Friday, 25 January 2013

Dan Writes...


Overall we are doing well, have settled in and starting to get to know folk. Work, as in all hospitals, can be tiring, stressful and emotionally draining but the beauty of the surrounding area lends itself to recuperation. I am also loving the summer sun, I always feeling happier when its sunny. Sarah however has managed to be jealous of the snow in the UK. Weather is amazing whatever it is...

Also, to get my own back as many of these blogs paint me in a disastrous light, I want to share a little story about my wife.

Sarah has decided recently she wants to try and have a gluten free diet. She appreciates hasn’t got coeliac disease but wonders if she like many others has an intolerance and she would feel better without it. All very well and good. Husband is sent with task of finding gluten free everything. Those of you who are gluten free know that whilst there are plenty of gluten free food types, trying to buy gluten free alternatives to things like bread, biscuits, crackers, and cereal can be quite pricey. But nevertheless this is what I have had to provide, and whenever I am cooking I have to come up with suitable gluten free options which often involved rice instead of pasta. The problem is that whilst I can provide this at home, Sarah’s own gluten free radar isn’t so defined and so at work she often eats things like pasta or (almost every day) biscuits.  Thus this expensive and time consuming trial (and I hope it’s a trial) is negated. Ah well...
 
In other news I have now been offered a job - in a busy ED in the north island - which starts in June. Sarah already has a job in the same town lined up so that has been a great blessing. Also we are expecting some visitors soon, people who usually generate a few good bloggable storylines of their own; so watch this space!
 
Dan (Pleased with myself for jumping on the blogging bandwagon)

Toilet Humour


I feel I should apologise before I've even started, as this entry closely resembles 'toilet humour'. However in the scheme of things a little toilet humour had never done anyone any harm (I'm sure someone has a story to the contrary to that statement).

The setting of this story is a normal day at work. Dan was dressed in his standard work attire; a shirt which is usually crumpled as Dan tries to get two days wear out of it (for which I am very grateful) but always forgets to hang it up after the first day, and trousers which have inevitably lost a button but haven't been fixed because as soon as he takes then off Dan forgets they need a button and doesn't remember until running out of the door the next day (at which point he hopes I can magically fix them in 10 seconds flat- I’m good, but not that good!). Also is the inevitable coffee stain somewhere on his person which represents the rushed coffee he tried to have mid morning before his bleep (sometimes known as a pager) went off.
A doctor’s bleep is a communication tool which enables nurses and other staff to always be able to contact the doctor looking after their patients. They simply dial the personalised bleep number and the extension of the phone they are calling from and in an instant the bleep lets out a startling shrill stopped only by its acknowledgment. This had led to many a coffee spillage for all doctors everywhere. We doctors dream of drowning the bleeps, especially at 3am during a night shift, yet we also feel attached to them.

This particularly day Dan went for a post lunch toilet break. For those of you faecally minded Dan did a number 3-4 Bristol Stool Chart motion (feel free to Google for more graphic description of the grading system and for those of you who don't have the Google facility this grading equates to a pretty well formed poo).

As Dan sorted himself out and pulled up his buttonless trousers and belt the bleep took a rather unfortunate fall, into the toilet bowel. Pre flush. Instant dilemma. Not only do these gadgets cost a lot, but without out them our connection to our patients is severed.  The bleep sank into...well you know what. If Dan flushed the toilet the bleep may disappear too and there was no way he could leave the cubical to get gloves- what if someone else flushed in his absence. Dan must save the bleep. So he decided in this moment to wrap toilet roll around his hand and grab the bleep. As he reached into the poo filled bowl the toilet paper unhelpfully disintegrated contributing to the mess. Bleep excised Dan washed it with soap and water. Silence. No bleeping, the screen was dead.

The rescue mission had been a success but the resuscitation attempt had failed.  Dan trudged to reception where he relayed the events.  Shocked yet amused the receptionists produced a donor bleep and an envelope for Dan to drop the old bleep into.

A few days later Dan was called to reception.  The unfortunate bleep had been officially replaced.  They proudly handed Dan the new bleep.  New and improved this model came with a chain which attached it to ones trousers.  No more swimming adventures for Dan’s bleeps.  Everyone breathed a sigh of relief- especially Dan.


