Hospital Pioneers Cancer Service For Over 70s That Saves Lives And Money
The title of this post, is the same as that of this article in The Times.
This is the sub-heading.
Treatment is adapted to take into account age-related illnesses, such as heart disease, diabetes and dementia.
These three paragraphs outline, what the Christie Hospital is doing.
The Christie Hospital in Manchester is pioneering a specialist cancer service for elderly patients under plans to tackle a “silver tsunami” of cases.
More than 200 patients have been treated by the new team, which was set up to meet the more complex care needs of an ageing population.
The service has nearly halved the number of unplanned hospital admissions among older cancer patients, improving survival and quality of life.
But it’s the graph that follows that I find interesting.
It shows the cancer incidence rate (per 100,000 population) in 2020 by gender and age at diagnosis.
I am a control engineer and statistician and one of the most interesting things in a graph like this is the rate of increase or in this graph’s case the rate of decrease, as the graph effectively has the present at the top.
I have used an old trick and looked at the difference between the groups and the difference between the difference.
Note.
- It seems that the rate of increase of cancer diagnosis with age seems to increase with ages of 60-64 and 25-29.
- This would seem to correspond to those born before 1960 and those born before 1995.
- As a coeliac, I know that the first test for coeliac disease, which used endoscopy was introduced around 1960.
- The modern genetic test for coeliac disease was developed in the 1990s.
Is it coincidence, that the rate of increase of cancer diagnosis with age seems to increase, when a better diagnosis for coeliac disease was introduced?
These are my thoughts!
Coeliac Disease And Me
I am coeliac and I was born in 1947. I wasn’t diagnosed as coeliac until 1997.
I was an unhealthy child, with all sorts of avenues being chased, so in the end they just took my tonsils out.
- It should be remembered, that there was no test for coeliac disease in children until 1960.
- I’ve also only met one coeliac older than me and both her parents were GPs and she was diagnosed by food elimination.
- In fact, I never met a coeliac until I was about 25. He was the two-year-old son of one of C’s friends.
At fifty, an elderly locum gave me a present of a blood test to clear up my long-term health problems. The results showed that my body had very little Vitamin B12. Injections didn’t improve the level, so my GP sent me to Addenbrooke’s.
It was a Monday and all the consultant did was ask a nurse to take several vials of blood. He didn’t ask me any relevant questions or even touch me.
On the Wednesday morning, I got a letter from the hospital saying I was probably coeliac and it would be confirmed by endoscopy.
I must have been one of the first to have been diagnosed by a genetic test on a sample of blood.
Coeliac Disease And My Youngest Son
My youngest son was born in 1972 and after my diagnosis, my late wife felt he was coeliac, as physically he was so like me. But neither him nor our other two sons would get themselves tested.
I am now sure he was coeliac, as his daughter was born with a congenital hernia of the diaphragm and Swedish research says can happen with coeliac fathers. Luckily, she was born in the Royal London Hospital and thanks to heroic surgery at a few days old, she survived and is now in her first year at Southampton University.
Sadly my youngest son died of pancreatic cancer in 2011.
Coeliac Disease And Cancer
Nottingham University have shown that if you are coeliac and stick to a gluten-free diet, you are twenty-five percent less likely to suffer from cancer.
Cancer in the Over Sixties
The following is an extract from A Thought On Deaths Of The Elderly From Covid-19, which I wrote in April 2020.
How many undiagnosed coeliacs are there in those over seventy, who because they are coeliacs, have a compromised immune system?
I would be undiagnosed but for that elderly locum!
How many other coeliacs are there in the UK population?
- Age UK has a figure of twelve million who are over 65 in the UK.
- If 1-in-100, as stated by Coeliac UK, in the UK are coeliac, that is 120,000 coeliacs over 65, who are too old to have been diagnosed as a child, because no test existed.
Note that as of today 177,388 have been diagnosed with Covid-19.
Could the drop in the cancer rate of those born before 1960 be because of the availability of a test for coeliac disease, so that if they were a sickly child like me, they would be diagnosed? As I said earlier diagnosed coeliacs have a lower cancer rate than the general population.
Cancer in the Under Thirties
I was diagnosed in 1997 by a genetic blood test and there is no doubt that I have coeliac disease.
As the test is so simple, I wonder what proportion of coeliacs born since the Millennium have been diagnosed.
And how does this contribute to the drop in cancer cases?
More Research Needs To Be Done
It is obvious to me, that research needs to be done into the link between undiagnosed coeliacs and cancer.
It might be prudent to test every cancer patient for coeliac disease. My GP told me, that the test is not expensive and generally gives the right result.
Is There A Research Dermatologist Out There?
Consider.
- I have mused about my skin before in My Strange Skin.
- I have been feeling a bit odd because of Babet.
- I have had problems with my left humerus for a few days now and my left hand has not been very co-operative.
- Yesterday, I kept dropping my bag for a start.
- Last night, I needed to go to the loo in the middle of the night. I could hardly walk, because of pain in my right lower leg.
- But I’d forgotten to put the magic Udrate on my feet, before I went to bed. It does seem to stop the water leaking out of my skin.
This picture shows my left hand.
