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27
News from Southampton University Hospitals NHS Trust
MIRACLE
GIRL
WIN! Lizzie’s fight
for survival
An iPod
shuffle
ART
UNDER THE
MICROSCOPE
mediamonitor the latest SUHT news
Welcome to issue Top children’s surgeon says ‘poverty’ bone
27 of Connect disease has returned in Southampton
In this issue... A poverty-linked bone disease that Rickets, a condition that causes foods, is
SUHT in the news 2 disappeared over 80 years ago, but children’s bones to become weak important in
Hospital open day/ resurfaced in northern parts of the and bowed, was endemic in poor supporting
Hands-free CPR 3 UK this year, is now being discovered Victorian England, but was written growth and
Miracle girl Lizzie 4/5 in high numbers of young patients in off by many orthopaedic surgeons by maintaining
Journey of a biopsy/Cycle to Work 6 Southampton. 1928 following strong
Growth of “sci-art”/Spouting off 7 the discovery of bones.
Dear Connect/ vitamin D in 1922. “The return of rickets in northern
The fundraising connection 8 However, the parts of the UK came as a surprise
disease is now despite the colder climate and lower
Tell us what you think... making a comeback levels of sunshine in the north, but
Let us know what you think of Connect, due to low vitamin what has developed in Southampton
plus tell us what news and features you’d D levels caused is quite astonishing,” said consultant
like to see in future editions. predominantly by orthopaedic surgeon Professor
lack of exposure to Nicholas Clarke.
Email connect@suht.swest.nhs.uk
sunlight and also “In my 22 years at Southampton
Write to poor diet – though General Hospital, this is a completely
Communications, Mailpoint 18, it had not been new occurrence in the south that has
Southampton General Hospital, uncovered in evolved over the last 12 to 24 months
Tremona Road, Southampton SO16 6YD Southampton until and we are seeing cases across the
now. board, from areas of deprivation up
Telephone 023 8079 4853
This vitamin, to the middle classes, so there is a real
Website www.suht.nhs.uk found in a small need to get national attention focused
number of on the dangers this presents.”
Connect is produced by SUHT’s
communications team.
MediaMonitor MediaMonitor
media monitor: This story was covered by The Daily Telegraph, the Daily Express, the Daily Mail, The Sun, the Daily Mirror, BBC News (TV
and online), BBC Radio Solent, Heart FM Hampshire, Wave 105 FM, the Daily Echo, ITV Meridian and Medical News Today.
Southampton heart experts implant
Europe’s first ‘slinky’ stent
Expert part Heart specialists at Southampton artery rather than remain rigid.
of glaucoma General Hospital recently became
the first in Europe to implant an
Consultant cardiologist Dr Iain
Simpson, who performed the first
breakthrough innovative ‘slinky’ coil to open a procedure using the coil, said: “The
patient’s blocked artery. new stent is more flexible for getting
One of Southampton’s leading Stents are used to create permanent around twisty arteries, giving us
eye specialists is part of a team blood flow in previously blocked another option when treating patients
of international experts that has arteries of coronary heart disease with coronary heart disease or those
discovered a gene mutation that or heart attack patients during who have suffered a heart attack.”
causes glaucoma. angioplasty, a procedure in which
Professor Andrew Lotery, fellow cardiologists inflate an artery with
consultant ophthalmologists at a small balloon, clear it and insert a The Daily Echo
Southampton General Hospital’s permanent coil. ran a front page
eye unit and scientists at the The new advanced design, known as and double-page
University of Southampton, along the Resolute Integrity Stent System, is spread on plans
with colleagues in Iceland, Australia, more flexible than other types and can for Southampton
Hong Kong, China, Sweden and the be used to reach narrow or difficult General Hospital
USA, have all contributed to the blood vessels – its bendy design also to become one of
research, which may lead to earlier means it has an improved ability to only a handful of
detection of the condition. mould to the shape of an individual’s new major trauma
centres, which will
media monitor: This story was MediaMonitor MediaMonitor
see critically ill
media monitor: This story was MediaMonitor MediaMonitor
covered by the Daily Echo, BBC
patients from across
covered by the Daily Express, Radio Solent, Heart FM, Wave 105 FM, the
the region brought
the Daily Echo, ITV Meridian, The Press Association, Medical News Today,
directly to the city
Breeze 107.8 FM, Optician Online, Medical the Belfast Telegraph, Irish Daily Star and
for specialist care.
