Wednesday, May 31, 2017

Remembering Professor G. Ayliffe

On Wednesday the 24th May, my day starts as usual; after eating my cereal, l open my emails and scroll down to find one from my friend of 28 years, Sue M saying I thought I would send this before you see it on twitter...its 11.30pm too late to ring you - she knows I am always in bed by 9pm!

The subject heading reads Remembering Professor Ayliffe.

I read the Healthcare Infection Society email with tears in my eyes then sit back in my chair and remember...

I started my nursing career in 1980 in orthopaedics and I loved it from my first day on the wards. In 1989 I changed direction when I joined Professor Ayliffe's team as a Clinical Nurse Specialist in Infection Control.

Initially I had no idea how lucky I was to secure a job working within this team in the Birmingham, Hospital Infection Research Laboratory (HIRL). But as I studied the subject I saw the names of people I was spending my days with crop up in research papers and books. I was immersed in an environment of learning and my education was coming from the best; the founders of much of the theory Becky, Elaine and then Kathy and I taught others in the classroom and in practice.

Ayliffe et al 1978


In the late 1970s Professor Ayliffe and his team were the inspiration behind the  evidence based six step hand washing technique that can be seen adorning the walls of restaurants, cafes and healthcare premises across the world. In doing this and other significant practical research; such as producing early evidence of the value of wearing plastic aprons over uniforms; Prof and his team made an outstanding contribution to reducing the risk arising from the transmission of infections, thereby saving millions of lives.


Prof Ayliffe was an advocate of nurses specialising in infection control and in 1970 was the co-founder of the Association for Infection Control Nurses (ICNA). It was a privilege to be able to attend my first conference in Guernsey, soon after I joined the team. I met Sue M and we listened in awe as Prof Ayliffe, John Babb, Jean Davies and many of my colleagues took their turn to stand on the stage and share their wisdom.

In 1990 I commenced the Foundation Course in Infection Control run by Marian Reed. I  listened as Prof's soft spoken voice held the attention of a room full of nurses as he taught the practical application of Microbiology. He then gave me quiet reassuring direction as I embarked on my first piece of research, my course assignment looking at the prevalence of infection in long stay elderly care wards. I passed and he then guided me as I prepared it for publication. He grinned as I ran in to his office waving a copy of the Infection Control Supplement in the Nursing Times containing my first published paper!

I tried not to smile at Prof Ayliffes serious face when Becky and I seized an April fools opportunity which coincided with our team meeting day. We described the symptoms of a pyretic man admitted to an open ward with sores on his hands, who was working on a sheep farm...to carefully lead him and the other microbiologists to a diagnosis of anthrax. We then shared in their quiet laughter as we declared our hand before they left the meeting in search of this imaginary patient!

In 1993 Prof, Kathy and Becky supported my successful application for a Birmingham Hospital Fund, Travel Scholarship to travel across the USA studying the infection risks associated with parenteral nutrition (intravenous feeding).


This award included a book of my choice and without hesitation I asked for Control of Hospital Infection, This was our day to day infection control handbook, which we referred to constantly. After being awarded the book I proudly asked Prof Ayliffe and then the other authors, to sign my book. As a bibliophile, although retired from use, it still sits proudly on my bookshelves at home.
Prof Ayliffe continued his visionary approach when he encouraged and supported an annual Lab day out. Kathy organised the minibus and off we would go, picnic stored in the back, singing and chattering all they way there and back. The most memorable for me was a visit to Chatsworth House where we picnicked in the grounds before visiting the grand old house. Nowadays this kind of outing is called 'Team Building'!

I flew the nest of Prof Ayliffe and the HIRL Team six years later to take up a lead nurse post still in infection control in a nearby hospital but we remained in constant touch. From this team I realised how important it is to share research, experience and knowledge. I had witnessed with admiration their constant open and giving approach to others in the world of infection prevention and control. From Prof and his team I learnt that we were one family united in our aspirations to prevent and control infection across the globe.


