Updated 15 Aug 2015
Robert Palmer's autobiography - 04
Robert Palmer's autobiography 1973-1982
1973 to 1976
In September 1973 Valerie and I had a holiday in France (the yellow MGB
broke down unfortunately). Subsequently Valerie went to Bristol to do her
midder nursing training. I moved into the penthouse accommodation at Poole
General and started swatting for my final fellowship. The exam was in
January 1974. Typically before I knew the result I applied for a senior
registrar job rotating between Winchester and Southampton. I passed the
exam (just), and the interview for the job was just 16 days later and
their first question was had I passed. When I said yes they gave me the
job, such was the competition or lack of it back then.
Isle of Purbeck, Summer 1974
Poole Harbour, Good Friday, 1974
At the end of February 1974 Aunt Lucy died and Valerie and I went to her
house at 16 Star Street in Ryde to arrange moving some of her effects
(including the cabinet and nice antique chairs). Mum had asked John but
he had a squash game, hence the attached comment in her diary
Brother John writes:
I moved into 29 in January 1968, sharing with a friend from Plessey.
A year later he decided to get married and left. I found someone else
to share the rent. He was a strange guy and left. Repeated with another
guy, who was also strange and he left. About 1973 the bungalow owner,
an Italian, arrived and announced he wanted to sell the bungalow. Being
comfy after 5 years, I offered and bought the bungalow for £5,000 furnished.
Half of this came from Robert, who supplied £2,500 cash. I continued living
at 29, with occasional visits from the co-owner (Robert). Around 1974,
Robert announced he wanted to withdraw his share in 29, I think to help
him buy another bungalow nearby, number 6. By then 29 was valued at £8,000,
so I paid Robert £4,000, for which I got a mortgage on 29. From Robert's
viewpoint he had made a profit of 60% in 2 years or less. Soon after,
my Aunt Win died and I inherited a business property and cash. Mum said,
don't buy a swank car, pay off your mortgage, so I did. Best advice
I've ever had, I'm still living in the bungalow after 49 years, and it may fetch
£250,000 today. Robert's £2,500 half share would today be worth £125,000
if he'd left it in, an average increase of 100% per year.
I started my senior registrar job at Winchester on Monday 1st April 1974,
and was resident in the mess at Holdaways. The Consultant anaesthetists
were Dr Boddington (soon to retire and be replaced by Bob Buckland), Noel
Thorpe who took early retirement on grounds of ill health and was
replaced by Roger Cloonie, Ken Harrison who was head of department,
John Bowen and Kate Packer.
I was playing water polo for Southampton and playing a lot of squash
at Winchester squash club. I was captain of their second team. John Bowen
once asked me if my work was interfering with my squash.
In August 1974 I went to Vaenersborg and Trolhatten in Sweden to do a 3
week locum. I was a little uncomfortable not being able to speak the
language although most of the Swedish people at the hospital spoke good
I had also joined the Territorial Army (I joined while I was at Poole in
1973) and was Medical Officer for the 2nd Wessex TA unit based at Brock
Barracks in Reading.
In mid October 1974 I stayed with Valerie in Bristol where she was doing
her nurses training, and that is when and where Susannah was conceived.
In mid November Valerie and I set a wedding date (I suppose you could say
it was a shotgun marriage, though it was probably just the push I needed).
Valerie’s mother thought a date in 1974 was best so we settled on Saturday
14th December at Broadstone parish church. In the wedding photo
64 left to right are Aunt Gert, Mum (looking non too pleased, she said later
I had been entrapped), Roger who was best man, myself and Valerie, Mattie
Nunn, JCP, Norman Nunn, Barbara Nunn.
At the wedding reception Roger’s
girlfriend Linda dropped a bombshell, she told Mum that Valerie was
Broadstone parish church, 14dec1974
Aunt Gert, Mum, Roger Pearce, RJP, Valerie, Mattie, JCP, Norman, Barbara
We did not have a honeymoon because there was a prior arrangement for me to
go to RAF Sharjah to do a locum as a general duties medical officer in the
After my year in Winchester (during which I lived in the mess) I moved to
Southampton General Hospital for my second year as an anaesthetic senior
registrar. Valerie moved down and we lived in hospital married
accommodation in Laundry Road at the back of the hospital. During my year
there I earned extra money by doing GP night and weekend shifts. I remember
on one occasion being called to a house where a somewhat overweight late
teenage girl was experiencing severe abdominal pain. The family were all
downstairs in the living room. I was having difficulty making a diagnosis
until I realised the pain had an episodic character, and indeed soon after
she delivered a healthy baby to everyone’s incredulity in particular her
own as she had no idea she was pregnant.
