Guys Hospital – psoriasis adventures

Wednesday, 14 April, 2021

It’s been quite a year for Krish. During his eye ‘adventures,’ which I now realise I haven’t really talked about much, he developed plaque psoriasis.

No one is quite sure what cases psoriasis. Stress is a trigger, but so too is steroid use (from his eye treatment) which also means his vitamin D level was compromised. Darker skinned people naturally have lower vitamin D because of their skin pigmentation. The darker your skin the more protection you have from the sun’s UV radiation, and that protection limits your ability to absorb VitD. Both stress and low VitD contribute to suppressing the immune system. Psoriasis is an immune-driven, hyperactive response.

It started with a small patch and within weeks, it covered his scalp his trunk and legs. Lots of home skin slatherings from several ointments and lotions later, he was referred to Guys Dermatology Centre for some serious treatment. At first he saw a consultant, and the 13th he started in the clinic. I decided to go with him for this appointment. We made plans to go for what looked like a 90-minute session and then do a bit of exploring.

It didn’t quite go that way! More foiled plans…

Guys is about 5 miles away
Guys is about five miles away. We can see the Shard from our window
On the train to Liverpool Street
On the train to Liverpool Street
Distancing at the barriers
Distancing at the barriers
A bit busier than last time at Liverpool Street Station
A bit busier than last time at Liverpool Street Station
More distancing at Liverpool Street Station
More distancing at Liverpool Street Station
There'll be a new Eataly here!
There’ll be a new Eataly here! Outside Liverpool Street Station

Maybe it’s the pandemic and lack of chaos, but I kept noticing things on Bishopsgate that I’ve not seen before. I must have been there hundreds of times, so how could I have overlooked so much?

Fire Brigade Station
Fire Brigade Station – above the Tesco store on Bishopsgate
Great Eastern Railway Hotel
Great Eastern Railway Hotel, now the Andaz

So much to see hear but the appointment time was getting closer, so we got the bus over to London Bridge Station, a stone’s throw from Guy’s Hospital.

Pandemic or not, I’m always excited to see the river. In my travels I’ve realised that I need to live in (or at the edge, at least) of a city but that city must be on a river, by the ocean, or a lake. A coastal city would be ideal for me were I able to afford to live there. Today, circumstances didn’t allow me to gaze at the Thames for too long, but I loved knowing I was there.

Instead, we headed straight for the Dermatology Clinic at Guy’s. First we had to head towards the new London Bridge station entrance, right at the Shard, and down an escalator to St Thomas Street and the beginning of Great Maze Pond – what a great street name!

Bike stand at the station
Bike stand at the station. No rival to Amsterdam bike racks, but this stand would normally be packed with bikes
Looking back at the bus station, London Bridge
Looking back at the London Bridge bus station, where our bus arrived
Ghost town at London Bridge station
It really was a ghost town at the usually all-day busy newly renovated London Bridge station. I need time to explore it all – this is just a small section
Pandemic travel rules
Pandemic travel rules
The Shard
Outside the station, looking up at the Shard – I can’t see the bottom or the very top
Down to St Thomas Street and straight ahead is Great Maze Pond
Down to St Thomas Street and straight ahead is Great Maze Pond
Great Maze Pond plaque
Great Maze Pond plaque

The plaque reads ‘The “Maze” Pond, which used to be situated at the southern end of the Guy’s site, was fed by a tributary of the River Thames, now known as ‘Guy’s Creek’. Archaeological excavation of the site has unearthed an early Romano-British boat and Roman timbers edging the creek.
In the Middle Ages farmers from Kent and Surrey used to drive their cattle up to London for sale at Smithfield Market. The fields around the Maze Pond were a focal point where the cattle were grazed and watered.
“Mr Guy’s Hospital for Incurables” was built on this site in 1725. John Rocque’s 1746 Map of London shows the pond still in existence. The local street-names then included “Maze Pond”, ” Little Maze Pond” and “The Maze pond”, which subsequently became Great Maze Pond – the name it still has today.’

The hospital itself has an interesting history as does the Dermatology Centre. The hospital was founded in 1721 by philanthropist Thomas Guy, who had made a fortune as a printer of Bibles and then speculated his money in the South Sea Bubble. At first the hospital was established to treat “incurables” discharged from St Thomas’ Hospital.

