Dead like Harry

Sorry to go very off topic but I just want to share this website with you.

A while ago I went on holiday with my best friends two of which are in a band. They made a great album, funded it by helping build the studio they recorded it in and are really tallented song writers.

Their problem was that record companies are being squezed at the moment and they couldn’t get a good distribution deal. The other problem is everyone is downloading all the music for free and the record business doesn’t know what to do. We need to change the way the game is played.

We mulled it over on holiday and got discussing a certain Seth Godin and a free-volution. We agreed that hard core fans would always support bands and want the hard copy of CD’s and come to gigs. What the band needed was more hard core fans. Answer to get them, distribute: give the album to everyone for free to download and get it out there.

That was not even 4 months ago and I’m so proud of the band, they have embraced the Godin. I’m keeping my fingers crossed for them but the new website is fantastic, launched tonight and I couldn’t be more proud of them. If I made a dental website it would be like this. All the ideas we dental marketers talk about.

Sticky homepage, moving images: tick

KEDO (knock em dead offer) -Free album: tick

Links to social media: tick

Gets people on the mailing list: tick

Easy to navigate and full of suprises: tick

Great product: thats for you to decide, I’m biased but I think they are great!

All they need now is the album to go viral. Please give it a go and pass on the link if you like it.

Go on give it a go!

DEAD LIKE HARRY

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Part 2: Managing wear: Establishing a position

When managing wear I split the treatment plan into 3 sections:

1)      Establishing which position to restore to

2)      Deciding how to manage anterior teeth and create stable occlusion

3)      Long term provision of posterior support

Which position should you restore to?

Pretty much no matter what the wear is like you only have a few options of where you can actually restore the bite to.

1) Conforming to the occlusion:

The intercuspal position (ICP) or Centric occlusion: is the occlusion a person makes when they close their jaw and fit their teeth together in maximum intercuspation. This position is rarely useful in restoring wear cases as the ICP is often in a protruded position. There will also be very little room in this position to replace tooth tissue, in fact there will be the minimum space as there is maximum intercuspation.

The only wear case I can think you might restore into ICP off the top of my head is a serious erosion case on the upper anterior which has progressed quickly so that the lower anterior teeth have not compensated and filled the space lost by the erosion. In this case you would just rebuild the palatal surface of the upper teeth in ICP with the material of your choice.

However outside wear situations ICP is the most likely position to restore to. In most simple crown work or trauma cases we always conform to the original occlusion and accept whatever slide from RCP to ICP that is present.

2) Setting occlusion to the Retruded contact position (RCP or centric relation):

When some people bite they have an initial contact and then slide into a position of maximum intercuspation (ICP). For most people this slide is small and non consequential. However in certain people it can be marked. Sometimes the initial contact is a real interference and the wear may be caused by the patient trying to grind past this initial contact into a more even occlusion. These patients are potential TMD sufferers and if the initial contact is on the tooth you’re trying to crown/ restore then beware as they are high risk for repeated fractures of your work. However I digress this will have to be the subject of another blog.

Sometimes in wear cases you can take advantage of the space between the RCP and ICP to give you a little room to restore in. Where you can do this you get advantage over increasing the Vertical dimension. That advantage is that you already have some contacts in this position which will help maintain the occlusal changes and reduce the amount of teeth you need to restore.

3) Increasing the vertical dimension:

In cases where you can’t use the ICP or get enough space in RCP then you only really have one option left? That is to restore the teeth to an increased vertical dimension. This can be relatively straightforward in mouths without posterior support but can be far trickier where a Dahl appliance or posterior shims are needed. I would say in general the more units you have to restore the harder it becomes.

With this technique you are making a new ICP wherever you like; the only rule is the new position has to be the RCP so picking this new ICP position is pretty easy. The difficulty is recording that position and translating it to your restorations.

When we increase the vertical dimension we can increase it by any amount we like, many studies and experience shows us that patients can tolerate pretty much any increase we choose. We therefore set the increase on two factors the anterior aesthetics and the amount of posterior disclusion we will leave. Therefore your aim would be to have the best anterior aesthetics with minimum posterior disclusion, N.B. The closer together the posterior teeth are the more likely Dahl compensation is to occur and the easier they will be to restore.

