Sunday, July 05, 2015

Update on operations


Lindsay steadily improving since her nephrectomy 9 days ago, and she managed to get the district nurse to come in and change the dressings today. The main exit wound via which the kidney was extracted is still a bit sore but the nurse said it was OK. She has gone out for a gentle walk in the park with her friend Mary.

I'm also making satisfactory progress three days post angioplasty. Discharge note reads:

'Elective admission for left leg angioplasty - critical limb ischaemia, ulcers and rest pain, due to SFA occlusion. Angioplasty performed to good effect, patient discharged the following day with marked improvement both symptomatically & functionally'.

The occlusion will probably return, but as I said to Dr Jason Wilkins, who carried out the procedure, as long as it lasts for my expected remaining 12 months of life I'm  perfectly satisfied.

Blood results last 9 months
3.07 17.06 9.06 27.05 25.03 2.03 21.02 24.12 26.11 Normal
Hb 104 107 93 96 98 98    101 104 109 130-180
WBC 2.85 2.25 2.55 2.91 3.15 3.36 3.52 4.00 3.02  4.5-10.0
Neutrophils 1.16 1.17 1.14 1.3 1.57 1.78    1.6 1.8 1.16 2.0-7.5
Plt 249 232 296 342 369 449    494 551 391 150-450


Haemoglobin shot up after I had he blood transfusion in June, and I'm hoping it will stay above 100 if the Hydroxycarbamide can be maintained at 3/week.  That depends on the platelets remaining within normal levels.












Friday, July 03, 2015

At the back door this afternoon - look, no stick



Procedure


I was discharged from hospital at lunchtime today after a stay of less than 48 hours! The surgeon Dr Jason Wilkins, cleared the obstruction of the artery, which extended all the way from groin to knee, using catheters with balloons on the end to push the walls of the artery open, Several of the balloons burst, because the calcium deposits in the artery which let to its occlusion have jagged edges. I wonder if I should be taking calcium tablets, which are intended to remedy falling bone density, but haven't achieved that purpose.

The procedure took 90 minutes, and I had to lie still flat on my back for 3 hours afterwards, to allow the plug closing the perforation in the groin to access the artery to settle down.

The result is very satisfactory, because I no longer have pain in the leg at night or when walking, and with luck the artery should remain free of occlusions for the remaining estimated 12 months of my life. I'm going to start work again from Monday.

Thursday, July 02, 2015

Thursday 2nd July 2015 17.15 hrs

Report from Lindsay:

Eric has been returned to his ward from Theatre.  He just had the angioplasty and did not need the bypass operation, which is good news.  He tells me that Jason Wilkins, who unblocked his renal arteries last summer, carried out the procedure, which took about 1 and a half hours.  Several bubbles/balloons were inserted into the femoral artery - a few exploded because there is a calcified lining to the artery - but stents then followed in.  He now has to lie very still for a few hours and we
hope he may be allowed home tomorrow or at the weekend.  More news to follow.

Tuesday, June 30, 2015

Hospital


Tomorrow I'm going in to King's College Hospital for an operation on my leg to deal with an occlusion extending most of the way from groin to knee. First an angioplasty will be tried (http://bit.ly/1R1OSj5) and if this can't be done the artery will have to be replaced by a graft from the vein in the same leg. Angioplasty is relatively simple, involving one night in hospital, but if it needs a graft that would be a week or more.

While I'm in hospital, Lindsay or JW will post bulletins on this blog to save having to write to everyone individually. Hope to be in touch personally before long.

Saturday, June 27, 2015



The House magazine, a weekly journal of Parliament, asked me to write a Diary piece on a week in the Lords, and I reproduce below the copy I sent them. They made an editorial decision to delete the first paragraph when it was too late for me to object, but some readers would have been amused by the anecdote about Patrick Cormack, so here is the unexpurgated text.

They said they had checked with Lord Cormack and he couldn't remember the incident. However, I dare say the records would confirm that my final article as opera critic, appeared some 30 years ago.

It was so exciting to be asked to write a diary for the House Magazine, some 30 years after I last appeared in their pages. My daughter was acting editor of the magazine at the time, and I was just settling into a new career as the opera critic when Patrick Cormack, then Chair of the Editorial Board, discovered this innocent piece of nepotism and I was summarily dismissed!

The Lords is meant to be a self-regulating House, but it does a bad job of controlling the length of questions.  David Alton asked about people trafficking recently. He took 142 words to put his supplementary, but the Minister Joyce Anelay,  Leader of the House, averaged 158 words in her first two replies.  

This week again Joyce Anelay took 152 words to answer a question, but two new Ministers beat her record with 155 and 181 words respectively.

