Simon Says Study

I briefly mentioned ‘Simon Says Study’ on my Instagram stories yesterday, so I guess I should explain what is going on! I’m fully into studying for my next exam as well as writing my next assignment, and for this one I need a little help. Turns out Microbiology is complicated, and thorough, and quite confusing in some places. I’m very lucky to have a Simon in my life, a friend who is pretty much an expert in that field and who I can say ‘I don’t get this’ to and he can explain to me in one way or another whether that be drawing it out or explaining it in ‘Gemma’ terms. See an example of drawing it out in the image below, by Gemma terms I mean so simple anyone could get it! We arranged to have a study session last night, Simon writing an assignment of his own and me trying to get my head around Gram staining and Bacteriophages. I will crack this and I am ever so grateful to Simon for agreeing to help me!

 

Drawing out lipid membranes and proteins on the back of an envelope and suddenly I get it!

Other than that it’s been what I would like to call a bowel-themed week. Alongside writing an assignment about gut bacteria, I also had a day where I did two eviscerations on people with past procedures on their bowel. What is interesting about this is the fact that wherever you have had surgery in the past, especially in areas like that, you will see adhesions where organs would have normally been free moving. For example, the bowel can usually be moved about easily, it is attached by one side by what is called the mesentery. There is also the peritoneum down there that sits over everything and holds it in place, like a layer of fat that extends downwards and covers it all in an apron-like way. Generally, you can lift the peritoneum and then remove the bowel starting with the duodenum and extending downwards cutting through the mesentery. I hope you’re following me so far! In those that have had surgery or procedures, for example appendix or gall bladder removal, the areas of surgery can scar and form adhesions so areas of bowel become attached to places they would have not been before. Not only is this confusing for following the bowel for removal, but it also can make it much longer process for a trainee. I had to have help with one of the cases this week because I got really confused and knew I needed to stop, I was pleased that the other case actually went really well.

I think some of you may well ask why we remove the bowel. The bowel is examined along with all the other organs and can provide some very useful information. In some cases we even open the bowel, where we cut open the entire organ lengthways and open it out so you can see the membranes inside. The pathologist will look to see if there is any inflammation or conditions affecting the bowel, often this is done by observing a colour change in the tissues. Notably, I have seen a few cases where the bowel has been very dark or even black in places and this is where the bowel tissues have died or become necrotic. If the bowel is damaged this way in life the patient would have to have the sections of the damaged bowel removed which is a common procedure. By removing the bowel at post mortem it also means we can see the organs and structures below such as the kidneys, reproductive organs and bladder. As a trainee it often feels like removing the bowel is a big achievement towards the start of the evisceration and once I mostly mastered it I was quite proud of myself. I hope this was an interesting little insight into the bowel!

 

Are We Ready for Dying Matters last week, Rainbow NHS badge and my trusty hipster Grumpy Cat I have had since I started!

In other news, I am now the proud wearer of a Rainbow NHS badge. Our trust has been giving these out to people who pledge to support the open, inclusive and tolerant NHS, for those who don’t think any barriers should be there for people who identify in any LGBT+ way. When I saw these badges I knew I had to get one because I think they really could make a difference and show people that they don’t need to be scared about being who they are just because they are in a healthcare setting. More information can be found at their Twitter page here.

Hope you all are having a much quicker week than me, and if this applies to you don’t forget to vote today and have a lovely Bank Holiday weekend.

MG x

Dying Matters

What a Dying Matters Awareness Week it has been! I can’t believe my part in it is over and I managed to cram in three Death Cafes which only got bigger and better as the week went on. The first event at King George Hospital was small but a cheery discussion, my favourite part was discussing cryogenics with people who were amazed you could just freeze your head. The second was our regular event and was very well attended with a new face which was really exciting! I love our regulars so much but having new people come and discover what we do is the best. The third event at Queen’s Hospital was standing room only with a lot of pauses while people gathered their thoughts but the discussions were very poignant and important. I thought the fact the language around death was discussed was hugely significant especially to those in the health professions.

Death Cafe at work! Hopefully becoming a regular thing… watch this space!

Alongside these I attended a talk at what I think must be my favourite museum now, The Old Operating Theatre nearby the Guy’s Hospital where I used to work. It was a hilarious talk by Professor Ellis about Royal surgery that I enjoyed so much I didn’t want it to end. I resisted buying all the giant microbe toys while I was there but did cheekily treat myself to a perfect piece of jewellery.

