Last Monday, 07 September, at 08:30am I had an appointment at the Radboud University Medical Center for a CT scan of the pelvis. Today, 10 September , at 01:30pm I had an appointment with a member of the pelvis surgical team. The surgeon in question, Mr. Hermans, was ill. His appointments were replaced by Mr Bas van Wageningen, the trauma surgeon, who took care of me on 12 June.
Conclusions regarding the scan:
There is the start of a healing process visible regarding the rifts in the pelvis.
The same applies for the femur and pelvis.
We go on with the self healing treatment.
Surgery for a new hip is out of the question.
The medication with the morphine is addictive, and is stopped immediatly.
From the surgeon’s view a follow up is not necessary, time (an other three months or more) will heal.
Bas van Wageningen works in the Trauma Surgery and Lifeliner 3 departments. As a trauma surgeon, he is involved in the care of patients after an accident. This can be on the street with the trauma helicopter or in the hospital at the Emergency Department. The trauma surgery specialty focuses on the treatment of fractures and wounds. In addition, they also treat the complications or problems that can arise in the healing of wounds and bones over time. His areas of focus are Pelvic and Acetabular Surgery, General Trauma Surgery and Multitrauma.
“Look honey, surprise!” Brit spruces up the garden with tyrannosaurus on the way
“Do something nice with the garden,” cried Adrian Shaw’s wife from Lillington, Warwickshire, UK. Shaw didn’t have to think about it for long. “What looks nicer in a backyard than a three and a half meter long tyrannosaurus ?!” “And so the Briton bought a model of the prehistoric carnivore online for £ 1,600, about € 1,800. “She loves the Jurassic Park movies, it can’t go wrong”.
The local residents were surprised when Adrian’s order was delivered on a Thursday afternoon and was hoisted in his garden with an enormous crane. “I think a lot of people dream of a T-rex on the way in their yard,” he says delighted to the Leamington Courier. “Most people don’t have the space or the resources to make their dream come true, but I’m lucky.” However, Adrian was not entirely sure that his wife Deborah would be just as full of the antediluvian garden image. “I hope my wife will be thrilled when she comes home from work and sees what I’ve done with the garden,” he said hopefully of his unique acquisition. “She loves the Jurassic Park movies and has seen all of David Attenborough’s documentaries, so you can’t go wrong with this purchase.”
Pee in the garden
Although her request was to make the garden “more fun”, the Briton took into account that he would have to convince her a little. And that was right. Deborah didn’t come straight home from work, but went to the gym. By the time she got home it was too dark to look at the monster. That surprise came when she let the dog pee in the yard at 4 AM. “While I was sleeping, she took the dog outside and turned on the garden lights,” says Adrian. Deborah got the shock of her life when she came face to face with the T-rex, now baptized Dave. “She told me in” colorful words “what she thought about it and that didn’t sound very pleasant”. ” Still, there is a good chance that Dave will stand. “The kids are begging to keep him, which is sad because they are well into their twenties.”
Laurens wants to break the taboo: “How long is your penis and what do you do with it, they ask”.
He hasn’t had all of the surgeries that make his body completely throbbing. “But I think it’s okay for now”, says Laurens Zevenbergen (24) from Arnhem, whose birth announcement stated that he was a girl.
“I hope it makes people aware that every body is a beautiful body, has the right to be loved.” Laurens Zevenbergen did not have to think long when asked if he wanted to be a model for the erotic photo exhibition that will be held this September. will be on display in the Sint Stevenskerk in Nijmegen. “I think it’s important to show that transgender bodies can also be considered beautiful”
Taboo
The organizing Pride Photo Nijmegen wants to break the taboo surrounding the physical identity and sexuality of transgender people with the exhibition Adult Alternative. Many people whose birth gender matches their gender identity still know little about the sexuality of transgender people. “The idea behind this exhibition is that the models themselves show what they think is erotic”, says project leader Wouter Christiaens. “With which we hope that visitors will go home with new insights, such as that with transgender people it is more than just a gender reassignment. But it’s not just about looks. ” The 24-year-old Zevenbergen, a student of occupational therapy and counselor of people suffering from dementia in a nursing home, has been officially a man since he was 18. “I then had the birth certificate changed.”