We were very pleased to have a relaxing weekend after the poo incident.   We had a wonderful Saturday morning breakfast in Greymouth town followed by shoe shopping... for Dan.  I have learnt that the only way to make shopping bearable for Dan (and therefore me) is to fill him with coffee and cooked breakfast and then quickly take him shopping while his guard is down and he is still recovering from his protein overload.  On arrival to New Zealand two pairs of Dan’s shoes almost instantly disintegrated requiring replacement.  Dan HATES shoe shopping and confessed to me on this shopping trip that he has never bought new shoes.  However in Greymouth there is one shoe shop and it isn’t busy.  So Dan had the shop to himself and with some reassuring comments and about six pairs of good quality shoes to decided between we settled on two pairs, a result I was very pleased about!

We then went for a walk in the rain around some old mining tunnels which were spectacular and very exciting to explore although I can’t shed my anxiety about tunnels.  We retreated home for an early night. 

Sunday was a glorious day and we spent the afternoon at Nelsons Creek with folk from our church.  The Creek meanders in a way which distributes the sediment making it very safe for children to swim in.  Across the water steps are calved out of the bank and you can climb up and jump off into the crystal clear water.  There is a free camp site with basic facilities and if you feel inclined you can pan for gold at a public panning area.  New Zealand is such a wonderful place to explore!
 
I hope everyone is enjoying the snow and it hasn't disrupted life too much.
 
Much love
 
S x

Monday, 7 January 2013

Post Christmas Blog


Post Christmas Blog

It’s January the 6th and almost two weeks since my last blog.  Unsurprisingly a lot has happened since the last blog so here is a little update for you.

Dan worked Christmas day- well he was at work, dressed as a reindeer eating a lot of food with the nursing staff.  Being the social gentleman he is he had a hour and a half lunch break so that he could share Christmas dinner with both the morning and afternoon nurses as their shifts changed over (very clever).  Poor Dan did seem a little bored but better that than overwhelmed with sick patients!

I struggled through the evening of Christmas eve, feeling very tired and for the first time wanting the sun to go down so I could snuggle up and watch a Christmas movie and eat chocolate, not that I need an excuse to consume chocolate as Dan will tell you...  However Christmas morning greeted a fresh and excited Sarah.  I had pancakes and strawberries at a friend’s house before walking to the Baptist Church to partake in their Community Christmas Meal.  I arrived to a room of 130 beautifully set up place settings and the smell of Christmas dinner.  My first job was to dish out deserts.  Lay before me we were 150 bowls all with Christmas pudding already served up.  A little perplexed I asked them what they wanted me to do as the puddings were already served.  However what ensued was a mass operation filling each bowl with jelly, trifle, custard, pavlova and crumble as well as the Christmas pudding.   Being a woman of moderate appetite I was amazed at the size of these deserts and even more amazed at their consumption about an hour later!   As people arrived the social diversity made for a colourful and wonderful day.  We had travellers from the hostels, families with children (one family with 6 children!) a good proportion of our more senior friends and even a couple celebrating their 60th wedding anniversary not to forget the cross dresser with his family who was wearing a rather delightful dress!  It was such a pleasure to serve people Christmas dinner and even the mammoth washing up which followed had a sense of community.  I wonder if such a Community Meal could work in the UK.  This was definitely not targeted at any particular group but an open invitation for companionship and fun.  In the afternoon I was invited to dinner by Leanne and Jonathan who were going to his mothers.  As I arrived I realised I actually knew all the other guests wither from the hospital or the Churches we had visited.  I had my second Christmas dinner in the sun.  It didn’t feel like Christmas but it was wonderful.

On the Saturday after Christmas we set off for Nelson.  Driving through New Zealand is a pure delight.  Every turn brings new topography, hills, mountains, streams, forests the beauty rolls on and on making the four hour journey to Nelson a pleasure.  As we approached our destination the urbanisation of a New Zealand city started to emerge.  This meant hardware stores, multiple supermarkets, garages, yet in the midst of unspoilt beaches with the Able Tasman nation park as the back drop.  I would do this kind of city life!  Our accommodation was an architectural feast.  A New B&B overlooking the beach.  It had a clear colour scheme- white.  The owner was one of the funniest characters I’ve met in a long time, she was in her 60s bleached blond hair and very friendly to the point where I almost felt like a family friend.   Her son had designed the building and we learnt that he was an eccentric chap who liked to explore the world bare foot- random but put everything into context.

