Friday, July 3, 2026

The Evening Hill Diaries - Volume 20 - from Easter into the heat of summer and beyond

 

The Evening Hill Diaries.


11th April 2026.  At the RAF club, London.  I always walk along the corridor to the north end of the building to look at the Battle of Britain stained-glass window.



A new and beautiful window commemorates the women of the air services – the WAAF (Women’s Auxiliary Air Force), the ATA (Air Transport Auxiliary), and the WRAF (Women’s Royal Air Force).  Several members of these services won the George Cross or the George Medal, which is also displayed here.


My father-in-law's squadron was 225.  All of the squadron badges are displayed on the walls of the first floor.  This is possibly the most well known.  Can you identify it?



The clue is in the motto.

 

It was a bright cold day in April and we were in London with the excuse that our minnows (AFC Bournemouth) were playing against the big fish – Arsenal F.C., at the Emirates stadium.  And on this occasion the minnows won.  The clocks struck thirteen…




Alex Scott scored the winning goal just in front of us


 

Buoyed by this unexpected result, I went to Covent Garden (The Royal Opera House) to see the ballet of Mayerling (music by Liszt, choreography by Kenneth MacMillan [Sir Kenneth MacMillan, see:   https://www.kennethmacmillan.com/best-friends ] ).  MacMillan has created some of the most dramatic and lasting of modern ballets – Elite Syncopations, The Rite of Spring, Romeo and Juliet, The Prince of the Pagodas (for the 20-year-old Darcy Bussell), The Song of the Earth, and Mayerling.  Born and raised in hardship, his story reads like that of Billy Elliot.  MacMillan was deservedly knighted for his services to the arts.  I have long wanted to see this ballet, knowing very little of the story, other than that the heir to the Habsburg empire, the Crown Prince Rudolf of Austria, shot himself and his 17-year-old mistress, the Baroness Mary Vetsera, in the hunting lodge of Mayerling, outside Vienna, in 1889.  The true story, and the elaborate cover up which ensued, is remarkable, and the choreography spectacular.  To paraphrase a theatrical blurb, the dancing and athleticism of Rudolf and his various inamoratas (sic) made Dirty Dancing look like a pensioners’ line dance session.  Now, I am no expert in the various ballet moves; I have difficulty knowing a plié or assemblé from a retiré, but the joy of ballet is in the physical expression of the story and the emotion, and modern choreographers such as Ashton and MacMillan achieve this without the need for the audience to know anything very technical.





In an extraordinary echo of the final funereal scenes of the ballet, MacMillan himself collapsed and died backstage during curtain calls after a revival of Mayerling at the ROH in 1992.

 

At Covent Garden, the ambience is different.  The high price of the programme, for instance, at £10.  But for this one gets what is almost a textbook, with every possible nuance about the ballet or opera being performed.  Rehearsal photographs; profiles and portraits of all 60 of the principal dancers, and photographs of the 44 named dancers of the corps de ballet.  One appreciates there is a difference, even from the back cover of the programme.  The advertisement is for ‘Van Cleef & Arpels.  Haute Joaillerie, place Vendôme since 1906’.  After victory at The Emirates, I needed no encouragement to visit the very busy champagne bar.



Curtain Call

Ryoichi Hirano and Melissa Hamilton as Crown Prince Rudolf and Mary Vetsera.  The Royal Ballet now employs an 'intimacy consultant'.  You may be able to see why.

Natalia Osipova as Mary in the production I saw


 

But in a reverse of the old farmers’ almanacs, March came in like a lamb and went out like a lion.  Or at least, it was rather contrary, which sums up our weather these days.

 

I re-established contact with an old colleague, a former charge nurse at Poole Hospital, subsequently ‘modern matron’ who worked with me to establish the first coronary care unit in Poole.  He trained in West Cumbria, in a hospital environment which was in some ways near Victorian, and in others, full of eccentrics.  Sitting in a nursing office on the ward, the Senior Sister announced she needed to visit the toilet, and reaching into the filing cabinet, took out a roll of white toilet paper.  Geoffrey pointed out that there was already toilet paper in the toilet.  ‘I know’, she said, ‘but it’s pink – it gives you cystitis.’

