The Anonymous Widower

Thoughts On eScooters!

Consider.

  • This article on the BBC is entitled Emily Hartridge: TV Presenter And YouTube Star Dies In Crash. It is an extremely sad tale and it has led to the inevitable call to ban electric scooters.
  • There is also this article on the BBC, which is entitled Iris Goldsmith: Teenage girl dies in ‘quad bike’ accident. This is another extremely sad tale and many are questioning, what a teenage girl was doing, riding a quadbike.
  • And then there’s this article on the BBC, Which is entitled Govia Thameslink Fined £1m Over Gatwick Express Window Death.

Young people and some older ones too, often do stupid things.

Many also crave danger and go mountaineering, riding on the tops of trains or jumping into rivers from a great height.

Doing things out of the ordinary is a natural reaction and is one of the reason, why humans are the most successful species on this planet.

I think the problem is the way we bring up children.

  • My parents let me do anything I wanted up to a point.
  • They also taught me lots of skills.
  • From about twelve, I used to cycle all over London.
  • I spent endless hours in my father’s print works doing things that would be frowned upon now, because they are too dangerous.

A couple of months ago, I was interviewed by a sixth-form girl student, in the volunteering I do at Barts Hospital in giving experience to prospective doctors.

She had lived in an over-protective environment and hardly left home on her own.

It was almost child abuse. She didn’t say, but I suspect she’d even been driven to and from school.

When it came to our own children, C and myself were fairly liberal and it was strange how, two became very street-wise and had the occasional scrapes, whereas the other was generally well-behaved.

Perhaps, we didn’t get everything right, but I like to think, we gave them a good appreciation of risk!

And that is one of the mot important things to learn in life, as often, those that ca’t assess risk, come to unfortunate ends.

I do feel my youngest son’s unhealthy lifestyle was a factor in his getting pancreatic cancer, especially if he was coeliac like me! But then he wouldn’t get tested!

His daughter though, seems to have a good appreciation of risk, but then if your father dies, you probably do!

To return to the eScooter, which is where this post started.

They Look Fun!

They certainly look fun and I constantly want to have a go on one.

Remember, I have crashed a twin-engined aeroplae and ridden horses in the Masai Mara.

At seventeen, I also sat on the back of a motorcycle, the wrong way round and went through the Mersey Tunnel.

Was I wearing a helmet? Of course not!

Are They Dangerous?

The risk depends on where they are used and how competent the rider is!

Ask any A & E doctor, what sport causes the most injuries and they’ll say something like rugby or horse-riding!

When A & E doctors start complaining about eScooters that will be the time for action.

Would Training Help?

Training isn’t the important thing.

However experience, especially that gained in a safe environment is important.

But to legislate that training should be mandatory will only have the reverse affect.

Conclusion

It’s a difficult problem, but we must teach everybody to appreciate risk.

When I joined ICI in 1969, I went on a formal Health and Safety course.

It has proven to be invaluable all my life an I haven’t worked on a chemical plant since 1970.

July 17, 2019 Posted by | Health, Transport/Travel, World | , , , , , , | 2 Comments

France Stops Funding Homeopathy

The title of this post is the same as an article on page 31 of Thursday’s copy of The Times.

This is the first paragraph.

French patients, who use more homeopathic remedies than almost anyone else, will no longer have them funded by the health service after scientists deemed them useless.

The French have shown a lot of sense here!

July 11, 2019 Posted by | Health | , | 1 Comment

Phone Call Cuts Hospital Readmissions

The title of this post is the same as that of an article on page 18 of today’s copy of The Times.

This is the first paragraph.

A single phone call to an older patient who has been discharged from hospital can almost halve the odds of readmission, research suggests.

I have mined health-care data in the past several times and often something simple drops out from a simple analysis.

Some analyses produce the obvious like you gets lots of leg injuries on Saturday afternoons, due to football being played.

I also believe that analysis of health data in an area could pick up more sinister links.

