Cardiology

Report by Dr M December 11, 2013

I was... disappointed that he has developed exertional angina over the last three or four momths.

A chest x-ray performed last month showed evidence of chronic asirways disease but nothing else.

Clinic examination today was unremarkable, althouh he does have bilateral carotid bruits. BP was 139/60 mmHg and his resting 12-lead ECG is normal.

I have intensified [his] anti-anginal regime today by adding Imdur 30 mg daily. I will see him [on January 29, 2014] and if his angina persists then I will arrange a coronary graft angiogram. Vascular access may be a slight risk, given his long history of peripheral vascular disease and the need to perform an angiogram from the legs, .... but it may be that he has a stenosis of either a graft or a native coronary artery that is amenable to stenting and this is something we need to explore if medical treatment fails.

Juggy passport photo March 14, 1945

 

With Chi-chi Nwanoku, after a great performance of Bach's Christmas Oratorio, December 23 at St John's Smith Square

Haematology

Meeting December 18 with  Christina Lamb, Rubab Mehdi and Hannah Smith

Haematology

Main results from blood test at 08.00 this morning were platelets 593, up from 480 in November, and Hb 95, down from 105 in November. It looks as though Hydroxycarbamide is no lomger effective in keeping the platelets down without depressing the Hb at the same time. Dr I is referring me to Dr McL, who has more experience of myelofibrosis and who may want a bone marrow biopsy to see what's going on at that level. Dr L thought one of the JAK inhibitors may be the next move, but they too have the effect of lowering Hb. The appointment with DrMcL is at 09.40 on February 5.

 

 

Dear little Kohee receives a parcel

Bloods November 4, 2013

Kina at Flodden Road for lunch yesterday

 

Meeting to discuss caste discrimination with Navi Pillay, UN High Commissioner for Human Rights Dr Raj Chand, Santosh Dass,  and other members of the Anti Caste Discrmination Alliance; Nov 6, 2013

NTV interview Friday October 11

Lyulph amd Lindsay enjoy a bit of washing up

What a lovely party

Three children, three grandchildren!

Dear little Lyulph joins in

Dear little Victoria appears for the first time

Vanessa thinks about a lollipop