The  dermatology department  is the largest clinical dermatology department in the UK. John Milton founded St John’s Hospital for Diseases of the Skin in 1863. He was a surgeon who suffered from hand eczema so severe it ended his career. His personal experience with skin disease triggered his interest in dermatology.  St John’s Hospital for Diseases of the Skin moved to St Thomas’ Hospital in the mid-1980s. Soon after, it was formally renamed St John’s Institute of Dermatology.

At the Derm Centre
Standing on Great Maze Pond with the Shard straight ahead and the entrance to the hospital on my right
Immediate skyline from Guys - the Shard pointing to the sky
Immediate skyline from Guys – the Shard pointing to the sky

There’s not a lot of fuss at Guy’s Hospital compared to my visit to Barts. There are a few banks of hand cleaners and a table with a few people in attendance. No one checked if I had an appointment and no one offered me a new mask, asked me symptoms questions or took my temperature. This surprised me. We went through this casual ‘barrier’ and on to Bermondsey Wing where the Dermatology Centre is.

Again, there’s a simple table and a guard but she doesn’t ask us anything, so Krish checks in at the desk, and we sit down in the atrium waiting area and start looking for Krish’s name to appear on the board.

The quiet waiting area
The quiet waiting area at the Dermatology Clinic

Inside the atrium of the waiting area, and a view of the Shard summit
Inside the atrium from my seat, there’s a lovely view of the top of the Shard

And wait we did. Eventually a nurse came looking for him – his name had never appeared. Off he went, while I waited. After a bit the messages started to arrive

-I’m sitting waiting now
-Totally covered
-Sticky
-Head to toe
-Wrapped head

I thought about this for a minute then I said

-Take a selfie

It occurred to me that social media phobic Krish may not know how to take a selfie, but he did. I’ll spare his dignity and your eyes by not posting those photos here but his treatment will be head to toe emollient, one hour wait, applied pure coal tar (which he described and sounded like a hot wax treatment complete with popsicle sticks), one hour wait, then a shower, then steroid ointment before leaving. He’ll be going back for this three times a week for three weeks (minimum). So, if you get severe psoriasis, expect some or all of the same.

His appointment is five hours and the plan to walk about afterwards is vanishing. Walking painfully with a crutch means I really won’t attempt it alone, but I’m OK. Instead I go for a very short look outside and to try to find a snack. I didn’t find one out there but I did take a look for as long as my legs would carry me. And there’s a lot including a reference to a buried Roman boat under the Cancer Care Centre, and some fantastic ironwork opposite the main entrance. Otherwise, it’s a bland council estate area with nothing remarkable, at first glance anyway. Continue reading “Guys Hospital – psoriasis adventures”

Summer in the City

Sunday, 19 July 2020

On Sunday morning, Krish brought up the idea of getting on a bus and going somewhere. He said maybe it would be quiet on the buses and we could wander around The City on a peaceful day. The City is dead out of office hours as a rule but surely now it would be even deader. I thought about it for a little while and then said yes, let’s go.

We took the 242, which goes along Kingsland Road, then turns down Commercial Street at Shoreditch High Street Station. We sailed past a very splendid new Dan Kitchener geisha art piece but stayed on until we went one more stop, where the crowd – if there is one – will have dissipated. And out we got.

We walked back a little bit to Christ Church, where I’d seen a cattle trough. I’ve taken lots of photos of the church but this time it was the trough and drinking fountain that caught my eye. The church itself was the first of three that Hawksmoor built between 1714-1729 and for me, it’s the landmark that dominates the area.

The trough and fountain are lovely. They were put there by the Metropolitan Drinking Fountain and Cattle Trough Association, set up in London during the 19th century to provide free drinking water.

 a drinking fountain and cattle trough installed by the Metropolitan Cattle Trough and Drinking Fountain Association.