After a day chilling we met up with Steve and Stephen for dinner.  Steve is a friend of ours, a wonderful Godly young man, rather like my husband.  He is small and hairy and talks non stop!  We attempted to have a meal but the food was two hours in coming to fruition.  I was so impressed that the boys didn’t get ratty due to the ‘hunger’, a true testament of their characters.  The time was filled with a variety of conversation spanning deep theology to ridiculous Dan/Steve humour. Steve, steve, steve, alan alan (Dan and Steve’s favourite you tube clip).   After dinner we went ice skating on a temporary ice rink.  Unfortunately having two doctors around gave Steve a (false) sense of security on the ice.  He sped round at Tasmanian devil speed but without the skill on the ice to control himself at those moments of lost gravitation towards the ice.   However at the end of the evening he had only wiped out twice and initial survey showed no breaks.  I wonder, is this what it is like having children....

Joanna is one of fifteen children (one is in heaven) and we were invited to her family home for New Year.   They live just over the hill from Nelson so Dan and I met Steve and Stephen in Nelson and then took Steve over the hill to Joanna’s.  Monday morning was the departure date and having not slept I consumed three strong coffees before leaving.  This had the predictable diuretic effect and an hour into the journey I had already had to have two toilet stops (which is impressive even for me).  Stephen (not to be confused with Steve) wanted to show us the resurgence, an area of natural beauty where a river springs from hillside making a clear pool of water and then we decided to visit a picturesque beach for a bit of sunning and an ice-cream.

On arrival to Joanna’s we were met by her mum and a few of her siblings and some friends.  Some of you will have heard of a psychological treatment called ‘flooding’.  This works by overwhelming the senses and hopefully overcoming the fear/ phobia.  For arachnophobia this would mean going into an enclosure full of spiders.  Looking back I think this initial experience was a bit like a ‘flooding’ for me.  Any fear of meeting new people was completely overwhelmed by the situation and the realisation that these people were warm, open, loving and accepting- fear quashed.  Soon I was singing with boys as they played guitar and helping to fold the washing (of which there was lots!).  The evening was spent having a BBQ on the beach, which was a two minute walk from their house, playing ultimate Frisbee, football (Dan was impressed with my football skills), more singing and making dampers (cooking dough on the end of a wooden pole and then filling it with syrup) .  Dan had a ride on a dirt bike which he thoroughly enjoyed and more highlights include the moon-bow which appeared as a result of amazing moonlight and rain, and beautiful glow worms.  This time the glow worms were in a beachside cave.  As you went into the cave there were pockets perhaps a meter wide where fifty plus glow worms shone their little lights all together.  They were so magical I wished I could capture the moment to share with everyone, especially Grandma- it was like our own little fairy cave, she would have loved it!

After a fantastic night we decided to head back over the hill the next day.  This enabled us to have a day walking in the Abel Tasman National Park.  We decided to sea taxi into the park and walk out.  The sea taxi was a forty minute speed boat ride.  On board was a family with three small children.  As we motored to our destination the sea was quite chopping and the boat seemed to take off and land with a thud producing that ‘stomach in mouth’ feeling.  The three year old in front of us found this hilarious and her infectious giggles were wonderful to hear.   As we arrived it started to rain but we were prepared and rain coats applied we continued on.  I had decided to walk in shorts and had a special bag which strapped round my waist, like a bum bag, but with pockets for my drink each side. I had a mini Lara Croft moment (see picture) only my guns were actually massive bottles of water (much more useful!).   We walked for four hours on coastal tracts, through forest, across the beach, past mini waterfalls and finally over the estuary back to the car.  Exhausted but satisfied we went back to the hostel for our final night in Nelson.
Lara Croft moment

On our way back home we stopped for lunch in Takaka.  We found this hippy cafe which was rather large by New Zealand standards.  We ordered our food and then took our number and found a comfy sofa.  Unfortunately our food came in staggered intervals.  Every time a waiter came out Dan would eye ball the plates and if they seemed to match our order he would start vigorously waving our number at them.  It was hilarious; it was as if he was trying to bid for his food, waving this number like he was in an auction house.  Dan and my appetites somewhat balance each other out and at this point Dan was hungry.  I have seen Dan’s hunger cause odd behaviour before but this is my favourite.  I watched the people watching this mad English man and thoroughly enjoyed a good giggle (yes out loud further perpetuation the stares).  It’s good to giggle at oneself sometimes!

