A Diary of a Mesowarrior Living with #Mesothelioma #Asbestos — The All Party Parliamentary Group Asbestos Sub Committee – Brown Sites, Research,Diffuse Mesothelioma Payments Scheme

london 2

Yesterday was a trip to London to the Houses of Parliament and easy journey

We arrived in plenty of time and would you believe it the queue to get through security was just Ray and I. Its never been like that so everyone dived on us to get us through. Coat of and in a tray, bag in another no belt to take off, that is the part Ray hates as his trousers start to fall down.

Then I walk through the scanner and it didn’t bleep this time.

I waited for my things to slowly go through well pleased I tided my handbag and pockets out before hand.

We had a coffee and met up with 2 more members of the Asbestos Sub Committee. Then up the staircase in the main hall main hall

Straight in to room 10 where all the committee was arriving.

We discussed points that was need to be raised in the main meeting in room 18 later.

Brown field sites cause such a problem with asbestos appearing in the soil.

Although the HSE (Health and Safety Executive) have published strict guidelines for the removal of asbestos, historically this was not the case. Even when the guidelines are adhered to, there is always the risk that asbestos is missed prior to building demolition, or improperly disposed of. Buildings demolished prior to the establishment of the Control of Asbestos Regulations are at particularly high risk of contaminating the ground around them.
If a building is demolished while asbestos is present, the asbestos materials may contaminate the ground. While it is undisturbed, the risk to the general public and those working on the site is low. However, once the ground is broken during construction, the fibres will become airborne and at this stage it becomes likely that anyone working on or around the site might be exposed to the asbestos fibres.

https://www.designingbuildings.co.uk/wiki/The_risk_of_asbestos_on_brownfield_sites

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Professor Sir Anthony Newman Taylor is currently the Chairman of the Independent Medical Expert Group (IMEG) of the Armed Forces Compensation Scheme (AFCS). He is Professor of Occupational and Environmental Medicine at National Heart and Lung Institute (NHLI), Imperial College London and is currently Head of Research and Development at NHLI, a Trustee of the Rayne Foundation, Chairman of the Colt Foundation and a Non-Executive Director of Imperial College Healthcare NHS Trust.

He gave us a report of the National Mesothelioma Centre. The scale of the problem
The UK has the highest incidence of mesothelioma in the world. This aggressive form of cancer results in 2,500 deaths a year in the UK, and it is estimated that there will be 60,000 to 75,000 new cases by 2050. Mesothelioma is so prevalent in the UK in part due to the use of asbestos not being reduced earlier and our legacy of a large shipbuilding industry. In many cases spouses and children of those exposed to asbestos have developed the cancer through transfer of fibres on workers’ clothing. Asbestos exposure has put servicemen and women in the armed forces at particular risk. Asbestos exposure has an equally high risk of causing lung cancer, leading to a further 2,500 deaths each year. Lung cancer itself is the major cause of cancer death in the UK.

The Centre will benefit from:
A Bioinformatics Unit for handling and interpreting the complex genomic data will underpin this research.
Models of disease and eventually high-throughput screens for new drugs developed by the The Institute for Cancer Research (ICR) and NHLI
An early Phase Clinical Trials Unit that will match intensive provide chemo and biological therapies designed by Dr Sanjay Popat and Professor Dean Fennel (University of Leicester) and ICR/ The Royal Marsden.
Being part of a national network of a much wider range of clinical and research activities that are already active in the UK.
Patient and public engagement through existing clinical and patient networks including Mesothelioma UK and the June Hancock Trust. As well as regular meetings with patient interest groups and public lectures.
International engagement, in recognition of the fact that mesothelioma and lung cancers are problems that affect tens of thousands of people beyond the UK and that effective basic research into cancer has to be ambitious, involving hundreds or even thousands of patients. This is accomplished by multidisciplinary research through the collaborative programs with contributions from leaders and experts in several fields with access to the latest high technologies and data analysis platforms. Fostering data sharing, short and medium-term exchange of the best and brightest young research scientists, and raising international funding for ambitious joint genomic research.
Early diagnosis through state-of the CT and MRI imaging at The Royal Brompton and the Royal Marsden Hospitals and a novel program of research developed around diagnosis from the small specimens that are typically yielded by bronchoscopic and fine-needle biopsies. Successful application of the technology will allow repeated biopsies to follow the consequences of therapy and to amend treatment accordingly.

my news stories 2

I was beginning to see where my Foundation will lean-to help out with raising money for research you just don’t realise what is going on until you sit in on these meetings.

Then there was an update on Diffuse Mesothelioma Payments Scheme. They have paid out 99 million pound so far—– Just ponder on that for a while, it’s a huge sum but that means a huge amount of mesothelioma sufferers.

But Because they are now finding more companies Insurers it means the government  have been able to recover 21 million back. so that went down well.

We need a equalization of the 79/2008 Scheme   payments for in-life and posthumous claims which isn’t fair for the widows of widowers.

Then the Veteran’s have no posthumous claims which is totally unfair.

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A Report on the Forums court case against Cape was next but that is ongoing.

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Then it was any other business where I was able to talk then.  I was able to raise a question  for the Mesowarriors over the defuse payment -Warriors cant claim for private drugs so the gap widens

My name was used in a test case as I have had good results.

So as we have won the test case to claim extra payment if needed  for the dear drugs private only if you cant get on a trial and if you can sue a company,

My Point was received very favourably I suggested they set up a fund, that we that couldn’t claim, could tap into if we couldn’t get on a trial as these drugs are so dear. I said it would actually save the NHS money. Looking good.

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This is Room 18 where we just put all the same points forward and that was it we all left to go home.

When we got to Victoria there were crowds waiting for the train as everything was delayed due to signalling problems. We had just missed our train and it turned out that our Ramsgate trains were running. We got in one on time but we had to travel so slow and also be detoured on a loop line.

We had a family with us. A young couple with a little girl and a baby boy who was long after his bed time.

They fed him and he was so sick.  so his mum stripped him and wrapped him in a blanket.

We had a great chat about bringing up children and the problems of finding a house etc etc the time soon went.

We were right by the toilet and the door kept shutting and opening as people went in there much to the amusement of the little girl.