A drinking fountain and cattle trough outside Christ Church, Spitalfields
A drinking fountain and cattle trough installed by the Metropolitan Cattle Trough and Drinking Fountain Association outside Christ Church, Spitalfields
Red phone box
There aren’t so many red phone boxes left and most have no phones inside or are used by the homeless. This one is pretty derelict
Art at Christ Church, Spitalfields
Art at Christ Church, Spitalfields. These two have been here a long time undisturbed

We decided to get off the main street to head towards The Gherkin. I’ve walked along Toynbee Street many times but never past Middlesex Street. We saw very few people, but there were a few stalls set up at the top near Commercial Street.

Mambow facade on Toynbee Street
On the old and crumbling street, Mambow restaurant was a very pretty sight
Past Middlesex Street, Old Castle Street
Past Middlesex Street, Toynbee Street becomes Old Castle Street and the new is crowding out the Old. Along here are some buildings belonging to the London Metropolitan University

Old Wash Houses
I had somehow never seen the facade of these old wash houses. They were originally Whitechapel Public Baths, built in the 1850s, and now housing the Frederick Parker Collection

Continue reading “Summer in the City”

The rest

Saturday, 3 November, 2018

The last week in Torino the rains started and it was hard to find a day when it felt OK to be out. It rains in London, of course, but it’s a manageable rain – with few exceptions. In Turin the rain is incessant and heavy, with only short breaks.  We did wander, when we weren’t indoors keeping dry and slowly filling cases.

The streets of central Torino – Centro – can be grand but in between these wide boulevards are the quiet narrow streets.  Imagine this in central London – even in the back streets and alleys!

I’m also fascinated by the inner courtyards. Just off via Garibaldi there’s a courtyard that leads into other courtyards, each with its own shops and apartments and little cafes. It was raining this day and things were very quiet. It’s like a hidden oasis from the mad shoppers, who are never stopped by rain.

The Piazza San Carlo is a very grand square. Krish was amused by the statue since his favourite crisps are the San Carlo brand. He said that every time he saw the statue he needed to thank the man (is it even San Carlo?) for this taste treat. The square is used a lot for events. In this case they are getting ready for the Chocolate Festival that was taking place the week after we left. Bad timing!

The annual festival of artists’ lights was starting to take shape. We saw a few as we left. This one had projections of lacy patterns over the paving stones. It looked so pretty. In fact, Piazza Carignano is the prettiest square in Centro. If I return, I want to explore it better.


Continue reading “The rest”

Venice – the streets and the people

Tuesday to Thursday, 9 to 11 October, 2018

Yes, Venice does have streets! On some of them you can’t tell that there’s a canal anywhere close. And it has squares. Once you get away from the canals peace settles and there are mostly locals, except for the occasional tour group. There are no cars and the roads may be cobbled or made of bricks. There are many narrow alleyways, some lined with homes and others just passageways to the next street or square. And sometimes there are trees, and parks. With no roads, you don’t see stop signs, traffic lights, or vehicles of any type. What you do see are people pulling or pushing large carts from place to place. It’s a whole other way of life and I wonder how it feels to have been born into such a place.

There are lots of old, old houses. There isn’t really anything new. There are also lots of renovation works, old cavernous and dirty spaces where people are working to bring yet another space up to scratch. As you walk along the canals, if you look up, you’ll see fantastically large rooms with very high ceilings and, if you’re lucky, art and tapestry hanging on the walls, and even magnificent chandeliers. (I tried to photograph one of these but it was dark and the image was blurred. Krish said it looked like there was a Chihuly.

Pictures speak louder than words…

My failed 'Chihuly'
My failed ‘Chihuly’



And always laundry
And always laundry
One of many streets that end at a canal
One of many streets that end at a canal
Notice they are called Calles - spanish influence
Notice they are sometimes called Calles – Spanish influence
Sometimes there are old signs in the pavement
Sometimes there are old signs in the pavement
Trees!
Trees!
Some even with pomegranates
Some even with pomegranates

A park, with ruins!
A park, with ruins!

Little squares
Little squares

Big squares - St Mark's - yes, large and with a very impressive cathedral!
Big squares – St Mark’s – yes, large and with a very impressive cathedral!

Alleyways, passage ways, and entrances
Alleyways, passage ways, and entrances
Come in!
Come in!

