The rising sun managed to peek around the vast column of smoke that forever rose from Ankh-Morpork, City of Cities, illustrating almost up to the edge of space that smoke means progress or, at least, people setting fire to things.
I think that sick people in Ankh-Morpork generally go to a vet. It's generally a better bet. There's more pressure on a vet to get it right. People say "it was god's will" when granny dies, but they get angry when they lose a cow.
Technically, the city of Ankh-Morpork is a Tyranny, which is not always the same thing as a monarchy, and in fact even the post of Tyrant has been somewhat redefined by the incumbent, Lord Vetinari, as the only form of democracy that works. Everyone is entitled to vote, unless disqualified by reason of age or not being Lord Vetinari.
He found that he had this sudden desperate longing for the fuming, smoky streets of Ankh-Morpork, which was always at its best in the spring, when the gummy sheen on the turbid waters of the Ankh River had a special iridescence and the eaves were full of birdsong, or at least birds coughing rhythmically
The point is that descriptive writing is very rarely entirely accurate and during the reign of Olaf Quimby II as Patrician of Ankh-Morpork some legislation was passed in a determined attempt to ?put a stop to this sort of thing and introduce some honest.
It was Carrot who'd suggested to the Patrician that hardened criminals should be given the chance to 'serve the community' by redecorating the homes of the elderly, lending a new terror to old age and, given Ankh-Morpork's crime rate, leading to at least one old lady having her front room wallpapered so many times in six months that now she could only get in sideways.
Sergeant Colon of the Ankh-Morpork City Guard was on duty. He was guarding the Brass Bridge, the main link between Ankh and Morpork. From theft. When it came to crime prevention, Sergeant Colon found it safest to think big.