Left is Prof Ayliffe, I am behind in blue 
and Marian Reed is in white



In a subsequent role of chair of the West Midlands Infection Control Nurses Association which I held for many years, I attended quite a number of happy events with Prof. We shared in the smiles of budding infection control nurses when awarding the annual Marian Reed prize.






In 2007 when I was working in Wales as a national Nurse Consultant, I was delighted to be approached by Tina Bradley, the current Director of the Research Laboratory, to ask if I would co-write a chapter for the new edition of The Control of Hospital Infection Book with my infection control colleague and friend Sue Millward. The new edition was to be titled Ayliffe's Control of Healthcare-Associated Infection. By this time Prof had retired from day to day work but throughout his retirement he continued to give of himself and his skills on a regular basis.



I completed my chapter just before a brain tumour changed my life forever. I received a copy of the book a few months later in 2009 and it rests on the same shelf as my signed copy of the previous edition.








But Prof didn't forget me as I didn't forget him, we have shared Christmas cards and met up at a conference when I attempted to return to work in 2009 and again after my retirement in 2011. But Prof and Mrs Ayliffe will never know how much I valued a visit from them when they were in Bristol as I recovered from my brain tumour surgery at home.

Tears fill my eyes again as I remember Janet and Prof arriving, sitting in the sun, sharing a cup of tea, talking about infection control. About life. I asked Prof to sign my new book as we chatted about mutual friends, our love of birds and birdwatching.

I like to think that Professor Ayliffe is now resting in a great laboratory, amongst mutual colleagues and friends; John Babb, Johns wife Janet; Professor Lowbury, Professor Emmerson, Kathy Mitchell and Marian Reed to name but a few.


Rest in Peace Professor Ayliffe x



Friday, April 14, 2017

S Club 43

I can't talk about it I mutter to my friend Mike over lunch

What he asks

I can't say. I really can't say...

It's just ...

I am in a club and I'm not happy about it, people'll judge me if I tell them so I have kept it to myself 

Mike starts to laugh it can't be that bad surely

Oh it is

To me anyway. I cough nervously then tell all

I am one of the seven million members of S Club 43, Mikes grin widens and he laughs. So am I he titters nervously. I can't talk about it either, as an organic vegan all my mates would double up in glee if they knew.

What are you doing about it he asks

I have been trying to give up sweet things, cake and chocolate, like a self imposed Lent, and I was doing really well until I bought some chocolate bunnies as a surprise for Easter for me and Mr H. 

But only I knew where they were hidden..

One evening I went to bed but couldn't sleep I kept seeing the bunny bounce before my eyes. It was teasing me in all it's chocolateyness...

So I came downstairs and tried to distract myself with a jigsaw and raw carrot but the bunny kept hopping into view sniffing eat me, eat me, please eat me...

...and I caved in and dragged it from its hiding place. I ripped the cellophane off and bit one of its ears, it melted in all its organic-ness as soon as it hit my lips...

I bit off the other ear, then the body, too solid to break into pieces I gnawed like an animal, chocolate smearing my face...




Picture Le Comte de Reynaud in the film Chocolat when he repents and fasts during Lent but then surrenders to a window full of chocolate the day before Easter Sunday...that was me!


I managed to stop myself just before I reached his ground thumping feet and hid the mangled, chewed remains in a drawer...



A symptomless HbA1c blood sugar level of 43, found by chance when the GP tested me following a group of horrible seizures, is so frustrating. Forty one would be within normal range but 43 means I carry the pre-diabetes label. I became a member of S Club 43. Luckily it can be reversible so it's better to know so that Mike and I can do something about it and prevent ourselves becoming members of the ever growing Type 2 Diabetes Club. Now for me the most important thing I can do is lose some more weight...whereas Mike is a thin as a rake so maybe its genetic too...

More information and statistics can be found on Diabetes UK website...

Tuesday, March 21, 2017

Aunty Magic

I’m a Granty I squeal as I ring Mr H with the news

Oh my goodness that was quick, email me a photo

I was having a lie in but the news means I spring - I wish - rather I yank on my bed stick and clamber slowly out of bed…

I ring my sister, now a Nana, who was at the birth with the Daddy…and of course my now Mommy niece!

