E-Bike Injuries Are A Massive Burden, Say Surgeons
The title of this post, is the same as that of this article on the BBC.
This is the sub-heading.
We’re in the morning meeting on the orthopaedics trauma ward on the 10th floor at the Royal London Hospital in Whitechapel.
These three introductory paragraphs add more detail.
Like every morning, the team are here to talk through the cases that will face them in the day ahead, and a familiar theme pops up.
From one side of the room a surgeon talks about his patient: “A 32-year-old, fit and well student… a couple of days ago he fell off an e-bike sustaining a closed left tibial plateau fracture.”
And a few moments later a voice next to us describes another case: “Six-year-old girl, she was hit by an electric bike, she has a closed tib/fib fracture.”
There is a lot more like this in the article.
The introduction of e-Bikes into London has been like the Wild West, with no suitable regulation and a powerless and afraid to act Police force.
Cycling and e-bikes in particular are going to be a big issue in the next London elections in May 2026.
Vape Ban Isn’t Working, Says Waste Firm Boss
The title of this post, is the same as that of this article on the BBC.
This is the sub-heading.
The ban on disposable vapes is failing to stop millions being thrown away incorrectly, and the devices are still causing chaos for the waste industry, a boss at a leading firm has said.
These three introductory paragraphs add more detail.
“We’re seeing more vapes in our system, causing more problems, more fires than ever before,” said Roger Wright, the strategy and packaging manager at Biffa.
Vape firms have launched cheap reusable devices, so instead of refilling and recycling them, people were binning them and buying more, he said.
A spokesperson for the vape industry said the June ban had been a success, and any rise in devices being thrown away was likely due to black market trade.
It looks to me, that the government didn’t get the legislation right.
Are Disposable Vapes Available On The Internet?
To find the BBC story, I typed “Disposable Vapes” into Google.
I found headlines like these.
- Cheap Disposable Vapes | From 50p | Free Delivery
- Disposable Vapes – Multi-Buys & Free Next Day Delivery
- Legal Big Puff Disposable Vapes on Sale in the UK
Why aren’t these adverts being taken down?
Almost One Million Smokers Are Too Ill To Work
The title of this post, is the same as that of this article on The Times.
This is the sub-heading.
Smokers are three times more likely than non-smokers to be out of work owing to poor health, and numbers are rising fast
These three paragraphs give more details.
Nearly a million people who smoke in England are out of work due to illness, research has found, with the figure rising by nearly 80 per cent in the past decade.
As a proportion, almost three times as many working-age smokers compared with non-smokers were out of work due to ill health, with 11.3 per cent of smokers and 3.3 per cent of non-smokers not working for health reasons.
As of March, more than a fifth of UK working-age adults were not in work, with 8.7 million having a condition that limited their ability to sustain employment.
As the research comes from University College London, I think we can be sure, it has been properly peer-reviewed.
Nigel Farage
You rarely see NF without a cigarette in his hand.
That would not be the sort of image, I would want in my representative or heaven help me, my Prime Minister.
NF is the Member of Parliament for Clacton.
This paragraph is from the Wikipedia entry for Clacton-on-Sea.
As common with many English seaside towns, unemployment has remained stubbornly high in Clacton.[14] In 2023, Clacton won a £20 million government levelling-up grant to improve the town centre.
I asked Google AI what is the percentage of smokers in Clacton-on-Sea and received this answer.
The smoking prevalence in Clacton-on-Sea (within the Tendring district) rose to 20% in 2023, bucking the UK-wide trend of declining smoking rates and representing a significant increase from 14% the previous year. This figure is considerably higher than the national average, which was 11.9% in the same year, but similar to rates observed in other areas.
Now there’s a thing!
Similar data for the other Reform UK MPs are as follows.
Lee Anderson – Ashfield – Ex-Smoker
Specific smoking percentage data for the Ashfield area isn’t readily available in the search results, but Nottinghamshire’s smoking rate was 15.4% in 2020, which is above the England average, with rates varying significantly by district. For instance, in 2020, the rate in Mansfield was higher at 23.1%, while Rushcliffe had a lower rate of 3.6%.
Richard Tice – Boston & Skegness – Non-Smoker
While a precise percentage for Skegness isn’t available, the local area has a higher-than-average smoking prevalence, with some reports indicating Lincoln and Boston (both in the same county) have some of the highest rates in the East Midlands, and the Lincolnshire Integrated Care Board noted a 16% prevalence for Lincolnshire in March 2024, an increase from previous years.