News Today and Optometry Today. Hospital Management.
Reproduced with kind permission of the Southern Daily Echo
2 CONNECT
ISSUE 27
When you have finished with this magazine please recycle it. Printed on environmentally friendly paper.
Hands-free CPR
“
Teddy bear hospital
Anyone who has ever experienced
giving cardio pulmonary resuscitation
(CPR) will know how difficult it can
be – but a new hi-tech gadget at
proved a hit with the Southampton’s teaching hospitals is
revolutionising practice.
kids and treated a large Staff in the cardiac catheter laboratory
number of patients at Southampton General Hospital are
using an innovative mechanical CPR
during the day device that provides chest compressions
automatically, cutting out the need for
hands-on involvement.
CPR is given during a cardiac arrest
– when the heart beats abnormally or
stops – to try to restore blood circulation
around the body and deliver oxygen
to the tissues. It is achieved by use of
a defibrillator to correct
rhythm and external
cardiac massage,
where, traditionally,
a person
repeatedly
pushes
up and
down on
the chest
to promote
blood
flow.
This
becomes
a problem,
though,
Hospital open day
when a patient
goes into cardiac
Photograph courtesy of ZOLL.
arrest during treatment for a heart attack
attracts over 2,000 visitors
because they require continuous x-ray
examination that staff cannot be exposed
to, meaning CPR cannot be maintained
and the procedure is halted.
Members of the public had another opportunity to see behind the But the new machine – Autopulse
– gives a cycle of chest compressions
scenes of their local hospital at this year’s action-packed open day. independently and allows a short break
for the patient to be given oxygen.
This was the second year running staff versions of games Operation and in the NHS had the chance to “Autopulse offers the heart attack team
at Southampton’s teaching hospitals Buzzwire. experience working life in many fields the opportunity to continue treating
welcomed people through the doors Those interested in a future career of medicine, including the eye unit, some of the most severely unwell patients
and the event did not disappoint, cystic fibrosis, pathology and cardiac when, in the past, their procedure may
with over 2,000 visitors experiencing short stay. have been stopped in order to allow
the ‘patient journey’. The University of Southampton’s manual CPR to be undertaken,” said
Visitors came from as far away as school of medicine opened its doors consultant cardiologist Dr Huon Gray.
Birmingham, Exeter, Surrey and even
Denmark to enjoy the day.
in on the day, showing how closely we
work on research projects.
As part of the heart attack procedure,
a tube is inserted into the body through
A welcome addition this year was figures The Wellcome Trust Clinical Research which drugs and specialised devices such
a giant inflatable colon manned by Facility and the Southampton Cancer as stents can be delivered and blood
colorectal surgeon Alex Mirnezami to Research UK Centre demonstrated pressure can be accurately measured.
2,000
raise awareness of colon cancer. how treatment is taken straight from During a recent procedure for the
Other attractions included the visitors the laboratory to our patients. treatment of a heart attack patient, Dr
opportunity to scrub up on the Mark Hackett, chief executive, said:
180
Gray and his team were able to see how
theatre tours, get arms plastered “This event gets bigger and better effective Autopulse was through blood
in the casting room and look staff involved each year. The open day was a great pressure readings when the patient went
through the world’s most powerful
microscopes in the biomedical 200 arms plastered opportunity for the community to
come in and see how their hospital
into cardiac arrest.
He said: “The device achieved blood
400 faces painted
imaging unit. functions on a daily basis and why pressure readings twice as good as those
Teddy bear hospital proved a hit with we are a world-class centre for both we had initially been achieving with
the kids and saw a large number of treatment and research. external manual CPR and, while the need
patients during the day, all of whom
responded well to treatment!
600 teddies treated “Once again, feedback has been
excellent and this event has become
for such a machine is very rare, it can
make the difference between being able
Children also had the chance to
test their steady hand skills on giant 1,200 tour slots a regular feature in the hospital
calendar.”
to continue with a life-saving procedure
or not.”
CONNECT
ISSUE 27 3
MIRACLE
GIRL
It was the moment they thought they would never see.