In anaesthetics we rotated round neuro, paeds, and cardiac at The Western
Hospital, which was not my favourite.
On 16th July 1975 Susannah was born by LSCS at Southampton General Hospital.
It was Category 1 and Andy Dewar was bought out of the bar to supervise
the GA. The surgeon was the senior lecturer.
Round about this time I sat my ECFMG as I had decided I wanted to go abroad
and the USA was a possibility. I passed.
In October I did a TA camp at Knook.
I was still doing a lot of GP deputising.
Susannah’s christening was on Sunday 11th January 1976 in Southampton.
Sam and Des Henley, John and Charles and Frances Holme came and they can
all be seen in the attached photo in Laundry Road.
In March 1976 Valerie, Susannah and I went to the continent including a
visit to East Berlin, followed by a trip to the Mary’s hut.
Susannah's christening, Southampton 11jan1976
Also around this time Tom Mcaughey from Montreal General Hospital came to
Southampton to see me and lined me up for a one year clinical fellowship
there starting on 1st April 1976.
1976 to 1978
We lived at 6666 Fielding, NDG, Montreal which was a small one bedroom flat.
I was a clinical fellow and was resident on call every other night. It was
moderately busy. Tom MaCaughey was the head of department, though he didn’t
do much clinical work. Malcolm Dunkley was one of the Consultants and he
invited us to his cabin on Chazy Lake in upstate New York on more than one
occasion. Rod Binsted from Australia was the other clinical fellow and his
wife was Libby. Later Gill Farnsworth came over as a clinical fellow.
Sue+RJP, Montreal, July 1976
Sue in the Park, Montreal, Feb 1977
Not long after starting I flew back for a GP anaesthetic job interview
in Guernsey. I was offered the job but turned it down.
I joined Point Claire water polo club and also I played a lot of squash.
In the summer we went to the Olympics which were on the far side of Montreal.
In the late summer we had a holiday in our old VW and I seem to remember
went all the way to Tennessee and back.
I had one of my worst cases when I was there and I still get flashbacks.
It was a middle aged lady having a laparotomy and she was on a portable
Bennett ventilator. We did not have anaesthetic assistants, but there was
a nurse watching and inexcusably I said I just had to nip out to the loo
and would she watch the patient. I was gone longer than I should (I got a
sandwich out of the machine as well as a wee), probably about 4 to 5
minutes. When I got back the surgeon immediately said the blood was dark.
What had happened is that the ventilator had an on off button on the front
which it was easy to knock and then it would be turned off and the patient,
who was paralysed, not ventilated. This is what must have happened around
the time I left. She hadn’t arrested fortunately, but was a little slow to
wake up, but seemed ok afterwards (I wonder if she did cryptic crosswords!).
Anyway it was a wake up call and I never did that again in my career.
In the autumn I applied for and got my USA green card, as I was thinking
of going to the States. In December 1976 I went to Burlington Vermont and
sat and passed the US FLEX exam (federal licensing exam). I then put an
ad in the JAMA (journal of the American Medical Association) and the
phone never stopped ringing with job offers which Valerie had to answer.
She was not too keen on the idea of going to the USA.
On 25th January 1977 Carla was born by LSCS. It was Robbie Burns Day.
Round about this time I decided I did not want to go back to the UK though
I had to serve out my 3 months notice at Southampton. There was a one year
locum Consultant job advertised in Victoria BC which Valerie agreed to as
she knew Samantha Henley’s sister Beverley who lived there with her
husband Bob and daughter Corrine. I applied for and got the job, to start
in August 1977, therefore returning to Southampton for May, June and
I was doing a case during Valerie’s operation.
It was a carotid angiography under
GA on a patient who had had a subarachnoid haemorrhage). I inadvertently
gave neosynephrine instead of neostigmine at the end of the case (the
ampoules were identical in colour and a neosynephrine ampoule had been
erroneously put in the rack instead of neostigmine but that is no excuse
and it was my responsibility to read the label of the ampoule properly).
My mind was on other things though. She did not seem to come to any harm
When I got back to UK I successfully got an immigrant visa for Canada
(thanks to Guy Screech who’s locum I was going to do while he went sailing
in the Caribbean).
