World-First Operation To Treat Rhino’s Broken Leg
The title of this post, is the same as that of this article on the BBC.
This is the sub-heading.
A rhinoceros with a broken leg is back on its feet after a world-first operation.
These are the first three paragraphs.
Amara, a southern white rhino at Knowsley safari park, was given keyhole surgery and had to wear a cast for four weeks.
Surgeons took what they knew about operating on horses and applied it to Amara because there was so little information about rhinos which had been injured in this way.
A team of 10 vets was involved in the operation, which they described as “unlike anything we’ve experienced previously”.
I bet it wasn’t like a horse, as equines in my experience don’t have a bodger on their bonce.
The BBC featured the story in BBC Breakfast this morning and I wouldn’t be surprised to see it turn up later or on the Internet.
Some may say, is the expense worth it to operate on a rhino.
But I would say, that the experience gained by the University of Liverpool, will be applied to the treatment of other large animals, like buffalo, bison, draught horses, elephants and hippotami.
Also, knowing Scousers as I do, I suspect that some of the techniques used, will be scrounged by Liverpool’s medics and applied to humans.
Centrica Strikes 200MW Lithuanian Green Power Deal
The title of this post, is the same as that of this press release from Centrica.
This is the sub-heading.
- Centrica Energy is set to take on the responsibility of managing and trading the renewable power generated from two wind farms and one solar farm in Lithuania for European Energy.
A couple of months ago, Centrica published this press release, which is entitled Centrica Acquires Owner Of Leading Digital Platform, Ignition.
The press release about the deal with European Energy has this quote from Kristian Gjerløv-Juel, Vice President of Renewable Energy Trading & Optimization at Centrica Energy.
We’re very pleased to continue building on our strong partnership with European Energy. We have set an incredibly ambitious target to expand our portfolio of third-party renewable assets to 30 GW by 2030.
Note that 30 GW, would more than power the UK,
Ir appears to me, that Centrica have decided that there is money to be made from good management of both electricity production and distribution.
A Very Bad Night’s Sleep
Last night, I must have woke several times in the night, before I finally gave up at about three-thirty and got up and started doing the puzzles on the Internet, and having some mugs of tea.
At four I went back to bed and was able to grab perhaps thirty minutes of sleep.
But my body hurt all over with a vengeance.
- There was pain in the back of my left hand.
- My toes hurt badly.
- My right hip was painful.
- All my skin felt very dry.
So at five, I decided to get up and have the cure-all remedy, which is a deep hot bath.
It certainly worked and I felt a lot better,
After the bath, I got back in bed, and although I didn’t sleep, I rose and left the house soon after nine to get my gluten-free breakfast in Leon on Moorgate, with added tea and orange juice.
As I left the house, I noticed that one of the upstairs windows was open, so I had to go back and shut it.
As I never open this window, I thought it must have been the cleaners, who’d left it open. Especially, as it had happened before, a couple of weeks ago.
But then, I realised what had happened.
- The window hadn’t been properly secured.
- Last night, a storm with a low-pressure area had gone through..
- The pressure had just been low enough to pop the window open.
- The low-pressure had then just sucked the water out of my body.
My hot bath had put the water back in, the way, that it had come out.
After breakfast and picking up a prescription from Boots, I took a bus home.
On arriving home, I needed to have a poo, but was unable to go, as I was just too constipated.
After a laxative and several drinks, that problem was cured.
Conclusion
Were all my problems today, down to the fact that the weather stole my body’s water and I didn’t drink enough to put it all back?
Are Bodies Cleverer Than We Think?
Because, I had a serious stroke thirteen years ago, I am on Warfarin for life to thin my blood, so that I don’t have another stroke.
INR is short for International Normalized Ratio, which diverts on Wikipedia to the Wikipedia entry for Prothrombin Time, where these is the first two paragraphs.
The prothrombin time (PT) – along with its derived measures of prothrombin ratio (PR) and international normalized ratio (INR) – is an assay for evaluating the extrinsic pathway and common pathway of coagulation. This blood test is also called protime INR and PT/INR. They are used to determine the clotting tendency of blood, in such things as the measure of warfarin dosage, liver damage, and vitamin K status. PT measures the following coagulation factors: I (fibrinogen), II (prothrombin), V (proaccelerin), VII (proconvertin), and X (Stuart–Prower factor).
PT is often used in conjunction with the activated partial thromboplastin time (aPTT) which measures the intrinsic pathway and common pathway of coagulation.
That is very technical and complicated, but what does it mean practically?
