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Logo of brjgenpracRCGP homepageJ R Coll Gen Pract at PubMed CentralBJGP at RCGPBJGP at RCGP
Br J Gen Pract. 2007 April 1; 57(537): 329.
PMCID: PMC2043346

Self-inflicted injury …

It's a Sunday afternoon in August. The sun is shining but I'm holed-up in a rural English A&E department treating people who have injured themselves ‘having fun in the Dales’. Bikers with broken legs, paragliders picked off pylons, horse riders who have gone head-over-heels, concussed climbers: they all get the treatment that they need. Inwardly, however, I'm resentful and have an inner dialogue along the lines of ‘What do you expect if you choose to do such foolish things?’

That was 6 years ago when I was fairly fresh out of medical school. Cut forward now to my recent summer holiday in north Cornwall. ‘Let's buy some wetsuits and body boards before we go — the surf's meant to be great!’, suggests my holiday companion. This sounds a splendid idea. Thus, on our first day in Cornwall (a Sunday afternoon, as it happens) you find us striding confidently towards the rocky beach, sporting crisp new wetsuits with shiny body boards tucked under one arm. Not put off by the ominous grey skies and strong gusting wind we venture forth towards the looming waves. We don't actually stop to wonder why no one else is out in the surf, or falter at our own inexperience. ‘No fear’ is our mantra as we struggle to penetrate the wind-whipped breakers pounding the rocky shoreline at high tide. Once in the sea my spirit lifts as I catch a whopper and rise heavenwards on its crest. My elation turns to panic as I twist and tumble in its force, and am slammed back down onto the rocks. Unable to get up, I need carrying out of the pounding surf by four bystanders who have been watching our progress with interest and alarm. Spine-board, then helicopter to the not-so-local hospital and I'm starting to castigate myself for my foolishness.

‘Oh mate, I've done the same thing’, a paramedic sympathises as he loads me into the helicopter. ‘Is the surf any good today’, someone else asks while they're unloading me at the other end. Inwardly I'm still wagging an accusatory finger at myself: ‘What do you expect if you will indulge in such stupidity?’. However, I don't sense any criticism from the staff in A&E. Not even a whiff of judgmentalism. Far from it in fact, some treat me as a fellow surf comrade while others cluck and brood in a motherly tone.

Now, thankfully, my back is fine and the hole through my lip has been stitched-up perfectly. However, when I feel the scar and I remember my day of reckless funturned-nightmare, I am humbled. I am reminded not to judge, but to care for the injured, no matter how self inflicted their plight. After all, to err is human and to be a bit crazy sometimes is part of the joy of being alive.


The author wishes to express his gratitude to Cornwall Air Ambulance Service, to the A&E Staff at North Devon District Hospital, Barnstaple, and the department of maxillofacial surgery at the Royal Devon and Exeter Hospital.

Articles from The British Journal of General Practice are provided here courtesy of Royal College of General Practitioners