I damaged it badly in a fall, where I took the back off on the edge of a glass door. But with some glue from the Royal London and some TLC from the practice nurse, there are no scars. Surely, it shouldn’t mend that well.
As my ancestors include both Jews and Huguenots, did all those centuries in poor living conditions ghetto-harden my skin?
I hate mysteries and I suspect some of my questions could be answered by an experienced dermatologist.
Is Liverpool, England’s Biarritz?
Earlier in the week, I was feeling terrible, with pains in both lower legs.
This has been typical for some months and on Sunday, it was so bad in my right foot, that I tried a new cream called Udrate, that my GP prescribed for me last year.
It seemed to do the trick and I now rub it on twice a day.
On Thursday, I went to Liverpool and in the pouring rain at Euston, as I walked to the train, my legs were feeling terrible.
Throughout the day they improved and at the end of the day, I walked across the City Centre from Liverpool Central to the Albert Dock with no problem at all.
My legs have gradually got worse since I returned.
They are not bad now, but they are certainly worse than when I left Liverpool.
I wrote Would I Go Back To Biarritz Again?, after my one and only visit to the French resort, where I said this.
Of course I would!
Especially, if I could be guaranteed some weather like I had just experienced. The temperature had been about 14 °C with a humidity of over 50%
I do wonder about my father’s health. He suffered from a similar catarrh to that I’ve suffered for the last couple of years and he had lots of skin problems. He always put the latter down to the solvents he used in his printing business. I’m pretty certain he was a coeliac too, as I must have got the genes from somewhere.
I also remember him saying once that he had been to Biarritz. So did he go because he felt healthy there, as I just had?
I don’t know and there’s no-one I can ask who knew him, who’s still alive.
But as I seem to feel better in Biarritz, if I think I need a break in the winter, I think I’ll go.
Liverpool was warm and sunny on Thursday.
The picture shows the new Everton stadium being constructed at Bramley-Moore Dock in Liverpool, was taken as I returned from Headbolt Lane station.
This picture shows Biarritz in early December.
Both cities are bathed in sunshine.
Consider.
- Both cities have seafronts that face West.
- The prevailing winds are from the South-West.
- Both cities have land masses with mountains or hills to their South-West.
Do the hills induce turbulence to the air, which gives both cities, a healthy Autumnal climate that I find acceptable?
Do Thunderstorms Cause Strokes?
On Saturday evening, we had a severe thunderstorm in North London.
All day long, I’d been drinking heavily, but as it was only tea and low-alcohol Adnams Ghost Ship 0.5 %, the worst that could happen is an accident on an extra visit to the toilet.
I came to the conclusion though, that most of the fluids was leaving my body through my skin.
Does this lower my INR? I do know that in hot and humid weather, I have difficulty raising it. In the last week or so, it has been hovering around 2.2, but yesterday, it was a very safe 2.7.
But as I test regularly, this may well help to protect me from another stroke.
Typing “Thunderstorms and Strokes” into Google, I found this paper on the National Library of Medicine, which is entitled Relationship Between Weather Conditions And Admissions For Ischemic Stroke And Subarachnoid Hemorrhage.
It is an interesting read.
This was the aim of the study.
To assess impacts of different weather conditions on hospitalizations of patients with ischemic strokes and subarachnoid hemorrhages (SAH) in South Florida.
And this was the conclusion.
Higher number of ischemic stroke and SAH cases can be expected with the daily lowest and highest air pressure, highest air temperature. Presence of hurricanes or tropical storms increased the risk of ischemic stroke but not the SAH. These findings can help to develop preventive health plans for cerebrovascular diseases.
From my own observations on INR for nearly ten years, I certainly believe that INR moves up and down with the weather because of the laws of physics.
Next time a severe thunderstorm is forecast, I will track my INR throughout the day.
What Percentage Of Government Finance Is Fuel Duties?
I typed the title of this post into Google.
Google found this page from the Office of Budget Responsibility.
This was the first paragraph.
Fuel duties are levied on purchases of petrol, diesel and a variety of other fuels. They represent a significant source of revenue for government. In 2023-24, we expect fuel duties to raise £24.3 billion. That would represent 2.3 per cent of all receipts and is equivalent to £867 per household and 0.9 per cent of national income.
I don’t drive after a stroke ruined my eyesight, so I pay nothing directly.
But when everybody is in electric vehicles, how is the £24.3 billion hole in the government’s finances caused by no-one paying duty on petrol and diesel to be filled?
I would assume that everyone will have a black box in their vehicle and they’ll pay according to the miles they drive, their speed, the congestion and the vehicle type.
And of course if a driver exceeds the speed limit, they’ll be automatically sent a ticket.
I can understand why Labour politicians like Mark Drakeford and Sadiq Khan are so keen on 20 mph limits.
Has that nice Rachel Reeves told them what she has planned for motorists?
Their eyes must be rolling like cash registers.
UK Consortium To Develop Mobile Hydrogen Refuelling For Construction Sites
The title of this post, is the same as that of this article on H2 View.
These first two paragraphs outline the project.
A UK consortium has secured over £3m ($3.7m) in government funding to develop mobile hydrogen refuelling for construction sites.
