A Highland Coup

Scotland 09 069
Highland Coos

One of my favourite memories from childhood is the vision of the finest looking cattle in the UK – the Highland ‘Coo’ (for those who are thinking I’ve made a mistake in my title spelling, read on!).   The memories are not confined to seeing them grazing in the fields but I also remember them as the iconic symbol of a famous Scottish toffee known as “Highland Toffee” made by McGowans in Stenhousemuir – also famous for its football team 🙂  Having researched this toffee for my blog, I just found out the firm went bust in 2011.  However, the brand survived and the toffee bars are now made in England (grrrrr, sacrilege!).

The first overnight stay during the Hadrian’s Wall challenge (see blog links below) was at a farmhouse near Heddon on the Wall.  I was astonished to find they had several Highland Coos. Thinking this discovery was ‘bloggable’, I asked if I could get myself photographed next to them but the owner was clearly not up for this stunt!

Chris and I were chatting to the landlady after breakfast and she explained their business strategy was to provide a ‘field to plate’ experience for their guests.  Having quickly thought about what I’d eaten, I was relieved to remember that I hadn’t eaten any beef. I’ve eaten a few steaks in Scotland but that was always without being introduced to the donating animal. In any case, Highland Coos are for looking at, not eating…..and their milk is used to make Highland Toffee 🙂  The landlady then recounted her first culling experience with the first 3 lambs she owned – called Maisy, Daisy and Lazy. She said it was a pretty tough thing to do having got to know them.  Chris and I suddenly remembered we had lamb for dinner the night before 🙁

The ‘Field to Plate’ strategy got me thinking that it would be good if Neuroendocrine Cancer patients were able to go to one place for all their requirements.  I see an Oncologist in Bournemouth, I’ve had surgery in Southampton, I recently had a scan in Poole and I have my monthly Lanreotide injections done somewhere else!  I suspect the rarity of this disease combined with the wide distribution of sufferers means most people will have to travel for some aspects of their treatment. Add to that the specialised nature of the treatments and the specialised medical staff, then it’s probably not possible except perhaps in Centres of Excellence and well developed and resourced NET Clinics.   In the UK, there are a few and the list is here:   http://www.netpatientfoundation.org/net-clinics-research/  (I cannot guarantee the accuracy of this list).  The Carcinoid Cancer Foundation also has a useful list here:   http://www.carcinoid.org/patient/treatment/find-a-doctor  (again I cannot guarantee the accuracy of this list but I can already see that Southampton UK expertise is not listed).

Another grouping that should interest Neuroendocrine Cancer patients is a Multi-Disciplinary team (MDT).  This team is a group of doctors and other health professionals with expertise in a specific cancer, who together discuss and manage an individual patient’s care. They plan the treatment that’s best for you.  The team normally includes (but is not limited to), an Oncologist, Surgeon, Radiologist (plus Interventional types if necessary), Pathologist and a Clinical Nurse Specialist.  If you are not being looked after by an MDT, you should ask why not!

Almost forgot ‘the Highland Coup’ bit.  For those reading between the lines, this had nothing to do with Alex Salmond and the Scottish Independence referendum…… 🙂   My late father always made my brothers and I laugh when he was reading the newspaper.  He had a habit of reading it out loud which was handy as we got a summary of the news headlines – or so we thought!  He would occasionally make it up, although some of it was obviously a wind up…..e.g. “hen overturns double-decker bus in High Street”.  However, he sometimes did not pronounce certain words correctly and when my brothers and sisters reminisce about him today, one of us will always repeat his most famous and amusing headline quote – “There’s been another ‘cowp‘ in Africa”.



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As a reminder, you can view the blogs for Days 1 to 6 of our walk as follows:

