Winter 2013Winter 2013

£2Free to

Members

Here to helpAffiliated to the British Heart Foundation and

Arrhythmia Alliance - The Heart Rhythm Charity

POOLE HEART SUPPORT GROUP MAGAZINEPoole Community Health Centre Shaftesbury Road, Poole BH15 2NT

Telephone: 01202 683363 ext. 133Telephone manned Mondays and Thursdays: 1:30-3:30pm

Web site address: www.poolehsg.org.uk

Please send magazine articles and photos to:Editor, 10 Hill View Road, Ferndown, Dorset BH22 9QY or bye-mail to; editor@poolehsg.org.uk Tel. 01202 855001Magazines are published 1st March, 1st June, 1st September and 1st December.Last date for articles to Editor is 10th day of month before publication.

PRESIDENT: Dr. ANDREW MCLEODV.Ps. Dr CHRISTOPHER BOOS MBBS Dip IMC RCS (Ed) MD FRCP RAMC : Dr. DIANE BRUCE MB Bsc.Hons FRCP : ROBERT PAYNE RGN, RHV, BSc Hons, PG Dip PGCE MAGGIE RICHARDSON : JIM WAINE : GEOFFREY WALKER OBE JP RGN,

PHSG COMMITTEEKEITH MATTHEWS Chairman keith@poolehsg.org.uk 01202 855001DAVID ANDERSON Secretary david@poolehsg.org.uk 01202 697376RITA HOLMES Treasurer rita@poolehsg.org.uk 01202 743960GEORGE LLEWELLYN Monthly Meets geoll@poolehsg.org.uk 01202 605455JAN MESHER Office jan@poolehsg.org.uk 01202 250108JOHN OFFER Member 01202 386674DEREK POPE Database derek@poolehsg.org.uk 01202 889070ROBIN PRINGLE Exercise Coord robin@poolehsg.org.uk 01202 884250ROGER RIDOUT Purbeck roger@poolehsg.org.uk 01929 423079GEORGE WILKINSON Member 01202 740374PAM BAILEY BHF Rep. 01202 574944

If you know a member who is ill, please tell us by contactingMavis Terry, Welfare Support, on 01202 874760

OTHER CONTACTSJOHN DEFTY Chat Stops 01202 760350CYRIL MARTIN Walking Group 01202 733956DAVID ANDERSON Website david@poolehsg.org.uk 01202 687376JIM WAINE Founder and VP jim@poolehsg.org.uk 01202 871532

3 PHSG Magazine

Chairman’s Letter

Keith

“Beautiful young people are accidents of nature, but beautiful oldpeople are works of art.” Eleanor Roosevelt

Christmas is coming, butI’ll try to keep the reindeers andholly motifs down. Frankly, writingthis on a wet November afternoon itdoesn’t seem appropriate anyway.The observant amongst you will see thatwe have a picture cover this issue, andalthough this is the Winter issue, it is nota picture of ice and snow but a nice warmsummer shot. It was taken on Poole Quayin August on the evening of the PHSGTreasure hunt that George writes abouton page ten.

If you have a good shot and you’d like it used as a cover picture, wewould be pleased to receive it. Unlike normal camera club rules, itneeds to be a vertical one with plenty of plain colour area where thewords can be placed.What is happening in this issue is the Menu and Booking form for theSpring Dinner at Bentley’s Restaurant. Always a good occasion, thisyear we have one of our Vice Presidents, Geoffrey Walker OBE, as ourGuest of Honour. Get your booking in to Rita as soon as you can.The usual piece from Geoffrey follows, but in this issue one of our newconsultants in Poole introduces himself and we have given Dr Boos abreak. Jan Mesher tells us about the Office and the Chat Stop meetingson the centre pages. If you’d like to help out in the office and join theteam Jan would be very pleased to hear from you. The duties can be fun,and are not onerous and full training is given.We are grateful for all your contributions. We wish you all a HappyChristmas, not too much pud, and back to exercise as soon asyou can.

PHSG Magazine 4

from Poole Hospital NHS Foundation TrustMedicine and Cardiology News

Dear Friends,I hope this article finds you all well and preparing for thefestive season! It is always a very busy time of year foreveryone as we rush towards Christmas, very much sofor us as we get busier over the winter season within theTrust. Increased admissions and more patients throughthe emergency department at this time, always tests ourabilities to cope and we are all preparing for this.Here at the Hospital I am pleased to announce that the building work on theextension to the cardiology department has begun. This will increase the cardiacdepartment’s facility for diagnostics and give us a seminar room for teachingand additional clinical space. It has been a long time in the planning but we hopethat the work will be completed by the spring of 2014. It will be an extension tothe original department across the roof above the outpatient department. I willkeep you updated on the work and hopefully when completed be able to let youhave some pictures and invite some of your representatives to visit and have alook for themselves.In the coronary care unit we have completed a redesign of the waiting andrecovery areas for pacemakers and the clinical area for Trans-oesophageal echo.This has made the old area much bigger and easier to manage for the staff interms of patient observation. It also means that we can undertake thecardioversion service within the department now as well. The next phase will bethe re-location of the staff room, store room and the Sisters’ office as well as adedicated reception area in CCU, so there are lots of improvements underwaywithin the Hospital for cardiology.We have had some issues regarding the re-location of the exercise facilities forcardiac rehabilitation patients, but together with the team and management it ishoped that these have now been resolved satisfactorily. However yourrepresentatives and the team will keep a close eye on this.I myself am keeping very busy with the services I run and the challenges facingus all within the NHS at this time, but I really enjoy my work and there is alwaysa solution I find to any issue if you look hard enough for it! I have given alecture to the RCN in Dorchester on Florence Nightingale and the work of theFlorence Nightingale Foundation which offers nurses the opportunity to gainscholarships for travel, research and leadership. I am going to NorwichUniversity on the 20th November to give a lecture on the Medical Investigations

5 PHSG Magazine

We are affiliated to the ArrhythmiaAlliance. Their website lists all theiraffiliated groups.

