GKT Gazette - Sep-Oct 2014 by GKT Gazette

SEP - OCT 2014

Gazette GKT

Volume 128:3, Est. 1872 FREE at King’s College London Campuses at

Guy’s, King’s College and St Thomas’ Hospitals

Advice for freshers Where to eat, textbooks worth buying, what not to do!

No more ULU

Activists out, but bar is staying for now

MBBS 43% not satisﬁed

Inside:

Ebola outbreak Sierra Leone partnership

Laboratory placements What students think and how to apply

John Philpott-Howard interviewed Reverend Doctor: “Don’t worry about what people think”

and more...

GKT

GAZETTE Established as the Guy’s Hospital Gazette in 1872

Vol. 128, Issue 3, Number 2583 ISSN: 0017-5870 Website: www.gktgazette.org.uk Email: editor@gktgazette.org.uk GKT Gazette, Room 3.7, Henriette Raphael House, Guy’s Campus, King’s College London, SE1 1UL All opinions expressed within are those of the authors and do not neccessarily represent the views of the Hospitals, the University, or the Gazette. All rights reserved. Front cover and above photo courtesy of Charlie Ding

Contents 4 Editorial New Editor, Fi, from next issue | Editor’s picks 5 News & Comment Total raised by RAG | ULU closed | Ebola in Sierra Leone | MBBS unsatisfaction 16 Letters Why I’m unsatisfied with KCL MBBS | The harms of hookah | Thomas Man 21 Features Freshers | Recommended restaurants | Philpott-Howard interview | Chaplains 34 Arts & Culture Protest turned exhibition, exhibition turned protest 42 Dental Advice to a new dental student 44 Nursing & Midwifery PLPAD | Microbirths | Anorexia nervosa 52 Book Reviews Textbooks we like 56 History Lane: an overlooked surgical hero | Southwark museums reviewed 62 Research Under- and postgraduate students’ views on lab placements 66 Obituary Remembering pioneer heart surgeon, Donald Ross 69 Sport Preview of the 2014-15 season for GKT teams

EDITORIAL

A warm welcome to readers new and old

Editor’s picks: 14. Student Survey Only 57% of MBBS graduates satisfied

Simon Cleary Editor 2013-2014

lthough it contains several pieces which I hope are of universal appeal, this issue was put together with the new intake in mind, the freshers who I can’t wait to see contributing to the Gazette! My first year studying in London was incredibly enriching and enjoyable - I loved it here so much that over the past year, I have been a returning first year student, this time on a PhD programme. The laboratory is always beckoning, so I’d like to hand over to someone more in touch with what’s happening on campus who can give the Gazette the amount of time and eﬀort that its readers deserve. The Gazette would not continue to come together without the team of students who run it, who for this issue were spread out over at least four continents by electives and placements! Thank you to all of you who, starting with few resources in a year in which several student publications closed, kept the Gazette going strong. I’m particularly indebted to editors-at-large in South East Asia, Lewis Moore and Anya Suppermpool for the many hours that both of them have spent readying each issue for publication.

22. Borough bites Eating out around campus

34. Protest art

Disobedient Objects at V&A & Eviction at ULU

My advice to freshers is: don’t be afraid to try new things and make new friends – especially if the new thing is contributing to student journalism! Without further ado, I’ll let my successor introduce herself to you:

62. Studentships

Fi Kirkham Incoming Editor Hi, I’m Fi Kirkham. Normally a medical student, this year I am intercalating in Global Health giving me a little more time to enjoy all that GKT has to oﬀer. I started writing for the Gazette during my first year at university and have found it one of the most enjoyable parts of my life here; over the next year I hope to spread my enthusiasm to other members of the GKT community. 4

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How to get funding, student experiences

NEWS & COMMENT

More than £10.6K raised in RAG week and finale Izzi Sellers

n the 3rd to the 7th of February 2014, the Raising and Giving (RAG) Society hosted its annual RAG Week. For five days from 6 AM to 6 PM at we handed out buckets at Boland House in order for students to hit the streets of London and raise as much money as possible for our wonderful chosen charities: the Evelina Children’s Hospital, Guy’s Cancer Unit, MediCinema, and the MS Society! We also collaborated with a few KCLSU student charities, including KOP and NeuroAid. These bucket collections raised a fantastic £4275.75.

In return for their eﬀorts, the RAG Committee hosted a diﬀerent event each evening of the week which included a sell-out GKTake Me Out event on Monday (which saw eight happy couples enjoying a meal at the mystical island of Café Nawaz), a pub quiz at the Old School Yard, a special RAG Guy’s Bar Sports night, and a film night, showing an all-time favourite film- Mean Girls. Ending the week was University Challenge in which the Medic team outwitted the MSA, BioMeds, Dentists and lecturers to come through as the victors. Money raised from these events brought the total raised in RAG week up to an amazing £8978.33!

On 30th May 2014, RAG hosted its last bucket collection event of the year – RAG Finale. The day was an incredible success with over 50 buckets taken out and a wonderful £1693.51 collected, with no expenses incurred! The RAG committee would like to say a massive thank you to every single person who took out a bucket - you have truly made a diﬀerence. We are happy to hand over to next year’s committee with high hopes for another successful year! We have a lot of new exciting events going on this year from quiz nights, Jailbreaks, bucket collections and sponsored runs along with many more! Keep updated on the GKT RAG via their new facebook page: GKT RAG at KCL.

Medical student Harriet Pittaway with collection buckets in Boland House. Photo: Katherine Leung

NEWS & COMMENT

University of London Union shut down

The University of London Union (ULU), intercollegiate student union and campaigning hub, was closed down on the 1st of August 2014 by the University of London (UoL). Simon Cleary, Editor

LU began life in 1921 as the University of London Union Society. After being housed for a period in temporary huts, it merged with the Athletic Union in 1952 to settle in the Charles Holdendesigned building on Malet Street (above) which officially opened in 1957. Elected representatives of London students oversaw 6

GKT Gazette

the provision of facilities for students, including a popular bar, and the largest swimming pool in central London, as well as publishing the editorially independent newspaper the London Student, formerly Vincula (1922-54), and The Sennet (1954-79). ULU also provided space for debates and for external organisations including the Nightline charity, but is perhaps most famous as a

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hub for the organisation of radical student campaigns on issues which have included apartheid, tuition fee increases, and workersâ&#x20AC;&#x2122; rights for cleaning and maintenance staďŹ&#x20AC;. Against a background of increasing size of the constituent colleges and schools of the University and their own student unions, several Colleges indicated that they were planning on ending their subscriptions

NEWS & COMMENT

to ULU, potentially leaving the union with a shortfall in annual funding of £800,000. Following a media furore over a boycott of the 2012 Remembrance Sunday service by then-Acting President Daniel Cooper and a turnout of only 2% in the 2012 ULU elections, a 2012/13 report to the College Council proposed the closure of the Union. ULU officers opposed this suggestion, and with the support of politicians including former Mayor of London Ken Livingstone and MP Diane Abbott, they launched a referendum in which 86% of UoL students who responded voted in favour of buildings, activities and campaigns at ULU continuing to be run democratically by students. However, turnout to this referendum was only 4% of around 120,000 eligible UoL students. Dramatically, the period around the referendum saw the arrest of many students including the final ULU President, Michael Chessum, Vice President Daniel Cooper and London Student Editor Oscar Webb - all of whom were released without charge - with an injunction

granted to the UoL making demonstrations on campus illegal. Despite a ULU-led ‘Save Our Union’ campaign culminating in an attempt at an occupation by students after the lease expiry, the University successfully closed the ULU building on the 1st of August, 2014.

“What, even the bar?!” Students at the health schools of King’s, many of whom have campaigned for greater devolution of GKT representation from King’s College, let alone the UoL, come across as largely indiﬀerent. One medical student responded to news of the ULU closure with “What, even the bar?!”. The bar and other facilities will open again for next term, but under management of the University with the Malet Street building rebranded as ‘Student Central’ with the aim to break even. At the time of writing, students at the School of Advanced Study and the International Academy are currently without representation by a student

union, which is illegal under the Education Act of 1994. NUS London has been put forward as a replacement body for panLondon student campaigns but denied funding from the NUS, and the London Student newspaper is seeking alternative funding after being turned down by the UoL. Nobel Laureate Peter Medawar described the UoL as “the most tiresome academic institution in the Western world” due to its duplication of business in the 1950s. More recently, with Imperial College departing from the University in 2007 and increasingly devolved Colleges including King’s, UCL, LSE and QMUL now awarding their own degrees, the University of London is becoming progressively leaner. According to the last ULU President, Michael Chessum, with the decision of the University to close down ULU, UoL management were saying “far more about their own mortality as an institution than they are about us”.

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GKT Gazette

NEWS & COMMENT

King’s doctors face Ebola in Sierra Leone Teona Seraﬁmova

he rapid spread of the Ebola virus in its latest central African outbreak has caused over 800 deaths, and the World Health Organisation (WHO) has called an emergency two-day summit on Ebola in Geneva amid growing international concerns. A group from the King’s Centre for Global Health are currently facing Ebola on the front line as part of their work for King’s Sierra Leone Partnership (KSLP). The volunteering doctors and healthcare professionals working for this project aim to develop the fragile health care system in Sierra Leone, and have recently had to face the challenges posed by the Ebola outbreak. Cases of the haemorrhagic fever began in Guinea in February but only reached Sierra Leone in May. Although Dr Oliver Johnson, part of the KSLP team, states that they did have “some warning”, he admits the country has been “hit hard” by the disease. Eleven of

GKT Gazette

the twelve districts in Sierra Leone have thus far had reported cases. The threat of Ebola is something which Connaught Hospital in Freetown, the centre of KSLP’s work, had not faced prior to the most recent outbreak. Dr Johnson has highlighted the need for “technical advice, extra manpower and trusted friends”, speaking of the valuable team eﬀorts that have enabled an eﬀective response to the outbreak. Strict rules have been established regarding isolation; all patients who may be suspected of having Ebola are immediately isolated and receive no

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further treatment until blood test results have been received, unless absolutely necessary. The ethical challenges of denying care to potentially-infected patients, as decided by the National Case Management Committee of Sierra Leone, has led to difficult decisions on the part of the team. Personal protective equipment, enhanced cleaning measures and efficient waste disposal are also vital, although providing these was initially a challenge in resource-poor Sierra Leone. Further challenges to KSLP medical staﬀ have presented themselves in the form

NEWS & COMMENT

of riots which have taken place outside hospitals and smuggling of relatives out of isolation due to mistrust, fear and misunderstanding of the condition. Local teams are desperately understaﬀed, with growing demands on wards. However, public health initiatives have started to raise awareness, with educational billboards warning people of disease symptoms and shops and cafes asking all customers to wash their hands with chlorine prior to entering. Speaking of his personal experiences of the outbreak, Dr Johnson particularly notes the healthy appearance

of Ebola patients prior to death. Further he describes the difficulty of restraining from immediately helping

“Do we now lock suspected patients in the isolation room or call in the army to contain them at gunpoint?” infected patients due to the risk of disease spread: “At Connaught our hope was that by providing better conditions and clinical care in the isolation room and communicating eﬀectively, patients would not attempt to

Setting up an isolation ward in Connaught Hospital, Freetown, Sierra Leone. Photos: KSLP

escape. But so far this hasn’t proved enough and the police have been called in for support. Do we now lock suspected patients in the isolation room or call in the army to contain them at gunpoint?”. The fear of staff becoming infected is a very real one. Although the KSLP team have escaped infection thus far, many health care professionals across Sierra Leone have also died of the disease as a result of clinical exposure. Despite the fantastic efforts of the team, Dr Johnson admits that “a challenge for all of [them] will be to avoid burning out”. While there had been hopes that the outbreak would only last a few weeks, it is clear that a strong global response is necessary to curb the expansion of this disease. KLSP’s efforts have thus far made a real impact on those facing the threat of Ebola in Freetown. Their determined efforts to support Connaught Hospital against the threat of Ebola demonstrate exceptional commitment and diligence and will continue following the end of the current outbreak.

