Sonia 2017

Silver dress made of pill packetsSonia has had Lupus for 30 years. She first developed symptoms at the age of 31 but they settled when she became pregnant only to recur again after her daughter was born. She had vasculitis of the fingers, aching joints and lethargy and was formally diagnosed at the age of 35yrs. Since then she has been on a number of different treatments including DMARDs, steroids and anti- hypertensives. The side effects of the drugs have meant she also takes bone protection and lansoprazole for stomach protection.

These are the 907 empty packets from the 20 different kinds of medicine Sonia was prescribed over three and a half years from July 2010 to December 2013, a total of 10,992 pills.

Freeman & Lee 2017

Pharmacopoeia Works exhibition at Medicines Evaluation Board (MEB-CBG), Utrecht.

June to September 2017

Photography © MED-CBG Bart Versteeg

WOWI – What Once Was Imagined 2015

People love to take medicine. Our imaginations have allowed us to dream of finding compounds that will relieve our pain and suffering. With the nineteenth century transformation of the local apothecary into an industrial pharmaceutical industry our dreams have in many ways come true.

In 1887 a German pharmaceutical company first synthesized Aspirin whose active ingredient salicylic acid was derived from the bark of the willow tree. Salicylic acid is present in a number of other plants and its ability to reduce both pain and fever was first documented by the Ancient Egyptians. What must have seemed like magic was gradually turned into medicine and is now taken completely for granted.

Suffering is part of the human condition and so in spite of the availability of a multitude of medicines the search continues for both organic and inorganic compounds from which to make new pills to help us live longer, healthier and happier lives.

The concept for Pharmacopoeia’s ‘mantilha’ centres on the fact that a significant number of drugs have their origins in plants and naturally occurring microorganisms. It is well known in the UK that the heart drug Digoxin is derived from the beautiful Foxglove plant. The most effective treatment for falciparum malaria was found in the plant Artemisinin; long known to the Chinese for its medicinal properties. Most recent of all the drug Crofelemer from the red sap of the Croton Lechleri plant, and used by indigenous cultures of the Amazon, has been approved for treating side effects of HIV antiretrovirals.

Whether in the chemistry laboratory or in the rain forest it takes a huge leap of the imagination to identify and then painstakingly develop and produce a new drug. Each pill, apparently so simple, is really nothing of the sort. It is an absolute triumph and testament to man’s intelligence and ingenuity.

As a family doctor I have many patients with cardiovascular disease—not surprising as it is the most common cause of mortality and morbidity worldwide. The 52 arrows around the edge of What Once Was Imagined constitute the weekly intake for one such patient. I prescribe a combination of drugs to be taken daily including a beta-blocker, an antihypertensive, a cholesterol-lowering drug and an aspirin to help prolong their life.

Dr Liz Lee

Photo: Joana França

Work in progress of a large circular artwork, pill packets being arranged in the shape of plants and flowers

INVENTO 2015

What Once Was Imagined

OCA São Paulo

August 5th – October 4th 2015

INVENTO – the revolutions that invented us was a large-scale, multidisciplinary, interactive and immersive exhibition which referenced the radical changes the world has seen in terms of important inventions. Located at OCA Museum, an architectural landmark created by Oscar Neimeyer in Ibirapuera Park, the exhibition revealed conceptual links between some of the most significant inventions and responses to them by contemporary artists.

“Pharmacopoeia responded to the invitation to participate in the São Paulo exhibition curated by Marcelo Dantas by creating WOWI – what once was imagined. Taking inspiration from global plant sources for medicine, we fashioned a circular artwork in the form of an indigenous Brazilian headdress. Measuring 10 metres in diameter it involved over 9,000 pills and packets reconfigured into a richly composed amalgam of plant life.” – Susie Freeman

View What Once Was Imagined in artworks.

WOWI detail photo: Tom Lee

Messages Bag 2014

Messages Bag‘Miniatures trapped in tiny knitted pockets reflect the abundance of foods; good, bad and beautiful we all navigate daily to choose what’s best for our health.

Pharmacopoeia’s particular focus in this artwork is the treatment of Polycystic Ovary Syndrome. PCOS is a cluster of symptoms that frequently occur together in young women. These are acne, irregular or infrequent periods and unwanted male pattern hair growth. It is associated with changes in circulating hormone levels and with a distinctive pattern of small cysts in the ovaries. Currently more than one in ten women have the syndrome and some think the number is nearer to one in six, hence it could be argued that this is a variation of normal.

The underlying cause of PCOS is genetic. Women with the syndrome have what have been described as ‘thrifty genes’. These genes are ubiquitous within the population because they confer tremendous survival advantage in times of famine. But we live in a time of plenty and therein lies the problem.

Most women with PCOS are good at storing fat. The more fat cells they store, the more insulin resistance they develop and this drives a number of biochemical and hormonal changes which cause the unwanted symptoms. Losing weight reverses some of these changes, but the catch is that the thrifty genes make weight loss more difficult to achieve.

As a family doctor I have lots of patients with PCOS. For many it is little more than an annoying inconvenience. For others with more severe symptoms it can be devastating and there is an increased risk of developing diabetes, cardiovascular disease and metabolic syndrome.

I treat people symptomatically with the contraceptive pill to regulate periods, antibiotics for their acne and topical cream or laser treatment for unwanted hair.
I also try to prevent or minimize the symptoms altogether. The medicine Metformin, which is usually used to treat diabetes, can be regularly taken as it combats insulin resistance in cells.

However, most effective of all is to identify the syndrome early in teenagers and educate them about the need to avoid creeping weight gain. Once they understand the underlying causes of PCOS subsequent discussions about weight management and increasing exercise makes more sense. It also acknowledges girls perception that it is a bit unfair that they eat the same as their friends do but only they put on weight. Slimming tablets are available and can have a minor role in aiding an initial reduction in weight but they play no part in long term weight management.’

Liz Lee
Messages Bag closeup

RCGP 2014

Armour and Jubilee are now part of The Royal College of General Practitioners collection.

Much of the RCGP building at 30 Euston Road, London NW1 2FB is open to public, including a cafe where Jubilee is placed and a spectacular atrium area where Armour is hung.

FAT 2014

Messages Bag

Science Gallery Dublin

May to June 2014

View Messages Bag in artworks.

Go to the Science Gallery website

Lifesaver 2013

LifesaverNearly 100,000 people in the UK are living with HIV and up to 20,000 of these are currently undiagnosed. As life expectancy increases so does the number of people with HIV. Twice as many men as women are living with HIV, and more than half are between the ages of 35 and 49 years old. These days new transmission of HIV is more likely through exposure to heterosexual rather than homosexual sex. Many patients still feel there is stigma attached to the diagnosis. Although the drugs have transformed life expectancy it remains a very serious and distressing illness for many people.

Go to ‘HIV and making Table Talk’ in Articles

Femme Vitale 2013

Femme Vitale Medical Museon

Pharmacopoeia’s sculptural figure explores the complexity of Metabolic Syndrome. At the core of the syndrome is a metabolic process called insulin resistance which is linked to increasing obesity. The consequences of this vary from person to person and may include high blood pressure, diabetes, high cholesterol and heart disease

We examined the real prescribing records of two individual patients, one Danish and the other from the UK. They are both women in their forties who have diabetes and high blood pressure plus a number of other medical problems. One has had a heart attack.

By amalgamating their two records we were able to ‘construct’ a third woman whom we call ‘Femme Vitale’. She has had diabetes for 10 years and a heart attack 4 years ago. Since developing these chronic diseases she has also had an episode of depression and developed arthritis in her knees.

Tablets and capsules are knitted into separate swathes of cloth, each representing a different element of the syndrome. The red ‘heart’ pills form a central core with the mass of diabetic medication flowing out from the 82cm waist. We have specifically chosen this measurement as research has shown that any woman with a waist measurement over 82cm is at increased risk of developing diabetes.

Packaged pills for high blood pressure twist in a helix while lipid lowering statins sweep out from the bustle. Ribbons and decorative details feature painkillers, indigestion medicine and aspirin taken after a heart attack. A ‘crown’ of antidepressants completes the artwork.

Seven Days 2013

Many conditions are often treated with drugs that need to be taken regularly. The daily ritual of taking pills, sometimes every morning, noon and night is something people have to get used to.

Medical Museion 2013

Femme Vitale up close

Commissioned by Medical Museion Copenhagen as a permanent exhibit for their entrance hall, the sculpture Femme Vitale was unveiled at the city’s Culture Night on 11th October 2013. Spectacular and thought provoking it visualises the cluster of metabolic disease such as diabetes and cardiovascular conditions often referred to as ‘metabolic syndrome’.

Medical Museion Copenhagen

Femme Vitale in artworks

Films by Astrid Mølle-Olsen

Glimpse

Taster

Creating Femme Vitale (16 minutes)

Femme Vitale 2013

Femme Vitale Medical Museon

Commissioned by Medical Museion Copenhagen as a permanent exhibit for their entrance hall, the sculpture Femme Vitale is made from the 27,774 pills taken by one woman over ten years to treat her cluster of illnesses known as ‘metabolic syndrome’.

Films by Astrid Møller-Olsen

Pill Dress in the making

Glimpse

Creating Femme Vitale (16 minutes)


Femme Vitale in artworks

Pillen en Poeders 2013

Huge pill-based artworkZorg of Zegen?

In 2013 The Netherlands Medicines Evaluation Board (MEB) celebrated their 50th anniversary by loaning the dutch version of Cradle to Grave to Boerhaave Museum in Leiden. Deputy Director Dr Stan van Belkum writes:

Pills and Powders: a blessing or a concern?