Three-year-old Lizzie Rodway’s parents a family holiday at Longleat, which left intensive care unit (PICU) and a team and confused,” said Karen, of Ilton in
feared they could lose their precious Lizzie with life-threatening head injuries. led by Dr Iain Macintosh arrived in their Somerset. “Our clothes were in tatters,
daughter after she was horrifically injured While her parents were taken by dedicated PICU ambulance to collect her. having been cut in hospital, and then we
in a car crash, but now – just months ambulance to Salisbury District Hospital Lizzie’s injuries included a significant were faced with the prospect of thinking
later – she is back at pre-school and and given the all-clear soon afterwards, skull fracture and multiple facial we were going to lose our daughter.”
caring for her favourite toy bunny. Lizzie was flown in by air ambulance as fractures. In addition, the damage to her Although given some initial hope five
Though it could have been so different her condition was rapidly deteriorating. head was complicated by poor blood days later when Lizzie was deemed stable
for mum Karen and dad Adrian following A call was made to Southampton flow to the brain. enough to be moved out of PICU, she
the accident on their way home from General Hospital’s specialist paediatric “We arrived at Southampton dazed took a turn for the worse and was rushed
4 CONNECT
ISSUE 27
for surgery to remove part of her skull early as on PICU,” he said. months, the swelling on
due to dangerous levels of brain swelling. “This reinforces their ability to function her brain had reduced
“Lizzie came to us with an array of which, in turn, increases the amount of and her therapy was
complex injuries, but the addition of recovery that can be achieved.” producing good results,
severe brain swelling created further When the physiotherapy team began so Lizzie underwent
concerns,” said consultant neurosurgeon their work in the early days of admission, surgery to replace the
Dorothy Lang. Lizzie was unable to even lift her head or missing bone in her skull
“It was vital we were able to remove sit up. with a custom-made
part of her skull so quickly, as swelling Damage to her brain from the crash in titanium plate created
in any patient, let alone a very young February affected her functional ability, on-site.
child, causes pressure inside the head meaning she suffered problems sending Jenni Palmer,
to become critically elevated, denying messages to the left side of her body paediatric neurology
the brain of the sufficient oxygen and from her head down. physiotherapist, said:
nutrients it needs to survive.” Karen explained: “Lizzie was receiving “After intense work,
As a result of having a section of physio twice a day and occupational Lizzie has made an
skull removed, Lizzie was fitted with a therapy twice a week. This proved to be excellent physical
protective helmet to cover the vulnerable as tough a time for us as the worst early recovery here and is
area until the swelling had subsided days when we thought we would lose now able to stand
enough to have a metal plate replace her her, as we were faced with not knowing independently, walk
missing bone. if she would walk again, have any use of independently while
The helmet became a symbol of her her left arm or sight in her right eye.” wearing a splint on
“
her left foot to aid
Bursledon House will always be a special balance and is starting
to incorporate the use
place, as it is where we saw Lizzie take her of her left arm into day to day activities home, but Lizzie is coping well
first independent steps again… and play, which is fantastic.” with her continuing therapy.
A week after having her plate fitted, “We just feel so indebted to all
recovery for Karen and Adrian, both 30. But, two and half months after the Lizzie was back at home and has since of the staff. If there was not such a
After a further three days in intensive accident, Lizzie was fit enough to move been receiving weekly physiotherapy and wonderful team, I really think we would
care following surgery, Lizzie was moved across to Southampton University occupational therapy in Somerset. not have our beautiful daughter here
to the paediatric high dependency unit Hospitals NHS Trust’s specialist Karen, who has now taken a with us today.”
and then the paediatric medical unit, rehabilitation centre, Bursledon House, career break from her job as a senior Karen and Adrian are now raising
where she spent the next 11 weeks where staff accommodated Karen in a audiologist to care for Lizzie, added: funds for the paediatric medical unit
recovering and undergoing rehabilitation. family room with her daughter. “We’re all finding it a little strange and paediatric physiotherapy team
Given the nature of Lizzie’s head injuries During her time at the centre, Lizzie settling into our new normal life back at through Southampton Hospital Charity.
and her age, not only did she require the made good physical progress and began
services of the neurosurgeons, but also to regain the ability to walk, talk, play
early intervention by consultant paediatric
neurologist Professor Colin Kennedy and
and laugh.
