
Dermatological experience
Jan Croot shares her experience of life with a skin disease
It is 1958. I'm lying in bed, in the dark, in
a four bed dormitory in an institution.
The four of us are plotting in whispers
about how we will capture Nurse Sharpe and
chain her up and run away. To stop us
scratching we are spreadeagled, tied with
bandages at the wrists and ankles to the
tubular steel of our bed frames. We are all 7
years old.
When my mum first brought me here, I
was taken off to have a bath and told my
mum would be waiting to say goodbye when
I'd finished. I looked and looked afterwards
but she had gone. They had sent her away
on the pretext that emotional partings are
not beneficial.

KEVIN NICHOLSON |
The particular building I am in is one of
several on a large estate. Each building houses
children with the same kind of illness, so
there is an "asthma house," a "polio recovery
house," and so forth. We are all in the "skin
diseases" house. This idea must be the brainchild
of a well meaning postwar medical
figure who worked out that if everyone with
the same condition is together they won't
feel different. It makes us in the skin diseases
house look at each other and despair. It
makes us realise how uncomfortable and
ugly and unlovable we are.
One girl, who is the colour of rancid butter
and has oil oozing from every pore, must
indeed be unlovable to her parents, who are
very rich, never visit, and have left her in this
place since she was three years old. She's
now twelve.
Another girl who has a condition which
has made her go bald is so unhappy that she
coerces others into a playground game in
which they stand still while she throws a ball
at their face.
Sunday is visiting day. It is the only visiting
day we are allowed. The rancid butter
coloured girl, who has no visiting days of her
own on account of her rich parents' inability
to love, shares my parents but it's not the
same. After lunch we all squash up to the
windows to see our mums and dads arrive
and after a few hours of normality we all
squash up at the windows to see them leave
again. We'll see them again next week but
seven days is a long time in a child's world.
The nurses here don't like us. We can
sense it. They never smile and they're pretty
tetchy most of the time. The matron is
always cross and tells you off a lot. I think,
and probably everyone else does, that it is
because we are ugly. Scabby children,
scratching all the time, are hardly endearing.
We probably offend their finer senses.
In the morning we wake up with a sense
of dread. Once we have been untied we get
dressed and go to breakfast. Breakfast is a
grim meal because afterwards we have our
dressings changed. We all file into the dressings
room and form three queues. Even
though everybody is under 13, the room is
quiet except for some tearful whimpers of
fear and anticipated pain.
A nurse stands at the head of each queue
and we are hoisted, one by one on to the
dressings bench. There, in full view of the rest
of the room, we have the previous night's
dressings unceremoniously ripped off. This
causes immense pain because in the night,
blood, pus, and water from the skin leak out
to form a dry crust on the outside of the open
weave bandages. A small boy in a gauze bandage
balaclava is hoisted on to the bench.We
can see the red and yellow crusts on the gauze
across his forehead and cheeks. He screams
when the nurse rips the balaclava off his head.
We all scream too, because it is our turn next.
I ran away once and locked myself in a
lavatory. Eventually they realised where I was
and came up and rattled the door to make
me come out. By then I had managed to get
the dressings off myself with a bit of gentle
encouragement and a lot of saliva.
In the end I was rescued. Nobody would
listen to my parents' complaints so they
came in my uncle's car (we were too poor to
have our own) and stole me away. The
matron wouldn't let me take my Easter eggs
from the sweetie cupboard and refused to
hand over my clothes and shoes, so my mum
simply picked me up and carried me off. I
was wearing only knickers and an overcoat. I
cried all the way home. I had been in that
heartless place for eight weeks.
I still wonder, though, about the rancid
butter coloured girl and her parents.
Jan Croot pictures editor, BMJ
jcroot@bmj.com

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