Our only limit to creativity is that the new ICP must be on the retruded arc of closure. That means with the condyle in its most superior position on closing. The reason we do this is that we want the new occlusion, wherever we choose it, to be in an RCP relationship (i.e. RCP =ICP). The reason is simple; If we are creating a new occlusion why would we want to have an RCP- ICP slide? Why risk TMD, interferences and potential loss of restorations if we don’t have to. It is by far the safest and best to make our new ICP a nice firm position and the first contact when we close.

Working to the retruded arc of closure also gives you the only really reproducible position for you to work to in lab. Without it there is no way you can predictably plan new position on study models and that means all wax ups would be fairly useless.

P.S.  It’s not that you absolutely can’t restore a new ICP which is not RCP the real question is why would you ever want to?! It might happen by mistake and the patient may develop an engram (jaw closing pattern) that compensates for any slide from RCP without causing TMD but that is a large risk to take. You are far better eliminating this slide and being certain your restorations will stay in place than crossing your fingers the patient can adapt favorably.

Examples of choosing restoring position:

I hope I’ve not lost everyone with that explanation of the 3 positions you can restore to. I’m hoping these 3 case examples might make the points easier to follow so bear with it. Sometimes the choice is easy to make but sometimes it is harder.

Case one:

ICP

The top picture shows the patient in ICP here the teeth are over closed with no room to restore the upper incisors. So ICP is not a useful position to restore to. However this patient has a huge slide from RCP to ICP. This has been caused by a relative loss of posterior support and the face that his RCP is so unstable.

The RCP position is shown in the bottom picture. You can clearly see that there is an initial contact between the 27 and 36 tooth but because that contact is unstable and has no chomp the patient slides forward (look at the wear groves in the 22) into the ICP.

Now when I had a good look at that RCP I could see that there was loads of space available to me in this position to restore the anterior teeth upper and lower. Obviously I’d have to provide posterior support to stop the slide to keep them but that is easily achieved with an upper denture.

RCP

Alternatively I could Increase the vertical dimension more than this if I wanted more room but why would I want to? If I do I lose this nice position I can work to and register to easily, I will need face bows and more accurate records to predict the new RCP position and worst of all I’ll have to shim or build up the 27,36 teeth to get back the contact I have at the moment.

Verdict: restore in RCP
Case 2:

This picture actually shows the patient in RCP. You can see from the wear patterns that the ICP (maximum intercuspation) would need the patient to protrude and grind to his left. I didn’t get a photo in ICP unfortunately but I think this shows pretty well that in this RCP note first contact between 13 and 43 there is not enough room to restore aesthetically.

We are therefore committed to open up the vertical dimension to a new RCP. I can choose whatever increase I want so I will level the lower incisors and make the upper incisors the correct length.  The reason this case is easier than some is that here we have literally no posterior support so I will not have to restore any posterior teeth no matter how much I open the bite.

DSC_0003
Verdict: Increase vertical dimension
Case 3:

In this case I wasn’t sure weather to restore to RCP or increase the vertical dimension. You can see from the photo that the patient has a few posterior units but he just doesn’t have any opposing pairs. That’s why he has ground down the incisors to make a chewing platform.

Again this picture is not in ICP because in ICP the patient would be protruded as he is in function grinding the teeth. The picture therefore shows the patient in RCP. I’m not sure if it’s easy to see in this photo but in this RCP there is actually a fair bit of room between where the lower teeth hit the palatal surface of the upper teeth and the incisal tip.

RCP before

This space is probably just big enough for me to add composite and lengthen the upper incisors without changing this RCP. If at this point I could provide some posterior support to stop the habitual grind forward I could maintain these restorations. However they might be a little thin.

Open before

Alternatively I could make a very small increase in the vertical dimension and build palatal shelves on the upper anterior teeth. This would only be a very minimal increase in VD but would give me more freedom to shape the teeth as I pleased and make the restorations more steady.

The final possibility is to increase the vertical dimension more add length to the worn lower teeth and add palatal shelves to the upper teeth thus improving aesthetics even more. However  it would require far more treatment and it’s not always easy to add length to lower incisors.

When the lower incisors have an even occlsual plane, unlike case 2, I often try to leave them alone providing the patient is not concerned about the aesthetics of short lower incisors (which they rarely are).

Verdict: Increase in VD (but a small one)

Clear as mud?

I’ll answer any questions if people have them but it’s a tricky subject to explain. I know I found it veryClinical disclaimer.bmp confusing in the books and having tried to write this; I can see why!

