The Ship 2019 - 2020 St Anne's College Record 2019 - 2020 Number 109 Annual Publication of the St Anne's Society - St Anne's College, Oxford

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The Ship 2019 - 2020 St Anne's College Record 2019 - 2020 Number 109 Annual Publication of the St Anne's Society - St Anne's College, Oxford
The Ship
2019 – 2020
St Anne’s College Record 2019 – 2020 • Number 109 • Annual Publication of the St Anne’s Society
                                                                             www.st-annes.ox.ac.uk   1
The Ship 2019 - 2020 St Anne's College Record 2019 - 2020 Number 109 Annual Publication of the St Anne's Society - St Anne's College, Oxford
Contents
                                                                                                                              Editorial: Judith Vidal-Hall                          2   Jill Rutter: Migration                            49
                                                                                                                              From the SAS President: Stella Charman                3   Sister Frances Benedicta: Oxford Letter           52
                                                                                                                              From the Principal: Helen King                        4   SAS Branch Reports                                54
                                                                                                                                                                                        H Salisbury: Should Doctors Take Sides?           62
                                                                                                                              COVID 19: WHAT WE DID UNDER LOCKDOWN:                     Sarah James-Short: Estranged in Oxford            64
                                                                                                                              a range of pieces from students trapped in College
                                                                                                                                                                                        From the JCR: Joseph B Murphy                     67
                                                                                                                              to inventions and doctors on the frontline
                                                                                                                                                                                        JCR Amy Langer, Women’s Rep: Appeal for Memoirs   69
                                                                                                                              Shivani Chauhan                                       7
                                                                                                                                                                                        E Longrigg: Memoir                                70
                                                                                                                              Hannah Dafforn                                        9
                                                                                                                                                                                        E Morgan: Memoir                                  73
                                                                                                                              Jessica Still                                        11
                                                                                                                                                                                        From the MCR: Lise Cazzoli                        75
                                                                                                                              Will van Noordt                                      13
                                                                                                                                                                                        Student News: Results                             77
                                                                                                                              Diane Ackerley: ‘Exovent’ – a Breath of Life         14
                                                                                                                                                                                        College News                                      80
                                                                                                                              C Kiire: Doctor on the Front Line:                   18
                                                                                                                                                                                        Fellows’ news                                     85
                                                                                                                              Robert Stagg: What do we Mean by ‘Normal’?           21
                                                                                                                                                                                        Bonnie Chau: 594 Ways of Reading Jane Eyre        88
                                                                                                                                                                                        Alumnae Publications                              91
                                                                                                                              Hadley Freeman: Graduation Moments                   22
                                                                                                                                                                                        No Going Back: A Holocaust Story - Anna Patrick   94
                                                                                                                              100 YEARS OF DEGREES FOR WOMEN
                                                                                                                                                                                        Alumnae news                                      97
St Anne’s College Record 2019-2020         Bristol and West Branch – Eve Phillips     Front and back covers: © St Anne’s      From The Ship 1919/1920                              24
Number 109 Annual Publication of the       Cambridge Branch – Sarah Beeson-Jones      archive collection. October 1920: 		                                                              Gilia Slocock: St Anne Teaching the Virgin        98
                                                                                                                              Clare White: ‘Degrees by Degrees’                    27
St Anne’s Society (formerly known as the   London Branch – Clare Dryhurst             first degree ceremonies for women                                                                 Alumnae Weekend and Feedback Request              99
                                           Midlands Branch – Michele Gawthorpe                                                Senia Paseta: Why Did it all Take so Long?           32
Association of Senior Members)                                                                                                                                                          In Memoriam                                       100
                                           North East Branch – David Royal            Inside back cover:
                                           North West Branch – Lizzie Gent                                                                                                              Obituaries                                        101
Committee 2019-2020                                                                   © St Anne’s archive collection.         From the Development Office: Edwin Drummond          39
                                           Oxford Branch – Hugh Sutherland                                                                                                              Donations                                         113
President – Stella Charman                                                            1906: Home students take to the water   Libby Purves: Whither the BBC                        41
                                           South of England Branch – Stella Charman
Vice President – Hugh Sutherland
Honorary Treasurer – Mary Martin                                                                                              Sian Lawrence: Extinction Rebellion                  45
Honorary Editor – Judith Vidal-Hall                                                                                           P Farmer: XR, The Grannies’ View                     47
Ex Officio – Helen King

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The Ship 2019 - 2020 St Anne's College Record 2019 - 2020 Number 109 Annual Publication of the St Anne's Society - St Anne's College, Oxford
From the Editor                                                                                                                                                                                                                        From the SAS President

JUDITH VIDAL-HALL
‘Lord! How empty the streets are              Despite everything, they came forward         career there while speculating on its
                                                                                                                                       A year of challenges
and how melancholy … Jealous of               with ideas and contributions: from the        future as a national public broadcaster;   STELLA CHARMAN
every door that one sees shut up,             centre-piece of this issue – the granting     an activist granny from Extinction
lest it should be the plague; and                                                                                                      It’s not been the easiest of years           harder to put it into practice. Before the   existing
                                              of degrees to women – to the memories         Rebellion makes the case for the older     for our new SAS president, but she
about us two shops in three, if                                                                                                                                                     coronavirus entered our lives we had         ones such as
                                              of some themselves approaching their          generation alongside the challenges        looks ahead undaunted with plans
not more, generally shut up,’ says                                                                                                                                                  begun to make progress, with an initial      participation
                                              own century, by way of some refreshing        thrown down by a younger member;           for a renewed SAS
Samuel Pepys in his Diary for 1665.                                                                                                                                                 focus on The Ship itself. This has always    in the careers
                                              news from contemporary students and           Jill Rutter reminds us that immigration
                                                                                                                                       This past year, my first as President of     been an important way in which the SAS       network, CV
Following Pepys’ lead, I had thought to       graduates trapped in College during           is not going away any time soon but
                                                                                                                                       the St Anne’s Society, has been nothing      has linked alumnae with the College and      clinics and
begin my editorial for this issue of The      lockdown, plus inspiring accounts             is likely to increase as refugees from
                                                                                                                                       less than extraordinary – and not in a       illustrated our collective contribution      fundraising
Ship with a gloomy appraisal of the hard      of a doctor working on the front line         poorer countries flee the impact of the
                                                                                                                                       good way. Like so many members of            to knowledge about the world. With a         initiatives. The College is facing a
times our present plague has created for      throughout the pandemic and another           spreading plague.
                                                                                                                                       our worldwide community of alumnae,          circulation of 9,000, The Ship is widely     challenging time ahead and needs
the University, our College in particular     who spent her time working with
                                                                                            And finally: an appeal from Amy Langer,    the newly elected SAS Committee has          praised and valued. This year we have        our support to survive and thrive. It
and the world generally. With regrets         colleagues on the invention of a new-
                                                                                            women’s representative for the JCR.        had to place its plans and aspirations on    confirmed our commitment to keeping          would be greatly helped by a more
for the absence of several ‘normal’ – but     style ventilator. Our members have yet
                                                                                            She is supervising the collection of       hold for the time being. Nevertheless,       it as a printed document, but also to        active body of alumnae, working within
check what we should understand by            again delivered in infinite variety, from
                                                                                            memoirs from former students to form       some progress has been possible and          developing an interactive online version     local communities and alongside OUS
this word in Robert Stagg’s illuminating      the extraordinary travels of Jane Eyre to
                                                                                            a long overdue College archive. See her    the ‘new normal’ offers a number of          we hope will encourage younger readers       colleagues, to widen participation in
piece – columns, in particular the            the inspiring story of a current student.
                                                                                            message and respond, please, before it     opportunities to re-frame and re-boot        to read it and all alumnae to keep in        the top quality education offered by
ever popular Russell Taylor with his
                                              1920 was the year the University finally      is too late!                               the SAS!                                     touch with comments, suggestions and         Oxford and specifically to raise the
inimitable Alex and the Careers column,
                                              decided to grant degrees to women,                                                                                                    ideas. Sadly we will now be unable to        profile of St Anne’s among aspiring
both victims of these turbulent times.                                                      My thanks to Jay Gilbert, who manages      In last year’s Ship, Hugh Sutherland, who
                                              who, despite almost half-a-century of                                                                                                 deliver on this aspiration until 2021.       potential students. We want to generate
                                                                                            communications in the Development          was then President of the SAS, reflected
But on second thoughts, and bearing in        sitting finals and gaining firsts, had been                                                                                                                                        a dialogue about this with as many
                                                                                            Office. Though this is her first full      on its role and purpose, and suggested       A second aim for this year was to grow
mind what Daniel Defoe implies in his         denied the privilege of officially taking                                                                                                                                          of you as possible and, paradoxically,
                                                                                            experience of putting The Ship together,   it was time to rethink its mission. So our   an active Branch of the SAS in the
Journal of the Plague Year (1722) – that      their degrees. Our invaluable librarian                                                                                                                                            coronavirus restrictions may assist us
                                                                                            she rose above my demands and was          first task following the 2019 AGM was        North East of England in support of
the plague was characterised more by          Clare White and Professor of Modern                                                                                                                                                in reaching out more widely via online
                                                                                            invaluable in getting this to you while    to reformulate our purpose in the light      College’s outreach activity and the ‘Aim
fortitude and resilience than by mob          History, Senia Paseta, celebrate this,                                                                                                                                             platforms. With the ‘Meeting Minds’
                                                                                            working from home.                         of the outcome of the St Anne’s ‘2025        for Oxford’ programme. However, our
behaviour – it seemed more appropriate        accompanied by excerpts from the                                                                                                                                                   Alumni weekend now going entirely
                                                                                                                                       Conversation’, and to align our activity     plans for a launch event in April had to
to begin with a heartfelt expression of       1920 issue of The Ship, then in its tenth     Judith Vidal-Hall (Bunting 1957)                                                                                                     digital and global in September, our
                                                                                                                                       more closely to that of the College as       be cancelled, but we will return to this
thanks to all those who have contributed      year. The feelings of satisfaction and                                                                                                                                             2020 AGM will likewise be available to
                                                                                                                                       a whole: 'to engage St Anne’s alumnae        in the coming year and would love to
to the issue to make it so much               jubilation at this long-awaited right are                                                                                                                                          you in your own home and I hope will
                                                                                                                                       all over the world with the College in its   hear from any alumnae in the area who
more than my grim expectations had            evident in its pages, excerpts from which                                                                                                                                          mark a new beginning for the SAS with
                                                                                                                                       aspiration to understand the world and       would be willing to join this enterprise.
supposed. As Camus expressly says in La       we include here.                                                                                                                                                                   its updated role and purpose. Please
Peste (1947): ‘What's true of all the evils                                                                                            change it for the better'.                   More broadly, we have also begun to          make contact and join in!
                                              Among many outstanding pieces, Libby
in the world is true of the plague as well.                                                                                            However, it is relatively easy to express    explore ways in which alumnae can
                                              Purves, long-time reporter, presenter                                                                                                                                              Stella Charman (Rees 1975)
It helps men to rise above themselves.’                                                                                                something in the abstract, rather            actively support College, beyond the
                                              and host at the BBC, reflects on her own