When Ministers so flagrantly abuse the Companion to Standing Orders’ limit of 75 words, its not surprising that backbenchers ignore it widely too.

I was delighted that Rob Marris MP, who drew No 1 in the Commons ballot for Private Members’ Bills, is bringing forward the Assisted Dying Bill, which had a thorough discussion when Charlie Falconer introduced it in the Lords in the last Parliament. 

That Bill ran out of time, but the largest ever poll on assisted dying conducted  in its wake showed that 82% of public support law change. There’s a very good chance it will get through unscathed this time, and I look forward to serving on Dignity in Dying’s Parliamentary Advisory Group, which meets for the first time on Thursday.  

I’m expecting to die of myelofibrosis, a form of blood cancer, around July 2016, so it will be good to be one of the first to have the right to an assisted death.

In the debate on the Queen’s Speech I spoke about the growing menace of the IS – or as I prefer to call it, the Daesh, since it isn’t a state. These terrorists now occupy huge swathes of Iraq and Syria, and are metastasising into the rest of the Arabian peninsula, South Asia, North and West Africa.  I pointed out that the Wahhabism of Saudi Arabia is similar to the theology of the Daesh, which in fact uses Saudi textbooks on Islam in its schools.

The difference between them is political rather than theological, because of the Daesh claim that its caliph has jurisdiction over the whole of the ummah – the worldwide Muslim communities - and its practice of killing infidels in territory under its jurisdiction who refuse to convert to its particular version of Islam.

In their use of cruel and inhuman punishments for expressions regarded as blasphemous, the Saudis are no different from the Daesh.

On Thursday last week when I asked a Question about the barbarous and inhuman punishment of 1,000 lashes on Raif Badawi, the Saudi blogger and founder of the Liberal Saudi Network, concern was expressed on all sides of the House.

Joyce Anelay, who replied, didn't say whether she agreed that it was inappropriate for a country with such laws to be a member of the UN Human Rights Council and whether the UK would try to get Saudi Arabia removed from the Council.

The second round of 50 lashes was postponed on Friday without explanation, and perhaps the weight of international opinion calling for an amnesty may prevail on this occasion. But it's the ideology that lies behind the sentence, a cancerous growth on Sunni Islam, that is the real problem.




Wednesday, June 24, 2015

Update on Lindsay's and my operations


Lindsay goes into King's tomorrow at 06.00 to have a kidney removed by keyhole surgery, and Victoria comes to stay for the next four days to mind the shop and make sure I don't fall getting into or out of the bath. The hospital reckons she will be in until the following Monday, but she will have to kahe it easy for a couple of weeks after being discharged

Unfortunately L had to spend much of the day wheeling me to a series of appointments in King's starting with a scan of both legs at 11.15. An ultrasound scan of the bad leg later, to see exactssly how far down the occlusion extends, and ending with a consultation with Professor R at 15.15. Much to our surprise, he said they were going to attempt an angioplasty as Plan A, and if that doesn't work they would do the full replacement of the occluded section with a graft from the vein in the same leg immediately. Its good that the surgeon thinks there is a good chance of success with the angioplasty, though it might have been a better bet four years ago when the occlusion was first scanned.

The bad news is that the operating list is full up for the next two weeks unless a patient cancels, and its no fun having to live with a painful leg for the next two weeks minimum. I take Tramadol and Panacetamol but they don't seem to work too well at night and I never get a good night's sleep.

Sunday, June 21, 2015

Speech by Shaan Taseer, son of assassinated Governor Salman Taseer, June 18

Below is the text of the speech by Shaan Taseer at a Press Conference in Committe Room G, House of Lords, chaired by Baroness Berridge, on June 28. Shaan Taseer is the son of the Governor of Punjab, Salman Taseer, who was assassinated b his police bodygaurd Mumtaz Qadri on January 4, 2015, as the Governor was about the get into his car in Islamabad, capital of Pakistan.

Qadri was  sentenced to death at a court held in the high-security Adiyala prison in Rawalpindi.

The murderer's family said they were very happy that he had committed this crime, and dozens of people gathered outside the prison chanting pro-Qadri slogans after the verdict was announced.  

The demonstrators were angry that the Governor had criticised Pakistan’s law against blasphemy. He had supported Ms Sherry Rehman MP, who introduced a Bill to amend the law to make miscarriages of justice less likely and remove its death penalty.


