tag:blogger.com,1999:blog-59252732011-04-22T03:07:56.663+01:00the rolling donuta story of hospitals, patients and the severe lack of food when on call...Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comBlogger931100tag:blogger.com,1999:blog-5925273.post-1091835503638272142004-08-03T23:40:00.000+01:002006-04-30T14:12:34.453+01:00not much to say this week so far. work is good. heatwave continues, around 28c still, with the same being forecast into the weekend. but all this heat has generated severe thunderstorms in many parts of the country today as predicted... there was this awesome flood in park royal i saw on the news this evening, together with train delays on my line home tonight. made it back home a little late, Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1091412460541604502004-08-01T23:30:00.000+01:002006-04-30T14:11:08.300+01:00so i was having dinner at this local indian restaurant, an all you can eat sunday dinner buffet...and i notice that the waiters take all the serving spoons out of the trays when diners leave the buffet table. not only that, but they just throw them all into one container, so that you cant see which spoon goes with which dish again! wtf? what if there are vegetarian customers around?and as if thatChashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1091752219610569092004-07-31T23:53:00.000+01:002006-04-30T13:55:29.773+01:00fuck. dropped my cash card somewhere in london bridge station today. whenever you make a departure from your usual routine, you just know that something bad will happen.made a trek all the way to canaray wharf, where i knew that there would definitely be a branch of my bank still open at lunchtime on a saturday. found out that there had been no activity on my account since i dropped the Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1091410199182773882004-07-30T23:29:00.000+01:002006-04-30T13:54:12.640+01:00man! just my luck!the one time that i go out the night before, so i get into work a little late and dont have time to see my preops before they come down from the ward and what happens? i get bollocked by the boss for not knowing my patients. the one time. sheesh... just my luck. still managed to deal with all my cases without any problem.finished the day with acute gynae again. i was assessing Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1091122632209240522004-07-29T18:14:00.000+01:002006-04-30T13:48:24.583+01:00right, another productive day and now off to a night out with niven and the guys from my old unit. should be a big one...did a couple of good gynae cases this afternoon on my own. all pretty straightforward.just heard in the last few minutes that mark hobson has been charged with those two double murders from two weekends ago (twins claire & diane sanderson and james & joan britton). pretty Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1090859058524157082004-07-26T17:04:00.000+01:002006-04-30T13:57:42.153+01:00well, finished early today. woohoo!spent the whole damned day in day surgery. started with ortho in the morning and have just finished todays acute gynae list. did most of these on my own. not bad huh?now to head into town to get something to eat and see what i can get at the next sale. missed the harrods sale (ended saturday), so dont wanna miss this one...food of the day:skipped lunch today, Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1090368356099802552004-07-21T01:01:00.000+01:002004-10-05T00:17:37.216+01:00excellent. a pleasant journey home from work via the scenic route today, taking in the sights and sounds of evening rush hour in docklands on the dlr.
another interesting case today (another one this week?)... some obscenely fat bloke over 200kg going for a gastric band, on a special heavy duty electronic bed needing 4 theatre staff to push. havent even got to airway management yet...
Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1090032319827348132004-07-19T22:40:00.000+01:002004-10-05T00:02:35.966+01:00interesting case today...
got called down to resus (as duty anaesthetic registrar) to assess a bloke with a skull fracture that needed a head scan. emergency department had asked for airway assistance, as this dude was altered and thrashing around or some shit. as it turned out, he had clearly reached a peak in his fluctuating level of consciousness and was totally lucid and cooperative when i Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1096929551201384332004-07-18T23:51:00.000+01:002004-10-07T00:58:55.350+01:00woohoo! just got back from seeing howard jones again! awesome! the dude is a GOD. period.
started out today by hooking up with simon, fishy, nat and janaka again, to complete the weekend meet. janaka had told us all to meet at this authentic sri lankan place that he frequents, sekara on lower grosvenor place, just round the corner from victoria and buckingham palace. the sunday buffet was ok, Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1096867298795740442004-07-18T04:11:00.000+01:002004-10-07T01:05:23.803+01:00well, all in all, a long but useful day.
although not a member of the snug, i went along to the snug meet, which could equally have been one of the dnuk meets that i usually arrange, except for the fact that they didnt want certain people to be there...
after meeting in leicester square, simom, chloe, fishy and i waited at the all bar one for janaka and natalie to arrive. i then led them all Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1096923623939894092004-07-17T03:38:00.000+01:002004-10-07T00:37:51.016+01:00man, northern line was severely fucked tonight... no service at all from the hospital for some reason. had to use the bus instead. took over 3 hours to get home. ugh...
handled (sic) another bbr* today. talking of breasts... some 18 yearold student from dover called sarah peter has put her 36dd left tit up for grabs (sic again) on ebay to fund a business studies course at university. she offers Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1090031963562663852004-07-15T18:33:00.000+01:002004-07-21T00:54:39.610+01:00man, they dont ever tell you this, but you sweat like a pig in heat in the endoscopy room! i had managed to get myself assigned to todays ercp* list (dont ask!). dunno whether it was a combination of bad (no) ventilation in there and wearing heavy lead, with warm weather outside...
was sure glad to get called back out to recovery to sort out a desaturating quadriplegic from earlier in the list. Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1090031573206257782004-07-14T13:22:00.000+01:002004-07-20T22:47:51.293+01:00phew! took down a whole bunch of quite big gyn onc cases this morning back to back... felt really good. can feel the confidence growing.
food of the day (drug lunch):
m&s sandwiches (including some seafood crabstick salad combo filling, which was pretty good actually)... and only sandwiches. where the hell was the sushi? not gonna use heliox then. stupid woman.
Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1090031508280692242004-07-12T18:26:00.000+01:002004-09-02T03:34:19.393+01:00ugh... bastards. got spoofed by the staff canteen today. a very rare occurrence indeed needless to say, but harsh nonetheless.
the menu said "indian lamb casserole", which i took to mean some sorta lamb curry. even looked ok on inspection. piled it on high in the usual way and headed for the checkout.
i only had five minutes before my afternoon list, so i sat down and tried to do this dish fastChashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1089333410363169132004-07-08T19:07:00.000+01:002004-07-17T03:06:16.820+01:00ok, so i took down a big hemicolectomy case virtually all by myself this morning. brought him back up fine and took him to high dependency. nice one. couple of small trauma cases this afternoon.
weather still shit today. rain, gale, cold... coldest july day on record or something. anyhow, i will brave the journey home...
hmm... "erotic gherkin", the popular description conjured up for the new Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1089331663884064352004-07-08T01:01:00.000+01:002004-07-17T02:42:12.110+01:00another busy day. not one, but two open jejunostomy tubes, together with a renal transplant. not bad huh?
was in the unit staff room the other day... cant recall who started it... was probably jelena or someone, but the convo moved to kids movies and disney movies in particular. man, id never thought about it like this before, but get this... these movies should be banned! appalling! why? cuz Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1089331301710852812004-07-06T23:00:00.000+01:002006-04-30T09:08:42.476+01:00weather was pretty good this afternoon, so headed into town after work. chilled out in a trafalgar square that was packed with people all just umm... chilling out after work cuz the weather was pretty good i imagine. *shrug*then it dawned on me... today was london formula 1 parade day! thats why there were so many people in town this evening. id totally forgot! grr...a brisk walk towards lower Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1089331231136796682004-07-04T22:59:00.000+01:002004-07-11T21:47:23.700+01:00OMFG...
EURO 2004 CHAMPIONS: GREECE
predicted. deserved. imho.
final score: portugal 0-1 greece
Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1088728743332601052004-07-01T23:51:00.000+01:002004-07-10T02:06:09.266+01:00logged another couple of lmas* today, together with another gas induction on a cardiopath for a bone marrow.
another awesome game tonight, the second semifinal...
czech piled on the pressure during the second half, in what is now their usual way, loads of late attacking after a boring first half. but wtf... the greek defence were SO FUCKING UNBELIEVABLY TIGHT! i had always thought alessandro Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1088727675150981292004-06-30T22:18:00.000+01:002004-07-07T01:20:37.396+01:00so i set out for work early to beat the tube strike this morning. found a rarely used train route that would take me to the hospital by train alone, without the need for the tube. arrived at my usual time, having left home only 20 minutes earlier than usual. smart or what! tube drivers... they get £35k a year, the most highly paid public sector workers in britain. i get less than they do for way Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1088727517132970392004-06-28T23:47:00.000+01:002004-07-07T00:18:17.456+01:00"Let Freedom Reign!" [george w bush, 28 june 2004]
historic day today...
at istanbuls ritz carlton hotel, condoleezza rice hands a scribbled note to president bush during this mornings nato summit breakfast meeting:
"Mr President,
Iraq is sovereign. Letter was passed from Bremer at 10:26 AM Iraq time -
Condi"
bush hands the note back with that ambitiously simple line added. he looks at blair,Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1088557933726359462004-06-27T23:13:00.000+01:002004-06-30T02:12:13.726+01:00so i went to the sport show at earls court this afternoon...
it was shit. a load of bollox basically. wont go again next year. just as well i went this time on a free ticket (£14!). earls court 2 was empty, hardly any visitors at all and exhibitors hardly occupying much space in the vast hall. not many freebies nor competition giveaways either. in fact, just about the only thing i was able to doChashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1088389932740223822004-06-26T23:17:00.000+01:002004-06-30T00:13:47.500+01:00omg... got to touch the olympic flame today! awesome or what!
day 28 of the athens 2004 olympic torch relay saw london hosting the 23rd leg. the whirlwind international route passes through 34 cities over 36 days, uniting all five continents for the first time, with all previous summer games host cities being included (plus certain others of importance).
so 140 torchbearers took the olympic Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1088381854141346922004-06-25T12:11:00.000+01:002004-06-30T00:04:37.856+01:00another milestone reached today!
ive just put a lady to sleep for her total knee to be manipulated all by myself, with the boss not close by, but distant. woke her up smoothly too. excellent. =)
need to get some lunch now. plastics list this afternoon. only one (big!) abdominoplasty, probably no chance of getting away early...
Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1088126397200523002004-06-24T23:56:00.001+01:002004-07-06T00:22:02.073+01:00here we go again...
england fuck up another penalty shootout. frank lampards extra time goal was probably the most notable event for me. beckham missed the first penalty and didnt really play at all all game.
was feeling pretty good too all day, rushed home in time to see the game. even got to do my first spinal today, went in slick (just like a sitting lumbar puncture in fact, only with a Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1088380331368277842004-06-23T23:43:00.000+01:002004-06-30T00:03:50.570+01:00felt shit this morning when i got up, all nauseous kinda. possibly something i ate last night, dunno... settled quite quickly though, was able to get down a box of sushi, a box of chicken pasta and a tub of bioyogurt for lunch. hey, it was a drug lunch and i was hungry... free food overrides any stomach upset! =)
two rants for today:
1. so wayne rooney gets four goals in two games and people Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1088375906058913292004-06-21T22:13:00.000+01:002004-06-30T00:03:25.113+01:00better. rooney got another two, certainly more entertaining than the switzerland game. moreover, the drought has finally ended for paul scholes, after three years without an international goal!
so now a quarterfinal with portugal beckons. i think it will be tight. we will win 2-1.
final score: croatia 2-4 england
the other major event of today... i did my first gas induction alone! woohoo! Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1087792491107310782004-06-19T21:56:00.000+01:002004-06-21T05:34:51.106+01:00fucking hell... just finished watching the holland/czech republic game... man... ONE OF THE BEST GAMES I HAVE EVER SEEN OR WHAT.
nonstop action right from the outset, two attacking teams... ok, so both the defences were crap, but even so...
cant think of anything more to add. another alltime memorable game, following the few already mentioned in the last week or so. SIMPLY AWESOME.
final scoreChashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1087795045061435802004-06-18T14:48:00.000+01:002004-06-21T06:17:25.060+01:00excellent. handled two cases virtually on my own today, including a big laparoscopic bso*. feeling pretty damn good. =)
going home early now, as there was only one case to do on my afternoon list and the consultant in charge basically told me to. woohoo!
food of the day:
lamb and flageolet bean casserole, mash, peas
----
* bso = bilateral salpingooophorectomy
Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1087790159013025242004-06-17T19:29:00.000+01:002004-06-21T04:55:59.013+01:00hmm... so england had to win today to get through to the quarterfinals. just finished watching. in a scrappy match, we won 3-0, two from rooney. wasnt that great to watch. almost fell asleep early in the second half. anyhow, we got the result, thats what matters. can just see tomorrows papers all proclaiming wayne rooney as the new england wonderkid.
croatia will be tougher on monday. for most Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1087784983652651702004-06-16T18:30:00.000+01:002004-06-21T03:29:43.653+01:00so we were all sitting in the unit coffee room this afternoon and someone mentions nandos... never seen so many eyes light up!
i know that i like nandos, but who would have thought that talk of periperi chicken could suddenly gain everybodys attention? turns out that sheila gets regular emails cuz she is even a member of the nandos periperi club... hilarious! this humble chain of chicken Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1087178252566067382004-06-13T21:56:00.000+01:002004-06-21T02:30:27.296+01:00gutted!
man, what a twist at the end! not seen such a climax since the 1999 manchester united/bayern munich champions league final, when sheringham and solskjaer hit two in extra time to win from 1-0 down. before that of course, there was that awesome micky thomas last gasp effort on goal for arsenal against liverpool in the final game of the season to clinch the 1989 league title. boy, all Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1087174600411217452004-06-09T23:58:00.000+01:002004-06-14T03:02:29.076+01:00thanks to jelena for getting everyone together for tonights little gathering. its often good to just relax with a bunch of work colleagues after shift is over. it was a very pleasant evening and after a couple of drinks in the medical school bar (for a choice of venue, dont ask!) and a leisurely stroll up the road, a table booked by niven awaited us at the restaurant. he had suggested north Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1086628940062115442004-06-07T18:03:00.000+01:002004-06-14T00:58:02.503+01:00nice one. got to take on another couple cases today pretty much all by myself. was also involved in a big ent case this afternoon, a massive laryngeal tumour causing airway obstruction and needing debulking. couldnt see a damn thing under direct laryngoscopy after gas induction... rigid bronchoscopy failed to lay down a successful bougie either... almost had to crack open the tracheostomy tray, Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1086633071405010432004-06-06T21:22:00.000+01:002004-06-07T19:31:11.406+01:00so today is the 60th anniversary of the d-day normandy landings, an event that helped shape the history of the world. they say that this time will be the last time that veterans will celebrate. cant help but wonder what will happen when they all pass on...
