This quickening impulse, my loins soon at full cock, lifted me almost literally from the sick-bed. Within three days I hobbled to the physiotherapy department, ran errands for the nurses and hung around the staff room, trying to talk shop to the bored doctors. The sense of a vital sex cut through my unhappy euphoria, my confused guilt over the man I had killed. The week after the accident had been a maze of pain and insane fantasies. After the commonplaces of everyday life, with their muffled dramas, all my organic expertise for dealing with physical injury had long been blunted or forgotten. The crash was the only real experience I had been through for years. For the first time I was in physical confrontation with my own body, an inexhaustible encyclopedia of pains and discharges, with the hostile gaze of other people, and with the fact of the dead man. After being bombarded endlessly by road-safety propaganda it was almost a relief to find myself in an actual accident. Like everyone else bludgeoned by these billboard harangues and television films of imaginary accidents, I had felt a vague sense of unease that the gruesome climax of my life was being rehearsed years in advance, and would take place on some highway or road junction known only to the makers of these films. At times I had even speculated on the kind of traffic accident in which I would die.

I was sent to the X-ray department, where a pleasant young woman who discussed the state of the film industry with me began to photograph my knees. I enjoyed her conversation, the contrast between her idealistic view of the commercial feature-film and the matter-of-fact way in which she operated her own bizarre equipment. Like all laboratory technicians, there was something clinically sexual about her plump body in its white coat. Her strong arms steered me around, arranging my legs as if I were some huge jointed doll, one of those elaborate humanoid dummies fitted with every conceivable orifice and pain response.

I lay back as she concentrated on the eye-piece of her machine. Her left breast rose inside the jacket of her white coat, the chest wall swelling below the collar bone. Somewhere within that complex of nylon and starched cotton lay a large inert nipple, its pink face crushed by the scented fabrics. I watched her mouth, no more than ten inches from mine as she arranged my arms in a new posture. Unaware of my curiosity about her body, she walked to the remote control switch. How could I bring her to life – by ramming one of these massive steel plugs into a socket at the base of her spine? Perhaps she would then leap into life, talk to me in animated tones about the latest Hitchcock retrospective, launch an aggressive discussion about women's rights, cock one hip in a provocative way, bare a nipple.

Instead, we faced each other in this maze of electronic machinery as if completely de-cerebrated. The languages of invisible eroticisms, of undiscovered sexual acts, lay waiting among this complex equipment. The same unseen sexuality hovered over the queues of passengers moving through airport terminals, the junctions of their barely concealed genitalia and the engine nacelles of giant aircraft, the buccal pouts of airline hostesses. Two months before my accident, during a journey to Paris, I had become so excited by the conjunction of an air hostess's fawn gaberdine skirt on the escalator in front of me and the distant fuselages of the aircraft, each inclined like a silver penis towards her natal cleft, that I had involuntarily touched her left buttock. I laid my palm across a small dimple in the slightly worn fabric, as this young woman, completely faceless to me, switched her weight from left thigh to right. After a long pause, she looked down at me with a knowing eye. I waved my briefcase at her and murmured something in pidgin French, at the same time going through an elaborate pantomime of falling down an upcoming escalator, nearly throwing myself off-balance. The flight to Orly took place under the sceptical gaze of two passengers who witnessed this episode, a Dutch businessman and his wife. During the short flight I was in a state of intense excitement, thinking of the strange tactile and geometric landscape of the airport buildings, the ribbons of dulled aluminium and areas of imitation wood laminates. Even my relationship with a young mezzanine bartender had been brought alive by the contoured lighting systems above his balding head, by the tiled bar and his stylized uniform. I thought of my last forced orgasms with Catherine, the sluggish semen urged into her vagina by my bored pelvis. Over the profiles of her body now presided the metallized excitements of our shared dreams of technology. The elegant aluminized air-vents in the walls of the X-ray department beckoned as invitingly as the warmest organic orifice.

'All right, you've finished.' She put a strong arm under my back and lifted me into a sitting position, her body as close to mine as it would have been in a sexual act. I held her arm above the elbow, my wrist pressing against her breast. Behind her was the X-ray camera on its high pivot, heavy cables trailing across the floor. As I shuffled away along the corridor I could still feel the pressure of her strong hands on various parts of my body.