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GKT Gazette

EBOLA EMERGENCY APPEAL Dear GKT Gazette readers, As the worst Ebola outbreak on record shows no sign of abating in Sierra Leone, King’s College London is turning to friends like you with this very special emergency appeal, on behalf of our volunteer medics. Sierra Leone is already one of the poorest countries in the world, ill equipped to deal with such a contagious, deadly disease. With no known cure for Ebola, the risk to the community and health professionals is enormous. Ebola can kill up to 90% of people who contract the virus, rapidly and painfully. Symptoms include vomiting, diarrhoea, internal and external bleeding. The King’s Sierra Leone Partnership (KSLP) has been working in Sierra Leone for two years to improve and strengthen the health system. But as one of the only organisations still on the ground, we’ve had to step up our role to help stop Ebola from spreading. Our team is made up of highly trained staff and volunteers from King’s, Guy’s and St Thomas’, King’s College Hospital and South London and Maudsley. Along with our brave Sierra Leonean colleagues we've already helped to set up a 13-bed isolation unit at the Connaught Hospital in Freetown, and trained staff in 29 hospitals across the capital. KSLP has access to highly qualified infectious disease specialists, whose skills and knowledge are vital in preparing hospitals, training staff, isolating patients and treating them. If you can make a donation, you can help us bring six more specialists to the area, and cover basic costs such as flights and accommodation. The cost of a one way flight has increased threefold to £1,000 as transport links to the area are being cut. Most importantly, you can help provide essential supplies. A donation of £50 could help pay for personal protection suits, gloves and chlorine which will help protect staff from the virus or £10 can buy soap and blankets for patients on the Ebola Ward. Please, donate now and help King’s stay where they are needed most – on the ground in Sierra Leone. With warmest regards and gratitude,

Dr Oliver Johnson

KSLP Programme Director

Donate online by visiting: alumni.kcl.ac.uk/ebola-emergency-appeal Or text “KSLP88” followed by an amount (£1, £2, £3, £4, £5, £10) to 70070. The alumni fundraising campaign can also be reached by ringing 0207 848 3053.

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Cold Feet: The ALS Ice Bucket Challenge Amy Edwards MBBS3

wenty-fourteen seems to have been the year for viral trends on social media. For the majority of the past eight months, our newsfeeds on Facebook have been dominated by posts featuring our friendsâ&#x20AC;&#x2122; Neknominations, Acts of Random Kindness, no-makeup selfies and, most recently, Ice Bucket Challenges. Whilst Neknominate was purely recreational, the current Ice Bucket Challenge craze aims to raise both awareness and money for charities concerned with amyotropic lateral sclerosis (ALS) or Motor Neurone Disease (MND), as it is more commonly known in the UK. The challenge involves the nominee pouring a bucket of iced water over their head while being filmed, uploading the video to social media, nominating a few others to do the same within

GKT Gazette

the following 24 hours, and donating to the ALS, or other, charity. Though the origin of the challenge is somewhat unclear, the recent explosion of videos and nominations seems to stem from an individual in Boston. Indeed, new information from the Facebook data science team heavily supports the theory that the ALS Ice Bucket Challenge is attributable to Peter Frates and his support network. Frates, now 29, was diagnosed with the disease when he was just 27. Like Lou Gehrig (ALS, MND and Lou Gehrig disease are synonymous), Frates was a baseball player, and formerly captained the Boston College team. According to articles published in the USA, in July, the ice bucket phenomenon was initially a challenge issued to athletes in the Boston area by Fratesâ&#x20AC;&#x2122; family and friends. In a matter of days, athletes

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across all states were dousing themselves in ice water in the name of Peter Frates, and within weeks, no doubt impelled by the participation of numerous celebrities and public figures, social media users worldwide had risen to the challenge. Almost ironically, after having challenged many himself, Peter Frates did not take the challenge until August 14th. Canadian ice hockey star Paul Bisonnette stopped at nothing to make his challenge impressive, having glacial water poured over him in the mountains from a helicopter. Some other famous names to have taken the challenge include the Beckhams, Sherlockâ&#x20AC;&#x2122;s Benedict Cumberbatch, Madonna, Bill Gates, Stephen Spielberg and even former US President George W. Bush. Despite having been nominated by numerous celebrities and political figures, Barack Obama disappointed many by refusing to take the

Ice Bucket Challenges (and variants thereof) featuring some of GKT’s finest. From overleaf left to right: Lewis Moore, Elena Fearn, Teona Serafimova, Joe Jolley, Alice Wilkinson, and Hannah Mondarres challenge. He did of course donate! Thanks largely to social media, this domino effect has given rise to over $90 million worth of donations to American charity ALS Association, or ALSA, in just under a month. Similarly, the MND Assocation, ALSA’s British counterpart, has received over £2 million from ice bucket challengers. The challenge has proved such a success that Macmillan Cancer Support have now jumped on the bandwagon, encouraging nominees to partake on their behalf, though they generously suggest a 48 hour period for new nominees to complete their challenge. Inevitably, sceptics have begun to question the incentives of participants, suggesting that “being seen to do the right thing” by fellow users of social media, alongside a “sheep culture”, are perpetuating the spread of this chilly trend. The large-scale wasting of water has also been condemned, particularly in areas affected

by drought. For many Palastinians in Gaza, water is a precious and scarce resource. Their answer was the “rubble challenge”, intended to raise awareness of the conflict with Israel, and show solidarity for those who have lost homes and loved ones.

“I don’t believe that we should feel the need to publicise personal donations” The media has shown no hesitance in promoting stories of injuries related to the challenge. Whilst these are mostly minor, usually involving contact between a face and a bucket, there have been a few more serious cases. The challenge has been linked to the death of Scottish teenager Cameron Lancaster, who drowned in the flooded Prestonhill Quarry. A Belgian man was hospitalised over fears that he had suﬀered internal injuries after using

a firefighting plane to pour 400 gallons of water over himself in Spain. This said, most cases have not caused any damage to health (hypothermia included!). Despite growing criticism, it cannot be denied that the movement has significantly raised the profile of MND, and provided large sums to charities involved both in research into potential treatment and in supporting those suﬀering from the devastating condition. I won’t be taking the challenge myself, but am always more than happy to donate and “do my bit” for a worthy cause. I don’t believe that we should feel the need to publicise personal donations, however large, and it is only too easy for a stunt like this to become detached from its original meaning. Nevertheless, it seems that this is fast becoming the way to “make change happen”, and I have no doubt that after this challenge has melted away, it won’t be long before another takes its place.

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GKT Gazette

NEWS & COMMENT

Medicine at King’s still can’t get no satisfaction Kate Anstee Pharmacology BSc Extra-mural year

he National Student Survey (NSS) annually publishes the results of questionnaires filled out by final year students and is used as a metric of university performance. This year, as in 2013 and 2012, only 57% of medical students at King’s College London agreed with the statement, “overall, I am satisfied with the quality of the course”; low when compared to the national average of 86% and College average of 81%

Results show that students across the Health School students are dissatisfied with feedback from assessments, but the School of Medicine are the lowest, with only 16% of medical students saying that they received detailed comments on their work. Furthermore, only 38% of medical students felt that the course was well organised and run smoothly: an area highlighted for improvement in the 2013 NSS. However, in an email sent to all students at King’s, Vice Principal for Education, Prof Karen O’Brien, insisted that “the

Unsatisfied medical students. Photo courtesy of Charlie Ding

GKT Gazette

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significant improvements already being introduced to this programme will take time to have an impact” and added that “we will also be introducing a new MBBS curriculum that will come into eﬀect from 2016”. Within Medicine, both the Assessment & Feedback and Organisation & Management section scores improved by 12% from 2013 scores, and in areas relevant to all of the Health School faculties, Medical students gave better ratings, with 90% of students rating the library resources as good. However in comparison to relatively high satisfaction levels in the Dental Institute, Biomedical Sciences and Nursing, the School of Medicine continues to lag behind. In the letters section, two recent graduates explain why they were unsatisfied with the quality of the MBBS course. What would make you more satisfied with your course? Send us a letter!

NEWS & COMMENT

Overall satisfaction ﬂatine: National Student Survey results for the MBBS programme at King’s College London 2007-14. For the last 3 years, only 57% of students either agreed or strongly agreed with the statement “overall, I am satisﬁed with the quality of the course”, the most closely followed result of the survey. Other section scores are mean percentage of respondents in agreement with several different questions. Source: NSS/HEFCE. Prof Stuart Carney and Trevor Pearce kindly provided data.

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GKT Gazette

LETTERS

MBBS: Why we were not satisfied After the National Student Survey result revealed that for the third year running, only 57% of final year medical students were satisfied with the overall quality of their course, we asked graduates why they responded the way that they did. Here are two anonymised responses from unsatisfied students from the MBBS programme:

A list of reasons why I’m unsatisfied 1) For 400+ people in one cohort, the school cannot ensure a decent quality of education for each student. There are a limited number of resources that can be distributed among the year group and the huge number of students makes everything competitive: signing up for additional clinic sessions, signing up for OSCE practice rooms, borrowing library books. 2) Assessment issues: There is close to zero guidance for the end of year written assessments. Also, King’s seems to set ridiculous questions that cannot be answered no matter how much we study: questions that are out of syllabus, questions that test memorization of percentages instead of general concepts. There is also a serious lack of quality control in the papers as evidenced by the RSH fiasco: questions are left deliberately vague and 16

GKT Gazette

Assessment and feedback poor

he GMC 2012 document (Review of King’s College London School of Medicine, hosted at gmc-uk. org) explains everything on why we are dissatisfied with Kings. Despite attempts at trying to improve the curriculum, I think that much more could have been done to address these issues: especially that of assessment. Despite clear feedback on what is wrong with assessment, Kings has not made any attempt at quality control of their assessments

leave students confused and unable to identify the correct answer they want. Frequently, there are spelling errors in the papers as well, leaving doubts as to whether anyone actually checks the papers properly. 3) Lack of OSCE guidance: again, close to zero guidance on the OSCE. It is unacceptable to be told you have an OSCE and without giving any guidance as to what is expected of us in the OSCE. Year 4 was a prime example

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(errors still appearing in papers and vague questions!). Nowhere do I see an attempt at standardising the teaching to ensure a fair process for the OSCEs, and nowhere do I see an attempt of better communicating what we need to know for the exams back to us. I am disillusioned at the lacklustre attempt by the school to improve their standards and feel that our feedback has fallen on deaf ears. Anonymous

of this. There was no mock OSCE, and even when we get our results back, the domain feedback and personal feedback do not provide enough concrete feedback for us to use to improve our performance for the next year. OSCE stations also sometimes have vague instructions in the vignette, giving candidates a hard time. 4) Messy organization of the school: Lecturers frequently not turning up for scheduled lectures, last - minute cancel-

LETTERS

lations of tutorials. Lousy allocation of clinical time: allocating one day a week to SSC with a half Wednesday leaves little time to actually experience the clinical rotation we are in: especially when we are assigned to postings for only 8 weeks in year 5. Too many medical students assigned to the same hospital means interesting cases are bombarded with medical students and the senior staﬀ: medical student ratio is too big, leaving not enough opportunity for the student to interact on a closer level with senior staﬀ. 5) Variation in the clinical curriculum: Doing clinical rotations for the purpose of ticking boxes instead of providing an objective - based

curriculum - not telling us in detail what we need to know by the end of the rotation. It is also not useful squeezing so many specialties into one rotation and expect us to be proficient in each specialty without providing clinical experience in each specialty: For example Abdo rotation in year 3 expects us to learn Urology, Renal Medicine, Gastroenterology, General Surgery, Endocrinology in 12 weeks, and not all firms are rotated among all the diﬀerent specialties. 6) Poor teaching: End of year assessments expect us to be proficient in clinical and communication skills despite the poor teaching accorded to us during the rotations. For example: the

Venting your spleen

year 4 OSCE tests breaking bad news (eg. diagnosis of RA, ectopic pregnancy) even though there is no teaching at all for this skill during year 4. In year 3, lectures for the whole of one specialty eg. Renal Medicine/Urology are squeezed into one morning, leaving no time for digestion of content and consolidation. 7) Lack of communication and commitment from the school: The FAQ system for our questions on the VC is useless if no one answers our questions or our questions are ignored eg. Phase 4 CHDA/EMTL. Despite frequent calls for feedback, the school does not seem committed to addressing the problems eg. too big a cohort, assessment issues; and feedback given consistently seems to fall on deaf ears giving rise to a culture in which students can’t be bothered to complain because they know it will not change anything. Teaching medical students in this school appears to be more of a burden than anything else: teaching from the staﬀ in this school seem to lack passion and commitment. The school strives to be mediocre rather than pursue excellence, and this too trickles down to staﬀ who provide lacklustre teaching sessions. Anonymous

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GKT Gazette

LETTERS

Hookah habit harmful

paper in the British Dental Journal entitled ‘Narghile smoking and its adverse health consequences: a 1 literature review’ made me acutely aware that most of us have been turning a blind eye to this addictive habit. For those who are unaware, shisha (also known as hookah, narghile, hubble bubble and water pipe), is a form of tobacco smoking that has been increasing in its popularity in recent times. It involves the use of moistened raw tobacco, usually flavoured, heated by charcoal, and subsequently smoked via a water chamber. Worryingly, this habit seems to be common amongst the East-African Asian population that has settled in the UK, increasingly amidst females. It has been commented that this is due to peer pressure and advertising that promotes it as stylish, sophisticated, powerful and a sign of independence.