‘This exhibition shines a spotlight on medicinal products and their use, both in the past and in the present. The centre of attraction is the artwork entitled Wieg tot Graf an 8-metre long table displaying all the medication an average Dutchman is prescribed over the course of a lifetime. The medicinal products are accompanied by family photographs and objects. They bear witness to vitality and decline, to moments of happiness and concern everyone has to deal with. Wieg tot Graf astonishes and fascinates, but it also raises critical questions about the use of medicinal products and views on health and care.

The artwork is surrounded by objects associated with the rich history of medicinal products. There is an apothecary’s jar from the 18th century with Requies Puer, a commonly used medicine containing opium which was used to pacify hyperactive children. A precursor to today’s ADHD medications, perhaps? Another apothecary’s jar on display was used to hold mercury. Until the 19th century, doctors prescribed large doses of mercury for the treatment of the venereal disease syphilis – not surprisingly, this had its share of side effects (which at the time were seen as signs of the infection itself). The exhibition also features old pillboxes, a medical amulet, medicinal weights in the form of drams, advertisements for Softenon (thalidomide) and coloured medicine bottles. Interactive games prompt visitors to reflect upon current issues regarding the use of medicinal products.

Flyer for Pillen en Poeders

Over the past couple of centuries, medical discoveries like antibiotics and insulin have led to a considerable increase in life expectancy in the Netherlands. In comparison to individuals in other countries, the average Dutchman uses few medicinal products. Nevertheless, use is clearly on the rise. Is this a concern? Or a blessing?’

Wieg tot Graf in Artworks

View Pillen en Poeders flyer

Pillen en Poeders 2013

Huge pill-based artworkZorg of Zegen?

In 2013 The Netherlands Medicines Evaluation Board (MEB) celebrated their 50th anniversary by loaning the dutch version of Cradle to Grave to Boerhaave Museum in Leiden. Deputy Director Dr Stan van Belkum writes:

Pills and Powders: a blessing or a concern?

‘This exhibition shines a spotlight on medicinal products and their use, both in the past and in the present. The centre of attraction is the artwork entitled Wieg tot Graf an 8-metre long table displaying all the medication an average Dutchman is prescribed over the course of a lifetime. The medicinal products are accompanied by family photographs and objects. They bear witness to vitality and decline, to moments of happiness and concern everyone has to deal with. Wieg tot Graf astonishes and fascinates, but it also raises critical questions about the use of medicinal products and views on health and care.

The artwork is surrounded by objects associated with the rich history of medicinal products. There is an apothecary’s jar from the 18th century with Requies Puer, a commonly used medicine containing opium which was used to pacify hyperactive children. A precursor to today’s ADHD medications, perhaps? Another apothecary’s jar on display was used to hold mercury. Until the 19th century, doctors prescribed large doses of mercury for the treatment of the venereal disease syphilis – not surprisingly, this had its share of side effects (which at the time were seen as signs of the infection itself). The exhibition also features old pillboxes, a medical amulet, medicinal weights in the form of drams, advertisements for Softenon (thalidomide) and coloured medicine bottles. Interactive games prompt visitors to reflect upon current issues regarding the use of medicinal products.

Flyer for Pillen en Poeders

Over the past couple of centuries, medical discoveries like antibiotics and insulin have led to a considerable increase in life expectancy in the Netherlands. In comparison to individuals in other countries, the average Dutchman uses few medicinal products. Nevertheless, use is clearly on the rise. Is this a concern? Or a blessing?’

http://www.museumboerhaave.nl/tentoonstellingen/nu-en-straks/pillen-en-poeders/

Wieg tot Graf in Artworks

View Pillen en Poeders flyer

Subversive Design 2013

Woman spinning in pill-covered capeBrighton Museum & Art Gallery

See Under Wraps at Brighton Museum & Art Gallery in the exhibition Subversive Design – 12th October 2013 to 9th March 2014

Periods are not a public matter and are rarely a subject for art. Menstrual disorders are more hidden still. Disturbances in physiology are managed by medicines, but the management of menstruation is political as well as medical. It is about the management of fertility and part of what it means to be a woman. In many cultures it is about the management of shame, and the prescriptions of medicine compete with the prescriptions of religion in controlling women’s bodies. The Under Wraps cloak contains and conceals the medications we use to control our bodies and is a metaphor for the ambivalence we feel about menstruation.

Royal College of General Practitioners 2012

A huge suit of 'armour' made from fabric and pill packagingThe Royal College of General Practitioners have purchased Armour & Jubilee for display in their new headquarters on Euston Road, opening autumn 2012.

Bluecoat 2012

Artwork made from thousands of pillsDaDaFest – Niet Normaal

Wieg tot Graf features at Bluecoat Liverpool July & August 2012

Ground breaking international visual arts exhibition Niet Normaal: Difference on Display comes to Liverpool this summer as a highlight of the UK’s leading disability and deaf arts festival DaDaFest.

From 13th July to 2nd September, the Bluecoat will be given over to this landmark show featuring the work of 30 internationally renowned artists, each addressing a definitive question of our time; ‘what is normal and who decides?’

The story behind a photograph 2011

Two men cleaning a large glass case in a gallery

Daglig Dosis by Pharmacopoeia, at the KunstCentret Silkeborg Bad, Denmark

The image shown here was taken in September 2011 while setting up the exhibitionDaglig Dosis by Pharmacopoeia at the KunstCentret Silkeborg Bad in Denmark. I work with Dr Liz Lee and textile artist Susie Freeman in the Pharmacopoeia-Art collaboration. Our work presents ‘snapshot’ arrangements or developed essays as art installations about how our society uses medical solutions to maintain health and wellbeing.

This collection of fifty-six prints and thirty-five framed ‘butterfly needles’ are in Last Rites, a piece about the moment of our death.  Liz Lee and myself asked people how they visualised what they will see at the moment of their own death.  Very few people had a precise image but most said something like, “It all goes black”, or conversely, “You see a bright light”.  Over many months I took colour photographs of predominantly black and white things that resonated in some way with my own thoughts about that moment.  Liz, Susie and other friends contributed images and discussed the choices and layout.  The framed needles have been used to give drugs including morphine to patients during their terminal illness.

Rather than look for a single image to capture a moment in time, we often use many pictures, objects, documents and of course real pills, to weave a narrative about a method of treatment, a person, or our generic approach as a nation.

The glass technicians with their heavy-duty vacuum lifting gear are cleaning a plate glass lid before placing it on a related artwork Wieg tot Graf, the Dutch version of our Cradle to Grave installation commissioned for the British Museum, which contains similar drugs, objects and photographs. The key for me in this photograph is the industrial scale of the processes involved in bringing fragile and ephemeral images to a place where they can be seen, contemplated and responded to in a personal way.

Go to ‘Last Rites’ in Artworks

Consulting Room 2011

For Daglig Dosis Liz Lee recreated her Bristol surgery with a combination of british and danish items including medical equipment, her doctors bag, desk, chairs, examination couch and small Pharmacopoeia artworks. On the walls is a long hand written chart documenting the daily movements of patients in and out of the room. Recorded only by age, sex and presenting problem, it documents a huge range of conditions and the relentlessness of the 10 minute appointment system which is used by most doctors in family practice.

Daglig Dosis – depression 2011

It is estimated 272,250 antidepressant pills are taken each day in Denmark. In order to represent this quantity in a subjective way an average of 650 pills passed the camera every minute that the Daglig Dosis exhibition was open. These views were projected in a repeated cycle completely filling the large walk-through space, reflecting the overwhelming nature of depression on a personal basis.

Dr David Kessler writes:

“The symptoms of depression are pretty much the same the world over. Depression is like grief without an object. At its most severe, depression can cause a sufferer to stop eating and die.

“Not all cultures label it as depression. For example, in the Shona language in Zimbabwe it’s called Kifungisisu which means ‘the disease of thinking too much’. Women are twice as likely to suffer from depression as men, with the peak age for both genders being in the 30’s and 40’s. Very old people are much more likely to get prescribed an antidepressant.

“There are various theories about the neurobiology of depression based on the way the drugs work; we still don’t know for certain what causes depression at a neurobiological level. There isn’t a single gene for depression; if vulnerability to depression is inherited, it is a complex inheritance. We know that depression is more common in areas of social deprivation, and that personal trauma makes you more likely to become depressed, but we don’t know why some people get depressed in certain circumstances and some don’t. People with some physical diseases such as heart and lung disease are much more likely to become depressed.

“Depression and anxiety often go together, and both depression and anxiety are probably both under diagnosed and under treated in Denmark, as they are throughout the world. Antidepressant prescribing has trebled in Denmark since Prozac was introduced in the early 90’s. Although antidepressants are effective for severe depression, nobody knows for sure if they are any good for mild depression, and some kinds of psychotherapy work very well to alleviate depression.”

Daglig Dosis in the gallery

First Love 2011

A companion work to Last Rites, First Love has two components. The first is a series of photographs which capture different people’s ideas about what that moment might be like. These are subjective responses to the question “how do you visualise what happens at the moment of conception?” They vary from ‘fish’, ‘fireworks’, ‘an egg’ (with a hard shell) or saying ‘no-no!’, to ‘flowers’ and ‘a sticky mess’. These were then re-interpreted visually in the hazy, sugary coloured effect of early digital video and photography to mirror people’s hazy ideas about one of the most important events in our lives.

The second component is a series of 35 intra uterine devices or coils which have all been used. We estimate that between them they have prevented at least 200 conceptions from occurring. They work by inhibiting the sperm which are trying to fertilise the released egg. They also prevent any of the eggs that do get fertilised from implanting and growing in the womb. The coils therefore operate at a number of stages in the process of conception.