They got off and it went so quiet, We did get home 9.45pm

 

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A round up of this weeks News #asbestos #mesothelioma

 

 

 

 

 

 

 

Asbestos Used in Textiles

Raw asbestos can be spun and woven into garments and material fabrics. This is in view of its own small and fibrous nature that also makes them tough enough to resist high temperatures, fires, and materials that are detrimental.
Nevertheless, this doesn’t mean that they’re indestructible- they may be cut or ripped. The fire resistant quality of asbestos has really made it an ideal material to utilize in protective clothing, for instance, protective jackets for firefighters as well as the mitts and aprons worn by foundry workers.
Weaving asbestos strands alongside other fibers enhanced the tensile strength of material products.
In spite of the truth that the utilization of asbestos in cloths may be dated back to 2500 B.C, it wasn’t until the late 1800s that it was mass produced in the US.
Among the very first businesses to make asbestos substances was Johns Manville, which began the year working on it 1884.

As the interest in asbestos products accelerated – and with it being woven using exactly the same technique some fabric plants that have been constructed to process cotton were changed over throughout the early 1900s to asbestos processing plants.
Different grades of asbestos fibrils of were blended in a fiber blender according to information on the proposed product. The filaments are subsequently made into a fiber mat.
The mat layered and is pressed to form an arrangement of fiber mats. The lap is then used to create thin threads known as roving. At this step, other fibrils like rayon or cotton could be comprised. The roving is spun further to form a yarn.
The yarn is which can make thread. The thread can now be processed into the various different goods such as clothing, rope, wicking or even tape.
In the organization, the Carolinas were especially instrumental in the usa. There have been enormous deposits of naturally occurring asbestos in both the South as well as the North, and plants were built up in preceding cotton factories close to the mines.
One such plant was the Southern Asbestos Manufacturing Company plant in Charlotte, North Carolina. In 1920, the firm purchased a cotton processing plant and altered it over into an asbestos plant that produced yarn and fabric. In only two years, the business’s gains multiplied.
Because asbestos is poisonous, the use of asbestos in making garments and fabric declined. Presently, a wide array of fire resistant materials are utilized in the manufacture of protective garments and fabrics.
While folks in this very day and age are looking for safe asbestos removal Central Coast for their dwellings and commercial buildings – than throwing out a coat, a little more challenging.
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Mesothelioma from asbestos exposures: Epidemiologic patterns and impact in the United States
Richard A. Lemen
Pages 250-265 | Published online: 05 Oct 2016

Download citation http://dx.doi.org/10.1080/10937404.2016.1195323

 

 

 

 

 

 

 

Full Article Figures & data References Citations Metrics Reprints & Permissions Get access
ABSTRACT
Mesothelioma, a rare tumor, is highly correlated with asbestos exposure. Mesothelioma, similar to all asbestos-related diseases, is dose/intensity dependent to some degree, and studies showed the risk of mesothelioma rises with cumulative exposures. Multiple processes occur in an individual before mesothelioma occurs. The impact of mesothelioma in the United States has been continuous over the last half century, claiming between 2,000 and 3,000 lives each year. Mesothelioma is a preventable tumor that is more frequently reported as associated with asbestos exposure among men than women. However, the rate of asbestos-associated mesothelioma is on the rise among women due to better investigation into their histories of asbestos exposure. It is of interest that investigators detected asbestos-associated cases of mesothelioma in women from nonoccupational sources—that is, bystander, incidental, or take-home exposures. It is postulated that asbestos-associated mesotheliomas, in both men and women, are likely underreported. However, with the implementation of the most recent ICD-10 coding system, the correlation of mesothelioma with asbestos exposure is expected to rise to approximately 80% in the United States. This study examined the demographic and etiological nature of asbestos-related mesothelioma.
Additional information
Author information
Richard A. Lemen

Richard Lemen is a retired former Assistant Surgeon General of the United States Public Health Service and Deputy Director and Acting Director of the National Institute for Occupational Safety and Health. He also serves as a Presidential Appointee to the United States Presidential Advisory Board on Radiation and Worker Health, 2009–present.

http://www.tandfonline.com/doi/abs/10.1080/10937404.2016.1195323

 

 

 

 

 

 

 

 

http://www.prefabmuseum.uk/…/Prefab-Post-Issue-3-web.pdfEve…

Loved the prefab but they were full of Asbestos

The Wake Green Road prefabs in Moseley, Birmingham, still stand proud more than 70 years since they were built as a temporary solution to Britain’s postwar housing problems. Between 1944 and 1949, more than 156,000 two bedroom temporary bungalows rose across the UK under the Temporary Housing Programme. More than 4,000 were in Birmingham: although they have been well loved by the people who lived in them, most have been pulled down. All the bungalows had a minimum 635 sq ft floor space and were assembled from prebuilt panels attached to prefabricated wood or metal frames. The Wake Green Road houses are the Phoenix type – detached, three-bay, steel-framed and clad in corrugated asbestos sheeting with metal windows. All prefabs came with a central service unit of a prefabricated kitchen built onto a bathroom and indoor lavatory with central service pipes and a coal fire and back boiler to fuel hot water and a hot air central heating system. The kitchens contained the latest labour-saving equipment and were luxurious for the time. The Birmingham prefabs were listed Grade II in 1998 as “an unusual surviving example”. Birmingham Conservation Trust, the Twentieth Century Society in the West Midlands and the Prefab Museum are working on the Prefabulous project to conserve the bungalows, several of which are empty and in poor repair. Lou Robson, October 2016

http://www.bbc.co.uk/news/uk-wales-42025235

 

 

 

 

 

 

 

The number of incidents of asbestos fly-tipping in Wales hit a 10-year high last year, new figures have shown.
In 2016-2017, 270 cases of asbestos fly-tipping were recorded, up from 172 the year before – a 57% increase.
Merthyr Tydfil had the highest overall fly-tipping rate with one incident for every 30 people, compared to one incident for every 735 in Wrexham.
Natural Resources Wales said it was “vital people are aware of their responsibilities”.
Fly-tipping hit its highest rate since 2010-11 with people mainly dumping waste along highways or on footpaths, often amounts that would fill a car boot or a small van.
Rebecca Favager, NRW’s waste manager said: “Understanding and complying with the duty of care is key to stopping waste getting into the hands of illegal waste operators and can result in public money being saved, less damage to the environment and protection for operators who do comply with the law.”
Removing illegally dumped waste costs smaller councils tens of thousands of pounds, with the cost rising to hundreds of thousands in larger cities.