another major world event... former american president ronald reagan died yesterday of pneumonia complicating longstanding alzheimers diseaseChashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1086585422848632222004-06-05T23:53:00.000+01:002004-06-07T06:17:02.850+01:00went down to brighton for lunch with jonathan and sebastian. really good weather this weekend, perfect for a stroll with the boys along the seafront. shame about the consequent bad hay fever attack today. felt shit in the afternoon and just wanted to get back home. didnt even get to ask sebby properly about the pirates (of the caribbean) that i gave him for his birthday last month. *sigh*
Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1086576814178658362004-06-02T23:37:00.000+01:002004-06-07T03:53:34.176+01:00another whole day gynae list today with another of my old cardiothoracic icu consultants. they work primarily on the unit and in cardiac theatres, but are also contracted to provide a service commitment to general theatres one day a week. is good working with them now in anaesthetics, having worked with them on the unit. they know me, my background and what training i hope to get out of my Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1086134625339844672004-06-01T21:15:00.000+01:002004-06-02T01:03:45.340+01:00boy, good day today...
reached another milestone this afternoon. completed two cases on my own with the boss outside the room for most of the time. took them down and brought both back without problem. feeling good. =)
oh, couple of big sports news items today too:
- tim henman is the first british player in 41 years to make it through to the semifinals of the french open at roland garros, Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1086131257256440262004-05-31T23:35:00.000+01:002004-06-07T04:17:17.786+01:00big news this weekend seems to be this big attack on westerners by alqaeda militants and subsequent hostage crisis in khobar, saudi arabia. ultimately, the pric of oil will go up. already at over $40 a barrel, we could be looking at 92p instead of 72p very shortly. hmm...
listened to:
"breaking the habit", linkin park. really good track this one. off their "meteora" (warner bros, 2003) album. Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1085971959865886312004-05-29T16:26:00.000+01:002004-05-31T03:52:39.866+01:00ugh... just got back from dimsum and im streaming like hell. pollen count is supposed to be low today and i even took a terf last night, yet just this short exposure time over lunch will now leave me feeling like shit for the rest of the day. there goes my bank holiday weekend... =(
food of the day:
assorted dimsum with puer tea (a popular chinese black tea), peninsula chinese restaurant, northChashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1085969608999528472004-05-28T23:53:00.000+01:002004-06-29T23:46:37.650+01:00oh boy... last ever friends tonight (season 10 finale). predictable i guess, but still fairly moving nevertheless. final stories fitting in several ways:
- ross and rachel were always gonna be together, you just knew it.
- the show started in central perk, so only right to finish in central perk.
- the destruction of the foosball table, an icon of practically the whole life of the show.
- Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1085945334139490092004-05-27T16:31:00.000+01:002004-05-30T20:28:54.140+01:00just finished for the day. spent all day in day surgery, am ent list and pm dental list. pretty straightforward anaesthetics for all these boys, mostly young and fit people with no medical problems.
good. finishing early means i can catch up with todays news...
so i see that this radical muslim cleric dude abu hamza has been arrested this morning at his home in shepherds bush and is now at (theChashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1085943085786513462004-05-26T23:14:00.000+01:002004-05-31T03:26:36.226+01:00nice one. just watched double bill of er, the two eps before next weeks season finale (10.20 "abby normal" and 10.21 "midnight")... from the trailer last week, was expecting "midnight" to be really poignant, in a "first snowfall" (9.8) or "the letter" (8.20) kinda way. kems stillbirth story was good, but wasnt actually that moving. hmm... lets wait and see how the season ends next week...
spent Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1085158361064490222004-05-21T17:01:00.000+01:002004-05-21T17:52:41.063+01:00wahey! finished this afternoons list early (the thrice weekly acute gynae list). was done by 4. getting slicker with airway control. forearm musculature more and more toned. only thing was... blew three veins during cannulation. this never happens when i cannulate. grr... guess im just not used to using 22g, being more accustomed to larger calibre lines in emergency medicine i suppose.
so i see Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1085097155357887032004-05-20T23:19:00.000+01:002004-05-22T18:53:23.560+01:00got to do a whole list today with me doing everything and the consultant just watching. all went smoothly.
started to pour down all of a sudden as i left work today. hasnt been like this for a long time. so this heatwave is over. getting chilly again. hid in the kebab shop while waiting for the rain to stop...
i see lord coe has taken over from barbara cassani as chairman of london 2012, a day Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1084754734500495362004-05-16T23:18:00.000+01:002004-05-17T01:45:34.500+01:00wow. first hot weekend of this year. reached 22c at heathrow yesterday. today similar, lots of sun. hay fever starting to play up now. always starts around first week of may, lasting for two months until the start of july.
so the gunners have done it, unbeaten for the whole premiership season, first team since preston in 1889 to do so. truly historic. proud for the league champions during todaysChashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1084748601654842622004-05-12T17:32:00.000+01:002004-05-17T00:17:25.936+01:00awesome. still in being made to get my hands dirty in my first week mode, i got to anaesthetise the whole of this afternoons day case bum list. ok, so they were simple day cases and they were quick bum surgery cases... but hell, we all have to start somewhere. feeling pretty good.