Tired by the crutches, I paused near the entrance to the women's casualty ward, resting against the partition wall of the external corridor. An altercation was going on between the sister in charge and a young coloured nurse. Listening in a bored way, the women patients lay in their beds. Two of them were suspended with their legs in traction, as if involved in the fantasies of a demented gymnast. One of my first errands had been to collect the urine specimens of an elderly woman in this ward, who had been knocked down by a cycling child. Her right leg had been amputated, and she now spent all her time folding a silk scarf around the small stump, tying and re-tying the ends as if endlessly wrapping a parcel. During the day this senile old dear was the nurses' pride, but at night, when no visitors were present, she was humiliated over the bedpan and callously ignored by the two nuns knitting in the staff room.

The sister cut short her reprimand and turned on her heel. A young woman wearing a dressing-gown and a white-coated doctor stepped through the door of a private ward reserved for 'friends' of the hospital: members of the nursing staff, doctors and their families. I had often seen the man before, always bare-chested under his white coat, moving about on errands not much more exalted than my own. I assumed that he was a graduate student specializing in accident surgery at this airport hospital. His strong hands carried a briefcase filled with photographs. As his pock-marked jaws champed on a piece of gum I had the sudden feeling that he was hawking obscene pictures around the wards, pornographic X-ray plates and blacklisted urinalyses. A brass medallion swung on his bare chest from a black silk chord, but what marked him out was the scar tissue around his forehead and mouth, residues of some terrifying act of violence. I guessed that he was one of those ambitious young physicians who more and more fill the profession, opportunists with a fashionable hoodlum image, openly hostile to their patients. My brief stay at the hospital had already convinced me that the medical profession was an open door to anyone nursing a grudge against the human race.

He looked me up and down, taking in every detail of my injuries with evident interest, but I was more concerned with the young woman moving towards me on her stick. This aid was clearly an affectation, a postural disguise that allowed her to press her face into her raised shoulder and hide the bruise marking her right cheekbone. I had last seen her as she sat in the ambulance beside the body of her husband, staring at me with calm hatred.

'Dr Remington -?' Without thinking, I asked her name.

She came up to me, changing her grip on the stick as if ready to thrash me across the face with it. She moved her head in a peculiar gesture of the neck, deliberately forcing her injury on me. She paused when she reached the doorway, waiting for me to step out of her way. I looked down at the scar tissue on her face, a seam left by an invisible zip three inches long, running from the corner of her right eye to the apex of her mouth. With the naso-labial fold this new line formed an image like the palm-lines of a sensitive and elusive hand. Reading an imaginary biography into this history of the skin, I visualized her as a glamorous but overworked medical student, breaking out of a long adolescence when she qualified as a doctor into a series of uncertain sexual affairs, happily climaxed by a deep emotional and genital union with her engineer husband, each ransacking the other's body like Crusoe stripping his ship. Already the skin picked in a palisade of notches from her lower lip marked the arithmetic of widowhood, the desperate calculation that she would never find another lover. I was aware of her strong body underneath her mauve bathrobe, her rib-cage partly shielded by a sheath of white plaster that ran from one shoulder to the opposite armpit like a classical Hollywood ball-gown.

Deciding to ignore me, she walked stiffly along the communication corridor, parading her anger and her wound.

During my last days in the hospital I did not see Dr Helen Remington again, but as I lay in the empty ward I thought constantly of the crash that had brought us together. A powerful sense of eroticism had sprung up between me and this bereaved young woman, almost as if I unconsciously wished to re-conceive her dead husband in her womb. By entering her vagina among the metal cabinets and white cables of the X-ray department I would somehow conjure back her husband from the dead, from the conjunction of her left armpit and the chromium camera stand, from the marriage of our genitalia and the elegantly tooled lens shroud.

I listened to the nurses arguing in the staff room. Catherine visited me. She would soap her hand from the toilet bar in its wet saucer inside my cupboard, her pale eyes staring through the flower-filled window as she masturbated me, left hand holding an unfamiliar brand of cigarette. Without any prompting, she began to talk about my crash, and the police inquiries. She described the damage to the car with the persistence of a voyeur, almost nagging me with her lurid picture of the crushed radiator grille and the blood spattered across the bonnet.

'You should have gone to the funeral,' I told her.

'I wish I had,' she replied promptly. 'They bury the dead so quickly – they should leave them lying around for months. I wasn't ready.'

'Remington was ready.'

'I suppose he was.'