And some street art. I’m not fond of Italian street art but there were a few…

An Alice (Pasquini) from 2010
An Alice (Pasquini) from 2010
I love the little street level cartoons
I love the little street level cartoons
Roomz had a few
Roomz had a few
Whimsical
Whimsical
And academic
And academic

As we left Venice, there was a nice farewell. While wandering around the University area of San Polo, an older man was engrossed with playing his violin-type instrument. Finally, a truly romantic view of Venice.

My Venice Chapters

Venice – canals and bridges 
Venice – doors and windows 
Venice – Food and shopping 
Venice – the Ghetto 
Back to Romantic Venice? 

Shroud of Turin and Gran Balon!

Sunday, 30 September, 2018 24C

But first, another culinary note. Yesterday we decided it was time to give our local enoteca (wine shop with cafe) a chance. We pass it all the time but have never gone in.  I ordered russian salad (skipping the two pasta choices) and milanese. Krish had penne with ragu and also the milanese. The pranzo (lunch) deal is 12 Euros each.

Pranzo menu
Pranzo menu
Monochromatic lunch - Russian salad, Milanese with Cauliflower Gratin
My monochromatic lunch – Russian salad, Milanese with Cauliflower Gratin

It’s OK. We may go again. Simple food, friendly service, a no-brainer since it’s across the road. However, again we’re struck with how ordinary and unmemorable the food is, especially when I throw two salads together later in the day for dinner. Would the Italians think my food too complicated, too much going on? It’s also worth mentioning that there were six or seven people sitting on a larger table across from us. They seemed to be ordering everything on the menu and sharing the huge platters. Despite the overflowoing banquet, they swallow it all in record time and leave, empty plates everywhere!

My dinner. Asparagus with Chicken, Two salads - Pesto Potato salad, Beet with goat cheese and arugula
My dinner. Asparagus with Chicken, Two salads – Pesto Potato salad, Beet with goat cheese and arugula

I’m not a huge fan of churches unless they are rustic and unique. I don’t typically enjoy opulence or artistic piety. But then the Cattedrale di San Giovanni Battista (Cathedral of St John the Baptist, aka Torino Duomo) was supposed to be open for 3 Euros. Last year the Duomo was covered in scaffolding but this year construction is finished. It’s a beautiful and intricate dome atop an otherwise plain looking rectangle of a church. The looming campanile (bell tower) dates from 1470 and the church was built during 1491–98 . It would be unremarkable if it didn’t contain the chapel of the Holy Shroud, which was added in 1668–94.

The Campanile on the left, the domes of the Duomo to the right
The Campanile on the left, the domes of the Duomo to the right
Steps to the cathedral
Steps to the cathedral
Looking towards the altar
Looking towards the altar
Lighting my usual candle to Mum and Dad (centre fourth row down)
Lighting my usual candle to Mum and Dad (centre fourth row down)
Looking up to the smaller dome
Looking up to the smaller dome

There’s nothing to make me linger in here – the usual memorial statues and plaques, pews, banks of candles, an organ… but the altar is quite stunning, overlooked by a very large window, where I could see people looking down to where we were, and that’s where I need to head. Walking around, though, I couldn’t find a way in so supposed it was a separate entry – it was.

But this big window intrigued me, looking down on us. I need to get behind there!
But this big window intrigued me, looking down on us. I need to get behind there!

Before wandering outside, I saw a small crowd of people and hoped I could get in behind the window there but, no, this was the spot for the shroud. It’s displayed only once every 25 years unless the Pope is in town so I wouldn’t get to see it, but there’s an area for it and there was lot of genuflecting and crossing and muttered prayer – and the most candles! – going on in front of that thing. I stayed for a little while to read the prayer, translated in several languages. And then I left.

The Chapel of the Holy Shroud
The Chapel of the Holy Shroud

It seems the entrance to the cathedral museum is around the side so I went in there too. On the way in there are some pretty solid ruins, and I was told there are more inside. In the foyer, a very short and elderly lady with a badly curved spine wanted to talk to me but she couldn’t speak English so I was directed to another behind the counter. There was nothing about a 3 Euro entry but apparently I can come here any time for 3.50 so I decided that I would wait. Today it’s packed.

Ruins inside the Cathedral museum
Ruins inside the Cathedral museum

Continue reading “Shroud of Turin and Gran Balon!”