Parenchymal asbestosis due to primary asbestos
exposure among ship-breaking workers: report of the
first cases fromBangladesh

Workers weld a wrecked part of a ship at a ship-breaking yard in Chittagong August 19, 2009. Bangladesh is dependent on shipbreaking for its domestic steel requirements. The Chittagong shipbreaking yard is a highly polluted coastal belt of 20 km. The number of accidents and casualties at the yard is believed to be the highest in the region, according to environmental organizations.

 

 

 

 

 

 

 

 

 

 

 

 

We report for the first time asbestosis among ship-breaking workers of Sitakunda in Bangladesh who were exposed to asbestos during ship-based and beach-based operations for at least 10 years. Asbestosis was present among 35% of workers. Years of work (>20) and forced vital capacity (<80% of predicted) were significantly associated with the disease. Currently, global ship-breaking operations are mainly concentrated in the Indian subcontinent, and Bangladesh has the majority share. Ninety per cent of domestic steel is produced in the ship-breaking operations in Bangladesh and is an important contributor to the economy. It also gives employment to more than 100 000 people. It is imperative to medically check up all the workers for benign and malignant diseases causally related to asbestos among these vulnerable population of workers.CASE PRESENTATIONA 45-year-old worker was seen at the clinic with complaints of grade 2 dyspnoea. His family was from North Bangladesh and has been working in the shipyards of Sitakunda, Bangladesh, for 22 years. He had worked in ship-based cutting opera-tions and beach-based operations. He gave a history of exposure to asbestos in both the jobs. He lived in a small shed made from materials procured from the ship close to the place of work. He was a non-smoker. He gave no history of chronic bronchitis or taking bronchodilators. His medical history and family history were not significant. On clinical examination, he had no clubbing and vital signs were normal. On deep inspiration, rhonchi could be elicited on auscultation. Rest of the clin-ical examination was normal. His basal pulse oxim-etry and exercise pulse oximetry were normal. Pulmonary function tests revealed that his forced vital capacity (FVC) was 76% and forced expiratory volume in 1 s (FEV1) was 75% as expected for his age and height. Chest PA X-ray revealed reticular opacities of type signs and symptoms (s/s) with a profusion of 1/1 as per International Labour Orga-nization (ILO) classification. A diagnosis of asbes-tosis was made.MethodsThe data were collected during two diagnostic medical check-up camps for asbestosis, of 4 days each between July 2016 and January 2017, organised by Bangladesh Occupational Safety, Health and Environment Foundation (OSHE), a non-governmental organisation. OSHE, established in 2006, is involved in improving the working conditions of garment workers, recording of occu-pational injuries and accidents, and interacting with all stakeholders related to workers’ occupa-tional health and safety. It has also been working for improvement of workplace safety in the ship-breaking industry at Chittagong.1Doctors visited the workplace and observed asbestos exposure during both ship-based and beach-based operations. Documentation of asbestos exposure was done by photographing, using a small mobile camera (figure 1). Workers were contacted by OSHE through a worker representative and explained the aim of the medical check-ups, which was to diagnose lung disease causally related to asbestos exposure. Workers with 10 ye ars or more of exposure to asbestos, who had worked mainly as cutters and fitters in ship-based opera-tions and who were willing to come for the medical check-up were selected. The medical check-up was done without the knowledge of the owners to avoid adverse repercussions to the workers. Data were recorded in a dedicated pneumoconiosis ques-tionnaire as done previously.2 The questionnaire has detailed occupational exposure history, symp-toms of chronic lung disease and relevant history. Clubbing and presence of end-expiratory rales and rhonchi were recorded. Pulmonary function test was done using the Hygeia spirometer, and FEV1 and FVC were recorded. Predicted values of FEV1 and FVC were calculated as explained before in a similar study of asbestos-exposed workers in India.2 X-ray chest PA view was taken and read as per ILO guidelines. Pulse oximetry, basal and post exer-cise, was recorded. The data were entered in MS Excel, and χ2 test was done to test statistical signifi-cance. P<0.05 was considered significant.DiagnosisAsbestosis was diagnosed if it satisfied the following criteria:1. History of exposure for 10 years or more.2. ILO X-ray reading shows reticular opacities (s, t, u) with a profusion greater than 1/1.ResultsThe results were tabulated (table 1 and figures 2 and 3). Ninety-nine workers came for CASE REPORT

https://www.researchgate.net/publication/320858307_Parenchymal_asbestosis_due_to_primary_asbestos_exposure_among_ship-breaking_workers_report_of_the_first_cases_from_Bangladesh

 

 

 

 

Evaluation of the presence of asbestos in cosmetic talcum products

Abstract
Talc has been used for over a century in a variety of cosmetic products. While pure cosmetic talc (free of asbestos) is not considered a risk factor for mesothelioma, it has been recently suggested that inhalation of cosmetic talc containing trace levels of asbestos is a risk factor for mesothelioma. Bulk analyses of cosmetic talcum products were performed in the 1960s and 1970s, however, the analytical methods used at that time were incapable of determining whether asbestos minerals were present in the asbestiform versus non-asbestiform habit. The distinction between these two mineral habits is critical, as non-asbestiform amphibole minerals do not present an asbestos-related cancer risk via inhalation. As such, we evaluated six historical talcum powders using modern-era analytical methods to determine if asbestos is present, and if so, to identify the mineral habit (asbestiform versus non-asbestiform) of the asbestos. Based on their labels, the products were produced by four manufacturers and sold between 1940 and 1977. The products were analyzed in duplicate by two laboratories using standard protocols. Laboratory A analyzed samples using X-ray diffraction (XRD) and polarized light microscopy (PLM), and Laboratory B analyzed samples using PLM and transmission electron microscopy (TEM) with energy dispersive X-ray analysis (EDX) and selected area electron diffraction (SAED). No asbestiform minerals were found in any of the products. Nonetheless, even if some historical cosmetic talcum products contained trace amounts (≤0.1%) of asbestiform minerals, any resulting asbestos exposure would be expected to be exceedingly low, and comparable to exposures from breathing ambient air.

http://www.tandfonline.com/doi/abs/10.1080/08958378.2017.1392656

 

 

 

 

 

 

Cancer death for Moreton-in-Marsh man caused by asbestos creates confusion We Mesowarriors are worried by the fact this will not be recorded as a mesothelioma death.