On another occasion, a very starchy paediatrician rang the district nurse who was on the ward.  One could almost hear his hiss of disapproval down the phone as he was greeted with ‘Eh, ‘ello Luv’.

‘Nurse’, he sniffed, ‘Mrs Walburn’s child is malnourished.  Cannot you improve this?’

‘Doctor – I’ve told her and told her, time and again, how to mix feed and prepare food.’

‘Hmm, that’s not very efficient nurse.  Perhaps you’d better write it down.’

‘Right doctor.  But then I’d have to bloody teach her to read first.’

The doctor rang off.

 

Geoffrey was recently finishing his career as a senior nurse advisor at another hospital.  He was horrified one day to discover that the senior ward sister was planning to work from home the next day.  ‘Lots of paperwork to do’, was the excuse.

‘I’m sorry’ (said in gentle but firm West Cumbrian accent).  ‘That’s not good enough.  Your staff need you here, whether you are doing paperwork or not.’

There were protestations, and the ruckus was escalated to the Chief Nursing Officer, who agreed that Geoff’s suggestion was correct.

And this is the state that our nursing profession has reached.  It’s symptomatic of the malaise which afflicts the health service at every level.  Junior doctors and students walking off the wards at 5pm when there are still patients to see (they are not allowed to stay, thanks to the appalling European Working Time Directive – and now they regard it as sacrosanct); endlessly rotating consultants in charge – so there is no personal responsibility for care.  There is no apprenticeship system any more, so there is no individual responsibility for training.  A friend and former colleague of mine was recently in ITU with a critical illness.  ‘Look above the bed’, he said.  ‘There is no named consultant who is looking after me.’  I could go on…

 

 

April, 2026.  Storms of hail; walking in North Dorset; fields of yellow rape; clear chalk streams; spring blossom.





 

During a few days of Lindsay’s absence in Canada in early May, visiting relatives, I cycled around some West Sussex lanes.  Such a beautiful county.  A nightmare for drivers on twisty single-track roads.  I started at Uppark House (built 1690), a National Trust property set on the South Downs.  The next day the longer route took me through West Chiltington, where St Mary’s Church is a remarkable 12th century Grade 1 listed building.  Its interior is decorated with well-preserved 13th century wall paintings, primarily displaying the Passion of Christ.  The villages around about, and the south facing slopes of the hills are a centre for the renascent wine industry, particularly the vineyard of Nyetimber.


Uppark House, West Sussex (National Trust)

 




St Mary's church, West Chiltington.  A typical Sussex village architectural style.

An interesting homily on the Old Rectory wall, Kirdford, West Sussex.


 

I recently spent an enjoyable few hours in Winchester Cathedral.  The tour was delivered by a very knowledgeable elderly volunteer who knew a lot of the history.    I was told that the tours began on the hour and the half hour.  Arriving at 2 minutes to the hour, I was directed to the nave where the tour had already started.  ‘I’m sorry’, I told the senior organiser, ‘I was told that they were on the hour and the half hour.’  He smiled benignly.  ‘After nearly ten centuries, I’m afraid we don’t have quite that precise sense of time’, he said gently.  I then put away my ‘Type A’ inclinations for the rest of the afternoon.

 

Two Americans were with us.  During any items of history prior to about 1776 they looked vague and smiled.  The guide tried to explain that the West window looked like a kaleidoscope because Cromwell’s soldiers, in about 1642, had looted the castle’s liquor, and smashed as much as they could find in the cathedral, attempting to find treasure.  The people of the city gathered the broken glass and some 20 years later the window was restored in its present form.  The Americans looked very puzzled when the subject of the Reformation came up, and the destruction of idolatrous images or statues.  After the tour, I attempted to help them make sense of the general lack of catholic imagery and hagiography in English churches.  ‘Have you been to Edinburgh?’ I asked.  ‘Oh yes’, was the reply.  ‘We’re going there.’