Day 1 – Wallsend to Heddon-on-the-Wall http://wp.me/p4AplF-ew

Day 2 – Heddon-on-the-Wall to Chollerford http://wp.me/p4AplF-eN

Day 3 – Chollerford to Steel Rigg http://wp.me/p4AplF-fI

Day 4 – Steel Rigg to Lanercost http://wp.me/p4AplF-fS

Day 5 – Lanercost to Carlisle http://wp.me/p4AplF-gK

Day 6 – Carlisle to Bowness-on-Solway http://wp.me/p4AplF-hT







Things are not always how they seem

I met quite a few interesting people during my walk of Hadrian’s Wall last month. On Day 3 when Chris and I were accompanied by Dave Taylor, we could see a couple heading up the hill that we were progressing down.  We couldn’t help noticing that the male of the duo was continually stopping to talk to others and we were no exception.  His wife kept overtaking him at these points not saying a word. He got chatting to me and Dave and we worked out he was Irish.  I love Irish people and I know they like to talk – but this guy was really good at it!  We discussed where we were all from and he proceeded to tell us that most big companies in the world were run by Irish people or those descended from Irish people. He also spoke pretty fast but fortunately Dave and I had been trained to receive morse code at 1000 words per minute and were able to handle it 🙂  He also let us know the Queen had visited Dublin 60 years too late and that “people seemed to have grown up”. He also waxed lyrical about his house on the West coast of Ireland claiming that he would be able to see New York if it wasn’t for the earth’s curvature.  Again that got Dave and I thinking as we had both been trained to work out line of sight radio paths taking the earth’s curvature into account 🙂 Can’t remember why but we got onto the subject of Holland and he then claimed that most Dutch companies were run by Irishmen!  It was difficult but we managed to extricate ourselves after 15 minutes of this slightly strange one way conversation.  This was roughly in the centre of the walk and we both predicted he would have a broken nose by Newcastle.

On the evening of the next day, Chris and I met two ladies in our lodgings and I couldn’t help noticing one of them appeared to be a bit abrupt. This continued during the evening meal where I was a bit taken aback to be told by someone I had only met 10 minutes earlier, that I must be stupid because I mentioned that I get someone to proof read my blogs before publishing.  I’m a lot mellower nowadays but I do know one or two people who (shall we say) would not have been anywhere near as calm as I was about this situation.  I found out later this lady was autistic and we then went on to have a really nice chat and meal.  I’m so glad I didn’t react in a different way and have since taken the time to find out about something I don’t understand – this site is helpful if you are similarly inclined: http://www.autism.org.uk/   Thus my message title – ‘Things are not always how they seem’.

You could make the same mistake about other illnesses where things are sometimes not quite how they seem.  For a time I was curious as to why Neuroendocrine Cancer is associated with the Zebra. It took a while for me to get the connection.  Apparently, Medical staff are trained using the saying ‘if you hear hoofbeats, think horse’ and a ‘Zebra’ is medical slang for arriving at an ‘exotic’ medical diagnosis when a more commonplace explanation is more likely.  I get this but surely the exotic stuff should be discounted rather than forgotten about?

Neuroendocrine cancer is rare and some of its symptoms can mimic ‘run of the mill’ problems that a lot of people face from time to time.  It can be diagnosed by accident during invasive procedures for something more common (e.g. appendicitis – you may remember me saying this was a common site for primary neuroendocrine tumours) – these discoveries would be a surprise if the person was asymptomatic (as is often the case with this cancer). It can also be found during diagnosis of some other illness where cancer isn’t initially suspected, for example exposed via a scan – and even then it may not lead to diagnosis of the correct cancer until further downstream.  This scenario might even be the end of a long chain of vague problems – perhaps over years. Neuroendocrine Cancer forum and patient support sites are jam-packed with stories of years of misdiagnosis.  I blogged a couple of times about this here: http://wp.me/p4AplF-7h and: http://wp.me/p4AplF-b7

When I look at my own experience, I would appear to be somewhere in the middle and the way in which my cancer was eventually diagnosed leads me to think I had a bit of luck  – but following a period of ignorance on my part (AKA lack of awareness and feeling of invincibility).  If you remember, I nonchalantly told my asthma nurse I had lost a ‘wee bit of weight’.  That could have gone two ways ………… fortunately she sent me for a blood test and here I am now 🙂  If you want to read or hear more about my cancer diagnosis experience, check this blog: http://wp.me/p4AplF-1W


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Up and atom!!



I already explained Day 1 of this 3 day ‘scanathon’ in blog: http://wp.me/p4AplF-lY     Bit techy but added some humour to dilute some of that down. Just a quick post to elaborate on the remainder of the experience which was completed yesterday.

I’ve had this scan twice previously with the last one in the summer of 2011 and both were done in Bournemouth Hospital. Due to a merging of the Bournemouth and Poole Nuclear Medicine Departments, these are now done at Poole. Interesting journey from/to Ringwood especially in the rush hour!  Also, the hospital parking was challenging to say the least.  I covered a total of 120 miles (4 visits) plus £9 in parking fees.  However, it’s a small price to pay for the benefits received.

