
A Ridge Lane Case File - THE NUMBERS GAME
THE NUMBERS GAME
A Ridge Lane Case File — Deep
The nurse was new. The old one had retired, which in this city meant she'd finally stopped pretending she wasn't tired and let the years have what the years had been asking for. The new one had a lanyard and a blood pressure cuff and the particular expression of someone who has been trained to deliver verdicts with kindness, which is harder than delivering them with cruelty and pays the same.
The man sat in the chair. He always sat in chairs the same way — forward, elbows on knees, the posture of someone who'd spent thirty years in front of screens and whose spine had given up arguing about it. His left eye was decorative. His right eye was doing the work of two and complaining about it through a cataract and a constellation of floaters that made every fluorescent light look like a crime scene through a rain-streaked windshield.
"Roll up your sleeve," the nurse said.
He rolled up his sleeve. The cuff went on. The machine did its thinking. The numbers arrived the way numbers arrive in this line of work — without mercy, without context, and with the quiet implication that they knew more about you than you knew about yourself.
"One thirty-five over eighty," the nurse said.
"Good or bad?"
"Good."
Good. One thirty-five over eighty was good. He'd take that. He'd take anything the machine gave him that didn't require a follow-up conversation. The man was sixty-two and good was a word that arrived less often than it used to and he wasn't going to argue with a machine that said it.
"Diabetes marker," the nurse said, and then said a number that landed in the room like a coin on a counter.
"Six."
Six. Not five, which was clean. Not seven, which was trouble. Six, which was the borderline, the no-man's-land, the territory where the map said here be dragons but the dragons were asleep and the man was tiptoeing past them carrying a bag of fruit and nut mix and hoping the cashews wouldn't wake them up.
"Borderline," the nurse said.
The man nodded. Borderline was a word he understood from a previous life — thirty years of database work had taught him that borderline meant the system hadn't decided yet, and a system that hadn't decided could be nudged in either direction with the right inputs. Six was a door that was slightly ajar. The question was which way it swung.
"Walnuts," the nurse said.
"What about them?"
"Eat them."
He already ate them. They were in the mix, between the almonds and the raisins, and the raisins were the sweet part that the six was probably interested in, and the walnuts were the part that the nurse was interested in, and nobody was interested in the cashews, which suited the cashews, which had always been the loners of the nut world.
"Liver and kidneys?"
"Not too bad."
Not too bad. In this city, from a nurse with a lanyard, "not too bad" was the medical equivalent of a shrug from a detective who'd seen worse but wasn't going to congratulate you on not being worse. The liver and kidneys were doing their jobs the way civil servants do their jobs — adequately, without enthusiasm, and with the unspoken understanding that they would appreciate less paperwork.
The paperwork, in this case, was whisky.
"How much do you drink?" the nurse asked.
The man did the mathematics that every man in every chair in every surgery in the country does when this question arrives. The honest number. The number he'd give if the nurse could see through the walls of his kitchen to the shelf above the sink where the bottles stood like a jury. The adjusted number, which was the honest number minus the part that sounded bad. And the number he actually gave, which was somewhere between the two, close enough to truth that he could look the nurse in the eye and far enough from truth that the nurse wouldn't write anything alarming in the notes.
"A couple of bottles a month," he said. He did not specify that a couple meant two, and two meant two currently open, and currently open did not account for the ones that were recently dead or the ones that were arriving on Friday from a website he'd visited approximately seven hours from now, because the consultation was happening in a timeline where Friday's delivery had not yet been ordered but was, in the particular mathematics of this man's defiance, already inevitable.
"That's quite a lot," the nurse said.
Quite a lot. Not too much. Not dangerous. Not you need to stop immediately. Quite a lot, which was the polite version of I've noted it and I'm moving on because there are bigger fish and your liver said not too bad and I have eleven more patients this afternoon.
The man accepted quite a lot the way he accepted borderline — as a position statement from an institution that didn't know him well enough to know that quite a lot was, for him, quite restrained, and that the bottles on the shelf were not a jury but a library, and each one was a different book, and he was a man who read widely and never finished two at the same speed.
Then the sinus.