GKT Gazette

Have we turned a blind eye to the health risks of shisha smoking?

Smoking shisha can lead to a variety of adverse eﬀects as it contains multiple aldehyde compounds which are toxic and carcinogenic (cancerinducing). It is associated with decreased lung function, leading to a greater risk of chronic obstructive pulmonary disease (COPD; such as bronchitis or emphysema). There are also links to cancers of the bronchus, oesophagus, bladder and pancreas. Pipe sharing can cause various bacterial and viral infections due to transmission from one person to the other.

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In the mouth, it is associated with periodontal (gum and bone) disease which is already a prevalent disease in our Asian community. It also leads to an increased risk of dry socket following tooth extractions. A few cases of oral cancer have been reported in shisha smokers. There are numerous misconceptions about shisha smoking, the commonest being that it does not contain any tobacco at all. This is actually quite rare and is referred to as ‘herbal shisha’.

LETTERS

Users are often inaccurately informed that the shisha is simply molasses (a byproduct of processed sugar cane or beet), without any tobacco. Another misconception is that the filtration of the tobacco smoke through the water removes all carcinogenic compounds. Although the water-soluble aldehydes may be filtered out, the insoluble tar

compounds are certainly not. Studies have shown that a single shisha smoking session (often lasting an hour or longer) releases aldehyde compounds which are equivalent to 17 cigarettes, and as little as three smoking sessions expose users to large quantities of carcinogenic benzene compounds. It has also been suggested that shisha smokers inhale a greater amount of nicotine

than cigarette smokers due to the sheer volume of smoke inhaled. Dr Manoj Arunkumar Tank Dar-Odeh NS & AbuHammad OA. Narghile smoking and its adverse health consequences: a literature review. British Dental Journal. 2009: 206 (11); 571-573 1

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GKT Gazette

LETTERS

Do you remember the Thomas Man? Simon Cleary

uring a clearout of a former Gazette office in decaying Doyle’s House I found an incomplete archive of satirical magazine the Thomas Man, starting from 1976 (number 20). An accompanying note encouraged a previous editor to “take inspiration”.

There doesn’t appear to be any record of this publication online and the copies are now in the Gordon Museum, and will hopefully be digitised soon. It would be fantastic to hear from anyone involved in producing the Thomas Man. If you have a story to tell, please don’t hesitate to get in touch!

Letters can be sent to the address on the front inside cover, through the ‘Letters’ tab on our website or to editor@gktgazette.org.uk

FEATURES

What I wish I knew as a fresher Sky Liu Medical Genetics Intercalated BSc

ummer is officially coming to an end, and as the blazing August sun sets over the horizon, another spectacle can be seen clambering over the lawns of Guys Campus: hordes and hordes of baby-faced Freshers (i.e. you.) Not to worry though; as a well seasoned Medical student, I have spent many a night roaming these hallowed hallways (late nights make ANYONE look ghastly, not just me), and am here to give you some handy tips for seeing the year through at Guys.

2) Keep on top of things. Peer pressure and an endless social calendar might make end of year exams seem like they’re rolling around in a distant time and space, however, doing a little bit everyday will really make things easier once May comes around, instead of leaving you wishing you had been to “those” lectures.

3) And finally, the most important key to success is... to enjoy yourself! No matter what you do, academic or otherwise, uni is really what you make of it. Some say first year is hard, some say it isn’t, what really matters is what you choose to do with it, so take each day as it comes and get help if you need it. Uni isn’t always easy but nothing worthwhile ever is!

1) Allow yourself time to get places. This one might seem a bit obvious, but trust me, it is so easy to overrun and end up horrendously late for a class that you thought was five minutes away. Don’t assume that you know where anything is; the winding maze of Hodgkin building may look cool during Open day, but will no doubt leave you in a breathless panic during Freshers week.

Photograph courtesy of Charlie Ding Sep - Oct 2014

GKT Gazette

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Borough

Tas Restaurant

72 Borough High St, London SE1 1XF Located a short stroll from Guy’s campus on Borough high street, Tas boasts a large and varied menu featuring many Anatolian delights. In the evening, expect to be greeted by live music which adds to the calm, serene and sophisticated ambience felt here. Prices can be a little steep but worth it for the experience and quality of food. In particular I would recommend trying the mixed grill, a selection of chicken cubes, lamb cubes and kofte, all with a side serving of cous cous. Meat served here is halal. A definite must for the next time you want a classy evening out! - Hafsah Kumbay 22

GKT Gazette

Sep - Oct 2014

Micky’s Fish & Chips

Maya House, 134-138 Borough High St, London SE1 1LB This is perhaps a less well known gem of Southwark, serving up not only delicious fish and chips, but halal burgers too! I would definitely recommend trying the grilled chicken fillet burger and chips, but if burgers don’t take your fancy they also oﬀer a range of kebabs and pizzas. From experience the food is always fresh and very tasty, and a nice treat after all the Sainsbury’s sandwich meal deals. However if you want to be thrifty go for a takeaway rather than eating in as the eat-in menu is slightly more pricey. Certainly something to try at least once as a Kings student, it even has a review on halaltables.co.uk! - Reema Akhter

The Luncheonette

Chozen Noodle

47-49 Borough High St, London SE1 1NB

59-61 Borough High St, London SE1 1NE

Being only a 3 minute walk from Guy’s campus, The Luncheonette is a very popular choice for many students. For just £3.75, it oﬀers a meal deal consisting of a substantial helping of hot food (pasta, lasagne etc) as well as a choice of fries or help-yourself salad from the salad bar. If that wasn’t amazing enough you also get a drink included. I would definitely recommend this to all students, whether you want to get a healthy bite or you are running on a tight budget. The food is delicious; the only downside is the number of people in the queue! - Abbas Zainuddin

At £5-£6 for a meal, Chozen noodles isn’t the cheapest option for lunch in Borough – however don’t be put off by the price, as it is more than justified by the quality (and quantity) of the food. For essentially the same price as a Subway, you can enjoy a box of chow mein, black bean beef or spicy chicken curry – and for a cheaper option they also offer spring rolls, gyoza or miso soup. The good food, the friendly staff and the 8-stamp reward card system make this one of my favourite places to eat after lectures. - Will Waugh

3BIS Gelateria

4 Park St, London SE1 9AB Tucked away in the touristy maze that is Borough market, you may walk past this delightful Italian gelateria without even noticing. Whilst the outside decor is not the most obvious; (what does 3BIS even mean?), a step inside serves up a lovely feast for the senses: smooth and sensual coffee, masterful handmade desserts and surprise, surprise Italian ice cream, swirled lovingly onto a very biscuity, twirly cone. Usual flavours include chocolate, coconut and my favourite, pistachio but with a few in house specials that vary from branch to branch. The Green tea speciality of this Borough branch is not to be missed and will have you hunting down other branches to try their one offs (all for scientific comparison of course!). So if you’re looking to get away from the library, head down to 3BIS Gelateria for a scoop of the good stuff followed by a pleasant (if blustery) walk down the Thames. - Sky Liu

Wahaca

Queen Elizabeth Hall, Belvedere Road, London SE1 8XX Great for sharing? Check. Celebrity endorsement? Check. Near limitless range of tequila-based cocktails? Check. Wahaca, the stylish Mexican street-food restaurant from Masterchef winner Thomasina Miers, has it all. Found at a number of central London locations (including the Southbank restaurant unsubtly concealed within a shipping container), Wahaca provides a wide range of ‘authentic’ Mexican street dishes, served in tapas-esque portions that encourage pick-and-mix tasting and sharing. If you don’t want anyone stealing the last of your favourite dish then try one of several larger mains, from classic burrito to cactus salads and fish dishes. While Wahaca may be on the pricier side of local places to eat it does make a great place for a family meal with visiting parents or to host a celebratory meal. - Alistair Roddick Jan - Feb 2014

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Photograph courtesy of Charlie Ding

Lonely in

Fi Kirkham Global Health Intercalated BSc

ni: you’ve spent an eternity ticking every box you could find, been interviewed to within an inch of death and then they separate you from your friends and family as you move into halls. Of course this reads like the plot of the next horror novel but for me that is how it felt. What’s even worse is that ‘Freshers’ is supposed to be the time of your life when you finally get the freedom to party all night and meet the people who are going to be your new best friends. Admitting I hated the experience made me feel hugely vulnerable; then I looked around at those in my tutorial group who to my surprise were all nodding and agreeing that they had felt the same. Sadly I had waited until the end of my first year to come clean about the 24

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the crowd?

Sep - Oct 2014

intense loneliness of the first few weeks and the never ending worry that I would not have any friends. So how to beat the Freshers blues (if you get them- I hope you don’t!)? Here is my 5 point plan based on my and friends (I made some) anecdotes. 1) Don’t be the half naked guy on the stolen bike who falls in the road. It was a Freshers party and I’d found a couple of relative strangers to go with. On the way back from the party we found a fellow fresher (topless) we didn’t know riding what turned out to be a stolen bike. He then fell oﬀ the bike and with him lying in the path of an on-

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coming bus we took it upon ourselves to remove him from the risk of imminent death. Although this does make an amusing memory for the two strangers (later flatmates) and me when we meet up, the poor guy has never been able to look me in the eye. If you want to make friends: keep your naked bike riding quiet until second term. 2) If you can’t live with your ﬂoor in halls- don’t. If you are living at home then there is not much that can be done if your siblings or parents drive you mad but if you get put with people that make you unhappy in halls you can move- I did! Moving away from home for the first time is stressful enough without your new flatmates keeping you up all night partying, stealing your food and using your joint kettle to stash legal highs- I wish I was kidding. Yes it is embarrassing to be the person that can’t get on with new people but as the year went on more and more medic friends needed to move within halls to get the work done. The reasons for moving were diverse but all of us found KCL housing officers were great as were personal tutors. 3) Smile at almost everyone Don’t extend this greeting to total strangers, especially on the tube, but if they are at a welcome event or in a lecture with you then smile and say hello. It sounds obvious but everyone is as nervous as you. I was the student that missed the welcome event (where there was apparently candy floss- I still feel the loss) because I didn’t know it was happening. If I had said hi to a few more people I might have known it was going on. A good place to start is the people in your tutorial group; they were the first friends I made at GKT and people I continue to turn to for support.

4) Join the rowing team even if you have pretty much no idea how to row. Dig out your long forgotten skills, sign up to the societies that mimic things you wrote on your personal statement or even better join something that you may be terrible at and go find out. Uni is all about self discovery (and balancing napping with work) but it is a great time to discover new talents or build on those you already have. Even better you will meet some new friends- I bonded with one of my closest friends at GKT over our inability to get up early for rowing practice and our dislike of cold mornings on the river. 5) Know where to go More than a map to help you find the ‘secret’ passage between Hodgkin building and Henriette-Raphael knowing where to go for support and advice can feel like an overwhelming task. Every now and again we all have those moments of doubt: am I doing the right course? Do I have what it takes? Does anyone else feel like this? For most of us the answer to all three is yes but when you are new and haven’t made many friends yet it can feel like you are all alone. At GKT there are many places to go: personal tutors, peer support, KCL counselling or the Mums and Dads if you are medic. Older students that you meet through societies will be willing to listen- they will remember how it felt to be in your position. Above all enjoy being a Fresher- it is a wonderful time and you will no doubt collect as many bizarre anecdotes as I have from my first year. Don’t worry if it seems strange and you feel like an outsider- as one friend recently said to me, “We are all misfits here.”

Sep - Oct 2014

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An interview with: Reverend Dr John Philpott-Howard Anyone taught by Dr. Philpott-Howard will know him to be a mild-mannered and witty man who loves all things microbial. Fi Kirkham had the privilege to interview him shortly before his retirement this year.

Fi Kirkham: How long have you been working at the GKT campuses?