I happen to think I had the best seat in the house at The Old Operating Theatre!

Yesterday I had one of the best Mortuary Insight Visits for staff that I have ever conducted. I felt like people were really engaged and learnt a lot from their time with me. I still love doing these and feel like I get a lot out of them too. My confidence of talking in front of people has grown and grown in recent times thanks to these.

For many reasons, this week has been a challenging one mentally for both me and my fiancé. It seems appropriate to mention that this week also happens to be Mental Health Awareness Week in the UK. Physically invisible illness is what I consider to be something we all are massively improving at being aware of but still has a lot of room for improvement. I see the effects at work, I feel them myself and I worry about them in other people.

People and socialising give me the worst anxiety sometimes, my cats are good at helping with that.

Lastly, I spent yesterday afternoon in absolute wonder at what the human body can do. I was given the opportunity to try and remember the names of all the bones of the skull that once upon a time I could reel off in seconds. Ten years ago, I knew them all and had my own cardboard skeleton I bought and made in my room with all the bones labelled. Yesterday I struggled and was asking everyone what that butterfly shaped bone in the middle of the skull was. I remembered as I was leaving work, it’s the sphenoid. It’s all still in there somewhere.

It kind of looks like a butterfly, if you squint.

I’ll leave you with a photo of the cemetery I see on the staff bus that I vow to visit one day. It’s near the hospital and I’m pretty sure I have family there. Have a great weekend everyone.

MG x

Death. Death. Death.

Well after another trip up to Hartlepool, this time to take an exam and hand in my first assignments, I feel thoroughly ready for some Dying Matters week action!

Happy, feeling positive face!

A brief update, I’m fully stuck into my course now and have met some great people. I have collected some information in my role as AAPT Student Representative and feeling totally positive about the future. Microbiology for Dummies will be firmly by my side for the next two months too, so if we meet expect to see it somewhere looking more and more dog-eared as time passes. It was great to be in Hartlepool, even if it was cold and rainy. The marina is good if you get to ever go there, but the wind whips through the masts of the moored boats and sounds like bats rushing through a cave, even through ear plugs at 2am.

My new friend, Microbiology for Dummies

We got to visit the ‘monkey’ again on his little pedestal and throw some more money at him for good luck. The money goes towards the local hospice, and we now have it in our heads to visit him every time at least once as tradition. Expect many a monkey photo in future!

Good to see you again monkey 🐒

So I want to discuss the word death. I’ve noticed in the last week that through publicising Death Cafe people always seem to ask if it can be called something different. Something less ‘death’. Frankly, I don’t consider the use of the word death inappropriate or insensitive no matter how many times people say it is. I would just like to say, we at one point wouldn’t say cancer. Cancer was a big thing that people avoided. They would say ‘the C word’, or any other way of avoiding actually saying cancer. Cancer is a horrible, truly terrible thing that has impacted my family and nearly every family I know. However, death will happen to everyone. Being opposed to the word death makes no sense to me and not using it is incredibly unhealthy.

I am well aware that a lot of my non-death related friends think I can be a bit much, and it has certainly become an obsession of mine which I’m willing to admit. Perhaps, it is that I have gone in a different unhealthy direction but people do not do themselves any favours by avoiding it completely. I’ll happily discuss this with anyone, anytime. Plus, I will always say death, dead or died in a practical sense. I’m obviously more sensitive around the bereaved but I’m aware of when words work best. In discussing it in general, it’s death!

MG x

Not So Wise Anymore

As you’ve probably seen all over my social media, I had all four of my wisdom teeth out yesterday. My first general anaesthetic, which was genuinely terrifying for me, and my first time at a different hospital than normal. I think I had made it out to be truly awful in my head, so when I woke up from the GA all I did was cry for a solid five minutes while everyone around me tried to figure out why. They were just tears of relief, nothing worse than that! In all honesty, the anaesthetist was so good at her job I don’t remember going under. So once I was awake again they kept telling me to try and sleep more but I was insisting on staying awake and not being tricked again. I am totally fine now apart from the pain, which is manageable with some very strong drugs that are making me mega drowsy.

