So how did you end up in critical care?

 

These are my recollections of the events leading up to and during my stay at Hitchingbrooke Hospital from 25th August until 25th September 2017. I was in critical care from 30th August until 19th September. I then spent a week on the ward to check my recovery and to wean me off oxygen. As I am writing this nearly 10 months later perhaps the memory is not so vivid. Then again, because the period was so horrendous during those first few days the lucid dreaming has run through my mind hundreds of times since.

I assumed that I was an intelligent person. After all I did get a degree in mathematics and have studied science, biology and physics from primary school though university. So how was it that I got myself into the situation of needing critical care for 19 days?

Yasmin contracted sepsis and I visited her in Bedford Hospital on 9th August. She was lucky in that her absence at morning breakfast was noted and an angry supervisor knocked on her door to waken a sleeping intern only to find that she was too ill to move. Eventually an ambulance came and I was called. Was this part of the cause for my infection? Colds and flu have always knocked me badly. Travelling on the tube in London was a sure way to get several strains each year and months of runny nose. At one place I got the nor virus. The projectile vomiting was impressive even if very painful as the acid burnt my mouth. Away from daily commuting and any office and not meeting people in general I had been relatively free of infections for several years.

In mid August I visited my GP and among the usual issues of swollen legs, pains along my forearms, pins and needles and the lack of control of bladder and bowel that inconvenient urgencies brings on I pointed out my cough. The cough had already been bothering me for a month before Yasmin was in hospital. It was not unusual for me to cough when the cold morning air hit me in the bathroom. Largely a winter problem; not so much a summer time one. But this was August. Already well into strawberry picking time and I still had the last three rows of potatoes to dig up.

On my fortnightly visit to the Jobcentre I was coughing more and expressed concern that it might be contagious – like a summer flu. On 15th August I had a new polycarbonate roof put on the conservatory. I stayed away from the fitter so that if my cough was contagious he would not pass it onto his baby daughter.

This cough didn't seem to concern the doctor at all. Probably nothing too much to worry about; or so I assumed. A little bed rest and I would be okay again just like other times.

Next week I became weaker. It was hard to get up, to move around. This got worse and more rapidly that I even felt at the time. I also developed diarrhoea. Not feeling like eating much and knowing not to get dehydrated I went to Tesco in March on 21st to stock up on orange juice, orange drinks, concentrated orange juice - lots of vitamin C and fluid. The effort to shop was sufficiently taxing that I had to take a rest by sitting on a pallet of bottles. I had to abandon further shopping and paid for just the bottles of juices and the milk.

The diarrhoea got worse. My weight dropped from 122kg to 116kg over that week-end. As this was fluid loss it was not a good thing. It became so bad that I lost control as I rose to get up and the floor of my bedroom, corridor and toilet became covered in faeces.

I attempted to clean up and found that my steam mop didn't work. I went on line on the afternoon of Monday 21st August and ordered a new one from Argos to collect from March. When I went to collect it took me 15 minutes to summon up the strength to get out of the car and walk the 10 paces into the store. In fact this purchase was never used and was not even needed as the poor state of my thinking had failed to notice a switch on my existing mop had been flipped to the off position.

I had the need of frequent showers that week. On one occasion I felt dizzy, so decided to sit down in the shower before getting dry. Several hours later I managed to summon enough strength to get out and craw into bed.

Long before this stage I should have gone to the surgery or called the GP. But getting up to queue at 8am with a dash to the loo every 15 minutes put me off. Anyway, it is just like a cold - a couple of days sleeping it off and I would be okay again.

Except, this time it was not. I got worse and far weaker. It seemed like a long time but was only a couple of days later on Friday 25th August that my neighbours got together to investigate why they had not seen me about. There had been a ring at my door, but I was too weak to get up to answer. Anyway it was possibly a cold call as no one ever knocks, not even the postman.

The Clarks may have given up at getting no answer, just as my visitors had the previous night. Even with the car outside they didn't try the door. It was Vi who opened the door and called in. I responded that "I wasn't coping." That was an understatement. Someone called 111 and they decided to send an ambulance.

When the paramedics arrived they wanted to get details of my next of kin. I don't know Yasmin's number and in my semiconscious state had difficulty stringing words together. They did manage to get to my phone, but couldn't get it working. The battery had gone flat and someone trying something ripped the phone case apart. The computer was on - it is always on. I put on a dressing gown and went into the room and switched the monitor on. Opened Outlook and put up Yasmin's details on the screen.