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The Ship 2019 - 2020 St Anne's College Record 2019 - 2020 Number 109 Annual Publication of the St Anne's Society - St Anne's College, Oxford
From the Principal                                                                                                                                                                                                                              From the Principal

                                                                                                                                        to review and develop our plans. Fellows     process. Depending on the course            this meant that 99 per cent of St Anne’s
Triumph over adversity                                                                                                                  are working with their Departments
                                                                                                                                        to adapt old practices to mitigate new
                                                                                                                                                                                     subject, conditional offers for Oxford
                                                                                                                                                                                     now require applicants to achieve
                                                                                                                                                                                                                                 offer holders had their place confirmed

                                                                                                                                                                                                                                 As a result, we face the term ahead
HELEN KING                                                                                                                              risks and our College Officer team is        results ranging from AAA to A*A*A.
                                                                                                                                                                                                                                 excited to be welcoming a larger than
It’s hard to deny the disruption of           been trying to adjust to living, working      remarkably adaptable. Tutors and            additionally involved in the work that is    The College over offers by about 15
                                                                                                                                                                                                                                 usual Fresher intake of undergraduate
lockdown, but difficult times can             and studying during a pandemic. With          students tell me that tutorials translate   being done to prepare at a University        per cent, knowing that a proportion of
                                                                                                                                                                                                                                 and graduate students. We’re also
bring out the best in people, and             many students going home but others           especially effectively onto video           level. This includes a University Covid-19   candidates each year do not get the
                                                                                                                                                                                                                                 delighted to be welcoming back our
there is much to be proud of in the           needing to stay in College, going into        conferencing platforms, especially          testing service and protocols to contain     grades required. This year, through the
                                                                                                                                                                                                                                 second, third and fourth years who, with
way past and current members of                                                                                                         suspected and confirmed cases.               University, we raised concerns that the
                                              lockdown back in March and making             when you already have the personal                                                                                                   the consistent and creative input of their
the College have stepped up to the                                                                                                                                                   approach Ofqual was intending to take
                                              rapid preparations to weather the             understanding of each other that all        Difficult times can bring out the best in                                                JCR and MCR Committee members, have
challenge                                                                                                                                                                            would disadvantage exactly those high
                                              impending threats for the duration            alumnae will remember developing with       people, and there is much to be proud                                                    provided tremendous support to each
                                              was stressful and hard work. The St           their tutors. Students even prefer online                                                achieving outliers in otherwise poorly
                                                                                                                                        of in the way past and current members                                                   other in this unprecedented year and
                                              Anne’s community, as you would hope,          lectures: that opportunity to repeat the                                                 performing schools that we work so hard
                                                                                                                                        of the College have stepped up to help in                                                helped the College with its planning.
                                              responded calmly, showing common              hard bits, or pause to catch up with                                                     to support in our outreach work. That
                                                                                                                                        their communities, in key worker roles,
                                                                                                                                                                                     prediction proved correct. So when the      Our trepidation about the term ahead
                                              sense, maturity, good humour and              your notes or make a cup of tea, that       in the NHS and in contributing to the
                                                                                                                                                                                     grades produced by the algorithm were       is balanced with the confidence of
                                              compassion.                                   a traditional lecture does not cater for.   world leading research Oxford is doing
                                                                                                                                                                                     shared, tutors knew that every decision     knowing that St Anne’s, and previously
                                                                                            Some tutors have admitted to missing        to quell the pandemic.
                                              Then it became apparent that for the                                                                                                   to confirm or reject an offer holder        the Society of Home Students, has
                                                                                            the opportunity to ‘perform’ for the
                                              first time in the history of the College we                                               Alongside these challenges, world events     required very careful consideration of      always been here for the long haul. A
                                                                                            audience from the front of the lecture
                                              would have a Trinity Term with tutors’                                                    and issues closer to home identified by      all the information available to us about   century ago the College had worked for
                                                                                            theatre, but they may be glad a year on
                                              rooms empty, no congenial lunches and                                                     Black Lives Matter campaigners, have         candidates who had not been awarded         over 40 years for its members to receive
                                                                                            to be able to rely on updated recordings
                                              sumptuous dinners in Hall, no punting                                                     rightly caused us to focus anew on what      the required grades. This led to offers     degrees. Later, Bertha Johnson and
                                                                                            of their lectures from 2020 when they
                                              or Summer Eights and, most shockingly,                                                    progress we are making as an institution     being confirmed for 70 per cent of          subsequent Principals steered it through
                                                                                            come to teach the same course once
                                              no sub fusc and three hour exams in                                                       in becoming the ‘diverse and inclusive       students who had not been awarded           world wars, obtaining College status
If asked at the start of 2020 what the                                                      again.
                                              Examination Schools! Everything had to                                                    community’ we identified as a key part       the grades of their offer, prioritizing     and admitting men. Maybe, after all, the
main theme of my piece for The Ship
                                              go on line – and so it did. Everything has    Now, in August, our preparations to         of our ambition for St Anne’s. Consulting    the most disadvantaged. In the finest       centenary is in one sense the theme for
would be this year, I would have told
                                              been done remotely: tutorials, lectures,      welcome the physical return of tutors,      with our black students and our Advisory     traditions of St Anne’s this included       this piece: however long the pandemic
you with confidence that nothing would
                                              library resources, revision classes, open     students and staff to College are well      Fellow, Tom Ilube, Governing Body            students from schools and colleges who      lasts, St Anne’s College, its people, and
surpass the centenary year of women
                                              book exams, outreach events with              in hand. To be frank, preparing to keep     unanimously signed up to nine practical      had never sent anyone to Oxbridge           its ethos, will continue to prove itself
receiving degrees from the University of
                                              schools, ‘open days’ for prospective          everyone safe and well, supporting an       recommendations to accelerate the            before, students with a care background     as a supportive and forward looking
Oxford, with our first Principal, Bertha
                                              applicants and also social activities such    unexpectedly large cohort of Freshers,      change we were already seeing. I look        or experience of homelessness or other      community playing its part in Oxford’s
Johnson, being the very first.
                                              as bake offs, quizzes, talent shows,          whilst simultaneously preserving the        forward to being able to share with you      significant disadvantage. Even though       mission to lead the world in education
Important as the centenary is (and I do       seminars, and even leaving drinks as we       most important aspects of what it           progress on these recommendations.           this exceeded the usual capacity of the     and research. St Anne’s College’s
hope you enjoy the articles linked to         said goodbye to colleagues we hadn’t          means to be at Oxford University is                                                      College we felt this was the right thing    aspiration is to understand the world
this) we all now realize that I would have                                                                                               Then, most recently, this year’s A-level
                                              met in four months.                           going to be an even greater challenge                                                    to do. When the Education Secretary         and change it for the better and that will
been wrong in thinking that it would be                                                                                                 fiasco (I don’t think anyone can object
                                                                                            than going into lockdown. We watch                                                       later announced that school submitted       still be true 100 years from now.
                                              The Oxford system, with credit to                                                         to that description) caused major
the stand out event of the year. Instead,                                                   what has been happening at US                                                            predicted grades would be recognized,
                                              our tutors and students, has proved                                                       disruption to the usual admissions                                                       Helen King Principal
like the rest of this planet, St Anne’s has                                                 Universities with concern and continue