Sarah Pochin – Runcorn & Helsby – Unknown
There is no exact percentage for smokers specifically in Runcorn, but for the wider region, an overall adult smoking rate of 11.34% was recorded by Cheshire West and Chester Council in 2021. Higher rates were seen in adults aged 18-64, where the prevalence was 22.9% in the same area.
Rupert Lowe – Great Yarmouth – Appears to be against more smoking bans
The smoking prevalence in Great Yarmouth was 17.6% in 2022, which is the highest in Norfolk and significantly above the national average of approximately 13% for adults in England. This data comes from a Norfolk Insight report using Office for Health Improvement and Disparities (OHID) data from the Annual Population Survey
James McMurdock – South Basildon & East Thurrock – Unknown
There is no specific data available for “South Basildon” regarding the percentage of smokers; however, national data for the UK from 2023 shows that the overall proportion of current smokers was 11.9%. More granular data from a 2022 Office for National Statistics (ONS) report indicates that smoking prevalence can vary significantly by location, with local rates like Basildon (13.3%) and other areas of England showing different figures than the national average.
The pattern is very mixed
I also asked Google AI, if Reform UK has a policy on smoking and received this answer,
Reform UK does not have a published, comprehensive policy on smoking on its website, and has not taken a stance on the Tobacco and Vapes Bill, which includes a phased smoking ban. However, public polling by The Health Foundation in late 2024 indicated support for public health measures to prevent ill health from tobacco, alcohol, and unhealthy food, though specific results for Reform UK voters were not broken out in that instance.
It would appear that they are firmly sitting on the fence.
Do Hot Baths Help Uncomplicated Pancolonic Diverticular Disease?
I asked Google AI the question in the title of this post and received this answer.
Yes, hot baths and warm compresses may help to relieve the pain and muscle spasms associated with uncomplicated pancolonic diverticular disease, or diverticulitis, by relaxing abdominal muscles and improving blood circulation to the area. While there’s no evidence that heat cures diverticulitis, it is a simple, non-invasive way to soothe cramps, and your doctor may recommend it alongside other self-care measures.
When my late wife was alive, this was our morning routine.
- I would bring her a cup of hot Marmite and often I would run her a hot bath.
- C liked her baths very hot.
- After she had got dressed and gone off to work, I would often use her hot bath to have a good soak.
- Both of us, weren’t too keen on showers, but we never complained about water usage or the other’s cleanliness.
These days, I generally have a hot bath every day.
Can Uncomplicated Pancolonic Diverticular Disease Make You Feel Listless?
I asked Google AI the question in the title of this post and received this answer.
Yes, while uncomplicated diverticular disease often causes no symptoms, some people can experience listlessness (fatigue or general unwellness) from either the inflammation of diverticulitis or chronic symptoms like bloating and pain. Fatigue can stem from infection, inflammation, disrupted sleep, nutritional deficiencies, or the impact of chronic pain. If you’re experiencing persistent listlessness, it’s important to speak with a healthcare provider, especially if it’s accompanied by other symptoms like fever, severe abdominal pain, or changes in bowel habits.
I have certainly suffered from listlessness over the years, but until recently, I have always had a good woman ; my mother or C, to perk me up.
Can You Suffer From Uncomplicated Pancolonic Diverticular Disease For Sixty Or More Years?
I remember my gut feeling one summer around eighteen, very much like it has done this summer.
So, have a suffered from from uncomplicated pancolonic diverticular disease all those years.
I asked Google AI if you can suffer for uncomplicated pancolonic diverticular disease for sixty or more years and received this answer.
Yes, it’s possible to have uncomplicated pancolonic diverticulosis for sixty or more years because diverticulosis, the presence of pouches in the colon, is very common with age and often doesn’t cause any symptoms. While complications like infection (diverticulitis) can occur, most people never develop symptoms or complications from diverticulosis, allowing them to live normal lives.
I can accept that.
Uncomplicated Pancolonic Diverticular Disease And Stress
This afternoon, I found myself in a stressful situation and my gut played up. Was it my uncomplicated pancolonic diverticular disease and stress actually playing up?
So, I asked Google AI if there was a link between uncomplicated pancolonic diverticular disease and stress and got this answer.