First Love was originally presented as Recoil in 2000

Walter 2011

Susie Freeman writes:

“In 2002 I was offered a unique collection of razor blades by the writer and publisher Michael Raeburn. He thought they would be of interest as artistic material and hoped I might find ‘some appropriate or inappropriate preservation’ for them. When his father, Walter, died in 1972 it was discovered that he had kept virtually all the razor blades he had used since the late 1920s. Each one was returned to its inner and outer wrapping, marked with a date and sometimes words or a code to indicate how good a shave it had given. To familiarise myself with the collection I knitted a long narrow strip of pockets containing laminated colour reproductions of all the packets in date order from 1927 until 1971.

“In 2011 I finally got around to coiling, pinning and framing the work in a way I felt happy with.”

Last Rites 2011

Last Rites is the companion piece to First Love. It has two components. The first is a series of photographs about the moment of death. We asked many people the question ”what is your image of the moment of death?“ Most responded initially by saying either everything goes black or that they see a bright white light. When pressed people went on to imagine other more detailed and specific visual images.

David Critchley used their words and over a period of a year took photos that responded to the ideas of the moment of death. In particular he echoed the dark/bright light idea and photographed predominantly black, white and grey subjects, although shot in colour. These were then added to photographs by other collaborators.

The second component is a series of framed ‘butterfly needles’ which are used to give drugs to dying patients. The needle is inserted under the skin and the tubing attached to a machine called a syringe driver. Drugs such as diamorphine are given to patient this way. The machine ensures the dose of drug is delivered constantly day and night to keep the dying patient as comfortable and free from distressing symptoms as is possible.

The syringe driver is started when a patient becomes too ill to take medication by mouth. It is now such a common part of terminal care that starting a ‘driver’ is akin to the Last Rites.

Go to ‘The story behind a photograph’ in Articles

Charlie 2011

Pharmacopoeia recently combined framed artworks, films, poems and a trampoline for an installation titled Charlie.

Cystic Fibrosis is a condition inherited via autosomal recessive genes. These genes cause a disturbance in the way sodium chloride is transported at a cellular level. This in turn causes all sorts of fluids in the body to be more viscous than normal and clog up various organs including the lungs. When a child is diagnosed with CF he or she immediately changes from being a normal child to a not normal child. Society views them as ‘different’ or ‘special’ and Charlie is one of these kids.

For 10 years we have been talking to him and his parents about the experience of his condition, the medicines he takes, his hours of daily treatment, times in hospital, scans and xrays. Charlie’s treatment has been directed at keeping his lungs as clear as possible by a combination of physiotherapy, inhalations and antibiotics to prevent infection.

While most of us are struggling not to get fat, Charlie is struggling not to get thin. Every time he eats he has to take between one and six enzyme capsules to replace the digestive enzymes he cannot produce naturally. Without these he can’t absorb enough nutrients from his gut and will become severely malnourished and die. He remains very cheerful in spite of having spent long months in hospital on more than one occasion.

Charlie’s mother Maz has researched the treatment of CF around the world and has been particularly interested in programs developed in Denmark. She says ‘I think medically the Danes have been very significant for CF – they have the best statistics globally as well as innovative doctors. The most influential piece of the Danish protocol for us was the use of the trampoline. Apparently they actually hand them out as part of treatment. As a result we always had a small home-sized trampoline in the house.’

Treatment as a toddler

Charlie’s response as a child

Poem on stained paper

Tangled up in Blue 2011

One woman’s pill packaging preserved from treatment for depression and anxiety.

Daily Dose 2011

Daglig Dosis exhibition 2011

Sunset behind trees reflected in artwork glass case filled with pills

Major exhibition including new installations Last Rites and Wieg tot Graf along with Danish themed and individual artworks by David Critchley, Susie Freeman and Liz Lee

Kunst Centret, Silkeborg Bad, Denmark

Girls Behind Bars 2011

Nicht Normaal 2011

Primary Structures 2011

Unpack London 2010

London Pavilion, Shanghai Expo

Niet Normaal 2010

Medicine and Art 2010

Imagining a Future for Life and Love

Medicine and ArtJubilee was exhibited at Medicine and Art in Tokyo.

“Between the visually intriguing productions of science and the outpourings of investigative artists, vast fields of medicine’s visual and material culture emerge as potential exhibits. These are the raw material from which Wellcome Collection draws its exhibitions, and from which Mori art museum’s “Medicine and Art” show has also been quarried.”

Dr Ken Arnold, Medicine and Art Catalogue

Go to the Jubilee artwork page.

Commissioned by SKOR Amsterdam 2010

The power of presence 2009

The ‘Cradle to Grave’ installation at the British Museum

Camila Mordhorst, Director M/S Museet for Søfart

Abstract

Cradle to Grave

The Living and Dying gallery opened at the British Museum five years ago. Praised by critics, this award-winning exhibition is one of the most well attended exhibitions at the Museum. A visit to the gallery makes it apparent that it is the contemporary art installation, Cradle to Grave, that is particularly attractive to the visitors.

The aim of this article is to explore why this installation is so effective. However, rather than evaluating visitor responses to the installation, this article analyses the fundamental premises that make it so successful.

Using three different theories of ‘proximity’, ‘presence’ and ‘flow of materials’ I thereby attempt a deeper understanding of the installation’s particular intensity. Thus, this article presents a type of exhibition analysis that tries to incorporate the ‘meaning production’ potential of an exhibition, i.e., what an exhibition tells, along with the exhibition’s capability to produce ‘presence’ and ‘material grounding’, i.e., what it does.

Full article as PDF

Go to Cradle to Grave in Artworks

Infectious 2009

Wieg tot Graf: Cradle to Grave in the Netherlands 2009

Wieg tot Graf

Dr Liz Lee

Wieg tot Graf is a new version of the installation Cradle to Grave, created for the exhibition Niet Normaal (Not Normal). It shows the life of ‘everywoman’ and ‘everyman’ living in the Netherlands today. The fabric contains all the pills that they have had prescribed during their life which are knitted into the fabric in the exact order in which they are taken.

Both are healthy children who mainly take paracetamol and occasional antibiotics. From their late teens their medication histories diverge. The woman takes the contraceptive pill before and after having two children. In her middle age she becomes depressed and takes antidepressants for few months. Later she has breast cancer and needs treatment for five years. In general her health remains good until her seventies when she develops diabetes. She is still going strong at 80 years old.

The man has asthma and hay fever in his teens and twenties. He is a smoker and needs antibiotics for chest infections throughout his life. In his thirties he suffers from migraines and intermittent indigestion. Later he gets high blood pressure and cholesterol which means he has to take regular daily medication. At 75 he has a heart attack and a year later suffers a fatal stroke.
Wieg tot Graf: Photos

“The photographs bear witness to vitality and decay, and to the moments of joy and worry that face all of us at some point in our life. Wieg tot Graf generates feelings of astonishment and fascination, but at the same time asks critical questions about the use of medication, and our views on health and health care.”
— De Collectie (The Collection), A New Context for Art Projects in Care Institutions

Read the typical man’s story

Read the typical woman’s story

Go to Wieg tot Graf in Artworks

‘Cradle to Grave’, In Sickness and in Health 2009

Cradle to Grave: Tamoxifen and Flucloxacillin

In 2003, Pharmacopoeia received a major commission from the British Museum, leading to the work ‘Cradle to Grave’. The installation tells the story of an average man and woman told through the medication they have taken in their life and accompanied by photographs, documents and objects. ‘Cradle to Grave’ sheds a particular light on a person’s medical history from a medicines’ point of view. Depending on how old the onlooker is, the installation likewise projects a glimpse into a possible future and a thorough reflection on that.

Pharmacopoeia is a medical-art collaboration between the artists Susie Freeman and David Critchley and the family doctor Liz Lee. Over the last ten years we have created a body of work that explores different aspects of health and ill health. Most of our work reflects attitudes and health beliefs that are common in the UK, but we have also worked on projects in other European countries and in Africa. Central to our work are active pharma- ceuticals that we buy from pharmacies using private prescriptions issued by Dr Lee. In this way we access real drugs that are not available to ordinary members of the public unless they are prescribed. In some artworks we also use ‘over the counter’ medicines that can be purchased without a prescription. The only drugs we do not use for legal reasons are ‘controlled’ drugs such as morphine.

The pills and capsules and often their packaging, are incorporated into fabric by a process known as ‘pocket knitting’. By using a fine nylon yarn small solid objects such as pills are captured in pockets in order to create large flexible fabrics.

In 2001, the British Museum commissioned Pharmacopoeia to contribute to their new gallery of ethnography ‘Living and Dying’. We were asked to make a piece of work that reflected how people in our own Western society respond to sickness and ill health and how we also strive to promote and preserve our sense of wellbeing. The art installation we created is called ‘Cradle to Grave’. It focuses on the Western biomedical approach to ill health with its reliance on medicines, which we take in ever increasing amounts as we move from birth, childhood and adulthood into old age and eventually death. Within the gallery this is contrasted with a number of other societies from the Western Pacific, Nicobar Islands, Native North America and Bolivian Andes who all invoke the help of spirits or Gods to protect them from harm and to cure them of sickness.

Cradle to Grave

Cradle to Grave is a 14-meter long installation that runs down the middle of The Wellcome Trust Gallery at the British Museum. Its central theme is the dominance of the biomedical approach to health and illness within Western societies, here focused mainly on the use of medication. Two central ‘Pill Diaries’ made out of pocket knitted fabric, document and reveal all the medicines prescribed to one woman and one man during their lifetime in the UK today. The pills are laid out in the exact sequence in which they would be taken. As most people also employ a variety of other strategies to promote their sense of wellbeing and to combat ill health, several linked narratives explore these complementary themes. These are provided by a series of ob- jects, documents, and personal photographs that run along either side of the Pill Diaries. Together they reflect the ways in which people deal with sickness and try to secure wellbeing in the UK at the beginning of the 21st century.

