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imaginary last shred) and partly out of self-preservation. Sobbing constricted my throat. It aggravated the pain to which it offered the relief of expression.
Dolorific calculus
    There’s no gold standard for pain, no agreed yardstick. To be truthful, any yardstick would have to experience the pain directly, to flinch and writhe in the very throes of measurement.
    Obviously it would be useful if doctors could quantify the amount of pain caused by a particular procedure, so as to compare it with other routes to the same therapeutic objective. Patients might eventually be offered a choice between paths through pain, in which personal preference would play a part. There are those who would opt for the agony-sprint, others for the long haul of sub-acute torment.Torturers of course could make use of the same figures in their own calculations.
    An attempt was made at the University of Uppsala in the 1950s, with the participation of local hospitals, to codify responses to pain. In practice the answers people gave were inconsistent beyond the resolving power of statistical correction. It was impossible to screen out the variables, even after the questionnaires were twice redesigned. Pain itself seems to be mutable, so that sometimes it becomes more intense with repetition, while at other times it dulls into numbness. Flirtatiously the toothache lies low, the moment it has led you trembling to the dentist’s chair.
    The Uppsala research led nowhere, in the end. It offered a poor return on the krona. So all that remains of the idea is the name of an imaginary standardised unit of pain – the dolor – while the actual project of a workable dolorific calculus was abandoned. So Mum and I couldn’t have a conversation, seasoned patient to ex-nurse, on the level of ‘Mum, it was agony! It was an 88!’ – ‘You poor thing, JJ. Childbirth only averages 55 – and I should know!’ Our exchanges were much vaguer, with tears on both sides.
    Deprived of Mum’s attention for those few seconds, Audrey saw her chance of winning it back with interest. She went very quiet, which should have made us suspicious right away, but Mum was preoccupied with soothing me.
    Nurses were popping in and out of the side ward every couple of minutes, and Audrey must have taken advantage of one such entrance and exit to slip out herself. So far she only did what any stroppy six-year-old would have done, but in the latter part of the escapade she showed her quality. When Mum had raised the alarm and charged off to lead the search party, she somehow managed to sneak back to where I was. From my position in bed, traumatised and now also upstaged, all I saw was the door of the side ward swinging open and then closed. No head showed at my level. Then a little later Audrey gave a loud and very stagey yawn and stood up, saying she had had ever such a lovely sleep and where was her Mummy? I pressed the bell for a nurse and slowly the fuss died down, with Audrey sticking to her story that she had never left the room. She even said that I had seen her, which was physically impossible, though it also meant I couldn’tflatly contradict her story, however little I was tempted to believe her. I could see Mum wavering. It wasn’t that she was convinced, she just preferred to think that she wasn’t sharing her home with a manipulative little madam.
    Audrey was back in a merry mood. She seemed to think the whole thing was funny, which in a way it was. Mum had longed for years with so much intensity to have a daughter. She dreamed of the completion a female child would bring. She had wanted to be so close to someone that they could almost hear each other’s thoughts, but now that it had come true she didn’t really enjoy it that much.
    It was a little breakthrough for Audrey. She had always been a good liar, but now she was an inspired one. She had acquired the knack of being the first believer of her own untruths, letting them radiate unstoppably outwards from that