We are now back at work with Dan doing long days and I’m on nights.  My first night was pretty awful but I’m afraid that’s part of the job.  I always have slight trepidation when I start a night shift but there is a part of me that loves the adventure of not knowing what will come through the door.
I hope everyone had a lovely New Year and are looking forward to 2013.

Much love

Sarah x

split apple rock




Sunday, 23 December 2012

A weekend at the Glaciers



Its been a while since I last posted, mainly due to working a twelve day stint which came to an end on Friday.  To mark the end of this mammoth work session Dan and I planned a little escape to the glaciers.  It was wonderful and not without its Wattley dramas...

We started Saturday morning amazingly promptly, proving that when necessary, or when incentives are great, Dan and Sarah can get themselves into action.   We left the house at 9.10am Saturday morning, my first day off in 12 days, feel free to be impressed.  We drove in glorious sunshine to Hokitika where we stopped at a French cafe for breakfast and coffee (Ok so we left at 9.10 without breakfast or coffee but still!) Dan was very excited as he had a rather spectacular cooked feast.  This start made for a very good day as a fed and coffeed Dan= fun, singing and general Dan-ness.   However as we drove away from Hoki we seemed to be leaving the sunshine and heading towards cloud.

Franz Josef Glacier

On arrival to Franz Josef we were greeted with a beautiful town surrounded by snow peaked mountains which were a little obscured by a grey smudge of low cloud.  We went to the information centre where after discussions we decided the 8 hours glacier hike was not for us, nor the $700 heli hike.  We will do these another time but this weekend was about R&R, rest and recuperation.  We did decide to go on a little hike to a tunnel where you can see glow worms.  To do this we were told we would need a torch, Dan looked a little disappointed as we didn’t have one.  Luckily Dan has been a very good boy this year so Santa snuck him an early present of a head torch, amazing how Santa always knows what we need ;) Apart from the head torch we haven’t quite managed to accumulate or buy tramping gear; we have our boots but that’s about it.  So off we went with walking boots and Dan’s man bag not forgetting Dan’s rather dashing straw hat.  As we reached the mouth of the cave we realised our boots were in danger of getting soaked in mid-calf high freezing water which would put them out of action for the foreseeable future.   We had however bought along other footwear, my converses and Dan’s flip flops (we had predicted the potential problem).  So we took off our boots and socks, tied the laces together and slung then round our necks.  The proceeded to wade into the dark, wet tunnel, head torch, man bag, straw hat and walking books all creating the attire of this adventure.   The water was literally freezing (Dan’s addition: clearly it wasn’t or would in fact be ice but it was running off a glacier) and as we got deeper and deeper into the tunnel I began to wonder if it was only pot-holing I didn’t like or whether this posed any logical and substantial threat to my wellbeing.  I made Dan stop every couple of minutes to check for glow worms as this was the main, well only reason this dark wet cave had become the scene of our latest quest.  Eventually the moment came where everything went dark and we could see the tiny glow of the worms.  We proceed into the tunnel further until we had thirty of forty above our head. (about 300 meters inside)  It was pretty special.  We then turned back and I think I almost ran out.   By the time we reached the light Dan’s shorts were soaked from the constant flicking of ice water from his flip flops.  So Dan did what any logical man would do, took his shorts off and hung them in the sun.  Thankfully it was a secluded area!
The entrance to the tunnel