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The Ship 2019 - 2020 St Anne's College Record 2019 - 2020 Number 109 Annual Publication of the St Anne's Society - St Anne's College, Oxford
Life under lockdown

COVID 19:
                                                                 The joys of a garden
                                                                 SHIVANI CHAUHAN

WHAT WE
DID UNDER                                                                                                  The joys of the garden. Credit: Shivani Chauhan

LOCKDOWN
                                                                                                           that a similar surreal life under                 talked about our studies, supervisors
                                                                                                           lockdown would soon become our very               and friends. We had the pleasure
                                                                                                           own reality. Although the new world               of observing each other’s cooking
                                                                                                           order has inevitably impacted every               experiments. We sought travel advice
                                                                                                           major aspect of my regular life from              and churned our heads on politics in
                                                                 Renewed realizations of the value         studies to social exchange, it has also           our native countries. I relished those
                                                                 of friends and family, plus time to       been instrumental in my acquiring new             convivial meetups so dearly since they
                                                                 observe the delights of nature, are       perspectives and insights.                        were indispensable to my emotional
Over 70 students, many of them from abroad, were trapped in      among the more positive aspects of
                                                                 lockdown                                  First, sharing the delights and
                                                                                                                                                             well-being and a delightful respite from
                                                                                                                                                             rigorous academic work.
                                                                                                           disappointments of the day with my
College by the lockdown. Some of them share their experiences.   It seems like only yesterday that my
                                                                                                           flat-mates at Robert Saunders House, St           But once the current public health
                                                                 friend and flat-mate Sasha was giving
                                                                                                           Anne’s graduate accommodation centre              emergency urged us either to return
                                                                 us daily updates on the spread of novel
                                                                                                           in Summertown, had been a consistent              to our homes or be shifted to en-
                                                                 coronavirus in her home country, China.
                                                                                                           source of joy in my normal routine. We            suites in the Ruth Deech Building to
                                                                 We, however, were far from imagining

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The Ship 2019 - 2020 St Anne's College Record 2019 - 2020 Number 109 Annual Publication of the St Anne's Society - St Anne's College, Oxford
Life under lockdown                                                                                                                                                    Life under lockdown

                                                                                                                                      ‘Funhouse mirrors’
practice social distancing in alignment       further research material that one needs    such as tulips, crocuses, bluebells
with government regulations, being            to incorporate in the work. Following       etcetera, and various kinds of fragrant
in close proximity with friends was           this fundamental exigency related to        shrubs and trees with cherry and apple
not a plausible option anymore. This          the rhizome-like structure of research      blossoms beaming gracefully against the     HANNAH DAFFORN
temporary deprivation of human                seems almost impossible in the absence      picturesque college site. I also happened                        She and her family have suffered
contact has made me more appreciative         of main libraries at the university. This   to make friends with four handsome                               more than most from Covid-19.
of the beautiful bonds of family and          has impelled us to improvise with the       black cats who could be seen strolling                           Though all have survived, it
friendships and also brought the              available material and find creative ways   around the college together in the                               highlighted the importance of family
realization that we can only survive          of staying productive and keeping our       evening. Whereas in a normal term-                               units, friendships and neighbours as
and thrive through mutual support and         research going, albeit at a snail’s pace.   time coupled with a hectic schedule,                             never before
cooperation.                                                                              I could hardly manage relaxing walks                             Though I had organized to stay on at
                                              As life gradually de-accelerated in the
                                                                                          and photography sessions, the current                            St Anne’s for the duration of the Easter
Second, library closure and travel            wake of shutdown, we were bound
                                                                                          situation offered an opportunity to                              Vac before a Global Health Crisis was
restrictions turned out to be serious         to find new ways of recreation and of
                                                                                          cherish surrounding green life bursting                          announced, I got ‘stuck’ when, on
impediments to the overall academic           interacting with the world around us.
                                                                                          into a nourishing energy to start over.                          the cusp of renouncing this plan and
progress, be it regular work on               For me, St Anne’s magnificent garden
                                                                                          However, this time it was with a greater                         heading back home, I began to present
my dissertation, conferences or               offered a tranquil space to meditate
                                                                                          degree of reflection and thoughtfulness                          symptoms and had to self-isolate at
publications. While developing an             and to appreciate the enchanting hues
                                                                                          towards the animal and plant life.                               College for a week. A couple of days
argument in one’s research, for instance,     of nature in spring. It has been a true
one is very likely to come across multiple    delight to marvel at green patches of       Shivani Chauhan is working on a DPhil in                         into this, my 70-year-old father became
references and new suggestions for            land carpeted with colourful flowers        German. Her family is from India.                                seriously ill with Covid-19, and soon my
                                                                                                                                                           mother, who was nursing him through
                                                                                                                                                           this, followed suit. For context, they
                                                                                                                                                           live in rural West Wales and at the time
                                                                                                                                                           had no recourse to getting groceries, as
                                                                                                                                                           well as experiencing power shortages
                                                                                                                                                           because of failures in coverage by the
                                                                                                                                                           National Grid. When I came out of
                                                                                                                                                           quarantine, I was exceedingly grateful
                                                                                                                                                           to College for allowing me to stay on. In
                                                                                                                                                           the first couple of weeks ‘stranded’ at St
                                                                                                                                                           Anne’s, I spent sleepless nights manning
                                                                                                                                                           my phone, bracing for the worst and
                                                                                                                                                           praying, pleading with them to get
                                                                                                                                                           medical attendance.

My black cat companions. Credit: Shivani Chauhan
                                                                                                                                      Hannah Dafforn

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The Ship 2019 - 2020 St Anne's College Record 2019 - 2020 Number 109 Annual Publication of the St Anne's Society - St Anne's College, Oxford
Life under lockdown                                                                                                                                                                                                                        Life under lockdown

As my parents, though still debilitated,      the road – as well as greetings from just                                              And yet, there seems to be little wisdom         in and the responsibilities we have, as   Spring sunshine turns the fresh leaves
showed signs of recovery and managed,         about anyone I passed walking – for a
                                                                                            Drinking                                 in forgoing what joy and rest is available       ‘non-essential’ as they may be.           luminous green, casting dappled

