Wednesday, 25 September 2013

What Exactly Is Short-Term Memory Loss? Two-Time Stroke Recipient, Kitty, Can't Remember

“It’s great. Everybody suddenly rates my good strokes as outstanding and my poorer strokes as almost outstanding.” 
Tennis God, Roger Federer’s response when asked in 2004 what it was like to be World Number 1, which is a mighty decent pun to use upon reflection of my own strokes - they have also both indeed been outstanding (good stroke *#2*) and almost outstanding (poorer stroke *#1*).  Turns out Rogey (term of endearment for my dear kindred spirit) and I truly are the perfect match (yet another pun intended - mmmhmm this Kitty does love a pun!), even after all these years (...apart/having yet to meet each other).

There is a reason why people say 'I was going to be a nurse, but I didn't have the patients/patience' and I'm it!  In order to investigate what the underlying reason was for the two cute bloke-luring strokes, London's St George's Hospital had a team of world-class surgeons (Special K at your service!) cut a rough diamond-shaped, approximately 3cm length x 1.5cm width, piece of skull out (P.N.: a part of my body's make-up which has never been seen again by this Kitty! Perhaps they sold it on eBay for five bucks!) and then stole a piece of my brain that wouldn't affect any of my abilities/attributes (typically referred to in the expert medical world as a brain biopsy).  Primarily, it was taken to try identify why my otherwise-thriving brain kept having strokes and secondarily, to check how clever and witty I was (incredibly for both attributes, riiight?!).  Now, don't let the brain biopsy's surgery-performed-under-general-anaesthetic aspect fool you; this extreme ordeal was absolutely petrifying.  There was a 1%-chance-of-death risk that I had to acknowledge and accept a few weeks post Stroke #2 - all before my family had even arrived in Great Britain from Australia  - and something that had me crying into the bosom of my ever supportive girlfriends and any offering woman in the Neurology Department (exclusively female-only ward) of St George's Hospital and frantically discussing my options + the justifications for such with the gentle hospital staff and Klubbers, which due to my short-term-memory loss, were most likely discussed (including diagrams and logic for 'scary'
 biopsy, as well as entertaining shaved-head jokes in my notebook for easy reference) several times an hour, every hour.  The patience my dear beautiful Klubbers had to have when dealing with this extremely forgetful-&-anxious Special K would be more than that of a saint. Glory to be!
The very first moments my wise little sister, Jacky Jacky, arrived in the neuro ward at St George's Hospital to collect her (suddenly) brain-damaged big sister (to go back Down Under for optimal rehab). Before Jack Attack's arrival, she had been sending messages of support, perspective & humour non-stop about what was going on in 'our' (layman's) terms to help the broken brain more efficiently lodge all the new information + make sense of it all and she even promised she would do my hair (something she never did prior! Make-up too! Now she's my beauty artist, what an angel!) to cover the bare-&-blatant shaved spot.
As you can clearly see, 'Little Treasure' ain't a liar - within minutes of arriving at St G's she was all over it!
YEAH JACK ATTACK!
The last time we had seen each other was in the first few hours of January 1st 2012 - at a NYE party - and now she had travelled across to the opposite side of the world to pick up her ghastly unwell BIG sister. How strange this chapter must have been on her. 
What an Aussie Battler!
St George's Hospital, neuro ward
December 2012

The rather efficient-and-competent surgeons briefly explained (to all of us as my diligent, patient visitors would then repeat such important information every couple of minutes when I'd swiftly forget/record in the notebook I always had right by my side recording every moment in anticipation of forgetting) prior to the standard brain operation what they were going to do to my very important thinking/being device in a matter-of-fact way over a few short minutes and this was done as if they were just popping by to have a quick chat with a colleague about an everyday occurrence (well it was indeed normal for them!) - it was almost like how make-up artists talk to you about how they are going to do your make-up for an upcoming event (you know what I'm saying, gentlemen?!) - and they only briefly saw this Special K once post-surgery to see how I was travelling. Naturally, I expressed my genuine gratitude for their competent brain biopsy and thanked them for the operation that I magically survived (99% chance I would do so - one magical Kitty as per usual!), as well as giving a cute East-London inspired haircut/shave to my hair 'katalogue', a blatant 5cm incision scar, stealing a piece of my sacred thinking tool and leaving a sexy peephole in my little skull (unfortunately, the bone will eventually grow over. I'll live *PI*).
*Please Note: No sarcasm here - the brain biopsy surely beat another option of going on certain drugs that meant I'd go through menopause at 30 (being proactive upon hearing this option, I had swiftly organised my younger sister to make me some babies in the future! May still use that card because her particular genes are better *evidently*) and alllllso, the brain biopsy 'twas also quite the conversation starter with friends and family alike - still is! 
Below: Scars get the fell-as!
Above: Fascinating insight into the damaged Special-K mind.
The brain's occipital and temporal lobes have been affected by the two strokes with a clear chunk of damage (/dead brain) in the bottom-LHS visible in the top shot & RHS-'seahorse' in the other shot also showcasing dead brain from the second brain attack = a stroke per hemisphere, fair!).