Research and Methodology

Having received the commission from the British Museum, we started looking at national and international mortality and morbidity data to ascertain major causes of illness and ill health. Strokes and heart disease are the most common causes of deaths both in the UK and worldwide. Other important conditions contribute to morbidity (ill health) rather than mortality (death). For example, depression is rated as one of the top five causes of morbidity worldwide. From this data we began to map out the kinds of illness we wanted to include in the work.

We then looked at the national prescribing figures. The numbers are shocking. For example, currently there are over 40,000,000 prescriptions for antidepressants issued in the UK every year. We discovered other interesting facts, such as on average everyone in the UK takes one course of antibiotics every two years and that we spend more treating indigestion than we do treating cancer. This information provided us with a framework within which to construct the narratives of ‘Everyman’ and ‘Everywoman’.

Cradle to Grave: Heart Disease

Both contain over 14,000 drugs which is the current estimated average prescribed to every man and woman in the UK in their lifetime. It should be emphasized that these are only prescribed medicines and so over the counter medicines or pills such as vitamins or minerals are not included. For example, most people do not get a prescription for painkillers when they have a headache; they buy paracetamol over the counter at the pharmacy. Many people take multivitamin tablets or antioxidants daily, which are not prescribed by a doctor. Many take indigestion tablets or laxatives, all of which they buy without a prescription. Although they may make a significant contribution to our health, none of these are included in Cradle to Grave.

Pharmacopoeia’s work is always based on real people’s records and on actual medication. This presented us with a problem. We could not simply use the entire medical record of an 80 year old. After all, they were born before the development of most of our current drugs and so although it might provide an accurate historical record, it would have little relevance to today’s population. In the end we took the pragmatic decision to create a composite ‘Everyman’ from the real medical prescribing record of four different males and an ‘Everywoman’ from four different females.

We were able to use real and accurate prescribing data because as a practicing family doctor in the UK, Liz Lee has access to the computerized prescribing records of the 13,000 patients registered at her practice. In the UK there is a reliable system of transfer of medical records when a person moves from one medical practice to another. Consequently nearly everyone’s medical record accurately documents their medical history and prescribing from birth onwards.

Selection of pills

From the 13,000 records, we selected a 20 year old man who had had a number of common medical illnesses. We documented everything that he had been prescribed since he was born.

Cradle to Grave: early years of life

We also noted his childhood immunizations. We then chose the record of a 40 year old man and documented everything he had been prescribed from the age of 20 to 40. Again these were mostly treatments for common con- ditions. We ensured that the two patients’ medical history ‘fitted together’ well by selecting suitable patients. For example, they both suffered from hay fever and asthma and this allowed us to ensure some continuity between the two sections of the narrative. We then repeated this process for a 60 year old and completed the record with the medication history of an ex-smoker with a bad chest and high blood pressure who died of a stroke at the age of 76, currently the average life expectancy of a man in the UK. Themes such as chest disease, indigestion and back pain were carried through all the four ages in order to represent the imaginary subjects of our piece.

The same amalgamation of four reasonably well matched patient prescribing records was used for the women’s diary. She took contraceptives regu- larly when she was young. In her twenties and thirties she had two children and one miscarriage, and was treated for an episode of postnatal depression. Later she was prescribed hormone replacement therapy for her menopausal symptoms. After a mammogram in her fifties she was diagnosed and successfully treated for breast cancer. In her seventies she took increasing numbers of painkillers to treat arthritis, which eventually led her to have a hip replacement. Like an increasing number of people she was also diagnosed with diabetes. At the end of the diary she is still alive and reasonably healthy aged 82. In 2003 when we made Cradle to Grave the average life expectancy of UK women was just over 82 years.

Selection of objects and photographs

Cradle to Grave: Photographs

The pill narratives provide the central structure for the piece but reveal only part of the complex strategies we employ in order to maintain a sense of health and wellbeing. Some of this complexity is captured in two other narrative strands. Running on either side of the pill diaries are personal objects, documents and medical artifacts that relate to daily life. Interspersing these are groups of photographs with captions written by their owners, tracing typical moments in real people’s lives. The photographs are drawn from the albums of family friends and colleagues. We invited a wide spectrum of people to submit photographs that they felt particularly illustrated their own personal experience of health and ill health. The response we got demonstrates very clearly that maintaining a sense of wellbeing is much more complex than just treating periods of illness. Among other things the photographs reveal that it is about family and community, work, weddings and funerals. It is about eating and drinking and smoking and dancing. It is about our relationship with nature. It includes sadness and suffering and loss.

Cradle to Grave: Objects

The objects are more diverse still. These were selected by the artists in order to reflect the complexity and sophistication of our thinking and actions. They included choices we can make about healthy living as opposed to risk taking behavior. An apple to illustrate a healthy diet, condoms for protection against sexually transmitted disease, a glass of red wine, which is protec- tive against heart disease, but in excess can damage our social and physical functioning. Conflicting feelings about ‘healthy behaviors’ are addressed by the inclusion of an ashtray filled with fag butts suggesting the dangers of smoking while the photographs acknowledge the pleasure and sociability associated with smoking.

Medical artifacts fill the gap created by our tight focus on medication. The contribution of technology and surgery to the biomedical approach to health is represented by x-rays, a pregnancy scan, a mammogram showing a breast cancer, and a prosthetic hip joint. The existence of a National Health Service, which undertakes to provide care that is free at the point of delivery to all residents in the country, is important to citizens’ sense of wellbeing. It is represented by a blood donor collection bag and a long service enameled badge. In the UK, ordinary people donate blood as volunteers. They are not paid for their altruism but instead are rewarded for multiple donations with a blood donor’s badge. Acupuncture needles and homeopathic medicines represent complementary therapies and a bible is included to acknowledge the importance of faith to many people. Finally there is the documentation, which in the case of the birth certificate acknowledges our arrival into our society and the death certificate, which marks our departure.

The pills

Cradle to Grave: Viewers

Cradle to Grave focuses on ordinary people suffering from the common ills of our society. Most of the medicines present in the two pill diaries are prescribed either for the primary or secondary prevention of disease. Primary prevention is treatment taken before a disease has developed. For example, for some years the man takes antihypertensive medicine to treat his high blood pressure. High blood pressure is not itself a disease, but if you suffer from untreated raised blood pressure it increases your likelihood of having a stroke or a heart attack. In spite of his years of treatment, he does have a heart attack at the age of 76. After this his pill regime changes to one of secondary prevention. This means treatment is now aimed at preventing a second heart attack. This includes continuing to control blood pressure, taking a drug to reduce circulating cholesterol and taking an aspirin to thin the blood. These actions together will statistically reduce his likelihood of a recurrence.

The woman represented has breast cancer treated with surgery. After this she takes a pill every day for the next five years to reduce the likelihood of a recurrence of the cancer. Again this is secondary prevention. When trying to get pregnant and in the first three months of pregnancy she takes the vitamin folic acid to reduce the chance of her baby being born with the condition spina bifida. This is primary prevention.

Some of the medication is prescribed in order to cure, for example, both take antibiotics to cure infections of the chest or the throat. As well as primary or secondary prevention and cure, many pills are taken to control distressing symptoms such as indigestion or the pain of arthritis. Most of the early sections of the woman’s diary are dedicated to the control of fertility. Thousands of contraceptive pills are taken in order to prevent the ‘natural’ act of conception.

There is also evidence of the medicalization of ordinary life: of the menopause, of unhappiness, of obesity and of smoking addiction. These more controversial areas of treatment are perhaps more susceptible to prescribing fashions. For example, hormone replacement therapy (HRT) was widely used in the UK five years ago. But now there is new evidence about its harmful as well as its beneficial effects and if we were remaking Cradle to Grave in 2008, HRT would not be included.

Other evidence based changes have also taken place. In 2002, by the age of four, children in the UK were immunized against nine infectious diseases, but this has now increased to 10. There are new guidelines on the most effective treatment of high blood pressure and changing trends in the medicines used to treat childhood pain and fever. Because of the speed of change in prescribing patterns, the pill narratives in Cradle to Grave have already become a historical record.

Looking into the future

Cradle to Grave: Viewers

Some people, including doctors, are therapeutic nihilists; others are committed pill takers. Each individual’s response to Cradle to Grave reflects not only this natural preference but also their personal experience of illness. The tendency is for younger people to say ‘this is not relevant to me as I hardly ever take any medication’. In this they are correct. Young people take very few prescription medicines and if they look more closely they will see that this interpretation is clearly reflected in the work. Age tags sewn into the margin of the 14-meter strip of fabric reveal that by the age of 20, the amount of pills representing the intake of an average man, is only two meters long. One of the astonishing aspects of Cradle to Grave is that it not only allows a 20 year old to reflect on their present and past state of health, it also asks them to look into their future. It is at the other end that the real pill tak- ing starts. ‘Everyman’ takes as many pills in the last 10 years of his life as he has in his previous 66 years.

Cradle to Grave incorporates evidence of the medicalization of ordinary life. We take pills to treat unhappiness, obesity, smoking addiction, to control natural events such as the menopause and these are important issues that our society needs to debate. Perhaps even more importantly, Cradle to Grave demonstrates our commitment to the medicalization of old age. As the body begins to fail, we turn to pharmaceutically active chemicals to preserve and extend life. We minimize the suffering of old age by medicating it. But this does raise questions on the earlier years when we are not considering long-term health, nor being concerned with health itself and only reacting to acute and crucial situations.

In the end we are asked to consider the deeply complex relationship we have with prescription drugs. They are both wonderful and dangerous. They allow us to live longer, they allow us to suffer less, but they may also offer false promises of happiness and health and immortality that they cannot possibly deliver. In this they are more like the spirits and gods of other cultures than we care to believe.

Go to Cradle to Grave in Artworks

Wieg tot Graf 2009

A Dutch version of Cradle to Grave, commissioned by SKOR (Foundation Art and Public Space) for ‘De Collectie: A New Context for Art Projects in Care Institutions’.