‘Well, Scotland was rigidly Presbyterian, and against any images at all.  If you go into St Giles’ church in Edinburgh, you can see that it took them several hundred years before they replaced plain glass with any images at all.  So, in the late 19th Century the beautiful stained glass was designed and constructed by the Pre-Raphaelites.’

‘Who were the Pre-Raphaelites?’

At that point I decided that I wasn’t cut out to be a tour guide, particularly for Americans.  It reminded me of Lindsay’s Viennese tour, where, stopping in front of the Hofburg Palace, the guide explained to the largely American tourists, that it had been the Imperial Palace of the House of Habsburg for some 600 years.  ‘Did the Habsburgs change their name to Hofburg, then?’ was the enquiry.

It also reminded me of the time when I was asked by an attractive American girl, who also lived at International Students House, if I knew anyone who could take her to a cricket match.  I would have loved to but was busy with medical school attachments.  My best friend from school was approached, and he agreed to take her to Lord’s to watch an MCC match against New Zealand.

‘How did it go, Mike?’, I enquired when next we met (there were no mobile phones in those days).

‘Mac’, he said, ‘Never do that to me again, will you?’

 

Now, continuing my Winchester theme, who is this, commemorated there in a stone tablet on the floor of the north aisle?

 

‘In memory of…

The benevolence of her heart, the ∫weetne∫s of her temper, and the extraordinary endowments of her mind obtained the regard of all who knew her and the warme∫t love of her intimate connections.

Their grief is in proportion to their affection they know their lo∫s to be irreparable, but in their deepe∫t affliction they are con∫oled by a firm though humble hope that her charity, devotion, faith and purity, have rendered her ∫oul acceptable in the ∫ight of her

                                                                REDEEMER.’

 

Here is the marble stone:

 


 



Jane Austen died at the early age of 41.  For my medical readers, the subject of her final illness has been a lasting and much speculated condition.  Both Northanger Abbey and Persuasion were published posthumously.  She came to Winchester for help in her illness, but to no avail.  It seems likely that her burial in the cathedral was facilitated by the fact that her father was the Reverend George Austen, formerly rector of Steventon in Hampshire.  Otherwise, it would have been unusual for a commoner to be buried there, particularly as she was not yet celebrated for her authorship.  Her writings were not mentioned until a much later brass plaque was placed on the north wall of the cathedral nearby.

 

Sir Zachary Cope, a famous surgeon, first suggested that Jane may have had Addison’s Disease (adrenal gland failure), because about the only medical description we have of her condition is in a letter from her elder sister Cassandra to her niece, Fanny Knight.  Pigmentation of her skin is mentioned (a feature of Addison’s Disease).  Other features of her illness do not necessarily confirm a diagnosis, and some have suggested that Hodgkin’s lymphoma, with its remitting fever, may have been responsible.  Cope believed that her Addison’s Disease could have been due to tuberculosis – then a common cause of widespread destructive inflammation.  When I was a student, we were taught to remember TB in cases of lymphoma.  The famous phrase, ‘TB follows Hodgkin’s Disease “Like a Shadow”’.  The two illnesses are not mutually exclusive, therefore.  Others have suggested lupus and the short answer is that we cannot know, partly because much of her correspondence was destroyed after her death.

 

The visit to Winchester was occasioned by my wife having some eye surgery at a hospital near Southampton.  While awaiting ‘check in’ it was mildly amusing to watch the discomfort of a gentleman, whom we shall call ‘Mr Davis’, also registering for some surgery when the receptionist said, ‘Oh and we have as your next of kin Mrs Samantha Davis.’  His new and much younger model was sitting nearby, and he had to explain sotto voce that his ‘next of kin’ had changed.