JPH: Yes, I’m going early... I’m leaving of my own volition. It’s my 60th year- I would like to thank GKT students for John Philpott-Howard: I started at the massive “6” and “0” helium filled King’s College Hospital Medical School balloons, and the bun with a candle in in 1984, so I’ve been here 30 years, and it, and singing Happy Birthday, back in then it got absorbed into King’s College April. Really, there are several reasons: London; followed by the GKT merger I’m a clergyman and I have always in about 1998. Over all that time as a wanted to work more in the church; lecturer I was organising and assisting I’ve been doing it in my spare time on with a lot of pathology teaching, Sundays for the past 12 years, [laughs] particularly microbiology and infection. spare time! Also there is a health reason On the clinical side I mainly did micro which I won’t go into but it has been at Denmark Hill, and some plaguing me for a few years. research, but nothing Nobel Another thing is that, after “they decided 30 years as a consultant, you Prize-winning. I am not mad, feel you’ve done enough. I FK: So you’ve seen the think I need some space; I’d bad or College adapt over 30 years, like to study theology and dangerous” what would you say the focus more on that side. biggest changes are? FK: I have heard that you are ordained JPH: I think the absolutely massive and a reverend: how did that come change would be Guy’s and St Thomas’ about? merging and then joining King’s College London because it had huge knock-on JPH: Well, in 1999 my vicar said, eﬀects all around every campus with “Have you ever thought about being more than 400 students instead of 120. ordained?”; I don’t know why he asked that, he was probably trying to get rid of FK: The overwhelming response from me. I had considered it in my early 20s, the students about your retirement is or even before I went to medical school, one of great sadness but also surprise, because I have always been keen on the why are you leaving us? church and God. My vicar was thinking 26

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The Reverend Doctor in the Life Sciences Museum, Guy’s Campus. Photo: Fi Kirkham

about non-stipendiary ministry, which is some part time training and then helping out in church on Sunday, and maybe one evening a week. So I thought about it and decided it might be interesting, but then you have to go through this absolutely enormous selection procedure. Selection for medicine is absolutely nothing compared to the church, where they seriously don’t want mad, bad or dangerous people. There are about 25 hours of interviews and then you are allowed into a selection conference. It’s like an OSCE which goes on for three days and then they decided I am not mad, bad or dangerous.

FK: You were deemed not dangerous?! JPH: Yes! They let me in. You then have to do a training curacy in a parish for three years, and you can help out in different places. So that’s me: The Reverend Doctor. FK: Please can you tell me about your training as a doctor? JPH: I trained in the University of Wales, Cardiff. I did actually apply to King’s but I didn’t get in; so I am back with a vengeance. I did really like Cardiff though; I’d never been to Wales before. Sep - Oct 2014

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JPH’s Desert island discs:

Pop: The Beach Boys - God Only Knows

Classical: Henry Purcell - Olinda in the Shades Unseen

JPH’s favourite ﬁlm: 2001: a Space Odyssey (1968) “Just such an inspiring film... it isn’t just the science-fiction although I do have a love of technology.”

JPH’s favourite book: C.S. Lewis - Till We Have Faces “It is the retelling of a Greek myth”

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FK: So you went to university there without ever having been to the country it was in? JPH: Well yes, I didn’t even need to have an interview. Usually in those days you had to bowl up and speak to the Dean and if he or she, nearly always he, didn’t like the cut of your jib, you didn’t get in; but they let me in anyway and I enjoyed it a lot. The important thing about being a student is your group of friends and the people you are with; the teaching and learning is all on top of that. FK: One of our readers would like to know: what’s your favourite microorganism? JPH: I think Haemophilus would be number one because I did quite a lot of work on that before I came to King’s, and I got a paper in the BMJ amongst other things, which was a boost to my CV to become a consultant. Research: start as early as you can, it takes forever. I like Listeria, it’s my second favourite organism, and number three would be Nocardia. Listeria because it is named after Lister, who is a hero, and Nocardia because I had to deal with a big outbreak of it, one of the world’s largest, so I got to know it quite well. Haemophilus is interesting because we’ve got rid of it: when I started we saw these dreadful meningitis cases and epiglottitis in children. It was absolutely hideous, worse than meningococcus, and because of the vaccination these particular Haemophilus diseases have just vanished.

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FK: You’ve been involved in the pastoral side of medical education, what challenges has this presented you with?

I love that enthusiasm and engagement with infection problems. Knowing that students will make wonderful doctors, be it GP or hospital or whatever, that’s a great thing. The big student events like GKT’s Got Talent and the dinners are wonderful, with that brilliant organisation: students just get on with it and organise everything, it’s really encouraging. Also, somebody said recently that it’s great to see how well medical students help each other and students in the years below. That doesn’t often happen in other specialties as far as I am aware.

JPH: Well there are about 400 challenges a year [laughs], seriously, most students get on fine. There are two challenging things I would think of. One is the whole issue of fitness to practice in medicine so we have to determine who is and isn’t, particularly isn’t; and what the GMC demands is that we don’t let people through finals who aren’t fit to be foundation. The second challenge is listening to students’ stories about finances, family issues “Don’t worry FK: What are your favourite and other struggles, e.g. not liking medicine for a bit; memories from your time at about what that is quite common in year people think all GKT? 3 while students get used to the time” JPH: Well I must say that working in the NHS and all GKT’s Got Talent was pretty its pressures. I think anyone memorable and as I said who works in pastoral care will know that you do take other’s problems away some of the dinners are just fantastic occasions with several hundred students with you; you feel for the students. all in their smart gear, I see them as never FK: So what’s your favourite thing about before. Also giving lectures has been one students? of my favourite things, especially when they laugh at my jokes! JPH: I love their overwhelming enthusiasm, despite all the trials of doing FK: Finally, if you could give your medicine and stresses of the wards, medical student self one piece of advice being rebuﬀed and people not turning what would it be? up, they are still incredibly enthusiastic. It’s a real joy to see people engage JPH: I think I would say.....work a with medicine and find it so incredibly bit harder...or maybe, take time to do interesting and then even after they something adventurous. Also I would qualify you bump into them. Sometimes actually say don’t worry about what I bump into a senior consultant who people think all the time. says “You taught me microbiology when I was nineteen” or something like that. Dr Philpott-Howard - it was a pleasure. It makes you feel a bit old actually but Sep - Oct 2014

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Campus Chaplains: What we do and why we are here Keith Riglin & Stephen Stavrou You might have noticed by now that every Campus of King’s College has a Chaplain. Some of you might have been at a school with a Chaplain, or the concept might be completely strange to you. Some of are most frequently asked questions are:Who are the Chaplains? Why are there Chaplains? What do they do all day? Should there be Chaplains at all? Read on and we will try our best to enlighten you. Who are Chaplains? The College Chaplain is Tim Ditchfield, who oversees the work of the Chaplaincy on behalf of the Dean. As well as Tim, who is mostly at the Strand, each Campus now has its own Chaplain. Here’s a bit about the Chaplains at Guy’s and St Thomas’. Stephen

I’m based part-time at the Guy’s Campus with my colleague Joan and a Chaplaincy Assistant called Hannah. Between the three of us there is almost always someone in the Chaplaincy in Henriette Raphael House. When I’m not at Guy’s, I also work just down the road at Southwark Cathedral where I have the rather great title of ‘Succentor’ – look it up! I’ve worked at King’s for just 30

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over a year now, and love the Guy’s Campus. It’s in such a vibrant and interesting part of London – and the students are great! At Guy’s we’re really lucky not only to have the Chaplaincy (an office and a Quiet Room where you can always find tea and biscuits and read the paper and relax), but also a beautiful 18th century former hospital chapel that now belongs to King’s – if you haven’t been in, do go take a look, it’s always open during the day. Before coming to Guy’s I was in a church in west London and before that at Cambridge where I did both my undergraduate and masters degrees in theology. When not working at Guy’s or the Cathedral, I like cycling, contemporary art and anything Italian including food, opera, art and travel. One of my favourite quotes is by the philosopher Kierkegaard who said: ‘Life is lived forwards, but understood

Sep - Oct 2014

backwards’, which I find to be very true. Keith

I’m based at the St Thomas’ Campus, in the Chaplaincy in the Prideaux Building, and am usually about the Campus and available on Mondays, Tuesdays, and Wednesdays. Until my appointment here in 2013, St Thomas’ hasn’t had a College Chaplain, so things are still fairly new. However, within the Prideaux Building , we open a new student Common Room this term, alongside the Chaplaincy. I’m regularly about the campus and am available for all College members. Feel free to drop in anytime I’m here for coﬀee or tea, biscuits, and a chat. I value very much the team of hospital chaplains

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with whom Stephen and I work in collaboration. At St Thomas’ we have a delightful hospital chapel, open for all college members, and whose regular services are available to all. Before St Thomas’, I served for a year as the College Chaplain at the Denmark Hill and Waterloo Campuses, and in a Notting Hill parish and community development project. I have also served in churches and university chaplaincies in Bath and Cambridge, as a minister in Amersham, and as a university lecturer in Jamaica. I read theology and religious studies at Oxford and in London, receiving my doctorate from the University of Birmingham. When not at work, I enjoy contemporary

dance and the cinema, love the music of the sadly missed George Harrison, continue my childhood fascination with Doctor Who, and adore holidaying in Brittany and in New England. One of my favourite quotes is from Martin Luther – “Your laughter is the measure of your faith”! Why are there Chaplains? King’s is a Church of England (Anglican) foundation, and because of this, when it was founded in 1829, it had a Chapel and Chaplain. However, unlike most other universities in England at the time, you didn’t have to be an Anglican to study

here. The Anglican tradition continues to this day, and so does the open-minded approach to the diversity of belief and spirituality, which is clear when you look around you and see how diverse the students body is. One of the big myths about Chaplains is that they are there for Christians only this just isn’t true. We’re here for everyone, and not even just for people who say they have a religion. Everyone has beliefs and a spirituality of some kind even if it is an atheist belief. On Campus we look after all the religious provision on behalf of the Dean, so that, for example, includes the Muslim Prayer rooms. Our job as Chaplains is to support your

Sep - Oct 2014

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The Christmas Service at Guy’s Chapel` Photos provided by Stephen Stavrou

religious, moral and spiritual development so that you can be a better person, and the best person you can be. We’re also here as part of the College’s pastoral care. You can come and talk to us about anything (it certainly doesn’t have to be religious or even vaguely spiritual) in an environment that is non-judgemental, impartial, friendly and confidential. We don’t report to anyone else, so what you say goes no further. What do Chaplains do? This is a really hard question to answer because we do all sorts of things. Here’s an example of only one day last term from Stephen’s diary -

GKT Gazette

Got into the office for 9am. Did some emails and then went to Morning Prayer in the Chapel with the rest of the Guy’s team. Had a quick planning meeting together and then met with a student who was stressed about exams. Had a walk about the campus at lunchtime visiting some people I know. Popped down to the Muslim Prayer Rooms to see how everything was there. Put up some posters with the Chaplaincy Assistant in the afternoon for our Pimm’s and Strawberries event the following week. Finished off by seeing one of my Tutees and then has our Thursday Evening Prayer and Mass in the Chapel. Went to the pub with the conductor of the Guy’s Chapel Choir.

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Should there be Chaplains at all? Chaplains are part of what makes King’s a bit diﬀerent and special. We take you and your wellbeing seriously. As Chaplains we encourage the diversity and plurality of King’s, making sure that it is an inclusive place, where people feel personally cared for by what can seem like a very big and impersonal institution. But more generally than that, it’s about learning to be good people, living alongside each other, understanding and helping each other to build a better society and world. If those aren’t good reasons for having Chaplains, I don’t know what are!