While there’s no direct causal link, stress may exacerbate uncomplicated pancolonic diverticular disease, potentially by influencing the digestive system and increasing the risk of anxiety and depression, which are often associated with diverticular conditions. Some theories suggest stress can disrupt the autonomic nervous system, leading to spasms and inflammation that can trigger flares in diverticular disease. Managing stress through healthy lifestyle choices, such as a high-fiber diet and regular exercise, may help reduce risk and support the digestive system.
This doesn’t deny a link, but it would appear to be secondary.
The source used by Google AI is the NHS web site.
As a follow up, I asked Google AI if there was a link between uncomplicated pancolonic diverticular disease and a high-fibre diet and got this answer.
For uncomplicated, pancolonic diverticular disease, a high-fiber diet is recommended to prevent complications by promoting softer stools and preventing constipation. Increase fiber intake by gradually adding whole grains, fruits, vegetables, nuts, and legumes, while also drinking plenty of fluids to aid digestion and prevent bloating. A balanced, high-fiber diet can help manage symptoms and reduce the risk of developing symptomatic diverticular disease.
The source used was this paper on the National Library of Medicine, which was entitled Role Of Fiber In Symptomatic Uncomplicated Diverticular Disease: A Systematic Review.
Now My Kidneys Might Be Packing Up
I have just been told by my GP, that the blood tests they took showed my kidneys might be packing up.
But he also said it could be the heat.
So I asked Google AI “Can hot weather affect kidney functions?” and got this answer.
Yes, hot weather can negatively affect kidney function, primarily through dehydration and its impact on blood flow to the kidneys. Dehydration can lead to acute kidney injury (AKI), and studies show that the risk of AKI increases with rising daily temperatures.
That seems to backup what the GP told me.
They are going to repeat the tests.
When I had the blood test, they took the blood out of my right arm and afterwards gave my left arm, my three-monthly B12 injection.
So did the blood test, show low B12?
So I asked Google AI “Can low B12 affect kidney functions?” and got this answer.
Yes, low vitamin B12 can potentially affect kidney function, particularly in individuals with chronic kidney disease (CKD). While B12 deficiency is more commonly associated with neurological and blood-related issues, it can also impact kidney health and vice versa.
That’s better than a kick in the teeth, as C would say!
Can I take this line of thinking further?
I was fifty, when I was found to be coeliac and I had my stroke at 64, because of atrial fibrillation.
So I asked Google AI “Can low B12 affect heart functions?” and got this answer.
Yes, low vitamin B12 can affect heart function. Specifically, it can lead to symptoms like heart palpitations and shortness of breath, and in severe cases, it can contribute to conditions like heart failure. Vitamin B12 deficiency can also increase the risk of circulatory problems and potentially contribute to cardiovascular disease.
I certainly had palpitations and shortness of breath at times before I went on blood thinning drugs.
So did low B12 cause my atrial fibrillation
I asked Google AI “Can low B12 cause atrial fibrillation?” and got this answer.
While a B12 deficiency can indirectly contribute to atrial fibrillation (AFib) risk, it’s not a direct cause. Low B12 can lead to elevated homocysteine levels, which are associated with an increased risk of AFib and stroke. However, B12 deficiency is more directly linked to other cardiovascular issues like anemia and heart failure, which can indirectly increase the risk of AFib.
It would seem that fifty years of low B12 didn’t do my heart much good.
I have to finish with one last question for Google AI
I asked Google AI “Can coeliac disease cause atrial fibrillation?” and got this answer.
Yes, celiac disease can be associated with an increased risk of atrial fibrillation (AF), a type of irregular heartbeat. While the exact mechanisms are still being researched, chronic inflammation and shared risk factors are believed to play a role in this connection.
This paper on the National Institutes of Health is entitled Celiac Disease and Risk of Atrial Fibrillation, where this was the conclusion.
A significant association between celiac disease and risk of atrial fibrillation was reported in this study. There is a 38% increased risk of atrial fibrillation. Additional studies are needed to clarify the mechanistic link between atrial fibrillation and celiac disease. Some of the limitations of this study are that all were observational studies, some were medical registry-based and there was high heterogeneity between studies.
This was news to me, but the paper only dates from 2020.
Did I Have A Funny Turn Caused By Dehydration This Morning?
I followed my usual Sunday morning routine today
- I took my drugs with a large mug of tea.
- I had a deep bath with emollient in the water.
