because it wasn’t in his nature to tell anybody anything.
They were each carrying
Essential Clinical Anatomy
and wearing one of the twenty white paper lab coats they’d been issued in what looked like a gift bag – poor imitations of the thick white cotton coats doctors used to wear. Each had been given a four-figure code to allow them into the dissecting room via a key pad on the door. Patrick’s was 4017 and he hated it on sight. There were no patterns, no progressions, and the number had no shape other than spiky. He wondered whether it was worth engaging with another student to see if he could swap.
Just inside the entrance were three large bins filled with bright blue latex gloves. Small, medium and large. There were a few nervous giggles as they struggled into them. Patrick took a large left and had to pick up six more before finding a large right. He toyed with calculating the odds, but the boxes held an unknown number of gloves.
The blue latex seemed irreverently jolly here in the dissecting room, like bunting at a funeral.
Next to the gloves were white plastic boxes full of the tools of their new trade. Saws, hooks, scalpels, forceps, scissors – even spoons – all tossed in together. They were tools a handyman might use; a common labourer with calluses on his palms and dirt under his nails. It was a stark reminder that these – their first patients – were already past saving.
Clutching their gift bags and textbooks, the students shuffled forward gingerly towards Professor Madoc. The 150 students barely looked at the cadavers as they filed past them – as if to do so before they were given the green light to start cutting might be rude. They kept their eyes averted and fixed on Professor Madoc as he started to speak.
He was a tall, elegant man in his sixties, with neat white hair and a sailor’s tan. He welcomed them, giving them a brief overview of the anatomy syllabus and stressing the fundamental nature of the work they would learn in this room and how it would inform their studies and their rotations on the wards of the teaching hospital. He thanked the retired professors and junior doctors who had returned to guide the students through what he called the ‘infinite intricacies of the human body’. He nodded at the assorted men and women in white coats at the back of the room.
Then he mentioned the Goldman Prize, given to the best anatomy student every year, causing looks and smiles to be exchanged in silent challenge. The professor ended by saying that he was sure he didn’t have to tell them to respect those who had donated their bodies to medical science – and then told them anyway.
‘Ladies and gentlemen, you may have heard stories of eyeballs in Martini glasses and skipping the Double Dutch with intestines, but those days are gone, thank God. The thirty cadavers you see before you now are the mortal remains of people who donated their bodies because they wanted to help you through your studies and into a noble and caring profession. They wanted to do that even though they didn’t know you. And even though
you
didn’t know
them
, and never will, please show your appreciation of their gift by according them the same respect that you will one day show to your living patients.’
Patrick heard little to nothing of the professor’s speech. Alone among the students, he stared openly at the cadaver closest to him – an elderly woman with withered breasts, an apron of stomach fat and neatly manicured fingernails – still with a layer of chipped varnish on them. He was eighteen, but had never seen a live woman naked, and couldn’t reconcile this one with the images he had browsed on the internet. They didn’t even look like the same species.
He reached out and pressed a finger against the upper thigh. The consistency was that of a raw roast – cold and yielding, yet solid underneath. He thought of the way his mother stabbed the lamb on special occasions, and then pushed garlic and