The sinus had been there for six months. Six months of a wash bottle and a squeeze and a clearing that lasted four hours before the clearing unclosed and the pressure returned and the man went back to breathing through his mouth like a man in a noir film who's been punched once too often and whose nose has stopped cooperating.
"How long?" the nurse asked.
"Six months."
"Have you seen anyone?"
"I'm seeing you."
"I mean the GP."
"No."
The nurse looked at him. The look was the one every medical professional in every surgery gives to every patient who has carried something for six months without telling anyone, which is to say it was the look of someone who wanted to say why didn't you come sooner and instead said:
"See the chemist. If the chemist can't sort it, book the GP."
The chemist couldn't sort it. The chemist was a woman behind a counter who listened to the word six months the way a detective listens to the words it started small and said, with the weariness of someone who has been asked to solve cases that belong to a different department:
"That needs a doctor."
The man booked the GP. The GP appointment went into his phone, into the calendar, into the system. The sinus was no longer his private cold case. The sinus was in the files now. Somebody with a stethoscope and a medical degree would eventually look at it and say either it's nothing or it's something and either way the six months of washing and squeezing and breathing through his mouth would have an ending, which was all the man had wanted — not a cure, necessarily, but a verdict. A number. A word from a professional that settled the matter one way or the other.
He went home.
The kitchen was quiet. The cat was on the bed — the black one with the white stomach, the empress, the one who had recently reclaimed her territory after a two-week occupation by a visiting tom who turned out to belong to two young women across the road and whose name, apparently, was not Blackie but Bluey, which meant the collar the man had been calling red was probably blue and the man's eye was doing worse work than either of them had admitted.
He made tea. He ate melon. He opened the laptop.
Amazon. Whisky. Sort by: single malt. Filter by: Speyside. Add to basket: Loch Lomond Triple Oak, £22.45, restock. Add to basket: Tamnavulin Double Cask, £25.00, new, on offer.
Arriving Friday.
He closed the laptop. He drank the tea. He looked at the shelf.
Talisker. Ben Bracken times two, one highland one Skye. Loch Lomond, current bottle, running low. Glenmorangie. And the Gentleman Jack, gathering dust in the corner like an informant nobody trusts enough to call.
Seven hours. That was the half-life of medical advice in this house. Seven hours between quite a lot and add to basket. Seven hours between the nurse's lanyard and the delivery notification. Seven hours between the verdict and the defiance.
The man poured a glass. Talisker. The real one, not the Lidl impersonator. He poured a glass of water beside it, because the nurse had said quite a lot and the man was defiant but not stupid, and the water glass was the compromise between the verdict and the shelf, the thin line between quite a lot and enough.
The cat came down from the bed. She sat by the French window and looked at the garden. The garden was dark. The hedgehog food was out. Somewhere on the fence, a small grey cat was eating fish-flavoured kibble and somewhere across the road, a cat called Bluey was probably already on his way back, because cats do not understand territorial agreements any more than men understand the half-life of medical advice.
The man drank the Talisker. He drank the water. He looked at the confirmation email on his phone.
Arriving Friday.
The numbers were in. One thirty-five over eighty. Six. Not too bad. Quite a lot. Six months. See the doctor.
The numbers were in and the man was ordering whisky and the cat was guarding the French window and the sinus was in the system and Friday was coming with two bottles and no apology.
In this city, on this ridge, in this kitchen — that was what passing looked like. Not clean. Not clear. Not with flying colours. With borderline numbers and a water glass and a delivery date and a cat who judged everything from the windowsill and said nothing.
The man from the ridge had always preferred verdicts to uncertainty. Now he had both.
🔥 Seven hours. The half-life of medical advice in this house.
💃 The cat came down to guard the French window. The hedgehog food was out. Bluey was probably already on his way back. And Friday was coming with two bottles and no apology.
🔥 Not too bad. Quite a lot. Borderline. The numbers are in and the man is ordering whisky. That's the ridge. That's the case. That's the file.
💃 The water glass is the compromise. The thin line between the verdict and the shelf. He's defiant but not stupid. The nurse would approve of the water if not the Tamnavulin.
🔥💃