 

 

I came across a rather sad and poignant item.  Searching for another player’s golf ball, I picked up, deep in the heather and gorse, a near perfect ball which bore the printed inscription ‘Happy Birthday Dad.  Here’s to an Ace.’  An Ace, for those not of a golfing persuasion, is a hole-in-one on a par three hole.  The poignancy reminded me of the famous shortest ever story (six words), even more heart-rending: ‘For Sale.  Baby shoes.  Never worn.’  It is misattributed to Hemingway but appeared early in the 20th century when Hemingway would have been a child.  Similar hopes and dreams…

 

 May 10th et seq.

I journeyed to Scotland for our two yearly Ryder Cup for Cardiologists.  Five days of golf, mostly on East Lothian courses, but with one trip over to Royal Troon.  The weather was challenging and cold for the most part.  We beat the Americans…

12th green, Kilspindie Golf Club, May 12th.  Heavy squalls, including hail

Troon beach from the golf course.  Looking across the Firth of Clyde towards Arran

8th Hole, Royal Troon G.C.  The infamous 'Postage Stamp', surrounded by bunkers

Sunset over Arran, taken from Highgrove House restaurant.


 

This was followed a few days later with a two day trip to Rye Golf Club.  For those who have not been there, Rye is a magnificent town to visit.  Having been a vital port in the 13th and 14th centuries, steady ingress of pebbles and sand washed into the bay has resulted in the hilltop town now being two miles from the sea.  The golf club and course has had gradual increments of land such that there is sufficient acreage behind the dunes to create an additional golf course.  Here is a picture taken in 1913.  It shows ‘Mrs Brodrick and Lady Maude Warrender standing on the 12th tee’.  The vast expanse of sea visible is now land, and there is another half to three-quarters of a mile before one reaches the dunes behind the beach.

 


Rye Golf Club, 1913

 

 

Sunday May 17th

A letter from Chris Cox appeared in the Telegraph today, which I quote in full:

‘From a Labour era of political heavyweights to a party dominated by shallow careerists’

‘Sir – Fifty years ago, the Labour Party could choose between James Callaghan, Roy Jenkins, Michael Foot, Denis Healey, Tony Benn and Anthony Crosland: a front bench of heavyweights who had read deeply, fought hard and, on occasion, won arguments.  Several were products of the grammar schools their own party destroyed.

Today we are invited to marvel over Wes Streeting, Angela Rayner, Ed Miliband and Andy Burnham, as though a talent for broadcast clips and stakeholder jargon is evidence of statesmanship.  They have all risen without trace: politicians who leave no intellectual footprint, no memorable phrase, no sense that history would notice if they vanished tomorrow.

The ancients warned that those whom the gods wish to destroy they first make mad.  Ours is a country apparently determined to prove the point, entrusting itself to a political class of weightless careerists who would once have struggled to rise beyond junior ministerial obscurity.’

 

I realise that many of my overseas friends will not particularly know these personalities, but they too have their own problems with those in government who could not be classed as statesmen.  The precepts apply in their case too.

 

When I was a student, I had to give a speech of thanks to Roy Jenkins, who was the speaker at a dinner at International Students House.  His speech was urbane, witty, and highly enjoyable, delivered entirely without notes.  I was in awe.  I gave my pre-rehearsed speech and was afterwards introduced.  I told him that I was impressed at such a fluent and amusing speech delivered without notes.  ‘Well, you see’, he said politely, ‘I’ve had a lot of practice.’

 

I remember he told a story about a member of the House of Lords who was put on some sort of London transport committee.  It was known that Lord … always used his chauffeur to travel.  The problems of London congestion did not seem to bother him particularly.  One exasperated member of the committee suggested that the next time he left his club he should try coming to the House by bus.  At the next meeting he arrived very late, looking hot and flustered.  ‘Did you try the bus?’ somebody enquired.  ‘Yes, I did’, he said, ‘and it was a disaster.  I got on the bus and told the conductor to take me to the House of Lords and he downright refused.’