We had walked almost all the way back to the car when Dan suddenly announced he thought the hotel key may have fallen out of his pocket when he had taken his shorts off.  It was one of those moments when you think to yourself ‘as a wife how is the best way to handle this’ frustration or anger are rarely productive so I optimistically said perhaps it was in the car and we proceeded on.  Dan was a little grumpy as he really didn’t want to hike back up the hill to get the key.  As we arrived back at the car we were relieved to see the key was indeed on the dash board.  My relief was heightened as we then realised Dan had left the driver’s window completely open.  Completely open.  Nothing was taken, our passports were still in the glove box and Dan’s ipod sat clearly in view.  Dan still maintains it was actually very clever leaving the window completely open as by leaving the window open it looked shut.  That (apparently) is much better than leaving it part open.   Another bite my tongue smile and learn a vital lesson- the keys and passports now stay with me!

The rest of the day was wonderful.  We stayed in a lovely forest lodge and had a wonderful dinner by a log fire.  My only complaint about the venue would be the people staying next door.  I understand trying to fill your room thus making family holidays more affordable but I am not joking when I tell you there were 12 Chinese tourists ranging from 6-60 years of age staying in this two bed lodge.   The constant flurry of Chinese chatter died to a lull at 10pm (respectable) only to recommence at 7am along with tooting car horns and slamming doors.  But nothing was going to dampen my mood as for Dan and I Sunday morning was Christmas morning and we had stockings to open...

The rest of the weekend was filled with glacier spotting, lake walking, hot pool swimming, beautiful views and the police. 


As we left to drive back to Grey at fiveish Sunday evening our eyes were bombarded by stunning views around every corner.  Purple digitalis grows on the verge of turquoise rivers, lush forests sit in front of vast snow peaked mountains, green fields and dairy farms slot between peaks and streams creating a delight for the sensors.   The roads curve and wind then every now and then open up to a straight where the views are incredible.  So incredible it is easy to lose sight of one’s speed until that is you are pulled over by the police.   Not only was Dan mortified to have been (caught) speeding but he was also driving in flip flops.  As the policeman went to his car to write Dan’s fine and twenty demerit points Dan did a quick shoe swap.  Dan was very upset to have got a speeding ticket.  I just found the whole thing quite exciting (it’s not illegal to drive in flip flops- just not recommended).

So we are back in Grey, have had a wonderful steak dinner and are now about to skype family in the UK.  All in all a wonderful weekend making the twelve days of work a distant memory.  

Merry Christmas everyone

Glacier Hot Pools
Mount Cook and others

The Southern Alps reflected in Lake Matheson



Us with Fox Glacier in the backgorund
Much love x

Friday, 7 December 2012

Walking in a Winter Warmerland


This is so weird, I’m sitting looking out of the window at the tropical bush and sunshine whilst behind me is my Christmas tree!  I’m going to decorate it today but it feels very, very odd.  I’ve not always appreciated the dark days and cold nights which lead us into Christmas in the UK, but now I can see how this English climate provides an almost magically environment for Christmas which only when it is absent, you can truly understand.  Not that I’m complaining about the sunshine.

Dan and I had the most fabulous weekend just gone.  On Saturday we (I) got up late, did all those must do chores and then we headed to Punakaiki.  It’s a beautiful drive along the coast about 30-40 minutes north of Greymouth.  As we approached the car park I turned to Dan and stated how busy it was!  He laughed, there were about ten cars in the car park.  It’s official: I’ve slipped into west coast life, I’m practically a ‘coaster’!  We saw the Pancake rocks, an amazing formation which literally looks liked stacked pancakes, and then decided to walk the two km to the start of the next walk we wanted to do.  This distance in the UK would be a very innocuous twenty minute wander.   Add to that the hair pin bends on the coastal road, the caves to explore, the beach, the river and the secret bush walk to the deserted lagoon and an hour and a half later we reached our second walk. Amazing!

