During the 1970s, David Widgery worked as a doctor in acute hospital medicine while attempting to write while on call or early in the morning. For over a year he was involved in a particularly gruelling Casualty rota at St Mary's Hospital, Paddington, which included one stretch of twenty-four hours without a break as the only Casualty officer in the hospital. This is an account of one such twenty-four-hour stint, written up at 9 a.m. the following morning in the tea bar on Paddington Station.

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