This could be picked up by artificial intelligence scanning the various databases, but until such systems are fully developed, a lot can be picked up by analysts using simple tools. Even Excel can find a lot of problems, if used properly.

 

June 14, 2019 Posted by | Artificial Intelligence, Computing, Health | , , | Leave a comment

M4: Alternative Solutions To Motorway Travel

The title of this post is the same as that of this article on the BBC.

It is a good read giving both sides of the problems of commuting.

This is an important section from an expert.

Prof Mark Barry, a transport expert at Cardiff University, said the M4 has been important in attracting manufacturing, but there have been negatives.

“The downside is we’ve built a lot more housing, retail and other business parks around the M4, that’s then made us over-dependent on the car,” he said.

I think Professor Barry is highlighting a problem, that is seen all over the UK. Like the United States, housing, office, medical and leisure developments are being built, where the only way to get there is by car.

I don’t drive because my eyesight has been damaged by a stroke, but I still have a full life, with more travel than the average man of 71.

June 14, 2019 Posted by | Health, Transport/Travel | , , | Leave a comment

My Unusual Body

I say unusual, but I suspect there are others out there with similar problems to me.

I was delivered in 1947, by the almost exotically-named; Dr. Egerton White, who was the family GP. He had all the expected characteristics of a three-piece suit, a corporation, a long watch chain and the obligatory Rover car. He also had a rather unusual blotchy skin, that leads me to think he was probably of mixed race.

I was small in stature, not the healthiest of children and was always going to see him and his partner, a Doctor Curley!

  • At times, I would cough my guts out for hours on end.
  • Later I remember my mother saying to my future wife, that I had difficulty eating as a baby, and I would fall asleep as she fed me.
  • Often I would spend three or four months away from school and I can remember spending hours with my head over a large jug of hot Friar’s Balsam.
  • At one point, someone said it could be the lead in the paint in our house, so my father burnt it all off and replaced it.
  • My mother used to make gallons of home-made lemonade according to one of Mrs. Beeton’s recipes, which must have helped, when I drunk it.
  • Doctors White and Curley were puzzled and at one point prescribed the new-fangled drug penicillin.
  • It should be remembered that in the 1950s, even in leafy Southgate, where we lived, the air was thick with the pollution from coal fires for a lot of the year.

In the end, one thing that helped was a nasal spray cooked-up by a pharmacist called Halliday. I can still smell it and suspect it was little more than the base chemical still used in some nasal sprays available from pharmacies.

Although my poor health persisted at times, I still managed to pass the 11-Plus and get to Minchenden Grammar School.

But I remember in the first year, I had virtually a term away.

From about ten or eleven, my health gradually improved.

I can suggest these reasons.

  • Getting older helped in some way.
  • I was exercising a lot more by cycling around, although it was up a hill to get home.
  • My parents had bought a house in Felixstowe and we would spend weekends there. Although, as I got older I hated being away from my friends with little to do, so I tended to stay in and read.

In the 1960s, my health seemed to improve dramatically, when I spent three years at Liverpool University and a year afterwards working for ICI at Runcorn.

Liverpool is a Maritime City and in those days, the air was much better than London.

But I also got married in 1968 and I can never remember serious boughts of coughing, sneezing and breathing difficulties in the time Celia was alive.

Although, she did often say that before I went to sleep, I would always sneeze three times and sometimes she would even count them.

She also regularly said, that my sneezes were rather violent at times. They still are!

In the late nineties, I was diagnosed as a coeliac. Regularly, I’d go to the GP around the turn of the year with a general run-down feeling.

Nothing specific, but then an elderly locum decided I ought to have a blood test, which would be the first of my life!

The result was that I was very low in vitamin B12. As a series of injections didn’t improve the situation, I was sent to Addenbrooke’s Hospital for tests.

I was diagnosed as a coeliac, initially on a blood test and then by two endoscopies. Note that Addenbrooke’s used to do them without anaesthetic, as it means the patient can easily get into a better position and doesn’t break teeth. It also means that the hospital doesn’t have to provide as many beds for recovery. Certainly, I’ve had worse experiences with highly-capable dentists!

