anorexia Nervosa".

Every syllable ricocheted off the wall of my chest.

How can I know and yet not know?

"You believe me? You take me seriously?"

I am frightened and shocked and ashamed and relieved and disgusted.


The question is not, whether I believe you, he says. The question is whether you can believe yourself and take this illness seriously.

Again. Bullets.

I'm not well.

I knew that.

I need another assessment appointment. We haven't quite covered everything.

We haven't?
God.

Worst thing?

I double booked it for the woman's appointment next Monday.
THAT'S how screwed my mind was.

Now what?

Before I leave, he comments on the dryness of my hands. Says he noticed as we met and shook hands.
He noticed that? What kind of person IS this?
He suggests creams.
I admit I am frightened of absorbing calories through my skin.
"Not possible", he persuades.
I nod, gritting my teeth and flashing untrusting smile.

"Ok", I lie. "I'll start using cream on the splits".
(I have eczema)
Next he'll tell me vitamins can't make you put on weight, but they can. I read up on water soluble and fat soluble vitamins. I know my stuff.

"I'm seeing ..... (my sister's name...)... this afternoon..."
Something in me freezes over
"I won't tell her I've seen you of course... confidentiality and all that..." He tails off.

"I have no idea what she thinks or feels", I offer, lamely because I am at a loss.
He looks at me, studied, careful.
"I think she's been very worried about you". Somehow, his hand is stretched out to me.
"I think she's been very jealous of me", I sink my teeth into his hand and bite down hard. "Jealous that she's in hospital and I'm not"...

He laughs (uneasily?). Blood drips from my mouth...

"...That's the only reason she gives a toss".

I walk away, my throat and eyes stinging and swelling; the metallic taste on my bottom lip.

He hates me. he hates me. He hates me.
He loves her. He loves her. He loves her.

I want to wring my own neck as I get into the car.
Maybe her neck too.

It's eleven o'clock.

The sun shines bright and I need to do a number of very bad things to get through the despair of the day.

I do all of them but still, thirteen or so hours later, I am sinking.