13 minute read
Features
From the front line…
If not now, WHEN?
BY JACQUELINE CURZON
Mr Johnson has agreed to snap off our metaphorical handcuffs and gags, but gives zero guidance on dealing with compliance-driven individuals. That’s fine in principle I guess, but not when shops, museums, councils and schools may insist on declaring their premises as ‘mandatory mask zones.’ I was travelling on a bus recently and almost everyone was already masked and seated, on one seat of every two. One stop further on, the driver announced that those then standing should be seated and remain socially distanced, which was impossible as it might cause a stranger to sit close to someone unrelated. Johnson also asked pupils to be patient regarding ending the lockdowns. But just a jolly minute! These pupils, and us parents, have been more Practically Perfectly Patient than Mary Poppins, MD, was with her protégés. As primary schools are the sector of society least likely to go down with the corona-lurgy, it should be considered beyond ridiculous to impose any further restrictions or encourage reticence for children to return.
Returning to roadmaps for a minute, Sajid Javid speculates we are heading into ‘uncharted territory’ once restrictions are lifted, believing we could see cases rise from 25,000 to 100,000 by the end of the summer. Ministers will decide next week whether we will be finally open for business on the 19th, and Prof. Neil Ferguson, epidemiologist at Imperial College, told the BBC Today programme that lifting of restrictions was a ‘slight gamble,’ but justified. Many would agree that Ferguson is well qualified in risk taking. On a related note - with more than £65 billion already spent on furlough subsidy, it’s perhaps a suitable junction in the lockdown roadmap to bring it all to an end. Monetary incentives gifted to the nation during covid have actually made it difficult for some people to let go of the safety net: many still want to WFH (work from home), and accept financial support via furlough. However the youth of today and tomorrow and the day after that, will be the ones having to pay for this extremely generous intervention, so the money train can’t run indefinitely. The Treasury has already hinted that a pensions tax raid is being considered to help recoup some of this monumental expenditure.
SAGE scientists caution further stronger restrictions may be needed later in the year, to deal with an expected rise in cases. They want baseline measures of masks, distancing and working from home to remain. If we continue to do that once the key turns in the lock, how exactly will this differ from our current position? Citing data or comparisons with countries with near-zero figures can be further misleading, as countries such as New Zealand are a) geographically very remote, b) minimally populated and c) closed to tourists. How easy would it be at home if we could tick all three boxes? Scotland has more chance of being crowned covid negative, given its comparatively small population, and abundance of open spaces. Anyway, I digress. Scotland is unfortunately displaying some of the worst case numbers across the UK, whilst the First Minister has ruffled feathers by banning folks from northern England from crossing the border. It’s plainly taking the bikkie, when Scotland has its own cities and towns of equal - and greater - concern. On a positive note though, I read that a new covid secure version of Falstaff was staged in the production studio of Scottish Opera, Glasgow. The orchestra played inside with the roller doors open, the conductor was visible, the chorus were upstairs and the audience were happily viewing it from the car park. The internationally renowned David McVicar was in charge, and the set featured a stage upon a stage, which was visually very impressive. The line up was equally impressive, with Elizabeth Llewelyn, Alastair Miles and Jamie MacDougall. Car parks as venues are of course nothing new in times such as these, we also use them for a myriad of activities, as well as multitasking our driveways, gardens and parks.
The Queen has awarded the George Cross to the National Health Service for ‘seven decades of public service,’ presumably including the recent battling of Covid. Not sure 1.3 million NHS workers would be happy to 'share' the medal, rather than have something tangible - like their previously petitioned pay rise. The George Cross is granted in recognition of “acts of the greatest heroism or of the most courage in circumstances of extreme danger.” I’m not sure how such a shared award works. Thoughts, anyone? Understandably, many medics slammed the 'poorly judged' decision to award it, instead demanding the government tackle the elephant in the room - salaries. The last time a communal award like this was made, was back in 1999, when the RUC was replaced after nearly 80 years of police service in Northern Ireland. The NHS is not a remotely similar organisation nor likely to be disbanded, even if many might argue the cost of sustaining it is now impossible to justify. In any case there is no explicit mention of covid in the Queen’s handwritten letter, so it's not just been about public service over the past year.