I thought this was the end of my health problems.

It certainly seemed to be, except for occasional breathing difficulties early in the year. I can remember having difficulty climbing Table Mountain.

My stroke was brought on by atrial fibrillation three years after Celia died.

It happened in Hong Kong and before it happened in the restaurant of the Mandarin Oriental Hotel, I had had a walk and remember how well the air felt early in the morning in the City.

The doctors said I had had a serious stroke and I was kept in hospital for twelve weeks on the 29th floor of a hospital with the sun streaming through the windows.

I remember one incident, where I was accused of throwing my water away and not drinking enough, as I wasn’t urinating. But I was drinking, so they checked my waterworks thoroughly and put in a catheter. Nothing improved. Thankfully, eventually they gave up!

So where was all that water going?

Another curious thing in Hong Kong was that their automatic blood pressure machines sometimes didn’t work well on me in the morning. So they resorted to traditional devices and a stethoscope. Strangely, these blood pressure machines never fail these days.

After the stroke, I was put on long-term Warfarin and I have been told several times, that I if I get the dose right, I won’t have another stroke.

Now moved to London, I possibly made the mistake of moving to a house, which gets too hot.

One day I collapsed, panicked as I thought it was another stroke.

It wasn’t and UCLH thought that I needed to be put on Ramipril, Bisoprolol Fumarate and Spirolactone.

Since then another cardiologist has dropped the Spirolactone.

As I said my body is unusual in strange ways.

  • If I have an injection or give a blood sample, I don’t bleed afterwards or need a plaster. With a new nurse, it often causes a bit of a laugh!
  • My nose seems to be permanently blocked and I rarely am able to blow it properly.
  • My feet don’t have any hard skin, which is probably unusual for my age.
  • I used to suffer from plantar fasciitis, which seems to have been partly cured by the Body Shop’s hemp foot protector.
  • I drink a large amount of fluids, with probably six mugs of tea and a litre of lemonade or beer every day.
  • I always have a mug of decaffinated tea before I go to bed.
  • I often have half-an-hour’s sleep in the middle of the day. As did my father!
  • My eyes are very dry and I have a bath most mornings, where I put my head under the water and open my eyes.

Perhaps, the strangest incident was when I went to sleep on the floor after a lot of tea, with the window open.

I woke up to find I couldn’t see! There was nothing wrong with me, but my large living room was full of steam, like you’d get if you leave the kettle on.

I came to the conclusion after that incident, that the only place the water could have come, was through my skin.

This was also suggested by a nurse, who said he’d got leaky skin.

As someone, who understands physics, could this leaky skin be the cause of my problems?

And do the drugs make it worse?

My Grandfather

He died at forty, long before I was born.

He was an alcoholic, who eventually died of pneumonia.

Could his drinking like mine, have started because of a need for fluids?

I used to drink a lot of beer until I was about twenty-four, but my father had suffered so badly emotionally because of the death of his father, that he had instilled the right attitude to drink deep in my mind.

Conclusion

This has been a bit of a ramble!

May 29, 2019 Posted by | Health | , , , , , | 4 Comments

Tell Patients To Ditch Diesel, Doctors Urged

The title of this post is the same as that of an article on the front page of today’s Times

It may be a sensible idea, but a lot of patients wouldn’t like it.

I suspect too in Inner London, where I live, the message has got through, as you meet more and more people, who are deciding that driving is not for them!

May 24, 2019 Posted by | Health | , | Leave a comment

Schools Should Have ‘No Idling Zones’, Public Health England Chief Says

The title of this post is the same as that of this article on the BBC.

These are the first three paragraphs of the article.

Public health chiefs have proposed a ban on cars idling outside school gates in a bid to cut air pollution.

The measure is among a series of UK-wide recommendations put forward by Public Health England.

PHE medical director Paul Cosford told the BBC: “We should stop idling outside schools and we should make sure that children can walk or cycle to school.”

The article also lists other measures.