They gave me a card which I have to carry for 3 months.  It has a number of functions including acting as a ‘get out of jail free’ card should I set off the radiation alarms in airports etc.  Off to Tenerife in just over a week – that would not do at all!  I was also told on Day 1 to stay away from young children and pregnant women for 3 days.

Having chatted with the radiologists, I discovered this machine is not only newer technology than the one in Bournemouth but it also has more ‘bells and whistles’ ….. or as my late father used to say about any new technology “it takes corner kicks” – however, this was normally in reference to a TV or a washing machine 🙂  The cameras were bigger than I remember and instead of moving around the body in ‘polygon’ style stages, this one moves in a circular fashion. The cameras do come quite close to the body and I suspect claustrophobics might have an issue with this scan. However, it’s the lesser of two evils and eyes can always be shut! This machine not only takes corner kicks, but throw-ins too.  It has a built-in CT scanner and they whizzed me through this at the end of the day 2 gamma scan.  This provides them with the ability to overlay scans with maximum precision. In the old system, this would be done manually by comparing the pictures from two different machines.

This is without doubt the most boring scan in the world!  Each day is 1 hour plus and the patient has to keep still for maximum accuracy. They do a top to bottom full body as a reference picture (around 15 minutes) and then two circular scans as ordered by the Consultant (mine was the abdomen and the chest/neck).  These circular scans take 25 minutes each.  In 2011, I did suggest they install a flat screen TV with Sky Sports on the ceiling but this does not appear to have been taken up!  They do have a radio and CD player though and they even ask the patient which station or CD they would like to be listen to.  I was about to jokingly ask for The Sex Pistols CD ‘Never mind the Bollocks’ but decided against that just in case there was any medical confusion with the scan output 🙂


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Forget the posturing, it’s results that matter


Good Results
Good Results


You can tell there is a football competition on and they don’t get bigger than the World Cup which I believe is one of the world’s great sporting competitions second only to the Olympics?  Like it or not, this is a time when football fans suddenly become experts, apparently knowing even more about the game than the managers, players, pundits and commentators – particularly in hindsight after the match!  Is it just me or do you also wonder why these ‘armchair pundits’ aren’t in the aforementioned jobs 🙂

Social media has increased the reach of the armchair pundits and consequently we now have to listen to running commentaries of every game and of course their disapproval of any decision or infringement against the team they support or favour (often citing it as the reason why their team didn’t win).  I suppose it’s always been like that and football fans don’t appear to have changed over the years, even though many of the players are now more or less overpaid celebrities rather than sportsmen (the use of gender is intentional).  But we should take all this posturing with a pinch of salt (players and armchair pundits), as it’s the results that actually matter!

Bad Results
Bad Results



If you’ve been following my blog (and if not, why not!), you’ll have noticed I’ve been undergoing some testing.  Firstly I had a bone scan in April, a Chromogranin A blood test prior to the Hadrian’s Wall walk and a 5HIAA urine test around the same time.  On return from the Wall, I went straight into an Echocardiogram and I’ve just completed a 3 day Octreotide/SPECT scan session.  I’ve been a busy boy!   All these tests have outputs which will be collated and analysed by my Consultant Oncologist. No matter how well I feel, how well I look, how active I’ve been and how sanctimonious I feel about doing all the things that are good for me, it’s the results that actually matter and in cancer treatment they matter a great deal.  I’ll be seeing my Oncologist in about 2 hours to find out the latest results.  Hoping for a Manchester City outcome 🙂

You can refresh your knowledge of these tests here:

  • 5HIAA Urine Test: http://wp.me/p4AplF-9R
  • Bone Density Scan – I haven’t actually covered this before but basically I need one of these annually to keep an eye on my bone density. The scan is known as Dual Energy X-ray Absorptiometry or DEXA for short.  Osteoporosis is a risk of long-term use of Anti-coagulants (blood thinners). See:   http://wp.me/p4AplF-M
  • Chromogranin A Blood Test: http://wp.me/p4AplF-1o and:   http://wp.me/p4AplF-9R
  • Echocardiogram: http://wp.me/p4AplF-2e
  • Octreotide/SPECT Scan: http://wp.me/p4AplF-lY  and: http://wp.me/p4AplF-7h



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I’ve just been nuked!