also feeling pretty hungry. think ill get noodles for tonight. must make sure of two things... need to pick up my Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1084231589259572342004-05-10T22:39:00.000+01:002004-05-11T00:26:29.260+01:00well, first day on the job as an anaesthetist...
totally not accustomed to this kinda work. different world altogether! having been used to being in charge of the chaos in the emergency dept shift after shift with not that much backup, the world of anaesthesia appears positively bizarre, with this air of calm and mellowness, constant supervision, even occasions when the boss tells you to leave Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1084228750561304802004-05-07T05:03:00.000+01:002004-05-10T23:39:10.560+01:00back from night out with jess and maggie in clapham. never really liked that area, but wasnt my choice. full of pretentious hello! magazine reading superficial hair straightener types. ugh...
waited at the bar in some club called revolution for 20 minutes while some plonker in a red check shirt and some chick with her tits hanging out both got served in front of me, despite the fact that i had Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1083991353861714672004-05-05T07:33:00.000+01:002006-04-30T08:33:30.103+01:00so this is it, final shift ever on the unit almost over... end of an era. *sniff*came on shift tonight and as i had expected, balloon pump lady had died. as with most of these cardiology admissions to the unit, they come with blocked arteries with a decision made already by both the physicians and surgeons to leave them blocked, no further intervention being feasible. this lady was no Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1083673644356885882004-05-04T13:00:00.000+01:002004-05-04T14:24:40.293+01:00well, penultimate shift on the unit over... strange kinda night shift.
having got fri/sat/sun nights in this run covered by seema and mark, i just have to work my last two shifts ever, mon/tue nights, and then im done.
an elderly indian lady with three vessel disease and a very unstable inferior mi* kept me busy most of the night. 4 stents had been stuck in her rca*, lad* left with diffuse Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1083492085363112382004-05-02T01:13:00.000+01:002004-05-02T11:20:33.623+01:00may day bank holiday weekend is upon us again. was miserable this morning, but still went ahead with a day trip to the isle of wight with one of my bros and my parents. not had a family outing like this for ages. has also been around 20 years since we went to the isle of wight last!
lymington to yarmouth on a wightlink ferry, then to alum bay and the needles, the sequence of chalk stacks that Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1083479712198325692004-05-01T05:44:00.000+01:002004-05-02T07:39:32.793+01:00man that was good. less people than last time, but still managed to get a good turnout for karaoke. jackie again gave me the usual bunch of discounts at the restaurant. adrian impressed with a song that he had previously learnt... in mandarin! not bad for an aussie! finished with a group choral rendition of a totally adulterated "killing me softly" (one time, one time...). almost as bad as the Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1083256144647437172004-04-27T02:04:00.000+01:002004-04-29T17:33:21.640+01:00long day today for what was my final day shift on the unit. odd feeling. left work at around 2330 cuz stuck around after shift to follow an organ harvest. not seen one before. guess you dont unless you work in transplantation.
earlier in the day, we had pronounced brainstem death on a type a thoracic aortic dissection repair patient that had suffered subarachnoid haemorrhage with extensive Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1082954424774042572004-04-24T02:55:00.000+01:002004-04-28T06:02:58.076+01:00ok, so finally managed to make it back home from dinner with the boss.
from what his wife was saying, it seems that tonight was indeed a significant landmark for our boss, instigator of this new staffing system for a brand new, state of the art unit that saw the introduction of clinical fellows for the first time in the units history.
of the seven clinical fellows past and present from the Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1082700031616493592004-04-22T23:54:00.000+01:002004-04-23T07:04:40.153+01:00thank god/christ/tim berners-lee/linus torvalds/all that is good on this earth...
the donor patient tested negative for hep b, hep c and hiv-1 & hiv-2. what a fucking relief. still cant believe how stupid i was to stick myself. only thing left to worry about now is a sore deltoid from yesterdays hep b booster.
managed to sort out the venue for the leaving party. poster is up now. have booked myChashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1082614891695636602004-04-21T21:35:00.000+01:002004-04-23T07:05:59.890+01:00so i came out of the second worst part of the rota cycle, the bit where we work long days on fri/sat/sun/tue in a row, second only to the week of nights.