Review what they do on:www.theheartrhythmcharity.org.uk

Unit and its unique concept. One I will be giving in my lecture to your memberson the 21st of November so look forward to meeting many of you there.So busy times and interesting ones ahead. Please have a wonderful Christmasand wishing you all a healthy and happy 2014.Geoffrey Walker OBE JP MA RGNMatron Cardiology and Medicine.Poole Hospital NHS Foundation Trust.

All Talks are at Poole Hospital Postgraduate Centre 7:30pmAll PHSG talks are free. But not the Dinner!

Dec 19th Christmas Get Together at Canford. 11am.The Sports Hall has been booked! Details to

follow by announcement and E-Newsletter.Jan 16th A Policeman’s Lot was a Happy One.

A talk by Alf, ex-policeman and PHSG MemberFeb No Meeting

Mar 13th PHSG Annual Dinner at Bentleys Restaurant.Guest Speaker Geoffrey Walker OBEPlease see the Menu & Booking Form Enclosed.

Apr 17th PHSG Annual General Meeting .Your chance to hear about the work of the Group

and ask any questions you like. Please attend, we’d like to see you all.

PHSG Monthly Meetings - Diary Dates

“When you have exhausted all the possibilities, remember this – youhaven’t” Thomas A. Edison

PHSG Magazine 6

Dr Chris SteadmanI am one of the new Consultant Cardiologists atPoole Hospital. I started in post in August 2013having relocated to Poole from Birmingham.I went to Medical School at the University ofBristol and I stayed in Bristol for my generalmedical training after qualification. During thistime I passed my postgraduate medicalexaminations and became a member of theRoyal College of Physicians, London. I decidedto specialise in cardiology and moved toBirmingham for my formal Registrar training inthe West Midlands. This included posts

throughout the West Midlands from Hereford to Stoke and many an hour wasspent on the M6 from my home in Birmingham! I spent 4 years of my trainingat large Cardiac Surgical Centres in the West Midlands with 2 of those yearsat the Queen Elizabeth Hospital in Birmingham, a recognised centre ofexcellence.I also took two and a half years out of my clinical training programme toundertake clinical research at Glenfield Hospital in Leicester. My principlearea of research was looking into mechanisms of exercise limitation in aorticstenosis (narrowing of the aortic valve) before and after valve surgery,particularly using Cardiac MRI. The British Heart Foundation funded myresearch for 2 years and the National Institute for Health Research for afurther 6 months. I was a finalist for the Early Career Award at theinternational Society of Cardiovascular Magnetic Resonance and Second PrizeWinner at the British Society for Cardiovascular Magnetic Resonance in 2011.My main work was published in the Journal of the American College ofCardiology Cardiovascular Imaging. My thesis from this work culminated inthe award of the Doctor of Medicine degree (MD) from the University ofLeicester in 2013.My role as a Consultant Cardiologist in Poole includes providing a generalcardiology outpatient and inpatient service with a special interest in cardiacimaging. I undertake all aspects of cardiac imaging including transthoracic,stress and transoesophageal echocardiography (ultrasound of the heart). TheCardiology Department at Poole Hospital already has DepartmentalAccreditation from the British Society of Echocardiography, recognising our

7 PHSG Magazine

high standards, and I will help provide this service. I will also be involved withcardiac CT and I perform diagnostic coronary angiography. My particularinterest is in cardiac MRI and I have Level 3 Accreditation (the highest level)from the European Society of Cardiology. Along with my new colleague DrCarpenter, we aim to expand the cardiac MRI service at Poole Hospital toprovide the latest diagnostic imaging techniques for the population of Pooleand Dorset.I am married with 2 young daughters aged 6 and 4 and we are greatlyenjoying living here in Poole and being so close to the fantastic beaches(particularly as in Birmingham we were about as far away as possible!). In myfree time as well as spending time with my family I enjoy playingsquash and tennis and cycling.

Dr Boos will be back next issue.

PHSG Magazine 8

BENTLEYS’ RESTAURANTPOOLE HEART SUPPORT GROUP

Spring DinnerThursday 13 March, 2014

7:00 for 7:30 pm(Selections, to be Pre ordered)

MENUSTARTER

Cream of Watercress and Potato Soup (v)Smoked Trout, Salmon and Halibut Terrine

served with asparagus and pistachio nutsChicken Liver Parfait

served with walnut bread and kumquat marmalade~oOo~

MAIN COURSES

Pan Fried Duck Breastserved on parsnip puree with apple and cranberry sauce

Roasted loin of lambserved with beetroot and black pudding with rich red wine sauce

Grilled Sea Bass Filleton a bed of rocket and tomato risotto finished with a basil dressing

Baked Lentil, Vegetable and Gruyere loaf (v)served with a spiced tomato compote

Main courses are served with Chef’s selection of fresh seasonalvegetables & potatoes

~oOo~

DESSERT

Orange and Drambuie Syllabub with ginger shortbreadHoney & Raspberry Bread & Butter Pud & creme anglias

Fresh Fruit Salad served with vanilla creamCoffee and After Dinner Mints

~oOo~Coffee & After-Dinner Mints

£25.00 per person

9 PHSG Magazine

A man and a woman meet at bar one day and are getting along really well. Theydecide to go back to her house where they engage in passionate love making.Suddenly she startles and says, "Quick, my husband just got home. Hide in thebathroom!" So the man runs into the bathroom.Her husband comes up into the bedroom and looks at her. "Why are you naked?"“Well, I heard you pull up, so I thought I would come up here and getready for you.""Okay," the man replies, "I'll get ready."He goes into the bathroom before his wife can stop him andsees the naked man standing there clapping his hands."Who the hell are you?" the man asks"I am from the pest extermination company. Your wife calledme in to get rid of the moths you are having problems with."The husband exclaims, "But you are naked!"The man then looks down and jumps back in surprise."Those little devils!"

“I have found the best way to give advice to your children is to findout what they want and then advise them to do it.” Harry S. Truman

PHSG Magazine 10

Monthly Talks

The weather was good to us again this year and not abad turn out. Although I think due to the weather a lotof people were away. Those that turned up seemed toenjoy themselves!However I have now called off the search for the twomembers I lost. Sorry about that.How was I to know you would go straight to the pub?Next year will probably be a walk around Wimborne!

August - Treasure HuntOrganised by George Llewellyn

Sheer Exuberance fromwinners Jean & Alastair!