Puffy face on one side, that was where the nasty cyst was

Wisdom teeth are, in my mind, one of those things they should take out in everyone as early as possible. Along with the appendix, tonsils and anything else people end up needing removed and don’t really need. These little evolutionary hang ups generally don’t do much and just cause problems in the few that have them. Whip them out early and avoid all the nasty things that could happen I say!

My first hospital bed and cannula, achievement unlocked!

The reasons we have wisdom teeth are not entirely clear, but those who have tried to figure it out seem to think it has something to do with our early ancestors diets and processing foods we now no longer eat in abundance. While we opt for softer foods, our ancestors had little choice and would often eat rough food like plants and meats that would require a lot more chewing power. To this end, they also mostly had much larger jaws and muscles around the jaw to assist with this. Now we are left with much smaller jaws, no need for the extra chewing power and generally just some teeth that sit and cause problems in a lot of people. I know several people who have had other teeth removed when children because they’re jaw was small too!

A cute cartoon showing exactly what my lower left molar was doing, only it wasn’t apologetic

My wisdom teeth, or third molars, had a whole range of problems. The upper two had erupted completely, but mostly sideways meaning they not only had a cutting surface pointing directly into my cheek but the other cutting point went into the gum below. The two lower had partially erupted, one more than the other. The one that had half erupted was easier to keep clean and had few problems but one had only just peeled through due to being impacted. When a tooth is impacted it is not facing up like all the other teeth but usually pointing towards the side of the teeth next to it. A combination of the impaction and partial eruption meant I had formed a little cyst which kept filling with pus. They were a mess of ignored for a little bit too long sadly!

I got to rock the delightful hospital socks I see all the time on our deceased patients too!

I believe it’s something like 4 out of 5 third molars that have to be extracted if they appear in the mouth. I did ask the surgeon if I could keep them but he told me it was an infection risk, mostly a lie I believe but I know that a lot of teeth break upon removal and they can’t give you the bits of them. One of those times I wish he’d been honest and not told me a lie to make it sound worse than it is!

These two keeping me company as always

Well I’m full into recovery, got lots of medication and feeling a lot better than I thought. The left hand side of my face is super puffy, I have a sore throat from whatever tubes they shoved down there and I can’t open my mouth very wide at all. Each day it will get better and I will be back to normal service soon I’m sure.

MG x

An Introduction to Dying Matters And The Dying Matters Awareness Week

A year ago or so, Rachel and I were getting excited and nervous about hosting our first Death Cafe. We have come so far since then and I’m so proud of us for approaching our year anniversary! The reason why we decided to host the event in May was to coincide with the Dying Matters Awareness Week 2018. I’m sure I explained at the time what this was but I would like to do so again for all the readers I have gained in the past year.

Dying Matters (www.dyingmatters.org) is an organisation which can only be described at massively death positive. It spans England and Wales, encouraging people to discuss more openly death and dying, alongside all the bits associated. Every year, they host an awareness week where events are held across the countries to highlight the chosen theme of the year. Many organisations such as hospitals, hospices and libraries get involved and host all kinds of events.

For 2019, the theme is Are We Ready? and focuses on the fact we should be talking about death well before we have to or are forced to. We should have made plans well before we die and it’s not something many people know how to do. Hence, this year’s awareness week is the perfect opportunity to get involved and find out more.

I’m pleased to say I’ll be involved in the events at my place of work, hosting my own regular Death Cafe and also helping out at another Death Cafe for another NHS organisation for staff members. At BHRUT there will be two days, Tuesday the 14th at King George Hospital and Thursday 16th at Queen’s Hospital. There will be many stalls with chances to speak to representatives from many places such as funeral directors or hospices and also a Death Cafe between 12.30-13.30 each day. I’m so excited to see what this week will bring and what people will discuss at the events. I’m also attending a few other events myself at other venues which I will update you all on after. It’s set to be a fun, death filled week for me and I can’t wait!

If you are interested in these events or would like to know more please get in touch!

MG x

Self-Diagnosed True Crime Addict

One place I know I can relax is the bath. Baths are like therapy for me, and tonight I’ve had both. A session with my counsellor, and a bath which I’m now trying to relax in and forget about my day. It seems the Tuesday after a four day bank holiday weekend is enough to get me back to square one feeling overwhelmed by all things life. A combination of work things out of my control, and life things fully within my control are causing that buzzing in my head that I’m pretty sure led to a panic attack in January. Never been so thankful for NHS prescriptions than tonight. Long story short, I am grateful that I am neither ashamed to discuss the fact I have regular counselling sessions nor that I take medication for my anxiety, and nobody else should be ashamed of anything like that either.

