After the first foiled plan for Krish’s second vaccination, when his text confirmation didn’t arrive, he was given another time and not at St Thomas but Guys. Off we went. At the vaccination centre inside Guys, they couldn’t find his name, but sent him across to where they were vaccinating.
After a bit of a wait, he was turned away, since they had only Pfizer. They also discovered that his vaccination appointment was at St Thomas after all. In a rare blip, Krish hadn’t thoroughly read the text that arrived over the weekend – in that text St Thomas was named. However, if we went to their second centre – a short walk away, he’d find a tent where they could do the job.
Vaccination Centre 2 was in the quadrangle of Kings College, so we walked over and I wandered around the area while he queued – 13 minute wait, he texted me.
I liked this quiet courtyard. There was one modern building and some older ones, as well as the lovely old part. This is where Keats trained as a surgeon. I’ll confess to not being clear on which building is which around here. It’s the usual old London hospital style – a collection of separate buildings and houses with clinics and classrooms, and cafés and what-have-you. With my crutch, bags and cameras, I don’t have the patience or energy to look at plaques and details – but I will.
Not finding a café, I strolled through the arches leading to the inner courtyard of the oldest building. Very calm in here, but no bench. There was one spot for sitting but someone had already found it. There was a statue of Ludwig Wittgenstein, a seated statue of Keats, an old drinking fountain and a couple of plaques. As far as I can tell, this is the original surgeon’s school. I had the usual sense of the centuries-ago students walking through the corridors and inner hallways, unaware of the changes that were to come for the area. I found a place opposite the seated statue where I could download a soundtrack of ‘John Keats’ speaking about why he abandoned surgery for poetry. I wonder if I can embed it here. I went back to where I could sit among the buildings and trees.
Krish came out with another man and motioned me to stay where I was. When he did come over, he told me he hadn’t had the vaccination, that they had him in the seat, syringe loaded and ready to go, when a helper told the vaccinator to stop – his card read AstraZeneca and the syringe held Pfizer. Ooops. He had almost become a guinea pig for mixed doses.
Back to the main hospital we went, where they said they could try to get permission to give him the AZ dose. While he was doing this, I sat in the lobby, drinking a chai latte – hungry! (We’d planned lunch but it was now getting late.) He came out once to deliver that message, then finally again to say, Let’s go. I didn’t have it. Maybe he could have but he decided that he’d rather just leave and wait for them to sort things out. It had been a long morning. Continue reading “Foiled plans for a vaccination”
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…
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?
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!
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.
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.
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”