  • Redesigning cities so people aren’t so close to highly polluting roads by, for example, designing wider streets or using hedges to screen against pollutants
  • Investing more in clean public transport as well as foot and cycle paths
  • Encouraging uptake of low emission vehicles by setting more ambitious targets for installing electric car charging points
  • Discouraging highly polluting vehicles from entering populated areas with incentives such as low emission or clean air zones

All motherhood and apple pie, but it will be a vote loser for any Government, that tries to i9mplement it.

 

March 11, 2019 Posted by | Health, Transport/Travel | , | 2 Comments

A Double Database Cock-Up From The NHS

At three on Sunday morning, I phoned NHS 111 to ask for a bit of help with my terrible cold that was stopping me from even getting to sleep.

I had some advice which helped, but I was also booked in to see a doctor at 09:00 in a surgery a short bus ride away.

So far so good and no complaints.

I duly saw the doctor and he prescribed several drugs, which I took to my local Boots later in the morning.

I should say at this point, that four years ago, I officially changed my name from the one my parents gave me to the one I’ve used continuously since 1968. I was starting to get problems with some airlines, where my passport had a different name to my bank account. My current GP has only ever known me by the latter name and I’m registered with their surgery using it.

When I got to Boots, they initially rejected the prescription, as for some reason it showed by old name, although my address, NHS number and other personal details were correct.

How did the wrong name get on the prescription?

Luckily, Boots were pragmatic and as they recognised me, I got some of thew drugs.

But not all!

The pharmacist recognised that two drugs were incompatible with the Warfarin I take.

So why did the NHS computer system allow the doctor to prescribe the drugs?

As someone who was at the forefront of database technology, I believe, these two problems are inexcusable.

My incorrect name could have led to failure to obtain needed drugs.

The lack of interaction checking, could have led to serious problems for a patient.

January 7, 2019 Posted by | Computing, Health | , , , , | 4 Comments

Have I Regressed To My Childhood?

Growing up in the early 1950s in London, I wasn’t the healthiest of children.

  • At some time most winters, I would have several weeks off school with a severe cold with extras.
  • I can remember my mother cutting up old sheets for hankerchiefs.
  • These would be boiled after use in a large saucepan on the gas cooker.
  • I would  cough all night and a good part of the day.
  • I would  inhale steam from a large jug of hot water and Friar’s Balsam.

Dr. Egerton White was always round our house.

Things improved towards the end of the 1950s.

  • The passing of the Clean Air Act in 1956.
  • I would be given penicillin which seemed to help. Naughty! Naughty!
  • At weekends we’d go to Felixstowe.

What finally improved my health was going to Liverpool University.

Now over fifty years later, I’ve got a cold like I had in the 1950s.

  • I can’t stop coughing for more than ten or twenty minutes.
  • Nothing seems to work to stop the cough!
  • It’s gone on for eight days now!
  • I’m not getting much sleep.

Could the pollution from all the diesel vehicles be the key?

January 3, 2019 Posted by | Health | , , , , , | 6 Comments

Parking Fees Rise At Many Hospitals In 2017-18, Analysis Finds

The title of this post is the same as that of this article on the BBC.

This is the first paragraph.

Four in 10 NHS hospitals in England have increased car parking prices in the last year, new data suggests.

I don’t drive, so it doesn’t effect me and the only hospitals I’ve visited in the last few years; Addenbrooke’s, Homerton, Royal London and University College have been easily accessible by public transport.

The real scandal is that so many hospitals are not easily accessible using fully-accessible public transport.

  • Addenbrooke’s has a large bus interchange, which has connections to Cambridge City Centre and at least one of the City’s large Park-and-Ride sites.
  • Nottingham’s Queen’s Medical Centre has a tram connection to the large Park-and-Ride sites.

But I can think of several hospitals, where the only public transport is an expensive taxi.

I also remember a hospital administrator in London telling me, that the largest number of complaints they received was about car parking.

 

December 28, 2018 Posted by | Health, Transport/Travel | , , | 2 Comments