When I first started working in a hospital, just over ten years ago1, someone told me it was like living in a small, strange country.
At the time I probably nodded earnestly, muttered something like “Absolutely. And the toilets are… this way, you said?” before power-walking into a linen cupboard.
But now, years in, I know exactly what they meant.
It has all the markings: a distinct microclimate (arctic in the basement, rainforest near the laundry), a regional cuisine (mostly consisting of leftover birthday cake, toast, and a hauntingly beige meal known only as ‘option two.’) And a local dialect so dense with acronyms it may as well be its own language:
“Can we discuss the MDT recommendation and GBOs for the CYP from CAMHS with AN-R under CPA?” When someone first asked me that, I genuinely thought I was being tested. Possibly for a stroke.
Having developed a degree of fluency, I now know that question translates as: “We’re worried about this teenager. Can we talk about how to help?”
It still drives me mad that we don’t just say that instead.
FTMA. Far Too Many Acronyms.
MGWSMA? My God, Why So Many Acronyms?
ATOOTJAA?N! A Third One Of These Jokes About Acronyms? No!
Hospital’s have dialects within dialects: the gentle, sing-song lilt of the neonatal team, the hushed-but-urgent staccato of intensive care. There are customary rituals: the Biscuit Diplomacy of staff rooms, the way everyone pauses before stage-whispering the word “quiet”, like they’re afraid the gods might overhear and punish their hubris.
One of the strangest rituals in my hospital is the ‘dance of the broken lift’. When the doors jam, as they inevitably do, the choreography never varies. There is a brief, conspiratorial pause. Eyes meet, and it’s tacitly agreed: the largest person present will assume their ceremonial duty of planting both feet, squaring their shoulders, and manually dragging the door closed with all the strength they can muster. Then, as if on cue, everyone does one big jump, in unison.
Newcomers find the ritual deeply unsettling, and rightly so. Heave-ho, then one big jump? That shouldn’t be the system!
Nobody knows why this should work (the success rate is perhaps 40%) and yet, the folkloric faith in Big Jump remains sacrosanct. To the uninitiated, it’s a spectacle both baffling and faintly alarming - like watching villagers perform a centuries-old harvest dance whose meaning has long been lost, but which everyone continues to perform with conviction and solemnity.
The hospital feels like it has its own time zone, too. You can go for hours without glimpsing any natural light, so it’s a place that feels simultaneously suspended in time and completely outside of it. You might walk in at 9 a.m. and suddenly it’s 4:17 p.m. and you haven’t done a wee in all that time (troubling, medically), but when you finally emerge, blinking, into the light, you’ve borne witness to more than should feel possible in a year.
But the main thing is, of course, the people. The citizens! Medical staff, porters, housekeepers, volunteers. The nurses who’ve imagined a thousand sunrises from a ward with too few windows. The porter who calls everyone “duck” and makes faces for the kids who can’t leave their rooms. (Last week, Abdullah, one of the cleaners, accompanied a scared child down to surgery for a procedure he’d been dreading. When they came back, almost three hours later, we asked if he’d been waiting downstairs all that time. “Of course” he said, with a shrug. “I wanted him to see my BIG smile when he woke up!”)
Hospital People can read the mood of a hallway like a second language. Way beyond the hastily-Blu-Tac’d notices on the walls, we’re gleaning crucial information from a silence, a vocal inflection, the quiet “What do you need?” tucked carefully inside a casual “How was your night?”
Because in a hospital you learn, quickly, how to navigate it all. Which ward clerks will lend you their hole-punch, and which would sooner staple your hand to the desk. How to spot the housekeeper who might sneak you a yoghurt when you missed your lunch break. How to quickly read a room still echoing with unwanted news.
More than a collection of buildings, mostly shabbier than would be ideal, a hospital is a whole ecosystem. A little country, full of quiet, everyday diplomacy. Not always safe, or fair, or easy - but once you learn the rules, there comes a moment when you realise: you’re not just visiting anymore.
My moment came on a very cold, January-ish sort of Tuesday (you know the kind), when I answered the phone at the nurses’ station. Not strictly my job, but no one else was there, and it was ringing and ringing and ringing. So I answered.
It was Nataša’s mum, Mirna, sounding panicked.
“Katya! Thank god!”
Always a troubling start.
Mirna knows me. Three of Nataša’s four birthdays have been with us in hospital. One year we’d all worn party hats, even the consultants. The second year she was in intensive care, and for one reason and another the party never got rearranged. The year after that? Pirate bandanas.
Mirna was in a panic, talking so fast I could barely make out what she was saying. Something about her daughter’s new motorised wheelchair being delivered to the hospital today, after months and months of delay. I knew about the wheelchair. We all knew about the wheelchair. Its arrival had been delayed so long it was practically mythologised.