If only I was a cat and could relax like this

With that done and said, let’s talk about my week so far! Why when it’s only Tuesday? Well it’s been eventful already! The capacity issues I was convinced we would not have at work absolutely proved to me to be naive and not understand the possibilities fully. Never again will I underestimate a weekend and trust it to be quiet because the weeks preceding it had been. Lesson learnt, always be prepared that a whole lot of people could die at any time and have a plan in place for such an occasion. Feeling quite foolish but I will not feel that foolish again because I will not make the same mistake twice!

Tonight I should have revised a bit and done some work but I really wasn’t in the headspace to do so. Instead I listened to one of my favourite true crime podcasts then watched a fairly sensationalist documentary about the Grindr Killer. Firstly, if you are a podcast listener and love true crime please check out Crime Junkie. It was recommended to me by Laura T and it’s great. Alongside this, a new podcast started recently called Murder Squad which is also just brilliant. Make sure you check these out if you would like to! They both are in a similar vein where they explore a murder or series of murders and then ask the listeners to do some investigative work if they think they can help. I’ve noticed there’s a new realisation that the public can be one of the best assets in crime solving so I’m loving these two. Sadly they do American crimes and I can’t do much from here but I can dream.

So the Grindr Killer, you say? I have a big interest in this case because it’s so local to where I live, I feel like I could have at least walked past these people on the platform at Barking station in 2014. If you would like the full story it can be found here, however in summary in 2014-15 a man from Barking in East London killed at least four young men in a series of murders hence he is now known and the Grindr Killer. Via a method of overdose with the date rape drug GHB he administered this to the four known men and then covered them up as either accidental overdoses or suicide. There is a rather brilliant BBC documentary if you can find it about this, the one I saw tonight was on the Freeview channel Pick and was a little less brilliant but still interesting. The thing I find most interesting is the fact that he was not caught sooner and it really raised issues with the police surrounding the treatment of these deaths.

I’ve really become the True Crime addict as of late, reading books about serial killers, listening to podcasts about murders and watching documentaries such as this. Obsessed? Me? Quite possibly!

For later in the week I’m working on a Dying Matters post so keep an eye out for that one, have a great four day week and if you’re struggling know that you’re not alone.

MG x

Thoughts After The April Upminster Death Cafe

Something that a lot of people tell me is that I always seem to be busy. I fully acknowledge that this is mostly true. Somehow, one way or another, I find it harder to organise chill out evenings or days for myself than events! Please don’t think I am complaining, I feel very lucky for having got a career I love and I can arrange things in my spare time which add to this.

We had a very successful and enjoyable Death Cafe on Tuesday which drew three new attendees who seemed to have a great evening and a number of regulars turned up again. I love the fact people keep coming along and that we still have new people who are interested and want to find out more about it. Some previous events have been quite intense and others very lighthearted, the one this month started off quite heavy and ultimately became a lot more cheerful through people sharing funny stories about what has happened to them relating to loved ones dying or through their own experiences with death. I think this summarises something perfect about death, yes it is a horrible time for us all and it will always be an unpleasant thing but there are funny and happy moments that we will remember and can share which make it easier. One thing that came up was people’s strange reactions to death and the unexpected things people do, which included my Mum and I sharing how a friend of my Nan’s when she died who only seemed interested in asking if he could have her television only a day or two afterwards. I remember being furious at the time, but it also serves as a ridiculous story we can now laugh about, the actual audacity of someone to ask if they could take her not exactly expensive or start of the art TV!

I am really please to announce that my Death Cafe hosting has meant that I have some great events lined up for Dying Matters week 2019. More details of these will follow! One thing I wanted to focus on today was the point of Death Cafe and to try an encourage people who may not have been previously to try and attend an event. I think it’s important to point out that a lot of people ask me about them but are sure that they would have nothing to contribute. Trust me when I say, everyone has something to contribute. You might not think discussing death is for you, but we have all either been affected by death or we have thought about it in our lives. It is also something that will, with certainty, happen to us all.