When I was in the military, I was given basic training in how to deal with the threat of Nuclear, Biological and Chemical Warfare (known then as NBC).   However, there was a focus on the chemical side as that was classed as the most defendable of the 3 and probably the most likely scenario (but that’s only my opinion!).  I think the training for nuclear attack consisted of the following advice: ‘put your head between your legs and kiss your arse goodbye’ 🙂  Some 13 years after departing that wonderful organisation, I’m now allowing radioactivity to be injected into my body! At my age I’m no longer physically able to put my head between my legs but in any case, I need not be concerned about this controlled ‘contamination’ 🙂

For those who have been studying my blogs ready for the summer exam (did I mention this?), you will remember that Neuroendocrine Tumours can sometimes be difficult to find and / or display on conventional scanners.  You may also remember that they can sometimes secrete large amounts of hormones (mainly serotonin) – see blog: http://wp.me/p4AplF-3t and: http://wp.me/p4AplF-6c and: http://wp.me/p4AplF-9R. This is because they develop from cells that produce these hormones, so the tumours can also produce hormones and cause serious illness (this is normally known as a ‘functioning’ tumour).  Those who are destined to become top of the class in the summer exam will also remember that a drug known as a Somatostatin Analogue is used to treat Neuroendocrine Cancer patients.  This man-made drug mimics a naturally occurring hormone which Neuroendocrine tumours often absorb.  There are mainly two versions of this drug in use – ‘Octreotide’ and ‘Lanreotide’.   Octreotide is the one used for the scan thus its name ‘Octreotide Scan’ but it’s generally known as Somatostatin Receptor Scintigraphy (SRS).

Although the treatment aspect of this drug is to block/control the release of excess hormones and thus prevent serious illnesses, the job of the drug when used to support the radioactive scan is to guide the radioactivity to the tumour locations. This is achieved by using an amount of Octreotide ‘labelled’ with a mildly radioactive ‘tracer’ to make it show up on a radioactive scan. The radioactive labelled Octreotide is injected into the bloodstream and taken up by the Neuroendocrine Tumours wherever they are.  After allowing a few hours for the ‘mix’ to bind with all functioning tumours, a scanner with multiple gamma cameras (a gamma camera picks up radioactivity), is then used to take 360 degree 3D pictures of my whole body.  It is much more efficient than conventional scans (CT/MRI) at locating functioning tumours.  This is my third Octreotide scan, the first two were completed as part of my initial diagnosis and post surgical follow-up.  This event is a surveillance check plus post treatment follow-up and is done over 3 days.  Day 1 is now complete with the injection of the radioactive/Octreotide mix and the first scan. I may blog again about this later in the week.  Please see a picture of a nuclear scanning equipment below:

Gamma Camera Scanner
Gamma Camera Scanner


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My stomach sometimes cramps my style


When planning to walk Hadrian’s Wall in the north of England in 2014, I carried out a number of risk assessments (as all good Project Managers do!).  In true ‘Donald Rumsfeld style’, I considered all the ‘known unknowns’ and the ‘unknown unknowns’ 🙂  Anybody who doesn’t is either reckless or supremely confident (the latter can sometimes be the same as the former……).

As a Cancer patient, there were some issues I had to consider which might not have made the list for most walkers covering this sort of distance and this type of terrain.  One of the issues I occasionally experience is stomach cramps, not that frequent but problematic and quite painful when they occur.  If you’ve had abdominal surgery, you might be having to deal with issue. Many Neuroendocrine Tumour (NET) patients also suffer these cramps, often due to something called ‘Carcinoid Syndrome’ or simply as a side effect of treatment.  This syndrome has symptoms including (amongst others):

  • Flushing
  • Abdominal pain
  • Diarrhoea
  • Loss of appetite
  • Wheezing
  • Fast heart rate
  • Dizziness due to blood pressure that may go up or down – this can be triggered by having an anaesthetic.

For me, it was mainly the flushing – in fact this was instrumental in confirming my diagnosis. However, in hindsight some other issues might have been masked by routine/’run of the mill’ illnesses a couple of years prior to being diagnosed with Cancer.

