“I never wear a helmet”, brags the expat on one of the more combative Bali forums. Let’s call him Bazza. “Nobody can tell me what to do. It’s my bloody choice if I wear one or not.” Some Indonesian participants agree. “We only wear helmets on long trips. No need around town in
Bali.” Others, perhaps of a more practical bent, chime in with warnings about the huge cost of medical treatment, the fact that insurance won’t pay, the police stings, the enormous risk to him, and … well, you’ve heard all those reasons before.
But Bazza is intractable. “If I get hurt, that’s my business. I’ll pay for my own hospital treatment.” He admits that he has no medical insurance. And he forcefully says that, no, he doesn’t expect anyone to hold fund-raisers for him, or help out if he is incapacitated, or to donate towards medical evacuation costs – or anything, really.
“I take responsibility for myself”, he keeps repeating. “I hate helmets – they’re restrictive and uncomfortable.” Like road safety rules, I suppose. He goes on to say, “I like the wind in my hair. It’s no-one’s business what I do, and all you do-gooders can just shut up.” He finishes with, “Don’t tell me how to live my life. If I don’t wear a helmet, it doesn’t affect you one bit, except to give you something to whinge about in your shallow, boring lives.”
I can understand his ire, if not his lack of diplomacy. I’m not much one for do-gooder rules myself. But as I ponder on his attitude, I am struck by the realisation that his ‘right’ to ride in helmet-less freedom, and his belief that it does not affect me “one bit”, is just plain wrong. It actually affects me a lot.
But what if this freedom-loving, rule-breaking, self-centred, independent legend was to have a serious spill one day? What if his unprotected head was to smash into the road as he comes off, peeling back his scalp, fracturing his skull and coating the surface of his exposed brain with the dirt and bacteria of Bali’s roads? And don’t say it’s unlikely; this happens every single day here in Bali.
And what if, at the same time, I am riding too, and I have an accident where my helmeted head suffers a ferocious blow which leaves me semi-conscious with a severe concussion?
In both cases, passers-by would no doubt call for an ambulance to take each of us to hospital. But this is Bali – there are few ambulances, many accidents and emergencies, and permanently choked roads that slow thinly-stretched emergency-response vehicles to a crawl.
So the dispatchers, having heard the sitrep from both accidents, will inevitably triage the two of us, and give priority to – guess who? – Bazza. After all, he is the one who is unconscious, covered with copious amounts of blood from his scalp lacerations, and the one whose brains
are leaking out of his cranium. High priority.
By comparison, I am merely groggy and disoriented and with only superficial grazes. As from inside a deep well I hear “Yes sir, he was wearing a helmet, and yes, he is sort of conscious”, as someone phones for an ambulance, so of course, I end up as a low priority job. They will
send their first available ambulance for Bazza. He’s the one in most need, at least in their professional judgement.
So I get to wait for the next available patient transport, while, unknown to me or anyone else, the brain bleed in my skull that began when I crashed goes unrecognised and untreated. I will die within two hours unless I get immediate medical intervention to relieve my intra-cranial bleed.
But let’s say I do manage to get to the hospital before I actually expire on the road. I will most likely languish in the emergency room, gradually losing consciousness, while the only qualified head trauma surgeon on duty is busy trying to stabilise Bazza.
By this stage, I have about twenty minutes left to live. By the time the surgeon slaps on enough dacron patches to glue Bazza’s stupid head together, checks his vitals and hands over to his assistant to do the closure, stitching and bandaging, it is nearly too late for me and my undiagnosed subdural haematoma.
That’s because my skull totally encloses my brain, which is getting gradually compressed by leaking blood. Oxygen-rich blood can no longer flow to my brain tissue. The reduced oxygen causes my neurons to die and my brain to swell even further. All this combines to force my brain down through the foramen magnum – a small hole at the base of my skull. Those brain parts that come in contact with the hard bone around this opening get so compressed that they stop
The surgeon, finally freed of his responsibilities to the idiot Bazza (who no doubt still insists that his choice of not wearing a helmet affects no-one but him) finally arrives just in time to see me go into convulsions. Those areas of my brain which are being crushed actually control my breathing
and heart rate. I already have brain damage from anoxia, but that is nothing compared to what will happen next unless the surgeon immediately drills a hole in my skull to relieve the pressure. Quite simply, without help, I will die.
But somehow I survive. I don’t remember much. I have months of rehabilitation ahead. I can’t really understand all the words in books now, so I don’t read much. I don’t recognise people who claim they’re my friends. Sometimes I have lucid moments where some of my old mental acuity returns, and I think about things like cause and effect, actions and consequences. I vaguely remember using the internet a long time ago, and arguing with a guy called Bazza, who insisted on having the freedom to do whatever he wanted, whenever he wanted, because no do-gooder
had the right to tell him what to do.
And I frown, vaguely remembering that I really disagreed with his attitude once, but for the life of me I don’t know why. The doctors keep giving me pills to make me better, they say, but I just flush them down the toilet. I think Bazza was probably right about people telling you what to do all the
time, so I will just ignore them, just like he did.
I see a guy on a gurney, head bandaged, connected to drips, being wheeled out of the hospital towards a Medevac ambulance. His friends look pale and stressed, and I hear them talking about how they had to take out mortgages to pay for his operations and to fly him home. One says, “You’ll be right, Bazza.” His name rings a bell, but I can’t remember why. I feel emotional seeing people look after their friends when something bad happens.
But most of the time I feel confused and angry and rebellious, and I want to go out riding fast, bare-chested and with the wind in my hair, enjoying my freedom, but they say I can’t. I don’t see why not. It’s my choice, not theirs.
But they say not to do it, because my brain is a bit like Bazza’s now and I’m unable to understand ‘consequences’, whatever they are. I don’t really know, but it doesn’t matter. I’m going to do it anyway, because I’m the boss of me, and those do-gooders can just shut up.
Besides, it won’t affect anyone but me.