                                                                                            a shot
with a friend’s help, to get supplies in, I   sense of living in and being seen in a                                                 to me in this time. Life is full of suffering,                                             shadows on the vacant pavements. As
                                                                                                                                                                                      The birdsong lifts more loudly and
began to develop a routine and adapt          community. The importance of family                                                    and we are especially aware of it now.                                                     the world glides glacially through the
                                                                                                                                                                                      sweetly with no traffic to compete
to life in Covid-era Oxford. I alternated     units, friendships and neighbours was                                                  We must each choose how to respond to                                                      doldrums, we wait with expectation for
                                                                                            JESSICA STILL                                                                             with, the church bells resonate more
early-morning runs with late-evening          thrown into relief as never before, as                                                 it, taking into account the contexts we’re                                                 an olive branch, signalling the return
                                                                                                                                                                                      deeply through the unhurried air and
walks through Jericho and Port Meadow,        was the capacity of social media and          Staying indoors more, buzzing                                                                                                       of normality. But inside each of our
trying to avoid peak times when virus-        the digital sphere to act as funhouse         around less, has forced one                                                                                                         cabin-rooms it remains, in many ways,
sceptics treated public spaces like           mirrors, distorting our personal criteria     student to reassess how she’d                                                                                                       business as usual.
                                                                                            like to spend her energy going
beaches on a bank holiday Monday. I           for what constitutes ‘belonging’ and
                                                                                            forward                                                                                                                             An Oxford term can be compared to
was thankful to have a bathroom and           propagating a mentality of prioritizing
                                                                                                                                                                                                                                drinking a shot. You have to brace
a desk in my temporary Ruth Deech             insular as opposed to communal values.        It is difficult in the present moment
                                                                                                                                                                                                                                yourself, it tastes awful and electric and
Building lodgings, but while the un-          I was inspired to work on a piece for the     to imagine a Corona-free world,
                                                                                                                                                                                                                                then it’s over and you wonder what has
personalized, transitory space and            Jericho Arts Review, a cultural magazine      just as it might have been difficult
                                                                                                                                                                                                                                happened. An online Oxford term is like
paucity of personal possessions had           established by St Anne’s students, on         in January to imagine a Corona-
                                                                                                                                                                                                                                drinking the same shot, but alone in
me rethinking the importance of stuff         the latter theme: www.issuu.com/              ridden one. The world is on fire, so
                                                                                                                                                                                                                                your room. It tastes just as bad but there
to happiness, I couldn’t help but feel        thejerichoartsreview. Otherwise, I            to speak. The global economy is
                                                                                                                                                                                                                                are no pressured stares, glaring lights
pangs of jealousy walking through             mostly tried to give my vac work the          struggling and millions of the world’s
                                                                                                                                                                                                                                or cacophonies of clinking glasses to
Jericho and along the canals in the           attention it was due and forego the           most disenfranchised are having
                                                                                                                                                                                                                                egg you on. There is less Oxford-esque
evenings, seeing couples drinking wine        trappings of Netflix parties until evening.   to eat into what little savings they
                                                                                                                                                                                                                                charm, or propaganda (depending on
on balconies, neighbours sitting chatting     At least my intentions were good.             might have, if they are able to eat
                                                                                                                                                                                                                                what mood you’re in), to butter you up
on their doorsteps, families shutting the                                                   at all. Hundreds of thousands are
                                              Hannah Dafforn (2019) is reading                                                                                                                                                  while you brood over your work. It is just
curtains on living rooms adorned with                                                       mourning the loss of loved ones, and
                                              Classics and English. She lives in Wales.                                                                                                                                         you and your degree.
pianos and portraits, hearing the faint                                                     still more fear what and who is yet to
sounds of television laugh tracks and                                                       be lost to this strange new foe.                                                                                                    And yet, God has used this time for
catching glimpses of ample bookshelves                                                                                                                                                                                          my good. Life, including university, is
                                                                                            And yet this is not how I have been
and paintings through light-suffused                                                                                                                                                                                            overwhelming. Staying indoors more,
                                                                                            experiencing my every-day life...
windows.                                                                                                                                                                                                                        and therefore buzzing around less,
                                                                                            There is a strange disparity between
                                                                                                                                                                                                                                has forced me to reassess how I’d like
It was difficult to walk through College                                                    the peacefulness of Oxford’s empty
                                                                                                                                                                                                                                to spend my energy going forward.
without feeling the absence of the                                                          streets and the price being paid for
                                                                                                                                                                                                                                As someone prone to anxious over-
student body’s tangible presence                                                            that peacefulness. My enjoyment
                                                                                                                                                                                                                                commitment, it has been remedial to
acutely, but I have to thank (socially                                                      of the absurdity and humour of
                                                                                                                                                                                                                                reflect and pray more, to spend more
distanced) conversations with the                                                           small moments stings like a stolen
                                                                                                                                                                                                                                time in nature, to re-appreciate the
porters, other students stuck in RDB                                                        pleasure as I understand that my
                                                                                                                                                                                                                                substance in existing friendships rather
and the staff at grocery stores down                                                        experience is a privileged one.
                                                                                                                                     Jessica Still

12     www.st-annes.ox.ac.uk                                                                                                                                                                                                               www.st-annes.ox.ac.uk       13
The Ship 2019 - 2020 St Anne's College Record 2019 - 2020 Number 109 Annual Publication of the St Anne's Society - St Anne's College, Oxford
Life under lockdown                                                                                                                                                                                            Life under lockdown

                                                                                                           The city of silent spires
than rushing nervously, and almost
insatiably, to accumulate new ones
(a disastrous combination with Oxford’s
endless social calendar), to mend some                                                                     WILL VAN NOORDT
of my belongings and to re-experience                                                                      Along with over 70 other students          Lockdown at St Anne’s began with an          over again, no matter how relevant.
the slow-joy of cooking meals –                                                                            unable to go home, Will found refuge       email containing a strong message:           Calls to stay home and practice social
something I’ve missed since relying                                                                        in College                                 go home if you can. Given the state          distancing were demoted from vital
on the dining hall as a time-saver. I’ve                                                                                                              of global transportation at the time,        practices to mere platitudes. The crisis
learned better to savour the sometimes                                                                                                                for many that choice was not simple.         had brought with it the end of a long
small, sometimes surprising connections                                                                                                               Singapore had already been through           and wet winter, and beautiful, sunny
that can be made in shared spaces, as                                                                                                                 the early stages of shutting borders,        afternoons beckoned everyone outside.
in our communal kitchen, with other                                                                                                                   Australia and New Zealand had
Stanners, including members of staff. I                                                                                                                                                            For those who do not have robust self-
                                                                                                                                                      mandatory quarantine on arrival and
am grateful that I have a degree to work                                                                                                                                                           discipline, working remotely naturally
                                                                                                                                                      the USA had stopped accepting foreign
on at all, which I know is a gift from God,                                                                                                                                                        tips the scales of work-life balance.
                                                                                                                                                      national travellers from Europe. Every
even though I don’t always understand                                                                                                                                                              Without the need to travel more than
                                                                                                                                                      day, the news contained troubling
it as such. I am a student of philosophy                                                                                                                                                           two metres to work every morning, and
                                                                                                                                                      stories of overrun ICUs, short supplies
and so for me, bizarrely, one of my                                                                                                                                                                with all necessities within arms’ reach, it
                                                                                                                                                      and, most tragically, an unyielding
duties is to philosophize well. This time                                                                                                                                                          is easy to slip into a routine that doesn’t
                                                                                                                                                      death toll. And as 71 students unable
is teaching me, inter alia, that all work,                                                                                                                                                         involve much more than academic work.
                                                                                                                                                      to go home moved into the Ruth Deech
and rest, done to the glory of God will                                                                                                                                                            Without care, the late hours can tick
                                                                                                                                                      Building, life was unusually chaotic for a
last, even philosophy, and even in a                                                                                                                                                               away into the early morning, and only
                                                                                                                                                      couple of days.
Corona world.                                                                                                                                                                                      the sound of twittering birds indicates
                                                                                                           Will van Noordt                            After chaos died down, new routines          that is time to get off the Zoom call.
Jessica Still is studying for a BPhil in                                                                                                              were settled into. It was comfortable
Philosophy. Her home is in Johannesberg,                                                                   Cycling around the uncharacteristically                                                 Fortunately, as the ‘curve’ flattens, the
                                                                                                                                                      at first; for those whose work could
South Africa                                                                                               silent streets of Oxford is bizarre.                                                    university is beginning to reopen parts
                                                                                                                                                      be done remotely, there was no need
                                                                                                           Cornmarket Street, usually full of                                                      of labs and buildings, and while pubs
                                                                                                                                                      to leave their rooms. The dining hall
                                                                                                           tourists, street performers, and                                                        and restaurants remained closed until
                                                                                                                                                      offered a safe and higher-quality
                                                                                                           pedestrians, is more like something                                                     July, there is some indication that things
                                                                                                                                                      alternative to braving supermarkets full
                                                                                                           from a ghost town. As one stands in                                                     will eventually return to normal. But for
                                                                                                                                                      of people with mixed levels of concern
                                                                                                           solitude among the old buildings of the                                                 the time being, it is important that we all
                                                                                                                                                      for the newly-implemented social
                                                                                                           High Street, it wouldn’t seem unusual to                                                take care of ourselves and each other.
                                                                                                                                                      distancing policies. But it wasn’t long
                                              The silent streets of the city. Credit: William van Noordt   see a passing tumbleweed, or perhaps       before Coronavirus fatigue settled in.       Will van Noordt, PhD Student,
                                                                                                           hear the soaring screech of a hungry       One stops paying attention to the news       Department of Engineering Science, is from
                                                                                                           hawk.                                      after hearing the same stories over and      New Zealand