The Home Secretary, Priti Patel, is planning to block visas from countries which she believes are not taking back rejected asylum seekers or offenders. The clause in the Nationality and Borders Bill also allows for imposition of additional financial requirements for visa applications, which in plain English means an increase in fees. This is something the US have introduced into legislation, to withdraw visa routes for undocumented migrants. The proposed changes have wide reaching implications for the asylum system, but critically will include life sentences for people-traffickers, a tariff of up to five years - instead of six months - for those who breach deportation orders and ‘rigorous age assessments’ to stop adults pretending to be children. A director at Amnesty International branded the bill ‘legislative vandalism’ and many agencies including Refugee Council, Freedom from Torture and Together with Refugees, have joined to call for a fairer approach to asylum in the UK.
For years I’ve been encouraged to watch a series called Breaking Bad, but have always resisted because I thought (incorrectly) it was about life in prison. It isn’t, but the principal character is a fascinating individual, a chemistry teacher cum cancer patient who resorts to unorthodox means to provide for his family. He refuses to succumb to his lung cancer, and in the most gritty and determined way, carves out financial security for his pregnant wife and disabled teenage son. Now, much of this resonated with me, because we all know D-Day will come and one wants to feel prepared, like you have got your business arrangements in hand. Actually, I was more tickled with the humour, which was both very funny and offbeat. I laughed and laughed.
Hands up those who like Diana’s memorial statue? What, you didn’t like it either? To me, it had all the class of a drab prop from a soviet era horror movie, hijacked from a lowly garden centre, rather than being a statue crafted in remembrance of a beautiful lady who was loved by all. At least Diana’s two sons seemed to unite over the installation, and of course their relationship is much more important.
A university student has designed a device for first responders which can be used to rapidly stop massive blood loss. Joseph Bentley (21), a final year design and technology student at Loughborough University, has developed a prototype [React]which uses pressure at the wound area to prevent bleeding. He said police and paramedics normally use a bleed control kit that is pressed into the wound with lots of force. The gauze fills up the space inside the wound providing pressure to control the bleeding, but this is not viable in cavity wounds such as the abdomen as they often run out of gauze trying to fill up the space. He says that REACT does this quicker and simpler than a wound pack. Well done Joseph.
Now if anything is guaranteed to get French wine producers in a tizz or a fizz, it is the suggestion that champagne can be made anywhere outside the Champagne region in France. The Champagne committee’s website clearly states: “Champagne only comes from Champagne.” But in a provocative move Vladimir Putin signed legislation requiring all non-Russian producers to mark their products in Russia as “sparkling wine” on the back of every bottle, this including some of the world’s most famous and expensive bubbly. Under this new law, only locally made шампанское (Shampanskoye) is worthy of the name, and French appellations are not even recognised. Vasily Oblomov, a Russian musician (comedian?) suggested a law requiring that “Mercedes” be defined as cars only made in Russia. A glass of champagne français now to Rachel Armstrong (20), who has completed her 3 year course at the Bolshoi Ballet Academy in Moscow. It is very rare for academic & vocational places to go to overseas students - on several counts; firstly, students have to pick up the language, and believe me, even after mastering the cyrillic it’s not that simple; secondly, the barre is set so high (sorry, couldn’t resist that one) and the competition to get in is ferocious. With many attendant sacrifices along the way, dancers have to LiveForIt. Congratulations also go to chess prodigy Abhimanyu Mishra (12) from New Jersey, USA, who has broken a long-standing record to become the youngest Grandmaster in history. The boy, already in a race against time before he became too old, was hampered by tournaments around the world being cancelled because of Covid. He and his family had to relocate to Hungary for several months to find events with the strength of opposition needed to qualify, and needed three grandmaster ‘norms,’ which he did. The youngster, a pupil of the 13th world chess champion Gary Kasparov, had already achieved the other criteria of crossing the 2500 Elo rating barrier. He has been breaking chess records since the age of seven, when he became the US youngest Expert. Mishra became the National Master at 9, and then at 10 years he became the youngest ever International Master. For the chess community the Grandmaster title - the highest accolade - is akin to the holy grail.