They thought they would have to carry me out to the ambulance. The twist in the doors and placement of fridge would have made it difficult. I could still walk but the effort was a strain.

Gerard said he would look after the rabbits and fish in the pond. So I grabbed the garage remote as I left so he could get to their food and bedding. I locked the kitchen door but did not know that I left the conservatory door unlocked from the time the roof was done. Veronica found that the next day. But that facilitated getting in to water the plants and later to get my computer tablet, keyboard and mouse having to pick out the pieces from shelves full of similar alternative tech.

I was going to pack a change of clothes but the paramedic said I wouldn't need them as I would be in a gown. I did empty some of my cycle handlebar bag where I kept wallet, cheque book, ear phones and usually the Nokia N95 mobile phone. Had I more of a working mind I would have took the tablet and grabbed a micro SD card with some music on it. Patients have access to wi-fi!

Yasmin was contacted whilst I was been driven to Hitchingbrook hospital 14 miles away. The paramedic tried to get fluid into me saying I was very dehydrated. With drinking several litres of orange over the past few days this was difficult to comprehend. I had drunk so much orange that both the urine and diarrhoea were golden. 

The journey to hospital seemed to be consumed with getting a line into my contracted and dehydrated veins. He got there in the end and I believe was on a second bottle of saline before we arrived.

Special entrance for stretcher cases as huge windowless doors parted. Wheeled past the lady on reception she asked "and who is this lovely lady?" As I was naked with my dressing gown opened in the transport I would have thought it was fairly clear what my sex is! This did not inspire me with confidence as to what treatment I would expect here.

I got put into a room on my own. A lot of equipment around including large monitors. One was connected to the five wires stuck on my chest and the clip on my finger to read oxygen levels. I was put into a hospital gown.

I heard someone say something about “capping my teeth”. I didn’t want dental treatment. Why did they want to mess about with my teeth?

By the time it was dark I was wired up with needles stuck in me to drip in fluids, antibiotics and take blood. I needed a shower but was too weak now to lift myself up. I needed a commode. After this I was on my back for several days and no dignity. It seemed to go darker. Subdued lighting. I remember being attended to by a male nurse. He said nothing. I don't recall speaking. He washed the golden marks off my legs that had dried and stained my skin. He was rough but clearly had to be to clean me up. I remember thinking that in all those that saw me and treated me no one had given a thought to cleaning me up. I cried.

Yasmin visited me. She had turned up at Chatteris to an empty house and Veronica drove her to Hitchingbrooke.  This visit and a later one with her mother I don’t recall. They then went on the planned holiday to Scotland.

The events of the next few days, before I was admitted to the critical care unit are more than muddled. The order of events isn't clear and even a few days later I was not sure what really happened or in fact if any of it did as I recall.

One of the nurses, Chris, or the Hungarian doctors, said when they first saw me they only gave me 50:50 to live. That is still hard for me to take in. My worst time was when I was out of it. Even in quarantine I didn’t appreciate how bad I was.

I noticed that the nurses had odd behaviour. It was very repetitive. They seem to get confused and leave if I spoke only to come back later to apparently mime an activity without doing anything. The idea that these might be androids crossed my mind. Their hands felt normal and warm to the touch. I overheard part of a conversation where patients were referred to as "these humans" and "inferior beings". It was also the way they were seemingly able to move my 116kg of mass from one side of the bed to the other without effort. I could not even sit up or move position as the bed rolled under me. It pulsed and rolled and I would end up squashed towards the feet end unable to reposition myself without help to lock my feet in position to push against. The nurses could push and pull me around as if I was a child yet the doctor refused to help me sit up when he explained what had happened to me. So we had this long conversation with me getting a stiff neck. I couldn’t rise myself as the bed mattress would move under me. I needed anchorage even to sit up.

I had lucid dreams.

One was about a village on an island for which I composed a limerick. Two boys ran a business of ferrying the villagers to the main land to go to market. They charged for this service. The villagers didn't like it as they believed that as the fishermen had to go to market they should travel for free. The boys knew that the villages didn't like the charges but said nothing. The money that they collected was the spent on a equipping a nursery where the villagers left their children when they spent the day on the main land.