However it’s really important to get a handle on what position you want to restore to so make sure you do get this before you try a wear case. Only when you’ve worked out the position you’re going to restore to you can start to plan how you will actually do it. In the next blog in this wear series I’ll go through the treatment planning options for case 2 and what I actually did.

All the best and sorry if this is a bit long!

Chris

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BDA event 27th March

Exciting news all! I work with the young BDA commitee in Newcastle and we have organised for Paul Tipton to give a talk up in newcastle Sat the 27th march. He will be giving 2 lectures: 1st on onlay and inlay design and preparation, 2nd on smile design. It’s going to be at the newly refurbished Hancock museum and it should be awesome. Here is a taster of him lecturing I found:

Having travelled all the way to Manchester to hear Paul speak last year at a simillar event and thought it was brilliant so really can’t wait to see this talk. We have only 100 spaces available for the event. Tickets will be a barginous £5 for BDA members £10 for non members. If you are keen then please don’t miss out! Just thought I’d give you the heads up as tickets will be going on sale in the next few weeks.I’ll send on the details of course.

Got some great sponsors for the event but have space for a few more if anyone is interested. Need to know soon though as mailout to all BDA members in the area has to be sent to the printers soon. If your interested please get in touch!

chris.john.oconnor (at)gmail.com

I’m getting excited now!

Chris

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Definition of Success

The incidental blogs tag line is helping dentists to succeed:

There are a lot of these definition type things floating though the internet but here is my favouite; the one I live to:

The definition of professional Success:

* I do what I love to do

* I do it with the people I love

* I do it when I love to do it

Tom Morris, paraphrased quote, first showed to me by Chris Barrow nearly a year ago

It fair enough that you have to pay your dues when you start out but you should always be aiming for this in my opinion. Also make sure the juice is worth the squeeze (to quote “A girl next door”). At the moment people seem to take jobs doing something they don’t want, to get to where they do want… is it really necessary? If it is then fine but just make sure it is and your not getting sucked in by promises that never materialise.

Do what you want; not what they, or the system, or convention tells you to

Chris

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Part 1: Managing tooth wear:

Managing tooth wear: Loss of posterior support

Wear case number 1

I thought it would be fun to go thought the management of a wear case stage by stage.

This is the type of case that can come up as a tricky finals case study or indeed restorative viva. It is also the kind of case that is tricky to treat in practice especially keeping the costs down.

There are several ways to approach the case and I will try to outline them and why I have done the case the way I have. There is no right answer for this, so feel free to argue but the principles stay the same no matter how you approach it. Some methods are cheaper, some get a better aesthetic result and some are more conservative of tooth tissue. Which you use is a combination of operator preference, patient wishes and budget.

In the books you will see that for any wear case you need to ascertain the cause. This could be erosion, abrasion or attrition. If there is a lot of erosion then it is best to try to stop the cause before treatment starts… This means stopping acid reflux or eating disorders or coke (cola) addictions.

You also should also try to get the periodontal condition stable before you start and caries. You need to work on firm foundations. So before I took these pictures I had already given the patient a course of treatment. This involved removing some grossly carious upper right molars and some simple cons lower left. I did a full mouth gross scale and gave some oral hygiene instruction (although it is still not the best!)

So let’s diagnose the wear. We can see that there are no posterior contacts at all so the patient has been forced to chew in between his anterior teeth. There is an initial contact between the 43 and 13 but this is unstable so the patient grinds forward and to the left to get some chomp on the food. If you look at the wear you can see how this slide has taken place over many years grinding away the enamel.

There may be an erosive element to the wear but it pales into insignificance compared to the attritional wear caused by loss of posterior support and an unstable occlusion. Note that this patient suffers from attrition but he is not necessarily a bruxist. A bruxist would grind even with a stable occlusion and as this patient has anything but that it is impossible to tell.

Of all the wear you see this is the most common: attrition caused by loss of posterior support. The management for this and so many other cases follows the same aims these are:

  • Improve aesthetics by increasing the length of incisors
  • Establish a stable occlusion
  • Provide some posterior support to maintain this occlusion

I’ve just about completed the initial stages of this patient’s treatment so I can show you the pictures of how I treated him as we talk through managing the wear.

