In October 2016 I was in hospital. I had been ill for 11 years with something I called chronic fatigue syndrome, but in the previous six weeks I had been overtaken by a strange, sudden crisis. I was unable to eat – a day when I managed a couple of biscuits was a good day; at times I trembled so violently that my voice shook; at night I was overwhelmed by dread.
In the hospital ward a consultant gastroenterologist appeared.