I’m not particularly ‘syndromic’ at the moment due to my monthly treatment and debulking surgery.  However, I do occasionally have to deal with ‘stomach cramps’ (a term which tends to mean the whole abdominal area). Fortunately, they are not that frequent.  I might not have a stomach cramp for weeks and then suffer a couple of times in a single week.  Consequently, after each attack, I study my activities, my medicine and my diet trying to figure out if there is anything I can avoid to prevent this happening.  I now maintain a daily diary to assist.  Footnote from 2018, I don’t seem to have them as regular as I used to. 

I think most people will have experienced stomach cramps at some point in their lives and those who have will agree it’s not nice. I’ve had some really painful episodes in the last 2 years and as is usually the case, it’s helped by visiting the toilet/bathroom. Getting there can be painful as I sometimes find any movement exacerbates the pain with the worst attacks.

You can now see why I listed this as a key risk in walking the 84 miles of Hadrian’s Wall! You might be excused for thinking there shouldn’t be a problem with all that countryside available? Add the openness of the area; add the constant stream of walkers in both directions and the sum = not much privacy!  As an ex-soldier and a male, I’m used to using ‘natural’ toilets or at best temporary structures.  I ‘googled’ to check the availability of toilets along Hadrian’s Wall to find they are few and far between.

I do have a special card which I keep in my wallet but it’s not much use out in the hills! I’ve actually never had to use this card ‘in anger’ but I came very close to using it on Day 5 of this 6 day walk.  I was suffering quite a lot of pain for a good mile or so on the outskirts of Carlisle which was semi-urban. I walked past a dozen houses but my pride would not let me use the card – silly boy!  There was no way I was going to do a ‘Paula Radcliffe’. Things were coming to a head as we approached a bridge with a small copse over a tributary of the River Eden.  At last some cover!

NPF Toilet Card Back

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Remember ….. in the war on Neuroendocrine Cancer, let’s not forget to win the battle for better quality of life




Beyond the Wall


One of the first tasks on return from Hadrian’s Wall was to catch up with my favourite TV show Game of Thrones (GOT).  The latest story concerns Tyrion Lannister, the dwarf son of Lord Tywin Lannister. Tyrion is technically the heir to House Lannister, thus why his father Tywin is plotting to get rid of him using the murder of King Joffrey as the reason. There was even talk of him being banished for eternity to be the Lord of the Sworn Brothers of the ‘Night’s Watch’ on the Wall to face the ‘blue painted’ barbarians not to mention the mysterious ‘White Walkers’.  Can’t wait until tonight’s episode 🙂

The GOT writer used Hadrian’s Wall as his inspiration for the Wall in the TV series.  This fictitious wall is a colossal fortification which stretches along the northern border of the ‘Seven Kingdoms’. It was built to defend the realm from the ‘wildings’ who live ‘beyond the wall’.  It is reported to be over 700 feet tall and is made of solid ice!  Having stood on the highest parts of the middle section of Hadrian’s wall in wet weather, I can understand the connection.  However, one of the interesting observations I made during the walk was that some of the milecastles (small forts) had a north and a south gate indicating they were in fact functioning like a border control.  This would indicate there was movement between north and south and I suspect a bit of ‘tax’ being paid into the bargain!  I also observed that there must have been some sort of ’causeway’ to get over the man-made ditches that existed both north and south of the wall, some of which were very deep!  The milecastles in the hillier middle section had natural defences to the north in the form of steep slopes downwards and were therefore most likely to be defensive positions rather than control points.  

There is a common misconception that Hadrian’s Wall marks the boundary between England and Scotland.  Those who say it does are either being mischievous or their historical/geographical research is flawed (or both!).  In fact, England and Scotland did not exist until 1000 years after this wall was built.  It was only then that the position of the wall was used as a ‘divide’ (which makes you think what might have transpired had there been no Roman wall…… ).  The actual border lies some way to the north of Hadrian’s Wall (particularly in the east) but it isn’t marked by any substantial walls or earthworks. The medieval castles at Carlisle and Newcastle, each built close to either end of the Wall and on top of Roman forts, show how the Wall survived as a frontier structure in the 11th and 12th centuries.  The period between this era and the early 18th century marked continuous struggles and wars between England and Scotland eventually leading up to the Act of Union in 1707. During the later 18th century, people to either side of ‘the Wall’ became more unified as Great Britain developed into one of the world’s dominant powers. Accounts of Hadrian’s Wall during the 19th and early 20th centuries usually played down any idea of ancient divisions between England and Scotland. 