This case was relatively straight forward to treat, in terms of the functional problem (aesthetics more difficult). However in cases where the wear is caused by bruxism or an occlusal interference and there are still several units of posterior support then treatment becomes far more difficult. These cases tend to require some kind of Dahl appliance or posterior shims/crowns to resolve the functional and aesthetic problems and need to be treated a little differently. I will attempt to outline this a little as I ruminate but I don’t currently have any cases on the go to show as examples.

It’s important to be able to spot the difference between these cases early as they need to be treated with different levels of caution and techniques.

I’m going to go through this case in stages as I think the endo thesis was a bit much all in one go and I need a little time to collect some more pictures.  I should get through the case in 4 or 5 blogs, so stay tuned.

All the bestClinical disclaimer.bmp

Chris

p.s. To see the pictures better just click on them!

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Conservative draft manifesto: 5 year tie in

The following statement is in the conservatives draft manifesto: Page 9 of 12 right hand column

“Under Labour fewer people are able to see an NHS dentist. So we will introduce a new dentistry contract that will tie newly-qualified dentists into the NHS for five years, allow dentists to fine people who consistently miss appointments, and stop paying dentists to carry out unnecessary appointments. These changes will allow us to give one million more people access to an NHS dentist and give every five year old a dental check-up.”

Makes you think doesn’t it? Here are a few of my concerns:

1) Almost every dentist does some private work because so many treatments are now unfeasible under the NHS contract. By unfeasible I mean, “will cost the practitioner considerably more do to than they will be paid  (not including their time)”. I don’t care what you say about swings and roundabouts people do not work for nothing and we can see this across the board, complex treatments are being avoided like the plague. If dentists can’t offer any private treatment is that then unethical… a reduction of options.

2) Is it legal to make people work for the NHS? I know of no other career where this is the case. It sets a dangerous president and I can’t see it being legal with EU laws. Also why stop at dentists, why not stop business graduates working in America, ban emmigration and make oversees graduates pay taxes forever. I know the university system is heavily subsidised but this is the case for hundreds of courses where would this end.

3) How will these poor 5 year tied in dentists be treated? I was absolutely broke when I came out of 5 years at university and that was only paying 1k a year for tuition. I’m not from the richest of backgrounds but I was helped out by my family and I still racked up a 30K debt. This included working full time in every holiday until 5th year and having a part time job for the last couple of years term time. I think it is inevitable a trapped work force will get paid less and receive worse conditions than they do now.

Add to this the plans to raise university tuition fees from 3K a year to 5K and you have graduates leaving with say 50K of debt! Quite the model for social mobility! What you will find is that only the richest people who can afford to be paid through university by there parents will do dentistry. To be honest the people who do it already are most likely to have dental parents. I know I would never have considered a 5 year degree if tuition was 3K as it is now. Social mobility is what keeps this country great, people awarded on merit and endeavour not their parents funding, I would be sad to see that end!

4) Will it change anything? To be honest most dentist don’t leave the NHS for 5 years anyway. It’s not easy to go private and compete against the NHS brand. I can see the same number of NHS dentists staying the same under this new deal. The only difference is there will be an excuse to pay them worse and guess what? After 5 years: resentment, more people leaving due to debt and being poorly treated. It might even reduce the work force!

5) It doesn’t address the problem. The work force leave the NHS because of the conditions they are forced to work in. Endless paperwork, reduction of funding and services they can provide. Lets face it no one has a clue what you can and can’t do on the NHS these days. We have no guidance, we lie to the public that all services are available, corporates reduce UDA values (there is no transparency), young dentists have little or no opportunity to tender a contract. The contract is also bound to change almost every day and we are left funding practices which are effectively built on uninsured quicksand.

People wouldn’t leave the NHS if they were given clear guidance on what they could provide. Were treated like professionals, were rewarded for giving excellent treatment within the guidelines provided and were allowed to provide what is not reasonably affordable on the NHS on a private basis. I would personally give anything to end the cloak and dagger offers of bonded crowns for molars or cobalt chrome dentures. Will someone just give everyone guidance on what is and what is not NHS. Fund us to do what is deemed appropriate (and affordable) properly, get rid of the cheats with careful monitoring and then leave us alone!

People don’t “go private” for the money. I think when you balance the loss of NHS pension, increased indemnity, training and start up costs they work out about even. People go private to work in the environment they can control, doing a job they love the best they can.

Hope that is not too much of  rant. I felt my cheeks fluching as I wrote.

I’m going to discuss my feelings on this at our regional young BDA tomorrow. That is a story for another day but I will say this, “If your not in a union, then you don’t have a voice at all and you really are just ranting on cyberspace!”.