“Bursledon House will always be a
Bursledon House
his specialist team to manage repair of special place, as it is where we saw
Dr Claire Phillips, the associate specialist in paediatrics who oversaw
her brain function. Lizzie take her first independent steps
Lizzie’s care in Bursledon House, said: “In Bursledon House we are
“We have to take advantage of every again and then become more and more
able to provide a more homely environment in which to continue the
opportunity that arises in the natural confident on her feet – it is also where
rehabilitation started on the wards. Lizzie was able to continue to have
course of brain healing to capitalise on she spent most time with her protective
her intensive therapeutic input while also starting to do more of the
the flickers of function that first appear to helmet, which became an iconic symbol
normal things a lively three-year-old girl should be doing and we are
engage the recovering parts of the brain of her journey,” said Karen.
delighted to see her doing so well.”
in useful activity – this can begin even as As her stay in Southampton neared five
SIX MONTHS IN THE LIFE OF LIZZIE RODWAY
Car crash on Team from Five days in Her immediate Swelling on the Given a Further three Spent the next 11
way back SGH arrive PICU with care involved brain requires a protective days in PICU, weeks recovering
from holiday in dedicated significant skull surgeons from piece of skull to helmet until moved to and rehabilitating
in Longleat, ambulance to fracture and neuro, oral and be removed swelling paediatric high with help of
airlifted to bring her back multiple facial maxillofacial subsides and dependency and consultants,
Salisbury for specialist fractures and titanium plate then paediatric nurses and
District Hospital treatment ophthalmology can be fitted medical unit physios
Required skills Two and half Mum Karen She made At five months, A week later, Is now back at
of renowned months after stayed with good physical Lizzie was able she returned pre-school and
neurologist Prof accident, Lizzie at progress and to have the home with her playing with
Colin Kennedy Lizzie moves Bursledon began to regain titanium plate parents and her favourite
to repair brain to Bursledon House the ability to fitted has continued toys again
function House Children’s walk, talk, play therapy in the
Centre and laugh community
CONNECT
ISSUE 27 5
The journey of a biopsy
Have you ever wondered what happens to a biopsy specimen at the laboratory?
Dr Adrian Bateman, consultant histopathologist, explains how one is processed.
1 2 3 4
The first step It’s all about A good cut Diagnosis
The specimen arrives at the
main pathology reception and
preparation Biomedical scientists use a
machine called a microtome
The slide is ready for diagnosis
and sent to a histopathologist.
is recorded on computer. The A pathologist or biomedical (similar to a hi-tech bacon slicer) Using a microscope, they
audit trail starts here, with scientist records the that cuts into the paraffin examine the tissue sections on
each specimen given a unique characteristics of the blocks to create very fine tissue the glass slides and interpret
number for identification. It specimen. For large specimens, strips that float into a water the appearances of these in
is then sent to the specimen representative tissue samples bath. These strips are then the context of the clinical
description and dissection are chosen to create microscope placed onto a glass slide using information about the patient
room. Almost all specimens are slides; for small biopsies, all the forceps and stained – most – e.g. the patient’s medical
received in a formalin solution, material is used in the slide- commonly with a combination history, why the biopsy was
which preserves the specimen of pink and blue – so that taken, and what the results of
throughout its journey. the cells can be seen under a other tests have been.
microscope. A thin glass ‘cover Histopathological examination
slip’ is put onto the specimen to is usually seen as the gold
protect it from scratches. standard for the diagnosis
The slides are checked of many cancers and non-
for quality, labelled and cancerous diseases.
entered into the audit trail as A pathology report is created
being ready for microscopic and sent back to the patient’s
examination. These sections are GP or to the hospital doctor
kept in the hospital archives for who requested the biopsy.
15 to 20 years, although they do The whole process takes two to
fade with time. five days, but longer if additional
tests are required on the tissue.
In emergency situations, this
making process. process can be a lot quicker
The tissue to be processed is through the use of frozen
put into small colour-coded specimens – this is when the
containers, which indicates specimen is cut into sections
information such as the after freezing rather than
specimen type and how quickly being set in wax. This method
30,000
it needs to be dealt with. For can give doctors results about
example, green equals urgent. a patient during an operation,
The specimen is then but the quality of specimens
deposited into a machine, in this process are not as good
The number of specimen
which uses a chemical process to and do not last, which is why
requests the pathology
remove water and impregnate this process is only used in
department at SUHT deals
it with paraffin wax, which clinical emergencies.
with in a year, one of the
supports the tissue and makes
busiest in the UK. This equates
it possible to prepare sections.
to approximately 600 per
This process can take between
week and 100 per day.
one to 12 hours.
On your bike!