14     www.st-annes.ox.ac.uk                                                                                                                                                                                  www.st-annes.ox.ac.uk        15
The Ship 2019 - 2020 St Anne's College Record 2019 - 2020 Number 109 Annual Publication of the St Anne's Society - St Anne's College, Oxford
What we did under lockdown                                                                                                                                                                                                        What we did under lockdown

                                                                                                                                                                                    millennia as a common mild disease in          students and nurses hand ventilated
Drains, Planes and Breathing Machines                                                                                                                                               young children who often recovered fully
                                                                                                                                                                                    but were occasionally left with some
                                                                                                                                                                                                                                   patients day and night using devices
                                                                                                                                                                                                                                   normally used for supporting breathing
DIANE ACKERLEY                                                                                                                                                                      paralysis and natural lifelong immunity.       during anaesthetics. Later, mechanically
How to build a ventilator over the              layer sack; the thin layer of fluid within   within your lungs go above atmospheric                                                 The polio virus came from sewage-              driven positive pressure ventilators were
Internet – and save many more lives             this sack distributes the pull from the      pressure. Atmospheric pressure is the                                                  contaminated water. Better drains and          also brought in and proved useful.
around the world                                diaphragm – and the chest wall when          pressure of the air around us due to the                                               cleaner water meant that fewer young
                                                                                                                                                                                                                                   The new positive pressure ventilators
                                                you’re breathing harder – to the surface     weight of the atmosphere above us.                                                     children contracted polio and grew
Have you ever thought about how you                                                                                                                                                                                                were less cumbersome, cheaper
                                                of the lungs by the magic of surface                                                                                                up without immunity. A large enough
breathe?                                                                                     Until about 70 years ago, most                                                                                                        and easy to operate. Anaesthetists
                                                tension, spreading the force evenly.                                                                                                proportion of the population became
                                                                                             ventilators were negative pressure         Above and below: The Exovent                                                               were using them every day to give
Take a moment. Relax.                                                                                                                                                               susceptible, herd protection reduced,
                                                When you’ve breathed in enough air, the      ventilators that drew air into the lungs                                                                                              anaesthetics, so they became the
                                                                                                                                                                                    so regular epidemics started to occur in
Feel your tummy go out, as your                 diaphragm relaxes and the air comes          by making a partial vacuum around the                                                                                                 devices of choice for ventilating patients
                                                                                                                                                                                    Europe and the USA. The disease was
diaphragm contracts and descends. The           out. Then there is a pause, until your       torso. The first devices were described                                                                                               in intensive care. Negative pressure
                                                                                                                                                                                    much more severe in older children and
diaphragm pulls the lungs downwards             brain tells your diaphragm to contract       about 200 years ago. They ventilated                                                                                                  ventilators were regulated to niche uses
                                                                                                                                                                                    adults with one in 75 adults becoming
and the air inwards through your                again. At no point does the pressure         the patient by lowering the pressure in                                                                                               in specialist units and polio survivors
                                                                                                                                                                                    paralysed. Paralysis would sometimes
nose. Each lung is enclosed in a double                                                      a chamber, which pulled on the outside                                                                                                who needed assistance with their
                                                                                                                                                                                    impair breathing thus causing death.
                                                                                             of the torso and pulled down the                                                                                                      breathing, some for many decades.
                                                                                                                                                                                    The 1952 USA polio epidemic killed 5 per
                                                                                             diaphragm as in natural breathing. Iron                                                                                               The iron-lung tank ventilators were
                                                                                                                                                                                    cent of those recognized as infected, and
                                                                                             lungs are the best-known devices.                                                                                                     large and covered the whole body.
                                                                                                                                                                                    left 37 per cent with paralysis.
                                                                                                                                                                                                                                   Nursing the patient was difficult. The
                                                                                             Positive pressure ventilators started                                                  In the UK in 1938 there was a severe           positive pressure ventilators also had
                                                                                                                                        voice box into the trachea, and for the
                                                                                             to become popular in the 1950s. In                                                     polio epidemic, which exposed a severe         some problems – especially when the
                                                                                                                                        positive pressure machine to ventilate
                                                                                             a positive pressure ventilator the air                                                 lack of ventilators. Lord Nuffield, founder    inflating pressures had to be increased.
                                                                                                                                        the patient. The patient also needed
                                                                                             is pumped into the lungs at above                                                      of the Morris Motor Company, stepped           About one in 12 patients would get a
                                                                                                                                        sedative drugs to tolerate the tube and
                                                                                             atmospheric pressure, pushing out the                                                  forward to offer to mass manufacture           pneumothorax (burst lung) due to the
                                                                                                                                        the paralysis.
                                                                                             chest wall, pushing down the diaphragm                                                 1,700 iron lungs, which were distributed       above atmospheric pressure and, as
                                                                                             and squashing the heart and the large      Before the mid-nineteenth century,          in the UK and Empire. These devices            time went by, the condition of ventilator-
                                                                                             veins in the chest, which reduces the      drinking water was often contaminated       undoubtedly saved the lives of many            associated lung injury was recognized in
                                                                                             effectiveness of the heart as a pump. In   by bacteria and viruses from sewage. Dr     polio victims who needed short- or long-       some patients who were ventilated for
                                                                                             1942, purified curare, developed from      John Snow, famous for identifying the       term support with their breathing.             longer periods with positive pressure.
                                                                                             a South American traditional hunting       Broad Street water pump as the source
                                                                                             poison, was first used in a human to       of a cholera outbreak in 1954, founded      In 1952 there was a severe polio               In 2020 a novel coronavirus emerged
                                                                                             paralyse the muscles of breathing.         the science of epidemiology and initiated   epidemic in Copenhagen. At one point,          from China, spreading around the
                                                                                             This made it easier for the patient to     the provision of a water supply not         70 patients needed ventilating but there       world quickly in people taking cheap
                                                                                             tolerate the breathing tube passing        contaminated with sewage. Before the        were only seven negative pressure              international flights. SARS-CoV-2 was
                                                                                             through the mouth, the throat and the      twentieth century, polio was known for      ventilators. Teams of doctors, medical         perfectly designed to cause a pandemic:
Nuffield iron lung assembled at Morris Motors, Cowley

16     www.st-annes.ox.ac.uk                                                                                                                                                                                                                  www.st-annes.ox.ac.uk       17
The Ship 2019 - 2020 St Anne's College Record 2019 - 2020 Number 109 Annual Publication of the St Anne's Society - St Anne's College, Oxford
What we did under lockdown                                                                                                                                                                                                   What we did under lockdown