Peter Horsey at Southampton got me my CSST (certificate of completion of
anaesthetic training which made me eligible to apply for a Consultant job
in the UK). However I was not planning to do that, partly because of lack
of confidence and partly because Mum had always said “ go to N. America,
particularly the USA”.
Valerie and I with Sue and Carla now went back to living in Laundry Road.
Photo 108 shows Valerie and myself with the two
girls in the garden at Laundry Road.
In the summer of 1977 Carla was christened, see photo 109.
It shows a smiling Mum aged 69 (she had by now accepted my
marital state, was much more cheerful as the photo shows, and was planning
to come to Victoria with Aunt Doreen to stay with us in September, she
was still living with Aunt Dorothy in Robinson Drive, Worksop, Uncle Billy
was in a care home). Also in the photo are Helena and Will Bien, Roger and
Linda, Anne Hughes, John, Barbara and Valerie myself and the girls).
On Sunday August 28th 1977 we flew to Victoria BC via New York and
Vancouver (see photo110 of the four of us at Heathrow,
I am wearing my “male chauvinist tie”). When we arrived Susannah said her
first words “outside its raining again”.
Carla's christening, summer 1977
Shortly after arriving I went to the BC board of medical registration
and they couldn’t understand how I had managed to get an immigrant visa,
an inauspicious start.
Southampton, May 1977
Heathrow to Victoria, Aug 1977
We lived at 692 Beaver Lake Road which was Guy Screech’s small holding,
including chickens and a dog Casey (soon to be run over on Pat Bay Highway
unfortunately). As the Screech’s hadn’t left yet we spent the first two
or three nights in a camper van.
Mum and Aunt Doreen arrived in September not long after we had settled in.
I don’t think Aunt Doreen stayed long (she was with her sister in a flat
in Vancouver). While Mum was with us we killed the chickens by decapitation
(which Guy Screech had given the go ahead for) and had a spinning deplucking
machine. Guy Screech’s son helped. It was rather gruesome but amused Mum.
Also see photo 112 with myself, Mum and the girls
on the stony beach near Victoria.
RJP, Ena + girls Sep1977 Victoria
Mum also went down to Portland, Oregon to see Angela MacLachlan.
I joined the squash club and Valerie played tennis at The Oak Bay
Recreation Centre and became a “triple Oak Bay ace”. We were friendly with
the Nixons, and saw a lot of Beverley and Bob.
We bought a red setter called Missie who is with us outside 692 Beaver Lake
Road in photo 113. Also in photo
111 myself, Susannah and
Carla on my 34th birthday in Victoria.
There were about 9 anaesthetic Consultants, but no juniors. We had a
rotating on call system. At first I wanted to be resident on call, but was
quickly disabused of that as it would set a precedent. Beaver Lake Road was
some distance from the hospital and maternity would be a worry, but I can’t
remember ever rushing in. The job was not particularly arduous. Like at
Montreal we had no one to help us and had to set up everything ourselves.
There were no nurse anaesthetists as in USA.
RJP, Sue, Carla 29jul1978 Victoria
Beaver Lake Rd 1978
As we both liked Victoria I started making enquiries to stay on. However
my British FFARCS was not recognised (it may have been in the Yukon!) and
the Canadian board would not let me sit their exam without my doing a one
year job in medicine. So it was a non starter. I did talk to Jim Gerry the
chief of anaesthetics but there was nothing he could or would do. I then
started applying for jobs in Portland, Oregon but none of the private
hospitals were interested and the only job offers I got were at the
Veterans Administration Hospital, and the Kaiser Permanente, neither very
attractive. So I wanted to look elsewhere. Valerie was not keen, but said
she would accept 2 years in the Pacific North West of the USA, Virginia or
New England. So I targeted these areas and got offers to interview me in
Patchogue, Long Island, NY, Springfield, MA, and Worcester, MA, and a
hospital in Boston. On February 17th 1978 I got the ferry to Port Angeles,
WA, the greyhound to Seatac airport in Seattle, and flew to Newark, NJ.
I went first to Patchogue, which I didn’t like, then Springfied which again
I wasn’t too happy with, then Paul Harges took me out to supper in Worcester,
MA, offered me a job which I accepted, so I never went to look at the
Boston job. My British qualifications were fully recognised.
We left Victoria for Worcester Memorial Hospital on Monday 21st August 1978.