On top of showing my utmost appreciation for not killing me, I - like I'm sure most of my generation - desperately wanted to quote to St George's world-class surgeons upon surviving the brain surgery's biopsy, 'dammit Smithers! This isn't rocket science; it's brain surgery!'. However (and it brings me deep regret to say this), the clever surgeons had run a mile by the time I got the inconclusive results! Given their specialty, I'm sure they were rather relieved to have a day off from The Simpsons' reference, even if the Kitty wit is a shame to miss.

So it was in fact, my patient nurses and doting Kitty Kat Klubbers that I turned to for clarity, support (I even started thinking/fretting about my Will and had to do it once I came home!) and optimism during such confusion and sadness in my life. Poor/Lucky Nurse Gilly even had to be ordered to our neuro ward one night when he was elsewhere (how dare he abandon me - his favourite/funniest patient!) because I wouldn't/couldn't calm down without his specific reassurance. In hindsight, I hope such a close connection to Gilly (despite having short-term memory loss so new people were promptly forgotten in 99% of cases, not our memorable Gilly though!) made him feel as immensely important and valued as he truly is. Thank goodness for Gilly!
Above: One of my many new besties whilst at hospital - a little elderly lady we all knew as 'Mary'. My Klubbers loved her too and they didn't even 'get' to listen to her tales late at night nor did she give them as many cookies! One amazing Scot! LOVED my hospital buddies.
November 2012
Some Klubbers were rather confused that I could retain new people in my life that were the supportive/entertaining staff at St George's Hospital, my Italian big spoon (a fellow patient), or the adorable wee Scottish lady named Mary (aww I love Mary! There most definitely is something about her) who was also a patient at St George's neurology department who'd offer her biscuits (I enjoyed simply looking at her. She had that calming, endorphin-releasing effect on me! I snuck many many, MANY iPhone shots as I sat across from her every day. Unbeknown to her hehe - and myself five minutes later when my memory was reset hence the extensive collection!), seeing as those particular people were just recently put into my brain's memory bank.  However, given my firsthand (+ newfound) expertise in neurology (I'm more or less a neurologist now, riiiiiight?!), I have discovered that short-term memory doesn't necessarily mean information/people/events retained from recent times; it is defined information/people/events that your brain deems as unimportant in the long run.  So it is no wonder I was able to retain that Catherine, Prince William's missus, was experiencing hyperemesis gravidarum (aka: acute morning sickness for those who aren't familiar with the technical term *me*) in the weeks I was at St George's Hospital (p.n.:  pretty, pretty, pre-tty certain she named little Georgie boy in honour of my hospital vacation in a long-winded/far-fetched kinda way!) & I was also able to list every single name of my dear 4L's students for the 2012 - 2013 school year, despite both being relatively new pieces of information (they were obviously very important hence the long-term-memory banking!).  





















Above: These supportive words were from my dear British students who I missed to the extent I'd cry at the mere mention of them (for many months post strokes), so colleagues would have to give their individualised cards and art pieces when I was mentally prepared, as a simple drawing (that was the best!) caused massive breakdowns. An expected reaction to someone who values their career as much as I do! Why wouldn't I when one student misspelled my last name as 'Laid' to which entertained my somewhat-supportive buddies (+ myself) tenfold?! How I love these little people forevermore!