Dr Oliver Johnson

KSLP Programme Director

ARTS & CULTURE

How the creative spirit transforms the world Christina Georgallou

“To disobey in order to take action is the byword of all creative spirits.” - Gaston Bachelard, ‘Prometheus’, Fragments of a Poetics of Fire, 1961

ne of the last acts of protest in the display resourcefulness and ingenuity campaign to save the University in their creation. The display of re-used of London Union (ULU) was the “found objects” detached from their exhibition ‘Eviction’, showcasing the original context is reminiscent of the work of a group of artists in response Readymades of Marcel Duchamp. to the closure of the students’ union. Wary of this similarity, co-curator A bright and inviting space (the part Gavin Grindon made president that of the bar fittingly called the Gallery) these objects were presented together housed some 20 pieces. Installations with as much context as possible: encompassing sculpture, film and video, photographs, design notes. He illustration hung from the walls and said, “Only their contexts of use make ceiling, as though clinging on to the them whole, otherwise they are lost as space. The ambiance was fragments”. one of hope, whilst also bearing heavy undertones of “From exhibition Unlike those in ‘Eviction’ the futility of its objectives. turned protest, to the pieces in ‘Disobedient Objects’ were not made with Lou Macnamara, curator protest turned a gallery space in mind, nor and artist, described the exhibition” do they rely on this space loss of ULU as “a tragedy”, to legitimise them. So what not only for the students it represented, but also for the progressive can be gained from their appearance and radical campaigns to which it has here? An exhibition can provide a space to consider, away from the rush played host. of a political action or the hyperbole of From exhibition turned protest, to mass media. This was demonstrated protest turned exhibition: The V&A’s at the ‘ARTPLAY’ design space in ‘Disobedient Objects’ brings together Moscow during the demonstrations 30 years of object-based tactics and against Putin’s election as president in strategies that movements have adopted 2012. Recognizing that a new style of to succeed. These objects, often produced public protest was emerging in Russia, under conditions of duress and scarcity, exemplified by individualised and often

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Sep - Oct 2014

ARTS & CULTURE

“Talking Down”, installation at Eviction by Lou Macnamara. Photo: Christina Georgallou

witty handmade placards, ‘ARTPLAY’ invited protesters to lend their placards to the gallery for a short period during which they staged an exhibition, entitled ‘You don’t even represent us / You can’t even imagine us’. Afterwards many of the placards were collected by their makers and carried in further demonstrations. The exhibition was an affirmation that something significant was happening in terms of both politics and design. The outdated concept of the ‘museum as mausoleum’ – places where objects

go to die, where they are preserved like a butterfly enclosed in a case, is far removed from the reality of the ‘Disobedient Objects’. Some are from disputes that have not yet ended, others are retired from successful campaigns. Bringing these objects and their histories together and presenting them to an audience that may never have encountered them in the flesh provides a moment of consideration, a space where people can see these objects in a diﬀerent light, to spend time with them, to slowly examine them. Sep - Oct 2014

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Yet the value of some of these objects in terms of beauty and aesthetic fineness comes under scrutiny when displayed besides the extravagant craftsmanship found elsewhere in the V&A. The ‘Disobedient Objects’ might seem unrefined in a comparative judgment of aesthetic quality, but this can be seen as a disobedience in its own right. Where fine making belongs to privileged social conditions involving institutional training and normalisation, fine objects are themselves bound to fail to make change. ‘Disobedient Objects’ explores what Judith Halberstam calls “the queer art of failure”: to find alternatives to conventional understandings of success in a heteronormative capitalist society.

These objects may be simple in means, but they are rich in ends. This is not to balance aesthetic quality against social significance, but to begin to rethink aesthetic value itself. Art is a reflection of the world. The world is messy. Political art is engaged with this mess. This is not to say that there is no aesthetic consideration in the craftsmanship of these disobedient objects. Co-curator Gavin Grindon said, “Political movement is always a matter of being emotionally moved, and the aesthetics of a protest is part of the impact of that action.” For example, the London Book Bloc of students protested against budget cuts to education using foam rubber, cardboard

London Book Bloc in 2010. Photo: Arts Against Cuts

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and plexiglas shields decorated like books, and used to non-violently push back against police baton strikes. This tactic was an attempt to alter perceptions of the situation; the attempt by the police to control the street using violence was no longer just brutality against unruly individuals, but was reframed as state-mandated violence against free thought, expression and education. The ability of an object to reframe its context is further exemplified in ‘Eviction’. The exhibition was to be part of a series of events in the lead up to an occupation, however the questionable viability of this outcome saw hesitant artists consider alternative strategies. With practical, legal and ethical issues hindering both human and animal occupation, the idea of the bat box originated. Bat boxes are artificial roosts designed to encourage bats into areas where there are few roosting sites. Legislation protects these roosts against

their removal procedure even in the absence of their inhabitation and exemption requires a license. Such subtle gestures negotiate the situation to delay or stop huge development projects and the takeover of power. In Grindons’ words, “You couldn’t be as disobedient without the objects”.

Above: How-to guides given out as part of the “Disobedient Objects” exhibition. Images: Vicotoria & Albeert Museum

Although these exhibitions are far from similar, some core objectives hold true for both: social movements, hand in hand with art and design, have long been at the centre of the struggles that have won many of the rights and liberties we now enjoy. So to reflect on the strategies tied to these movements for change can open new connections and possibilities, in the words of ‘Eviction’ curator Macnamara: “to provide a hub for crossfertilisation between diﬀerent campaigns across London”. In this sense perhaps whilst in the gallery these objects are less dormant than one might expect.

Sep - Oct 2014

GKT Gazette

5 Podcasts ARTS & CULTURE

of the best...

Amy Silver BSc Adult Nursing (3rd Year)

5. Radiolab

Radiolab are forever bringing interesting, little covered topics to the foreground of their reporting. The podcasts don’t take on the normal flow of to and fro between two presenters; they change time zone, setting and narrator often, and are edited beautifully, in a way that almost helps you visualise the interviewees, the settings and the characters they describe. Recommended: Patient Zero.

4. Sawbones Sawbones describes itself as a ‘marital misguided tour’ through the history of medicine and all the weird and in many cases, utterly insane ways we have tried to fix people throughout history. Comedian Justin McElroy and his wife, Dr Sydnee McElroy host this incredibly interesting and very funny show. An excellent antidote for the end of shift blues or to get your brain fired up to tackle those harder revision topics. Recommended: Vaccines; Corpse Theft and the Resurrection Men.

3. The Intensive Care Network Podcasts The ICN podcasts are recorded in Australia and discuss all sorts of matters relevant to intensive care medicine, from the expected issues surrounding ITU admission following cardiac arrest, to the slightly more specialist, such as how we care for the hyper-obese ITU patient. A must hear for all aspiring intensivists (and their discussions of multi-organ systems make for very good biology revision). Recommended: Flynn: Fat People in ICU; Jon Gatward on Liver Transplantation. 38

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ARTS & CULTURE

2. Brain Talk A weekly neuroscience podcast hosted by the John Hopkins Brain Science Institute that brings some of the most exciting researchers in neurology to the forefront to discuss their work. Subjects range from depression and addiction, to stroke rehabilitation and traumatic brain injury. Recommended: The Hidden Epidemic of Traumatic Brain Injury.

1. Best Science Medicine Podcast- BS without the BS Self-proclaimed ‘medication mythbusters’ Dr James McCormack and Dr Michael Allen present this weekly round-up of what’s new in the world of pharmacology. Presenting new studies, new trials and the best evidence based research they can find, this is a perfect podcast to help you build on your pharma-knowledge. Recommended: The eﬀect of NSAIDS on fracture healing: much ado about nothing Sep - Oct 2014

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Honourable mentions Although not strictly medical, all work and no play makes Jack a dull boy, so here are a few that you can technically still class as work. Kind of. Richard Herring’s Leicester Square Theatre Podcast Richard Herring, as well as being a very funny bloke, is a really keen and witty interviewer and indeed, has interviewed some equally keen and witty people; including Jon Ronson, author of The Psychopath Test, and Stephen Fry. It was a question from Herring that prompted Fry’s confession that he had attempted suicide early last year, and his subsequent discussion of bipolar disorder is warm, poignant, and an essential listen.

The Rickey Gervais Guide to Medicine The Gervais podcasts were really where podcasts gleaned their popularity from, and in this series of ‘Guides’, Gervais and Merchant go on a wondrous journey of discovery with Karl Pilkington on how we learnt to fix people.

Dr Andy Franklyn-Miller Sport Medicine

Dr Andy is a sports medicine physician, who’s worked with several leading sports teams around the world. It’s a little old and there are only 5 episodes, but for anyone who uses sport to blow oﬀ steam, this podcast is ideal and gives some great tips on how to improve your exercise potential.

GKT Gazette

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Anaesthesia

at a Glance Julian Stone William Fawcett

with on l

ases dC

MCQs a n ine

Obstetrics and Gynecology

at a Glance Fourth Edition Errol Norwitz John Schorge

Haematology

at a Glance Fourth Edition Atul B. Mehta A. Victor Hoffbrand

Medical Genetics

at a Glance Third Edition Dorian J. Pritchard Bruce R. Korf

The Foundation Programme

at a Glance Edited by Stuart Carney Derek Gallen

Ophthalmology

at a Glance Second Edition

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Medical Sciences

at a Glance PRACTICE WORKBOOK

Jane Olver Laura Crawley Gurjeet Jutley Lorraine Cassidy

Jakub Scaber Faisal Rahman Peter Abrahams

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with sel

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Oncology

Physiology

Graham G. Dark

Third Edition

at a Glance

at a Glance Jeremy P. T. Ward

d flas hc ards

MCQs

Roger W. A. Linden

Medical Sciences

at a Glance

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Edited by Michael Randall

The at a Glance series The market-leading at a Glance series is used world-wide by medical students, residents, junior doctors and health professionals for its concise and clear approach and superb illustrations. Each topic is presented in a double-page spread with clear, easy-to-follow diagrams, supported by succinct explanatory text. Covering the whole medical curriculum, these introductory texts are ideal for teaching, learning and exam preparation, and are useful throughout medical school and beyond.

www.ataglanceseries.com

DENTAL

Advice to a new dental student Aaron Kieran Brough BDS2

ou've made it - you’re at dental school and you’re about to embark on a career that is highly challenging but at the same time incredibly rewarding. Starting dental school might come across as daunting but everyone will be in the same boat and you won't be the only one asking yourself these sorts of questions: what have I just signed up for? How often should I study? Will I be able to go out as much as other students? What happens if I fail the first exam? Well this article has been written to help you cruise through the first year, hit the ground running from day one and make the transition from sixth form to university seem eﬀortless. Keep on top of your emails - You can link them through to your smartphone and get notifications on your mobile. You will need to check your emails daily in order to keep up with everything.

GKT Gazette

Sep - Oct 2014

Join a society – A lot of dentists don’t get involved in a society and therefore many miss out on opportunities such as getting to compete for the university, becoming a committee member and getting to wear kit religiously around campus. Keep on top of the work from day one – Your mind-set tells you study and revise as if you were still doing A-Levels - “I can leave it and revise a few weeks before the exam and I’ll ace it! Don’t worry about it!” However at dental school you will need to learn throughout the year - just do a bit each day and you’ll find when it comes to the exams you'll only need to recap the things you’ve already learnt. Make sure you organise your notes in to folders as you go - you will be moving through work at a very fast pace and if you don’t keep everything organised you will soon be lost in a mountain of work and it will feel like there is too much to handle.

DENTAL

Work hard play hard – Make the most of first year, you will have time to go out at least twice a week if you organise your time effectively. It may not be as much as your friends but enjoy London and the nightlife it has to offer. Make sure you attend the Dental Society socials as it’s a great way to get to know the older years and make friends. Vary your revision techniques - Learn visually by watching videos, audio learn in lectures and learn kinaesthetically whilst writing notes. Use YouTube if you don’t understand something - it is one of the most undervalued resources used at university. There are plenty of videos which explain difficult concepts in simple ways. You will also learn a lot by working with other peers as they can help explain things you don’t understand, and you can check your understanding of difficult concepts by teaching them. So don’t become a recluse and make sure you get to know your year group - you will be with them for five years! Clinics - Ask as many questions as you can think of whilst on clinic. The time you spend on clinics is scarce this year but invaluable as at the same time it sets you up for the years to come. Attend the lectures – Although optional, the extra notes you get from them help you to make sense of the lecture notes and also structure your day. If you don’t understand, don’t sit there in silence - just ask. There is no such thing as a stupid question! Prior to every lecture you will have access to the lecture notes on KEATS (your online e-learning resource), so make sure you print the lecture notes off and bring them to lectures. All you will need to do then is annotate them. Make use of your dental parents – You will be assigned BDS2 parents. Get to know your

dental parents, as they’ve been through what you’re about to embark on. If you have any questions don’t be afraid to ask them as they will be more than willing to help you. If you’re struggling - If you feel like the work is becoming too much or other issues have arisen make sure to seek help – your personal tutor, Dr Cabot and Professor Woolford will always be there if you are struggling, don’t be afraid to talk to them. Textbooks – You start the course and all of a sudden every time you attend a lecture a textbook is recommended to you; which one should I get? How will I have time to read all of them? Well the vast majority of my fellow dental students and I only bought these three textbooks: 1. Physiology at a Glance (2013) by Jeremy Ward and Roger Linden 2. Core Anatomy for Students Volume 2: The Thorax, Abdomen, Pelvis and Perinum (1995) by Christopher Dean and John Pegington 3. Essentials of Dental Radiography and Radiology, 5th edition (2013) by Eric Whaites and Nicholas Drage Formative Assessments - The formatives are there to assess how well your revision is going. Use them as bench markers and don’t panic if you fail one - you only need to pass two out of three to sit the end of year exam, but aim to pass all of them as it is definitely within your reach. If you do fail one, ask for detailed feedback, identify why it happened and make sure you take action so that you ace the next formative. As a final point, I’d like to wish you good luck with your studies this year and remember to enjoy yourself!