1978 to 1980
We had a rental in Whitinsville, south of Worcester. Shortly before we
left Victoria the owners of the rental asked if we could only stay for
a short time as they had an offer on the house. We agreed. In return I
think it was rent free. We arrived at Logan including Missie the dog. We
had sold the Mazda rotary engine car before leaving Victoria. The owners
of the Whitinsville house met us at Logan and drove us down to the rental
Nigel Theaker and Ford Fairmount March 1979
Kitchen at Spring Street
The first priorities were to buy a car (I bought a black Ford
Fairmont with no extras, see photo 118)
and find somewhere else to live pro tem (we got
in to Day’s Lodge in Worcester). There were lots of other things to be
done like going to the Board of Medical Registration in Boston. We also
started looking for a house to buy and very quickly found 196 Spring Street
Shrewsbury with Helena Nelson. It was a "contemporary on one floor".
Valerie liked it. We paid $95,000 for it.
I started work very quickly of course. The attending anaesthesiologists
were Paul Harges, Sami Abdou (soon to be ousted), Tom Roy, Leo Hochman,
Kassim Docrat and Hashmukh Vankawala who started the same time as me.
There were 7 CRNA’s (nurse anaesthetists) who were Anne Guardiani,
Blanche Couillard, Maria Ma, Judy Manfredo, Kay Oliver, Nancy O’Leary,
and a seventh soon to leave, and replaced by Leanne Chabior.
Valerie in kitchen, Spring St
Back of Spring St, Autumn 1979
I quickly started playing squash at Worcester Polytechnic Institute which
also had a swimming pool. I played for the WPI team in the Massachusetts
league and that first year we won our division (see photo
72 taken in spring
1979, back row left to right Roy Astley #2, Peter Allan #1, myself #4;
front row left to right Bill Sprout #3, Ken Harvey #5).
There was no water polo so sadly that was the end of my water polo days
(I had played occasionally in Victoria for the University team there).
WPI team, Spring 1979
Carla, Spring St, Sep 1978
We became friendly with Sunny and Ed Fletcher the couple over the road.
They had a daughter called Laurie and a swimming pool which we were
encouraged to use, and they were like family to us.
The Dunkley’s had moved to Martha’s Vineyard and we visited them on many
Spring St June 1979
RJP at Memorial
I used to do weekends on at The Hahnemann hospital up the road from Memorial.
Sally Hooton (a friend of Valerie’s from school) lived in Rhode Island and
we got together a lot over the years. Valerie went to Shrewsbury Episcopal
Church and she made a lot of friends from there.
Not long after starting at Memorial in 1978 I had a near miss
in the obstetric suite. It was a Portugese speaking lady for a LSCS under
epidural. Back then we were required to teach the OB residents how to
do epidurals. The male resident sited the epidural and inserted the
epidural catheter (which in retrospect was sitting in an epidural vein
but that was not apparent right away). I injected a LSCS dose of 0.75%
marcaine (this was before it was banned by the FDA of the USA). She
had a grand mal seizure but fortunately her heart did not stop. I gave
her a GA and mother and baby were well. I had the uncomfortable experience
of having to present the case to the obstetricians at their M and M after.
When we were in Southampton we were worried about Susannah possibly having
a squint in her left eye. We saw John Tudor who was a SR in ophthalmology
at Southampton General, and he said everything was ok. When we got to
Worcester I took her to see Reid Roberts, an ophthalmology attending. He
said she needed an operation to correct a squint. The first operation was
not a success and the squint was much worse after. So a second operation
was necessary. Preop he asked me if I wanted her to go to Boston, but I
said no. Bob Gise assisted him for the second operation which was successful
At Memorial Hashmukh Vankawala and I set up an obstetric epidural service,
which was too successful (nearly 70% of Mums had one), and led to many
sleepless nights on call, but boosted our bank balance.
On Friday February 13th 1979 I had another near miss.
It was a 42 yo
morbidly obese female patient for diagnostic laparoscopy, surgeon Tom Pokoly.
I induced her with thio, sux, intubated her and ran her on nitrous oxide,
oxygen and halothane with a sux drip. The drapes were over her face (I
hadn’t clipped them on to the iv pole so I couldn’t see her face). I was
filling in the chart when I noticed she was bradycardic with ectopics from
the sound of the ECG monitor (no pulse oximetry back then). I threw back
the drapes and she was navy blue. I quickly pulled out the tube, bagged her
with 100% oxygen, and reintubated her. She then exhibited decerebrate
rigidity. I gave her 500mg of iv thiopentone (barbiturates were treatment
for a cerebral hypoxic episode back then) and ventilated her in ICU
overnight. That night we had a Belgian anaesthetist staying with us, but
I was consumed with worry. Fortunately she was ok the next day, extubated
and went home.