Secretary David looks happy as verycool looking organiser George briefs Bob.

“Too much ofa good thing iswonderful.”Mae West

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Once again we invited RobCurtis to talk to us. Fromtoilets last time to stockingsthis time … what next? Wellit wasn’t that racy. I knowDavid thought the picturetop right, which appeared in the reminder, mighthave given the wrong impression. If it did thesurprise was that there were more ladies in theaudience than men!Rob walked us through the early history ofstockings, from knitted Egyptian ones of 2500 ago.On through the middle ages when long stockingswere worn only by the rich and short ones for thepoor. Then a gift to Queen Elizabeth I of Italian silkstocking costing 25 shillings, a lot of money in thosedays.Then on to suspenders and garters, and up to themodern day with the introduction of Rayon andeventually Nylon. Both Nylon and Rayon were

rationed during the war, as the materials were required for the war effort. Iwonder how the American G.I.s got their currency?Although there was a mention of the erotic aspect, it wasn’t that shocking. Robis an excellent speaker and I am sure we will invite him back, Many thanks.

George

September - Glimpses

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PHSG Magazine 12

Membership Matters by Derek Pope

Derek

We continue to receive a few renewals from time totime, they normally trickle in up to the end of the year.Presently there are 649 full members but only 523 havepaid for the year 2013/2014. There are a total of 333partners and I’m pleased to see that the numberscontinue to increase.I will soon be printing the labels for this Winter editionof the magazine and it will only be going to paid upmembers so if someone grumbles to you that theyhaven’t had their magazine, there are three possibilities:

1. They didn’t tell us about a change of address.2. They are registered to pick it up at exercise class and they haven’t been.3. They haven’t paid their renewal for 2013/14.

In fact there are another couple of options:4. I made a mess of entering their data into the database.5. They paid via a ‘post-it’ note and we can’t decipher their writing.

I keep a list of people who didn’t renew; when I delete their details from the database,it tends to come in useful if they decide to re-join or they get around to renewing muchlater. This year we've actually had one member renew who I deleted back in 2009which I think is a record!As always, if anyone is interested in specific details of themembership, please feel free to ask.

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13 PHSG Magazine

At last I am back walking, I have been out on four of the last five walks! BeforeI go any further, I would like to wish everyone a Merry Christmas and a HappyNew Year.Spetisbury 24th August: A walk along the old railway, past the restoration ofthe station and down to the water meadows over the beautiful Crawford Bridgeand on to look at the old church at Tarrant Crawford before it is time to returnto the car park via the old mill.Garston Wood 14th September: A pretty wood of diverse trees. Not a longwalk unless you take a diversion to Deanland village, with views over theCranborne Chase.Arne 25th September: A very lovely walk with plenty of deer to see, some ofthem very tame. Also some very handsome antlered stags. Nice views overheatherland and Poole Harbour.Stinsford 5th October: A walk with everything from fields, woods, roads,villages, streams, farmyards, stiles, ups & downs. We also went past thechurch where Thomas Hardy's heart is buried.

That’s it for the summerwalks this year but Lookout Purbecks next year,I'm back, fingerscrossed!A warm welcome toMalcolm and Margaretwho found the group inGarston Woods afterarriving late, they are

keen walkers in their own right and it is always nice to welcome new faces, wehope to see you next year. I must finish on a sad note, all ofour condolences must go to Mary on the loss of Mike.An Informal programme of walks are arranged through thewinter. contact Cyril for dates on 01202 733956

Getting Some Miles In by Eric Bullen

Eric

Garston Down in July© Sara Milne 2013

For those who are interested in the Walking Group,we walk every 10 days on Wednesdays andSaturdays from 2 to 5 miles. Some of us round offthe day’s walk with a Pub lunch – Pleasure afterpain! If you require more information or theWalking Book (£3) please contact me on01202 733956.Cyril, Walks Coordinator.

PHSG Magazine 14

Sweat toavoid a strokePeople who take regular,vigorous exercise are one-fifthless likely to suffer strokes thanthose who rarely do, research hasindicated. For the study, some 27,000

Americans aged 45 or above were followed foralmost six years, reports The Times.They all lived in a part of the southeastern US known as the"stroke belt" for its high incidence of cardiovascular disease:stroke mortality rates are 10% higher in these 11 states (whichinclude Alabama, Virginia and Tennessee) than elsewhere in the US.(Within the "stroke belt" is the "stroke buckle" - North Carolina –where mortality is even higher. This region was excluded from themain part of the study.)The team found that people who break into a sweat during exercisefour times a week were 20% less likely to suffer a stroke thanthose who break into a sweat just once a week.

It's one for the money,Two for the show,Three to get ready,Or four to hear those options again.

So, see page 17 !

A Plethora of Doctors?Recent letter to The Daily Telegraph

Has anyone asked why we need more doctors? Between 1960 and 2011 the population rose fromapproximately 52.4 million to 62.6 million: an increase of approximately 20%. Over the same period,medical school intake rose by more than 70%.Between 1999 and 2010 the number of consultants alone increased from 21,410 to 35,781, anincrease of some 65%, and between 1999 and 2009 the number of NHS managers increased by82%.There have been many reports of increased waiting times and imminent failures of A&Edepartments, but in view of the actual figures none of the explanations makes much sense. Theincrease in doctors, consultants and managers far outpaces the increase in the population.Technological advances have made outpatient investigation easier and much faster. If thesestatistics were transferred to any other organisation the obvious conclusion would be an increase ininefficiency. Would this degree of incompetence be tolerated in any structure other than the NHS?L.S.Illisemeritus consultant neurologistLymington, Hants

They've found an early draft of the script to Alien.Ash: I can't find the milk Ellen!Ripley: In space no one can. Here, use cream.

15 PHSG Magazine

An old guy visits the barbers for a shave and a haircut, but he tellsthe barber he can’t get all his whiskers off because his cheeksare wrinkled with age.The barber gets a little wooden ball from a cup on the shelf andtells him to put it inside his cheek to spread out the skin. Whenhe’s finished, the old fella tells the barber that was the cleanestshave he’s had in years. But he wanted to know what would havehappened if he had swallowed that little ball.The barber replied “Just bring it back tomorrow like everyone else does . . .”