One question I get asked a lot is what the typical Death Cafe attendee is like. I don’t believe there is such a thing as a stupid question but there are ones that are difficult to answer and that is one of them. I think it is fair to say that there is not a typical attendee at all. Another question I am asked is if it is worth it, and I trully believe that anyone can get a lot out of the experience. I mean it when I say that if you have any questions or are curious in any way I would like you to get in touch and we can discuss it. I started the Death Cafe in quite a selfish way, to talk to other people about my passions and interests but I think it is a wonderful thing that has grown into something I love doing through seeing other people enjoy the experience too.

You can see what events are lined up for Dying Matters Week in your area at the webite www.dyingmatters.org or you can research Death Cafes in your area via the postcode search at their website www.deathcafe.com. The details of the Upminster Death Cafe event for May can be found here https://deathcafe.com/deathcafe/8531/.

MG x

Asbestos & My Week

I’m sat in the dentist waiting room once again while I write the bulk of this. My teeth get an awful lot of attention, mainly because they are truly awful. I dread to think the amount of money I have spent on them over the years, and the countdown to my impending wisdom teeth removal is under a month now.

Well where do I start otherwise? It’s been a very interesting week so far. Returning from a holiday is always hard, it can only be made harder by finding out the rest of the team are on leave or are sick so you’re the only one available to work! It took everything I have to remain positive and not feel under pressure but I’ve made it through the week so far! Luckily our other trainee came back on Tuesday so we’ve been running the mortuary between us for two days with some help from other members of staff from across the hospital. It’s been a real learning curve but a great experience for us both to put under our belts.

I’ve completed my revision cards for my exam like a nerd, and when I do revision cards I don’t mess about. Thanks to Laura D for the awesome pretty cards, I’ve created a beautiful set of hopefully memorable information. Little sad cat faces poking out are where information was missing or needed, what else would I possibly use?

In other news, I’d like to talk a bit about asbestosis. Why? I guess it’s something that comes up quite a bit at work and it feels like it’s a bit of an unfamiliar thing for a lot of people. We all know that asbestos is bad, and are quite used to hearing things like ‘then they found asbestos!’ or ‘poor soul, exposed to asbestos’ but do we really know why or how?

If you google asbestos the first thing that comes up is a claim lawyer. Then a company who can safely dismantle and remove your asbestos. Then a link to an asbestos safety course. This pretty much sums up the current asbestos world. It’s unsafe, it needs removing and there’s big money in it.

Asbestos is a combination of naturally occurring minerals which form as crystals. It was mined and used in abundance in the 20th century for being strong, soundproof and protective of heat, fire and electricity. It seemed like the in thing to have and use. It was only later that people realised the fibres of these minerals were incredibly easily inhaled, and could causes terrible illnesses later in life including forms of lung cancer. It is a well known fact that if a husband was exposed to asbestos, the wife could have inhaled asbestos too from washing his clothes and therefore suffer from the same illnesses.

The illnesses associated are mainly known as asbestosis or mesothelioma. Asbestosis is a scarring of the lung which can cause the function to be severely impacted, giving the person a tight chest, shortness of breath and a cough. This can lead to other complications including cancer, one of which is mesothelioma. The effects of these I have seen in people is a build up of fluid around the lungs known as pleural effusion, and pleural plaques which appear as solid white or cream areas on the surfaces of the chest cavity and diaphragm.

We do tend to live in a world know where sadly if there is a blame there is a claim. Going back to my original point, the first link you get on google is a claims lawyer. Claiming for asbestosis is popular and rewarding if proven, but often the forms of cancer described above do not appear until decades after exposure. Asbestos is widely banned across the world, although some countries like Russia still regularly produce and use it.

Things like this always make me wonder what will be the next thing we discover isn’t wonderful after all but actually very damaging. It’s my hope that the rigorous testing of products now can only help reduce things like this happening in the future but also things do slip through and are only found years later.

MG x

You Can Escape Life, But It’s Hard To Escape Death

I had a lovely holiday and a pretty perfect week away from everything apart from the fact I couldn’t tear myself away completely from Twitter. Turns out not knowing what political drama is befalling the UK is worse than knowing it at the moment, however I have reached a point where I can not despair entirely and at least see the funny side to some extent. Yes it’s awful, but I have accepted I have no control over just how awful this mess is going to turn out.