tiring, but not so bad. got in some good procedures over these four shifts. couple of central lines, floated a swan, sited a haemofiltration catheter, downsized one of our two trache patients to a mini, gave bronch visual for adrian while he Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1082005204654917802004-04-12T23:12:00.000+01:002004-04-15T06:04:02.140+01:00so its easter monday today and i was back at work for the first time after my exam break. bank holiday... should be fine. always strange to be back after being away for a while. on the one hand, it gets boring without the stimulation of being in the hospital. yet as soon as you set foot in, all the reasons why you need a break away become immediately apparent again. anyhow, as far as skills go, Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1081485034461252282004-04-08T22:56:00.000+01:002004-04-09T05:34:23.250+01:00so its been a couple days since the exam and yet more stuff that i flunked at each station keeps popping into my head without even thinking about it. was i supposed to perform the whole mental state exam or just make a risk assessment (as i did) at the paracetamol od station? why the fuck did i tug on that chest drain suture so hard? ive done loads and have NEVER snapped a suture like that. and iChashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1081290027470114722004-04-06T22:32:00.000+01:002004-04-07T01:22:34.110+01:00right, thats it. flunked the gillick competence station. suture snapped while trying to fix chest tube. nuff sed. oh well... *sigh*
went to a talk by alain de botton afterwards. interesting guy. philosopher and writer/broadcaster. looks like someone else thinks this current obsession with fame and celebrity and all this hello! magazine lifestyle is totally lame. someone with sense at last! its Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1081197770461271722004-04-05T21:13:00.000+01:002004-04-05T21:46:34.513+01:00rheumatic fever. RHEUMATIC FEVER. htf was i supposed to get that from a blurry lame pic of a baby with a diffuse erythematous maculopapular rash! i was thinking erythema multiforme, cuz there were a few that looked like they had the pale centre of target lesions... turns out it was erythema marginatum! and the way the subsequent questions were worded, should have known... they wanted "cutaneous Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1080976525509890382004-04-03T06:32:00.000+01:002004-04-03T08:19:06.466+01:00well, its been a few weeks since the donut last rolled... busy busy busy and all that. nevertheless, must make more of an effort to return to the true and original donut flavour, that of a snapshot of life with and the accompanying turmoil consequent from the neverending quest for decent food. =)
the day of lots of things that shouldnt be asked...
so this weekend, i will be getting my hair cut Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1080966138793566312004-03-12T10:10:00.000Z2004-04-03T06:35:58.436+01:00night 7, made it to the end of another set of nights!
again, not much to do except babysit. just as well, as i think im coming down with this bug that everyones got. loads of the anaesthetic regs were away from theatre earlier in the week. guess ive got it now. feeling distinctly sore in the throat, feverish and sniffling... still, im now off for four weeks, so shouldnt complain. managed to get Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1078993549837897622004-03-11T08:28:00.000Z2004-04-03T06:34:45.450+01:00night 6, fairly quiet yet again.
not much to say really. spent a lot of time in the staff room watching videos on some crappy cable music channel. "stacys mom" by fountains of wayne is one hilariously awesome track. her mom is rachel hunter right?
food of the night:
egg fried rice. too much salt. ugh...
Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1078991108137677042004-03-10T07:48:00.000Z2004-04-03T06:33:55.546+01:00night 5, continuing the current series of peaceful night shifts... just a couple of things of interest tonight...
aortic root replacement man extubated himself for the third time. often needing propofol overnight, he spoofed out his nurse tonight by making a sudden move for his tube... had to reintubate fairly quickish cuz he was desaturating. guess hell have to go for tracheostomy now...
ran Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1078818848992316092004-03-09T07:57:00.000Z2004-04-03T06:32:50.873+01:00night 4, yet another peaceful one...
aneurysm lady went for her planned pack removal and formal closure during the day, made it back from theatre amazingly a second time, not that acidotic either! even more amazingly, i managed to get her off dopexamine a few hours ago, cuz her indices were getting a bit too good (cardiac index over 4 with resistance around 600)! if she maintains this kinda Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1078734250282866362004-03-08T07:43:00.000Z2004-04-03T06:28:24.796+01:00night 3, another peaceful one...
no new admissions, almost took another for general icu, avoided with some smart bed managing by our charge nurse, even though it shouldnt have been his job to do so.
all 6 on the unit behaved themselves mostly. resited an arterial line that had mysteriously "fallen out" in the middle of the night, as they do...
aneurysm lady actually deteriorated during the dayChashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1078731292484432112004-03-07T11:53:00.000Z2004-03-08T07:46:36.310Znight 2, very peaceful...
only 8 patients to babysit tonight. discharged 2 back to the ward to make space available for general icu overspill. as usual, general icu were full and were in a panic, looking for another bed, in case of another new admission. my boss agreed to letting them use one of ours overnight. as it turned out, they found one for us. grr...
78 yearold lady presented to the ed Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1078728401378572452004-03-06T06:34:00.000Z2004-03-08T06:51:15.606Zok, so here i am, back on nights again...
been really bad about updating the donut. busier at work last couple months. also got burgled, so lacked puter capability for a while. insurance company got me a new laptop, so back online again, but still only managing to update with night stories...
night 1, not too bad...
got lumbered with 3 new cases to admit that the daytime guys didnt have time Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1074387303679979382004-01-14T07:46:00.000Z2004-01-18T00:56:59.280Znight 5, not a bad shift actually.
came on tonight to find only two new electives from todays list, which i thought was pretty impressive.
got called early to the cardiothoracic ward to consult on some young ivdu* guy with staphylococcal endocarditis on the posterior leaflet of his mitral valve, type 1 respiratory failure from a right basal pneumonia/effusion (probably the source) and Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1074153847067438162004-01-13T08:35:00.000Z2004-01-17T19:06:05.996Znight 4... much busier...
