Jeremy Clarke Jeremy Clarke

Low Life | 18 April 2009

Exposed to the elements

issue 18 April 2009

I’m virus aware. For example, I don’t touch door handles in public lavatories. If they’ve got in-swinging doors, I time my exit to coincide with someone else and let them grasp the handle. And I never, ever, touch the rubber handrail on Tube station escalators. Imagine what hundreds of thousands of commuting fingertips deposit on one of those during the course of a day! I suppose the paranoia is a leftover from my nursing days. Once you learn about the mechanics of infection, you hear it in every stranger’s cough or sneeze, and see it on every hotel TV remote.

I’m always conscious, too, of the 40,000 potentially infectious droplets that fly out of a person’s mouth at speeds variously estimated at between 95 and 650 miles per hour when a person sneezes. I sat in a claustrophobic doctors’ waiting room this week, in which half a dozen patients sat facing each other across a pile of grubby old Yachting Monthlys and sneezed at each other. A runny-nosed toddler investigating the toybox at my feet turned his head towards me and sneezed into my groin. We must have been sitting there in a miasma of flu droplets. Fortunately, I was on the end of a row, next to the shut window, and could avert my head to the wall. Pretending to rest my face on my hand, I closed off the nostril closest to the other patients and shielded my face from them without making it obvious.

After about half an hour, the person sitting next to me, a pale, painfully thin young bloke, initiated conversation by observing that the doctors must be running late this morning. I told him what time my appointment was, and he told me what time his was, and from there we got on to why we were there. We leaned in towards one another, hoping that our lowered voices were inaudible to most of the other patients.

I thought I had thrush, I said, and I was after an antibiotic. He had Aids, he said, and he was in for his regular check-up. Perhaps noting that my eyebrows had shot up, as though on springs, he explained that he’d had the illness for many years, and that significant advances in the treatment of Aids meant that he expected to live for many more. In some ways he was fitter now, and led a healthier lifestyle, than before, he said. He was about to become more physically attractive, too. The NHS had offered him a facelift to take up some of the slack in his face caused by his weight loss. The operation had had to be postponed after he developed a small heart problem, and again after an attack of septicaemia. But now he had recovered enough to withstand having his face peeled off.

As he pronounced the letter ‘p’ of the word peeled, a minute gob of spittle shot out from his mouth and landed on the inside edge of my lower lip. He didn’t notice it, but I did. I saw it leave his mouth and come looping across the 18 inches or so between us, and before I could flinch, there was an almost imperceptible wetness on my lower lip, which, by an unfortunate reflex, I drew into my mouth with the bottom edge of my front teeth.

Look, I know that the human immuno-deficiency virus cannot be contracted by shaking hands, or by kissing, or via coughs and sneezes, or by any other means of everyday contact with a sufferer. I know all that. But I panicked. All I could think of at the time was that the HIV virus is very definitely carried in saliva; and that there is always a first time for everything; and that, knowing my luck, the moment that had just passed would eventually go down as a landmark in the history of epidemiology.

It was all too typical these days, I moaned to myself. You go to see your NHS doctor about oral thrush and you come away with flu and HIV. Of course I was too polite to demonstrate my panic. I kept a straight face. But already I was trying to look on the bright side of contracting a serious long-term illness with a stigma attached. At least I’d be able to get a facelift on the NHS. I’d probably be able to get a flat as well if I played my cards right. Instead of being always tired, ugly and of no fixed abode, I’d be tired, handsome and have the keys to my own front door.

Then his name was called and he unravelled his stick-like legs and stood up. ‘Be lucky!’ I said brightly — though my heart was bitter towards him. The toddler sneezed violently into the toybox.

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