It was an extremely challenging Kitty Chapter, to be brain damaged, at St George's Hospital (all the way out in Ldn's Zone 3! Sorry to the pricey venture, supporters!), with strangers spooning me every night (they insisted!) and others forcing myself to do countless procedures and surgeries that I didn't quite understand the reasoning for (whyyyy must I have a camera shoved down my throat for a brain issue?! Whyyyy are you shaving my head if I could die/results may *and did* come back inconclusive?! Why are you taking so much of my pee alllll the time - what has it got to do with my brain, you sickos?!), missing out on booked holidays abroad with mates (upcoming Amsterdam and Bulgaria trips were instantly lost - and that was just what was booked when Stroke #2 hit in October 2012) and generally living my normal youthful life, worrying about what had happened/was happening to my Special K brain and as a result, unable to teach, nursing a pseudo broken heart, missing my dear 4L immensely (which caused crying as if I was Ben Stiller in There's Something About Mary), as well as the endorphins and sense of purpose the daily grind gives you.  As you'd expect, I was so completely traumatised by the whole experience (when not distracted by food) that I needed regular evening spoons with my dear visitors as well as with my beautiful Italian co-patient who was also in my ward. A woman I had only met during my 2012 birthmonth in 'pital, but someone I couldn't possibly imagine my hospital life, nor maintaining my sanity during such a challenging life chapter, without.  As anyone who is dealing with such tragedy, denial was indeed first and all my focus was on longing for my dear family from Down Under to just come be with me, refusing to accept what all my Klubbers, nurses, occupational therapists and doctors were insisting had happened to my ole brain (what would they know?!), yet all the while, unable to retain more than a few seconds (that grew more in retention every day - still is!) worth of my life (and that of others) at a time each day.  An inability which made myself totally aware of such a newfound deficit.  Quite a confronting situation for this Kitty to not be able to use my typically well-oiled machine that is the brain in my prime years.  When I wasn't thinking about 4L, my pseudo broken heart, delicious English chocolate or where I got my 'new' maroon pants, I'd be worrying about the daily surgeries and/or investigations I was having. In particular, the birthmonth's brain biopsy, which had a slim (yet distinct) chance of death.  Admittedly, the actual likelihood of dying from such a surgery was extremely small, but this Kitty wasn't exactly feeling overly confident in my abilities at life.

Just a few days post brain surgery and I'm relishing in all the attention! 
Check out the sweet scar and shaved head! Knowing what surgery one could need when strokes hit, this one is absolutely minor. 
Plus, it's pretty rad.
December 2012

In the end, such a morbid concern turned out to be a fruitless, simple-yet-petrifying ordeal - with the aim to elucidate the pattern of my blood-vessel inflammation - when the brain biopsy's results came back inconclusive and I survived (evidently)! Everyone wants a piece of the Kitty-Brain-pie!  Fortunately, my darling medical gurus used a cerebral angiogram (x-ray test of the brain's blood vessels where the docs used a certain dye that gives you the sensation of going to the toilet as it goes through your veins. Keep calm and carry on *peeing*, Kitty! It was almost a fun test! Almost being the operative word there) to identify characteristic patterns of inflammation in my affected blood vessels, where they then deduced (not officially identified) a nervous-system disorder known as vasculitis as possibly the cause for my two massive strokes.  An extremely rare (and special) disorder that lists stroke as one of its many symptoms amongst other health concerns (it all makes sense now, right Klubbers?!). As we some have bear witness to, the (redundant) brain biopsy means I do now look rather sexy-chic with a cute little shaved spot (+ my skull's blatant sexy peephole) at the back of my head, with friends making clever jokes about such a new (perhaps improved) Kitty look within hours of the operation (I wouldn't expect any less).  One even made light of such a confronting haircut (just like a typical Australian sort would!) by asking if I looked like Natalie Portman's shaved-head style, to which my response was that I was more likely channelling Bill Murray (....well I am quite enjoyable to look at. A hoot too!). 
Above: Mere minutes after waking from brain surgery, friends are already mocking me (& I was quick to join them!). 
LOVE it.
St George's Hospital London U.K.
November 2012

