Born Yesterday

Born Yesterday by Gordon Burn

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Authors: Gordon Burn
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cardiac ultrasounds and other fearsome procedures initiated. His hand in their chest, working under the rib-cage; Swan-Ganz catheters inside the heart, the pressure transducer at the tip of the catheter, the tube hoovering up the spurting blood.
    After a lifetime of regenerating spare parts, the nerve and muscle cells’ capacity for rejuvenation gradually shuts down. One after another, cardiac muscle cells cease to live – the heart loses strength.
    The maximal rate attainable by a perfectly healthy heart falls by one beat every year. The rapidity of circulation slows down: each heart beat pushes out less blood than it did a year earlier. Perhaps in an attempt to compensate, the blood pressure tends to rise somewhat. One third of people over the age of sixty-five have hypertension.
    As the pump ages, its inner lining and valves thicken, calcifications appear in the valves and muscle.
    The left ventricle, the most powerful part of the cardiac pump and the source of the muscular strength that nourishes every organ and tissue of the body, is injured in virtually every heart attack – each cigarette, each pat of butter, each slice of meat and each increment of hypertension make the coronary arteries stiffen their resistance to the flow of blood.
    Digitalis, morphine, theophylline, ergot, adrenalin, stramomium, terramycin, coramine (the means to jump- start the heart).
    ‘Irregular squirming’ – the terminal condition called ventricular fibrillation, the agonal act of a heart that is becoming reconciled to its eternal rest.
    Medicine is the profession most likely to attract people with high personal anxieties about dying.
    When the cadaver dogs, two liver-and-white springers – Keela, able to detect minute quantities of blood, and Eddie, trained to detect dead bodies – were flown toPortugal from Britain at the end of July at the request of the Policia Judiciaria, unverified stories were leaked to the press saying that the dogs had detected traces of Madeleine’s blood or bodily fluids on Kate McCann’s skirt and on her bible. The claims were dismissed by her friends on the grounds that her job had brought her into contact with half a dozen dead bodies in just the weeks prior to their family holiday starting.
    Modern death in tiled hospital rooms, and silent technologised removal. The greater the scientific advance, the more primitive the fear.
    Football for the spectator represents youth, vitality, community, spontaneity, the universal experience of acquiring a place in the world. Doctors, which both the McCanns are, serve as reminders of our inevitable personal, organic decay.
    Something interesting occurred as the weeks and months of Madeleine’s disappearance lengthened: Kate McCann’s Scouser accent, not much more than an inflection at first, thickened and became what it must have been when she was still being shaped by Liverpool and she was young and being chatted up by Scally youths in the pubs (or maybe already the trendy eateries and health clubs and rugby-club bars).
    The coarseness of the accent at times seemed at odds with the smoothness of her skin and purity of her complexion; the still unblotched colour – the mask-like, magazine-model good looks which had been widely commented on and were credited with the blanket coveragethe case was being given compared to other previous and already forgotten snatched-child stories.
    She had finally become pregnant with Madeleine in late 2002 through IVF, and in 2004 became pregnant again with twins. The McCanns spent that year in Amsterdam, where he was working on new heart-imaging techniques. Back in England they moved into their large house in the upmarket development in Rothley. They had family connections with the village: Kate’s uncle, Brian Kennedy, and his wife Janet lived there and the Kennedys were regarded as pillars of the community. In the weeks after the catastrophe in Portugal he took care of Kate and Gerry’s house, forwarded mail and fielded

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