There have been a number of changes in personnel at my health care facility – none of them very convenient. First Matron Anna handed in her notice and went off to university, and now Nurse Jackie tells me he has a new job teaching in a secondary school starting with immediate effect.  I should never have given him the time off over the summer to do his return to teaching course. Only Alfie, my personal Pet As Therapy dog is offering any continuity of care.