Nataša’s mum speaks English as a third language, and she was speaking ferociously fast. Interpreters are brought in for medical conversations, but there wasn’t an interpreter around at that moment, nor did it seem like there was time to call one.
I cobbled together as much information as I could: no, she wasn’t sure who was delivering the wheelchair. It hadn’t come through our hospital wheelchair service, but instead had been sourced privately - via someone who knew someone who owed someone a favour. And one of those someone’s would be here to drop it off any minute, and they had told Mirna emphatically that they couldn’t stay long.
But her husband’s boss had said no to time off work. (When you have a daughter who has been in hospital for three years, your sick days don’t stretch very far, and Nataša’s dad didn’t have the sort of job that gave him any sick days to begin with.) Mirna’s younger daughter had a temperature, and wouldn’t be allowed on the ward, as it could put patients at risk of infection. So she couldn’t come in. Could someone - anyone - go outside to receive it?
Did I have time for this? Not really. Did I have the details that might let me get it done quickly and efficiently? Certainly not.
There’s a fantastic Polish proverb, often deployed to signal that a situation isn’t your responsibility: Nie mój cyrk, nie moje małpy. In English, it translates to: Not my circus, not my monkeys.
An evergreen expression, it can be a handy reminder to step back. Boundaries are forever being tested in the hospital, and you have to know when to say, “Not my job.” Nie mój cyrk.
But there are times when being a citizen of the hospital means accepting that, for better or worse, these very much are your monkeys.
I was the person who had answered the phone. And I was (hopefully) a person that could help. So I wrote down some hasty notes on a post-it, straightened my proverbial ringmaster’s hat, and set off.
Outside, it was cold enough to make your eyes water, but my coat was seven flights of stairs away, and I knew the lifts would take too long. This wasn’t the moment to gamble on the power of Big Jump! I stepped into the chill, and started scanning the street for a man whose name I’d jotted down - Serjan? Maybe. His car might be black? Unconfirmed. I was sitting on a veritable goldmine of information.
I paced the hospital entrance, instantly shivering, scanning dozens of cars like a deranged traffic warden. Nothing. A man to my left was smoking. A family to my right was unloading their bags. An unfortunate realisation slowly came into focus: scanning the entrance of a hospital for a wheelchair is like looking for a needle in a haystack, but instead of the haystack, it’s just... way more needles. The dreaded needlestack!
So there I was, pacing the entrance like a very stressed meerkat, eyes darting across a sea of cars, when I heard a familiar voice behind me. “Come and see the cards! They look great!”
It was John.
John has been an ambulance driver for more than 30 years. He adores his wife, drinks endless cups of strong, sugary tea, and is powered by a deep desire to be of service. But enough about how great John is for a moment!
Let’s record scratch:
A few weeks earlier, I’d been in the Head of Play’s office, chatting while she wrestled with a teetering stack of handmade cards from a local primary school. They were ‘Get Well Soon!’ cards, made with beautiful intentions, for the children and young people in our hospital. There were vibrant drawings of stethoscopes, smiley-faced stars, and the occasional anatomical mystery. The cards said things like ‘You are strong!’ And, because children are, almost universally, absolutely unhinged, one card proudly declared, in glitter pen, “I hope you don’t die!” You can’t fault the sentiment, but for sure the delivery could use some finessing.
So, as I’m sure you understand, the future of the cards was unclear.
“I can’t just throw them away” she sighed. “But… I don’t think we can give them out?”
We both nodded at the same time, recognising the dilemma. The cards were so sweet, but: a) it would be undeniably weird to give a kid in hospital a Get Well Soon card from a complete stranger, and b) crucially, no kid wants to be reminded that another kid feels sorry for them.
Enter John. I had forgotten all about the cards, when John came up to me in the cafeteria a few days later, with an idea.
“I want to redecorate the inside of my ambulance. If the little’uns do any nice colouring and that, could you save them for me?”
Well!
Would you believe, I might have just the thing!
John’s wife (Eileen) spent hours and hours laminating every single card (I had carefully sifted out the more macabre offerings before handing them over), so they’d be wipeable and thus officially infection-control compliant. John borrowed the laminator from one of the medical secretaries who apparently turned a blind eye to him taking it home because they shared a fierce devotion to the same football team.
And so, because he thought it might make his ambulance feel a little bit friendlier, he decked out the whole interior with glittery hearts and carefully crayon-d teddy bears, and sweetly offered, wobble-lettered wishes - “You’ve Got This!” “You’re amazing!!!” Even the ceiling was totally plastered because, as he thoughtfully pointed out: “the little’uns are often lying down when they’re in here.” He shrugged. “It just makes sense to have the pictures where they can see ’em.”