There was a maze. A complex puzzle to be solved with hexagonal shapes and passages that blended into the general background. It took me days to transverse this maze. Inside was a pirate ship, no masts, suspended in the air and not going anywhere.

Besides having to work through the maze I had another one with tasks and preparing to battle as in the changing room for gladiators to suit up. They fought in teams. Get the right team, with the best skills and you won. Choose badly and you died. I got close to a fight but never in one. I moved on.

I discovered myself in a room. They were filling large two litre brown cardboard containers with my body fluids. Draining my blood and filling up tubes and the container. I know how much blood there is in the human body and this volume before me would have left me dead, yet there it was. Urine and the diarrhoea were also collected and the containers filled and changed. How I expected them to obtain any value from this just made no sense. On the TV they left on that someone had escaped from being held captive where his friends had been farming him for parts to sell. Is that happening to me?

They wanted to insert tubes, a urinary catheter in my bladder and in my bowel. I repeatedly refused treatment. I was put to sleep and woke with pains in my bum. This felt like a metal plate and when I was washed hurt badly.

I got out of the maze and into a room where Yasmin was with her mother. I embraced Yasmin and got out for a few days but was then back into the maze. Yasmin was young, maybe 8 and I didn't consider this at all odd even though I knew she had turned 21.

This sequence was different. I got moved from room to room. My baggage didn't follow me. I was told it was locked up in the ward safe, but elsewhere. The paramedics were removing the labels on the bed sheets and anything to do with branding. All traces of DNA had to be removed. The unit was changing hands. Then staff disappeared. I was in an arm chair too weak to even stand up. The wires and tubes from one of the machines wrapped over my shoulder and they went to sleep. The clock on the wall also showed room temperature. It was down to 12 degrees Celsius. This room was near an entrance but now it was locked shut. There was no one around. I eventually got up and wandered the corridors and found another room. I had to get warm. One of the automatons came over to tell me I had to get into bed. I didn't argue. This one was nice, smiled and I was so tired. Maybe I would die here.

That was not the only event where I was near death. I went to Norway and visited the rock pools. My ex and daughter were around, but not exactly with me. In a pool I got stung by a puffer fish. The spines stuck in my foot and injected poison. I didn't think the puffer was poisonous in this way - Lion fish in the tropics. Later that day I found myself held as hostage by a fisherman, his wife and their imbecile of a brother. They had injected me with the venom of the same fish that had stung me. I was initially knocked out but recovered more quickly than those around me. If the ransom was not forthcoming the captive was dropped down to the beach far below and the crushed body washed out to sea on the next tide. The couple got angry with their brother so in a rage threw him to fall on the beach below. When no one was looking I climbed down the rope, not knowing if I could get out before high tide.

There were people trying to kill me.

One nurse who I woke up to - a shift change - told me in no uncertain terms that she was the boss and I would do as she told me. "I'm number one. What I say goes." 

The same nurse was present when the doctor wanted to put a tube in me. I was refusing. She kept on knotting the tube and another one would be cut; tossing the tubes at me I was compelled to unknot them. I wanted to leave them alone but could not stop myself from disentangling them. The doctor asked if I was a scout but the nurse said it was her who was knotting them. But they were already trying to kill me, just very slowly. That is why I had to fight. I expected retaliation and they did by knocking me out with drugs. Although I was able to recall some of this incident and punching out the full length of my right arm. One of the nurses later told me I had caused him a lot of trouble. I don't recall having met him until much later when he helped me get back on my feet.

According to records I was transferred to critical care on 30th August. I was unconscious and padded out so I could not move. Even though I watched the clocks in the rooms I had no real idea of how many days had passed or when the next lucid dreams began. I was on Zanamavir along with antibacterial cover and changed to Oseltamivir after 5 days.

30th August 10:30

I saw slug like creatures in the room. Climbing down the wall and into the bed. They devoured the bodily fluids that had been collected. I tried to push them back but they were tough and my toe not strong enough to shift them. If someone entered the room they vanished.

The red threats would grow down from the ceiling like roots. They too would disappear when someone entered the room. Much later I discovered that one of the tubes into my nose and down into my stomach was fixed in place by a plaster - the type that is cloth based with a number of loose red threads on the side of it. I also had not noticed that my eye sight was shifting to 20/20 vision at the same time as my hearing lost all frequencies above 4kHz. The threats were perhaps the result of focusing on them over the bridge of my nose.

