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 –Â 13 minute wait, he texted me.
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”
Today was historic for me. I had my first Covid vaccination. I’ll confess I hadn’t wanted to be one of the first in line for it. It feels too new and untested, but I also knew deep down that I would probably be just fine with doing it when invited. My invitation came by text on Tuesday, I phoned my doctor’s office on Wednesday morning and they offered me today (Monday) at 12:10pm. I was on!
If you’re still waiting and want to know what it’s like…Pictorial essay follows!
So what was it like, getting the vaccine? I was sent into the main room which had many cubicles. They told me walk straight ahead where I saw a doctor waiting, masked. His badge read ‘Declan’ and he told me his name, which I sadly forget.
Declan explained to me about the vaccine and asked me a few questions. He then asked me if I had any questions of my own. I told him that, despite everything, I always worried somewhat about having an allergic reaction and he reassured me that if I had never had one, it was extremely unlikely. He explained things as if he were doing it for the first time – simply and warmly. I appreciated that. He prepared the syringe and stood beside me and I waited for the ‘sharp, short pain’ he promised. Then he said ‘OK, it’s done.’ I was actually shocked. I hadn’t felt anything at all and thought I hadn’t had it yet. I told him so and he said ‘It’s not about skill. It’s hit and miss if I hit a pain receptor spot.’ I thanked him and headed off for the assessment waiting room, where I would wait fifteen minutes.
Every year I go for a check up at the Sleep Clinic at St Bartholomew’s Hospital in East Central London. This year my annual check up was by phone but, on that call, they told me that they wanted me to come in and have a face-to-face appointment with a therapist to get a new machine and mask. In fact, I was welcome to send a representative but that would mean not choosing a mask myself. I decided to go in person.
I have to say that I was a little nervous about going – it was the farthest I’d travelled in months, and it was to a hospital. However, I thought I could make the best of it by taking photographs in the area. My wish list was Smithfield Market, which is under development for the Museum of London, the hospital itself, and a quick visit to Three Uncles Cantonese barbecue take out, on my way to the train. Krish thought he might come and wanted to see Charterhouse Square. I wasn’t sure he’d be coming until I was almost ready to leave on Thursday late morning. Yes, he was!
There are several ways to reach Barts, which is what most people call St Bartholomew’s Hospital, but we opted to take the bus which usually goes all the way to the door or to Barbican tube station, which is at the east end of the large area that Barts and Smithfield covers. Our bus was going only as far as St Pauls so Barbican it was.
It would be tough to find another area of London with more and varied important history. Another bout of research reveals so many dates and occasions, my head swims, but I tried really hard to stick to my route and focus! To be honest, all the buildings, plaques, and monuments were going to be more than enough to keep the anxiety at a reasonable level.
Two estates are dominant at Barbican – Barbican estate itself and the 1950s Golden Lane Estate. Golden Lane Estate comes first. (This from my brother: ‘The first building to be completed was Bowater House, off Fann Street, named for a Lord Mayor of London whose descendants we are related to.’) The most obvious building on the estate is Crescent House, which has a Tudor look so is very distinctive. The estate was built to house those who were bombed out during WWII. Crescent House was the last to be built. By then the huge Barbican scheme was already underway.
The Barbican estate deserves a blog of its own but I have no idea when that day will come. It’s a very complex site over a very large area. Barbican covers the area that was once the main Roman Fort of London (120 AD) – barbican , from Barbecana, which means a fortified outpost or gateway. It has 2,000 flats, maisonettes, and houses on what was a bombsite after WWII. While Golden Lane estate is a City-owned council estate, Barbican is an upmarket development, designed and built for affluent City professionals and their families, charging market value rents.
If you go to Barbican estate, you’d be impressed at its size (15ha) and variety of use. It contains the Barbican Centre (an arts, drama and business venue), the Barbican public library, the City of London School for Girls, the Museum of London, and the Guildhall School of Music and Drama. There are gardens, cafes, even arenas in there. What you’d also notice is the walkways, called ‘highwalks’ one to three stories above ground level. This separates the estate from the car parks and roads below. You can get lost walking about the highwalks – very entertaining. I wasn’t even going to try going in – it demands a lot of time!
Leaving the Barbican towers behind, cross the road and you’ll find Long Lane, which leads into the medieval area of Bartholomews. I love wandering around here, although today not everything is open. I could take a hundred photos here but today it’s just a handful.
Why Christmas in July? Is it that cold? Well, it has actually been quite cool up till today. We’ve even had the heat on sometimes, but today is a hot one, 27C – very warm for London. And I can’t open the window for some reason. It’s not too bad, though.
Well, see the last photo for the reason for the name of this blog entry.
I’ve taken some photos in the last few weeks so here goes with the mini stories behind them.