Prototype — concept only Dotted rule = draft in your voice, to replace

Mark Wilkes

BIS 97 Stage one — awake

You will not
remember
meeting me.

Consultant anaesthetist, Birmingham. We will speak for about eleven minutes, and then you will lose the thread of the conversation entirely, which is the point. This is the only place I get to finish a sentence.

Scroll to go under.

BIS 82 Stage two — sedation

The edges soften.

This is roughly where people stop being polite and start telling me things. It seems only fair to go first.

Six strings

Guitar, badly, weekly

Lessons with Paul Foad. Currently helping turn his CAGED method into an actual book, which is a more patient project than anaesthesia and considerably harder.

Fermentation

Yew Cider

A cider venture in the west country. Orchards, festivals, and an ongoing family argument about the tagline.

Terminal

Machines that do the admin

A quantity of home-built tooling that runs the billing, watches the diary and files the paperwork. It is a hobby that pretends to be a productivity gain.

BIS 45 Stage three — surgical anaesthesia

The hour you
were not there for.

People imagine anaesthesia is the injection at the start. It is the hour afterwards — the part with no witnesses, where somebody sits with your physiology and keeps it boring. Boring is the entire craft. Nothing happening is the product.

1,008anaesthetics at the Priory in the last appraisal year
3private hospitals across Birmingham and Solihull
intensive care cover, on the weekends nobody wants

BIS 21 Stage four — deep

Down here it stops being a job.

There is a book in progress. It is not machine-written and it never will be — so this section is deliberately empty until you fill it.

In progress

The book

Dictated on walks. Begins, apparently, with the strangest night anyone ever had in intensive care.

In progress

Casebook

Cases as puzzles, played fair. No real patients — the discipline of the form is that everything is invented and everything is solvable.

Christmas 2026

Blackwood Hall

A game for ten people, a house, and a matter that needs resolving. Invitations have not gone out. That is arguably the whole problem.

BIS 0 · isoelectric

no cortical activity · nothing to report