The above conversation where a thoughtful mate likened an ordeal that was utterly frightening to me to the most attractive women that have sported shaved heads (to which I replied with perhaps the most handsome balding man), in the initial moments after waking post the live-or-die brain surgery, is a perfect example of the Klubbers' unique humour that has continuously engulfed my life (+ theirs!) during such immense confusion, sadness and suffering, to which I truly regard as the ultimate positive sign of the special (K) sort of person I am and how I'm (/we're) going to actively and successfully combat such a disorder with a smile on my/our dial (95% of the time).  Furthermore, I had one lovely colleague hang out with me at hospital and later, after he had left, send me a message suggesting I reconsider my stay at St George's Hospital upon seeing the cemetery across the road (location, location, location!) was full to capacity (in the event you do not get the Kitty-stab, he was implying the hospital was not doing a very good job at saving lives)!  Of course, I absolutely loved receiving such a morbid message (my kind of humour after all!) and knew that an Englishman being able to make a quality joke about the dead centre of town when I was so petrified about death myself, having just made it through two strokes (assumedly) caused by the little ole vasculitis - a serious disease which more-likely-than-not is fatalmeant that the two strokes I suffered did indeed serve a purpose!  Englishman, although heavily reliant on dry-and-dark humour, proves himself to be funny - quite the lasting effect there, Miss Laird!

It was an incredibly confronting situation for this Kitty, to be facing the idea of death at 26 years old without my immediate family by my side, in a cold country on the opposite side/end of the world, absolutely confused & bewildered about what was going on in my life, yet it was just an everyday occurrence for the surgeons - after all, it was their day job.  The superb surgeons at St George's Hospital only had to listen to my angst for a few minutes before knocking me out (perhaps it was a tad kill-two-birds-with-one-stone scenario for the surgeons when I was unconscious and therefore unable to offer them my usual chitty chat to them during the brain biopsy!).  However, the doting staff had to constantly put up with my chin wagging and if they weren't working, I'd ask after them (just the lucky ones that were put into my long-term-memory bank - i.e. sweeeeet ole GILLY-O!) because I missed the kind way they spoke about the scary brain operation and the countless other invasive, traumatising procedures performed on this Kitty, sat next to my bed well into the lonely nights offering graphic tales and anecdotes about their lives outside of hospital and/or helped calm me in regards to my memory-loss concerns when I thought I was going to be stuck as Special K forevermore ('I'll get you some pudding to help you calm down'/'I've seen worse than you get better. Get over it Kitty Kat!'). 


My doting nurses/employees would tell me the following day that I had asked after them when they weren't working (how dare they abandon me/have a day off!), offering congratulations on the short-term memory progress as well as trying to imply that they were my favourite St George's Hospital staff member as remembering them was quite the feat.  Of course my response was always, 'you ought to be flattered I even remember you at all!' (such true words, Kitty!). Always a believer in your profession's ultimate rewards coming from your direct positive effect on others, I knew that Gilly was absolutely chuffed at my ability to retain him then - and even now - yet the leader of our Commonwealth had eluded me.  

Occasionally, the good St G staff had to remind me that I hadn't yet had a shower for that day (implying to do so, dirty Kitty!), but I always reflected on this memory deficiency with optimism; at least they didn't have to shower me themselves, like stroke patients do so often require.  They only had to step in with the friendly reminder (& they always were ever-so friendly!) and I'd be off with some freshly-washed/new PJs (gifted by mates!) + familiar-smelling hair/body products that the support network had so lovingly brought in for me (there's only so much chocolate they could gift after all!).  Of course, the ten minutes spent having a shower meant the short-term memory had been reset, so when I'd come back to my room (I'd recognise my room by peaking in various ones until I recognised, say, my Italian Big Spoon, Gilly and/or my darling 4L students' art work that was on display - long-term memory guides!), I'd be utterly confused about exactly which bed was mine. The patients who shared my ward were awfully understanding of my confusion + memory deficit, steering me in the right direction and when I'd occasionally get into another patient's bed (that was empty at the time! I'm not that brain damaged! C'mon!), thinking it was mine, we'd laugh at my Special-K ways.  You must find the humour aspect in such a unique (and frequent) occasion for the life of a brain-damaged soul!   It also helped that Mother Duck was/is a mental-health registered nurse who would tell me she had seen worse (probably referring to my younger sister in the mornings, eyyy) and explained why my brain was having such a hard time at remembering, whilst also calling St George's Hospital straight after such chats to ask/tell them to up my calming drugs.  I knew there was a reason why I had chosen Mother Duck to be my mummy for more than just her unique travel buddy abilities!
Hospital Life - Kitty Style 
Friends Galore (& all the while, in a onesie)
St George's Hospital, London 
November 2012

