What happened? You are in A & E. You fell from the top of a ladder. Down under. Might have to keep you in for observation.
As they say be nice to the people on the way up. You might need them on the way down. Bit sudden. Just an observation.
Spoiling a book. Spilling the ink. Splashing the compliments. Soaking it up shirtsleeve stained. Sign on the dotted line. Read the small print. Skip the formalities. Witness witless.
Draw a little picture.