Enda Smyth, a nurse in contend, so I take the option of cycling
the paediatric assessment 11 miles from home in Winchester,”
unit, has made it his he said.
mission to encourage us “I am fitter and healthier than ever
to get on a bike through and feel, with a bike, mudguards and a
the Cycle to Work helmet, anyone could join me in cycling
scheme. to work.”
“I am from a one-car If you’d like to join Enda and find out
family and have three more about the Cycle to Work scheme,
daughters and a wife to visit www.cyclescheme.co.uk
6 CONNECT
ISSUE 27
Hospital at pouting
S
the centre of f with…
of growing Dr Mark Wright
modern “All good things
come to an end” –
art form
that’s what I told
my little boy after
his 10th birthday
party. It’s a curious
expression, one I picked
up from my history teacher. He was
It’s not every day a teaching hospital referring to the Roman Empire.
At the party, I had some thoughts
can lay claim to some of the about what’s happening in the NHS
country’s finest modern artwork. (really, I did).
After the kids filled up on fizzy drinks
and chocolate, I still had 30 minutes to
fill. I thought musical chairs would be
fun. It was. To start with.
But a novel collaboration between “Having To start with there are plenty of
a laboratory team based at artists chairs – like any resource really. Then
Southampton General Hospital and working the chairs start disappearing. No
leading professional artists makes with us one’s too bothered at first, but slowly
that a reality. provides people start paying attention.
Although better known for indepth a different perspective on our work “art-speak” is All of a sudden there are not enough
analysis of medical samples and and helps us to look at things in a often much more obscure.” chairs. Then the fighting starts and, if
biopsies using some of the world’s different way. It can also create some And Dr Page’s vision of joining you’re not careful, you end up with
most powerful microscopes, the fierce debate about the way we forces to advance scientific tears and a wrecked house.
biomedical imaging unit (BIU) has a look at things and how we interpret understanding has resulted in four One idea would be to get those
growing attachment with the arts. them,” he said. current collaborations with popular without chairs to start clearing up. A
“
artists Pauline Pratt, Martha Davies, bit like getting the unemployed to
“Having artists working with us provides a Kathleen Rogers and Seran Kubisa. pick up litter I suppose…
Their works involve intricate Then I started thinking about the fall of
different perspective on our work and helps manipulation of a range of objects Rome and parallels with the NHS. Both
us to look at things in a different way through the use of electron and founded on a noble idea, both worked
light microscopes, producing well based on the work of slaves.
And that is inpart due to clinical “The only real difference between abstract images for exhibition When the working time directive
scientist and head of the BIU Dr us as scientists and the art world around the UK. emancipated all the slaves (junior
Anton Page’s desire to see science is probably one of language; a More information on the sci-art doctors), all of a sudden there was
promoted in a more user-friendly way scientific training teaches you to be partnership can be found at a shortage of bodies and under
– which has led to a growth in “sci- very precise and to-the-point in your www.som.soton.ac.uk/research/sites/ investment meant there was no
art” across the south. wording and descriptions, whereas biu/collaboration/ technology to fill the productivity gap.
In desperation they turned to
barbarians to guard the frontier,
Martha Davies CASE resulting in the hospital being overrun.
STUDY The republic was bankrupt. The citizens
Martha Davies photographs A light is shone through a Afterwards, colours blamed the managers. The managers
elements of life under high specimen so the colours and structure can be altered using were thrown to the lions for the
magnification using advanced can be seen though the eyepiece, a dial on the microscope, so the gratification of the public/frontline staff.
microscopes in the BIU. then a digital camera within the same photograph of a section can Eventually the Coliseum ran out of
Her detailed examination of microscope collects images. be taken again to produce different managers and had to resort to throwing
specimens creates an enhanced effects. the public/frontline staff to the lions…
view of reality by emphasising the “The fish scales show a structure Blimey, what do they put in this
structures that exist in life forms. but also, importantly, the colour coffee? I’m going back to work now –
Martha’s fish scale images - they give off shows that there is don’t want to be the only one without
displayed above - were formed more detailed information within a chair when the music stops.
with a microscope that allows the scale. Using the polarising
artists to view and photograph microscope allows me to engage *If you have a burning issue you’d
certain materials using with the beauty inherent in natural like to get off your chest email
polarised light. objects,” said Martha. connect@suht.swest.nhs.uk
CONNECT
ISSUE 27 7
talkback
Find out more... Sign up to Southampton Hospital Charity’s newsletter to receive
i more news and fundraising information. Email charity@suht.swest.nhs.uk
Dear Connect The fundraising
An unfortunate accident on a
friend’s stag weekend in Cardiff
left me on the floor with blood
connection
Call Southampton Hospital Charity on 023 8079 8881 or visit www.suht.nhs.uk/charity
streaming through a deep and
serious cut on the side of my right
hand through to my middle finger.