I’m off to take a chill pill.

Please feel free to criticise everything I’ve written, I seem to remember I did vow never to get pollitical again… oh well!

Chris

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Acid Pumice Microabrasion Revisited: The Scrap Book

Ever since I wrote aguide to using microabrasion in practice” I have been looking for a suitable case to put on the blog. Typically I’d seen 2 which worked great just before the practice got an SLR camera!!!

Well finally I found one and did the 2 week review today. I think the result is pretty good (though I have had better), very minimally invasive, avoids a whole lot of porcelain work and most importantly the patient was made up.

The case was a lady in her late 30’s. She had been offered veneers at every dentist for years but resisted. She came into the practice and didn’t even ask about her front teeth… she was resigned to them looking in a way she hated.Before microabrasion

When you look at the before picture you can see the brown stain which is located at the incisal edge of the upper anterior teeth. This is the best type of stain to attempt micro-abrasion on because the brown tends to come off better although the white chalky stains will also reduce.

This is a common stain pattern on anterior teeth: localised to the incisal edge, upper anterior teeth affected only. The cause is probably that the patient had a trauma on the deciduous precursor and this has damaged the surface of the mineralising enamel. Because of this the stain will be extrinsic (located 0n the outside of the tooth) and should respond well to micro-abrasion.

The treatment was completed over 45 minute appointment in which I isolated with rubber dam and followed the steps described in the guide. I used 12, 5 second applications on the worst effected 11 tooth and stopped at this level because the patient was just starting to get immediatly after microabrasionsome sensitivity. The other teeth had only 10 applications.

You can see from the pictures straight after that the effect is instant but that the teeth still appear a little chalky at this point. The 2 week review pictures are a far truer representation of the colour change.

The patient at review today was no longer having any sensitivity issues (which lasted a few days) and was delighted with the response. I asked her if she would mind writing a short description of the treatment experience and hand it in to the practice as I’m making up a scrap book of cases with which to better inform patients of the treatments I can offer. I’ve also emailed her a little collage of the photos (easy on Picasa), just because it’s nice.

I made a pledge in September that I would start to build up my scrapbook of cases and I have to tell you it has been fairly slow going. Unfortunately I often forget or don’t have time to take pictures in surgery and you have to wait for the right case/patient sometimes. However I’m2 week review finally getting there. I’m now quicker as getting a couple of snaps and more proactive taking photos, sometimes simple work can make a great demonstration case. Also I got started early on so hopefully in a few years I will have a great little library!

If you are like me: a young dentist trying to sell treatments like this. Trying to explain to patients what you can do and how it will look afterwards then I suggest you should think about starting your own scrap book of photos and testimonials, it’s never to early to start. It won’t hurt when your looking for jobs either!

Clinical disclaimer.bmp

All the best

Chris

P.S. Please follow this link if you want more information on using the SLR camera or Microabrasion

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Dental Job in the North Yorkshire

Hi everyone

Hope you have enjoyed the endodontic review, if you have had a chance to read it! I know some people were stuggling to open the file but others had managed so I’m not sure what was going on but I’ve uploaded the whole document here on the blog, so everyone should be able to easily view it!

What with the new year and all that I know some people will be thinking of changing jobs and I recieved the following email from some friends of mine who own/run practices in the North East and North Yorkshire. I’m sure they would be a great place to work and that you would be well looked after so I just wanted to share the info.

I hope everyone is having a good weekend. I’m having a cracker so far. Murder mystery night last night, Peter pan on Friday and a lot of laughs with friends. I just wish the football hadn’t been cancelled!

All the best

Chris

ALPHA DENTAL STUDIO – Live Life Smiling

Permanent Full Time and Part Time Dentists Required | £Competitive

Alpha Dental Studio is an independently owned group of dental practices providing high quality dental treatments for both NHS and Private patients across the North Yorkshire region.

We are established with practices in Catterick Northallerton Great Ayton Leyburn and Hawes building on experience gained developing The Dental Centre Group on Teesside

We are about to expand with new practices opening in 2010 in Bedale and Fairfield (Stockton) and an additional practice in Thirsk joining the group in January

With excellent private potential and a Denplan list available , we are looking for ambitious Dentists for sites in Fairfield Bedale Thirsk and Catterick

We are continuously evolving and offer great job satisfaction with a good UDA rate

Associates will be supported to be FD (VT)Trainers with an excellent financial and CPD package ( subject to of course meeting Deanery Trainer requirements )

Alpha has a structure of support which is second to none and which has developed by ensuring partners work clinically in the practices they are responsible for.