Those on Warfarin to thin their blood are generally supposed to keep their INR between 2 and 3.
I test the INR myself with a Coaguchek meter from Roche and have done so for nearly ten years.
Every, so often, I discuss the level of Warfarin with my GP and we adjust the level accordingly.
Typically, NHS patients on Warfarin have their INR checked every few weeks.
But as I am a Graduate Control Engineer, who has written control strategies for chemical plants, I feel this checking every few weeks, is not enough.
At times, I have checked at a higher frequency.
Four times, I have had minor operations.With the first operation, I agreed with the surgeon, that I would lower my INR to 2.1 for the operation and raise it back to 2.5 after the operation.
It all went well and I repeated the exercise for the three other minor operations.
I have checked daily since about the beginning of April, before which, I generally tested on Mondays and Thursdays.
There were two reasons for the change of frequency.
- Regular storms seemed to roll in and for some reason, they tended to lower my INR.
- I also wrote Do Thunderstorms Cause Strokes?, after reading a paper from the United States about the relationship between thunderstorms and strokes.
So I took the prudent decision to test my INR daily.
Then on the 30th May, disaster struck.
My Coaguchek meter found out it had the wrong firmware and Roche implored me to change it.
But I am not a hardware person, so I was left unable to check my INR.
Luckily, I remembered a story from the 1960s about one of ICI’s chemical plants.
This plant was one of the first fully-digitally controlled plants controlled by an IBM 1800 computer.
It also ran 24 hours a day, seven days week.
So in the middle of the night, the plant operators got out all the computer printouts, which showed how the computer had set all the valves and controllers.
One-by-one they reset all the controls on the plant to the settings that the computer had used for the last few days.
Using, this computer-assisted mode the plant was kept running, until engineers could fix the computer.
On the 30th May, my INR was a little bit high at 2.9 and I was using a dosage of Warfarin of 4 mg. one day and 3.5 mg. the next.
The strange dosage was one, that I know from experiment over time produces an INR of 2.5.
My actual average Warfarin dose was 3.73 over the last thirty days and my INR, as measured most days was 2.6 over the same period.
So, I did what the engineers did on the chemical plant, kept calm and carried on.
Yesterday my son fixed the Coaguchek meter and I was able to take my first reading for 17 days. It was 2.7 and only 0.1 higher than the 30-day average on the 30th May.
I had successfully jumped the gap in the readings.
Conclusion
Most systems have an equilibrium. Make sure you know it.
Where’s The Windows Calculator Gone?
My current computer runs Windows 10.
I used to run the calculator by searching for it.
But it suddenly isn’t available.
How can M$ , do this to me, as I use a simple calculator all the time?
Rule one of software design, is never give customers any surprises.
They might just go elsewhere and never return.
At least the one in my phone seems to be still working!
An Early General Election
One thing that worries me about an early election, is it gives Putin less time to plan and execute his dirty work.
So he might do something a lot more extreme!
So make sure your cybersecurity is up to date!
Thoughts On The NHS Infected Blood Scandal
In the early 1970s, I was working with the Chief Management Accountant of a retail bank, writing a computer system to analyse and compare the performance and costs of all their branches.
We used scatter diagrams and other graphical techniques to show all the branches on single sheets produced by line printers on a powerful time-shared computer. It would be so much easier today.
Any branch not following the rules was often found sitting alone away from the mass of branches on the graphs.
I remember one branch had costs, that were much higher than expected. It turned out it was the Stevenage Branch, where the premises were rented rather than owned freehold.
Expanding The System To Other Industries
The Accountant, who had also been Chief Accountant of a FTSE 500 company, felt that the techniques we had developed had other applications in the management and auditing of large companies and organisations.
Sadly my partner in crime, died of cancer and I went on to other things.
From my own generally good family experiences of the NHS, I feel that this sort of analysis used rigorously could give early warning of some of the scandals we’ve seen in the NHS.
Around the turn of the century, I used similar techniques to improve the manufacturing quality in a diesel engine factory.
Conclusion
Perhaps we need an independent Office of NHS Responsibility?
Gluten Sensitivity And Epilepsy: A Systematic Review
Yesterday, The Times published this article, which was entitled ‘Game-Changing’ NHS Laser Therapy To Prevent Epileptic Seizures.
One reader had made this comment.
Be ace too if they can tweak to help migraine.
I used to suffer from something like migraine about thirty years ago. But after being found to be coeliac and going gluten-free, what ever it was seemed to disappear from my life.
Type “Coeliac Disease and Migraine” into Dr. Google and there are lots of references.