- I put my head under the water and opened my eyes, to clear the massive amount of sleep, I get overnight in my eyes.
- I then went to Leon in Hanover Square for a good Full English gluten-free breakfast.
Unusually, Leon made a mistake and didn’t put any milk in my tea, so I didn’t drink it. So was I low on fluids?
A Transformer Is Being Moved Tonight
This press release from National Grid is entitled National Grid Prepares For Two Major Supergrid Transformer Deliveries In London.
The first one is to be moved into Redbridge substation tonight, so I went to have a look after breakfast.
- It was easy to get to the site, as it is close to Redbridge station on the Central Line.
- Out of the Underground, it was quite hot.
- By the time, I got to Redbridge station, I was feeling slightly unwell and felt my balance was poor.
- So I immediately turned around and came home using the Central and Lizzie Lines to Moorgate, where I took a bus home.
- I was certainly feeling better in the air-conditioned atmosphere of the Lizzie Line.
Since I’ve been home, I have been continuously drinking Adnams 0.5 % Alcohol Ghost Ship and I feel that I am now back to normal.
I asked Google AI “Can being dehydrated affect your balance?” and got this answer.
Yes, dehydration can definitely affect balance. It can lead to dizziness and a feeling of unsteadiness, which can make it harder to maintain balance. This is because dehydration can disrupt the fluid balance in the inner ear, which plays a vital role in balance.
I can remember an incident in my thirties, when I fell down the escalator at Oxford Circus station and went round to the Middlesex Hospital to be cleaned up.
Did Dehydration Play A Part In My Serious Stroke?
I had my stroke during breakfast in the Mandarin Oriental Hotel in Hong Kong. I’d had two or possibly three very small strokes early in the morning before and I know from measuring my weight, that I can lose up to a kilo overnight.
So I asked Google AI “Can dehydration cause strokes?” and got this answer.
Yes, dehydration can increase the risk of stroke. When the body lacks sufficient fluids, blood volume decreases, potentially leading to thicker blood and reduced blood flow to the brain. This can exacerbate existing blockages in blood vessels or make it more difficult for blood to reach the brain, potentially causing an ischemic stroke.
My late wife drunk a lot more fluids that I do and perhaps, I should have followed her example more, of always having water handy?
Do Vitamin B12 Injections Make You Drowsy?
For the last couple of days I’ve been feeling a bit drowsy.
- The physio at my fitness class possibly noticed it on Friday.
- I certainly had a good siesta on Friday afternoon.
- This morning I went back to bed after the Ocado delivery at 06:30 and slept for an hour.
Google AI gave this answer to my question.
Cyanocobalamin is a form of vitamin B12 that is used to increase vitamin B12 levels. It is available in a variety of forms over the counter as a supplement and by prescription as an injection or nasal spray. Some common side effects may include headache, feeling weak or tired, and nausea.
I certainly didn’t have any headache or nausea. But then I rarely have the first and only have the second, when I see Donald Trump or Vladimir Putin on the television.
According to the BBC, we have been having unusually low atmospheric pressure for this time of year.
So I also asked Google AI if low atmospheric pressure can make you drowsy.
Google AI gave this answer to my question.
Yes, low atmospheric pressure can make you drowsy. This is because low pressure systems, often associated with stormy or cloudy weather, can lead to decreased sunlight exposure, which can disrupt the body’s natural sleep-wake cycle (circadian rhythm) and increase melatonin production, the hormone that promotes sleep. Additionally, low pressure can reduce oxygen saturation, potentially causing fatigue.
As my now-retired GP felt I was badly affected by low atmospheric pressure, I’ll go along with that!
As that GP and myself felt that low atmospheric pressure drew water out of my body and made me dehydrated, I asked Google a supplementary question – Does dehydration make you drowsy?
Google AI gave this answer to my question.
Yes, dehydration can definitely make you feel drowsy. When your body is dehydrated, it doesn’t have enough fluids to function optimally, which can lead to fatigue and drowsiness. Dehydration can also cause a drop in blood pressure, which can reduce blood flow to the brain, further contributing to feelings of tiredness and sleepiness, according to A.Vogel UK.
I’ll go along with that.
Conclusion
Did the combination of the B12 injection and the low atmospheric pressure combine to make me unusually drowsy?
It’s certainly a possibility.
The more I ask Dr. Google questions, that he passes to his computerised assistant, the more I like and trust the system.
The Anonymous Widower 