Archive for the ‘COPD – Codgers Old Puffing Disease’ Category

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Having left Florence (from Livorno), Podge and Tubbs were now looking forward to another much anticipated stop – Naples. Not so much because they wanted to visit Naples (they really didn’t)  but more because the Duchess wanted, so much, to take a drive along the Amalfi Coast.

His Podgeness loved The Duchess so much that he explored all possibilities.

  • Option 1) – He could for instance hire a little 2-seater sports car (Maserati GranTurismo sprang to mind) and they could drive the coast by themselves with the warm Italian air rushing by, scarves blowing in the wind and some appropriate music playing in the background. But let’s be honest, the chance of either Podge or Tubbs finding their way along the coast and back in time for the ship to leave was too great to consider. Anyway, the GranTurismo had a roof: That just wouldn’t do. And it was expensive😦
  • Option 2) – He could perhaps arrange for a driver to take them along the coast in a nice drop top again with wind and scarves blowing and music playing. But when he explored deeper, he found the cost was rather more than his teeny weeny wallet could cover and so that idea was dropped
  • Option 3) – Hire a helicopter and fly along the coast! That’s just silly and Podge did of course realise that straight away and discounted it immediately. But the idea has been retained for future visits.
  • Option 4) – Hire two Vespa Scooters and simply ride along the coast at leisure cutting through any traffic that may get in the way, stop to admire views, stop to buy an Italian Gelato, yada yada. The idea sounded good but The Duchess couldn’t ride a scooter to save her life and, she wouldn’t allow Podge to ride one, given his track record on bikes and, they’d probably get lost anyway.
  • Option 5) – Book a P&O excursion in a coach and let them worry about it all: A much safer option… So, that’s what they did.

Option 5 proved to be the best option by far.

This options allowed Podge & Tubbs to enjoy a leisurely drive along the Amalfi Coast, the most famous drive in all of Italy. This gave the added benefit of allowing Podge to relax and continue to get his breathing under control: It was getting better but still wasn’t right but, it was not going to stop Podge enjoy the day.

The trip took them high into the mountains overlooking the Amalfi Coast stopping on the way in Sorrento.  After a quick visit to see some marquetry furniture being made, which, they declared,  was truly something to behold, they we’re set free to wonder at will through the lovely, almost romantic streets and of course the rather imposing Duomo.  Both Podge & Tubbs felt that this town was an absolute delight to discover.

As lunch time drew closer, Podge & Tubbs made their way back to the place from where they had been released after which the whole group was taken to a lovely little restaurant for an Italian style lunch accompanied by wine. The lunch was spinach and ricotta cannelloni with Mixed Salad and yes, believe it or not, Podge ate the lot. Naturally Podge also made rather an impression on the wine stock but fortunately the table next to them noticed their (Podge’s) love for the wine and being teetotal, gave him theirs.

Soon enough and, and not soon enough for Tubbs who was by now worrying about the bladder capacity of Podge, it was time to leave for the coach and the amazing Amalfi drive to guess where? That’s right, Amalfi. Naturally Podge had to make two slight detours on the way to the coach but once aboard, he was nice and comfortable, and very mellow.

Amalfi

The drive to Amalfi was underway and all too soon, Podge realised that for them, the Coach really was the only option: There really was no way Podge and Tubbs could have done this alone. The roads were narrow, especially for a coach and there were lots of coaches, and local buses doing the same trip in either direction. But the views were something else. NOTE: some of the pics below were taken from inside the coach so may be a little fuzzy.

It should be said that there was in fact an organised guided walk to learn of the history and architecture of this quaint town and to get an understanding of the history of the Cathedral of St Andrea and a chance to admire the Moorish and Gothic architecture. Podge however took one look at all the steps and ruled the tour out altogether. so, once in town, Podge & Tubbs were once more free to explore, so what did they do? They found a a little shop that sold Limoncellohaving tasted of course some before hand and found that it was good and so bought some. Next stop was the inevitable fridge magnet and tourist book before finding a little bar to rest and await the return drive back to the ship which again was along the mountain road before taking the motorway back to Naples and the ship.