From September 2012 Wieg tot Graf will be on long-term display at CBG-MEB (medicines evaluation board), Utrecht.

Go to Wieg tot Graf: Cradle to Grave in the Netherlands in Articles

Side Effects 2009

dANTE OR dIE make interdisciplinary performances combining physical theatre, dance and live and recorded music, often reacting and responding to different sites and environments.

Visit their website (opens in a new window)

Dose 2009

DoseIn a project for Holloway Women’s Prison initiated by The British Museum and funded by UCL, Pharmacopoeia developed Dose – an installation documenting a woman’s ‘life’ up to 50 years as seen through her prescribed medication.

Liz Lee spent time with the prison medical service at Holloway to gain insight into the health problems of this particular population. Similar to Cradle to Grave a pocket knitted pill narrative with health related objects, documents and family album photographs was made and exhibited in the prison chapel in autumn 2009. Pharmacopoeia ran art workshops to explore issues raised by Dose that were significant and resonant for women prisoners in Holloway such as addiction, sexual and mental health. Through group art making exercises the women developed their own ideas in a variety of media with a particular focus on textiles and making bags.

Go to Dose at Holloway Prison in Articles

Gretel 2009

BBC Horizon commissioned Pharmacopoeia to make a new version of our sweets and pills dress. Gretel was featured with other Pharmacopoeia pieces in the documentary titled ‘Pill Poppers’ directed by Emma Jay and first screened in January 2010.

Go to the original version of this piece ‘Sweetie’, made in 2000.

Dose at Holloway Prison 2009

Katie Lloyd Thomas

Dose: a version of Cradle to Grave

The installation of Dose in the prison chapel at HMP Holloway, which was at the centre of the 4-day workshop I participated in with Pharmacopeia, had three very particular and profound effects. First, although I could only recognise some of the pills knitted into it like treasures, many of the prisoners could identify and name most of them – from aspirin to contraception to anti-psychotics – and some could directly read its narrative of erratic use of medication prior to a stay in Holloway to a controlled and helpful use afterwards. As an artwork it spoke directly to the prisoners and prompted immediate and lively discussion. Second, Dose became a work table, a place to gather round and talk, finding common ground in our experiences, and a space to map all of our lives. On day one we marked significant events on post-its and mapped a collective past. On day four when visitors came to our final exhibition we all contributed our hopes and predictions for our futures.

Dose: making a bag

This theme – of a life – carried through for those that were there on the first day into the two days we spent in the textiles room making bags – sewing, printing, chatting – around a table once again. Some women took pleasure in the gorgeous fabrics and ribbons Susie brought in and made something beautiful they could keep. One prisoner made a bag in turquoise satin with a print of a cat she had drawn to send to her daughter. Another materialised painful aspects of her past she found difficult to verbalise, with images of flames and the words ‘fire is powerful’. For me it was, perhaps, most moving to sew alongside a young prisoner who told me she was so quick to anger that she could never usually concentrate on anything. She astonished herself by working for two days solid, making a very intricate bag although she had never sewed before and was constantly frustrated. A gauze pocket at the front held drawings of scenes and memories that she took from a map of her life she had drawn on day one. That first morning the road that represented her life was marked by needles, alcohol and the death of her father and ended at ‘jail’. But then she added a future, beyond Holloway, which was going to be ‘Quality Street’. Her bag held the past and symbolised her hopes for the future in gold beads and ribbon. Dose mapped out a life in medications and brought difficult issues to the surface, but it also provided a structure for us all to think about our own lives, and in ways I never expected when I apprehensively stepped ‘inside’, to consider our commonalities even more than our differences.

Go to Dose in Artworks

Permanenten Vestlandske Kunstindustrimuseum 2009

Come Dancing Too
Bergen

Bacteriology Illustrated 2008

“We have shown Susie’s work in Science Gallery on two occasions – in 2008 we put together a show PILLS with a collection of Susie’s work and her work Bacteriology Illustrated was shown as part of our flagship show INFECTIOUS in 2009.

“Science Gallery vision is to ignite creativity and discovery where science and art collide – we aim to connect with and surprise our visitors with intriguing and thought provoking work. Susie’s beautifully, intricate textile work coupled with an insightful production often surprised our audiences and engaged them in a process of considering their and societies relationship with commonly prescribed drugs and the medical world generally.

“Over 13,000 visitors came to PILLS during it’s run in Science Gallery.”

Lynn Scarff, Science Gallery

“Initially I tore up a page in an attempt to isolate key words, placing each selected bite size piece in its own pocket. However, it seemed important not to discard anything.

“The dress is now formed from every page of the book. The process was painstaking and precise, each page torn into 130 pieces and placed in correct sequence to form reconstructed pages paired across the weft. Running along the warp two by two for 610 rows, there are 15,860 pockets in total. I combined the dress with a ‘doctors bag’ containing the tools of defense against infection collected in the surgery.

“The language of dressmaking and tailoring becomes layered with a different set of meanings when applied to ideas concerning infectious disease. The boned corset constrains the body, the boned book cover both holds the information within and tries to control the billowing spreading fabric.”

Susie Freeman

PILLS – Which Ones Have You Taken? 2008

‘Which Ones Have You Taken?’

Science Gallery, Dublin

Strikknikk 2008

‘Come Dancing’ seen in a mirrorExisting Pharmacopoeia pieces alongside new Norwegian related work as part of a Strikk 7 – a national programme of exhibitions and events on the theme of knitting.

Wellcome Collection 2008

‘Veil of Tears’

Wellcome Collection

‘Veil of Tears’, an installation about malaria features in one of the permanent galleries in ‘Wellcome Collection’ at 183 Euston Road.

Agoraphobic’s Handbag IV 2008

Agoraphobic’s HandbagA handbag with a range of pills that may be taken by an agoraphobic to enable them to go out—it includes antidepressants, anxiolytics like valium to calm their nerves and beta blockers to steady their pounding heart.

This is the latest in a edition of five Agoraphobic’s Handbags, some of which have been sold to private collectors.

Behind ‘White Pain’ 2007

White Pain

White pain is made from the pill packaging that remains after one man’s lifetime of taking painkillers. It starts with the medications he took as a child, paracetamol for earache, toothache and sore throats. When he was twelve he got mumps and needed several days of analgesia for pain in his swollen face. As he grows into early adulthood he takes occasional aspirin, paracetamol or ibuprofen after footballing injuries and for hangovers. He falls off his bike and breaks an arm so needs to take eight paracetamol a day for two weeks the pain is so bad.

In his thirties he has very little trouble, just occasional headaches and one bout of tonsillitis. However, in his forties he needs many more pills as he starts to suffer from recurrent low back pain. For two or three weeks at a time he needs large numbers of both paracetamol and ibuprofen taking up to eleven tablets a day. In the UK back pain is the most common cause of time off work.

After several months of particularly bad pain he suffers from depression and is teated with seroxat. Chronic pain can make you depressed but also when you are feeling depressed it is harder to tolerate pain.

As he moves into his sixth decade he has a painful bout of shingles. The rash lasts for three weeks and is very painful so treated with coproxamol. After this he continues to have pain in the nerve that was affected by the shingles. This is called post herpetic neuralgia and it lasts for six months. The pain of neuralgia does not respond to ordinary pain killers. Instead he tries gabapentine for a month but is more successfully treated with amitryptyline, taking one tablet a day for six months until the pain naturally subsides.

White Pain detail

From sixty-five he starts to get the beginning of arthritis in his hands and knees. Slowly he takes more and more analgesia such as co-codamol and kapake until eventually in his mid seventies he needs to take four or more tablets every single day.

After his wife dies unexpectedly at sixty-nine he suffers from a second bout of depression, treated with the anti-depressant efexor.

He is diagnosed with cancer of the prostate when he is 78. At the time of diagnosis the cancer has spread to his bones and these secondary deposits are very painful. Initially he takes the anti-inflammatory drug diclofenac for this bone pain but with treatment for the cancer the pain subsides. It returns later as the cancer spreads and in the last year of his life he takes both diclofenac and the strong opiate drug tramadol. Finally in the last three days of his life when he can no-longer take tablets by mouth he is given diamorphine (heroin) as a continuous infusion under the skin to keep him pain free and comfortable until he dies.

Go to White Pain in Artworks

Malaria and the creation of Veil of Tears 2007

Veil of Tears

We have based this piece on the experience of people living in the small town of Maseno on the shores of Lake Victoria. It is an area where malaria is so common that by the age of two nearly every child will have been infected. The consequences of recurrent infection throughout life are profound as can be seen in the health of the population many of whom have resulting chronic anaemia.

In children under the age of five, malaria is the commonest cause of death in this region of Kenya. The adult wards are full of patients with HIV related illness but the children’s wards are full of babies and infants being treated for malaria.

The child in Veil of Tears is modeled on a baby in the children’s ward of Maseno hospital. Her mother and father talked not only of the fear they experienced when their child was ill, but also of the economic consequences of bringing her to hospital. This included a day’s pay for the bus fare, the equivalent of one month’s pay for the hospital treatment, and the expense of missing work. The survival rate for children with severe cerebral malaria has a direct correlation with the likelihood that they are treated in hospital and this depends on the distance the family live from the nearest hospital, and whether they can afford to go.

The Veil of Tears installation considers the burden of malaria in the first five years of the life of a child living in Maseno. It is based on academic research carried out in the local region and on our own observations and interviews.

Veil of Tears: mosquitos

The first net demonstrates the number of mosquito bites infected with Plasmodium Falciparum sporozites that a five-year-old child will have had. This is known as the Entomological Inoculation Rate (EIR) and in the Maseno region the daily EIR average is 0.6 infective bites per person. Sleeping nets impregnanted with permethrin reduces the EIR considerably but often people could not afford nets, or when they had them did not always use them.