Sep - Oct 2014

GKT Gazette

NURSING & MIDWIFERY

Revealing the microscopic secrets of childbirth Amy Silver BSc Adult Nursing (3rd Year)

his September, King’s Nursing and Midwifery Society will host a screening of Microbirth, and independently made film exploring how the circumstances following our birth may aﬀect our immunity. The film is made by OneWorldBirth, an organisation which begun as the film project of Toni Harman and Alex Wakeford. Once their daughter was born, they found they had many questions surrounding the birth itself, particularly when it came to the lack of control they felt they had during the process; who has power during birth? As a result, they took to the

road to interview and film childbirth experts, trying to discover what it means to give birth in the modern Western world. MicroBirth is a new featurelength documentary, investigating the latest scientific research surrounding the idea that the way babies are born can aﬀect their health in later life. The purpose of the documentary is to raise public awareness of the import ance of promoting a healthy immune response as early on as possible; if not through vaginal birth, then via the use of breastfeeding, skin-to-skin contact, and

Nursing student assessment standardised across London Amy Silver BSc Adult Nursing (3rd Year)

his year’s new Nursing students will be the first to use the Pan London

GKT Gazette

Practice Assessment Document (PLPAD). The PLPAD, which has been

Sep - Oct 2014

other methods. In view of current research, if a baby’s microbiome can be ‘seeded’ from the moment of birth, this may have a huge impact on the baby’s health for the rest of its life. The screening, organised by KCLNMS’s midwifery representatives Natalie Buschman and Tess Dailey, will take place during the week of September 20th. For details, head to the King’s College Nursing and Midwifery Society Facebook page or visit: www.microbirth.com

in development since 2012, will be used by nine higher education institutes, including King’s, to validate the clinical performance of its nursing students whilst they are on placement. The new document will cover all

NURSING & MIDWIFERY

Previously, the nine universities offering nursing degree courses in the Greater London area each used different documents

four branches of nursing Adult, Child, Mental Health and Learning Disability for BSc, MSc and PG-Dip students. All pre-registration students spend around fifty percent of their time in clinical practice, under the guidance of practice mentors. Previously,

the nine universities offering nursing degree courses in the Greater London area each used different documents; this in turn created pressure on clinical areas to provide as many different scenarios as possible so as to meet the needs of each document. Having been approved by

the Nursing and Midwifery Council, the PLPAD London aims to oﬀer students and mentors greater consistency and transparency; to make the process of assessment easier; and to promote the professionalism amongst all pre-registration students necessary to reach qualified status. In turn, the NMC and PLPAD committee hope that higher education institutes, placement providers in both the acute and community settings, students and mentors will utilise the new document to its full potential to continue to support and safeguard patients.

GKT WFC Fresher's Trials 24/09/2014 @ Boland House 12:30 Facebook: GKT WFC Twitter: KCLMS_WFC pitchero.com/clubs/gktwfc

Sep - Oct 2014

GKT Gazette

NURSING & MIDWIFERY

The Black Balloon

Deepika Sharma Mental Health Nursing (3rd Year)

norexia nervosa is a complex illness which can often lead to stigmatising attitudes from the public and healthcare professionals. There is extensive literature on the topic of stigma towards mental illness, yet there is little research about the stigma around anorexia. The few studies available indicate that the common stigmatising attitudes revolve around the ideas that patients with anorexia nervosa can “pull themselves together”, “fix themselves” and that they are responsible for their illness. All of these are completely untrue; anorexia nervosa is a mental illness that usually cannot be resolved without treatment and support. 46

GKT Gazette

Stereotyping, stigmatising and labelling all stem from a lack of knowledge about someone’s diagnosis. Patients with Anorexia will often receive treatment for physical health problems in general hospitals, where healthcare professionals are generally not as knowledgeable about mental illnesses, compared to mental health professionals. Many nurses will treat individuals with Anorexia, and therefore it is beneficial for them to receive more education regarding this complex disorder. However, health professionals need study time to increase their evidence-base and with the NHS thought to be facing a funding gap of £2billion for the next financial year, a lack of time and resources appear to be key barriers to developing

Sep - Oct 2014

NURSING & MIDWIFERY

emeducation” is a relatively new advance in nursing education and indeed, can be said to be more engaging than traditional dialectic teaching methods.

educational programmes for qualified nurses. However, video education or “Cinemeducation” may be the way forward. Reading evidence-based literature can be time-consuming. However, scheduling a five minute video into a nurse’s day is much easier. Furthermore if the video were to be posted to a place of prominence, such as the hospital intranet, healthcare professionals have quick and easy access to it. It is also assumed to be much more cost-eﬀective than hiring educators to conduct educational sessions. This type of video education, named “Cin-

order unit, often feeling like she was labelled a liar, when in fact she was just very unwell. When researching more into patients experiences of eating disorder units, I found similar experiences of feeling labelled, often being reported by patients. I wanted to create something that would tackle the stigma of eating disorders.

So why not use this method for healthcare professionals? Video can be used to foster appropriate attitudes and combat subtle prejudices. It has the ability to portray behavioural and mental health This video highlights the themes with both experience of the aspect of realFrances’s strugism and an ‘emo- “I was shocked gle with anorextional punch’. It ia nervosa. The to see a few allows individublack balloons healthcare als to deal openly symbolise Anprofessionals orexia’s hold on with their beliefs and attitudes, using words a person. At the even if they may end of the vidlike ‘liar’ and eo, not all of the be stigmatising, allowing them to ‘manipulative’ balloons are recritically evaluleased. Recovto describe ate and reflect on ery is a lifelong patients” them. process for most people with anMy video is a product of six orexia nervosa. Recovery months research and around does not mean the problem 5 days editing. Spending 6 is gone; recovery is an ongoweeks in an eating disor- ing process so requires mainder unit opened my eyes to tenance, follow ups and regwhat a friend of mine had ular monitoring. My hope is been through. I found many that this video could not only healthcare professionals ex- be utilised by healthcare protremely understanding but fessionals, but also by family I was shocked to see a few members of those with anhealthcare professionals orexia nervosa, the general using words like “liar” and public and students in sec“manipulative” to describe ondary school. patients. My friend Frances also had a negative experi- The Black Balloon can be ence of being in an eating dis- viewed at gktgazette.org.uk Sep - Oct 2014

GKT Gazette

SHOP

GKT Gazette Shop Here is a selection of our Guy’s, King’s College & St Thomas’ Hospitals memorabilia

1 2 3

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Sep - Oct 2014

SHOP

Key (images not to scale): 1 2 3 4 5 6 7 8 9 10 11 12 13 14

Photographs courtesy of Charlie Ding

Large Hip Flask Tie - GKT Shields Tie - GKT Stripes & Shields Tie - Guy’s Stripes Tie - STH Narrow Stripes Tie - STH Wide Stripes Silver Plated Guy’s Tie Slide Gold Plated KCH Cuﬄinks Silver Plated Guy’s Cuﬄinks Hand Painted Shield STH Dark Wood Guy’s Lapel Badge (front and rear) Guy’s Bookmark Guy’s Mousemat Guy’s Leather Key Fob

Memorabilia are now available for purchase and collection from the Gordon Museum reception. See overleaf for price list and mail order form.

Sep - Oct 2014

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PRODUCT Hand Painted Shield: Light Medium Dark Pewter Tankard Pewter Goblet Small Hip Flask Large Hip Flask Silver Plated Cushion Clock Silver Plated Cufflinks Silver Plated Tie Slide Gold Plated Cufflinks Gold Plated Tie Slide Gent’s Stick Pin Lapel Badge Ladies Bow Brooch Leather Wallet Leather Bookmark Leather Key Fob Mousemat A4 Print A3 Print Scarf Tie

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Total £ All above prices are inclusive of postage and packing. Please allow 28 days for delivery. Customer and Delivery Details Title: Prof/Dr/Mr/Mrs/Miss/Ms Initials:_______ Surname:__________________________________ Address:_____________________________________________________ ___________________________________________________________ Postcode:_________________ Delivery address (if different from above): ____________________________________________________________ ____________________________________________________________ Telephone (in event of query):_____________________ Please make cheques payable to GKT Gazette and send this form to Margaret Whatley, Central Office, Floor 18, Guy’s Tower, Guy’s Hospital, London Bridge, SE1 9RT.Tel: 0207 188 1761 Sep - Oct 2014

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KSLP Programme Director

Textbooks we like: Physiology at a Glance

Gray’s Anatomy

MBBS1 was pretty heavy on the physiology so the textbook Physiology at a Glance was a real life saver. The double page spreads match up with the titles of the lectures because the book was written by one of our lecturers. The diagrams and flow charts are very clear and the book remained useful as a refresher for second year. Having been written by the lecturers the material covered mirrors what we cover in lectures and tutorials with more detail and helps clarify any points you’ve missed. The language is simple throughout and covers all the basics needed to provide a complete guide to starting out in physiology.

The second port of call after Wikipedia to brush up on those muscles, attachments and blood supply. The information is presented clearly in tables, 3D computer drawn diagrams and detailed paragraphs of text. Don’t be put oﬀ by the chunkiness of the textbook as everything you require can be found easily in the well-labelled sections and the very thorough index. In addition, back up your learning by testing yourself with the accompanying flashcards. Gray’s is the perfect addition for those who want to go over what’s covered in lectures in a slightly diﬀerent way and read up that little bit extra. Warning: don’t get this confused with Grey’s Anatomy.

Fi Kirkham, Intercalated BSc

Deniz Üstüner, MBBS 3

How the Immune System Works

Essential Clinical Anatomy

Wheater’s Functional Histology

This short textbook by retired professor, Lauren Sompayrac, helped me to improve on a poor conceptual understanding of immunology during my BSc degree. The simple, personal and humorous writing style was engaging - although American football references were confusing - whilst the mini-tests were helpful in checking that each lecture was being taken in and the summary diagrams were useful as visual aids for linking concepts explained in other chapters. With the immune system discussed in disease contexts including autoimmunity, inflammatory diseases and cancer as well the physiology of host defence, How the Immune System Works is an excellent introduction to what can be a daunting subject.

As anatomy forms such a large and crucial part of the pre-clinical medical curriculum, it is important to choose a textbook to suit your own style of learning. Many such books contain an excessive level of detail and are simply overwhelming. Moore and Dalley, perhaps better known for their Clinically Oriented Anatomy, have also produced this thorough but concise book. Essential Clinical Anatomy is both appropriately detailed and accessible enough to provide pre-clinical students with a functional and in-depth understanding of anatomy sufficient to excel in their assessments. With new copies available online for less than £17, it won’t do the bank balance too much damage either.

A definite go-to textbook for anyone hoping to get a head start in histology. The textbook is clearly set out and it is easy to look at each system in turn, which is very helpful because that is how histology labs are taught. It’s definitely worth looking through the book with the help of your lecture notes before histology practicals because getting familiar with basic principles can avoid you getting lost in those two hour sessions. The images are also great for showing you exactly what you should be looking out for when looking through your own microscope and this book will come in hand again when you come to prep for OSCE at the end of year 2.

Simon Cleary, PhD Student

Polly Kaplan, MBBS 3

Amy Edwards, MBBS 3

Sep - Oct 2014

GKT Gazette

HISTORY

An overlooked surgical hero

David Preston MD, FRCP

Sir William Arbuthnot Lane was argubly one of the greatest surgeons to train at Guy’s Hospital, but controversies regarding his social medicine and dietetics theories led some to view him as a crank. Biographer David Preston believes that Lane should rightfully be considered one of our surgical heros.

n the old medical school at Guy’s is a dark corridor with dozens of dusty oil portraits. Now scarcely noticed, they are reminders of a golden age when some of the greatest names in British medicine were consultants there. Some like Addison, Astley-Cooper, Bright, Hilton or Gull achieved immortality because of the diseases or anatomical features they described. Others have been forgotten although their achievements were perhaps greater. Amongst the latter is Arbuthnot Lane, now remembered only by Lane’s dissecting forceps included in every general surgical operating pack. After Astley-Cooper he is arguably the greatest surgeon that Guy’s produced and a man who had a profound influence on the practice of surgery for generations. Who was he and what did he do? Lane entered Guy’s in 1872 aged 16. An exceptional student, he was appointed anatomy demonstrator whilst awaiting a chance to get a junior staﬀ post. He 56

GKT Gazette

wanted to be a physician – but chose surgery as he was told his chances of advancement were greater. The surgeons lived longer than expected and Lane was stuck for 6 years in the anatomy department. He put this time to good use dissecting everything the students had left, stripping the bodies down to bone. These detailed studies led to an interest in orthopaedic surgery, a specialty not yet recognized, and by the time he joined the surgical staﬀ he had written 60 papers and two text books. He noticed bone union was poor with contemporary treatments with most subjects left deformed or crippled.