Back on board, it was time for His Podgeness and The Duchess to head for their fivesies which inevitable because sixies before getting ready for the evening meal and finally returning to their cabin for a relaxing drink or three before giving into the need for sleep. Tomorrow was to be relaxing day as it was a sea day so all they had to do was relax for the whole day and for Podge to gather his strength.

The highlight of the day was to be passing through the Straight of Messina, trouble is, it was at 06:00 but this did’t bother Podge: He liked getting up early and moving to the balcony for his early morning coffee and fresh sea air. Trouble is, the weather wasn’t that good so the pictures were less than inspiring, a bit like the Straight thinks Podge.

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The rest of the day was just one long lovely day of relaxation as they sailed towards Dubrovnik, a great favourite of Podge & Tubbs. And so Podge just relaxed and concentrated on his breathing.

Poor Podge.

So, I saw my new COPD nursey yesterday. She’s a real sweetie but I’m not sure how poorly she thinks I am. Apparently, I’m stage 3 COPD, there’s only four so I’m nearly at the top already: Actually, that’s not funny but humour helps me deal with it. She went on to review my spirometry results and was confused that I had improved. It must have been a good air day methinks.  🙂 Nevertheless, at under 50% this is still less than one lungs worth (I know it’s not strictly true but in Podge’s world this works for me 🙂 )

Nursey upgraded my medication, I’d been on the same stuff since being upgraded from Asthma to COPD and asked if I would like to consider Pulmonary Rehab. I asked if this was where they taught you how to breath cos if it is, I assured her I had been breathing now for 62 and 2/3rd years. But I did understand what was meant so I agreed.

She then asked if I ever got down. Well to be honest, yes I do, and yes I do have the same thoughts described in the linked article above, thus:

  • Am I getting an infection in my lungs?
  • Is this the start of something really bad?
  • Am I developing pneumonia?
  • Will this lead to a stay in the hospital? (this week, it nearly did)
  • Am I going “downhill,” will I ever feel better again, or is this “it?”

I’ve had all of these thoughts and in fact just a few months ago I had entered what I term, the Valley of Despair, though I never shared this fact. But then, I read an article about a guy in Australia  (#copdathlete) with COPD but who’s lungs were operating at less than 30% (mine are 47%) but had recently completed the New York Marathon. Boy, did he inspire me and boy, did he lift me from the Valley of Despair. Spurred on by his achievements, I duly entered the Great South Run 5K  (22nd October) and the Great South Run (23rd October). and started walking lots. Why did I enter both. Well my rational is if I can complete the 5K but not up to the 10 mile then at least I’ve achieved something. If I compete both, well, that would be an achievement and half for me.

Anyway, back to the recap and me getting down, Nursey asked if I wanted anything for it, I guessed she meant anti-depressants and not Laphroaig Whisky so I politely declined the offer on the basis that such drugs was not a road I was happy to go down. And no, I didn’t want a Counsellor either. She recognised my stubborn independence and assured me that if I needed help or just to talk, to phone her. For that I was grateful. She even offered my an option on a district nurse checkin in on me at home if I required. Again, I declined but with thanks: I spend 2.5 hours each way computing to and from work so not sure when I would get a chance to see a nurse anyway.

Anyway, just three days after seeing Nursey, I went downhill, badly, and I took myself to the surgery where upon they sent waiting patients home so that they could look after me: Three of the thoughts above were once more in my head. Nursey tried to persuade me to go to hospital but I didn’t want to but she told me in no uncertain terms that if I declined again I must call an ambulance. Nursey has ever since been phoning me at home just to make sure I was ok (Podge likes Nursey).

5-days after I am still not too good (going to the bathroom leaves me out of breath) but hope to return to normality come Monday and once again I can start my walking regime for the great runs (or maybe walks).

I’m hoping that the new drugs will work, the steroids & antibiotics are beating the crap out  of this current infection and my weight is dropping: In the last there months, I’ve lost 7kgs so I’m well happy with that. And, now that I’ve consumed all my sherries I will once more cut out milk. In the mean time, the walking will continue and have upped my daily target to from 10,000 15,000 steps (at this rate, I’ll be walking to work).