“Very confronting”
At the age of 17, he signed up for the medical trajectory that would make him physically change from female to male. “From childhood I knew I was different, but from 15, 16 years old I knew I was transgender. That was very confron-ting, I didn’t want to be it for a long time, postponed doing something with it for as long as possible. Until I really could not go through life with the wrong name and an inappropriate body.” After a few operations and some other treatments, you do not see that Laurens has spent most of his life with a girl’s body. At least not when he’s wearing his clothes. “Because I look like a man, everyone assumes I’ve had all the surgeries, which is not the case.”
Understanding
By participating in the erotic photo exhibition and exposing himself – “I don’t have all my clothes on” – he hopes to gain understanding for transgender people. “There are people who find it really difficult that my body is not right. I don’t blame them, I don’t find it easy either. But these kinds of bodies are fine too.” And by showing them, he hopes there will be a little more understanding. “And by being more open about it, I also hope that it all becomes less interesting.”
Example
With which he says in a decent way that he is a bit done with all the indecent questions that he gets arranged. “How long is your penis, do you actually have one and what do you do with it, people ask. I don’t think that’s normal, but people think that they can suddenly ask anything from a trans person.” Now Zevenbergen is always open about the subject – he told his story together with his twin sister last year – and makes an effort wherever possible to create more understanding for transgender people. And he hopes that the erotic exhibition will help other people who have to go through the same struggle as him. “I would have liked an example in the past, someone who would have done something like I do now: show myself in my vulnerability. I hope that a young trans man will see this and think, that’s fine.”
Pierre and I visited Xanten in September 2003 with our Canadian friends Brian Holden and David Belrose. They were the first guests here in Nijmegen, when the reconstruction of the house had not yet finished. Pierre moved from Horst to Nijmegen on Friday 12 September 2003, I moved from Amsterdam to Nijmegen on Monday 15 September 2003, and we picked up Brian and David at Schiphol Airport on Wednesday 17 September 2003.
Xanten is located in Germany. Not very far away: about 40 kilometers upstream on the Rhine from the border at Lobith. Actually no place for a series called A summer in the Netherlands. The excuse could be that the Germans came en masse to the Netherlands this summer, mainly looking for the cooling coast in the warm weeks, and that we have just as much right to go to Germany. A much larger country, and therefore with a lot more space. It is not without reason that Germany is a popular place this summer for many Dutch people to cross the border by car or bicycle. In the historic heart of Xanten, I see or hear some Dutch people arriving on e-bikes for lunch on one of the terraces. And in the vicinity of the town there are cars with Dutch license plates at the beaches on the Rhine. Just like Wunderland Kalkar, a former nuclear power plant that was bought by the Drenthe entrepreneur Hennie van der Most and converted into an amusement park with six hotels. A whirligig protrudes outside the former cooling tower.
But that is not the reason that I ended up in Xanten. I crossed the invisible border, because the place name starts with the letter X. Almost secretly, I chose the order of the alphabet as a guideline for this trip through the Netherlands – to be able to make a slightly easier choice from the endless supply of special places in my own country. It started at Anjum, Brunssummerheide, Chaam and Delft. Yerseke will follow tomorrow, the series will end in a special Z on Monday.
Unexpected
A Q could also be found, in Quatre Bras on the IJssel, but I did not find any place or neighborhood in the Netherlands that starts with an x. So I ended up in Xanten, which was completely unknown to me and, as almost always with these kinds of accidental visits, I made an unexpected discovery: the Romans already settled there around the year 12 BC and founded, next to an army camp, a civilian settlement on the bank of the river. It would later be called Colonia Ulpia Traiana and can now, twenty centuries later, be admired in an exceptional way.
“We knew this existed. School trips are organized from here, “” says Anita Winters, who walks down the steps of an impressive Roman temple with her husband Wilfried and children Amber and Ion. They are on their way back from a holiday to Belgium, and are almost home in Doetinchem. Wilfried: ,, Normally we would have gone to Italy, but this summer we stayed close to home. We had to leave the house on the camping site at 11 am, so we decided to go here for the last bit first. It is a special place, and actually so close. “”
The family is in Xanten on a hot summer day, and the bright sun does not exactly invite you to visit this APX, the Archaeological Park of Xanten. Especially because it concerns a large, almost bare plain. The APX is an open-air museum that in this way, and in the same place, sketches the true size of the Roman city that once lay here. The countless finds made during the excavations led to a project to partially rebuild some of the structures of that time, on the original scale.