On Friday 14th December 1979
we flew to Sydney for a holiday principally
with Valerie’s family. Sadly it was an ill fated venture. On only our
first full day there we went to Maroubra beach
(see 130). I was amazed at the size
of the waves and went in for a swim leaving Valerie and the girls on the
I rode one of the waves (body surfing) which broke and I was dumped
head down into the seabed and sustained an acute flexion injury of my neck
resulting in a C6 C7 fracture dislocation. I managed with difficulty to
get back on to the beach. My left thumb was numb and my neck was very
painful so I knew that I had damaged my neck badly. I lay face down on the
beach. The lifeguards came but I wouldn’t let them turn me over. I
supervised my transfer face down on a stretcher to fortunately close by
Prince Henry Hospital which specialised in spinal injuries.
Maroubra Beach, near Sydney
I was taken
to their emergency department and refused to let them move me until the
consultant neurosurgeon arrived. I was terrified of being quadriplegic.
Quite soon John Matheson the Consultant Neurosurgeon (see photo
117 of him recently) came.
Prince Henry Hospital, Sydney, closed in 2001, and the site
has since been sold for a housing redevelopment.
.... I had a unifacetal dislocation with 30% subluxation of
C6 on C7 ....
Prince Henry Hosp., Sydney 1979
John Matheson recently
He held my head while I was turned over and supervised
the taking of X rays. Then he shaved my head, inserted Crutchfield tongs
and attached them to a pulley and weights and put up a drip. I was then
moved to a treatment area. Later I was rexrayed and the substantial
slippage of C6 on C7 (see photo 131)
had not reduced. He then put valium and
pethidine in the drip which reduced the spasm in my neck muscles and it
popped back into alignment thank goodness. I was eternally grateful to
John Matheson and took him, his wife and daughter to supper in Wickham
in 2014. In fact I had a unifacetal dislocation with 30% subluxation of
C6 on C7. The treatment nowadays is surgery because traction carries the
risk of where there is disc rupture the disrupted disc with traction can
impinge on the cord with neurological damage. John Matheson said when I
saw him in 2014 that in most cases traction is the best way forward as
surgery has its own not inconsiderable complications. When I had a
cervical myelogram back in Worcester MA after my return I was told I had
an unusually wide cervical canal which is why I had no neurological deficit.
I was moved to the general ward where I laid terrified for 6 weeks.
They said I was the best patient they had had. While there I was visited
by Cate Waterhouse, Geoff Talbot who flew down from Brisbane, and
I was on a Stoke Mandeville bed which broke down after 5 weeks or so, but
they managed to find a replacement. When the 6 weeks were nearly up the
tongs came out, but they were not replaced and I stayed still until the
6 weeks were up. I then was rexrayed in flexion and extension and they
were happy with the result and I was discharged with a large collar on
(see photo 119).
RJP with large collar and Valerie's Mum early 1980
1980 to 1982
When we got back to USA after Australia in March 1980 I started work
again fairly quickly, but had to wear a collar for a fair while. I
continued to get aches in my neck for the whole of 1980 but it slowly
Mum came over for the first of many visits in late spring 1980.
I learnt about bees from a farm in aptly named Breakneck Hill road, and
bought 2 hives and set up colonies.
I also built a chicken house and kept chickens, although the racoons
killed them periodically (there were no foxes in the USA).
We became friends with the Dunn’s, Ed and Eleanor and their three daughters
who lived close by, also the Groves, John and Sue who lived in Princeton MA,
and Judy and Dennis McMullen who lived in Westborough. Valerie played
tennis with Judy.
As my neck was not 100% I held off playing squash for some 6 months, and
when I did start again I joined the C team instead of the B team. Our team
was Sam Woolford #1, myself #2, Denis O’Neil #3, Greg Ota #4 and Ed Davis #5.
As with the B team we won the MA championship in the spring of 1981.
In the summer of 1980 I joined the New England Masters swim club and
started going to swim meets, which I kept up for the rest of my time in USA.
Another thing we joined was the Australia and New Zealand Society where we
met Nutty and Graeme Reeves.