ovarian cancer lady desaturated bigtime around 0230, left side whiteout on cxr* compared to earlier in the day (only lower zone shadowing at that time). attempted chest tube for suspected collection (had bilateral effusions with her condition couple weeks ago, treated with bilateral drains) or even haemothorax, cuz the change had been rapid... nothing. just clot and Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1073917752228576772004-01-12T19:02:00.000Z2004-01-17T17:00:48.233Znight 3 almost over, a steady (but not hectic) night.
just a string of small tasks really, but kept me going along all night. an arterial line change here, a nasogastric tube drop there, that kinda thing.
new admission to the unit... 33 yearold guy with left ventricular variant of arrhythmogenic right ventricular dysplasia that arrested outside a neuro ward upstairs, having wandered over there Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1073874657279315602004-01-11T07:44:00.000Z2004-01-12T02:31:18.066Znight 2 almost over, another pretty good night. not much happened.
came in to find one really lame new admission from earlier in the day, some large lady with osa* requiring bipap overnight and awaiting a spot on the (full) respiratory ward, sent to us by general icu to make way for another new general icu case from the emergency department. have had a whole string of lame admissions lately. Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1073722161496026222004-01-10T07:32:00.000Z2004-01-12T01:43:00.403Zwell, here we are again... 7 weeks have passed and im back on nights once more.
pretty good night actually. only 13 beds open tonight, all full. noone really sick, but there are two myectomy patients for hocm*, one just a little dodgy out of theatre. his co* was around 3.4 and ci* around 1.8. gave him a bit of inotropic support and he seems to be ok now, peeing ok. another elderly lady with a Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1069057005286372932003-11-17T07:46:00.000Z2003-11-17T08:16:51.563Zright, so here i am, end of night 3, had a bit of action...
new arrival from the cardiothoracic ward around 0330. an elderly gentleman with bowel cancer, removed earlier this year, discovered to have a new lung primary on bowel followup (poor guy!), underwent right upper lobectomy earlier in the day. currently suffering total collapse of the remainder of his lung on the operated side. going off Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1068969571164646572003-11-16T07:27:00.000Z2003-11-16T07:59:37.353Zok, so almost coming to the end of night 2 on the unit...
one less patient tonight. autoimmune pneumonitis lady suffered another episode of massive haemoptysis during the day before i came on. when you bleed into your lungs like this, there is just no way of oxygenating the body. basically, you drown in your own blood. there really is not much one can do when that happens. she died. rip.
had toChashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1068877891095216322003-11-15T04:18:00.000Z2003-11-16T07:01:56.196Zok, so here i am, first night shift on the unit. scary...
so far, things have been ok. one death, expected. a triple a from daytime, full inotropic support postoperatively, went into arf* and ards*, then blew a pupil in the evening. rip. another gentleman not peeing after a complicated mi*. why is he still with us? should be on ccu*! ive just kept his urine output at around 20 all night with Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1068884856490225372003-11-04T01:12:00.000Z2003-11-16T07:26:32.630Zfinally caught up with rish and her bro mark tonight, visiting from melbourne, final stop of their european tour. didnt get the chance to get them the promised special promotion toffee crisp mcflurry. never mind. next time perhaps. =(
man, you guys should have planned for longer in london! 2.5 days is just not enough!
food of the day:
chiquito restaurant & bar, leicester sq, a reasonable Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1068883563896114822003-11-02T23:43:00.000Z2003-11-15T08:06:09.750Zright, back home from brum for the second weekend running. thats my quota of visits for the next four years used up. thank god wont have to go there again for a long time...
had dinner with helen, made me miss train back to london. meant i couldnt hook up with rish tonight. ill call rish in the morning. =(
food of the day:
two medium the edge pizzas from pizza hut (without green pepper, dont Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1068882215699487792003-11-02T14:23:00.000Z2003-11-16T07:06:31.503Zso the report from my 10 year med school class reunion at the de vere belfry, wishaw,
north warwickshire (home of the ryder cup for those that didnt know!), 1 november 2003...
interesting points:
1. everyone was still the same! noone had changed! well, with a few exceptions. every guy had a belly. same face, extra belly. hmm... not very good. and noone recognised cliona. looking svelte. very Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1067846001839232852003-11-01T02:16:00.000Z2003-11-16T07:22:39.523Zfuck me sideways with a rolling donut! talk about spooky shit for halloween!
has been a long time coming, but have just seen "ringu" (hideo nakata dir, 1998) and "ringu 2" (hideo nakata dir, 1999) back to back...
if you havent seen these yet, do. then you too will understand why these japanese stories have become a global cult phenomenon. be prepared for genuine tingling in your spine and Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1067481712337382102003-10-29T19:51:00.000Z2003-10-30T04:11:57.486Zso iain duncan smith has just lost in a vote of confidence in him being the tory party leader. hmm... all conservative party leader losing candidates have hardcore hair and ids has none... strange. just look back at portillo, heseltine, hurd...