The psyche as a person with brain damage was in such an unfamiliar-+-bizarre place in the first few months post Stroke #2that on top of my frequent misconception that I was definitely in a coma, I kept asking my nurses, fellow patients/spoon buddies and my daily visitors/Klubbers if they liked my hair extension because I honestly thought I had been given a vanity saviour after my brain biopsy to prevent me looking like a better-looking/funnier version of my brothers.  Klubbers were at first concerned at how crazy I seemed, but then I was so adamant that I had a hair extension to cover the distinct hole in my skull and flicked my hair (...that apparently covered the cute shaved spot) with such confidence, that it became quite the joke at my expense by family, friends and even St-G buddy, Gilly - with even myself joining in on such an entertaining Kitty-roast in the end ('twas really just trying to make them laugh!).  Upon reflection, it makes perfect sense that I should have had a hair extension to cover the blatant shaved spot! Now, I have accepted such an East-London look and insist all of my loved ones (+ acquaintances/anybody) stroke the hole in my skull (with skin stitched back up so it is technically covered up), with most finding it rather disgusting, morbid and disturbing. Surprisingly, I've grown quite attached to it and am often tapping the spot (of course, the hair has grown back, but the bone has yet to completely) and when I do these slight taps, I get slight tingling spasms in different parts of my head/neck, which feels as if the inside of my head is hollow!  Perhaps it is - it would make an awful lot of sense! Unfortunately, I have been informed that the bone will grow back eventually, so if you are wanting to feel such a 'gateway to my brain', get in (the hole) quick! Clever hole-in-one jokes are most welcome.


Being a teacher, I am forever a learner and this brain injury (to the power of two) is no exception.  Not only have I learned how truly fascinating our brains are with their abilities to re-route despite major damage, but I have also experienced firsthand, the change in my Kitty-persona, as well as my logic, priorities & life's endeavours, whilst also understanding more about the dear kind souls that make up my world, the vast range of people within our world, the role they both play in my growth as a human being and how important they, particularly, my Klubbers, are to my own life's goals and its ultimate happiness.  Whilst this is an extremely challenging life experience & one I do not recommend nor glorify by any means, it has offered immense knowledge + appreciation of the human body and of life itself.  
The brain is truly fascinating. Each hemisphere (left + right) has its own unique functions, abilities and strengths. 
Mesmerising minds!

Above: Using this guide, identify whether you celebrate your left or right hemisphere of the brain. Try celebrating the other one more tomorrow - he/she needs the love!

Due to my (recently-acquired) firsthand experience of just what constitutes short-term memory loss, I have found that it doesn't necessarily mean knowledge and/or memories you recently acquired like so often presumed to be so (that is partly naughties'-film 50-First-Dates' fault with its inaccurate portrayal of such).  Even though I met the superb Gilly at hospital in early November 2012, I retained his glorious self almost immediately (he was indeed honoured every day when I'd greet him with a warm, eager smile and for instance, comment on his haircut *that showcased short-termmemory* because he was that big a deal to my mind!) and I will remember him forevermore because he was a special and vital person in my hospital holiday, hence his place in my long-term memory bank as of November 2012. When we take information in, our brains process such information instantaneously into categories - of course, there's the well-known and valued long-term memory (with information split into explicit, implicit and autobiographical categories) and then there's also the ever troublesome short-term memory (aka the conscious mind according to Dr Sigmund Freud - I do love my uni days', penis-envy theorist, dear Dr Freudy!), which comes from paying attention to our sensory memories. Even though they are similar, our short-term-memory bank is different to our working memory bank, which would be used to store information periodically and rid such unnecessary brain clogging a few minutes later (i.e.: the colour of the man's shoes next to you at the chemist) - although I doubt I'd have much going on in either memory banks! Unsurprisingly, this unique Kitty life experience has made me realise that my brain is quite the fascinating organ (so is yours!) and even though the two strokes were out of my control, before we (/St George's doting neurologists) finally discovered I had a rare (/special) disease (that can be fatal - Kitty has dodged two bullets thus far! No biggie!) - which was (according to experts in GB - although my doctor Down Under has his doubts) the cause for the 2012 strokes - my life and the direction it takes and with whom I choose to share my future experiences with, is.  