Imagination
So since 1977 on the Rhine, half an hour’s drive from the Netherlands, there have been, among other things, an amphitheater, Roman houses made of clay, an inn, part of the city wall and its gate, plus this harbor temple. I think for a moment about the Forum Romanum, but the comparison with the historic center of Rome is of course not valid. There, the archaeological paradise is a wealth of original remains from the heart of the Roman Empire, in Xanten, in addition to these reconstructions, there are only a few historical excavations or other preserved remains of, for example, the Thermen, plus an exhibition about Roman history here on the Niederrhein . Still, when I climb the steps of the temple and look out over the vast complex of nearly one by one kilometer, I see with a little imagination a bustling town where, in its prime, some ten thousand people lived, worked and worked. walked the streets, only half of Xanten’s current population.
At Airport Weeze, just across the German border near Nijmegen, travelers from high-risk areas can have themselves tested for the corona virus. Mandatory for Germans, but also available for holidaymakers from the Netherlands. However, they show themselves only marginally in the test street.
Holger Terhorst, manager at Airport Weeze, takes another look at his watch. Almost half past three. The plane of budget airline Ryanair from Ibiza has already started landing. Fifteen minutes early. “That’s always the way with Ryanair,” Terhorst says, laughing. “If they don’t land on time, they are too early. You can almost set the clock on it. “” But that means immediate work to be done. A real corona test street in the terminal of the airport is being prepared in haste. Employees of the Kassenärztliche Vereinigung Nordrhein – the German health service – prepare registration forms, a doctor puts on a kind of astronaut suit.
Free for Germans and Dutch
The Spanish party island of Ibiza, where the Ryanair plane comes from, is known as a risk area in Germany. The number of corona infections has risen so rapidly in recent weeks that the German authorities fear that returning holidaymakers are carrying the contagious lung virus. To rule that out, travelers living in Germany are required to undergo a corona test. “That can be done within three days of returning,” said Christopher Schneider of the health department. “In theory, travelers can go home and make an appointment with the doctor to have a test, but it is that easy at the airport.” “The results usually follow within 48 hours. Until then, staying at home is mandatory. Everyone who is tested will receive a unique QR code, with which the result can be viewed online. The test is completely free, the costs are covered by the German government. For Germans, but also for Dutch.
“Don’t see the point of a test”
Just before four o’clock, the first sun-tanned Ibiza travelers trickle into the arrival hall. Some travelers shuffle somewhat hesitantly towards the improvised test street. In no time, however, a row is created, which then flows through at a rapid pace. It turns out that administering a corona test takes less than two minutes. It is a well-oiled machine: the doctor expertly inserts a cotton swab into the noses and throats of the holidaymakers, who are then taken directly to the exit of the airport. What is striking: it is mainly the Germans who submit themselves to a corona test. Many Dutch travelers skip the medical check. This is also the case for 31-year-old Sven from Arnhem (“no last name, because he doesn’t want any hassle with RIVM”), who smokes a cigarette outside the terminal. “I feel fit, don’t see the point of such a test. If I get complaints, I will stay at home. “” The fact that he has to be quarantined for the next ten days anyway – Ibiza is also a risk area in the Netherlands – is new to him. “None of it. When I left for Ibiza, things were still safe. In any case, I think that quarantine is nonsense, how do they want to control it at all?”
Few infections
In addition: where in Germany a negative test result is a license to be allowed out of quarantine, Dutch people from risk areas are obliged to stay at home for ten days. Even if they can submit a negative result, a spokesman for the RIVM reports. “A test is always a snapshot. The test does not show whether the disease will develop at a later time. “” How many Dutch travelers nevertheless have themselves tested at the airport is difficult to estimate, according to Schneider. On average, half of the passengers from the risk areas – in addition to the Spanish destinations, these are also flights from Morocco – already have themselves tested at the airport. So far, the number of infections is not too bad, he concludes.
Only one traveler at Airport Weeze tested positive for the corona virus this month.
First view romantic landscape paintings and then walk through the same landscape. This is possible if you visit the exhibition ‘Binnenste Buiten-land’ in Museum Het Valkhof.
“Un-Dutch” is also called the landscape east of Nijmegen. The flat polder land collides with the wooded lateral moraine and you get beautiful panoramas. It has long been a popular area for tourists and hikers. Earlier, in the nineteenth century, artists of the romantic school discovered this landscape. They came from all over the Netherlands to record it.
Romantic farmhouses
The landscape painters loved the vistas and idyllic motifs such as old water mills, farms and churches. And if they were not there, they were sometimes painted there. Some, such as B.C. Koekkoek, settled in this area, others stayed there for a short time. Museum Het Valkhof has brought together a collection of these works. If you want to see what remains of that romantic landscape, you can take a walking tour from the museum. There is a route at the desk or you can put it on the phone.