Formal portrait of Lane, circa 1910

Sep - Oct 2014

Against universal opposition he proposed using steel plates to help unite fractures of long bones. This was anathema to Victorian surgeons who thought by converting a closed to an open (compound) fracture, the surgeon would cause infection and death. Lane was reported to the General Medical Council for malpractice and any surgeon who mentioned this treatment at their

HISTORY

and ileo-rectal anastomosis. He was the first to give open cardiac massage during an operation and was a pioneer of complex oesophageal surgery removing a cancerous pharynx and replacing the involved Lane was the father of aseptic surgery. 30 oesophagus with an inverted skin graft. He years before him, Lister had introduced developed new operations for cleft palate, antiseptic (carbolic) which was sprayed operating on over 1000 neonates at Great around the room, used to sterilise equipment Ormond Street Hospital. He was the first to and even poured into open wounds. Lane open up the mastoid space for sepsis and to realised that this was inadequate as before clear it successfully and also first to tie oﬀ the antibiotics 30% of patients undergoing internal jugular vein for sinus thrombosis. laparotomy died. He proposed avoiding any He invented 54 new instruments, many of direct contact between the surgeon and the which we still use. During the First World patient. His staﬀ wore long War he was in charge of rubber aprons over which surgical services for the “Lane was the were placed gowns soaked British army, setting up the father of aseptic in carbolic. They were bare renowned plastic surgery to the elbow and scrubbed surgery... a pioneer unit at Sidcup. in carbolic before putting who repeatedly To today’s doctors it might on rubber gloves. He introduced the towel clip to challenged medical seem astonishing that a single person could pioneer seal the edge of the wound orthodoxy” surgery over such a broad and had instruments made 18 inches long so that bone fragments could field. But there was more to come: On retirement he set up the New Health Society, be manipulated without touching them. an organisation devoted to getting the public The results were impressive. In a clinical trial to eat more fruit and vegetables and adopt a reported in the British Medical Journal none high fibre diet. He was 40 years ahead of his of 500 patients he operated on developed time. Sadly controversy over his treatment of a wound infection - an extraordinary constipation blighted his reputation in later achievement in the pre-antibiotic era. life and the message was obscured. He did however set up the first chair of Dietetics in Lane was a pioneer who repeatedly this country. challenged medical orthodoxy. As a house officer he wrote a paper showing removal of A reappraisal of his work is long overdue and a rib cured empyaema in children. He was Guy’s Hospital can rightly be proud of one of the first to remove the spleen for trauma, to its most illustrious sons. give intravenous saline to treat shock and to successfully carry out total colectomy FRCS exam was failed! No one noticed that Lane had introduced a major change to surgical practice that made the operations safe and would soon be adopted worldwide.

Sep - Oct 2014

GKT Gazette

HISTORY

What to do if London Bridge falls down Fi Kirkham Global Health Intercalated BSc

“Upon London Bridge, the heads of traitors were stuck on spikes for all to see. The bridge was the focal point of the city and for all of England” - Edward Rutherford, in London: a Novel

magine for a moment that the bridge and all other crossings to the North Bank are gone and the winding, cobbled streets of Southwark are your chosen playground. What would you do with a free afternoon?? To help you answer this, I have stepped into the murky depths of the foundations upon which our great University stands (not literally- that would be disgusting) to bring you just a taster of old London. For a sense of the underworld lifestyle notorious at the Gateway to the City of London, look no further than The Clink Museum, on Clink Street. The museum stands on the former site of a paupers’ prison owned by the Bishop of Winchester - a ticket to a play at the nearby Rose Playhouse allows you to see the foundations of a debtors’ prison also owned by the Bishop, the ruins of whose palace can be seen on Clink Street. Not somewhere to be entered on your own, surprises around dark corners will have you jumping at every turn. In its lifetime, the prison on this site became home to prisoners incarcerated for crimes ranging from the infamous Guy Fawkes Plot to prostitution. Condemned by society then forgotten; if the prisoner didn’t die of starvation then a host 58

GKT Gazette

Sep - Oct 2014

of infectious diseases waited for them in the crowded cells and squalid conditions. The section on torture is genuinely horrific and not somewhere to pause if you are squeamish. The terrifying description of punishments with replicas of the equipment is apparently one of the largest and goriest collections in existence. The diseases suﬀered by the inmates are listed in textbook-level detail and include ‘Flux’- dysentery; ‘Ague’- malaria and ‘Gaol fever’- typhoid. Although this Southwark prison was the origin of the expression, “To be thrown in the clink”, the Clink Museum is a little disappointing. Perhaps aimed at a younger demographic, half the horror is produced by your own imagination of the past rather than the actual exhibits. Despite this, the museum does provide a brief overview of nearly nine hundred years of history, impressive given its size, and is well worth a visit if you’re in the mood to learn. For an extra fee, groups of ten or more can receive a guided tour which I thoroughly enjoyed as the curators can provide much more detail than the bookletguided tour. If you are looking for a real scare I would recommend going to The Clink’s next ‘Haunted Happening’. Locked in as a group

HISTORY

“Although this Southwark prison was the origin of the expression ‘to be thrown in the clink’, the Clink Museum is a little disappointing.” Photo: Fi Kirkham

overnight you will be led through séances and use Ouija boards in an attempt to summon long dead prisoners’ spirits back from the grave. I can’t say that I intend to partake of this no doubt thrilling experience - a horror film is enough to cause me nightmares. My next stop on this tour could only be ‘The Old Operating Theatre and Herb Garret’ located just opposite the gates of Guy’s campus, the former site of St Thomas Hospital. Lost to living memory for almost one hundred years the museum seeks to chronicle the lives of some of the finest St Thomas’ and Guy’s surgeons. The collection is eclectic and highlights how far medicine has progressed into the methods used to save lives today. Initially just a storage facility for the resident apothecary’s herbs to dry in (a garret is a ventilated attic); little is known of the original operating theatres at the old St

Thomas’ Hospital, open until 1862, but half of the space was converted to an operating theatre in 1822 - as is still the case in much of London, space was limited. If you’ve been lucky enough to stand in the dissection room or have even observed live surgery, then the mock-up operating theatre will really remind you just how close we are to the history of our forebears. The grizzly display cases of instruments used over the centuries seemed unnervingly similar to those used for torture just down the street in The Clink Prison; it certainly gave me pause for thought. The museum also provides insight into the operations performed here. In a time before anaesthetics surgeons required speed as much as skill, with amputations taking a minute or less. To prepare patients surgery, opiates from the garret would have been administered as well as a good dose of alcohol. The operations were well Sep - Oct 2014

GKT Gazette

HISTORY

The Old Operating Theatre. Photo: Fi Kirkham

attended by students and John Flint South, an eminent surgeon and student of Astley Cooper, provides a firsthand account of this experience: “Behind the second partition stood the pupils, packed like herrings in a barrel, but not so quiet, as those behind them were continually pressing on those before and were continually struggling to relieve themselves of it, and had not infrequently to be got out exhausted. There was also a continual calling out of “Heads, Heads” to those about the table whose heads interfered with the sightseers.” How this commotion would have aﬀected the no doubt already traumatised patients psychologically is hard to imagine but the 60

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Sep - Oct 2014

introduction of ether and chloroform in 1847 must have made both patient and surgeon considerably more at ease. Death rates were high as the operating theatres here shut some time before antiseptic technique was introduced and shock was a major risk with no blood transfusions or fluids available to sustain patients. Despite this, the museum should fill every student at GKT with a sense of pride; it is a remarkable tradition to which we belong. Southwark is teeming with historical places of interest and whether you are new to the university or returning for another year of study, it is never too late to delve into the past.

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RESEARCH

Another summer, another placement

Rachel Markwick 4th year PhD Student, King’s College London Michelle Oberoi 4th year undergraduate, University of California, Irvine

ummer research placements are employers or PhD supervisors that you temporary positions, usually have relevant (or any!) work experience. lasting eight to twelve weeks, that But how do you get one of these soughtcan provide students with a real insight after placements? And what is it really into what it is actually like working in like? If you have considered a summer a certain field. In particular, summer placement, have you thought about placements in research, can provide travelling abroad? And what is it like for students with valuable experience of a those who do actually supervise you? busy laboratory and should be of interest to anyone who wishes to improve their Students interested in pursuing a scientific or medical career. Although studentship need to contact a suitable many summer placements in laboratory supervisor well in advance, either independently or by research are unadvertised looking at the potential and unpaid, the Schools of Biomedical Science and How do you projects online through Virtual Campus. You then Medicine at King’s College get one of these need to ask them if they’ll London fortunately provide sought-after supervise you in the lab funding for around 35 studentships. Charities and placements? over the summer. Getting in contact with a supervisor learned societies such as And what is it for a summer placement is the Physiological Society, mainly done through e-mail, the Wellcome Trust, the really like? word of mouth, or even by Biochemical Society and cold calling! the British Pharmacological Society also oﬀer studentship funding but have strict deadlines for applications Two students in our office gave me further insight into the placement process: (see “Find a Funder” overleaf). Vanessa Megaro, an undergraduate Placements aﬀord students invaluable going into her 3rd year of Pharmacology, opportunities to gain new skills, sent out e-mails to academics in her field professional responsibility, and of interest. “Many were unsuccessful crucially, to be able to show potential due to lack of supervision but Professor

GKT Gazette

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RESEARCH

“A limited number of experiments can be completed when training... which can be extremely stressful!” Michelle Oberoi and Jake Stoddart. Photo: Rachel Markwick

Pat Doherty took me on in his lab.” Similarly, Jake Stoddart approached his supervisor Dr. Giovanna Lalli, after a lecture regarding adult neural stem cells. “I enjoyed the lecture so much I emailed her later in the evening to ask about the kind of research she did in her lab and if she would consider taking me as a summer student.” The type of work during a placement can vary, so it may be a good idea to do your research beforehand. Some supervisors may oﬀer a specific project (forming a part of a much larger project) while others will just throw you in the deep end. Jake is investigating the role of a protein called debrin in migration of neurons in the brain. His analysis will

contribute towards research that will hopefully get published, which he admits is “very exciting.” While working on a specific project gives you a good idea of what it would be like to be a researcher, the latter alternative can give a broader experience. “I helped and got involved with various areas of a working lab, such as animal handling, cell culture, slide preparation and microscope use,” says Vanessa. There are also students that come to King’s for the summer from the States something to highlight to King’s students who may wish to work abroad. Working in diﬀerent labs is a requirement for research scientists and experiencing it abroad can really boost your CV in terms

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of your international exposure. Michelle UK than I have in the US. Conducting Oberoi, a 4th year undergraduate from research abroad while immersing myself the University of California, Irvine in the culture has augmented my worldly (UCI), has spent this summer working knowledge. I will now consider applying for graduate programmes with Jake in Dr. Lalli’s lab. beyond the US!” She has received extensive support from the Minority “I believe For for the PhD student, Science Program (MSP) at that teaching few of us have received the UCI. Conducting research something to any experience in training abroad has its advantages and disadvantages when it someone helps people and even fewer are used to having a full-time comes to learning techniques you to better student to supervise, while fast enough to produce understand it” continuing with our busy quantitative results, but also schedules. Many will agree has advantages outside of the that a limited number of lab. “I’ve always heard that studying abroad broadens your mind. experiments can be completed when I’ve definitely learned a lot from the training an undergraduate student, way of life as a graduate student in the which can be extremely stressful!

“Both undergraduates and postgraduates have much to learn and benefit from placements.” Michelle Oberoi and Rachel Marwick. Photo: Rachel Markwick

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Up to 10 weeks £185/week 31 March

6 - 8 weeks £190/week 29 September

Up to 8 weeks £150/week 31 January

6 or 8 weeks £125/week 4 April

Find a funder: Durations, stipends and application deadlines of popular funding bodies for summer laboratory placements in 2014. Funded studentships are highly competitive and can be discipline-specific. Grants are available from other organisations.

