A Change of Perspective

Yesterday was one of those days of which I don’t wish to be reminded whilst, simultaneously, it reminded me of just how far I’ve travelled from the regular aches, pains and general discomfort that seemed to be my daily lot for several years.

Just what went wrong isn’t possible to answer, apart from the fact that, after a dramatically un-restful night, I decided to get up early. This decision was made in the belief that forsaking my usual lie-in, denying myself my normal 10 – 12 hours bed rest requirement,   would somehow ensure that the following night would prove much more restful!

By early afternoon I was struggling to fight off that light-headed nauseous feeling of total exhaustion whilst my body somehow refused to let me have the necessary nap. Concentration was at total zero, the radio played away in the background and I found myself wrestling to grasp any meaning from the words being uttered. I shuffled myself about, desperately seeking a comfortable posture in which to relax but, the effort seemed in vain. That’s when the griping clamminess began as I alternated between overheating and shivering.

 A sharp stabbing bruised sensation danced around my chest cavity, left right, centre, top and bottom randomly alternating as recipients of the phantom knuckles blows.  The bottom of the ribcage sought detachment from the throbbing ache otherwise known as the abdominal region, it felt as if it should be decorated with perforation marks allowing one to remove it at will.

On several occasions it was as if I could positively feel the colour draining from my face, although having said that I began to wonder whether one can ‘positively’ feel a negative! In the evening as my beloved applied emollient cream to my back my skin and flesh seemed ultra-sensitive, the lightest touch producing a nauseating discomfort but, later in the evening as she applied steroidal cream around the periphery of the rodent ulcer this queasy reaction had fortunately subsided.

The night proved much more restful than had the preceding one, although in the wee small hours (from approximately 2.30AM) I enjoyed a relaxing listen to Radio 3 for just over an hour before drifting back to an intermittent visit to the land of nod.

Having visited my GP, for a pre-arranged appointment, on Tuesday she contacted the hospital to arrange a endoscopy. By yesterday morning an appointment had already been arranged for this to take place in four weeks time. Once again I’m impressed by the NHS. The doctor’s hoping that I’ll be able to reduce my ppi’s (currently lansoprazole 30mg twice per day)switching me to ranitidine 150mg twice daily for a fortnight before the endoscopic investigation takes place.

After yesterday’s extreme discomfort and agitation, my regularly familiar aches and pains seem quite simply to reflect what it means to be in the very best of health!

taking stock

When you've been feeling somewhat below par, for any period of time, it's amazing how much, with only a marginal improvement or remission in one's condition, one begins to really appreciate some of the simplest everyday activities. A walk up to the bus stop followed by a short bus journey, without any sense of unease or discomfort, feels quite wonderful; even shopping for groceries becomes more of an enjoyable experience.

It never helps to think about how things were before one's health took a serious nose dive (some seven years ago in my case); it's far more important to celebrate a present ability to feel positively human. My current portion of discomfort is much reduced from that which has, far too frequently, intervened between myself and  the best of health.

thoughts on evolution

Whilst watching 'Wild Wales' (BBC2) I couldn't help but note how wonderful nature is, in all its variety. The thought then suddenly struck me that nature also contains Tory cabinet ministers. Being a forgiving kind of chap, I prepared myself to acknowledge the possibility that lower life forms may evolve at a much slower rate!

And today it's dermatology

I seem to be a quite regular client of the NHS these days, what with visits to A&E, overnight stays in hospital, various appointments with my GP, visits from the physio to administer acupuncture. What a privilege it is to have this wonderful service; one can only trust that the service will be protected / preserved from the worst ravages the ConDems hope to commit upon it.

Just 12 days ago my GP referred me to the Dermatology clinic which I visited this afternoon. The consultant immediately diagnosed a rodent ulcer (basal cell carcinoma) and is arranging for it to be excised, under local anaesthetic, sometime in the next four weeks. Meanwhile he has prescribed a steroidal cream to be applied to an inflamed area on my back surrounding the ulcer. I find it truly impressive the speed at which arrangements are falling in to place; the National Health Service, freely available to all, and so easily taken for granted, is a gem to be cherished and protected.

Mal's Picturebox and identity crisis!