With an experienced central support team there is high quality administrative support coupled with peer review and ample clinical support

If you feel stuck in a rut on a UDA treadmill then why not talk to one of the partners about the opportunities available including development of the new practice in Bedale and opportunities to be a Trainer

With 2 of the partners being Vocational Training Advisers and the other 3 having completed VT in the last 5 years this is a partnership with a mix of experience and young enthusiasm

Alpha is associated with Vitality Complete Dental Care in Stokesley (www.vitalitydental.co.uk) giving an additional training opportunity to the right person who wants to develop their career in areas such as implant placement and restoration.

For further information or to apply call one of the partners

Ian Gordon 07785 938574 iangordon@talk21.com

David Birkin 07736318947 david.birkin1@hotmail.co.uk

Ben Wild 07709362812 benlwild@btinternet.com

Guy Wells 07747845457 guywells@me.com

Neeraj Diddee 07714757380 ndiddee@me.com

Visit us at www.alphadental.co.uk

Alpha Dental Studio

Existing Alpha practices at

16B Hidyard Row CATTERICK GARRISON N Yorks ( 2 miles from the A1 and an easy commute from Newcastle York or Leeds)

119 High Street GREAT AYTON N Yorks

Brompton Road NORTHALLERTON N Yorks

Brentwood Lodge LEYBURN N Yorks

The Health Centre HAWES N Yorks

Wellburn Road FAIRFIELD STOCKTON on TEES( opening February 2010)

Finkle Street THIRSK N Yorks ( from January 2010)

BEDALE N Yorks( from April 2010)

HEAD OFFICE – at VITALITY DENTAL CARE 21 High Street STOKESLEY N Yorks

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Endodontic technique a review

Happy new year all!!!endo

I’ve wanted to do this for ages but I finally got around to writing up some of my discoveries in endodontics since I left dental school. I hope that the ideas I have tried to outline are easy to understand for everyone and not just the endodontic boffins who already know it all anyway!

I’ve taken some ideas from my previous blog: rotary endodontics gauging the problem and the answers people gave which I’ve pondered on and now think I understand a little better and want to share these thoughts.

It’s taken a fair bit of work today to write it so please have a look and let me know what you think. Please pass it around if you think it is useful there is no charge for the download, the aim is just to improve everyone’s understanding of endodontics particularly the rotary file systems and obturation techniques and of course stimulate debate.

If you think I’ve got something wrong then please let me know. Also please free to email me with any additions you would like to make e.g about sealers or irrigation which I have out of intellectual necessity left a bit bare. It is how the computer guys say “open source information” so just save the document add what you want and email me back I’ll compile it all again in a few weeks/months.

Chris.john.oconnor(at)gmail.com

To download the article just click this link My endodontic technique a review

Or to see it on the web just follow this link. Or look in the reference section

P.S. There are more awesome home made diagrams to enjoy too!

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Merry Christmas

merry christmasTonight is Christmas Eve. Officially my favorite day of the year!

Everyone from home who I still keep in touch with will descend on our local pub, then its a few beers and a catch up. Run over the road to the other pub to see the other groups that are out, and then back to my house where we always have a big pan of chili ready and some xmas music.

My mum in her element, my sister and brothers friends turn up and the last guest is usually kicked out at 3 or 4 pm…. Cue hangover in the morning and turkey in oven far too late!

It might not be your idea of Christmas, but it is mine.

One night surrounded by all the people who I love the most… well the ones in Sheffield anyway.

I can think of no greater achievement in life than having friends who you would do anything for and knowing that they would reciprocate it.

I think of the people who I have met this year on the blog, peers and colleagues who I’ve developed real friendships with and I just want to say a big thank you to you all. To everyone who reads the blog or has ever commented here, can just take this opportunity to wish you a very merry Christmas. Starting this blog has been one of the highlights of my year and it wouldn’t be much good without you!

I’d also like to share a link to this month’s apex magazine in which I’ve written an article. It sits between some good ones by the smart guys!

Finally I really hope the Incidental blog enjoys another great year and you continue to enjoy it:

Sharing information for free, developing our skills and supporting each other professionally…

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