and as for those forest fires sweeping across california... apparently the authorities have said that they were started deliberately. so gray davis hatesChashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1067403224994812542003-10-27T22:10:00.000Z2003-10-29T05:02:05.756Zsad medical news today:
18 have died in a whole load of bomb explosions in baghdad, the largest at an icrc base. wtf do they think they are playing at! cmon, bomb everyone else, not the medics! i had considered signing up for icrc a few years ago, when all that shit went down in kosovo. these missions arent easy and can be well spooky. =(
another interesting item today:
ramadan starts tonight Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1067400461946693282003-10-26T23:44:00.000Z2003-10-29T04:09:02.516Zinteresting...
just heard. ipv4, the current 32 bit ip address assignment version, is going to be replaced soon by 128 bit ipv6. the transition period is 2003-2005, with gradual migration from old to new. should be fun.
wtf happened to ipv5 is what i wanna know! =/
Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1067397622533659472003-10-26T22:56:00.000Z2003-10-29T19:47:35.983Zok, so i made it back from "code red" in birmingham. enjoyed the weekend. good company, not too outrageous, a lot of fun. also got to check out the new bullring, flagship of birmingham city centres regeneration.
thanks to rachel, simon, rohen, helen and my old buddy narayan for coming. yvette... no lame excuses next time*, you should have been there!
narayan... dude, finally got to see your (Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1066976011443560952003-10-23T19:59:00.000+01:002003-10-24T07:13:31.543+01:00ok, so ive just waited a little under two hours for the gasman to come. why the hell do these people ALWAYS keep you waiting?
supposed to give a quote for a new boiler/tank system. no doubt he will quote me a totally ridiculous sum.
to top it all, he said to me that whatever figure he comes up with, it "wont be valid", cuz the works dept are now operating at 6 weeks from signing of contract, byChashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1066880403689507142003-10-22T19:34:00.000+01:002003-10-23T04:43:10.853+01:00tetrahydrogestrinone.
this new synthetic anabolic steroid, undetectable by iaaf labs until last week (after some american coach kindly informed iaaf of its existence anonymously back in june), has landed european 100m champion dwain chambers in deep shit. sample a is positive and sample b is now in progress. could get him banned from the british team for next years olympics athens 2004.
Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1066707067865585442003-10-19T22:06:00.000+01:002003-10-21T04:31:07.676+01:00hmm... several interesting items this weekend...
i remember being taken on holiday to europe one summer when i was a kid... 1978 it was... and the memory is of seeing swiss guards protecting the body of pope john paul i, lying in state in vatican city after his death. why is this in my mind? today marks 25 years in office for pope john paul ii, the guy who took over. also at the big ceremony Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1066435465098211862003-10-17T17:58:00.000+01:002003-10-18T01:04:25.240+01:00today marks the completion of the worlds tallest skyscraper, the taipei 101 building in taipei, taiwan. including pinnacle, total height is 508m/1676ft. there are 91 storeys and the tower is scheduled to open sometime next year.
although it beats the petronas towers in kuala lumpur, malaysia by more than 50m/165ft, taipei 101 wont actually hold the title for that long... the shanghai world Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1066251783430901032003-10-15T21:40:00.000+01:002003-10-18T02:21:15.570+01:00so china becomes only the third country in the world to send a man into space.
for those into manned space flight:
- a shenzhou 5 spacecraft on a long march 2f launch vehicle
- the shenzhou design is based on the russian soyuz capsule
- carrying astronaut (taikonaut, coined by singaporean press?) yang liwei, a 38 yearold lieutenant in the peoples liberation army
- launched from the jiuquan Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1066085369691099872003-10-13T19:37:00.000+01:002003-10-13T23:51:26.703+01:00hot on the heels of barcelona and prague from about five to ten years ago, helsinki and reykjavik seem to have dominated european city breaks more recently. another city has also joined this esteemed group, vienna.
three unique points:
- the only city in the world to have a funeral museum
- the only capital city in the world to have vineyards and wine production within the city limit
- more Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1066027450820930652003-10-12T23:10:00.000+01:002003-10-13T07:49:24.553+01:00man, was really busy at karate yesterday! the most number of fighters ive ever had to treat! sent one to hospital for a deep laceration to his left upper lip, oozing ++, no way would i have even tried to put a suture in that. nasty.
local hospital sent him to plastics at another hospital in central london. he eventually returned to the arena, showing off 20 stitches. glad i didnt try anything Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.comtag:blogger.com,1999:blog-5925273.post-1065826037430642522003-10-10T23:37:00.000+01:002003-10-11T00:11:45.303+01:00ok, so here it is finally, after months of anticipation, first entry from the rolling donut...
so ive got a new job lined up for next month. meantime, working an event tomorrow, the 28th british open national knockdown karate championships at crystal palace national sports centre. last year had to take one girl to hospital after getting knocked out cold from a head blow. when she came round, Chashttp://www.blogger.com/profile/16482954268996219435noreply@blogger.com