MYSTERY surrounds the death of an 85 year old retired painter and decorator who could not recall ever coming into contact with asbestos but died from a cancer caused by the deadly mineral.
Thomas Williams from The Dormers, The Folly, in Moreton in Marsh, died from malignant mesothelioma – a lung cancer for which the only known cause is asbestos exposure.
It usually affects people who worked with the substance decades before they started to develop symptoms.
Gloucester Coroner’s Court heard today that Mr Williams died after suffering a cardio respiratory arrest at his home on July 5 this year.

He had been diagnosed with Malignant Mesothelioma last June after suffering breathlessness on exertion. In May of this year his condition deteriorated and he became increasingly frail, later moving into palliative care.
A post mortem confirmed the diagnosis and the presence of asbestos related pleural plaques with over 31,000 fibres per gram of dry lung tissue, 13,636 of them coated. The inquest heard these were levels consistent with asbestos exposure.
Unable to give an industrial related disease conclusion without specific work history confirming asbestos exposure, Assistant Coroner, Caroline Saunders recorded a narrative conclusion that read, “Mr Williams died of natural causes contributed to by asbestos.
“Although he worked in an occupation normally linked to asbestos exposure he cannot recall any specific occasions he was exposed but died from the effects of asbestos.”

It’s not a decision that we like.

This unfortunate mesowarrior was exposed to a significant amount of asbestos. He had pleural plaques which means he had occupational or para occupational exposure. It just seems that he could not remember exactly where, which is not surprising or unusual, especially since he was 85 and it could have been decades ago.

The coroner has given a  verdict that it was natural causes rather than industrial disease.

That is what worries us as just because he could not remember the exposure it does not mean that he was not exposed. No one can prove that now.
We have fought long and hard for this sort of ruling to be squashed. We need to keep the figures right and this man has died from exposure to asbestos causing mesothelioma  http://www.cotswoldjournal.co.uk/news/15660394.Cancer_death_for_Moreton_in_Marsh_man_caused_by_asbestos_creates_confusion/?ref=fbshr


 

 

 

 

So many Write ups of my story

MCP Environmental and Pragmatic Consulting Ltd are supporting
Mavis Nye BCAh and the Mavis Nye Foundation by donating to the charity for every candidate booked on an asbestos awareness course. https://goo.gl/P4UrtG #Charity 

Mesothelioma Warrior and lifelong Mesothelioma champion Mavis Nye established the Mavis Nye Foundation after been diagnosed with Mesothelioma, following numerous treatments The asbestos awareness training ensures HSE compliance for all employees working with or with the potential for asbestos exposure through the interactive asbestos awareness training. MCP and Pragmatic Consulting will donate 50p each for every candidate booked on an asbestos awareness course raising funds for the Mavis Nye Foundation. Mavis undertook the MK3475-28  trial and is now in remission.

L-R: MCP – Managing Director, Andy Stubbs, Pragmatic Consulting – Managing Director, Jo Niblett and MCP – Civils Operations Manager, Stuart Parker.
Mavis Nye said: “I am delighted to gain the support of MCP Environmental and Pragmatic Consulting through the donations made from every asbestos awareness training course. All funds raised will play a critical part in supporting patients with care, treatment and financially.”
Pragmatic Consulting – Managing Director, Jo Niblett said: “I am honoured to call Mavis an inspiration and a friend and hope the donations made through awareness training will make a real difference to the foundation. Our collaboration with MCP Environmental Sees Pragmatic consulting lead the way with an extensive CITB Construction Skills Award Site Safety Plus courses with the addition of Asbestos Awareness Training which invaluable.”
MCP Environmental – Managing Director, Andy Stubbs: “MCP Environmental wanted help raise awareness of Mesothelioma and the great of work Mavis Nye through the foundation. It is all too common to discover the real risks asbestos poses through accidental exposure. Managed correctly through asbestos surveys, comprehensive asbestos register and regular refresher courses the risks can be dramatically reduced.”
Find out more at:
http://www.mavisnyefoundation.com/
To book an Asbestos Awareness Course or to discuss in further detail please contact: training@pragmatic-consulting.co.uk

 

 

 

 

 

 

 

 