I've just posted a few snapshots, taken in the garden this afternoon, on 'Mal's Picturebox' . I've been unable to identify the wildflower in the picture below and would be grateful if anyone could help. There is no basal rosette to this flower.

click on image to view larger copy

swift setback

The comfort referred to in the previous post proved rather short-lived; last night was one of the most discomfortingly restless experienced since last weeks night in hospital. My chest felt as if it was being sharply knuckle punched from the inside followed by a numb dull bruised sensation; these sensations, alongside a sense of fragile hollowness, discomforted me for many nocturnal hours. At other times, and alongside this, an invisible band seemed to be applied tourniquet fashion around my upper abdominal region; pillows were frequently re-arranged in a somewhat futile attempt at finding a more comfortable posture.

A visit to the GP was in order this morning and, it was decided to double my dose of lansoprazole as she felt that much of the discomfort could be acid related. As she examined the abdominal region she was somewhat surprised by how excruciatingly tender much of that locale seemed to be. Anyway, I have to go back and see her in a couple of weeks to see if any further investigations may be in order. It has also been arranged for me to visit the skin clinic as a particular warty growth on my back has turned angry and needs to be checked out; basically, it seems, I'm just falling apart.

On the positive side, an additional dose of lansoprazole taken late-afternoon helped some of the afternoons more excruciating symptoms subside - even the sense of giddy wooziness has gone into hibernation!

still snacking after all these years

Difficult to know whether I'm recovering, and what I'm recovering from; I'm certainly feeling a little more comfortable than I was at the beginning of the week! Muscles in chest, shoulder and lower limbs still feel rather achily tender but, definitely more comfortable than they were at the weekend. I'm really feeling relaxed after this afternoon's acupuncture session, though not in any spaced-out sense and, actually enjoyed a bit of grocery shopping with ma belle before we dined this evening.

Doesn't the word "dined" sound rather glamorous, much more romantic than "had something to eat"? Actually it was a very lazy re-heat job, a Waitrose Indian meal for two - chicken jalfrezi, chicken makhani, aloo sag, naan bread and pilau rice. Although I often devise my own curry dishes, I rarely bother to make more than one variety (usually a hybrid one) of curry at any particular time, the extra variety in these lazy banquets is a rather enticing experience - like a super snack! Much as I enjoy cooking and occasionally - emotional stamina permitting - dining out, at heart I'm much more of a snacker than a substantial meal type of guy.

Now doesn't that all sound somewhat boring - even that's just the kind of guy I am!

Mammon - a poem

tetchiness abounds

Chest and shoulder muscles are really playing up, the pectoralis major more achingly griping than the deltoids and, as the day goes on I become increasingly tetchy. The heat of the day certainly doesn't help, 28 centigrade at present, as I've never been a hot weather person. Currently we're sat in the back room, curtains drawn, revelling in the cooler air current proferred by an oscillating fan. It's quite strange really, this coolly refreshing synthetic breeze serves to keep me reasonably alert, whilst aching muscles, minor digestive problems, and a muzzy head, keep reminding me of the need to rest.

I've just been trying, to little avail, to catch up with received e-mails but the least distraction from what should be a minimal concentration endeavour makes me feel quite stressed. 'Tis better just to float - wish I could be as laid back as a lot of people think I am - but, for some reason I just tend to keep swimming against the tide!

Attempting to relax is such a wearying business, leaves one without sufficient stamina to simply be. 

I know the garden is the place I should be, the place where I am truly me but, prevailing temperatures militate against my participation in such enjoyable diversions.

surrounded by lights - kept in the dark

It's truly amazing how much, or how little seeming like so much, has happened in the past week. After the gardening exertions of the previous week, everything seemed to be going so well, not even a hint of post-exertional kick back. Sunday morning, woke up and robotically began to apply dermatological cream to my lower limbs when a snapping twinge locked my back mid-rub. Yep, I'm always aware that my back's rather vulnerable, herniated disc and all, but it always takes me by excruciating surprise when it un-elastically responds to the meagre stretches that I've imposed on it.

I swiftly sought the assistance of the old faithful walking stick, for additional support, as I headed downstairs. Extra doses of tramadol were required for the next few days, an essential supplement to the efficacious application of ibuprofen gel. Care had to be taken not to remain seated, for too long, in any particular position, not even on a supportive high back chair, in order to avoid a painful lock down.

