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middle-aged man demanding emergency treatment for a sprained ankle, or a woman who couldn’t remember whether she’d taken her birth control pill, she felt the old anger rising again, the nausea starting to ferment in her stomach.

      ‘How do you get through the day without giving them a slap?’ she asked her crew mate Dave – an older man, steady and compassionate – after they left a call-out for a minor oven burn. The woman had fussed interminably about being scarred and demanded to see a cosmetic surgeon. Dave had been admirably firm.

      ‘We all feel like that sometimes,’ he said. ‘Just give yourself a bit of distance. Say you need to take a couple of minutes, go outside and take a few deep breaths. I find it works a treat.’

      The worst shifts were Friday and Saturday evenings, when gangs of otherwise sensible, intelligent young people who probably lived decent, law abiding lives the rest of the time seemed to abandon their collective sanity by taking party drugs, drinking themselves senseless and getting into fights in every town centre.

      At first, Jess managed to summon reserves of compassion by trying to see herself in each of them. This was more or less me, just a few months ago, she’d say to herself when, for example, attending to a drunken young woman who’d been in a cat fight and had minor abrasions to her face. She’d eventually been persuaded to call it a night and get into a taxi. When a young man took a swipe at her as she tried to examine the hand he’d just punched through a window, she recalled the blinding effects of her own alcohol-fuelled anger and how she felt like lashing out at anything or anyone around her.

      But mostly she failed to find any sympathy. Did they have any idea how much time and taxpayers’ money they were wasting? What if they were made to pay for the medical treatment they received – would that make any difference? The only people benefiting from these nightly binges were the alcohol companies and bar owners, she thought bitterly. Perhaps they should be made to pay up too?

      It was August, and a stifling heatwave had brought crowds out of the bars onto the streets when, one Saturday night, she lost it. They’d been asked by the police to help a semi-naked young woman found unconscious in the gutter, and the others were briefly called away to help a more serious casualty, leaving Jess to look after the girl. As she knelt down to examine her, a large, burly man with a beer belly protruding beneath his shirt began to stagger unsteadily across the street towards them, shouting obscenities.

      ‘Leave her be, you stupid bitch,’ he shouted, lurching closer.

      ‘Just stand back, sir, please,’ Jess said, pleased with herself for refusing to rise to the insult.

      ‘Fuck you,’ the man said, taking a few steps nearer. For a moment he seemed to stop in his tracks and went quiet, so Jess turned her attention back to the casualty. Then, out of the corner of her eye, she saw that he was fiddling with his flies and, before she knew what was happening, both she and the young woman were drenched in foul-smelling urine.

      ‘What the hell?’ she shouted, powerless to resist the heat of her fury. A dense red mist descended in front of her eyes and all common sense deserted her. Instead of leaving the scene and calling for help as she had been trained to do, her only thought was to stop him pissing onto the poor woman. She leapt at him, trying to spin him round by pushing his shoulder. For all his inebriation he managed to stand his ground, the urine now running down his trousers and splashing her feet.

      ‘Try that again, bitch,’ he said, laughing in her face with a blast of beery breath.

      ‘You bastard.’ She was about to push him again when she heard Dave’s shout.

      ‘Back off, Jess.’

      ‘He’s pissing all over us.’

      ‘Just. Back. Off. Now. Go to the van and get yourself cleaned up. Stay there till I get back.’

      She slunk away and, as the anger dissipated, she was left feeling sick and ashamed, waiting in the ambulance and stinking of urine.

      ‘I’m sorry, Dave,’ she said when he returned. ‘It was so disgusting. I just lost it. How’s the girl?’

      ‘Come round now, and we got her into a taxi. The police have arrested him for abuse and assault.’ He laughed. ‘Can’t wait to read the police report: “detail of assault weapon: stream of stinking piss”. It’s gotta be a first.’

      ‘Thanks for the sympathy,’ she said, managing a smile.

      Dave started up the engine and pulled off. ‘We’d better get you back to the station for a change – you don’t half smell.’ And then, after driving for a few moments, ‘In theory I ought to write this up, you know?’

      She held herself still, heart in mouth.

      He gave a deep sigh. ‘But it’s been a bloody awful night and you were under severe provocation, so I’ll keep it under my hat this time.’

      She spent her days off cramming for the exams which were now just a couple of weeks away: anatomy, physiology, cardiology, pharmacology. Study had always come easy in the past but these days she found herself struggling to remember facts, vital information like drug dosages per weight for children; the exact position to insert the needle to reinflate a lung with needle chest compressions; the APGAR score calculation for newborns.

      One morning as she went to take her tranquilliser pill, it dawned on her. Perhaps the drug was affecting her ability to retain facts? She felt fine now; surely she didn’t need them any more? She put the packet back into her bedside drawer. I’ll see how it feels for a few days, she thought to herself.

      It seemed to work: she passed the exams with flying colours. Nate took her out to dinner to celebrate, and they ended up back at his flat for the first time since the party. They were tentative at first, circling each other warily as he made coffee and she wandered around, checking to see what had changed, looking for clues about the life he had spent without her, these past months.

      But it was still the same old bachelor pad, with the broken blinds, the brimming waste bins, DVDs and Xbox paraphernalia scattered around the giant television. In the bathroom cabinet were shaving cream, deodorant, his familiar brand of cologne and a packet of paracetamol but, to her relief, no sign of any female occupation.

      The wariness lasted only as long as it took them to finish their coffee and have their first proper kiss, and after that the weekend passed in making up for lost time. They left the bedroom only to eat and watch a bit of tv, and Nate dragged on a tracksuit once in a while to go out for takeaways and bottles of wine. He poured her drinks without a single enquiring glance, and she made sure that two glasses were her top limit – this weekend was too precious to spoil.

      She knew she had to wait for him to say it, but she longed for him to reassure her, to talk about their future together once more. It wasn’t until Sunday evening was drawing on and she was preparing to leave, that he finally said, ‘I think we’re okay again, J. Don’t you?’

      ‘God, I love it when you get all romantic,’ she laughed, hugging him. ‘But “okay” will do me, for now.’

      It started as a normal shift: 6am to 6pm, on the van with Dave and a new Emergency Care Assistant, a sweet kid called Emma. It was a blustery day with towering cumulus clouds like fantasy castles in the sky. Emma remarked how lucky they were, driving around the countryside amid the beauty of the autumn colours, and the two others agreed.

      By coffee time they’d dealt with four shouts including one of their regulars, an old boy called Bert who kept a garrulous and foul-mouthed parrot. He’d fallen on the way to the toilet, so they just checked him out, cleaned him up and waited for the district nurse to arrive while the parrot hurled abuse from its cage: ‘ge’ me out of here, you ’uckers,’ it squawked, interspersed with a repetitive refrain of ‘stupid old git, stupid old git’. Emma giggled and blushed but Jess and Dave took it in their stride. They’d heard the parrot say much worse things in their time.

      ‘Let’s hope we get a decent break,’ Dave said, more in hope than expectation, as they pulled into the ambulance station. As usual, they’d just sat down

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