I am blessed I tell friends later that day on the phone, my nieces and nephew are my world. Mr H gives an attention seeking ‘what about me’ cough in the background!

Being an aunty is like being in Cadbury World and eating all the chocolate I want…The best scrummy, yummy thing!

When they were little I let them eat pizza for breakfast, stay up a bit later than Mummy and Daddy allowed, let them sit in the washing basket and roll around the garden…



I then handed them back to their parents to undo the damage I had done breaking all their rules…

They come and stay as they revise for exams, ring me if they need guidance, help and support…

As they grow older I take them to the theatre, on trips to London, spoil them in the shops buying clothes that their Mom and Dad said were too expensive. We take mini breaks together and call ourselves ‘Girls on Tour’…

I tell anyone who will listen about my special ‘boy and girls’

Now, this sharing of time and love shines through in their grins and hugs when they visit, or come and collect me; in cards and letters they send, texts and calls they make. They walk slowly when they are with me, help me in and out of the car and carry my bags. They understand epilepsy and how to look after me if they need to…

I am the luckiest aunty alive.

When I talk to Liz my choir leader we share our aunty experiences. Liz had a magical aunty who sadly recently passed on to aunty heaven.

Its Aunty Magic Liz says


So now I am Granty Dawn I can sprinkle more aunty magic…


Aunty
A person who can give hugs like a mother
Keep secrets like a sister
and share love like a friend

Wednesday, February 1, 2017

Empty Wheelchairs...

I sit back down in the grey airport wheelchair and stuff my feet back into my converse. 

Sorry about that says the young man who is pushing me through into departures but no one escapes the shoe scan.

He helps me out onto a blue seat with a wheelchair picture printed onto the fabric. 

Thank you 

Mr H slips him a tip then wanders away to find the toilets. I pull my belt back through the loops of my jeans, push up my sleeves and wipe my forehead, it feels like its 29 degrees inside as well as out there in the Caribbean sunshine...

A few seconds later...

Bing Bong final call for passengers flying on TOM815 to Birmingham please make your way to Gate 4

That's us I call out as I frantically fasten my belt and grab my bag. Mr H returns and we ask where the wheelchairs are to take people with disabilities to the ambulift.

The lady responsible for getting the disabled onto the aeroplane tells us they haven't got any available...

But if you walk over there and out of the door the Ambulift is waiting she points. So a snake of crutches, sticks and mobility scooters weaves its way towards the pointed door. As we go out into the sunshine we spot thirty or more empty wheelchairs silently sitting. Waiting to be used...

One by one, like suntanned canaries in a cage, we are lifted on a yellow metal platform into the tin box ambulift. Mr H says to the Barbadian gents assisting us These people should be on the plane before the other passengers, little chance of that now. Again! 

Image result for image of airport ambulift


I am fed up that the disabled are always last on the plane here in Barbados. There is a fifty dollar tip if you can get us all onto the aeroplane before the other passengers. A look of shock passes over the young mens faces, then they giggle as they whisper to each other. The process of loading us speeds up...

We trundle along the road by the side of the aircraft lined up, ready to fly. We watch anxiously as lines of buses fill with passengers about to head to our aircraft which is waiting on the tarmac. 

Get your foot down Mr H shouts as he waves the fifty dollar bill at the driver. 



We are all laughing and giggling as we clutch our sweaty fists. We must be doing the speed of light now Mr H laughs as the ambulift snails it's way towards the first aeroplane. 

We pass it. 

Not ours. 

We stop at the third. Reverse up to the side door. The ambulift mechanisms creak as like birds we are lifted into the air. The giggles of anticipation get louder. The gents knock on the cabin door. 

It is opened immediately. It's a miracle I shout!

Mr H calls to the air hostess is the plane empty, are we the first passengers.

Yes she grins.

We all cheer...

Mr H stands back to let the crutch and stick brigade clamber across the metal bridge to enter the aircraft. Then with a huge grin he hands over the fifty dollars...

That's a first I say to the blue hatted air hostess as she directs me to my seat. We have never made it onto the plane before the able bodied at this airport. Just proves that money talks...


Time to Relax...