"Ladies and Gentlemen, distinguished guests. Thank you for this opportunity.
In the last thirty years, ever since the Soviet invasion of Afghanistan, as a result of which, many seminaries were established and promoted for the purposes of recruitment and indoctrination to fight the Afghan war, there has been a systematic and premeditated genocide of Shias in Pakistan by well armed and well trained groups such as the Sipah Sahaba and the Lashkar-e-Jhangvi. This genocide has been witnessed and documented by the UN, Amnesty International, Human rights Watch, The Human Rights Commission of Pakistan and various Shia groups in Pakistan and abroad.
They are no accurate numbers, but some online Shia groups have documented 1,200 reported attacks on the Shia community since 2002. More worryingly, whereas thirty to forty attacks took place a year until 2011, in the last three years we have witnessed an average of over three hundred attacks a year. So the rate of killing has gone up exponentially, possibly coinciding with the Taliban gaining a foothold in Pakistans Northern Tribal areas, as well as the groups mentioned above, consolidating their positions after a ban on them in 2002.
Whereas the mainstream print and electronic media has described this as “terrorism”, this is not an entirely accurate or complete depiction of the picture on the ground. The groups who are exterminating Shias are not doing so to pressure the government or the public into accepting any political demands. The aim, for which they were formed, is to fulfill their religious duty to exterminate Shias and to establish a Sunni state in Pakistan.
These aims have been well documented over the years in many places. Firstly we have multiple Fatwas (religious decrees that are binding on their followers) to this effect. We also have pamphlets and other literature calling for the blood of Shias. The leaders of the organizations I have mentioned above, as well as the clerics of many allied seminaries have spoken publicly apostatizing Shias, which is all commonly available on social media, as well as having played on mainstream television. Furthermore, and most insidiously, the methods employed by the Lashkar-e-Jhangvi are systematic and methodical; to ensure the cleansing of a community. First of all they strike at places of worship. Secondly they target Shia neighbourhoods. Here the Shia Hazara community in the North of Pakistan is most vulnerable, as they live in ghettoised neighborhoods and valleys, and as such have seen the worst of this holocaust. Shias are particularly targeted when travelling together by bus, as that makes for an easy target. And thirdly, and most sinister, prominent members of the Shia community are identified and murdered. In the last year alone seventy Shia doctors were assassinated. Many more have left the country and sought asylum. So there is no ambiguity as to who is behind the genocide of Shias and what their motivations are. What’s more, these groups have proudly taken responsibility for many attacks and promised more.
Once it is established that someone deserves to die on the basis of religious differences, it doesn’t take long before a religiously mandated cleansing of Shias transmogrifies into genocide of all minority communities. And that is what is happening in Pakistan, at an increasing rate. Ahmedis and their places of worship have been attacked; Christian communities such as Gojra and Joseph Colony have been burned to the ground. Churches have been bombed all over the country, Hindu temples burned. My father was not killed by the Blasphemy law. He was killed for standing to prevent the genocide of minorities. The Blasphemy law is just one instrument in this bloodletting. If Aasia Bibi had been a Muslim woman there would not have been such a fracas over the issue, as there hasn’t been in the case of Junaid Jamshed, a pop star turned Deobandi television evangelist who made some offensive remarks on television, or Khalid Chishti, a cleric who desecrated the Holy Book himself, and placed the evidence to falsely accuse a twelve year old Christian girl. The blood lust we see in Pakistan today is for the minorities.
I have many Christian friends and it is sad to see that the current generation, more often than not, give their children Muslim names so as to prevent a life of discrimination. Right here we see the erosion of a cultural identity.
As I mentioned earlier, there is a complete denial of this genocide in all mainstream media. No newspaper or public figure has yet mentioned the word “genocide” in the context of Pakistan. This is despite the fact that the Genocide Convention of 1948, to which Pakistan is a signatory, describes even the intention, the incitement, the attempt or complicitness in genocide as part of the crime. We do, however, know there is nothing new about this denial. Experience from most theatres of genocide, including Rwanda, Bosnia and Darfur, shows that there is always reluctance on the part of society to acknowledge this crime. The reason for bringing in these comparisons is to show that Pakistan fits a pattern of behavior that is quite typical of theatres of genocide, such as the classification of communities, dehumanisation, ostracisation, organising and arming against them, the preponderance of hate material, and an apparent immunity to law. In the case of Pakistan, in addition to these warning signs, we also have the death of thirty thousand Shias.
Unlike the people of Pakistan, my audience lives in a country where the state protects their rights, and upholds the rule of law. You all therefore have the ability to express yourself freely without any risk to yourselves. Can I therefore please take this opportunity to ask you all in the name of humanity, to raise your voices against this genocide, with the British government, your MP’s, the Foreign Service, the Pakistan High Commission, the International media, and the British public. Change can only begin with awareness.
This is after all a human issue not a Pakistani issue, and genocide is perhaps the worst thing that mankind can do to itself."

Thank You