This indicates to me that serious scientists and doctors, must believe there could be a link.
There certainly is with me and going gluten-free eased my migraine-like symptoms.
I then typed “Coeliac Disease and Epilepsy” into Dr. Google and found this paper, which was entitled Gluten Sensitivity And Epilepsy: A Systematic Review.
This information is from the Abstract of the paper
Objective
The aim of this systematic review was to establish the prevalence of epilepsy in patients with coeliac disease (CD) or gluten sensitivity (GS) and vice versa and to characterise the phenomenology of the epileptic syndromes that these patients present with.
Methodology
A systematic computer-based literature search was conducted on the PubMed database. Information regarding prevalence, demographics and epilepsy phenomenology was extracted.
Results
Epilepsy is 1.8 times more prevalent in patients with CD, compared to the general population. CD is over 2 times more prevalent in patients with epilepsy compared to the general population. Further studies are necessary to assess the prevalence of GS in epilepsy. The data indicate that the prevalence of CD or GS is higher amongst particular epileptic presentations including in childhood partial epilepsy with occipital paroxysms, in adult patients with fixation off sensitivity (FOS) and in those with temporal lobe epilepsy (TLE) with hippocampal sclerosis. A particularly interesting presentation of epilepsy in the context of gluten-related disorders is a syndrome of coeliac disease, epilepsy and cerebral calcification (CEC syndrome) which is frequently described in the literature. Gluten-free diet (GFD) is effective in the management of epilepsy in 53% of cases, either reducing seizure frequency, enabling reduced doses of antiepileptic drugs or even stopping antiepileptic drugs.
Conclusion
Patients with epilepsy of unknown aetiology should be investigated for serological markers of gluten sensitivity as such patients may benefit from a GFD.
My Thoughts
These are my thoughts.
Coeliacs Prior To 1960
Consider.
- Even if my excellent GP; Doctor Egerton White, felt I was coeliac, there was no test until 1960 for coeliac disease.
- And the test that was developed using endoscopy wasn’t anywhere near to the endoscopies of the present day.
- My late wife, who was a family barrister, likened the test to child abuse on a young child.
- I have heard some terrible horror stories of doctors looking for coeliac disease in young children in the 1950s.
- But there were some successes. A friend of mine, who is in her eighties, was successfully diagnosed by her parents using food elimination. But they were both GPs.
- Recently, I’ve met two elderly ladies, who only in the last couple of years have been diagnosed as coeliacs.
Luckily, I was never tested until 1997 and I was diagnosed in 48 hours, by gene testing.
Methodology
The methodology was based on a systematic computer-based literature search of the PubMed database.
This has these advantages.
- The rules for the search can be published and peer-reviewed.
- Its Wikipedia entry says PubMed is a free database including primarily the MEDLINE database of references and abstracts on life sciences and biomedical topics.
- The technique can surely be applied repeatedly, to see how results are changing with time.
- The search can be modified to analyse any topic, drug or condition, that appears in the PubMed database.
- The analysis could surely be applied to other databases.
As a writer of data analysis software, developing this sort of software, would be really enjoyable.
Could London Drivers Be Charged On A Cost Per Mile Basis?
This article on CarWow is entitled Transport for London Investing £150 million In Technology Capable Of Enforcing Pay-Per-Mile Road Charging.
These reasons are given for the new system.
- Transport for London developing new ANPR technology
- Set to be used for Ulez and congestion charging for now
- Could be expanded in the future to include pay-per-mile road charging
- Estimated project cost of £150 million
In addition, this paragraph gives another reason.
A new platform for existing road user charging schemes, such as Ulez and the Congestion Charge, is being developed by Transport for London to replace the outsourced system currently in place as the contract is due to expire in 2026.
I can understand, that if it is brought in house, that this might create more jobs in London, rather than somewhere far away.
Speeding
If you read the article on CarWow, nothing is said about speeding.
But surely, if a sophisticated computer system knew you were at A and B at certain times, it could calculate your speed.
Coupled with a 20 mph speed limit, it could be a big money earner.
It also gets Sadiq Khan off the hook with pay-per-mile charging. He just introduces fines for people, who break the law by speeding.
Conclusion
I don’t drive, so it doesn’t bother me.
But I would advise anyone, who does, to think long and hard about who they vote for.
















































