Wednesday evening things took a slightly more dramatic turn, around 9.20pm, having spent the evening listening to the radio and catching up with the latter stages of that day's epic Wimbledon set, I was feeling quite shattered. Decided to have a cup of Decaff just before going to bed, took a sip and suddenly felt sick. Simultaneously it felt like a vice was closing in on my chest, right from top of ribcage down to the floaters. A sharp bruised sensation made it difficult to catch my breath and,of course, the more frightening the experience became the more difficult it was to get my breath. I turned simultaneously clammy and totally drained of colour. The paramedics took ecg's and simple prick test to check my blood sugar level; ecg's seemed fine but they could sense my general discomfort and thought I should be checked out at the hospital.

Arrived at A&E just before 10.00pm, had my blood pressure taken a few times and further ecg's. The duty doctor consulted further and decided that I should be admitted for observation. Eventually a bed was found in the acute ward and I was transferred there just after 2.00am, and they  immediately strapped me up to a monitor and told me to get some rest; now that was a tall order, within five minutes blood pressure and temperature were being taken again. By 3.00am the house doctor, from cardiology, came to examine me and told me that I would have further blood samples taken at 9.00am and, if the test was OK (meaning negative) I could go home. Shortly after this visit I was asked whether I'd mind changing to a different bed, an offer I greeted with enthusiasm as the one I was in was most uncomfortable. Around 6.30am, had a visit from the cardio consultant (along with one or two acolytes) and he informed me that he would want a further ecg taken after the blood sample and muttered something about a treadmill test. The noise, lights, and being kept in the dark about what exactly was going on were certainly not at all conducive to restfulness.

Blood samples were taken just after 9.00am and, a further ecg done at around 10.15am, the rest of the time was spent hanging around not knowing exactly what was going on. I'd got out of bed to have a little breakfast but, felt unable to note everything about the environment, or my fellow inmates, my vision being minorly impaired as I didn't have my spectacles with me. My sandal clad feet, and ankles, were getting extremely cold and I had no socks with me to warm them up at all. Come lunchtime, the food was absolutely disgusting - I'd settled for the salmon & dill potato bake in which the miniscule flakes of salmon looked like the scatterings of an infants overfull mouth bonded together with what looked like and had slightly less flavour than wallpaper paste.

Visitors had been arriving but, no sign of ma belle, I thought I'd be heading home at any moment. All this anticipation of imminent reprieve became increasingly frustrating as it failed to materialize. When ma belle arrived, at 3.30pm, she was already aware that my reprieve wouldn't be until the afternoon as she had contacted the ward (twice) earlier in the day, although I hadn't been informed of this. In fact, I only discovered that the blood test was negative after pursuing my own line of enquiry; strange how the staff had plenty of time to chat to each other but no time to communicate necessary information to the patient. Once it was known that the blood test was negative they were able to release me from the monitor leads.

Suddenly. whilst ma belle was visiting, they informed me that I was being transferred to another ward which came as something of a shock, as I was still anticipating an imminent leap into freedom. By this time I was getting ultra-tetchy, bothered by the lights, noises (on and off stage), and the general sense of being left in the dark; to placate me an annoying light was switched off and I enquired about discharging myself from the hospital. The staff on this ward were really helpful and chased up the coronary unit to speed up my treadmill test; rather than waiting for a porter to take me down (five minutes later) I was accompanied by one of the staff from the ward. I'd determined to exert myself to the nth degree on this test, although well aware there would be some slightly delayed post-exertional consequences, as I would risk anything to gain my freedom from this internment!

By 5.30pm, Thursday, I was on my way home, leaving it to the hospital to forward my discharge papers to my GP rather than incur any further stir craziness by waiting for same to be prepared. The post-exertional effects had really begun to hit home by Friday evening, followed by a very restless night with sharp aching pains being felt in chest, shoulder and leg muscles, along with my old familiar foe of intense discomfort in the armpits. The general feeling is one of a rather disconcerting fragility, a generalized discomfort; this post-exertional-malaise, unwelcome as it may be, is easier to deal with in the free world than it would be within those formidable clinical walls.