The Ryze-led consortium, made up of iGAS, Wrightbus, Skanska, Mace Dragados and Sizewell C, has been awarded £3.2m ($3.99m) from the Department of Energy Security and Net Zero’s Red Diesel Replacement Programme to develop and demonstrate a new suite of production-ready hydrogen refuelling equipment suitable for construction sites.
It appears to be a very comprehensive project and everything will be tested in a working quarry.
Having recently had a diesel-powered truck outside my house, that was clearing up the mess left by a dead tree, I feel that the health benefits of zero-carbon construction sites could be immense.
Sizewell C
I find it interesting that Sizewell C is part of the consortium.
Does this mean, that all construction on Suffolk’s new nuclear power station will use hydrogen and electric power, to lower the carbon footprint?
In Ryze Hydrogen’s Suffolk Freeport Hydrogen Vision Takes Shape, I gave this quote from this article on S & P Global.
Ryze Hydrogen plans to install a 6 MW electrolyzer at the Sizewell nuclear site in Suffolk as a launchpad for mass production of low carbon hydrogen in and around the future freeport of Felixstowe, company founder Jo Bamford told S&P Global Platts March 3.
As Sizewell C is to be built by a consortium led by EDF Energy and the French company operates Sizewell B, will the Sizewell electrolyser be built first and powered by Sizewell B, so that the hydrogen can be used to lower the carbon footprint of Sizewell C?
The Zero-Carbon Toilet
In Cadent’s Hydrogen-Hybrid Solar Toilet, I describe how Cadent are looking after their workers on a site in London.
These ideas will inspire a lot more.
Cadent’s Hydrogen-Hybrid Solar Toilet
You see some strange sites on the streets of London, but this is one of the strangest I’ve seen for some years.
It describes itself as a Zero-Emission Support Unit, which is solar-powered with hydrogen back-up.
I suspect some of the conversation and banter amongst users is priceless to say the least.
But at least it doesn’t hide its achievement of a zero-carbon toilet under a bushel.
Canary Wharf Move Means Expansion For Drug Trials Operator
The title of this post, is the same as that of this article on The Times.
These three paragraphs outline the story.
An Aim-listed company that tests infectious and respiratory disease products on volunteers is preparing to move its operations to Canary Wharf.
Amid booming demand for its services, hVIVO, which infects volunteers with safe doses of virus agents, then quarantines them before testing the efficacy of vaccines and antivirals — in so-called human challenge trials — will move from its clinics in Whitechapel, east London, to a new larger facility near by owned by Canary Wharf Group early next year.
Canary Wharf is aiming to attract businesses from the life sciences and health sectors in a drive to become a sciences hub and less reliant on the financial services industry.
This is the second story about life science companies moving to Canary Wharf after Canary Wharf Boosts Its Science Ambitions.
I have my thoughts.
Canary Wharf Is A Transport Hub
Canary Wharf is served by the following transport links.
- Buses
- Docklands Light Railway
- Elizabeth Line
- Jubilee Line
- Thames Clipper
It is very well-connected, which means that staff and volunteers can get there easily.
Canary Wharf Is A Leisure Destination
Canary Wharf is very much more than a collection of expensive offices.
There are shops, bars, restaurants, a museum and a cinema complex.
There Is A Shortage Of Lab-Rats
I volunteer for medical research and regularly, I’m called in to help with the recruitment of more volunteers.
I suspect, that many would prefer to volunteer at Canary Wharf, rather than some parts of London.
Conclusion
I suspect that we’ll see an expansion of medical research of all kinds at Canary Wharf.
Biarritz And My Family
I am coeliac and I am fairly sure, my father was too, as he had all the wind, I had at fifty, which was something that led to my being diagnosed as coeliac.
But as my father was born in 1904, there was not really any tests for the disease.
I was one of many, who were diagnosed at Addenbrooke’s Hospital in the 1990s, where I am certain, they were testing out, the genetic test for the disease.
How else could I go in on a Monday and have a very short chat and give some blood for testing and then get a letter on the Wednesday saying I was probably coeliac and it would be confirmed by endoscopy.
I never met my paternal grandfather, as he died in 1929 at around fifty.
My father told me a lot about his father. He had been very affected by his father’s heavy drinking and alcoholism. I suspect, it was part of his plan to make sure, that I didn’t go the way of his father.
In fact now at 76, I am virtually teetotal, although I do drink a lot of bottles of 0.5 % alcohol real ale. But this doesn’t affect my gut or my INR.
I know little about my grandfather’s health, but he did suffer from asthma and that was what killed him.
Was he coeliac? From my father’s descriptions of his father, it was highly likely.
My grandfather had a profitable printing business, which even in the 1920s had around a hundred employees according to what my father told me.
My father also remembered going to see Spurs at White Hart Lane in a pony and trap. That at least showed a certain status.
My paternal grandparents also used to go to Biarritz for at least part of the winter.
My father did say a couple of times, that it did improve my grandfather’s health.
But when I went to Biarritz ten years ago, it certainly made me feel better.
I wrote Would I Go Back To Biarritz Again?.
The Anonymous Widower 