Fast forward 24 hours and I
found myself in Southampton
Southampton expert scales
General Hospital’s emergency
department, complete with
Kilimanjaro for her baby unit
medical notes from the previous
In October, the region’s top baby so families are given the best “We know how important
day in Wales.
specialist took on a mountain possible environment in which to it is for parents to have
I knew my fate early on: I had
of a challenge to raise funds for unwind while their child is treated. accommodation near or on the
to have an exploratory operation
the neonatal intensive care unit “The trip was absolutely amazing, unit and we wanted to give
to determine to what extent I
at Southampton’s Princess Anne if one of the most demanding something back to say thank you
had ruptured the two tendons in
Hospital, which provides care to things I’ve ever done, with 18 out for all the help and support they
the finger, see if I had any other
over 700 newborn babies from of the 21 making it to the summit,” gave us during our six-week stay,”
further damage to the nerves
across the south every year. said Dr O’Donnell, the divisional said Mr Weatherly, whose son
and then undergo repair.
Consultant Dr Alyson O’Donnell clinical director for women and Thomas recently celebrated his
As an accident-prone person,
headed up a team of parents, children at Southampton University first birthday.
I have never been a fan of being
nurses, doctors and friends of the Hospitals NHS Trust. Thanks to the fundraising
in hospital, so when informed
unit to scale Tanzania’s Mount “The summit night was a real efforts of all those who took part
my operation was scheduled
Kilimanjaro, the world’s tallest slog, but it was quite magical in the Kilimanjaro challenge, over
in for the Wednesday, with
free-standing mountain, in a ten- seeing the line of head torches £30,000 has been raised.
three days on a ward, to say
day trek. snaking up the mountain – though Dr O’Donnell added: “We
I was apprehensive was an
Although just the beginning it’s a good thing they make you are going to keep the scheme
understatement.
of their fundraising efforts, the climb it in the dark as it means you open and will be looking for
The day before I was due for
ultimate goal is to raise over can’t see quite how far it is!” additional adventures to keep the
surgery, I was introduced to
£100,000 for Southampton Among the adventurers were momentum going towards our
research nurse Kerry Gunner,
Hospital Charity to improve Richard Weatherly, Richard £100,000 target.”
who informed me that the
parental accommodation Croucher and Ross Cawte, three To make a donation, please
injuries I had sustained
fathers who have experienced visit www.justgiving.com/
qualified me to be part of a new
firsthand the care the unit provides. pahneonatalchallenge
medical trial.
The hospital wanted to trial a
mechanical lubricant that would
be injected into the tendon on Want to challenge
repair to test whether it could yourself and raise
help improve the healing process money for
and improve mobility of the Southampton
finger once fully healed. Hospital Charity?
As well as Kerry, I also met
the surgeon who would be Places now available for:
• Skydive for Father’s Day –
performing the operation, David
19 June 2011
Warwick (pictured left).
• Cycle London to Paris –
David made me feel 14 to 18 September 2011
completely at ease and • Trek Peru – 3 to 12
explained everything November 2011.
simply and effectively.
The aftercare I Email suzie.pearce@suht.
swest.nhs.uk for more
have received has
information or visit
been superb; since
www.suht.nhs.uk/charity/
surgery, I have been getinvolved
attending regular physio
appointments at the
Royal South Hants Hospital and
Sudoku challenge
also medical trial sessions.
For the duration of my stay,
all the nurses made me feel
welcome and made my stay Win an iPod shuffle
WIN!
a lot smoother. They were all
very friendly and if I knew their Enter numbers from 1 to 9 into the blank squares, so that every row,
names, I would individually thank every column and every 3x3 square has one of each digit.
them all. Send your entry in the internal post to Connect, Mailpoint 18,
In the future, if I have to stay to be in with a chance of winning a 2GB iPod shuffle donated by
overnight in any hospital, I hope Kiteleys Solicitors. Entries close Monday 20 December 2010.
it is Southampton General!
James Forder
24, from Southampton