A woman who had been married and divorced was talking to her friendabout her failed marriages and what had gone wrong. “My first husbandwas a psychotherapist. He never wanted to do anything romantic, he

just wanted to talk about it. My second husband was a gynaecologist.He just wanted to look. My third husband was a stamp collector.”

She stopped and sighed thoughtfully, “I miss him.”

Chinese takeaway: £14Petrol to pick it up: £2Getting home and finding that they've forgotten one of your containers: Riceless.

The Pope dies and, naturally, goes to heaven. He's met by thereception committee and, after a whirlwind tour is told that hecan enjoy any of the myriad recreations available.He decides that he wants to read all of the ancient original textof the Holy Scriptures, and spends the next eon or so learningthe languages. After becoming a linguistics master, he sits downin the library and begins to pore over every version of the Bible, workingback from the most recent "Easy Reading" to the original script.All of a sudden there is a scream in the library. The angels come running to him,only to find the Pope huddled in a chair, crying to himself, and muttering, "An 'R'!They left out the 'R'”.God takes him aside, offering comfort and asks him what the problem is. Aftercollecting his wits, the Pope sobs again, "It's the letter 'R'... the word wassupposed to be CELEBRATE."

“Nowhere did he reveal his originality so forcefully as in the ideas heborrowed.” Delacroix on Raphael

PHSG Magazine 16

Know your Trainers By Robin PringleNoirin Burke, who pronounces her name Noreen, isvery much the new trainer on the block. She grew upin Galway in the West of Ireland but some of herchildhood was spent abroad living in Africa and theMiddle East. When she left school she studiedEconomics, Finance and French at University beforespending 11 years working in finance in New York,Paris and finally in London.Sport and particularly fitness had always been her bigpassion with a real yearning to set up her own

business. She left the world of finance to retrain as a personal fitnessinstructor. Noirin moved to Poole from London 3 years ago and opened up herown Fitness Studio in Penn Hill at the beginning of this year. Why Poole? Shemet her own “Danny Boy” at a wedding in Ireland where she was a bridesmaidand Dan hails from Poole. They were married earlier this year in Ireland.Noirin’s interests include long distance running and triathlons. Her biggestsporting achievement to date was completing a half Ironman. She loves herreading and claims to be a sucker for a period drama such as Downton Abbey.We are sponsoring Noirin with her current BACPR Phase IV examinations.She is undertaking a Case Study here at Poole Hospital Rehab Unit. We wishher all the very best for her final examination which she will take in January2014 in her native Galway. In the meantime she has been helping out bycovering our classes for holidays and sickness. She has now takenover the running of our Tuesday evening classes at Lytchett SportsCentre. We welcome her aboard! Robin

A Canford Class

17 PHSG Magazine

Ashdown School Sports Monday 12:00 Tuesday 09:30 10:30 Wednesday 09:30 Friday 09:30 10:30

Canford School Sports Monday 10:00 Tuesday 09:00 10:00 Thursday 09:00 10:00 11:00 Friday 09:00 10:00

Ferndown Sports Monday 10:30 Wednesday 10:30

Hamworthy Fire Station Monday 09:30 10:30

Hearts on Seats,Broadstone Thursday 14:00

Images, Lower Parkstone Wednesday 11:00 Friday 11:00

Lytchett Minster Sports Tuesday 18:00 19:00 Thursday 18:30

Swanage, Burlington Sports Tuesday 14:30 15:30

Wareham, Purbeck Sports Monday 16:00 Thursday 11:00

PHSG Exercise VenuesAll sessions last 1 hour

If you are not exercising with us and would like to startplease call Robin Pringle or Roger Ridout.

Contact details are on the inside front cover.

“We are here on earth to do good for others. What others are for, Idon’t know.” W.H.Auden

PHSG Magazine 18

A Few Words from Jan Mesher about Chat Stops and Just another Day in the OfficeI got hold of Gary Lee this afternoon to ask him if he couldpossibly do his "Carol Singing" again for our Chat Stop onTuesday 3rd December at 2 o’clock. Everyone has enjoyedit for the past 2 years.  He said yes he would and he willorganise all the necessary as usual, includingmusic, microphone word sheets, etc.  We will arrange withPam if we can have tea, coffee, and mince pies for thatsession and will charge £1 each as before as everyonewas happy with that.Also the secondhand books will be there as usual.  I amnot taking hardbacks any more, but all paperbacks arewelcome. Also if anyone has a fold up lightweight sacktruck that they no longer want or use maybe they couldconsider a donation or small charge to PHSG  for meto use for the transportation of all the books.  I would bevery grateful if anyone can help with this.

It seems Iam somehownow runningthe Chat Stop!  Thanks to John Defty of coursewho opens and closes up and gets all the tablesout in preparation, and Pam who always sortsout the refreshments. If anyone has any otherideas of "things to do" or would like to help me itwould be good to hear from you.

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You can always call the Office !

You can always call the officeWe’re a happy little bunch.On a Monday or a Thursday,We’re there just after lunch.

If you need some information,Exercise or walking club,(Cyril says they rambleand then end up at the pub!).

We distribute magazinesand sign in each new member.We are on the go all the timefrom January to December

Jan MesherPHSG Office Co-ordinator.

Please Telephone01202 683363 ext. 133

Manned 1.30 - 3.30pmMon & Thurs

Jan

I have been in the office today and checked with Reception whenwe can open over Xmas.  I have decided to open for the last timebefore Xmas on Monday 23rd Dec - closed Thursday 26th andMonday 30th Dec - Re-open on Thursday 2nd January.I’d like to wish everyone Happy Xmas from all the Office Helpers,and I’d like to mention if there are any members out there whowould like to join our happy little Office team for just a few hoursa month after training, I would be delighted to hear from them.

A Few Words from Jan Mesher about Chat Stops and Just another Day in the Office

Happy Chr

istmas

Everybody!