Now there are more trees
There are still beautiful vistas from the hills to the river land. At the same time, you also notice that the landscape used to be more open. Now there are more and higher trees. As is clearly visible when you compare the painting by Willem Carel Nakken and the photo by Flip Franssen.
KLM pilots consider it unjustified that it is stipulated without any participation that they must return a minimum of 20 percent salary. They want the ailing aviation company to renegotiate with Minister Wopke Hoekstra.
The politic world in The Hague is not impressed, however. It was the most striking condition that the cabinet attached in June to the EUR 3.4 billion emergency package for KLM: in order to keep its head above water and remain competitive in the future, KLM must cut costs by 15 percent. Part of this cutback is a “substantial contribution” from the staff, whereby the “strongest shoulders bear the heaviest burdens”, Minister of Finance Wopke Hoekstra wrote to the House of Representatives. And then came those two crucial sentences about which the storm has not yet died down: ,, This means that the employees who earn at least three times an average income must sacrifice at least 20 percent on their working conditions. Wages from modal are subject to lower percentages, rising linearly to 20 percent.”
Dictation
A “dictation”, the unions snarled, who believe that the government overrides labor law by forcing wage cuts. Because of the hard lower limit of 20 percent, Hoekstra believes that this would undermine their legally enshrined position as a negotiating partner at the collective labor agreement tables. It is not even controversial that the personnel make a contribution in the form of a wage sacrifice. But that Hoekstra and KLM have already agreed exactly how much must be returned. And they shouldn’t, they think. Hoekstra has so far not been a juggler. After all, the European Commission has approved the aid package for KLM, including the conditions that have been imposed. In short, according to him there is no dirt in the air.
Another bow
KLM pilots united in the Air France-KLM Pilots Share Foundation (SPAAK) are now taking a different approach. They have a 2.51 percent interest in the parent company and have now asked the board of directors of Air France-KLM as a shareholder. In a letter, they state that KLM will not be able to comply with the “precisely prescribed reduction of working conditions”, because that condition is contrary to “international labor law”. SPAAK therefore wants the group to renegotiate the conditions. That appeal does not seem very promising. “It is up to KLM and the unions to agree on the exact details,” the Ministry of Finance says. In the House of Representatives, the pilots can count on little understanding. CDA MP Jaco Geurts, a party member of Hoekstra, does not want to know about renegotiations. “For the future of KLM, Schiphol and the Netherlands, a support package has been made with clear agreements. In this way, many jobs can be saved. Serious that KLM pilots are risking such a thing, ”he says.
Tax money
It is also clear for PvdA MP Henk Nijboer that the pilots hand in. ,, It cannot be the case that thousands of employees, such as ground and cabin crew, are fired and pilots do not contribute. It is very reasonable that bonuses should be turned in and salaries at the top limited. This applies to everyone, including pilots. It is about tax money.”
KLM pilots are the highest paid pilots in the world.
Within the aviation world, a distinction is often made between two types of aircraft. There are the often somewhat smaller narrow-body airplanes, which have one aisle with two or three seats on either side, or four to six seats per row. In addition, there are the larger “wide-body” devices, with at least two aisles. In the economy class, a row in such an airplane usually consists of seven to ten seats. A pilot’s salary largely depends on the type of aircraft he or she flies. KLM uses one type of narrow-body passenger aircraft: the Boeing 737. The Dutch airline also has five types of wide-body passenger aircraft in its fleet: the Airbus-A330, the Airbus-A350, the Boeing 747, the Boeing 777 and the Boeing. 787.
A new analysis shows that these KLM pilots are among the top global earners within their profession. For example, a KLM pilot earns on average about 70% more than a pilot working for a low-budget airline. In addition, a captain of KLM has fewer flying hours, which means that the flight hourly rate of a pilot employed by the royal airline is more than 95% higher than that of a price fighter. The terms of employment of KLM pilots are also generally very good compared to European companies that have a comparable price level.
Bas van Wageningen works in the Trauma Surgery and Lifeliner 3 departments. As a trauma surgeon, he is involved in the care of patients after an accident. This can be on the street with the trauma helicopter or in the hospital at the Emergency Department. The trauma surgery specialty focuses on the treatment of fractures and wounds. In addition, they also treat the complications or problems that can arise in the healing of wounds and bones over time. His areas of focus are Pelvic and Acetabular Surgery, General Trauma Surgery and Multitrauma.
