It was firework night last Sunday which gives me an excuse to share this wonderful photograph by my friend Bill. Bill is married to Polly who I met while working at The Heart Hospital. The Heart Hospital no longer exists except in the hearts of the many people who loved working there. Work friendships are what keep us sane while we are doing our jobs, some of them escape the boundaries of work and become real life friendships. Many of the friendships forged at work go on to be real but only possible via Social Media which is where most of my Heart Hospital friendships continue now. Distance is the problem, where once we were working shoulder to shoulder, saving lives. We are now scattered all over the world. But the threads of friendship are as strong however we maintain contact. Social Media has allowed Hybrid friendships to occur. Sometimes people who were peripheral friends in real life become closer on-line because you discover more interests in common. Sometimes a friendship occurs that will never be ‘ real world’. I find the evolution and maintenance of friendships in the age of the World Wide Web fascinating. I know that for many the internet can be a hard and unpleasant place to be; but good friendships can be embellished and enhanced in a way that would not always be possible in real life.