Kazan Law wrote a great Blog

Mavis Nye One of Few People in the World in Recovery from Mesothelioma
November 15, 2017
Kazan Law Founding, Senior and Managing Partner Steven Kazan with Mavis Nye UK mesothelioma survivor and activist.
A mesothelioma diagnosis is often thought to be a death sentence. While the mortality rate from mesothelioma is still depressingly high, a few long-term survivors give hope that better treatments and maybe even a cure for mesothelioma are around the corner. Mavis Nye is one of these rare survivors.
Mavis Nye was diagnosed with mesothelioma in 2009, when she was in her late 60s. When she first came in for testing, the fluid pressing on her lungs took her breath away and made it hard for her to walk more than a few feet at a time. Doctors drained seven liters of fluid (almost two gallons) from her lungs. She was so ill when she was first diagnosed, that her doctors gave her just a few months to live.
Mavis Nye doesn’t take bad news lying down. A native of the county of Kent, England, south of London, she opted for aggressive chemotherapy treatment despite her poor prognosis.
This was the first success for Mavis Nye. She signed up for any drug trial she could. Nothing worked. Eventually, chemotherapy stopped working too. By then, Mavis had made it four years beyond her terminal mesothelioma diagnosis, and that was a victory in itself.
At the end of her options, she squeaked into a small clinical trial for the mesothelioma immunotherapy drug Keytruda. For two years, she received a drug infusion every two weeks.
The other two participants in the Keytruda trial succumbed to mesothelioma. Mavis Nye survived – and thrived. After just a few treatments, her tumors started to shrink. At the end of the mesothelioma clinical trial, she was in full remission. That’s a condition that few mesothelioma patients are ever lucky enough to achieve. After a year without treatment, her mesothelioma has not come back. At age 76, Mavis Nye has her life back.
Mavis Nye: Remission After Mesothelioma Immunotherapy
The chief executive of the British Lung Foundation has recognized Mavis Nye as one of only a few people to be in remission from mesothelioma. She went into remission after chemotherapy no longer worked to keep her cancer from progressing and she was able to try mesothelioma immunotherapy.
Chemotherapy drugs work by directly attacking and killing cancer cells. For some types of cancer, chemotherapy can be quite effective at stopping malignant growths. Mesothelioma chemotherapy slows the spread or metastasis of the cancer, thus giving patients longer survival times. Traditional chemotherapy hasn’t been able to shrink mesothelioma tumors, however.
Immunotherapy drugs work indirectly. Rather than attacking the cancer cells head on, they target very specific actions and reactions of your immune system, at the cellular level. Mesothelioma immunotherapy drugs are like tiny keys that lock the doors that cancer uses to grow and spread. These are the pathways that allow malignant cells to avoid the normal rules that govern other cells in our bodies and frees them from the immune response that would otherwise eradicate them.
Keytruda is the brand name for the mesothelioma immunotherapy drug pembrolizumab. It is one of the class of immunotherapy drugs known as checkpoint inhibitors. It blocks the PD-L1 pathway, which is a back door that cancer cells use to avoid programmed death, which is a natural part of the life cycle of all cells. With that pathway blocked, your immune system’s T cells suddenly recognize the cancer cells as harmful invaders and start killing them. The killing ability of these T cells is stronger and more targeted than any chemotherapy drug.
Keytruda is one of the early immunotherapy success stories. It has shown positive results for several types of cancers, including mesothelioma.
There is a caveat with mesothelioma immunotherapy, however. Remember the other two patients in the Keytruda drug trial with Mavis Nye who didn’t survive? Each immunotherapy drug focuses on one of the ways that cancer hides from your immune system. Every tumor is different. Matching the right immunotherapy treatment for a particular patient’s tumor is the next challenge in mesothelioma treatment.
Mavis Nye was lucky: her mesothelioma tumor was very responsive to treatment with Keytruda. The fact that this type of immunotherapy works for some mesothelioma patients points scientists in the right direction to develop more and better mesothelioma immunotherapy drugs and better diagnostic tools.
How Did Mavis Nye Get Mesothelioma?
Mavis Nye has been married to her husband, Ray, for over 50 years. They met when they were both teenagers. He was working as an apprentice at the Royal Naval Dockyard in Chatham, where he later got a job.
After Mavis and Ray married, he would come home covered in dust from the shipyard. She shook out his work clothes and washed them. She brushed the dust from his hair.
No one ever told Ray Nye that the dust at the shipyard contained dangerous asbestos fibers. No one ever suggested that he or the other workers should wear protective clothing. Ray was lucky not to develop mesothelioma. He feels terrible that he brought home the toxic mineral that made his wife sick. If he had known the risks, surely, he would have taken precautions.
Mavis Nye is not alone. There have been numerous cases where women developed mesothelioma because of asbestos exposure from their husbands’ work clothes.
Mavis Nye: Birth of a #Mesowarrior
After her mesothelioma diagnosis, Mavis Nye didn’t just fight hard for her own survival. Even while she was still in treatment, she started working to raise mesothelioma awareness.
Today Mavis Nye spends much of her time speaking about the dangers of asbestos exposure. She is particularly concerned about the risks to children: around 80 percent of the school buildings in Great Britain contain asbestos.
Although corporations and public health officials have known about the dangers of asbestos exposure for 100 years, the death toll from mesothelioma continues to rise. Mavis Nye wants to turn that around. She speaks to physicians, researchers, members of the British Parliament and many others.
Mavis Nye has a name for herself (and a hashtag): #mesowarrior. She plans to fight mesothelioma with every breath she takes.
The Mavis Nye Foundation: Living and Giving Back
Mavis Nye does more than public education. She has joined and formed mesothelioma patient support groups. She is a patient representative for Britain’s National Health Service (NHS). She and Ray started the Mavis Nye Foundation to help other mesothelioma patients receive the kind of life-extending treatment she did.
While her story is inspiring, it’s important to remember that there still is no known cure for mesothelioma. Mavis Nye lives with the knowledge that her cancer could come back at any time. Even more reason for this indomitable spirit to spend every day living life to the fullest and giving her all to other mesothelioma patients.

https://rayandmave.wordpress.com/2017/11/16/a-diary-of-a-mesowarrior-who-lives-with-mesothelioma-asbestos-a-trip-to-sherlock-holmes-baker-street-a-very-good-write-up-of-my-journey-so-far-by-kasan-law/

 

A Diary Of A #Mesowarrior who lives with #Mesothelioma #Asbestos. – A trip to Sherlock Holmes Baker Street/ A very good write up of my journey so far by Kasan Law

sherlock

Yesterday saw us having to go off to London again, much to the amusement of the lady in the ticket office at the station. She loves to know where I’m going and what I’m doing.

So was amused that I was going to London to help in a market research for a drug company. They wanted to hear my story as a Mesothelioma Patient.

It was in Baker Street. Yes the famous Baker Street as featured in the stories of Sherlock Holmes. There is a Museum there but we didn’t have time to go in.

The Interview was carried out in front of a two way mirror as they are not allowed to meet the patient. I found this scary but I needn’t have worried. and we had soon finished and could leave.

Then funny enough I have woken up today to a great article in the Mesothelioma Circle in the USA publishing a very actuate story of my Journey. Very well written so thank you Steven Kazan Law Founding, Senior and Managing Partner

I do approve  We  have kept in touch right through my journey as I became friends with his amazing sister Laurie Kazan Allen who has worked tirelessly as Coordinator of the International Ban Asbestos Secretariat and publisher/editor of the British Asbestos Newsletter England met up at iMIG 2016. ibasecretariat.org

Mavis and Karson allen

Mavis Nye One of Few People in the World in Recovery from Mesothelioma
November 15, 2017