there was no herd immunity, people           In Cornwall a civil engineer thought        negative ventilation could be treated      We called the device, the Exovent.          WhatsApp groups and Zoom meetings.            The next step is clinical trials for
were infectious before they had              that maybe, rather than trying to build     without sedation and paralysis, they                                                   Our engineers, who have built their own       which we need MHRA (Medicines and
                                                                                                                                    As I write this, it is 12 weeks from the
symptoms, it spread by breathing,            more positive pressure machines, he         could talk, eat and drink while being                                                  units, seals, pumps and controllers of        Healthcare products Regulatory Agency)
                                                                                                                                    first social media posting and first
talking and coughing, the symptoms           should try to re-engineer the iron lung,    ventilated, they could move themselves                                                 different sorts, can offer advice from        and HRA (Health Research Authority)
                                                                                                                                    conference calls. Marshall ADG have
were many and varied. Unfortunately,         which would use a different supply chain    around in the cabinet. The devices used                                                their own experience and share images         ethics approval, and money (we are
                                                                                                                                    become our commercial partners,
in some people the virus causes              from the positive pressure systems. He      a mains electricity supply and only as                                                 and videos of their units. The pioneers       applying for grants). Making a good
                                                                                                                                    working free of charge, and have built
pneumonia, in about one in 20 a very         thought it should be easier to build as     much oxygen as the patient needed.                                                     send back videos of their devices             idea into an approved and evidence-
                                                                                                                                    prototypes. They truly became part of
severe pneumonia that needs critical         the vintage models predated modern          In fact, the oxygen needed could also                                                  working. In the future the pioneer            based device costs a great deal. It’s quite
                                                                                                                                    our team on a conference call a few
care treatment and often ventilation.        electronics and sensors.                    be supplied by an oxygen concentrator                                                  groups will be able to maintain and           possible that our pioneer teams will be
                                                                                                                                    weeks into the collaboration. One of our
Graphic images on the television and on                                                  – another mains electricity device                                                     repair their own machines.                    ventilating patients in devices approved
                                             Somehow, his appeal for engineers                                                      anaesthetists, who was on a shift in the
social media, first from China and then                                                  extracting oxygen from room air.                                                                                                     in their own countries before that can
                                             and medics to come together in this                                                    COVID ICU at a major London hospital        The first working prototype from
from Italy, made it clear that there would                                                                                                                                                                                    happen in the UK. The Exovent team will
                                             endeavour was posted on a Facebook          Within a week there was a team             that had been featured on a widely          Marshall has been used for healthy
be a global need for more ventilators.                                                                                                                                                                                        be delighted.
                                             site, with his phone number. He was         of practising and retired clinicians,      viewed special report on the television     human volunteer trials. Those who have
Now the positive pressure ventilators        surprised when people started to call       engineers of all types, IT people, PR      news, telephoned in to give us advice       been ventilated remark how relaxing           We think that the Exovent will become
are very sophisticated and expensive.        him. Our GP daughter saw the Facebook       people and people who knew other           on some clinical issues. His voice was      and normal it feels as the device takes       another standard form of ventilator
They need lots of specialized sensors        post and sent it to my physicist husband.   people. We were spread geographically      muffled from the PPE he was wearing.        over your breathing. You can talk,            support, not just for patients with
and controls because you have to be          He joined a conference call and, within     from Cornwall to Edinburgh. We             He was treating patients at the height of   drink and eat whilst being ventilated,        COVID-19. The engineer who started the
very careful how much pressure and           a day, was building a proof of concept      communicated by WhatsApp, conference       the epidemic. He knew that the current      and lie in different positions. When          Exovent project would like every patient
volume you use to ventilate patients         in the garage. It really wasn’t hard to     calls and then Zoom. Most of us have       forms of positive pressure ventilation      used just to keep the lung air sacs           who goes in an Exovent to share their
to prevent problems. There are also          pull a vacuum in a cabinet and vary the     still not met in person.                   were not delivering the results that the    open by constantly maintaining a small        photo on our website.
positive pressure systems using tight        pressure. Other engineers also built                                                   patients needed. Over the Internet his      negative pressure outside the torso,
                                                                                         We have a mission to build a torso                                                                                                   Wouldn’t that be great? All those people
fitting facemasks called CPAP. These         their own successful units.                                                            concern about his patients and his belief   the person doesn’t feel any effect at all.
                                                                                         only negative pressure ventilator that                                                                                               from different nations, treated in a
systems are simpler, and don’t need                                                                                                 that the Exovent was a solution was         The breathing tests done show that the
                                             I had been sceptical that a technology I    could be built and used around the                                                                                                   device developed over the Internet and
an endotracheal tube, but patients                                                                                                  crystal clear. After he left the meeting,   device is very effective at supporting
                                             associated with ventilating people with     world. When set to a constant negative                                                                                               with social media, visible around the
often find them uncomfortable for                                                                                                   the engineers we were working with          normal breathing and ventilating normal
                                             weak muscles and normal lungs would         pressure it would keep the air sacs of                                                                                               world.
prolonged use. Often CPAP machines                                                                                                  from Marshall changed their focus           lungs. A small amount of negative
                                             be effective in COVID-19 patients. I        the lungs open, when the pressure
need very high flows of oxygen to make                                                                                              from developing a device to delivering a    pressure exerted on the torso has a           Dr Diane Ackerley (1975)
                                             thought I’d check it out with an Internet   cycled it would help people breathe in a
them work. And with so many patients                                                                                                solution.                                   much greater effect than the same             www.exovent.info
                                             search. Within an hour I knew I was         natural way, resting their muscles and
needing oxygen, it is in short supply.                                                                                                                                          amount of positive pressure delivered
                                             wrong: there were good and recent           allowing their bodies to heal. Engineers   Many low resource countries have
                                                                                                                                                                                through a breathing tube. Exovent
These ventilators depend on global           clinical trials showing that negative       and clinicians in low-resource countries   a handful of ventilators to treat
                                                                                                                                                                                supports the patient by helping them
supply chains, often starting in China,      pressure ventilation did work for sick      could build and repair their own units     millions of people. There are Exovent
                                                                                                                                                                                breathe in the same way that their own
which was locked down to control             people with infected lungs. And it          from local materials, using information    pioneer teams in Ghana, Ethiopia and
                                                                                                                                                                                muscles do – but the Exovent supplies
the virus. This was a pandemic so all        was also much better for supporting         packs we would provide and supported       Bangladesh building their own devices
                                                                                                                                                                                the energy. Anyone who has been really
countries wanted more ventilators now:       the heart’s pumping action. I joined        by our engineers and clinicians using      with locally sourced materials with our
                                                                                                                                                                                breathless for a significant period of
stocks of parts ran out.                     the conference calls too. Patients on       modern communications.                     help. We communicate with them by
                                                                                                                                                                                time knows how tiring breathing hard is.

18    www.st-annes.ox.ac.uk                                                                                                                                                                                                              www.st-annes.ox.ac.uk        19
What we did under lockdown                                                                                                                                                                                                      What we did under lockdown

                                                                                                                                        opposite end of the spectrum too:           footfall slightly and be less rigid about    resources away from those who needed

Keeping an eye on things                                                                                                                people with very mild, stable eye disease
                                                                                                                                        and multiple underlying conditions who
                                                                                                                                                                                    who can accompany a patient into the
                                                                                                                                                                                    department.
                                                                                                                                                                                                                                 them on the COVID-19 wards.