Volunteers wantedto helpin ourP.H.S.G.HeadOfficefor only2 hoursper month

the Chat Stop!  Thanks to John Defty of coursewho opens and closes up and gets all the tablesout in preparation, and Pam who always sortsout the refreshments. If anyone has any otherideas of "things to do" or would like to help me it

PHSG Magazine 20

Step Down Class By Robin PringlePHSG had the initiative of setting up of a Heart Failure StepDown Class, which commenced at the end of January 2012.This is in addition to the 26 Phase IV classes that we currentlyoperate at eight venues in our area as well as providing oneHearts-on-Seats session each week. There are just short of 400attendees each week at these sessions. We are well looked

after by seven qualified trainers and we have another one at present in the midst ofstudying for her BACPR qualification. We are also lucky in being able to call on twomore, Michelle and Denise, to fill the gaps for holidays and sickness.Our friends in the Rehab Department run two HeartFailure classes. The first at Poole Hospital and thesecond at QE School Sports Centre in Wimborne.Our own Lesley and Jayne assist the nurses withthese classes as does Emma with “Phase III in theCommunity” at Canford. The teams running theHeart Failure classes do a wonderful job and theimprovement in the physical health has to be seento be believed. We have absorbed two or three ofthe former patients into our existing classes butthere were no opportunities for others until a StepDown class was muted.PHSG obtained a grant from the BHF of £1,300 toassist with the setting up of such a class. We startedwith such high hopes but experienced someproblems along the way. The original classcommenced at Canford but following a fall off innumbers attending it has now transferred to QESchool and follows straight on from the Hospitalclass on a Tuesday afternoon. We recently had to submit a report to the BHF onprogress to date. A Case Study was called for and to give all a view of the importanceof this class please read the following observations given by one of our members:Benefits . . . “The benefits are many. For example, from a physical perspective, theexercises have helped build flexibility, balance and stamina. The clearlyknowledgeable and dedicated exercise staff create not only well structured exercisesessions but add greater value with information such as diet. Combine this with theempathy and support that other members of PHSG share collectively has helped me toreturn to work and a normal life”Regarding Step Down project . . . “It is without doubt in my mind following twoheart failure events, the project has provided both physical benefits and personalconfidence for which I am most grateful”Finally, the Grant has not yet run out but we at PHSG will continue oursupport for the foreseeable future as long as there is a need.

Step Down or Step Up? A nifty way with a tricky move!

21 PHSG Magazine

After three years of marriage, Peter was still questioninghis wife about her lurid past."C'mon, tell me," he asked for the thousandth time, "Howmany men have you slept with?""Darling" she protested, "If I told you, you'd throw a fit."Peter promised he wouldn't get angry, and convinced hiswife to tell him."Okay," she said, then started to count on her fingers“One, two, three, four, five, six, seven - then there's you -nine, ten, eleven, twelve, thirteen . . .”

“If a woman never lets herself go, how will she ever know how far shemight have got?” Germaine Greer“I always wanted to be somebody, but now I realise I should have beenmore specific.” Lily Tomlin“Men have had every advantage over us in telling their own story.Education has been theirs in so much higher a degree; the pen hasbeen in their hands.” Jane Austen

And, staying with the feminist theme . . .

PHSG Magazine 22

Medical Clinical Care Group Jim WainePractice Development Unit for Cardiology and

Medicine - Quality Service Group MeetingPHSG has a voice on this group representing itsmembers. This exciting group, under the very capableChairmanship of Geoffrey Walker, OBE, MatronCardiology and Medicine, really gets things done!Positive changes are made to hospital procedures, as aresult of patient feedback given to PHSG patientrepresentatives. All PHSG members can feed backinformation to Poole Hospital in complete confidenceabout their treatment.So if you want to say anything good or bad about your experience in Poole CardiacUnit, or its related departments including the ambulance service, please forward yourcomments.You can contact me by e-mail (preferred), letter, or telephone. All information will betreated in strictest confidence. Looking forward to hearing from you. Jim Waine, VicePresident PHSG jim.waine2@btinternet.com or 01202 871532

At the QSG meeting on the 17th September 2013 Geoffrey WalkerMatron, Medical Services. OBE chaired the meeting.Merger Update The Chairman informed the group that the next merger update was due onthe 28 October 2013. He expressed the view however that it now seemsunlikely that the merger would move forward but agreed to keep everyoneinformed as more information becomes available. The consensus of opinionamongst the group was that it would be preferable for the merger not toproceed.Transport Changes - E-ZecIt was reported that the management of hospital transport will changewithin the Trust on 1 October 2013. Patient transport will now be arrangedby Ezek, a private company, from that date.This may mean that patients who had previously received transport may nolonger be eligible and that future approval will be carried out by Ezek usinga “tick check process”.The group was reassured that all emergency transport would continue tobe managed by the Ambulance Service and that vulnerable patients wouldstill be eligible. It was explained that any person who is refused transportwill be “signposted” to alternative choices and there would be an appealsprocedure. However the group did voice their concerns, in particular aboutthe level of training transport staff would receive and the monitoring of the

23 PHSG Magazine

service. The Chairman agreed to obtain additional and further informationfrom E-Zec in preparation for the next meeting.We would like to receive any comments from you about your experience inusing this service, both complimentary and/or critical views, which we maybe able to bring up at the next meeting.Did you know that the Poole Hospital Trust is now embracing seven dayworking wholeheartedly and a working group has been brought together todiscuss this important subject. Some departments now have six dayworking in place, and the Chairman promised to keep the group informedof future proposals/developments as the Committee proposals are published.Red Cross Service – UpdateIt was confirmed the Red Cross Early Release Scheme is now fully fundedfor a further year. The Red Cross will be recruiting new volunteers for theservice who would support patients after discharge from hospital for the 72hour ‘window’ if help was required. (Anyone who would like to volunteerplease contact me.)It was also reported that the charity will work with the Trust in relation tofuture major incidents as they are the premier provider of support duringsuch incidents. Thanks were offered to the group, in particular to Dr Smartwho sits as Red Cross President on our group, for bringing this to theattention of the Trust. It was noted this service is now going from strengthto strength. All members of the group were delighted that this service hasproved so successful.Hospital LettersHas any one had any problems re letters from Hospital to your GP? If youhave, could you please let me know in order that they can be raised throughour group.