Veil of Tears: blood slide

Research in the region also suggests that one in thirteen of these sporozite inoculations or bites is likely to to result in infection. The second net contains eighty-four finger prick blood films, which represent the number of times this child might be infected with malaria before she is five years old.

Veil of Tears: malaria treatment

Most cases of malaria are treated at home and people buy antimalarial drugs in the nearest pharmacy if there is one, or at the local shop. There is increasing resistance to the drugs used to treat malaria. The more money you have the more effective drug you can afford. Most people take a course of three antimalarial tablets for each episode of malaria. Many take a course every time they get a temperature whatever the cause. The drugs in the third net increase in price and in efficacy as they rise up the fabric.

Veil of Tears: mother and child

The final net partially covers a sick child receiving the drug chloroquine into a vein in her scalp. Her mother sat with her day and night. She eventually made a complete recovery but is very likely to be ill with malaria again before she reaches five years old.

Go to Veil of Tears in Artworks

Medical Mesh 2007

Pharmacopoeia pieces in BergenExisting Pharmacopoeia pieces alongside new Norwegian related work as part of a Strikk 7 – a national programme of exhibitions and events on the theme of knitting.

British Museum 2007


Cradle to Grave website


‘Cradle to Grave’‘Cradle to Grave’ is an installation of pills, objects and photography representing the story of health and wellbeing in the UK today.

A Cautionary Tale 2007

A Cautionary TaleA Cautionary Tale illustrates the health and economic burden of the obesity epidemic in the UK. The work is based on the medical records of two middle aged men, called simply Mr D the Driver and Mr C the Cyclist. The work incorporates all the medicine prescribed to each of these men in 2006.

“There is considerable stigma attached to being fat in this society. We do not wish to increase that stigma by blaming individuals because everyone has their own personal and perhaps unavoidable reason for becoming overweight. So we have set out to make a piece of work that reflects the fact that you can be obese and attractive, you can be obese and happy but it is difficult to be obese for many years and remain healthy.”

Dr Liz Lee

Photo: Martin Parr

Veil of Tears 2007

Veil of Tears

Go to Malaria and the Creation of Veil of Tears in Articles

Liz Lee and Susie Freeman were commissioned in 2006 by The Wellcome Trust to research malaria in Kenya and make an artwork for their Medicine Now Gallery.

For more information about the development of the artwork, please take a look at this article.

An animatronic baby suspended in space, attached to its operating mechanism

White Pain 2007

White pain is made from the pill packaging that remains after one man’s lifetime of taking painkillers.

Go to Behind White Pain in Articles

Medicine Now 2007

Schmerz 2007

Hamburger Bahnhof – Museum für Gegenwart – Berlin


‘One for the Road’Pharmacopoeia exhibited One for the Road in Schmerz (‘Pain’). Contemporary art and medicine was the main focus of this interdisciplinary exhibition from April to August at Hamburger Bahnhof Museum for Contemporary Art in collaboration with Berlin Museum of Medical History.

Wellcome Collection 2006

A.N.Other 2006

A.N.OtherCo-ordinated by Jane Samuels for the Access programme at The British Museum, Pharmacopoeia exhibited a site specific Installation, A.N.Other, in the prison chapel at Pentonville Prison. Through the month of September 2006 David Critchley, Susie Freeman and Liz Lee ran related art workshops for prisoners focusing on the themes of life and death and the drug and pharmaceutical elements as presented in A.N.Other and Cradle to Grave.

A.N.Other 2006

‘Cradle to Grave’ at Pentonville PrisonCo-ordinated by Jane Samuels for the Access programme at The British Museum, Pharmacopoeia exhibited a site specific Installation, A.N.Other, in the prison chapel at Pentonville Prison. Through the month of September David Critchley, Susie Freeman and Liz Lee ran a related art workshop for prisoners focusing on the themes of life and death and the drug and pharmaceutical elements as presented in A.N.Other and Cradle to Grave.

Charnley Collection 2006

Charnley CollectionJohn Charnley, was considered by many to be the inventor of the the prosthetic hip. Pharmacopoeia were commissioned in 2005 by the John Charnley Trust to make a group of wearable pieces illustrating his research.

To address mobility lost through joint pain and pain management, our five pieces—waistcoat, pocket watch, handbag, gloves and shoes—resonate with patients on an intuitive and emotional level.

We make reference to what pain and stiffness stop you doing – like dancing, walking, going out to the shops, knitting, or playing the piano. The need to wear comfortable often unattractive shoes (no high heels any more) and having to use a walking stick. Medicines are included from the various classes of drug that are use to treat the pain of arthritis. The non steroidal anti-inflammatory drugs, paracetamol and the paracetamol/codeine drugs, the cytotoxic drugs methotrexate and gold injections. Phials of the latter were incorporated into a pocket watch and chain made by jeweler Holly Belsher. The waistcoat references John Charnley’s fabric infection charts which he made on pinstripe cloth.

John Charnley Trust 2006

‘The Charnley Collection’Pharmacopoeia were commissioned in 2005 by the John Charnley Trust to make a group of wearable pieces illustrating arthritis and the pioneering work in orthopaedics of John Charnley, considered by many to be the inventor of the the prosthetic hip.

Artwear: Fashion and Anti-fashion 2005

This retrospective exhibition looks at how wearable art has grown and changed from its beginnings as 1960s street style, to grand, one-of-a-kind woven, knitted and dyed garments that are equally at home on the body and on the wall, to the more fashion orientated works of the 1990s. It considers wearable art’s relationship both to the dress reform movements that preceded it and the contemporary fashions to which it relates. The exhibition also explores the performance aspect of art to wear, as well as its relationship to the popular use of unwearable garments as artistic metaphor.‘Come Dancing’

ARTAID 2005 2005

‘Table Talk’Table Talk is set for 12 real people we would like to invite to dinner and whose true life stories together tell the history of HIV in Britain. Running down the centre, the parallel story of how drug treatment has developed is outlined using actual medication. Many of our guests are dead, some keep their HIV status secret, one doesn’t even know she is positive. So although our encounter over dinner will remain imaginary the stories told around it are real.

HIV and making Table Talk 2004

Susie Freeman

Table Talk: map and napkin

In 2004 I was awarded an Arts Council grant for Slim – a study of HIV in the UK. With additional research by Dr Liz Lee and support from the charity Crusaid, we developed a large installation in the form of a table setting.

“Making Table Talk was particularly challenging. Unlike previous work which was based on our own personal and professional experiences, we knew little about HIV. Starting from a relatively small knowledge base we set about trying to learn what it is like to be HIV positive today and to compare this to the experience of having HIV in the earlier phases of the epidemic.

Our first lesson was that HIV affects a whole spectrum of ordinary people. The only significant difference between patients in the waiting room of the HIV clinic and patients in a GP surgery is that there are less old people in the HIV clinic. The second lesson was that HIV remains predominantly a hidden or secret condition. The rising number of HIV positive people go unnoticed because they choose to keep their diagnosis quite private. Initially this made it difficult to gather information, but gradually we were able to find people willing to talk about their personal experiences”

Liz Lee

Table Talk: Mat and Napkin

A table is set for guests, all of whom will have either been HIV positive or personally affected by the disease. These are all people that as a result of our research we felt we would like to meet. Each guest has a place at the table, marked by a mat and napkin; the images and writing on these reflecting something of each personal story. They also have a place-card with first name only, year of birth and sometimes year of death.

The history of the HIV pandemic is also the history of its drug treatment. These medications form a central table runner showing chronologically the development of retrovirals as well as an indication of treatments for opportunistic infections.

I interviewed people who are HIV positive along with relatives, friends and carers of others who had died of AIDS. Liz met with professionals working in the field, following their work in clinics and talking to patients.

Table Talk: Manchester

Our illustrated guests include a haemophiliac, a pregnant woman, a Terrance Higgins Trust buddy volunteer and David Carr, who died in his mid-twenties in 1957 following a complex medical condition which mystified doctors during his five month stay in Manchester Royal Infirmary. Known as the Manchester Sailor, David Carr was the earliest known confirmed case of HIV in the UK at the time we made Table Talk. Tissue samples preserved from his death were subsequently tested from 1983 to 1987 revealing he had HIV infection. It is now thought that HIV existed for hundreds of years but remained undiagnosed.

The youngest person included is Susan, a twelve year who is not yet fully aware of her diagnosis. When she visits the GP surgery a sign flashes up on the computer screen to alert and remind the doctor to her HIV positivity.

Table Talk: napkins

The napkins on the table are printed with the stories of the guests, but most of these are exhibited rolled and tied, concealing some of the information just as the diagnoses are kept private. Four people agreed to have their full interviews on display, and these napkins are laid out so the whole story is visible.  In Susan’s case, the account comes from one of her carers:

I work as a nurse specialising in the care of children who are HIV positive. Because of the social stigma associated with HIV and because the public still have a real problem with it, you can’t tell very young children their diagnosis because they might blurt it out…
Click here to read the rest of Susan’s story

In 2007 for the exhibition Medical Mesh in Bergen, we expanded the installation to include 2 people living in Norway. We continue to collect information and welcome opportunities to broaden the piece for other countries.

We would like to thank all those who contributed their experiences and assisted with our research.

Go to Table Talk in Artworks

PILLish 2004

‘The Pits’

Female Pharmacopoeia 2004

‘Miss Essex’

Lies, Lust, Art & Fashion 2004

‘Lies Lust Art & Fashion’Lies, Lust, Art and Fashion – Signale der Kleidung is an exploration of the theme of clothing and the effects of fashion on society as interpreted by a number of international artists.