So, when he called out to me that morning - “Come see the cards!” - I wanted to say yes. I wanted to be delighted! But this was no time for John’s beautiful schemes! I had a mission.
“I’m so sorry, John,” I said, eyes still scanning every car. “I can’t come right now, I’m looking for a man with a wheelchair for Nataša. I think he might be called Serjan? Or at least something that sounds like Serjan, for sure. His car might be black.”
I felt like a total idiot.
And then - of course - the man to my left, mid-drag on his cigarette, looked up and said, in perfect deadpan:
“I’m Serjan. I have the wheelchair.”
He’d been there the entire time.
And here’s the thing: if it hadn’t been for that conversion with John, I would almost certainly have missed him! The chair might’ve disappeared back into the system again, rebooked, delayed, backlogged.
Instead, that afternoon, Nataša got to go outside for the first time in months. The nurses bundled her up, and they wheeled her to the hospital garden. The sun was weak, but it touched her face. They took the time to send her parents a photo.
This is what it means, I think, to be a citizen of the hospital: to be a tiny, moving part of a messy, mind-bendingly bureaucratic, strangely beautiful ecosystem. I’m a music therapist, yes, but sometimes I’m also a wheelchair courier. Or I’m a person who knows where to find a bunch of hand-drawn pictures to help decorate an ambulance. Sometimes I’m just the person who knows where the linen cupboard is, and once, I found myself leading a miniature parade of disorientated visitors down a corridor while holding a papier-mâché fish. No one asked me to do that. But, perhaps more troublingly, no one stopped me, either.
You start to notice what’s missing, and if you can, you try to provide it. Even if it’s not your job. This kind of work exists in the in-between spaces: corridor conversations, shared glances, and little moments of doing-your-bit that never make it into any official record. The serendipity of a well-timed chat, and the never-ending improvisation.
Then one day - without ceremony or signpost - you stop feeling like a visitor.
You look around - at the biscuits and the birthday cakes and the tired eyes and the mad, shimmering courage of it all. You see what it means to stay, and to care, and to keep trying, and you realise:
Yep. You live here now. (Y.YLHN.)
The Cameo
My guest this week is Carolyn Kendrick
What would you love for people to know about your work?
At this point in my career, I feel most comfortable describing myself as a musician, writer, and producer, in that order. I write songs and perform in my own project, I play the fiddle and guitar as a side person for other bands, I make podcasts (like Don’t Call Me Darlin’, You’re Wrong About, First Thirst, and You Are Good), I produce songs and albums for people, and co-run a studio education program called the Gender Equity Audio Workshop with our friend and hero Isa Burke. I like doing a bunch of different things, but they are all related to music and humanity in some way, shape, or form.
What might people be surprised to discover about your work?
I’m very history-oriented! Everything I care about has some element of relating to historical context. Even if it’s about the current day, I still think about how that relates to the threads of time.
What made you/helped you to choose what you do?
My parents, grandparents, and aunts/uncles are all musicians (though very different, genre-wise, from what I do), so music has always been the centrepiece of my life. There has never been a doubt in my mind that it’s at the heart of my desires. I tried to not be a capital M Musician for a couple years and it really did not go well - I got very depressed. I don’t think I have a choice. If I could choose, I’d choose something way less erratic.
What’s your perfect breakfast/lunch for a workday? (What do you actually have for breakfast/lunch?)
Historically, I usually have about three cups of coffee on an empty stomach. However, lately, I’ve been making myself a very LA-coded breakfast, which is a massive kale and spinach smoothie that I drink on my morning walk, and then a breakfast burrito once I get back from my jaunt.
Do you have a set morning routine?
Yes! And it is unwavering. I wake, I feed my cats, make my coffee as strong as humanly possible. I go to my backyard to do my morning pages in the shade of my pomegranate tree. Depending on how much time I have, I might sneak in reading a few pages of a book. I come back inside, light some incense, and I ask a guiding question of the day before pulling 5 tarot cards. (Examples of guiding questions are: What should I remember for today? What can I meditate on for guidance? What can I use to solve _____ conflict I’m currently in?) I write my tarot pull in my journal and a few sentences about what it means to me. I make what my partner Alex calls “my horrendous juice” (green smoothie, he’s more of a berry guy, I like more savory) and tramp around the foothills of the San Gabriel Mountains outside my front door for about an hour before returning to the demands of producing art!
Do you have a dedicated/preferred space for practice or writing music? If so, what does it look like?