“Since our last meeting reported above, the Monopolies and Mergers decisionhas been announced NOT to allow the merger. No doubtthere will be further information forthcoming at our nextmeeting and we shall keep you informed as discussioncontinues on the way forward for the future on  thisimportant subject”

Jim

PHSG Magazine 24

Jim

25 PHSG Magazine

Meet our MembersA Showcase on Members - This issue: Michael & Chris Andrew

At school I was able to indulge my passion for sports. Iaspired to follow in the footsteps of my older brother whoplayed rugby on the wing for Bath and was a member of theBath Cricket Club. He got to play against Viv Richards atone time. My plan was foiled by my country's call-up forNational Service; besides I was nowhere near as good ashe was.Given the choice of service I opted for Navy, Air Force, andArmy in that order; so found myself in the Army EducationalCorps! Eventually I was commissioned into the RoyalHampshire Regiment and spent a year in Jamaica. Such

opportunities were rare and I made the most of it. I resisted the temptation to stay in the armyand over five years worked up to become Deputy Manager of Littlewoods flagship store inGlasgow. A family bereavement changed things for me and I had to move so eventually Ijoined Tesco. At that time founder Jack Cohen was still in charge and turning up to work everyday. I had 25 years with that Company when I was able to take early retirement in 1992.During my early years with Tesco I married Chris, a hospital nursing sister, and together webrought up our three children Helen, Paul and Simon in Berkshire then in Cambridge. It wasshortly after this that I was diagnosed with a genetic, progressive kidney disease.We had lived in Cambridge for 20 years and played in the squash club regularly. Whilstattending a club committee meeting in 2005 I experienced what I thought was a bad bout ofindigestion. This persevered into the night and Chris advised me to go to the doctors nextmorning. The doctor sent me to hospital and to my surprise they confirmed that I hadexperienced a heart attack. I had two stents inserted in my right coronary artery, was told thatmy left circumflex artery was obstructed but that “intervention was unattractive” - I think thatmeant the consultant wasn't prepared to risk anything!I attended cardiac rehab sessions. Walking my way back to fitness, initially just up the roadand back, I then became the regular walking companion to an elderly blind lady, whopossessed such acute hearing she would identify birds before I even saw or heard them.We moved here to Wareham before long. In 2009 I had a biopsy for prostrate cancer whichwas complicated by a severe E-coli infection. A radical prostatectomy followed.In March 2012, after 2 years clear, I went on the transplant register as my kidney function waslow. I started dialysis which requires spending 7½ hours every night attached to a machine.Since arriving in Wareham I have attended the PHSG Classes at the Purbeck CommunitySports Centre, run by Clare Barratt on Monday and Thursday each week. These sociablegatherings of others who have experienced heart conditions has been an enjoyable way ofensuring regular beneficial exercise.I consider myself to be extremely fortunate, but it goes to show that however wellyou feel, it is important to have regular check-ups as without them, like me you mayget unwelcome surprises!

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PHSG Magazine 26

The Cutting EdgeAdvances in Medical Technology - Optical Coherence Tomography

By Keith Matthews

Eyes may be the windows to thesoul but they are also goodindicators of disease and theysuffer from a variety of conditionstoo, whether that is cataracts ormacular degeneration.

A new diagnosis technique calledOptical Coherence Tomography isan imaging technology that isdescribed as the optical equivalentto ultrasound and is now acceptedas a clinical standard fordiagnosing and monitoring thetreatment of a number of retinaldiseases.OCT has wide ranging applicationfor skin and other tissue imagingbut the eye provides easy opticalaccess to both the anterior segmentand the retina because of itsessentially transparent nature. Forthis reason retinal imaging has sofar been the first and mostsuccessful clinical application tobe adopted.OCT imaging is having one of thegreatest impacts in the history ofophthalmology.

Take a Deep BreathOCT delivers sharp pictures because it is based onlight, rather than sound or radio frequency. An opticalbeam is directed at the tissue, and a small portion ofthis light that reflects from sub-surface features iscollected.Most light is not reflected but scatters off in alldirections. In conventional imaging, this diffuselyscattered light contributes to a background thatobscures an image. However, in OCT, a techniquecalled interferometry is used to record the optical pathlength of received light allowing rejection of most of itthat scatters multiple times before detection.Thus OCT can build up clear 3D images of thicksamples by rejecting the background signal whilecollecting light directly reflected from surfaces ofinterest.

Optical coherence tomography at the two wavelengths of800nm and 1060nm of a normal retina (top four) and apatient with retinitis pigmentosa. (bottom four)B. Považay et. al. “Impact of enhanced resolution, speed andpenetration on three-dimensional retinal optical coherencetomography” Opt. Express 17(5), pp. 4134-4150, 2009.

Keith

27 PHSG Magazine

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PHSG Magazine 28

Hi folks!It has been pay-back time for all my years of sailing inthe sun! I have had a touch of skin cancer on my ear andI have been walking around with a large dressing on itand have had a lot of fun explaining it to all and sundry.Each time I have answered everyone’s questions I havehoned my tall tale until it has become quite elaborate.The current version developed when Anne and I went intoPoole recently for a little shopping and we called intoour sailing club to pay our subscription and have lunch. I

knew that as soon as I walked into the bar that I would be inundated with enquiriesand I was well prepared with a straight face.

“You will never believe me, it was an absolutetrauma. I was taking the neighbour’s Jack Russellfor a walk in the park.”I noticed that the whole of the club lounge hadgone quiet as some of them strained to hear whatI had to say, so I had to speak somewhat louder.“Along comes a fellow with a Rottweiler whichgrowled at Mrs Rimpepper’s little pet. Before Iknew what was happening the Jack Russell sankhis teeth in the Rottweiler’s back leg who twistedround and grabbed the little fella by the throat.”