According to the patient diary the tracheotomy was inserted on 6th September. Not sure how this was better than being on the ventilator. I was still sedated on 8th. At least nine days hole in my memory and perhaps eleven the sedative was being reduced. As I woke up my instinct was to pull at the tubes and lines. It is in the notes, but I don’t remember. The patient diary misses prompts to fill in events I think I recall. The first day that I do recall that matches the diary was the 11th when Estrella looked after me. Besides the fact you don’t forget encounters with Estrella I was fully awake and more active being hoisted into a chair. The diary stops on 14th. After that was series of rapid progress. Tombi (spelling) got me my first meal and removed the tubes one after the other.    

14th September 18:45

Not using my hands to wash or to eat had allowed my nails to grow as they have never been before. Some were as sharp as razor blades. To avoid further cuts I used the nail file on my Swiss Army knife to smooth them down. My toe nails need trimming. The nails broke off themselves over the next few days. They have high ridges more distinct than before and a broken pattern of grow that looks like Braille.  Months later the nails were still easily broken and ripped easily.

Facial hair had grown and I was asked if I could shave myself. I have never used a razor blade and with my lack of binocular vision could only see myself bleeding – a lot.  I also had a number of wire like strands of hair in my eyebrows. I used the tweeters to remove them. 

 17th September

The hearing loss I thought was because of the noise of the oxygen being pumped into my trachea. It was loud and at times very loud. When I had control of the television I had to put the volume up very high. The tubing and airflow had created an uneven pressure. This continued until I was free of wires and tubes and the hole in my throat stitched up, healed and I could pop my ears. My hearing was then restored. Before this I had a hearing test; hence knowing the sharp cut off of hearing above 4kHz. The consultant prescribed some very strong antibiotics. The administering nurse on the next day query them and so did the other consultant who immediately went to her colleague to stop this line of treatment. That was the morning I managed to pop my ears, risking ripping open the wound in my throat under the pressure. So the antibiotics were not necessary. Yet another consultant still wanted to give me the drugs but I refused backed up by the nurse. I still had follow up tests later when the chart showed a cut off from 8kHz. I don't know what a 64 year old is expected to have as hearing but they considered my first readings as "normal". Maybe but not for me and the one thing I am good at, as I got better, is detecting changes in my body and my senses.

The tube in my throat remained a problem. They forcibly prevented me from pulling it out. Along with a needle in my neck. It restricted movement, even the normal movement you have when sleeping. I woke up unable to breathe as the tube had pulled off. It blocked passage of air from my mouth past my larynx. I fought to get it plugged back in and to find the buzzer to get help. This happened a few times.

I was beginning to be more alert. Unable to form words I attempted to write down what I wanted to say. The problem with this was that my hand coordination was terrible. My vision impaired by the bandage across my nose and the after affects of the doses of antibiotics. They had a sheet with the alphabet on it. But raising and holding my hand up to the letters was difficult and I would miss as I lacked binocular vision with the plaster over my nose.

It is no surprise that no one understood me. I can’t read the writing although I can make out a few words. This was also due to the hallucinations from the antibiotic treatment. The doctor later explained this to me. They know the drugs make the patient have the most horrific nightmares. That they become paranoid, violent and lose the ability to reason yet they still use these drugs.

The catheter and bag of urine was no fun either. On one occasion the tube got twisted and constricted. I discovered that when I peed and it couldn't go anywhere. Fortunately my visitor called for help. Unlike the others, where I had to rationalise that events may never had happened this was a previously unimaginable pain and I was fully awake to enjoy it.

I had a tube down my nose into my stomach and was drip fed a cereal. Occasionally I got an infusion of fruit juice injected in a point near my neck. This reminded me of some GI Joe in a Sci-fi movie who pumped a bottle of fluid into his neck before going on patrol. I thought it was from Avatar which had been shown on television although I had not watched it then it was on when I had visitors or something else going on. I have watched three different versions of the film and not been able to find the incident.