                                                                                                                                                                                                                                 However, the Trust provided us with
CHRISTINE KIIRE                                                                                                                         insisted on coming in as frequently as
                                                                                                                                                                                    The changes made to our department           all that we needed, including aprons
One of the first doctors to die of                                                                                                      possible.
                                             before. The secretaries bore the              to avoid an old-fashioned paternalistic                                                  will probably be with us for a long          and gloves for interactions with
COVID-19 in China was a young                brunt of this work, knowing that              approach to patient care. We like to         Thankfully, we were generally able to       time. As doctors, we’ve abandoned            patients during the clinics. Our retinal
ophthalmologist, a warning to                chaos would ensue as some patients            involve patients in the decisions made       persuade most of those who needed to        our personal sense of fashion and            photographers probably individually saw
those working in the same field              were subsequently going to have to            about their care, rather than just telling   be seen to come in at the appropriate       style and have embraced wearing              more patients than anyone else in the
in the UK to take particular care.
                                             be booked back into urgent clinics,           them what we have decided on their           time. Many commented that they felt         scrubs for all patient interactions.         department throughout the lockdown
As an ophthalmologist working in
                                             frustratingly most likely at around the       behalf. Informed consent is a key part of    reassured to see the major changes          Uncomfortable as masks are to wear           because many traditionally face-to-
Oxford explains, it’s not only medics
working directly with Covid-19               time that their original, now cancelled,      the way we interact with those we serve,     that we had made to the environment         all day, we appreciate having access         face appointments were converted to
patients who had to meet the                 appointments would have taken place.          so we tried to phone as many people as       to make it as safe as possible. The Eye     to them. As eye doctors, our work            imaging only, which allowed patients to
challenge imposed by the virus               Carrying out this work, with telephones       we could, to discuss the changes to their    Hospital is normally one of the busiest     involves close face-to-face contact with     be in the department for less time and
                                             ringing constantly as patients phoned         management.                                  outpatient departments in the John          many patients, so having high quality        with less direct contact with doctors. The
                                             us to cancel their own appointments                                                        Radcliffe. Anyone who has been there        protective equipment is important            photographers have worked tirelessly
                                                                                           It was, however, incredibly challenging
                                             ‘until this coronavirus thing is over’, was                                                on a typical pre-COVID-19 weekday will      for us. When it emerged that one of          and without audible complaints, and I
                                                                                           to have to read so many patient records
                                             incredibly stressful for all concerned.                                                    attest to how hectic an environment         the first doctors to die of COVID-19 in      am amazed and humbled by that. They
                                                                                           at speed, risk-stratify the patients
                                                                                                                                        it can be, so those patients who came       China was a young ophthalmologist,           appear to be constantly smiling, but
                                             As consultants, we had to go through          according to their risk of a poor outcome
                                                                                                                                        in during the peak of the lockdown          we were understandably concerned             behind a mask you never really know!
                                             all of our patients’ medical records to       if they were to leave home and possibly
                                                                                                                                        enjoyed a totally different experience:     about making our work environment            For these ‘virtual’ clinics, the doctors
                                             make new plans for them. We urgently          contract COVID-19 (be that en route to
                                                                                                                                        one with space to sit down in and fewer     safe for everyone. Having masks and          subsequently review the imaging and
                                             had to identify those who couldn’t            or from the hospital, or in the hospital),
                                                                                                                                        delays in getting around the nursing,       other appropriate personal protective        make a management plan remotely,
                                             afford to have a delay in their follow        and risk-stratify them according to their
                                                                                                                                        imaging and medical teams and then          equipment (PPE) is equally important for     communicating this to the patient
                                             up because the risk to their eyesight         risk of vision loss if their follow up or
                                                                                                                                        out again. At the peak of the pandemic,     our allied health professional colleagues    over the telephone, well within social
                                             would be too great. For services like         treatment was delayed. Most patients
                                                                                                                                        all patients had a temperature and          who also interact with patients on other     distancing guidelines!
                                             the one I am responsible for, this task       were understandably terrified and said
                                                                                                                                        symptom check at the front door and         parts of their journeys through our
                                             was made slightly easier by our use of        things like, ‘I won’t come to the hospital                                                                                            One of the most alarming moments for
Consultant ophthalmologist Christine Kiire                                                                                              they had their hands cleaned before         department. None of us takes this for
                                             electronic notes. Other paper-based           because that virus is there,’ or ‘I don’t                                                                                             our department was when, within the
                                                                                                                                        they came in. Relatives were no longer      granted. Many of us doubted whether
I work as a consultant ophthalmologist       services had less accessible information      want to die.’ The conversations were                                                                                                  first few weeks of the lockdown, all of
                                                                                                                                        allowed to accompany patients to their      we would be given the appropriate
in the John Radcliffe Hospital in Oxford.    to work with for this triaging task. Still,   difficult because the level of panic in                                                                                               our junior doctors were redeployed to
                                                                                                                                        appointments (to reduce footfall in the     level of protective equipment and we
At the start of the lockdown, we had to      sitting in front of a computer for over       the community was so high and, as far                                                                                                 work on COVID-19 wards. They were
                                                                                                                                        department) except in very specific         personally invested in our own masks
cancel two months’ worth of our booked       12 hours a day, reading hundreds of           as I could tell, very few patients had                                                                                                afraid about this to begin with, but they
                                                                                                                                        circumstances. That was tough for           bought on websites such as Amazon,
patient appointments at a moment’s           patient records to make new plans for         considered the risk to their eyesight                                                                                                 rose to the challenge brilliantly. I found
                                                                                                                                        some, particularly for the elderly, the     or we had masks shipped to us by
notice. This was a huge administrative       their follow up, was a bit of a shock to      from a delay in treatment when they                                                                                                   it interesting to hear they generally
                                                                                                                                        fearful and/or the hard of hearing. As      generous friends and family members
and logistical challenge, the likes of       the system for most of us. Consultants        made up their minds about not coming                                                                                                  preferred to work in intensive care
                                                                                                                                        lockdown restrictions have been lifted a    working abroad. Many of us bought our
which we had never encountered               in our generation have been well trained      in. There were several patients at the                                                                                                over working in the general COVID-19
                                                                                                                                        little, we have been able to increase our   own scrubs so that we wouldn’t take

20     www.st-annes.ox.ac.uk                                                                                                                                                                                                                www.st-annes.ox.ac.uk         21
What we did under lockdown                                                                                                                                                                                                                   Living with the virus

wards because they felt better protected   unit when I was on call with my junior      of patients, but there are fewer doctors
against COVID-19 with the PPE used
in intensive care but inaccessible to
                                           doctor hat on. I felt incredibly proud
                                           of our ophthalmology junior doctors
                                                                                       doing this work and there are fewer
                                                                                       training opportunities for the juniors.
                                                                                                                                      What do we mean by ‘normal’?
them on the general COVID-19 wards.        as the intensive care consultants and       Teaching is done via Zoom after the long       ROBERT STAGG
While the junior doctors were away,        registrars overflowed with praise for       days of too-much-screen-time that we           It’s a commonly used word, much              Yet in post-classical Latin, ‘normalis’       language: the so-called ‘descriptivism’,
the consultants in the Eye Hospital        them – for their work ethic and good        are now all familiar with. We are trying       thrown out at the moment by                  gradually came to mean ‘confirming to         which aims to record how language is
had to cover the typical junior doctor     humour, their willingness to learn new      to remain upbeat and to be creative in         government and others in authority.          or governed by a rule’. It slowly shifted     used, and the so-called ‘prescriptivism’,
responsibilities, including covering       skills and to contribute whatever they      the ways that we work. Interestingly,          But beware: it may not mean quite            from the organic to the artificially          which aims to stipulate how language
the Eye Emergency Department. This         could to help the patients and support      there has been what seems like a COVID-        what it seems
                                                                                                                                                                                   imposed. In other words, normality is at      ought to be used. The ‘new normal’ of
was something most of us had not           their colleagues. On my way out of          related baby boom in our department,
                                                                                                                                                                                   least partly something that law-makers        coronavirus, made up by regulations
done since we were junior doctors.         intensive care, I was also impressed        and I wonder whether other parts of the
                                                                                                                                                                                   legislate into existence.                     and ordinances and statutes, is closer to
The ophthalmology junior doctors           by the care I received from a final year    hospital are seeing something similar.
                                                                                                                                                                                                                                 the OED’s second meaning than its first.
were reacquainting themselves with         medical student who had volunteered         If so, then staffing levels are likely to                                                   The Oxford English Dictionary still lists
                                                                                                                                                                                                                                 Our law-makers, and law-upholders,
stethoscopes and chest X-rays, and         to help those leaving the COVID-19          be significantly lower in 2021 when                                                         meaning ‘1a. Constituting or confirming
                                                                                                                                                                                                                                 are ‘Normalizers’, a word the OED first
behind the scenes there was a lot of       environment to safely ‘doff’ their PPE.     these babies arrive. Let’s hope that the                                                    to a type or standard; regular, usual,
                                                                                                                                                                                                                                 records in 1926: they are people who
apprehension and revision going on         There was so much to remember,              pandemic is on its last legs by then, and                                                   typical; ordinary, conventional’ as ‘The
                                                                                                                                                                                                                                 ‘normalize something’, who make a
on the consultant side too! Consultants    especially for someone like me who          that the flexibility, and the more efficient                                                usual sense’ of the word ‘normal’ (and
                                                                                                                                                                                                                                 normality happen.
were downloading medical apps and          was effectively a visitor to the COVID-19   ways of working that we’ve rapidly had                                                      dates it back to the late-sixteenth
buying textbooks online to remind          intensive care unit, a totally different    to develop, will stand us in good stead                                                     century). This kind of normality is also      One further glimpse of how the ‘normal’
themselves of how to manage eye            environment from the Eye Hospital.          for the next challenge.                                                                     present in a suite of kindred words like      is as much imposed as noticed. There
conditions that they no longer tend        Having the student there to explain,                                                                                                    ‘normalcy’, ‘normality’ and ‘normalness’      are two entries in the OED, partly
                                                                                       Christine Kiire (1997) is a doctor.
to see in their subspecialty bubbles. It   step by step, the order in which to                                                                                                     – intriguingly, all of them enter the         fossils from an earlier iteration of
seems that we did a reasonable job,        safely remove gloves and gowns and                                                                                                      language around the middle of the             the dictionary that might send your
perhaps it is like riding a bicycle, but   mask and eye protection, and to clean                                                                                                   nineteenth century (1857, 1839 and            eyebrows skywards: ‘4. Heterosexual’
doing 24 hour on calls alongside all the   my shoes (really), not to mention the                                                      Robert Stagg                                 1854 respectively).                           and ‘6. A heterosexual person’ (the first
admininstrative work, the telephone        ophthalmology equipment balancing on                                                                                                                                                  recorded instance of item 4 is from EM
                                                                                                                                      Apprehensive about ‘the new normal’?         By contrast, the OED’s meaning ‘2.
calls, and seeing all the most complex     my head, made me feel incredibly safe                                                                                                                                                 Forster’s novel Maurice (1914)).
                                                                                                                                      It’s the ‘new’ bit that first chills the     Having the function of prescribing
patients (with no light relief from        and proud of the next generation of                                                                                                     a course of action or way of living;          Heterosexuality might – only might –
                                                                                                                                      soul: a new way of living, a new frame
straightforward or stable patients in      doctors.                                                                                                                                prescriptive’ is listed as ‘Obsolete’ (and    be ‘usual’ and ‘conventional’, but it is
                                                                                                                                      of mind, a new experience of the old
between) was exhausting for many of us.                                                                                                                                            is slightly later than the first sense, not   scarcely any of the other synonyms the
                                           Even now that our junior doctors have                                                      and ordinary. Yet there is something
We were keen to have our juniors back                                                                                                                                              finding its way into the language until       OED gives for the word ‘normal’. We
                                           returned, however, the work continues                                                      anxious-making about the ‘normal’,
again and when they returned to the Eye                                                                                                                                            the seventeenth century). This is of          should be careful, then, about normals –
                                           at a high pace, mainly because of the                                                      too, which can be glimpsed through
Hospital, their home, we were delighted                                                                                                                                            lexicographical interest itself, because      new and old.
                                           high administrative burden or running                                                      a tilt in the word’s history. In classical
and appreciated them so much more.                                                                                                                                                 the distinction between the OED’s two
                                           the virtual clinics and ongoing triage of                                                  Latin, ‘normalis’ predominantly meant
                                                                                                                                                                                                                                 Robert Stagg is Lecturer in English
I remember going to assess the eyes of     who needs to be seen most urgently. We                                                     ‘right-angled’ – that is, it described a     senses of the word ‘normal’ is also one
                                                                                                                                                                                                                                 at St Anne's
a patient on the COVID-19 intensive care   are seeing about half our usual number                                                     state of affairs, observable in the word.    between two different attitudes to