“I began shouting to the Rottweiler's owner, Get him off!... Get him off!”…“He pulled and pulled on the lead but his dog had four legs and was considerablyheavier than its owner. Meanwhile I was down on my hands and knees trying to prisethe animal’s jaws open.”I looked round my audience of acquaintances who by that time stared at me withround eyes and open mouths. I gave them time to form mental pictures of the situationbefore I continued…“I was so unlucky, I had stuck my fingers up the Rottweiler's nose to encourage it toopen its mouth but unfortunately did not to have a good enough grip on the animal. Itshook free and the next thing that happened was that it sank its teeth in my ear.”Some of the fellows who knew me well sensed that I was telling them a tall tale.However all the ladies. god bless them, were absolutely riveted by my account of thegory incident and hung on my every word so I continued . . .“Fortunately the Rottweiler's owner had the great presence of mind to distract hisanimal by throwing a handful of dog biscuits back down the path. Thankfully it wentoff like a greyhound after them, leaving me with a little bit of ear ache and time tograb Mrs Rimpepper’s Jack Russell and jump into my car for safety. I drove to PooleA&E across the bridge which happened to be quite busy at the time. The lady at the

A Shaggy Dog Story By Brian Sadgrove

29 PHSG Magazine

enquiry desk advised me to join the long queue of patients but quickly changed hermind when I plonked my ear on her desk hygienically wrapped in a blood soakedhandkerchief.”

“They were awfully good in A&E and stitchedmy ear back in place in no time. Nevertheless Iwas so unlucky when I got home to discover thatthey had put it back upside down. The JackRussell is also doing quite well but has lost itsyap! yap! and the Rottweiler is still limping onthree legs.”It was about this time that the ladies in myaudience had caught up with my spoof and gaveme the impression that GBH was on the cards if Idid not make a quick exit.Some of this is true, occasionally in parts.Love and best wishes to you all.

Brian

The Washington Post's Mensa Invitation once again invited readers to takeany word from the dictionary, alter it by adding, subtracting, or changing oneletter, and supplying a new definition. Here are some of the winners:☺ Cashtration (n.) The act of buying a house, which renders the subjectfinancially impotent for an indefinite period of time.☺ Ignoranus A person who's both stupid and an asshole.

☺ Intaxication Euphoria at getting a tax refund, which lasts until you realize it was yourmoney to start with.

☺ Giraffiti Vandalism spray-painted very, very high☺ Sarchasm The gulf between the author of sarcastic wit and the person who doesn't get it.☺ Inoculatte To take coffee intravenously when you are running late.☺ Karmageddon It's like, when everybody is sending off all these really bad vibes, right? And

then, like, the Earth explodes and it's like, a serious bummer.☺ Decafalon (n.) The gruelling event of getting through the day consuming only things that

are good for you.☺ Glibido All talk and no action.☺ Dopeler Effect The tendency of stupid ideas to seem smarter when they come at you

rapidly.☺ Arachnoleptic Fit (n.) The frantic dance performed just after you've accidentally walked

through a spider web.☺ Caterpallor ( n.) The colour you turn after finding half a worm in the fruit you're eating.

PHSG Magazine 30

☺Sad news. The eco-warrior Swampy has died of a heart attack.He had refused a bypass.☺My daughter's school has a dress code that forbids

sleeveless tops. She's so annoyed and says “They couldn'tget away with this in USA. It would go against their rightto bare arms.”

☺Someone else suggested that was the right to arm bears!☺I asked my boss "Where do you want this big roll of bubble wrap?" "Just pop it in

the corner," he said. It took me three hours!☺I've told you a billion times STOP EXAGGERATING!☺Can you tell me all the good things about being Swiss? Er. . .

Neutrality? Cuckoo clocks? Good Railway system? Cheese withholes in?Any more? Well, the flag's a big plus.

☺How many pedants does it take to change a lightbulb? You mean REPLACE alightbulb! And it's called a LAMP. Bulbs are what you put in the garden to getflowers.

☺ How many software engineers does it take to fix a lightbulb? None, its a hardwareproblem.

☺A Roman walks into a bar, holds up two fingers to the barman and says “Five beersplease.”

☺Jean-Paul Sartre is sitting in a French Cafe, revising his draft of Being andNothingness. He says to the waitress: I’d like a cup of coffee please, with nocream” The waitress replies: “I am sorry Monsieur, but we have no cream, howabout with no milk?”

☺Descartes walks into a bar and the barman asks if he wants a beer. I think not . . ."he replies, and vanishes.

☺Apparently, the WW1 poster of Lord Kitchener looks like he is pointing at you fromwherever you're standing. I didn't know, until I had a propaganda at it.

☺Another World's Oldest Man has died. This is beginning to look suspicious.☺I had my medical today and my Doctor said "don't eat anything fatty." I asked "such

as bacon or burgers?" "No fatty, don't eat anything!"☺The inventor of the Doner kebab has died. Shish . . .☺I bought a Smart TV today. It only lets me watch BBC4☺What do you say to a hobbit that throws bread at you? Don't Frodo..☺I used to work in Brighton prison in the 1960s. We had all the mod cons.☺ Two silk worms had a race. They ended up in a tie.☺Two hats on a hat rack. One said to the other: “You stay here, I’ll go on ahead.”☺A backward poet writes inverse.☺In democracy it is your vote that counts. In feudalism it is your count that votes.

31 PHSG Magazine

☺A photon checks into a hotel and the porter asks him if he has any luggage. Thephoton replies: “No, I’m travelling light.”

☺There are 10 types of people in this world. Those that understand binary , and thosethat don’t.

☺Who led the Jews through a semi permeable membrane? Osmoses☺When I heard that oxygen and magnesium had hooked up, I was like, OMg !☺Last night I dreamed that I was weightless! I was like, 0mg.☺Did you hear about the man who was cooled to absolute zero? He’s 0K now.☺Never trust an atom. They make up everything.☺A student travelling on a train looks up to see Einstein sitting next to him. Excited,

he asks: “Excuse me Professor. Does Boston stop at this train?”☺A computer programmer’s wife calls him at work. “On your way home, can you

pick up a loaf of bread. If they have eggs, get a dozen.” The programmer comeshome with 12 loaves of bread.

☺I walked into a pub the other day. In the corner was a parrot which kept saying"Pieces of seven. Pieces of seven" I turned to the landlord and said "Isn't he meantto say, "Pieces of eight?" The landlord replied "Yes, but it's a parroty error."

Our friends at ‘Hearts & Minds’, the St Albans Support Group, sent ussome very scientific one-liners recently. Here they are with a leavening ofsome of our own. Congratulations if you get them all, especially the lastone, Your editor had to think about that one for a while!