Sunday was very wet.  It was Sunday that made us realise really quite how small Greymouth is.   In the morning we went to church, which was very friendly, and Dan saw a patient’s relative.  Thankfully it was a pleasant encounter.  Then we decided to go and watch Skyfall as the rain was of British standards.  As we arrived I saw one of my consultants walking up the road, he was also going to the cinema.  This caused a minor dilemma in my mind.  This particular consultant is an old American Surgeon.  He is kind and very friendly.  Should you engage in a conversation about a topic of his particular interest it has been known for people to become fossilised before they get a chance escape.  I jest.  However enjoying a weekend with my husband, in my mind at least, didn’t involve my boss.  We kept our distance (we are British after all so this comes very naturally) and watched Bond do his thing on the big screen.  Crisis averted.  You may not have realised this if you watched Bond in the UK, but being in NZ highlighted to us how fantastically British the film is; M, London, Daniel Craig even the china bulldog with the union jack on its back!  Very exciting.  I spoke especially loud in my British accent the rest of the day- proud to be British.

Dan worked on Monday but for me it was a bank holiday.  Holly and I went back to lake Brunner with kite surfing equipment filling the back of the car.  The wind wasn’t consistent enough to actually use said equipment however we did have a lovely walk. 

 
On Wednesday Dan was invited to go sailing with another one of my bosses.  Again this was a little odd and would not happen in the UK.  Dan was a little torn as he felt exhausted from two long days at work.  However this seemed like one of those pivotal invites; you accept and become sailing buddies for life, or decline and never get invited again.  So Dan went and he had a great time.  I stayed at home, ate avocado, strawberries and chocolate and drank red wine.  Hard life!

As for work, what can I say.  On Tuesday I was the gynae/ ortho/ gen surgery/ urology RMO (SHO) on for the day.  Four jobs in one- why not! There are massive changes happening in the service here.  It seems where ever you are in the world medical politics and service provisions have a dynamic relationship; they both know what their aim and desire is yet neither quite knows how to get there or care about the collateral damage along the way.  Perhaps that’s a little unfair.  Generally work is good.  Being a doctor anywhere is time consuming and challenging, but it’s what we trained to do so we will continue to persevere and smile. 

 

People of England- embrace your winter and enjoy it.  Drink hot chocolate and mulled wine, wear thick socks and onesies and enjoy watching all those Christmas movies.   Christmas is coming...

Hugs

 

S x



 

 

Wednesday, 28 November 2012

First Day of School



29/11/12

It has happened.  We have started work again.  Granted the first three days of this week have been orientation.  The most important thing Dan learnt was to ask for the big portion of food.   Having been asked what size he wanted by the canteen staff the first time, the second he was just automatically given a small portion.  It was roast Tuesdays and Dan was mortified to only get one roast potato (won’t be making that mistake again).  He contemplated going back for seconds but decided against it.  You also get free coffee which is great however I didn’t anticipate the strength of this coffee and had two (one at home and one at work) on the first day and experienced all the side effects associated with caffeine, the worst being the diuretic effect (it made me pee a lot)! 

Yesterday we went on a mini road trip with Carole the Chief Medical Officer.  The aim was to show us some of the rural practices.  We met at 7.15, piled into her people carrier and off we went.  At 1600 we arrived back in Greymouth.  We visited rural centres where GPs run small community hospitals.  This is Dan’s dream job, being GP one minute, A&E Dr the next and then the anaesthetist as you intubate a patient ready for helicopter transfer.   I did not share his enthusiasm for the rural GP career but enjoyed the scenic drives.  I also proved to be in the minority of those who could handle the back seats without getting travel sick.  Dan and Katie had to rotate the front seat!  At one point in the trip it did occur to us that had we had a crash or accident that it would have put all RMOs (junior Doctors) on the west coast of New Zealand out of action...

On the recreational side Dan and I had a bake off one evening.  Dan make a victoria sponge and I made brownies.  Both were moderatley successful which is a great result!  Dan has joined a gym called Fat Max's- excellent!  This evening we went out for drinks with some Greybase peeps.  Dan's planning to run a hospital comedy review which our new friend Holly is very excited about.  Two words to describe Holly- Jazz hands!  We went to a baptist church at the weekend.  The pastor was really cool, great movember effort.

Today was our first day on the wards.  It reminds me so much of my first week as a HO in England.  It’s the first time I have done general surgery since then and the first time I have had to work independently since then as well.  I don’t relish the idea but one hopes the experience will be valuable and helpful.
Dan had a crazy day having to transfer three patients by air to Christchurch and one to the high(ish) dependency unit.  Baptism of fire!

Keep smiling

S x