Table Talk 2004

Tabletalk“Table Talk movingly explores the effect of HIV/AIDS on individuals’ lives. A dinner table is set for 12 real people whose life stories together tell the history of HIV/AIDS in the UK. Their varied experiences of living with HIV/AIDS and the deaths of some are described on their dinner napkins and place mats set around a table, decorated with a gauze runner that incorporates pharmaceutical samples to track the evolution of HIV/AIDS therapy.”

Colin Martin, writing for The Lancet, 1842  www.thelancet.com Vol 366 November 26, 2005
Go to HIV and making Table Talk in Articles

Llistes D’Espera 2003

‘The Waiting List’‘The Waiting List’ – Spanish touring exhibition.

The Happy Couple 2003

‘Jubilee’‘Jubilee’ shown as part of The Happy Couple multimedia exhibition which celebrates the theme of weddings.

Cradle to Grave 2003

Cradle to Grave explores our approach to health in Britain today and reflects some of the ways in which people deal with sickness and try to secure wellbeing. The installation comprises three linked narratives: a pill ‘diary’, objects and documents, and personal photographs.

Photo: Tom Lee

Go to In Sickness and in Health in Articles
Go to The Power of Presence in Articles
Go to the Cradle to Grave website (opens in a new window)

Pharmacopoeia touring exhibition 2003

‘OTC Veil’‘OTC Veil’, Pharmacopoeia Touring Exhibition, Renfrewshire

Staffroom 2002

StaffroomA framed length of fabric, containing all the cigarette butts collected over the course of a week from seven ashtrays in a school staffroom. It is shown alongside forensic photographs of the seven ashtrays.

Since making it, smoking in the staffroom at this school has been banned.

‘Pharmacopoeia’ in Feminist Review 2002

Dr. Liz Lee (published in Feminist Review, no.72, 2002)

Abstract

The Overnight Bag II

In this article I describe the development of my collaboration with the textile artist Susie Freeman in the production of the visual arts project Pharmacopoeia. Over the past 3 years we have created a body of work that aims to provide information about common medical treatments in a way that engages the public imagination.

The work is dominated by the use of active pharmaceuticals, both pills and capsules, which are incorporated into dramatic fabrics by a process known as pocket knitting. These fabrics are then made into clothing and accessories, making their individual messages easier to ‘read’.

The work aims to encourage people to think about their own medical and pharmacological history, and to reflect on their relationship with commonly prescribed drugs. It also reveals how dependent our society is on pharmaceuticals, how ambivalent we feel about them and yet how casually we use them.

Full article available on www.palgrave-journals.com

Miss Essex 2002

A woman carrying a huge handbag with pills woven into the fabric.Miss Essex is an obese young diabetic woman with serious mental health problems. She regularly sees both her GP and her psychiatrist.

She is prescribed a diabetic tablet called Metformin which helps reduce blood sugar levels and Enalapril Maleate to lower her blood pressure.

She has also been prescribed a number obesity drugs. Orlistat reduces the absorption of fat from the intestine which can contribute to weight loss especially when combined with an appropriate diet. Fenfluramine is an appetite suppressant which used to be prescribed to obese people but was withdrawn following reports of serious side effects.

Her mental health problems are complex, including both depressive and psychotic illnesses. She has been prescribed a number of antidepressants such as Prozac and Mirtazepine. She has also taken Stelazine, an anti-psychotic drug, and in turn Procyclidine to combat some of the severe side effects of Stelazine.

One of the consequences of her poor mental health is that at times she continues to collect her prescriptions but does not take the drugs. These hoards of pills have been collected from her often months or years after they have been prescribed.

Joe’s Decks 2002

A young man smiling, standing by a number of broken skateboards, and x-rays of broken bones.Joe is 14 and started skateboarding when he was 11. He has needed stitches on his leg but fortunately had no fractures. The boards are broken quite frequently particularly ‘when you jump off high things’.

Skateboarding is a sport that is generally good for the health, but it has its hazards and these include broken bones. The most common are injuries to the lower limbs especially fractures around the ankle. Wrists and hands are also vulnerable. Any part of the body can be injured and in accident and emergency departments ribs, backs and faces (including teeth) often need to be X-rayed. Sometimes there is a fracture, sometimes not. This is reflected in this collection of X-rays of skateboarding injuries gathered from three A&E departments. The most severe and life threatening injuries sustained while skateboarding are head injuries, principally caused by collision with moving vehicles while skateboarding on roads.

The Waiting List 2002

A replacement artificial hip alongside a length of fabric woven with pills.

When the pain of arthritis of the hip becomes intractable, a hip replacement operation is indicated. Delaying the operation results in the patient suffering continued pain for which they may need to take a large number of painkillers every day. These drugs commonly cause side effects such as indigestion and constipation which then also need treating. Constant pain frequently leads to depression and difficulty sleeping so that sleeping tablets or antidepressants are often prescribed as well. The result can be a cocktail of as many as 15 tablets every day.

“We charted the complicated drug regime of one of my patients during the two years they were waiting for a hip replacement on the NHS. It is a considerable logistical challenge to organise the prescribing, dispensing and taking of such a large number of drugs. Yet even with all this medication most patients suffer pain and distress while awaiting their operations. With an increasingly elderly population the demand for joint replacement operations on the NHS will continue to rise.”

Dr Liz Lee

Osteoporosis & Mrs. Patel 2001

Dr Liz Lee

General Information

An elderly Indian woman wearing a sari containing many pills.

Osteoporosis is the thinning of bones and is the most common risk of fractures in people under the age of 70. Throughout life there is a constant removal and replacement of bone cells and our bones are at their strongest in early adult life. Following the menopause bone reabsorption exceeds the formation of new bone and bone density is gradually reduced. There are no symptoms from low bone density but osteoporosis can be suspected if women show rapid loss of height or rounding of the spine. It becomes a problem if fractures occur. Bone density is influenced by lack of exercise, smoking and intake of dietary calcium. Genetic factors are also important and some families are more likely to develop problems than others. People who have taken corticosteroids for long periods of time are also at risk. There are several approaches to treatment. Giving hormone replacement therapy reduces bone loss and may even improve bone density. Biphosphonates are a class of drug that reduces the turn over of bone and can also produce an increase in bone density. Thirdly calcium supplements given with vitamin D are prescribed particularly where the diet is low in calcium and and where there is a risk of vitamin D deficiency. Sunlight on the skin is essential for the synthesis of vitamin D and so housebound elderly patients are at risk. It is also more common in Asians who eat unleavened bread.

Case Study

Mrs Patel is a seventy one year old Indian woman who lives with her family in Bristol. She has both osteoporosis and arthritis. When she was sixty two she was lowering herself into her bath when she got a terrible pain in her hip and found she was unable to get out. Eventually her family had to break the bathroom door down to rescue her. Their GP came and examined her. Although he did not think she had broken her hip, because after all she had not fallen, he revisited the next day and then diagnosed a fracture. She was sent into hospital where a fracture due to osteoporosis was confirmed. At operation two weeks later the fractured hip was replace by a prosthetic joint. She continues to walk using a stick but gets no pain from her hip. She does however have constant back pain from arthritis which has also been diagnosed in her knees.

For her osteoporosis she takes calcium and vitamin D twice a day. For her arthritis she takes pain killers. At times in the past she has had indigestion and this is a common complication of the non steroidal antiinflammatory drugs (NSAIDS) which are effective in treating arthritic pain. An alternative is to take the paracetamol and codeine based pain killers which do not cause indigestion but can be constipating. If arthritis pain is intractable many patients need to take both the NSAIDS and paracetamol or codeine together as well as medication to counteract their side effects. These include laxitives and indigestion or ulcer healing drugs.

Mrs Patel’s Sari is made from pill packaging and the tablets she takes for her arthritic pain and for her osteoporosis. It also incorporates alternative treatments such as HRT for osteoporosis and NSAIDS for arthritis. Treatment for the common side effects are also included. Many patients are forced to take ten or more tablets of these tablets on a daily basis in order to minimise the pain disability caused by these chronic conditions. Shown with the sari is a prosthetic hip joint as a reminder that there are 60,000 hip fractures a year in the UK.

Go to Mrs. Patel in Artworks

Royal College of Physicians 2001

'Armour'‘Armour’ at the Royal College of Physicians, Regents Park.

British Association for the Advancement of Science Festival 2001

'A Packet a Week'‘A Packet a Week’, The Wellcome Trust showing of Pharmacopoeia at the BA Festival of Science in Glasgow, September 2001.

Adorn, Equip 2001

adorn, equip Online Exhibition


Mrs. Patel in her pill sari‘Mrs. Patel’s Sari’ was commissioned by Leicester City Art Gallery for their touring exhibition Adorn, Equip. The exhibition considers issues relating to disability.

Pharmacopoeia 2001

Dr Liz Lee and David Critchley in front of 'Recoil'David Critchley and Dr. Liz Lee with Recoil in the Galileo Gallery, Explore Science Museum, @tBristol.

Mrs. Patel’s Sari 2001

An elderly Indian woman wearing a sari containing many pills.Commissioned by The City Gallery, Leicester for the touring exhibition ‘adorn, equip’, this sari is made out of pills Mrs Patel takes for osteoporosis and arthritis. She is a 71 year old Indian woman who developed osteoporosis—demineralisation of the bones—when she was only 63. Osteoporosis weakens the bones and is the commonest risk factor for fractures in women under the age of 70. Mrs Patel did not know that she had the condition until her hip joint broke as she was stepping into a bath. She needed an operation to replace the broken hip with an artificial one and was started on medication to prevent her condition from getting worse. There are a number of treatments for osteoporosis including hormone replacement therapy (HRT), calcium and vitamin D tablets.

Go to Osteoporosis & Mrs. Patel in Articles

Headache Turban 2001

Prince Charles saw Headache amongst other pieces at the Harley Gallery in Nottinghamshire.