At a time when my writing was getting readable and I switched to capital letters to make it more distinct but harder for me to maintain I wrote “To be honest if not for Beena I would still be pulling tubes out. Night after night I woke and she stood over me with a smile and a very long explanation of what had happened and why.” All the staff where very kind and had a cheerful smile. It really makes a difference. I don’t think I remembered those who first treated me. One person always came in and said “you will not remember me.”  Her face I did, but did I ever know her name? I was beginning to rationalise away the events. No memory from the 25th could be considered fact and my thoughts could not to be trusted. It is hard to accept a hole in your memory which you can never really fill.

During my last days in critical care they moved me to another room. They were admitting a patients who needed isolation, just as I had, and the room that I was in had a door behind me where the staff could put on gowns before entering the room. Perhaps that was the door of one of my night mares.

I used a piece of paper to write a card to the new occupant saying that I had spent 22 days in that room (it was not exactly) and that the staff would do their best to look after them with the best care possible even if it didn’t seem like that at the time. If I got through it hopefully they would too.

I do remember many more nurses and doctors. All instrumental in keeping my spirits up and helping me make the progress that I did. The patient diary has been filled out by several but some who were key to my recovery did not add an entry.

I watched TV with the volume up very loud but there is not a lot of interesting stuff on day time TV. I found a channel doing several runs per day of “Bones” and watched those, even the repeat later the same day. I had my phone with me and a power supply but I couldn’t speak and with the tube blowing oxygen in my lungs I could not hear anything said on the phone.

As I came around to my senses I had other things to worry about. Getting money transferred to my account to pay the standing orders and direct debits. Getting anything for incapacity from the DWP which ended up taking until 9th October, so no income for two months.

A nurse helped me contact the DWP but they would only send forms for me to sign to my home address. Not a lot of use when I couldn’t get out of bed and no one at home to collect the post for me. A signature from me was also not much use as my writing was so far from normal and totally unreadable.

Veronica got post for me, sometimes passing to Lorna to bring in. She also got my tablet and with difficultly and help from Gerard deliver the keyboard, mouse and cables I needed.

Alun had visited and posted a note on Facebook for me. That way some friends found out what had happened.

Yasmin was able to Skype me from my home to follow instructions to reboot the homeserver.  I then had access to my music and film libraries. The server had shut down for some reason as it does time to time.

The Bluetooth keyboard kept loosing contact (seems a common problem as the same is true of a newer tablet). Lorna leant me a full size usb keyboard. I needed reading glasses but at least my vision was not deformed now. The tablet and its faults made me think to try and solve. But I still lacked the flexibility to control the tiny writing for selecting making adjustment very taxing. Alun helped fix some of the problems.

Anwar picked up the Facebook message and contacted Shabbir in Nottingham. Shabbir, Zohra and Anwar came to visit. It was so nice seeing them after such a long time. One of my former students came with his mother from Ely. I am so grateful for ever visitor. Denise, my other neighbour, visited me and also drove me home from hospital.

I had also applied for a job but had not heard and could not start in September anyway. My path to recovery still unknown. Yasmin picked up the e-mail for me. I was not put forward – not qualified enough.

The nasigastric tube had come out twice. During the last morning in critical care I had more needles removed and the NG tube fell out again. I avoided having yet another inserted even though the nutritionist wanted it to control my diet on the ward. The first time I vomited it out. A complete reflex action from nowhere. The second time I was working on my tablet and the sticking plaster that held the tube against my nose came undone and slowly the tube fell out on its own. I tried to push it back but felt resistance and had to give up. The second tube was a little of a struggle to get in but Chris managed it and the third was a breeze by comparison. I was still very pleased when the tubes and needles where removed that Monday morning. I have never believed that these were necessary and do believe that if more intervention had taken place in the first days in hospital my condition would not have deteriorated so rapidly.

The inserting of yet another tube meant more X-rays to check where it lay. I wrote down that having had 10 already it was too much.

17th September 11:38

The tracheostomy was removed on 17th September, two day before being transferred to the ward.  I could speak with my own voice the first time for four weeks. The voice box that I was given just days before gave me some speech but many words I could not form. I was not surprised by the size of the device that had been stuck in my throat. The catheter however was a monstrous nematode.

I now had another tube in my nose supplying oxygen. Sounds like the Jag at 90mph with the windows open. So I could not hear anything.

I didn’t have any clothes and no one suggested that I would need them or a tooth brush or soap – it was assumed that I had them in the hospital or a relative could be phoned and drop them in that day! Most of my wearable clothes where just washed and so either thrown over the lounge armchair or still on the clothes dryer. So the first set of clothes brought from the back section of the wardrobe I didn’t think would fit.  My weight had come down to 107kg but much of that was muscle mass not fat loss.

