Tag Archives: Christmas

Yuletide cheer

I had a lovely Christmas week, full of family and friends, and food, and thoughtful gifts. We had Mushroom Wellington and Maple Glazed Seitan Ham for Christmas dinner. It was super.

I was working for the days around the Bank Holidays. We rotate who does Christmas Day and, having done last year, I get a break for a few years. Hospitals are strange places at Christmas, a mixture of intense sadness and heart warming joy. Maybe that’s always the case, but Christmas somehow magnifies the contrasts. The people who remain inpatients at Christmas are those who are too sick to care or notice, and those for whom hospital is their best option. We’re always under pressure to discharge people and make beds, but to be honest, in the few days before Christmas I don’t discharge anyone who wants to be there. If home does not have something better to offer than a hospital bed then who am I to inflict loneliness, fear or sadness on anyone.

There is flu and RSV everywhere. People with chronic medical conditions are very sick. Even those who are usually well are strugling to shake off the persistent cough and fatigue. Vaccination rates remain much lower than pre-COVID. It’s hard to see how we’ll ever improve the situation and convince people of the benefits when there is so much misinformation and fear around vaccines.

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Salt water

A non-exhaustive list of things that have made me cry this week:

Fast and slow

I seem to have lost a week in a blur of christmas parties, overflowing inboxes, overbooked clinics, carols and mince pies. And I am harbouring yet another Respiratory virus. They are persistent this year, with coughs lasting weeks. I was asked if colds last longer as you age. I can’t find any evidence this is the case. Illnesses last longer in those in poor health and at the very extremes of age but there’s no reason for differences in illness duration of 40 somethings vs 20 somethings.

Nutrition is of course a major determinant of health and immune funcion. A plant based diet is associated with a lower risk of hospitalisation in COVID-19. Plant-based diets provide micronutrients, including vitamins A, B6, B12, C, D, E, and folate; trace elements, including zinc, iron, selenium, magnesium, and copper; and the omega-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid, which play vital, often synergistic roles at every stage of the immune response. Plant-based diets are also anti-inflammatory, and support a healthy microbiome. There is little data on diet pattern and viral illnesses other then COVID-19, an area that needs further study. Despite having grumbling illnesses for weeks I’ve not had a single day off work. I’m convinced it’s the plants!

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Lonely this Christmas

I love Christmas. But I occasionally find myself in a moment of loneliness in the midst of all the crowds and music and noise. When I see pictures of friends with their newborns, home just in time for Christmas; hear couples conspiring about the perfect present for each other; or catch the refrain of a song and am reminded that no-one is thinking “all I want for Christmas is you” the sparkle loses it’s shine. Being in the ever diminishing demographic of single 30-somethings can be lonely. But these moments are fleeting. I’m soon reminded of how much love surrounds me as my Mum calls to double check when my train is getting in, my brother texts to ask whether vegetarians eat gravy, and my friends email checking who is bringing the Gin at New Year. I know how lucky I am and how full of people my life is, and I was reminded of this on my last day of work before the Christmas holiday.

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Ron* was a patient I had previously met in clinic. He had severe COPD and lung cancer for which he’d opted not to have treatment. He was admitted the week before Christmas with breathlessness and we were treating him for an infective exacerbation of COPD. We were fully staffed and the team had the ward under control so there was time to do what I wish we could do more often: sit and chat.

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