As a proud Scotsman who lives in England and someone who is also proud to be British, I’m concerned about the referendum where my fellow Scots are about to vote on whether they want to become independent from the United Kingdom.  I personally believe a yes vote would be a mistake for a number of reasons:

  • Great Britain only became ‘Great’ in the 18th and 19th centuries, i.e. when the British Isles were united as the most successful partnership the world has ever seen and Scotland played a significant part in this, probably punching above its weight within the partnership.  It’s a lot to throw away for romantic reasons.
  • Scotland already has significant autonomous powers including their own parliament.
  • Scotland already has its own culture and traditions and these are well known worldwide outside of (and regardless of) its inclusion in the UK partnership.  
  • We live in a globalised world where partnerships matter and I believe there are huge risks for Scotland going it alone.
  • Bankruptcy was one of the reasons Scotland signed up to the Act of Union.

I’m hoping the no vote wins through in 100 days time.

Look forward:

Since completing the Hadrian’s Wall challenge, I’ve started one of my testing phases with an Echocardiogram last week and an Octreotide scan early next week ready to meet with my Consultant Oncologist on 18 Jun.  For the first time, I’ll also be given something called a SPECT scan which I’ll be blogging about next week.  In the meantime, I might also publish some ad hoc blogs including some incidents and observations I’ve been storing up from the wall walk – so stay tuned!


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So what next?

20140528_124222 (3)
Wet but happy!

Well we did it! Chris and I finished our 84 mile Hadrian’s Wall challenge on Saturday 31 May 2014 around 1630 hours at Bowness-on-Solway.  The final leg from Carlisle was listed as 14.5 miles but on our app it was more like 16 miles. We headed straight to the only pub in the village for a celebratory pint!  Very happy to be finished 🙂

We had trained for 4 months for this challenge but it was tougher than we had imagined, particularly the effect on our feet.  That’s not to say the training was a waste of time, far from it. The terrain across the walk is so varied ranging from tarmac to mud (and we mean deep mud!).   The weather could have been worse but it also could have been better – particularly in the hilly middle sections.

Despite the rain, the middle section which we tackled on days 3 and 4 of our challenge, was absolutely stunning to the point that a return visit might be on the cards.  Returning as tourists of course 🙂

Could we have done it quicker?  Chris and I disagree on this one but my personal view is we could have condensed it into 5 days by taking some risks.  That said, I take my hat off to anyone whatever age or physical condition who does this in less than 6 days.

As a reminder, you can view the blogs for Days 1 to 6 of our walk as follows:

Day 1 – Wallsend to Heddon-on-the-Wall http://wp.me/p4AplF-ew

Day 2 – Heddon-on-the-Wall to Chollerford http://wp.me/p4AplF-eN

Day 3 – Chollerford to Steel Rigg http://wp.me/p4AplF-fI

Day 4 – Steel Rigg to Lanercost http://wp.me/p4AplF-fS

Day 5 – Lanercost to Carlisle http://wp.me/p4AplF-gK

Day 6 – Carlisle to Bowness-on-Solway http://wp.me/p4AplF-hT


So what next?  Some people have already suggested other walks and I really do fancy another challenge but I need to think hard about my capabilities.  One of my personal aims was to see what my body was capable of after 4 years of treatment for Neuroendocrine Cancer and I suspect the answer is a positive one.  Watch this space.

One thing I will be doing is keeping up my blog but perhaps only weekly and/or ad hoc.  I saw some interesting stuff on the trail, met some interesting people; and was able to give some thought about the effort of blog writing and the potential audience of patients and non-patients.  I’m heartened by the fact that the feedback was good and people are still reading last month’s blogs today, so I guess there’s a demand.  I’m working on the following blog posts which I’ll publish in due course:

  • Beyond the Wall – a continuation of what next but an additional Game of Thrones angle plus a Scottish twist.
  • The Size of the Lambs – observations and banter from the walk.
  • Things are not always what they seem – about an autistic person I met during the walk but with an additional spin on cancer symptoms.
  • Results are all that matter – some world cup banter and my consultant appointment on 18 Jun (results time!)
  • My stomach cramps my style – risk management of certain cancer and treatment side effects
  • A ‘Highland Coup’ – a twist of words bringing back some memories plus an interesting story of a B&B stay.