“Talent hits a target no one else can hit. Genius hits a target no oneelse can see.” Arthur Schopenhauer

“Be alone - that is the secret of invention; be alone, that is when ideasare born.” Nikola Tesla

“Knowledge comes, but wisdom lingers.” Alfred Lord Tennyson

“I’ve been banned from the swimming pool” Shawn confided to Simon.“Really, why? What did you do?” Simon asked him.“Well it was for taking a pee in the pool.” Shawn admitted shamefacedly.“A bit harsh isn’t it. Everybody pees in the pool sometimes don’t they?”“Well yes, I suppose. But not generally from the top board!”

PHSG Magazine 32

Rides are about 15 to 20 miles long, the rides are open to all membersof the PHSG as long as your doctor approves.For help, advice, weather check and bike maintenance call KeithMatthews on 01202 855001. We’ll arrange to check out your bike if itneeds it.STARTS 10:00am Meet & DestinationSunday 22 Dec Hill View Road - Mince Pie RunSunday 19 Jan Wimborne Square - Back LoopSunday 23 Feb Broadstone Leisure - Swanning to Poole ParkSunday 23 Mar Hill View Road - Hurn & Throop

In bad weather call before 9:00am to see if the ride is going ahead.

PHSG Cycling Group Rides

My eyes have been opened by the PHSG cycling fraternity!  In threereally good ways.  Firstly, you are always a little nervous joining a newsocial group.  However, I could not have been more quickly put at ease

Blandford in October

The picture shows what happens on a PHSG ride. Alan Griffiths gets a puncture andeverybody else just stands around laughing! Well, we would help, but Alan is so competent.

33 PHSG Magazine

Jonathan Stiby

by the group. Secondly, although the distances may sound dauntinginitially after major heart surgery, the pace is carefully balanced tomatch our respective capabilities, and there is the obligatory pit stop tocatch your breath and to chat away ready for the circuit back.Thirdly, it is a delight to open your eyes as a cyclist and break theshackles of being an impatient motorist in Dorset.  The PHSG cyclinggroup have taught me a whole series of short cuts, tram/rail tracks andquiet back roads to get from A to B.Many thanks to Keith and all the other members for being sowelcoming.  Although I have only been on two Sunday rides - there willbe many more to look forward to and I recommend the group to anyonenew to the PHSG set-up.

Do you have computer problems?We can resolve your problems for you. Are you unsure whatyou are doing, do you need assistance, a helping hand ortraining? We can assist with home PC security, internetconnection problems, advice and installation of Broadband,PC networks and supply and/or installation of secure wirelessnetworks in your house. We undertake virus, spyware andad-ware removal and can supply or install security programsto make your PC safe. Is your old PC slow, is it worthupgrading? We provide impartial advice and can performupgrades or help with any new PC purchase and accessoryquotes. We supply new PCs, install, configure your system andcan transfer your existing data. Why not give us a call!

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2x4: thick plank; 4x4: 2 of 'em.

“When the hedgerow is full, please use the rubbish bin.”An unofficial notice in a lay-by on the North Devon link road

PHSG Magazine 34

CONSTELLATIONS WORD SEARCH

Our Word Searches are compiled by Derek Pope

V M U I G O L O R O H W H T N M U L U G N A I R TA I L T N A S F A S U R D Y H P A R B I L X S R MR C C O S B U R D U R N O I R O X A N R O F U O UO R Z S U M N O E N S O S S G C S U D N I S E J LN O C N N U I J M R A E O A L U C E P L U V S A UI S A E A L C A O O M L R S P E O E L P C X R M CM C S P D O R M R C I E E A U Z D V E U L N E A IS O S R I C I S D I N A C V U V A L A L C E P S TI P I E R N C I N R O M O A L C R V I P K R H R EN I O S E O G N A P R A N C V R O O C Z C Y E U RA U P Q R R C A A A S H O C A R D A C R D A M H PC M E P A M M C B C T C M G R R N D U R I U U V VI F I O Q A S E S I P P U P R E I X A B L R I E SK U A A U M N P E I D O L T S I C N N E V I P L US E C S I P A A T L X S P V U L V X A Y O G O A IU E S D L B T C O E H Y E R S M I C C G L A C R RR R I H A N C S O E Z N P O U N W R U I A S S Y AU O T R R J O U B H A U F T E L A A T V N U E L TA N X H A A T M F T P B W P H U A T M K S N L S TT I I S U H C U I H P O A L P P E E X T K I E U IN M N U U P I C T O R C D U E U N R N E D H T S GE O E N X R I N I M E G Q C C S C H Z X S P Q A AC E O G G C G A E T Y Z S S A T R E C A L L M G SN L H Y G Z G S U I R A U Q A R E C N A C E G E WM I P C S R S S U E L U U Q E F A C Z G J D Z P W

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Hill View Typesetting 01202 855001Printed by Top Coat 01202 820959

WHAT TO DO IF YOU BECOME UNWELLMedical help and advice is available if you become unwell when yourGP surgery is closed. You should:Dial 999 or go to A & E as soon as possible if you are worried about thesudden onset of new symptoms or have suffered a serious Injury orillness.A & E departments are open 24 hours a day, 365 days a year. Theyare for a critical or life threatening situation, for example chest pain,suspected heart attack, severe breathing difficulties, severe loss ofblood, loss of consciousness, deep wounds and suspected brokenbones. They are not for minor injuries or health problems, nor analternative to seeing your GP or for a ‘second opinion’ if you havealready seen your GP.You can also call Non Emergency Care on 111 if you are feelingunwell but not facing a life-threatening emergency and you are unsurewhat to do. Use 111 if you need information about finding a pharmacist,dentist or other service and cannot wait until your GP surgery opens.This service replaces the old Dorset Out of Hours Medical Service.Go to an NHS Walk-In Centre or Minor Injuries Unit with a minorinjury or illness. Find the nearest one by calling 111

REMEMBER IF YOU HAVE CHEST PAINDIAL 999 WITHOUT DELAY

Poole Heart Support Group operates underthe umbrella of the British Heart Foundationwho rely on voluntary help for fund-raising.If you’d like to help them, please contact:Pam Bailey BHF Rep.4 Knighton Heath Close. BH11 9PP.01202 574944

Poole Branch meet once a month at Poole Hospital to planforthcoming events.