I love writing in my little office or in my living room. The only must is that I need to be alone - I can’t have any friends, partners, or family around. This means that my partner and I live separately, right around the corner from each other. For me, turns out solitude is the quickest route to honesty. I struggle with feeling monitored or heard when something is in embryonic form because it embarrasses me.
Preferred tools of the trade? Essential work items?
Thesaurus, rhyme zone, voice memos, and my iphone notes! I keep countless thoughts, musings, lyric chunks, funny (to me) observations in there that are pretty much garbage scraps on their own, but eventually become the fertilizer for many songs, essays, and podcasts.
What’s your favourite thing about your job?
I love that I’m constantly around interesting, vibrant, diverse, challenging people and art. I love that my work requires being in and being good to community. I love that songs make me think about the world and myself in new ways. I love that it is cathartic. I love that the fiddle makes me feel connected ancestrally and culturally. I love that my job is colorful and always changing.
Least favourite?
I hate that my job is always colorful and changing. The freelance dance takes no time off and to hustle requires a grit that I possess but am also exhausted by! I think we would all make better art - and perhaps, more importantly, make decisions that are more in line with our values - if there were more support for artists on a national/global scale.
What do you do to get through days when you just don’t feel like it?
I go on long walks and call my friends. Luckily, all of my best friends also work in challenging artistic fields and know what it’s like to struggle through, so they possess mountains of wisdom that I’m constantly mining.
Do you have a go-to treat to get you out of a slump?
I feel like my slumps tend to be longer scale than short. For example, it’s more likely that I’ll feel like I have an entire year that’s just kind of….. Off. And then I’ll have years that feel completely electric and in line with my entire life purpose. So I wish I could know how to better get out of those mythically large slumps, but when they come in a more day-to-day way, I always feel better after making a quesadilla.
Go-to work sustenance, meal, drink or snack-wise?
In my house, there’s salad season, and then there’s soup season. Every few days, I make a huge batch of one or the other, and then pick on it until it’s gone. Best salad: kale, roast chicken thighs, avocado, homemade croutons, shallots, feta, candied pecans. Best soup: tortilla soup, top with avocado and sour cream and fresh made tortilla chips.
What’s your favourite part of the day?
The morning! When nothing has gone wrong yet. I love my morning routine, and when I’m done with it, that’s when I write.
Least favourite?
3-5 pm, for sure. I always feel exhausted, stretched thin, nowhere near done for the day – bedtime feels a million miles away, and yet morning feels like it was 5 minutes ago. It’s siesta time for a reason, but I sadly do not live in a siesta-friendly culture.
What’s been your favourite failure? One that you learnt a lot from, or one that you can look back and say ‘well I got through THAT, I’m unstoppable!’
To put it diplomatically, I worked with someone for years who holds almost exactly opposing creative values to my own. It created a level of conflict that almost destroyed everything I hold near and dear. It was lowkey traumatic and codependent, but really helped me refine what my creative values are, what my personal and professional boundaries are, and how to identify when they’re being pushed. It’s been huge for learning how to choose what projects to say yes to moving forward, and learning what questions to ask before diving in.
What’s one piece of advice you would give to someone who wants to do what you do?
Buckle up, baby. Unfortunately, one must “choose your hard” because nothing is easy. It’s hard to be a constantly hustling creative, but it leads to deeper meaning and connection that is really almost impossible to access from a “normal” life. (At least for me.) And it’s also hard to choose security and normalcy over being a creative, because it’s hard to plug into a system that is built to extract your labor, not give you meaning and connection. There’s no easy path, so the best thing you can really do is just follow your values. No matter what, it’s going to be a little uncomfortable so you might as well have as much fun as you can carve out.
What’s the best piece of advice someone’s ever given you? (Or worst!)
I think the worst advice I ever got was that I had to choose what niche I would be. The advice was well-intentioned, and in reference to choosing a musical genre to commit to. It came from someone I greatly admire, but I am interested in far too many traditions and disciplines to ever be someone who operates truly within a niche. After that advice, I constantly felt like I was failing because I cared about many things across many disciplines and wanted to incorporate all of them into my artistry. I felt like I was supposed to be only one thing to be digestible to an audience. But I’ll never be one thing - now I am fine with being many different people within my one wild and precious life because trying to narrow it down only made me smaller.
The best advice I’ve ever gotten is to just go. Go to the party, go to the gig, show up to the event. Even if you don’t know anyone and don’t feel comfortable and would rather watch netflix all night. (In fact, maybe especially if those things are true.) By going, that’s how you meet people, get connected, bring yourself more joy and surprises, which to me, are the meaning of life. To have a meaningful life, you have to take leaps of faith - so just go. You can always leave if it sucks.