Speaking Russian and playing Chess: Two skills I’d like to master before I retire, {well I’d settle for basic skills +}, and if I’m lucky I might play chess in Russia. Да!
Jacqueline Curzon
PHOTO: LARA MINSKY PHOTOGRAPHY
Love
Jacqueline x
Expert Diet Advice - Heather Daniels
BY MICAELA BLITZ
For registered dietitian, Heather Daniels, finding ways to reduce the risk of diabetes is central to the work she does, as well as general weight management. With more than 4.9 million people in the UK currently diagnosed with diabetes and this number is set to rise significantly over the next decade, her private practice, ‘Expert Diet Advice’, based in Edgware, helps with diabetes and weight management through changing patients’ eating habits and introducing additional physical activity.
Heather works with NHS patients, alongside her private practice and first became interested in nutrition and diet from a young age. She has a passion for food and healthy eating and recalls how she made the decision to study to be a registered dietitian, “I remember looking at my UCAS book and saw the nutrition course which was certainly an area I had previously wanted to pursue, so I applied for the course and the rest is history.”
Heather completed her Nutrition and Dietetics degree at Kings College London and worked for the NHS in Essex creating a successful weight management programme which helped hundreds of patients struggling with their weight. She subsequently moved to working within the NHS in Barnet where, as a community dietitian she was responsible for running a redesigning their diabetes education programme, which is an area of dietetics in which Heather specialises.
For new clients seeking help with their weight or diabetes management through her practice, Heather begins with an initial one-to-one consultation where she assesses current diet and eating habits, as well taking measurements and explaining any recent blood tests available. She also establishes the objectives of the client and their hopes and goals in terms of their weight management and health.
Due to the current pandemic, whilst face-to-face consultations are still possible, many consultations are taking place virtually, either via phone or video call, but Heather feels that working this way should not be a barrier to starting a new, healthier lifestyle. She encourages anyone interested in making changes to get in touch with her and is able to work virtually with clients who may be based further afield.
After the initial consultation, Heather produces a personalised written report based upon clients’ needs. The report provides a nutritional assessment with tailored suggestions and recommendations. Once the client starts on the plan, Heather ensures regular sessions are logged to track, progress and adapt the plan where required.
As well as individual consultations, Heather also offers group sessions where causes and prevention of Type 2 Diabetes are discussed along with planning healthier diets for weight management.
Whether working with private clients or through the NHS, Heather’s approach to diabetes or weight management is the same. She believes it is critical to change people’s attitudes long-term towards the food that they eat, rather than advocate a strict unsustainable diet plan. By introducing small, achievable changes such as encouraging clients to reduce the number of biscuits consumed or increase their physical activity, Heather recognises this as more sustainable, and ultimately means her patients will more likely to stick to the plan.
“People often come to me having tried and failed with lots of other diets usually because they are too extreme or regimented to keep to over a long period of time. I think that the first step to successful weight management is by changing your mindset and being realistic.”
Heather recognises that food also has many cultural associations, particularly in the Jewish community where it is a key part of many social and family occasions, and this may be where making the right food choices can be even more difficult.
“There are many temptations when it comes to food, whether it’s having a piece of cake at kiddush or an additional piece of challah on Friday night, so I think it is important that people are able to be healthy without being miserable and learn to make the right choices rather than feeling that they can’t eat anything. It’s all about moderation.”
Heather has learnt through her work that when it comes to making changes, it is important that the person makes the decision themselves. Often well-meaning family members, friends or partners might feel that they are being encouraging by suggesting ways to manage weight, but the reality is that changing eating habits can only work when someone decides it is the right time for them.
“I saw this first-hand with a personal friend. Others were concerned about their weight and general health so asked me to speak to them about it however it was only when they were ready and they approached me for help themselves that we were able to make significant progress and they were able to commit to it. That individual went on to lose 2.5 stone and maintain it, which is amazing.”
For anyone wishing to improve their diet or needing assistance with diabetes management, Heather suggests not only about thinking what you eat, but also the quantity you eat. “Eating healthy food is obviously good for you, but if you are unable to control your portion size, that can also be an issue and may reverse the good work that you have already achieved!”
To find out more or to make the first step to changing your diet, go to www.expertdietadvice.com
Heather Daniels