However, the experience can also be tremendously rewarding, as it is easy to forget how exciting the research we conduct actually is. It can also be very useful to PhD students. “I believe that teaching something to someone helps you to better understand it, therefore it’s a good exercise for me too (Elisa Martelletti, 2nd year PhD student).” What really helped me personally adapt from student to supervisor was having an interested and dedicated student to supervise. She really appreciated how much work I had to do and that sometimes I was just too busy to help her. Most importantly she appreciated that I knew more than her – there is probably nothing more frustrating than a placement student telling you what to do! It seems both undergraduates and postgraduates have much to learn and benefit from placements. So if you want to do a placement at King’s get talking, find out how others got their placements and get those e-mails out. Speak to your personal tutors about the process and understand that every

experience is diﬀerent. Importantly, please remember to be patient! Potential supervisors need to donate their time to you and may not always be willing or able to give it up. Nevertheless, these summer experiences will provide a welcome boost for your CV in an increasingly competitive job market. “Employers are looking for technically strong science graduates who can apply their expertise in a real work environment and demonstrate an innovative approach”, says Harpreet Heir, consultant at Kelly Scientific Resources, a science recruitment firm which provides advice at kellyservices.co.uk. When asked if summer placements are a good idea, she said, “Absolutely they are. They give graduates a feel for the environment, the regulations, deadlines and most importantly the workload”. One great piece of advice she gave was, “Don’t forget to ask at the end of an assignment whether your line manager would be happy to write a short recommendation to add to your LinkedIn profile.”

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GKT Gazette

OBITUARY

Donald Ross 1922-2014

David KC Cooper Professor of Surgery University of Pittsburgh

The pioneering, renowned cardiac surgeon, Donald Nixon Ross BSc, MB, ChB, DSc (Hon), FRCS, FACC, FACS (above), died in London on Sunday July 6th, 2014, aged 91.

onald Ross spent his most productive years at Guy’s Hospital where he was initially senior registrar to Sir Russell Brock (later Lord Brock), and later (appointed 1958) Brock’s colleague as a consultant cardiothoracic surgeon. In 1963, he gave up some of his sessions at Guy’s to take up an appointment as surgeon to the National Heart Hospital. He was among the first to develop open heart surgery in a 66

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private clinic in London, and was soon attracting a large number of patients, many from abroad. Born on October 4th 1922 in Kimberley in South Africa to Scottish parents, Donald Ross won a scholarship to study medicine at the University of Cape Town, where he was the number one student in his class – a class which, by the way, included Christiaan Barnard. After taking an intercalated

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BSc (1st class honours) and graduating in medicine with the university gold medal in 1946, he was appointed to the top two house appointments at Groote Schuur Hospital before moving to Britain for postgraduate surgical training. After the FRCS and training with the wellknown thoracic surgeon, Ronald Belsey, in Bristol, he joined Brock at Guy’s in 1953, then the Mecca of cardiothoracic surgery in the United Kingdom – indeed in

OBITUARY

the British Commonwealth – as a research fellow. He was responsible for the development of novel methods of hypothermia which Brock used to operate on patients with relatively simple intracardiac defects, such as atrial septal defects. Ross then became Brock’s senior registrar and played a significant role in the development of open heart surgery in the United Kingdom. He designed a pump-oxygenator, based on the disc oxygenator design, and, without his presence, Brock may have found it difficult to move into the open heart surgical era. Ross’s contributions were rewarded when he was promoted to become Brock’s colleague, and it was Ross, rather than Brock, who forged ahead with the new surgical techniques that soon became possible. Ross was clearly not only highly intelligent and wellgrounded in cardiology – indeed, he wrote a small book on the topic of cardiac diagnosis which I found invaluable – but was an outstandingly good

technical surgeon. He had small, delicate hands that appeared almost doublejointed, so flexible were his fingers – ‘surgeon’s hands’ if ever there were such hands. He made difficult procedures look easy, almost always appearing relaxed

“In patients needing replacement of a diseased aortic valve, Ross conceived the idea of transferring the patient’s own natural pulmonary valve to the aortic position” and ‘laid back’, even during demanding operations, and only rarely did he become difficult to work with. This was in contrast to Brock, who was inclined to become tense during operations and was prone to criticize and chastise his assistants.

It was at a “Grand Rounds” as a medical student at Guy’s that I learned of Ross’s performance of the world’s first aortic valve replacement using a homograft in 1961. I well remember Brock congratulating his junior colleague on this operation and stating that he believed it was a major surgical advance. During the next few years, Ross further developed the concept of the use of biological valves, as opposed to mechanical prostheses, by using aortic homografts in patients who required reconstruction of the right ventricular outflow tract. The aortic valve homograft was perhaps even better suited for this type of procedure as it could function well without the need for anticoagulation, even in the low pressure right ventricular outflow tract, which would not have been the case if a mechanical prosthesis had been implanted at this site. His ultimate innovative step in this field was his introduction of what became known as the ‘Ross procedure (or operation)’ in 1967. In patients needing

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OBITUARY

replacement of a diseased aortic valve, Ross conceived the idea of transferring the patient’s own natural pulmonary valve to the aortic position, and then inserting an aortic homograft valve in the pulmonary position. This enabled the healthy fresh autologous pulmonary valve to withstand the high pressures in the aorta, leaving the cadaveric stored aortic homograft to cope only with the low pressures in the pulmonary artery. Though technically demanding, Ross believed that deterioration of the homograft – which occurred inevitably with time – would be slower if it were not exposed to the high pressures of the left ventricle and aorta. His final claim to fame was in performing the first heart transplant in the United Kingdom in 1968, which I had the privilege of observing. The operation was carried out at the National Heart Hospital with the heart coming from a donor at Guy’s. I can well remember the euphoria at the end of the procedure when the transplanted heart was functioning well. 68

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Ross also goes down in the medical history books as the first person to transplant a pig heart into a human subject, an operation also performed in 1968 at the National Heart Hospital. This emergency operation had no chance of success in those days, and later Ross confessed to being rather embarrassed by this unscientific attempt. However, it is easy to be critical in hindsight. As Shakespeare wrote, ‘Disease is desparate grown, by desparate appliances are reliev’d, or not at all’ (Hamlet). At first sight, Ross was not a particularly physically striking man, being relatively short, largely bald, and wearing heavy glasses, but he had a certain grace and quiet confidence about him that was appealing, and his gentle sense of humor made him a likeable and popular person. When he was promoted to consultant, he developed a taste for well-cut suits, silk shirts, and expensive ties, and generally exuded an air of success that added to the aura around him. He moved to a fashionable Regency house in Regent’s Park and

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drove around town in a Rolls Royce. These outward trappings of success, however, were coupled with a modest and friendly demeanour, without a hint of pomposity. His surgical opinion was second to none in his field in the United Kingdom, and his technical skills became highly sought after by his cardiology colleagues who referred many of their patients to him. He was undoubtedly the leading British cardiac surgeon of his era, and, although he was honoured in several countries, it has been a source of sadness and frustration to many of us that his major contributions to the development of his specialty in the UK were never recognized by the bestowal of a knighthood by the Queen. I consider it one of the great privileges of my life to have had the opportunity of studying and working under Donald Ross, who was one of the greatest members of the Guy’s staﬀ of the 20th century.

GKT Sports Preview 2014-15 Season

Phil Mitchell Biomedical Science BSc 3rd year

he start of the year is always eagerly anticipated by the sports teams of GKT. It is a time of Fresher trials, post-summer fitness pushes and a rediscovery of one’s gin reflex. To give both old and new club members an idea of what to expect on top of the usual mix of triumph, heartbreak and antics, a number of the clubs have oﬀered up a short preview of what they have planned for the coming season. Men’s Hockey After the myriad of success last season, GKT Hockey is gearing up for yet another big year. With aspirations high and preseason on the horizon, the Men and Women of the club are itching to get back onto the hallowed turf at HOP. With the Men’s 1st XI now competing in the BUCS 1A league, one of the highest ranked teams at GKT, and with a newly appointed ex-England coach the club is really striving for success. Being one of the largest

sports clubs on campus, we are really excited to welcome new freshers. We encourage both experienced players and beginners to come and join in the fun. Our social calendar is already packed with old favourites and some new exciting ventures. Ladies Hockey On the GKT Ladies Hockey agenda, we have all 4 of our teams starting their BUCS and LUSL leagues, while the exciting potential new recreational hockey team is still under discussion. With 2 spanking new coaches, the largest club numbers on record and some outrageously exciting social ideas, the 201415 season can only be too much fun for the club yet again! Men’s Rugby With a new coach, a new clubhouse and new stash this season is already looking promising. Our new coach is Ed Conway and having Sep - Oct 2014

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SPORTS

spoken to him about his new coaching techniques and strategies he will make a very exciting addition to our club. The base of our 1st XV has now played together for 2 years and have created a solid platform to build and improve on what many would say have been a couple of disappointing seasons. Being the oldest rugby club in the world we intend to do this club proud this year both on the field of play and oﬀ it with much more player input as to what goes on in both these areas and in training. Trials will be in September so come along if you want to be a part of what will undoubtedly be a vintage year for Guys Hospital Rugby Club. GFTC. Ladies Rugby We are a close-knit, enthusiastic and friendly team who believe in commitment on the pitch and at socials (did we mention the annual mystery tour?). We are open to all medics, dentists, nurses, physiotherapy and biomed students, as well as all others who study in part at Guy’s Campus. Regardless of who you are and what strengths you have, there is a position on the pitch for you, all are welcome! Come along to a training session and give rugby a go, no experience required! Training: Mondays 7-9pm, Honor Oak Park, any questions get in touch at gktwrfc@gmail.com.

GKT Gazette

Men’s Football As another university year begins all eyes are on the most exciting league in football, no not the EPL, LUSL of course! Just like most years, this year GKT are holding the lion’s share of the UH cups. After finishing in the top 4 in both their leagues, the 1s, under the leadership of James Cartledge will be looking to go a step further and win the title which is the same as the 2s who will look to achieve similar heights under David Ranford. After graduation of many senior players last season, the 3s will be looking to the new intake of freshers for consolidation of their previous season, this time under Sam Hanlon. They never get promoted anyway. The 5s will be under towering centre back Sam Lazarus this season and will look for sustaining a better league position after relegating KCL and RUMs last season. The 4s also play football sometimes. All the freshers are invited to come to trials in September as there is room for everyone in this big family of GKTFC on and oﬀ the field. All abilities welcome. In the eyes! Previous page: Prof Carney surrounded by GKT Ladies Hockey Club. Photo: Charlie Ding

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Above: GKT FC in front of the Griffin club house. Photo: Junyoung Jang

The Gazette Team Kate Anstee Deputy Editor Treasurer

Joshua Getty Deputy Editor History Editor

Lewis Moore Deputy Editor Arts & Culture

Anya Suppermpool Layout Editor

Zoya Arain Features Editor

Ajay Shah Research Editor

Megan Clark Dental Editor

Matilda Esan Careers Editor

Sam Evbuomwan Book Reviews Editor

Phil Mitchell Sports Editor

Charlie Ding Photography

Amy Silver

Hannah Asante Advertising Officer

Nayaab Abdul Kader Merchandise Officer

Teona Serafimova Staff Writer

Amy Edwards Staff Writer

Sky Liu Staff Writer

Rebecca Trenear Staff Writer

Christina Georgallou Staff Writer

Rolake Segun-Ojo Staff Writer

Nursing & Midwifery Editor

With Special Thanks To: Reema Akhter - Contributing Writer Hafsah Kumbay - Contributing Writer Aaron Kieran Brough - Contributing Writer Deepika Sharma - Contributing Writer Abbas Zainuddin - Contributing Writer Will Waugh - Contributing Writer Alistair Roddick - Contributing Writer Keith Riglin - Contributing Writer Stephen Stavrou - Contributing Writer Manoj A Tank - Contributing Writer Polly Kaplan - Contributing Writer

Deniz Üstüner - Contributing Writer David Preston - Contributing Writer Rachel Markwick - Contributing Writer Michelle Oberoi - Contributing writer Alex Sunderland - Model Professor Stephen Challacombe - Trustee Margaret Whatley - Administrative Support William Edwards - For Assistance and Guidance Many thanks also to King’s College London and our other donors for their generous support

The Guy’s, King’s College & St Thomas’ Hospitals (GKT) Gazette Volume: 128 Issue: 3 ISSN 0017-5870 gktgazette.org.uk

The Gazette needs you! The GKT Gazette wouldn’t continue to exist without the students who run it. If you would like to help out with writing, editing, photography, layout, illustration, publicity, or our shop then please get in touch!

Photos (clockwise from top left) courtesy of: Charlie Ding, Teona Serafimova, Anya Suppermpool & King’s College London