In other news, Lanzarote is beautiful. It’s perfect for a place to forget about life for a while and temporarily adopt a couple of cats. I think I was in my element there, sitting about reading some great books while sipping on the PG friendly named Love on the Beach cocktails and not at all getting a tan worth mentioning because my paler than pale skin simply doesn’t tan and that’s that.

My adopted cats for the week

I made it through I’ll Be Gone in the Dark by Michelle McNamara in about two days, I really couldn’t put it down. It is the gripping story of her search for a serial killer who raped and killed numerous women in California in the 1970s and 1980s, the whole thing pieced together from partial book chapters and articles after Michelle died in 2016. The last part of the book is written by two of the investigators who carried on the search after her death, and you might remember that last year they actually found him and he was arrested under DNA evidence. It’s a great book, which jumps around a bit but has to be given a huge amount of license to do so considering the nature of how it came together and how it was not written in the whole by one author.

I also read I Am, I Am, I Am by Maggie O’Farrell which is a series of short stories describing seventeen brushes with death in her life. It made me think of the few times I’ve felt like I’ve nearly died and is a good read. After that I read Under the Knife by Arnold van de Laar, a really fascinating book looking at a huge range of surgical procedures and how they came about, developing in to what we do today. I found the chapter on prothesis and knee replacements really interesting as I know my Nan had one before the change in practice in the early 2000s and one after that, meaning for the first she was bedridden and rested for a good while after and the second she was up and about fairly quickly. I feel I have to discuss with her when I next see her what she felt was better! My non-death related read was supposed to be The Summer Book by Tove Jannson, the Finnish creator of the Moomins who I adore. I can’t avoid death. This book is largely about the relationship between a curious young girl who’s mother has died, and her aging Grandma. Within the first few pages of the book she asks her Grandma when she will die and all in all it is a beautiful story of a summer on an island exploring life through themes of understanding death and other people. Oh and there is a chapter about a cat. It’s like she wrote that book for me, honestly.

We met some really nice people on our travels, both the locals and the other tourists were all friendly. To start with, Ryanair flights now seem to be like your first day at school because they make you pay to have the seats you book next to each other, and hardly anyone does. So inevitably you end up with one or two people next to you who you’ve never met before. Friendly people chat, not so friendly people plug in earphones. On the flight over I had a really nice woman on the left of me and another on the other side who seemed to ask to move quite quickly and left a seat empty. We could only surmise that the latter was not chatty and didn’t like the idea of two chatterboxes next to her for four hours, which was fine for us because we spread out and had a good old chat. The woman I was chatting to worked in the NHS in mental health care and we soon got into discussing our jobs and which was the hardest (we both thought each others seemed harder), she explained how people are sectioned or held under the Mental Health Act to me and I explained the post mortem process to her. If anyone could overhear us I honestly think they would have wondered what on earth was happening but it was a great flight! No such luck on the plane home, I had two silent ones either side so I read my book and got into an argument with the attendant about a chicken salad sandwich I had paid for but didn’t receive until two hours later.

Two further things I would like to mention that seem relevant. One day we hired a motorbike and did a lap of Lanzarote exploring the sights and the roads. I wanted to go to the Cactus Garden because why not, not really knowing what to expect other than a whole bunch of cacti. The place is amazing, with all kinds of cacti in all shapes and sizes. When I say sizes, there were cacti there taller than most trees which standing next to I could not help pretend to be in the scene from Coco with the giant papaya and cactus dreamt up by Frida Kahlo for her show.

Frida cactus and the Cactus Garden of Cesar Manrique

Secondly, one night we caught up with some television from back home and caught the episode from the new series of Derry Girls where a relative dies and they all have the wake at her house with the body in an open coffin the room. There is a scene where they all crowd around the coffin and the ‘wee English fella’ James gets very freaked out by the fact they are all just standing around a dead body while all the girls just stand there thinking he’s being weird. It’s a very awesome nod to the huge differences between the death practices here in England and in Ireland/Northern Ireland. Certainly something I would love to explore in the future if given the chance, maybe exploring the difference between England, Wales, Scotland, Northern Ireland and Ireland!  

The wee English fella isn’t very comfortable with death it would seem

Normal service shall now resume on here and Twitter, those who follow me on Instagram know that I never stopped on there just carried on posting annoying photos of cats and food. If you don’t already follow me on social media, I can be found @mortuarygem and as always if you would like to get in touch please don’t hesitate.

MG x

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