Poole NHS News
Take a Deep Breath!
With Dr Boos
Spring Dinner Dan
Save the date with E
© 2018 George Llewellyn
POOLE HEART SUPPORT GROUP MAGAZINE
Poole Community Health Centre Shaftesbury Road, BH15 2NT
Telephone: 01202 683363 Ext 158
Telephone manned Mondays & Thursdays 2:00-4:00pm
Please send magazine articles and photos to:
Editor, 10 Hill View Road, Ferndown, Dorset BH22 9QY or by e-mail to; editor@ Tel. 01202 855001
Magazines are published 1st March, 1st June, 1st September and 1st December.
Print Deadlines are 10th February, 10th May, 10th August, 10th November
Magazine Mailing Dates for 2018 are Tuesdays:
February 27th; May 29th (Renewal Slips) ; August 28th; November 27th (Dinner Bookings)
Committee Meetings are first Wednesdays in, February, April, June, August, October, December.
PRESIDENT: Dr CHRISTOPHER BOOS MBBS, Dip IMC, RCS (Ed), MD, FRCP
PRESIDENT EMERITUS: Dr. ANDREW MCLEOD
Vice Presidents: GEOFFREY WALKER OBE, JP, MA, RGN, PgDip, DipEd, FAETC.
Dr. DIANE BRUCE MB, Bsc (Hons), FRCP MAGGIE RICHARDSON JIM WAINE
KEITH MATTHEWS Chairman & Magazine keith@ 01202 855001
DAVID ANDERSON Secretary & Website david@ 01202 697376
RITA HOLMES Treasurer rita@ 01202 743960
JAN MESHER Office Manager jan@ 01202 250108
DEREK POPE Membership Database derek@ 01202 889070
ROBIN PRINGLE Exercise Co-ordinator robin@ 01202 884250
LESLEY RICHARDS Lead Trainer lesley@ 01202 691339
ROGER RIDOUT Purbeck Liaison roger@ 01929 423079
GEOFF LAWRENCE Talks & Social Events geoff@ 01202 888438
GEORGE LLEWELLYN Talks & Social Events geoll@ 01202 605455
DAVE EVANS Clothing Sales 01202 602856
PAM BAILEY BHF Representative 01202 574944
JIM WAINE Founder and VP jim@ 01202 871532
All PHSG emails are @poolehsg.org.uk
If you know a member who is ill, please tell us by contacting our office
using the number and times given above, or any committee member.
3 PHSG Magazine
Christmas again? Oh no! Bah Humbug. Must we have
this EVERY year!
OK then, if we must. Our Christmas Party at Canford
is our main celebration and we’ve fixed this year a bit
more definitely than previously. That’s not been our
fault entirely in the past, it’s just tricky to get Canford
to commit on a date at this time of the year.
The PHSG Christmas Party at Canford is
December 20th at 10:30 for 11:00
A fun, group exercise warm up led by
multiple trainers followed by a
sit down buffet and a Christmas Quiz.
Secondly, this is advance notice and a ‘heads up’ to ‘Save the Day’ for next year’s
Annual Dinner and dance. Yes we are organising our Spring Dinner Dance again in 2019.
PHSG member Eric Paddock has stepped up to the plate and taken over the organisation
with a real enthusiasm to promote it and make it a roaring success. Key to this is that the
band that Eric represents Kaboodle will be playing for us for mood music and then for
dancing. Eric will be touring the exercise venues soon to tell you all about it. Don’t forget,
this is where we invite the Poole rehab nurses and all our trainers to dinner as a thank you
for keeping us going through the year.
PHSG SPRING DINNER & DANCE
Friday May 24th 2019 18:30 for 19:00
Hamworthy Social Club BH21 3AL
SAVE THE DATE!
PHSG Magazine 4
I thought in this edition’s column I would like to talk
about one issue on the subject of breathlessness.
As the lead for the Cardiopulmonary Exercise
Testing service at Poole, I see a significant number
of patients over the age of sixty years old who
complain of significant breathlessness that
adversely affects their quality of life. The causes are
varied yet the consequences are similar;
breathlessness affecting ability to do what they
want to. I have found that in the vast majority of
patients there is one or more clear contributing
causes. Examples include a lower limb fracture or
serious injury (affecting mobility), weight gain, a chest infection and major life stress. The
effects of these events depend on the individual but in my experience the commonest
consequence is de-conditioning. With de-conditioning there is a spiral of inactivity
leading to reduced fitness and then further reduction in activity. This process is often
slow and occurs over many months and even years. Consequently, patients become
convinced that there is a genuine or serious cause of their breathlessness further limiting
their ability to exercise. In the majority of cases (although not all) the solution is simply
the need to get fitter, but patients are scared as they are unsure what is going on.