In 1980 Susannah started school at Spring Street primary school just up
the road. The yellow school bus would pick her up from no 196 in the
morning and return her after school. It was a very efficient arrangement.
Her school mistress was Mrs Dadonna.
I also went back to UK on average twice a year for two weeks at a time,
and this became a pattern for the next 10 years.
Ed Fletcher was Father Christmas in 1980 and delivered my sit down mower
(see photos 120, 122). I also shared some piglets
with him (see photo 121).
RJP on mower 1981
Work wise Paul Harges stepped down as chief of dept and Hasmukh Vankawala
(who was Burmese, but trained in UK) took over. Tom Roy moved to Dallas.
We hired a new colleague Joe Blanco, more about him later.
Ed with mower Xmas 1980
Ed Fletcher with piglet
I had an“interesting case” around this time.
It was when I sited an epidural and committed the cardinal sin of pulling
the portex epidural catheter back through the Tuohy needle which was still
in the epidural space. Back then the Touhy needles had sharp ends and the
last 2mms or so sheared off and was left in the patient. I was the only one
who knew. I should have told the patient but I didn’t because I rationalised
that there was no evidence that it would cause any harm if it was left in
the patient’s epidural space, and there was a risk I might get sued, and/or
she develop a neurosis about her back.
Around that time Valerie had a minor op at Springfield, MA (the
anaesthetist was 1956 Melbourne Olympic gold medallist in the 200 butterfly
We had Christmases with the Bridges, Norman and Cindy, and the Woodleys,
Tish and George.
We had a problem with a new anaesthetic attending Paul Harges took on
without input from the rest of the group. He always wore long sleeved gowns,
scratched his arms a lot, often needed bathroom breaks and the surgeons
were unhappy with him (he had twice had an unrecognised oesophageal
intubation). He was on his probationary year which was normal practice.
One morning when I was in the maternity unit I phoned the hospital in
Texas which he had come from and spoke to his colleague asking him point
blank if he had a substance abuse problem. His colleague would not answer
that question but let me speak to one of their surgeons who immediately
said he was a Demerol (pethidine) addict.
Dec 1981 at McMullens
Spring Street School 1980-81. Sue & Diana Dunn, Mrs Dadonna's class
We “let him go.” He moved to Wing Memorial Hospital in Palmer, MA where
they had suspicions and called in the federal narcotics squad who found
syringes, drugs etc in his locker. He committed suicide. Later I learned
that our best CRNA had on request injected him iv I think with a drug on
at least one occasion. I was dumfounded.
In 1982 when Hashmukh left to join Tom Roy in Dallas I became head of the
anaesthetic department at Memorial. When the vote took place Paul Harges
and Leo Hochman voted for Kassim Docrat and Mohammed Mushtaque and Nick Ranno voted for me. Hashmukh had the deciding vote and voted for me.
Carla's birthday aged 4, 1981
Feb 1982, Sue, RJP, Missie at Spring St
Head of department was somewhat of a poisoned chalice. I still had a full
share of clinical work. The hardest part predictably was “human resource
management”. I remember interviewing for “disciplinary reasons” Judy
Manfredo and Kathy Blanchard and each time they burst into tears and I
hadn’t a clue what to do next. When I had a similar interview with Martha
LaRose she verbally attacked me with a character assassination, and then
handed in her notice.
Also in 1982
... I was called down to maty in the middle of the night to be
faced with a morbidly obese and heavily pregnant black lady having a
concomitant attack of bronchial asthma and thrashing around on the operating
table, and with the surgeon Alan Albert jumping up and down like
Rumplestiltskin shouting “foetal distress, get her to sleep, get her to
I had visions of my career ending there and then. Nevertheless I managed
to get a cannula into her, gave her thiopentone and succinylcholine and
with great difficulty intubated her, although there was a short period
when I was not sure the tube was in the right place, but thankfully it was.
See photo 69 of my 38th birthday in 1982.
At work I was busy with visits of the JCAH (Joint Comission for the
Accreditation of Hospitals) and the beginnings of Quality Assurance.
Anne Guardiani helped me a lot with all these chores.
RJP's 38th birthday 1982
Kate August 1983
We used to make regular trips to Marblehead where we visited the Reeves
and Tony and Anne Solley (Tony Solley had been an anaesthetic trainee
with me at Poole and Southampton).
Conceived, written and copyright © 2014, Robert PALMER,
All Rights Reserved.
Compiled, formatted, hyperlinked, and hand-coded
2014 by John PALMER,