A
manda tried to move
her head towards me as
I walked into the room. She
was lying on her bed, her body
motionless except for the occasional
involuntary twitch in her legs. I stood
in front of her and smiled. She made
a noise. “She says hello,” explained her
mother who was standing next to me
“I’ll leave you to it”—she walked out.
I try to understand Amanda, although
it’s difficult at times. Often I had to ask
her to repeat herself, and she patiently
did. We talked about music and what
films I’d seen recently. She asked me
about my plans for the future, about
my family. This was probably one of
the hardest job interviews I’ve ever
had. I’d never done anything like this
before. Amanda had multiple sclerosis
since the age of 17. It quickly began to
paralyse her, and for several years she
had lived in her bedroom, with her
parents as her main carers. She now
cannot move any part of her body and
the muscles in her neck are now too
weak to support her head properly.
Her speech is affected, as is her sight.
This was a truly horrific scene to
behold—this wonderful, bright
woman who at school had dreamed of
being a lawyer, her future destroyed by
this disease. This tragic scene was
being played out only a few doors
away from my house, but until this
meeting I had been unaware of it.
I was only there because I had
answered an advert in the local paper,
asking for a carer for a 27-year-old
woman with multiple sclerosis. The
interview ended, I said goodbye. A few
days later I got a message from
Amanda’s mum: I’m hired, when can
I start? I began the next day and
embarked on one of the most
formative experiences of my life. I was
17 at the time and had just finished
my A-levels. I spent the next four
months caring for Amanda and she
seemed to welcome the company of
someone nearer her own age. I took
This month, Dr Max Pemberton recounts a formative
connection from his youth which taught him much
more than any gap year ever could have...
A Bond For Life
Max is a hospital doctor,
author and columnist. He
currently works full time
in mental health for the
NHS. His latest book is a
self-help guide to using
CBT to stop smoking
H E A LTH
52 • JULY 2019