Kazan Law Founding, Senior and Managing Partner Steven Kazan with Mavis Nye UK mesothelioma survivor and activist.
A mesothelioma diagnosis is often thought to be a death sentence. While the mortality rate from mesothelioma is still depressingly high, a few long-term survivors give hope that better treatments and maybe even a cure for mesothelioma are around the corner. Mavis Nye is one of these rare survivors.
Mavis Nye was diagnosed with mesothelioma in 2009, when she was in her late 60s. When she first came in for testing, the fluid pressing on her lungs took her breath away and made it hard for her to walk more than a few feet at a time. Doctors drained seven liters of fluid (almost two gallons) from her lungs. She was so ill when she was first diagnosed, that her doctors gave her just a few months to live.
Mavis Nye doesn’t take bad news lying down. A native of the county of Kent, England, south of London, she opted for aggressive chemotherapy treatment despite her poor prognosis.
This was the first success for Mavis Nye. She signed up for any drug trial she could. Nothing worked. Eventually, chemotherapy stopped working too. By then, Mavis had made it four years beyond her terminal mesothelioma diagnosis, and that was a victory in itself.
At the end of her options, she squeaked into a small clinical trial for the mesothelioma immunotherapy drug Keytruda. For two years, she received a drug infusion every two weeks.
The other two participants in the Keytruda trial succumbed to mesothelioma. Mavis Nye survived – and thrived. After just a few treatments, her tumors started to shrink. At the end of the mesothelioma clinical trial, she was in full remission. That’s a condition that few mesothelioma patients are ever lucky enough to achieve. After a year without treatment, her mesothelioma has not come back. At age 76, Mavis Nye has her life back.
Mavis Nye: Remission After Mesothelioma Immunotherapy
The chief executive of the British Lung Foundation has recognized Mavis Nye as one of only a few people to be in remission from mesothelioma. She went into remission after chemotherapy no longer worked to keep her cancer from progressing and she was able to try mesothelioma immunotherapy.
Chemotherapy drugs work by directly attacking and killing cancer cells. For some types of cancer, chemotherapy can be quite effective at stopping malignant growths. Mesothelioma chemotherapy slows the spread or metastasis of the cancer, thus giving patients longer survival times. Traditional chemotherapy hasn’t been able to shrink mesothelioma tumors, however.
Immunotherapy drugs work indirectly. Rather than attacking the cancer cells head on, they target very specific actions and reactions of your immune system, at the cellular level. Mesothelioma immunotherapy drugs are like tiny keys that lock the doors that cancer uses to grow and spread. These are the pathways that allow malignant cells to avoid the normal rules that govern other cells in our bodies and frees them from the immune response that would otherwise eradicate them.
Keytruda is the brand name for the mesothelioma immunotherapy drug pembrolizumab. It is one of the class of immunotherapy drugs known as checkpoint inhibitors. It blocks the PD-L1 pathway, which is a back door that cancer cells use to avoid programmed death, which is a natural part of the life cycle of all cells. With that pathway blocked, your immune system’s T cells suddenly recognize the cancer cells as harmful invaders and start killing them. The killing ability of these T cells is stronger and more targeted than any chemotherapy drug.
Keytruda is one of the early immunotherapy success stories. It has shown positive results for several types of cancers, including mesothelioma.
There is a caveat with mesothelioma immunotherapy, however. Remember the other two patients in the Keytruda drug trial with Mavis Nye who didn’t survive? Each immunotherapy drug focuses on one of the ways that cancer hides from your immune system. Every tumor is different. Matching the right immunotherapy treatment for a particular patient’s tumor is the next challenge in mesothelioma treatment.
Mavis Nye was lucky: her mesothelioma tumor was very responsive to treatment with Keytruda. The fact that this type of immunotherapy works for some mesothelioma patients points scientists in the right direction to develop more and better mesothelioma immunotherapy drugs and better diagnostic tools.
How Did Mavis Nye Get Mesothelioma?
Mavis Nye has been married to her husband, Ray, for over 50 years. They met when they were both teenagers. He was working as an apprentice at the Royal Naval Dockyard in Chatham, where he later got a job.
After Mavis and Ray married, he would come home covered in dust from the shipyard. She shook out his work clothes and washed them. She brushed the dust from his hair.
No one ever told Ray Nye that the dust at the shipyard contained dangerous asbestos fibers. No one ever suggested that he or the other workers should wear protective clothing. Ray was lucky not to develop mesothelioma. He feels terrible that he brought home the toxic mineral that made his wife sick. If he had known the risks, surely, he would have taken precautions.
Mavis Nye is not alone. There have been numerous cases where women developed mesothelioma because of asbestos exposure from their husbands’ work clothes.
Mavis Nye: Birth of a #Mesowarrior
After her mesothelioma diagnosis, Mavis Nye didn’t just fight hard for her own survival. Even while she was still in treatment, she started working to raise mesothelioma awareness.
Today Mavis Nye spends much of her time speaking about the dangers of asbestos exposure. She is particularly concerned about the risks to children: around 80 percent of the school buildings in Great Britain contain asbestos.
Although corporations and public health officials have known about the dangers of asbestos exposure for 100 years, the death toll from mesothelioma continues to rise. Mavis Nye wants to turn that around. She speaks to physicians, researchers, members of the British Parliament and many others.
Mavis Nye has a name for herself (and a hashtag): #mesowarrior. She plans to fight mesothelioma with every breath she takes.
The Mavis Nye Foundation: Living and Giving Back
Mavis Nye does more than public education. She has joined and formed mesothelioma patient support groups. She is a patient representative for Britain’s National Health Service (NHS). She and Ray started the Mavis Nye Foundation to help other mesothelioma patients receive the kind of life-extending treatment she did.
While her story is inspiring, it’s important to remember that there still is no known cure for mesothelioma. Mavis Nye lives with the knowledge that her cancer could come back at any time. Even more reason for this indomitable spirit to spend every day living life to the fullest and giving her all to other mesothelioma patients.

Kazan, McClain, Satterley & Greenwood is a nationwide Mesothelioma Plaintiff Firm specializing in asbestos litigation. Oakland, CA

kazanlaw.com

https://www.mesotheliomacircle.org/mavis-nye-one-of-few-people-in-the-world-in-recovery-from-mesothelioma/

 

 

 

An Extra Blog As Promised To Show #Asbestos as I have never seen it before at Brunel University #mesothelioma

I visited Brunel University In Uxbridge to meet ‘Dr Ashley Hawkin and the team and watched a demonstration of the process of analysing and counting Asbestos fibres with an atomic spectro microscope.Using this technic you can prove the presence of absence of Asbestos contaminate that can not be seen using the usual equipment.

There was a great image on the screen DSCF0477

We looked at asbestos fibres that they were saying were 0.07 of a micron all so very scientific.

Then a tour of the whole building.DSCF0474

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Ashley is so proud of his work and he has allowed me to share some of the photos  which is so kind of him.brunel 1

Crocidolite 1sq mm of fibres

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Crocidolite  Bundle

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Crocidolite harsh fibre Bundle

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Amosite Fibrous Mass

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Amosite Splitting

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Amosite Individual Fibre

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Crocidolite bundle green twig split

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Crocidolite needle like bundle

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Crocidolite  real world sample

brunel 10Crocidolite x 400 Mag (PLM Magnification difficult to see

 

 

 

 

 

 

 

 

 

 

Crocidolite  x 4,000 Mag SEM  mg Easy to see. I hope you are enthralled as much as I was

 

 

 

 

 

 

 

 

 

A Diary Of A Mesowarrior Living With #Mesothelioma #Asbestos – The Launch Of my charity is almost here/ A weird Interview coming up/Remembrance Sunday

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I have just realised I haven’t written a blog lately as I have been so busy with the Launch of my own Foundation.