On Walnut ward,
 23rd September

When I went for my first shower in four weeks I couldn’t find my penis. It had retreated so deep inside my body it felt missing.

The last tube was the needle on the back of my hand to take blood from me if still needed. It wasn’t and eventually I was free off that. The last marks on my hands and wrists took a few months to disappear. The hole in my throat from the tracheotomy and that left by the central line in my neck remain as scars.

On the ward the nurse insisted that I take furosemide before sleeping as this had been inserted in my drip feed. The timing didn’t matter as I had a urinary catheter fitted. Added to this nonsense they were to monitor the urine passed. Seven very full bottles lined up on the table over the next couple of hours.

I was still on oxygen on the ward. This was lowered, raised and lowered again until the consultant said I could dispense with it and crossed off a range of drugs leaving the furosemide and the dam anti-blood clotting that was injected into my stomach.

I had started physio in critical care. This was hard because I was still wired up. I was allowed to sit in the chair for hours at a time after a few basic exercises. Unfortunately they still refused to bring my stuff to me. That included the slippers that I had forgotten I came in with. The floor conducted the heat from my painful feet. They gave me a blanket, but the slippers would have made more sense. The physio was extended on the ward including walking up and down the corridor. This was hard. I was weaken by illness and the four weeks on my back with my muscles not being used. It was nearly two months after being released home that I was able to walk without discomfort and getting rapidly out of breathe.

 3rd October

I was told at length about the after affects of critical care and the drugs. It was at least two months before I could eat normally. The weight loss soon packed on again. The skin itching was terrible for weeks and weeks until it disappeared one night. I had hair loss. I could turn the carpet white each morning. Touching my head resulted in a cloud of hair falling to the floor. It was six months before that became normal.

My pulse is still high at 83 but my oxygen levels are usually over 96 now. When I had to call the GP out worried about a repeat of the conditions that put me into hospital her first thought was to send me straight back to hospital. My oxygen level was low and other signs not good. After learning of my recent history and the figures I gave decided that it was okay to leave me at home. The consultant wanted my oxygen levels to be much higher than the 89-92. Having had treatment for sleep apnoea I was aware that my oxygen levels dropped all the time.

I was told my senses would need to recover. Well they needed time to get back to normal but for two months I could drive better without glasses than with. Getting back the level of vision I had at 18 was incredible. I only wish I understood how this happened – I might be able to repeat the conditions. My hearing, as previous stated got back to normal after I popped my ears. I do seem to get more wax of late but that is all I notice different now. Still going back for more test though; as a follow up. Okay, thorough. Looking for something, but no treatment. Then again none of my other conditions have ongoing treatment.

I still take furosemide and then spironolactone, losartan potassoumm, omeprazole as I get acid reflux now. Folic acid tablets – enough for six months. One batch of antibiotics for the cough and then flucloxacillin for the celluilitis that the GP ignored but was a concern for the consultant at Hitchingbrooke. Even so I had to see another GP to get the pills to help get rid of it as no correspondences had been logged from the hospital. Continued testing seems slow coming. This is partly down to the fact that not having got a follow up by December I asked when I would be seen. I had been forgotten by both parties. Possible fiboisis in the aftermath of the pneumonia which was complicated infection with influenza A. Later scans found excessive calcification. The fluid found in my lungs has been spotted on X-rays taken in 2015 and remain untreated even today. I now have follow ups in the diabetes and endocrine clinic. This is a different line of referral to the diabetes prevention programme in Peterborough that I have also been referred to.

When I was discharged I went out by way of a visit to the critical care unit. Only one of nurses could I place and remember. On another out patient clinic appointment I popped in and saw more staff that I could remember and spent a little time to thank them and update them. Even then that walk from the main entrance was difficult and it took me more time than I anticipated.

Plans for the future? Still need to get well. Weight is an issue and for travelling my legs. I have been invited to the wedding of the daughter of my friend in Pune. If I can go I hope to finally visit Amritsar, the destination I couldn’t get to when my passport was stolen on the train to Lucknow in 1990. I might even get to visit Kerala. 

 21st January 2018


Gerald McMullon, 27th June 2018