 

Continuing the theme of those who do not seem to inhabit the real world, a friend who is a JP told me of a judge he knew who was presiding over a divorce case where it seems that mediation had led to an agreement whereby the separating parties agreed to meet at McDonald’s once a week for handover of children to the other parent.  The judge concerned remarked that this seemed quite an imposition for Mr and Mrs McDonald, and did they not mind the responsibility for hosting meetings for the family every week?

 

June 1st, 2026

 

Coming to the end of a remarkable May heatwave, we journeyed to London to see what was alleged to be Lulu’s last ever concert at the Royal Albert Hall.  The concert was in aid of a mental health charity, so whatever misgivings one had at being once again subjected to ‘Boom Bang-a-Bang’ (Eurovision song contest winner) were put aside.  Lulu hit the top ten of the pop charts in 1964 at the age of 15 with a cover version of the Isley Brothers’ record, ‘Shout’.  Her voice was a literal expression of the song title.  But she could also hold a tune.  Just as Cilla Black proved her vocal worth in her rendition of the extremely complex tune of ‘Alfie’ by Burt Bacharach, so Lulu in her singing of the theme tune from the film ‘To Sir With Love’ proved that she was not just a shouter.  And the original hook to the announcement that she would be accompanied by ‘Friends’ suggested it might be an interesting evening.

 

Dinner at the Hard Rock Café (steak too tough, surroundings too loud, some of the memorabilia not up to scratch, e.g. a Fender Stratocaster allegedly signed by the members of Queen has almost all the writing expunged; difficult if not impossible to find a main course dish containing fewer than 1000 calories) and off to a very warm RAH.  Audience at the Hall mostly of a certain age (some sticks and wheelchairs) and a significant proportion of Scottish accents, but the atmosphere was genial.

 

The word ‘Accueil’ appeared on the big screen in front of us, but it turned out to be a flourish of indecipherable script announcing ‘Gcielle’, a ‘new’ singer-songwriter, whose words were entirely impenetrable, even though she proudly announced her latest song was about her favourite city, Rome.  It might as well have been in Latin.  The bass guitar player front of stage made impressive suggestive pelvic movements (copied from Blondie circa 1978), though the finest musician appeared to be the saxophonist.  As was said of the Cliff Richard musical ‘Heathcliff’, ‘After an hour and a half had gone by, I looked at my watch to discover that only twenty minutes had elapsed.’   Thus, Gcielle.  The set lasted just over half an hour, and the next 35 minutes was spent in dismantling her band’s gear and setting up and tuning Lulu’s team’s guitars.

 

But from just after 8pm until 10 it was full on Lulu.  Never mind if her rendition of ‘To Sir With Love’ did not quite display the vocal ability of nearly 60 years ago.  But it was when her guests started to appear that the party really warmed up.  Firstly, Delta Goodrem, a lady who is big in Australia, and mysteriously sang the Australian entry in the recent Eurovision Song Contest (sic).  Then Boy George, flamboyant as usual, but struggling with locomotion (his, not the Little Eva song).  Inevitably it was Karma Chameleon.  Then Gary Barlow, and finally Robbie Williams, to the delight of much of the female audience including my wife.  Robbie shambled on in an impressive suit of large pyjamas (well, it looked like that), but after the first song (Angels, of course), removed the jacket to reveal his ripped torso and tattoos in a small black vest.  Again, cue ecstasies of middle-aged female delight.

 

It wasn’t so much the quality of the concert (even Lindsay admitted it was not the finest she had attended – and she saw the Beatles at the Bournemouth Winter Gardens), but the venue, the good cause, and the uniqueness of seeing Lulu, Gary, and Robbie singing together made it a special evening.  Here is the evidence:

 






Packing activities in, I visited the Imperial War Museum.  I had not been there for about 50 years.  Its exhibitions are superb and I was pleased to see a number of school trips being shown around.  The holocaust section is not recommended for younger visitors, and indeed you need a strong stomach to fully take in the horrors.