The MNF launch is on December the 7th and I have been adding many people to the list of those wanting to attend. The Menu is now available and looks delicious.

We have Auction items promised and raffle prizes being wrapped up in Christmas Paper to go under the tree.

We have had a Board Meeting this week to discus the last arrangements like flowers for the tables so that’s it we are now ready.

There is going to be Press Media now so I have a TV spot coming up all so interesting.

Just a few more spaces free as we squeeze people in its really going to be the biggest Party I have ever had but this is the Celebration of my life. 8.5 years to celebrate with

people in the room that have been with me through all of this Journey. I’m very happy.

MNF room

ray and me 2

Ray and I appeared in our Local Paper this week and on TV so more Awareness here locally

A pensioner who developed cancer caused by contact with her husband’s work clothes has defied all odds to beat the disease.
Mavis Nye, was diagnosed in 2009 with mesothelioma, which is caused by the harmful building material and affects the linings of the lungs.
There are very few cases worldwide of people recovering from the deadly cancer, but 76-year-old Mavis is one of the fortunate few.—

I have had so many emails and comments about how this is giving people hope that we could beat this horrid disease and get time. That’s all we want is more time with our families. We know a cure isn’t near we know that it could come back at anytime so I have just a break in the story to help others and that is what I’m doing.

http://www.kentonline.co.uk/whitstable/news/woman-got-cancer-from-washing-clothes-134802/

I have a weird appointment this week which I will blog about.

On Wednesday we travel to London and I’m doing interview for Research for the drug companies.The purpose of the research is to gain an understanding of the patients perspective from diagnosis to treatment and how I feel currently about my condition of Mesothelioma.

Because they are not supposed   to talk to a patient I’m going to sit in front of a 2 way mirror and answer their questions. Weird!!

I cant wait to see how that goes.

Do you remember Mr Bean!! this is what I have in my mind ha ha !!!

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Today is Remembrance Sunday So many of us will watch on TV it is different today as the Queen will watch from the balcony and not laying the wreath which makes us realise how old she is getting.

For the first time in her 65-year reign she will be present but not lay her own wreath.
This small change of custom has caught the attention of many, though I doubt many can be greatly surprised.
Rather than stand alone, in front of her family, in the centre of Whitehall waiting for the moment to take hold of her traditional but enormous wreath, Her Majesty will watch from the balcony as Prince Charles does it for her.
The Queen is 91 now and carrying a wreath up steps to stand against the stone is not without physical challenge. Stopping this duty must only surprise people for the fact she did not elect to stop doing it a decade ago.
Instead, she will watch from balcony of the Foreign and Commonwealth Office building and, as Prince Charles places it atop the step and takes a pace back to salute, the Queen will bow in debt to the Fallen.
This is what Queen Elizabeth, the Queen Mother always did.

https://news.sky.com/story/queens-small-change-of-custom-on-remembrance-day-11121739  

 

 

A Diary Of A Mesowarrior Living With #Mesothelioma #Asbestos -A visit to Brunel University To Count Asbestos Fibres

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It has been a very interesting day today as I had a very special invite to Brunel Uni from two lovely Women, Lorna Anguiliano and Lesley Hanna,  I met at the Conference I went to FAAM/BOHs In Westminster

So We got up so early as it’s a long journey to Uxbridge especially in rush hour. I don’t know how people do that made rush in the underground everyday. It is scary trying to get down a very crowded stairway at Victoria but we did and had 2 changes. We arrived and got a taxi to this huge site that even the taxi driver got lost.

We were greeted by Lesley, Prof Ian Boyd and Dr Ashley Hawkins.

A cup of coffee, introductions and a tour around the lab.

I have watched a demonstration of the process of analysing and counting Asbestos fibres with an atomic spectro microscope.Using this technic you can prove the presence of absence of Asbestos contaminate that can not be seen using the usual equipment.

closeup

We looked at asbestos fibres that they were saying were 0.07 of a micron all so very scientific.

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Here we are looking at 1 fibre that has split and has many smaller fibres. The Technic is called Scanning Electron Microscopy. When All different Companies have a survey and the surveyors send in samples for testing.

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We were all so serious but we did have lots of laughter as well.

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We discussed everything, all about my story and all about asbestos in schools just a wonderful scientific day  we both really did enjoyed.

We said our goodbyes and as Ashley drove is back to the Station we say the Mary Seacole building .

mary seacole building

The Mary Seacole building offers students a range of modern facilities including a gym, resource rooms, practice rooms with a range of training aids, specialist laboratories with modern learning equipment, an art room, keep-living suite, observation rooms, facilities for PhD researchers, and work rehabilitation rooms. The building is home to students and staff from the College of Health and Life Sciences. The design of the building helps occupants keep cool. A night purge system lets automated windows open to release heat trapped during the day, helping to cool the building without the use of conventional air conditioning.  This system is used in several buildings across campus. Night-time cooling, or night-time purging uses the thermal mass of a building to absorb heat gains during the day, then cools the mass at night using external air and discharging accumulated heat to the outside so the temperature of the thermal mass is lowered ready for the next day. In Mary Seacole this reduces internal temperature rises during the day by around 3 to 6°C.

http://www.brunel.ac.uk/greentrail/innovation/Mary-Seacole

All the buildings are named after famous people we had to go to the Bragg Building

Brunel Buildings
Many of our buildings are named after members of staff and benefactors. If you want to find out some more information, click on the links below:
Bannerman
Elliott Jaques
Gardiner
Russell
Brunel Science Park
Chadwick
Gaskell
Halsbury
Hamilton Centre
Heinz Wolff
Howell
John Crank
Marie Jahoda
Mary Seacole
Wilfred Brown

