Something more horrifying happened on Boxing Day. A lady visiting her sister hospitalized with a goitre was caught short by her pregnancy, and enthusiastically delivered by an orthopaedic surgeon occupying the operating theatre at the time. But Smithers Botham was not classified by the Ministry for midwifery. No one had the slightest right to be born there. Captain Pile confessed himself greatly distressed by the irregularity. The versatile orthopaedic surgeon apologized, but found himself caught in a baffled correspondence with Whitehall, which continued on and off for the duration of the war.

New Year's Eve fell on a Sunday, and Graham had spent the day as usual at Smithers Botham. There was so much to do. He was astounded how the squad of builders were performing a workmanlike miracle in the annex. Huts were thrown up in the neglected garden, pipes and wires sprouted everywhere, they were even starting to apply the duck-egg blue, and if this turned out nearer royal purple the place was at least beginning to take something of its shape in his mind. He began to gather staff. Tudor Beverley, a young plastic surgeon from Canada whom Graham had met on a lecture-tour, unexpectedly appeared on the Smithers Botham portico and was promptly press-ganged as his first assistant. He even had a few patients, whom he was obliged to operate upon in the main theatres. His first case was the removal of a soldier's tattoo, a splendid emblazonment on his arm dedicated to Florence, who had apparently become unworthy of the honour. Graham pickled it in a jar of spirit, and kept it on the desk of his hut office until the end of the war. He treated a sailor with a jaw fractured while fighting, regrettably not the enemy but another sailor in a pub off Piccadilly. There were a number of smashed-up dispatch riders, the motor-bike at the time striking Graham as the most dangerous weapon in the British Army.