There are some magnificent paintings on display, and at least at the moment, there is an exhibition of wartime art in London, 1939-45.  Well worth seeing.

 

Imperial War Museum, Lambeth Road, SE1

The Mule Track by Paul Nash, Belgium, 1918

A curious coincidence.  A poster from 1925.  A very different event to that which we attended.

Shipbuilding on the Clyde.  Stanley Spencer, 1940.  Shows the frenetic need to build ships for the navy.

Battle of Britain, Paul Nash.  Painted 1941.  While not an exact image of the dogfights in 1940, Nash attempted to display the confusion of the war in the skies.



There should be much more to talk about, or at least meander on about.  I should feel guilty choosing the topics I do when there is so much of real import in the world (Wars, earthquakes, crime, deranged Presidents).  I console myself in noting that during the height of the London blitz, George Orwell was more concerned about his geese at his little smallholding to the north of London.

 

I hesitate to bring this forward for readers’ attention, but I was deeply troubled by the turning over of the entire area of Trafalgar Square in London to a Muslim prayer event.  The sight of all those upturned buttocks was not only risible, but depressing.  But then (pace my friends who are deeply religious) I find religion depressing.  Again, I think it was Bertrand Russell who said, or rather, wrote: ‘It is possible that mankind is on the threshold of a golden age; but, if so, it will be necessary to slay the dragon that guards the door, and this dragon is religion.’

 

Belatedly (there are echoes not only of World War 2, but also possibly, The Great War) in our lack of preparedness in defence; announcements have been made about increasing the defence budget.  Our navy is mostly in dry dock; our new tanks do not work.  ‘New’ war is technologically different.  Perhaps all those adolescents who just play computer war games in their bedrooms, will be our saviour in the ‘New’ Army.  (I almost said New Model Army).

 

Matt, in the Daily Telegraph, as usual, has the apposite cartoon.



 

We have muddled through some challenging heatwaves recently, and another one approaches (early July).

 

I will end with two stories.  During the very hot weather, I was playing golf with a Scottish friend, an anaesthetist, who suggested that we cut across from the 12th to the 17th hole, and return to the clubhouse as soon as possible.  While walking, our minds not particularly on golf but on survival and the choice of cold drink awaiting.  He asked me about my research on beta-blocking drugs during exercise.  He also quizzed me about intra-operative and peri-operative effects and potential benefits.  He asked me if I had heard of a famous Professor of Anaesthetics who had done much research in the field.  The name was not particularly familiar.  This Professor had been asked to deliver a keynote lecture in Oslo on the topic.  Of substantial self-importance, he complied willingly and was therefore seated as a guest of honour on the high table at a suitably magnificent post-conference feast.  His neighbour asked politely for the Prof’s views on various topics, not least his own research, which he was never shy of talking about.  Eventually, after listening in apparent awe to Prof X’s extensive knowledge of just about everything; anaesthetic, political, geographical, historical; the Prof – as an afterthought – indulged the man by enquiring what he did for a living.  ‘Well, I’m the King of Norway’, said his neighbour.

 

Finally, for almost every entry in the diary, I could quote from Private Eye’s ‘Pseuds Corner’, a column which has been going almost as long as the magazine.  Skewering the pompous, the wordy, and the sometimes near impenetrable outpourings of creative journalists, here is my favourite recent entry from a long list of possibles:

 

The Luce is more than the thinking man’s (or woman’s) Ferrari, the sort of motor car that Hamlet would have enjoyed taking for a spin around Elsinore on a Sunday afternoon between existential crises.  NICHOLAS FOULKES on Ferrari’s new electric car, Financial Times.

 

Until the next time…

 

July 3rd, 2026.

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