22    www.st-annes.ox.ac.uk                                                                                                                                                                                                                 www.st-annes.ox.ac.uk       23
Graduating new style                                                                                                                                                                                                                     Graduating new style

                                                                                                                                       walk in the park with my mother. Rock       Instead, his characters grow through        on Marvel movies, so you know that this
Big graduation moments?                                                                                                                on, youth’s wild dream! This was also
                                                                                                                                       how I celebrated my university finals,
                                                                                                                                                                                   their own individual, emotional and
                                                                                                                                                                                   often solitary experiences – from
                                                                                                                                                                                                                               is how superpowers work. Welcome to
                                                                                                                                                                                                                               the start of not just your future, but The

They're totally bogus. Take it                                                                                                         because even though I was no longer
                                                                                                                                       incarcerated, I was still quite mental:
                                                                                                                                                                                   Emilio Estevez admitting he is a bully
                                                                                                                                                                                   to impress his father in The Breakfast
                                                                                                                                                                                                                               Future: I’m so excited to see how you
                                                                                                                                                                                                                               shape it for all of us.

from an expert
                                                                                                                                       actual fun was just beyond me.              Club, to Molly Ringwald refusing to be
                                                                                                                                                                                                                               Hadley Freeman (English, 1996)
                                                                                                                                                                                   humiliated by the cool boys in Pretty In
                                                                                                                                       None of this was how it was supposed to                                                 has a weekly column in the Saturday
                                                                                                                                                                                   Pink, to Alan Ruck having an emotional
HADLEY FREEMAN                                                                                                                         be, and for a long time I was pretty sad                                                Guardian. This is her 14 June 2020 column
                                                                                                                                                                                   breakdown in front of a Georges Seurat
                                                                                                                                       about never having experienced those                                                    reproduced with the kind permission of the
Teen movies perpetuate the myth                 right now, and I’ll explain why, using                                                                                             painting in Ferris Bueller’s Day Off (the
                                                                                                                                       classic markers of youth. I grew up on                                                  Guardian
that the end of school, or college, is          a subject I understand better than                                                                                                 greatest movie scene of all time, do not
The End. But it’s really the beginning                                                                                                 teen movies, many of which were – and
                                                anything I ever took an exam in, and                                                                                               @ me).
                                                                                                                                       still are – structured around the idea
Hurrah for the Class of 2020! This is           that subject is moi.
                                                                                                                                       that the end of exams and graduation        It took a long time, but I finally came
going out to all students who finished          There were no lockdowns or plagues                                                     are the ultimate denouement, from           round to my end-of-year stories. No,
any significant educational landmark            when I was a teenager, and yet I                                                       the ridiculous (the Rodney Dangerfield      they were not what I dreamed of,
this year: those who were supposed to           still managed to lose all my big                                                       classic Back To School) to the sublime      and they were not especially fun, but
take their GCSEs or A-levels, university        end-of-year moments. When                                                              (last year’s Booksmart). Had I even         they were very specific to me and that
students now doing final exams in their         I was in the early years of                                                            finished school if I didn’t get my big      time – and for that reason a lot more
parents’ kitchens, PhD students grinding        secondary school, every                                                                moment?                                     memorable than sitting with friends by
it out on their own at home instead of          June I would watch the                                                                                                             the canal would have been.
in the library. Nothing – not childbirth,                                                                                              It’s a natural narrative structure,
                                                older girls walk into
not a global pandemic – ever caused me                                                                                                 but it’s also a false one – because it      You are a special generation, Class of
                                                the exam hall – pale
more stress than end-of-year exams,                                                                                                    perpetuates the myth that the end           2020: this experience is unique to you,
                                                and strained, or
and even at the time I thought: ’Nothing                                                                                               of school, or college, is The End.          and your memories of this month will
                                                flicking their hair
will ever be harder than this.’ And I was                                                                                              But it’s really the beginning, and          have multiple layers of meaning, and
                                                with affected cool – and think how one
right! So bravo to all of you, it is (mostly)                                               Maudsley, invigilated by a somewhat        smarter movies recognize that, such         will be a strong foundation on which to
                                                day that would be me. I’d shuffle in to
easy coasting from here on in.                                                              bemused teacher sent from my school.       as Cameron Crowe’s greatest film,           build your future. You have probably got
                                                take my exams, come back to school in
                                                                                            When my results came through, instead      1989’s Say Anything…, which opens with      to know yourselves pretty well, and how
But this moment is probably looking             August to get my results off the board,
                                                                                            of skipping excitedly to pick them up      the graduation ceremony (kind of a          you have reacted to a major change of
pretty different from what you                  and I’d go out afterwards with my
                                                                                            with friends, I stood alone in a phone     letdown for the students, as it happens).   plans will have taught you even more
envisaged and what you were promised:           friends to celebrate by the canal nearby.
                                                                                            booth in the Bethlem hospital and called   There is a reason that the late John        about yourselves; there is nothing more
less triumphant, more unsettling, even          Well, 0% for that prediction, Freeman.      up the school secretary.                   Hughes – the finest writer ever of teen     important than that as you head out
unfair, and probably pretty anticlimactic.      Instead, by the time of my GCSEs, I was                                                movies – entirely eschewed graduations      into the world.
It’s true, you have been robbed of                                                          I was home by the time I got my A-level
                                                two years into my extended national                                                    and exams, and that’s because he
something. But, honestly, this is not                                                       results, but had no friends due to the                                                 You didn’t ask to be exceptional, but
                                                tour of Britain’s finest psychiatric                                                   knew they were bogus, an externally
the wholesale loss it might seem to be                                                      whole missing-multiple-years-of-school                                                 you’re also the generation that grew up
                                                hospitals. I took them in a room in the                                                imposed idea of youthful triumphs.
                                                                                            situation, so instead celebrated with a

24     www.st-annes.ox.ac.uk                                                                                                                                                                                                              www.st-annes.ox.ac.uk        25
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