Stephen Bragg delighted in solid structures: Rolls-Royce jet engines, the Blue Streak rocket, and the railways that were his passion. He will be best remembered, however, for the bridge he built between the worlds of industry and academia.
As vice-chancellor of Brunel University for a decade, Bragg did his utmost to forge links between the two sectors. Later, when he became director of the Cambridge Industrial Cooperation Unit, he led projects to identify industrial problems and find the relevant academics to help to solve them.
His interest in engineering began early — on holiday with his family as a toddler, his love of trains was such that his nursemaid bought him a notebook and began recording the names and numbers of the passing locomotives. As soon as he could read he took on the task of recording them himself. Years later, he was delighted when his 60th birthday present from his wife was a lesson in driving a steam engine, which involved firing up the boiler ready for the trip.
Stephen Lawrence Bragg was born in 1923. His father and grandfather, William Lawrence Bragg and William Henry Bragg, shared the Nobel Prize for Physics in 1915 for pioneering work in X-ray crystallography, a method of determining the atomic structure of crystals which is still used in many fields of science.
He was proud of his family’s history and took a First in Mechanical Tripos at Cambridge, before his first brief spell at Rolls-Royce working on gas turbines. He rejoined the company in 1951 after a period in America — where he won a MSc from the Massachusetts Institute of Technology (MIT) — and in 1956 was working on the Blue Streak rocket, designed as the launch vehicle for Britain’s medium range ballistic missile. With his wife Maureen (née Roberts) he had three sons: Nigel, the principal network architect with Ciena, a global telecommunications network company; Charles, the research and development director for Procter & Gamble; and Andrew, the chief executive of the Association for Project Management.

https://www.thetimes.co.uk/article/stephen-bragg-29h0s9r5wm8

A foot note added by Lesley — To add a little background to what Mavis sent, the Experimental Techniques Centre (ETC) at Brunel University London is accredited by UKAS for asbestos evaluation by scanning and transmission electron microscopy. That allows us to image asbestos fibres with a nanometre-scale resolution and identify the type of fibre present by looking at the x-ray signature. The techniques we use have some significant advantages over the standard Polarised Light Microscopy method for asbestos detection, but they require more time and effort and our instruments are high capital cost and are not portable. We get some commercial income from evaluating samples on behalf of our customers, but as a university we are also very interested in engaging with other aspects of asbestos detection and investigation.

 

A Diary Of A Mesowarrior Living With #Mesothelioma #Asbestos -The Launch Of The Mary Seacole Education Programme

 

 

Mary_Seacole_statue,_St_Thomas'_Hospital,_front_view

We had another trip to London Yesterday as we had been invited to the Mary Seacole exhibition & education programme launch at 4 pm 28/10 at the Florence Nightingale Museum.

We arrived early and was met by the trust and we went through to the Story Teller.

I love hearing of The life of Mary and her home mad medicines.

Mary Jane Grant was born in Kingston, Jamaica in 1805. Her father was a Scottish soldier, and her mother a Jamaican. Mary learned her nursing skills from her mother, who kept a boarding house for invalid soldiers. Although technically ‘free’, being of mixed race, Mary and her family had few civil rights – they could not vote, hold public office or enter the professions. In 1836, Mary married Edwin Seacole but the marriage was short-lived as he died in 1844.
Seacole was an inveterate traveller, and before her marriage visited other parts of the Caribbean, including Cuba, Haiti and the Bahamas, as well as Central America and Britain. On these trips she complemented her knowledge of traditional medicine with European medical ideas. In 1854, Seacole travelled to England again, and approached the War Office, asking to be sent as an army nurse to the Crimea where there was known to be poor medical facilities for wounded soldiers. She was refused. Undaunted Seacole funded her own trip to the Crimea where she established the British Hotel near Balaclava to provide ‘a mess-table and comfortable quarters for sick and convalescent officers’. She also visited the battlefield, sometimes under fire, to nurse the wounded, and became known as ‘Mother Seacole’. Her reputation rivalled that of Florence Nightingale.
After the war she returned to England destitute and in ill health. The press highlighted her plight and in July 1857 a benefit festival was organised to raise money for her, attracting thousands of people. Later that year, Seacole published her memoirs, ‘The Wonderful Adventures of Mrs Seacole in Many Lands’.
Seacole died on 14 May 1881 and her grave is in  St Mary’s Catholic Cemetery, Kensal Green, London.

mary secole story 1

This is just what the Exhibition needed and it will bring to life the story for the children that all seemed so enthralled by Mary as it is taught in schools now. She did so much for nursing the soldiers in the Crimea alongside Florence  Nightingale.

mary seacole story

Trevor Stirling Also spoke of all that was achieved in raising the money for the Statue and the gardens here at St Thomas’s Hospital.

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He had seen me in the Audience and so Introduced me as a Modern Day Mary but he wants all the children to name their votes for people they know.

mary seacole story 3

mary seacole story 2

Yaa Dankwa Ampadu-Sackey
2nd degree connection
2nd
Barrister-at-Law (England & Wales); Barrister and Solicitor of the Supreme Court (Ghana); PgDip Law; BA Hons
Had the most educative and informative evening at the Launch of the Florence Nightingale Museum Mary Seacole exhibit and The Young Seacole Ambassadors project.
Great discussions with Trevor D Sterling and Alice de Coverley about the School Exclusions Project!!
Met with Mavis Nye!!! What an amazing evening!!!

Education

The Trust will inform the public about Mary Seacole’s life and work through an expansion of the Seacole exhibition at the Florence Nightingale Museum, close to the statue at St Thomas’ Hospital.
In addition, the launch of the Young Seacole Ambassador initiative will appeal to a younger generation across the country, encouraging them to consider Mary’s inspirational qualities in the context of the modern day. There will be an essay competition for year 5 and 6 school students, asking them: ‘Who is your modern-day Mary Seacole?’ The competition will initially be open to children in the Lambeth and Southwark area, where the statue is based, with the aim of rolling this out nationally in the future.
The new website will also be used as a gateway for those across all generations to access relevant news articles and activities associated with the Trust’s programmes.

http://www.maryseacoletrust.org.uk/programmes/ 

So we had a drink and nibbles and then went outside to visit the statue.

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It was just getting dark so the light that shines on her wasn’t casting the shadow of her onto the disc.

big ben today

Big ben is looking weird as the lights  are on so the men can carry on working in the dark

We said our goodbyes after a lovely evening and set off back to the tube station over Westminster Bridge

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So many people from all over the world were taking the photo of the London Eye. It is a lovely sight.

pictures-of-big-ben-or Alongside pictures of Big Ben


There is so mush asbestos in this old building.

 

 

 

 

 

 

 

 

 

https://www.theguardian.com/commentisfree/2017/aug/15/big-ben-silent-warning-save-houses-of-parliament

The Houses of Parliament are crumbling. … gas, electricity, asbestos, stonework, sewerage One  wonders if they should pull it down and rebuild.