Vitamin Necklace 2001

Resistance 2001

ResistanceThis laboratory report from a urine sample graphically illustrates the problem of increased resistance. The patient presented with the symptoms of a urinary tract infection (UTI): the desire to pass small amounts of urine very frequently, accompanied by burning pain. This is a very common problem for women and standard management is to treat the infection ‘blind’ without sending a specimen to the laboratory. In children and in men UTI’s are uncommon and can be associated with significant underlying problems and so when they develop these symptoms a specimen must always be sent to the laboratory and the problem reviewed again after treatment has been given.

In this case a specimen of urine was sent to the laboratory and revealed a highly resistant E. Coli bacterium. On the right hand side of the form is a list of antibiotics that it has been tested against. An R after the antibiotic name denotes resistance, an S denotes sensitivity. This particular bacterium is resistant to seven antibiotics. Fortunately there are two to which it is still sensitive and these can be used to treat the infection.

Migraine Tiara 2000

A blonde woman's head from above, wearing a tiara wreathed in yellow, pink and white pills.Migraine headaches are common and often disabling. An initial constriction of blood vessels in the head cause characteristic visual disturbance called an aura in some sufferers. They know that this presages the onset of a severe headache as the vessels then dilate within the confined space of the skull. Nausea with or without vomiting accompanies the headache. The patient usually has no choice but to lie down, preferably in a quiet darkened room until the migraine passes. This can take from a very few hours to a few days. Occasionally transient partial paralysis occurs during a very severe migraine.

Migraines can be triggered by a variety of stimuli. Twenty five percent of migraine sufferers believe their attacks can be provoked by foodstuff. Chocolate, caffeine, red wine and mature cheese are commonly cited. There is also some evidence that the following are also often implicated: wheat, oranges, eggs, milk, beef, corn, cane sugar, yeast, mushrooms and peas. Premenstrual and menstrual migraine are common as are post exercise migraine and stress induced migraine.

Pharmacopoeia – Creating Sparks Science Festival 2000

A woman in a dress woven with pills, superimposed on a montage of pill fabrics.The first major showing of Pharmacopoeia was at the Royal College of Art as part of the British Association for the Advancement of Science Festival ‘Creating Sparks’

Dr T J Kemple and Partners’ General Medical Practice 2000

Under Wraps — The Menstrual Narrative 2000

Dr. Liz Lee

Under Wraps

When I was at medical school one of my fellow students said to a rather grand surgeon with eight children “Congratulations sir, I hear your wife has had a period”. We thought it was very funny at the time although the consultant apparently didn’t.

Women in the developed world now menstruate many more times than they ever have before. We can expect to have about 400 periods in our lifetime whereas women born in the mid-nineteenth century had about 200. There are several reasons for this. The first is that with better health and nutrition the average age for the onset of menstruation has gradually dropped over the last 150 years from 16 to 13. But more significant are the changes to our patterns of childbearing and breast feeding. Breast feeding inhibits ovulation in most women and so each child born and breast fed for 6 months may prevent about 20 periods. The huge reduction in average family size has thus led to a significant rise in the total number of periods.

As well as the obvious day to day advantages to having fewer periods there are also a number of highly significant medical ones. It has been argued by the contraceptive researchers Couthinho and Segal that the ‘incessant ovulation’ that we now experience is detrimental to our health. Studies show that up to a third of women report heavy periods and slightly more suffer significant pain each month. Premenstrual bloating, breast tenderness, headaches and irritability cause significant morbidity and anaemia as a result of menstruation and is one of the commonest causes of chronic ill health in the world. But perhaps most worrying of all is that an increase in both ovarian and endometrial cancer is linked to ovulation. The more we ovulate the more likely we are to develop one of these malignancies because ovulation causes an increase in cell division in the womb and the ovary.

Few women manage to get through their 400 periods without consulting a doctor at some time. Most problems occur towards the beginning and the end of our fertile years. After the onset of menstruation our ovaries sometimes take a year or two to get into their stride resulting in the erratic ovulation and chaotic periods that are often heavy and painful. Aspirin, paracetamol and neurofen all help the pain, but the only help for the unpredictable bleeding patterns is to put girls on the pill. For many people the pill equals licence to have sex but for me it equals licence not to have horrible periods. If an eleven year old is in trouble with her periods she should not be denied the pill because of this spurious connection.

The pill was developed as a method of family planning and its other uses have always been of secondary importance to the drug companies. It’s introduction a s a contraceptive in the early 1960’s was a major political event. In the hope of getting accepted as a ‘natural method of family planning’ (thus available to the catholic populations of the world) it was formulated in such a way as to give a monthly bleed that mimicked a woman’s normal menstrual cycle. Although the Catholic church was never convinced by this argument the monthly bleed has been retained when in fact there is no medical reason for such long and regular bleeding. OK, so women like to be reassured that they are not pregnant. But give me the choice between a home pregnancy test once a month or a five day bleed and I know which I will choose.

For many years women have been sorting this problem out for themselves. Most pill takers run packets together over the holidays, exams and special celebrations in order to avoid a period. This is fine for three months at a time but there is a sound medical reason to continue to shed the lining of the womb periodically. If this is not done the risk of endometrial cancer rises.

It is getting the balance that is important. Finally the drug companies have realised how debilitating five days of bleeding every month can be and a new pill is in development. Rather than have a seven day break between packets it will have only three days. Bleeding time will be halved without increasing the cancer risk.

As women approach the menopause their periods often become erratic and heavy as ovulation again becomes sporadic. the most significant recent addition to our vast armoury of medical treatments for these women is not a pill but a coil. The Mirena coil introduced in 1995 is an interuterine contraceptive ‘system’ containing a reservoir of the hormone progesterone which is leaked out in small amounts that are just enough to inhibit the growth of the lining of the womb. Over a period of six months it gradually reduces and then stops the monthly bleed as there is no lining present to be shed. In my own practice the benefits of the Mirena are now becoming apparent as referrals for hysterectomy have dropped by ten percent.

A year ago Sandra Fellows came to see me demanding a referral for a hysterectomy saying ‘I just want it all taken away’. She was pale and exhausted by her frequent heavy periods which confined her to the house for up to three days a month. We talked about the Mirena and she reluctantly agreed to try it on the understanding that I refer her to a gynaecologist if it didn’t work. One year later she is happy with her decision. Although slightly troubled with some irregular bleeding in the first four months she has now completely stopped bleeding. Compared to a hysterectomy with all the attendant risks of major surgery followed by three months convalescence the Mirena is a safe and effective treatment. Provided all goes well she can anticipate very few more periods during her fertile life.

In future years I think those of us who would like to be congratulated for having the occasional period without the trouble of having eight children will be using the pill and the Mirena strategically throughout our fertile lifetimes. We will indeed be more like our great great grandmothers.

Go to Under Wraps in Artworks

Sexwise 2000

A black handbag, decorated with pills.‘The Overnight Bag’ commissioned by Nottingham Castle Museum and Art Gallery for the exhibition Sexwise.

Fact, Fantasy and Pharmacopoeia 2000

A closeup of pills in a net of nylon fabric.Fact, Fantasy and Pharmacopoeia with Helen Storey and Nora Fok at mac, Birmingham.

Kunst Hautnah 2000

A woman in a transparent hooped dress facing away from us, a long shawl woven with pills draped over her shoulder.‘Microgynon Shawl’ Jewellery Art exhibition curated by Veronica Schwarzinger, Director of V&V Gallery, Vienna.

Tales of the Unexpected 2000

A woman in a dress decorated with pills; she pirouettes in front of a painting of a naked woman, which has a contraceptive coil placed over the womb.‘Come Dancing’ at The Wellcome Trust Sciart Award winners’ exhibition at Marnay sur Seine, France.

Contemporary Applied Arts 2000

A pink handbag, with pills covering the side.The ‘Agoraphobic’s Handbag’ first shown at CAA London.

Tales of the Unexpected 2000

A gallery displaying a dress, a 'road' of fabric, and other pieces.Wellcome Trust Sciart Award Winners’ exhibition at the Harley Gallery, Welbeck, Nottinghamshire.

Sweetie 2000

SweetiePills are made to look like sweets in order to encourage us to take them and sometimes they can be virtually indistinguishable from each other. For example Ibuprofen looks very much like a smartie. This is perhaps not surprising as it’s pink sugary coating has been added specifically to ‘sweeten the pill’.

Children overdose on all kinds of drugs. They can be at risk when visiting elderly relatives who keep their tablets beside the bed or on a kitchen shelf.

The more ubiquitous and appealing a drug the more likely children are to accidentally overdose on it and the most common culprit is paracetamol elixir or calpol. This pink syrup can be found in almost all homes with a child under the age of six, and is so familiar that people forget to treat it as a medicine, leaving bottles within easy reach of inquisitive children.

Go to the new version of this piece ‘Gretel’, made for BBC Horizon in 2009.

A Packet a Week 2000

A Packet a WeekPocket knitted dress containing 840 cigarette butts—a packet a week for an average pregnancy.

If you carry on smoking during pregnancy you are more likely to suffer complications while you are pregnant. Although small, there is a greater risk of having a miscarriage, bleeding, your waters breaking early – which can lead to the baby being born with an infection, your baby being born prematurely, giving birth to a still born child or your baby dying soon after it’s born.

On average a smoker’s baby will weigh 8oz (220g) less than a non-smoker’s. This may be because cigarette smoke reduces the amount of oxygen that the baby gets through the umbilical cord.

The following chemicals also pass into a baby’s blood-stream:

  • Carbon monoxide – the lethal gas that comes out of car exhausts.
  • Amonia, which is found in household cleaners.
  • Cyanide which is extremely poisonous.
  • Butane which is used in fuel lighters.

Photo: Chloe Stewart