One of the obstacles to recovery is the lack of realisation of the effects of aging which
leads to reduced muscle mass and strength. Hence recovery can take longer, and
strength based activities such as climbing up a flight of stairs becomes far more difficult
for the elderly than it is for a younger person. A typical scenario that I encounter might
sound like this: ‘Doc, I am okay on the flat but the moment I try to do a flight of stairs or
an incline I am finished’. For the heavier of you this challenge is even greater and often
leads to sudden breathlessness while trying to tie your shoe laces or flexing forward.
Does this happen to you? This is caused by the lungs having limited room to fill with air in
the flexed position.
Another scenario that I frequently encounter are patients who feel breathlessness even
while talking or on very minimal exercise. They often complain of air hunger. There is
usually an identifiable trigger such as a recent chest infection or one or more major
adverse life events which leads to a maladapted breathing pattern.
Just as you have to train your skeletal muscles by exercise to get better, with physical de-
conditioning then the same applies to breathing. Six weeks ago I saw a patient who fitted
this scenario exactly. I diagnosed a breathing disorder and advised him on targeted
breathing exercises. Amazingly I saw him four weeks later and his quality of life was
transformed for the better.
From the President
5 PHSG Magazine
It has been demonstrated conclusively that breathing exercises can improve quality of
life across a range of conditions including insomnia, anxiety, and hypertension. Here is an
example of a breathing exercise for you.
Until next time don’t forget to BREATHE!
Find somewhere quiet where you will not be disturbed and do this for 5 minutes:
1. Put one hand on your chest and the other over your stomach. You want your
stomach to move more than your chest as you breathe
2. Take a slow, regular breath in (through your nose if you can) over 4 seconds.
Watching your hands as you breathe in.
3. Breathe out slowly through pursed lips over 5 seconds
4. Repeat this 10 times, twice a day
Dr Christopher Boos
Consultant Cardiologist, President Poole Hear t Suppor t Group.
Poole Hospital NHS Trust
Visiting Professor, Carnegie Research Institute, Leeds Beckett University
PHSG Magazine 6
Geoffrey’s News From Poole
I hope I find you well and that now summer is over you are
excited and preparing for Christmas!
There is much happening in my areas of responsibility here
at the hospital, and so I want to take a bit of time to explain.
It has been decided that we need to have senior nursing
presence at the weekends, which I believe a really good
thing, so we will have a matron on Saturday and Sundays. I
am responsible for many areas and departments and they will
be split into three, and two new matrons appointed. I have
been responsible for these for almost 15 years and the time
for change is right. The new areas will be (1) The A&E
Department. (2) The in-patient medical beds with associated
specialties and (3) Specialist Medicine, Specialist Nursing,
Ambulatory care and Cardiology. As you will probably guess I will keep (3) as these are the
areas I have spent the most time with.
It is a time of change and all should be in place by January, when the other matrons have been
appointed and are in place. I will then cover for their areas when they are on leave, so will still
have a lot of input in my old departments. I believe it is for the better and change is inevitable
if we are to progress. I am happy to say I will be handing over thriving areas where the quality
of care and morale is of the highest standard.
So we are progressing all the time. We are very busy across the Hospital as we prepare for
winter. We have a plan in place and will open new beds for the winter period. I will be opening
C4 as a full time ward now and have appointed a new Charge Nurse for it. He is Grant Willats
and he has been acting as my deputy for over 9 months. Grant’s wonderful enthusiasm and
ability will ensure the ward will flourish. He is starting it from scratch and recruiting to it now.
The Medical Investigations Unit (MIU) is now to have a purpose built unit that will fit in with
what is required and reduce the risk of escalating into it. The new unit build is underway and
will be located where the old discharge lounge was, and half of the adjacent empty ward. It is
a very exciting opportunity and the staff are delighted. Once open, to reflect it’s multipurpose
it will be re-named as the Treatment and Investigations Unit (TIU