My supporters have truly been remarkable in their consideration by say, for example, insisting on planning their visits to our hometown (where I'm currently residing with Mother Duck) with Kitty quality time ensured and/or acting like a doting, selfless nurse when I stay with them in a foreign city (even Brisbane - where I went to university and commenced my career is now foreign to this brain-damaged soul!).  My dear seven siblings, Sarah, Daniel, Simon, Aaron, Brent and Curt and Jack Attack (even JA's significant others, Mark, and Walter-Woo!), care for me like the Special K I am.  Even a nephew and niece have to partake in caring for this brain-damaged Kitty by taking me to events and helping me get around the unfamiliar cities (that were once utterly familiar to me) when I visit them!  Furthermore, one Good (/Great) friend missed out on a booked weekend in Amsterdam with our dear Dutch/Canadian buddies just to be with me at hospital during my birth-weekend in 2012 just after the second stroke struck and I have had other friends cancel events in their social calendar, weekends spent sleeping in, going on dates (sorry gentlemen, Kitty holds priority!) and/or enjoying a typically-normal life in order to support/spoon this inflamed blood vessels/dead pieces of brain Special K.  Obviously, I know this is not the norm for a brain-damaged person/non-brain-damaged person and it is not only a reflection of the selfless sort of people they are, but also who I choose to have in my life and how valuable I must be to them (i.e.: I constantly receive 'please send me your cheese jokes, Kitty!' style messages. Still a valuable Kitty over 'ere!). Having discovered the hard way, being unwell when you're young means many fellow young people have turned their back, not wanting to have to be confronted with someone who is a) unwell and b) mentally challenged. I know this is a reflection of their naive nature and ignorance more than anything else. Because of the little strokes, I adore my loved ones more than I possibly ever could have and just thinking about them makes me instantly smile and brings back the spring in my step.  Yet another positive to this life chapter. 

Always the most popular patient on the ward - check out my buddies (who brought in Aussie treats sent express from Down Under from Mother Duck & Jack Attack! PB ate most of it). 
They have been spectacular sorts!
Charing Cross Hospital
London U.K.
July 2012
One of my mates helping to create a 'memory board' of birthday celebrations at 'pital to ensure the effort the beauties of this world put in was not lost on their Special K (as I'd get anxious about forgetting such and that it hadn't really happened).  It was freezing as well as miserable and a weekend that was meant to be spent in Amsterdam with this incredible woman, yet we had such a lovely day with everyone. Sweet, sweet people. 
St George's Hospital
London UK
November 2012

Always one to be a self-advocator, I take responsibility of my own life as a 27-year-old brain-damaged Kitty Kat and actively seek ways to improve this little, newly-found endeavour of mine despite the extreme challenges I now face and how I may be affected by my decisions. As you may be aware, I am actively seeking ways to improve my restricted life that was pushed onto me when strokes struck at 26 through the decisions I make (still have some choices despite the sheer extent of control in my life = hurrah!) and these are clearly evident with my regular volunteer stint at a nearby supportive primary school (with hours continually growing yesssssss), occupational + speech-&-language therapy - that I was once doing two mornings a week and now also no longer require due to the improvement in my particular memory retention, the progress in decision making and articulation from such self-advocating measures and also from a range of daily at-home brain exercises (i.e.: cooking *with full-time supervision*, various brain tasks orchestrated by dear Nurse Mother Duck, puzzles, sudoku and even iPhone apps) and regular rehabilitation with OTs away from hospital who specialise in stroke survivors. Furthermore, I do believe in the power of perseverance alone and this tenacious attitude is further enhanced by ensuring I have a strong, positive support network through my dear Kitty Kat Klubbers.  Ultimately, my objective here is to improve the quality of my life (+ my loved ones'  lives too - one day they won't have to look after me as much!) and get the ole brain back to its old, hilarious (your words) self where I have true purpose in life by teaching again and being independent (I have a dream).  The docs all have faith in this Aussie battler!
It all starts now with acknowledging such a life-changing event (squared) with optimism, perseverancehumour & a little pun (naturally) - the two strokes have been just like Roger Federer said his tennis strokes were/are; outstanding.
Hospital Life for Kitty
(& for our Queen, the noble foot tickler, former British roomies, former hospital roomie/bestie and two mates that picked myself up when I was down, entertaining to no end)
LOVE!
St George's Hospital, London
November - December 2012

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