The tiles in my house are pretty tired. Mainly due to ten years hard wear with innumerable tenants, but also I suspect because knowing Gerry, they weren’t the best tiles to start with.
So I’ve decided to get rid of the hideous tiled skirting board and replace it with an oak one and put down a proper carpet.
This afternoon, I went to John Lewis to see what they’d got. I chose a Brinton’s carpet in a shade called Coast. Mainly because the book had been left open at that shade.
It was only after I left the shop, I realised that it might have been the same carpet, we used to have around the Chinese carpet in our house at Debach, nearly forty years ago. In that case though, we bought the blue carpet first from a shop in Woodbridge and then bought the Chinese carpet in Hong Kong.
My only problem, is was it C or the Chinese, that made someone leave the carpet book open at the page? A Chinese friend at the time, said that the carpet was a lucky design.
The more I learn about strokes the more I know that the one I had in Hong Kong might well have been avoided.
my stroke was caused by atrial fibrillation. This was detected hen I had a small stroke in March 2010. I now feel that I should have been put on Warfarin, but why the doctors didn’t take this route, I do not not know. Could it be that my previous surgery in Suffolk, wouldn’t use a simple hand-held instrument, but still relied on expensive weekly blood tests? I don’t know, but having been on a system based on a machine since moving to London, I can honestly say that the the system is better from a patient’s point of view. My previous cardiologist, who has an International reputation assured me that if I kept my Warfarin regime, I would not have another stroke.
I am now under the care of University College Hospital in London. I happened to tell the nurse doing my electro-cardiogram there, that twenty or so years ago, I had had one that missed a beat in a flying medical. She said that that should have been followed up as it was indicative of atrial fibrillation. Instead over the past twenty years, I’ve had the odd cholesterol and blood pressure tests and that is about all.
It strikes me that, if I had had a proper heart medical, twenty years ago, then my stroke might have been avoided.
But I didn’t even see a cardiologist after my first stroke.
It strikes me that GPs either need to be better trained with regard to heart problems or less reluctant to refer patients to cardiologists.
I was also lucky in that I had my major stroke in Hong Kong.
There I was given a drip of a clot-busting drug, that provably mitigated my lasting problems. It is common place in some countries and regions of the UK. A BBC London report, showed that it saved money against conventional treatment, by avoiding lots of expensive after care. Additionally, in London, you are always taken to a specialist stroke unit.
So it does look like things are improving in the treatment of strokes.
I was chatting with the conductor on a New Bus for London and he said that he’d seen officials from bus companies in Hong Kong on the bus.
This is not unexpected as Hong Kong has quite a few Wright buses, as this article indicates.
So is the New Bus for London going to be the New Bus for Hong Kong? I would suspect that the new London design, has the ability to be stretched to a double rear axle design, like that used in Hong Kong.
Update on May 25th, 2012 – In his talk last night, David Barnett indicated that the current New Bus for London is a stretch of the original design, so a stretched bus with an extra axle, is probably not the most difficult pieces of engineering, especially given the computing employed to transfer designs to a real bus. The power-train layout would still allow a totally flat floor, which the New Buses for London have and is one of the best passenger features.
It would appear according to this article, that the Prudential, which is Britain’s biggest insurer, might be moving its headquarters out of the EU, because of regulation.
Hong Kong would seem to be the likely recipient of the jobs, as the company does 45% of its business in Asia.
Is this really what those of the left and the Occupy Movement want? After all, I’d like to see what happened to an Occupy Hong Kong?
Actually, it doesn’t bother me, as I don’t work for the Pru and I insure with a mutual.
In a previous post, some of the comments were about smart phones in hospitals.
I’m all for allowing patients to have laptops in hospital. I had my stroke in Hong Kong and I was allowed one there. It allowed me to do things like listen to Radio 5, talk on Skype, do the Sudokus in The Times and send e-mails, that I wouldn’t have been able to do otherwise.
I could also have done things like watch videos, which I never do anyway.
In Addenbrooke’s laptops were effectively banned and I don’t think it helped me.
The reason they are banned is that if they were allowed, it would mean they’d lose all that money they get from that crap Patientline system. The bandwidth wouldn’t be a problem, as they can now get enough Megabits easily.
The laptops could also be integrated into patient care and support. For instance, a physio in Hong Kong told me that typing would help my hands work properly again. She was right!
So let’s have some 21st century, healthcare thinking!
Remember too, that happy patients are less trouble for staff and might even leave earlier.
To me allowing laptops in hospital is a no-brainer. But then what do I know about healthcare? But I have seen good healthcare at work and know what works.
I am also in contact with universities, where they are developing computer games to help stroke patients. Let’s make those free and downloadable!
In the previous post on Sudoku, I speculated how my problem solving ability was changing.
But this is not the only change that is happening.
Just after the second stroke in Hong Kong, my balance was not good and walking in a straight line was difficult. In fact when I went to physiotherapy or X-ray, it was always in a wheel chair. Incidentally, once in Addenbrookes, I was generally left to my own devices, after the first few hours. But that is in the main down to a difference in cultures.
But take what happened on my first day in Addenbrookes. I was taken to a kitchen and asked to make a cup of tea for myself. It tasted better than any cup of tea, I have ever made.
What that cup of tea taught me, was that you have to think differently and take in all possible outcomes, when you do something.
Now that I’ve been home for a few weeks and virtually looking after my cooking and personal needs on my own for the last three or so, I can see that my brain has developed new ways of doing things. As an example, I am sure, I’ve devised new ways of doing things to get round the problems I have, say with my left hand. But then I’ve done this before, when my arm was broken at school. For years, I avoided using it, as it didn’t work too well, So I sometimes used my right hand, when everybody else would have used their left.
Underneath it all, we all have several ways of doing things and when one is no longer available, we just use another one we know or devise a new one. As an example, how many of us are naturally left-handed, but have been made to write with the other hand. And then you have Ken Rosewall, who some would say was the finest tennis player of all time, but he was naturally left-handed and had been made to play with his right by his father.
This is theview from my window.
I have had lots of messages. thanks especially to these people who have sent messages: JMcM,YOKO, J & C; EB; GH; Indie1; Elvin & Sue; GK; PB-T; John & Sue; LizP; PE; KT; AC; RE; AS; JG; LionelS; JimS;
if yo u have a message for me.. please post a comment to this post. many thanks.. James
i’m actually writing this on the computer attsched to the hospital bed. So if it’s crap I apologise.
The care is excellent and I’ve had umpteen CT scsns. Chinese food makes excellent hospital, but then I knew that because when C. had our first child in the middlesex in London, there was a lady from the chinese legation in London who had her baby at the same time and she had her food brought in and shared it with everyone else.
The food is all gluten free.