What are you evangelical about recommending to people?
Bookwise: Bluets, Maggie Nelson. Uses of the Erotic, Audre Lorde. All Fours, Miranda July. Bright Dead Things, Ada Limon. How To Write An Autobiographical Novel, Alexander Chee.
Musicwise: Anais Mitchell, by Anais Mitchell. Young Man in America, Anais Mitchell as well. Anything by The Weepies.
Moviewise: Hunt For the Wilderpeople. Past Lives. Little Miss Sunshine. Magnolia. Beatrix Is Invisible. Parasite. Ladybird. Moonlight. Titanic.
What’s your top tip for getting shit done?
Oof - I don’t know what works for other people. But for me, I’m a list person - I’m typically pretty good at making lists and then crossing things off. If I have no list, I am listless. (Duh.)
Often, if I have to get something done, I go to the library (or a BAD coffee shop - none of this fancy business - the worse the better, it motivates me to get out of there quicker) with my computer and headphones and tell myself I can’t leave until it’s finished. This might not be a healthy approach, but for whatever reason, my brain literally believes I can’t leave, so when I start getting hungry or uncomfortable, my brain is like “ok time to crank this out so I can leave.” And then I do.
Which three songs should I listen to this week?
Please Go Easy With Me - SE Rogie
Find Carolyn on Instagram @carolynbkendrick
Keep up with her goings-on here and here. Beautiful music! A podcast about the history of women in bluegrass! Programs to improve gender equity in audio engineering! It’s all wildly good stuff.
Some Music
And speaking of Carolyn’s beautiful music, the starting point for this week’s playlist was a song called Leela, from her album Each Machine.
I cannot stop listening to this song! And now I pass this potential affliction on to you, free of charge.
You can listen to the playlist here.2
A Poem
I Would Like to be a Dot in a Painting by Miro
By Moniza Alvi
I would like to be a dot in a painting by Miro.
Barely distinguishable from other dots,
it’s true, but quite uniquely placed.
And from my dark centre
I’d survey the beauty of the linescape
and wonder-would it be worthwhile
to roll myself towards the lemon stripe,
centrally poised, and push my curves
against its edge, to get myself
a little extra attention?
But it’s fine where I am.
I’ll never make out what’s going on
around me, and that’s the joy of it.
The fact that I’m not a perfect circle
makes me more interesting in this world.
People will stare forever –
even the most unemotional get excited.
So here I am, on the edge of animation,
a dream, a dance, a fantastic construction,
a child’s adventure.
And nothing in this tawny sky
can get too close, or move too far away.
from The Country at my Shoulder (Oxford University Press, 1993)
Links
I keep coming coming back to this clip of Coty Raven Morris leading a choir rehearsal, and blowing the absolute roof off the place. For any old friends of the katch-up (what a funny thing to write!) it will come as no surprise to you that I LOVED this bit:
“You have three options of what to call me: I’m teaching you who I am, and you teach me who you are, and we say those things with respect.”
a single line of Shakespeare contains an ethical universe - I really enjoyed this essay by Naomi Alderman on Shakespeare, AI, the unplumbable* depths of a man’s subconscious hinterland, and the significance of word-choice.
*certainly not a word, but should be? Fun to look at, fun to say! See above.
The Anti-Cosmetic Surgery Essay Every Woman Should Read. Click-bait-y headlines make me so tired, but this one is unfortunately correct. When searching for this essay online, what came up first was an absolute deluge of adverts for all the different ways I should consider re-jigging my sweet round face. Father Karine is right:
If you think about it—actually think about it—for more than 60 seconds, your spirit will break in half like an expired Twix bar.
My friend Misha - a genius musician and former Katch-Up guest3 - recorded his baby daughter singing in the bath and then harmonised it on the piano. The video is mad and beautiful, and I’m not willing to admit how many times I’ve watched it:
I long to own a copy of this poster. If you know anyone who knows anyone who knows the artist Maira Kalman, please find out how I can get my mitts on a copy!
And that’s it!
Love,
Katya
You can find all my previous letters here.
Oh Father Time, you relentless minx.
So far, I’ve stuck with my move away from Spotify. We’re talking CDs and LPs at home, Bandcamp in the car. But, because you can pry my playlists from my cold dead hands, we’re also talking Tidal, in the hope that it offers musicians a better deal. The thinking is: Tidal pays artists more per stream, and from what I’ve read, seem to have a fairer distribution system. And that, my friends, is not nothing! (The bar is in the earth’s core, etc.)
I’d love to know your thoughts on this. How are you listening to music these days?
The opening line of his biography, presumably.


