Stay in touch and I’ll keep you posted on my progress and although today I don’t quite feel up to it, wish me well for the runs in October.

Poor Podge 🙂

 

One year ago I saw my heart vet doctor (I know this because Facebook reminded me 🙂 ). It was a notable visit but not for the right reasons. Read on.

05/05/15
So, today I saw my heart vet. What a waste of time; what a waste of space. “So” he says, “What’s been happening to you?” he asked.
“I’ve had two cardio versions” I said: “That’s where they stop and start you heart” I clarify for him.
“How did it go?” he asks.
I was tempted to say ‘Well, I’m still alive’ but I resisted. Instead I asked “What does it say in your notes?” 
“I haven’t got any” he says.
“Well” I say, “They failed”.
“So what did they say?” he asks.
“What does it say in your notes?” I ask back.
“I haven’t got any” he says.
“I have” I say, “do you want to see them?” I ask. I gave him my notes and he looked through them.
“Oh, yes your right, they didn’t work.” “What tablets are you on?” he asks.
I give him the list: A copy of the same list I gave him on a previous visit.
“Well, you don’t need these ones, or those ones. You might as well stop them”.
I looked at the ones he was pointing at. One was my anti-coagulant (Dabigatran) – apparently this was to stop me having a stroke and, on the basis that I haven’t had a stroke, they were clearly doing their job. Joking aside however, I was not going to stop them.

“But they’re doing a better job than the cardio versions” I say.
“No he says, you don’t need them. Anyway, how have you been?” He asks.
“Well, I was ok but I’ve gone downhill over the past week.” 

“Hmm” says he, “Why do you think that is then?” he asks.
“Oh, I’ve probably got a bug or virus.” I say.
“Yes, that’ll be it” he says. He checks my pulse; I’m still living. He’s happy but, suggests that we do a 24hour trace and a heart scan then we’ll see what to do next.
I was then summarily despatched.
My verdict? I’m staying on my drugs and deal with it my way. And, if I get ill again, instead of asking him what might be the problem I’ll just cut out the middle man and ask myself.
If I never see him again, it’ll be too soon.

Anyway, back to the present.Over the last couple of weeks I’ve felt quite well buoyed on maybe by the articles I’d read of a COPD patient (stage 4) having completed the New York Marathon and, since reading about that, I’ve subsequently seen other positive stories.

So, I’ve made my mine up…

I’m going to stop feeling sorry for myself (there a are a lot of people far worse off than me) and ‘turn myself around’. To this end I’ve signed up for the Great South Run, preceded by the Great South 5K Run. My rational being that I’ll do the 5K run and I feel up to it, I’ll then do the main run. If I don’t feel up to it, at least I’ve done the 5K (both are on the sae day).

So, let’s look at my obstacles:

I’m fat – I weigh 99kg, I should weigh 76 Kg: I’d like to weigh 70Kg – (I want to be an Adonis, I never have been, I never will be but one has to have a dream) 🙂

I’m lazy – watching GoggleBox is more appealing than going for a walk (guess I’ll never be an Adonis then) 😦

I have COPD Stage 2 / stage 3 – The jury’s still out on which stage

My peak flow is around 320 (I don’t know what it should be but my guesstimate is around 500 – 550 – assuming good health)

I have arrhythmia / atrial fibrillation or, something similar but the ageing ticker seems to be behaving lately:

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Podge’s Heart Scales

I have a full time job: This is my normal work day:

  • Get up around 05:00 followed by normal getting up in the morning stuff.
  • Walk  1 km to the train station; catch train; switch train; switch train; switch train.
  • Arrive at work around 08:30
  • Work, work, work – desk based
  • Finish work 17:30 – 18:00
  • Reverse train route
  • Mrs Me picks me up at the station
  • Arrive home 20:00 – 20:30.
  • Try to go to be the same day I got up.

And in amongst all that, I need to try to work out how I’m going to prepare for my run. I do have thoughts on this.

So far, my walk to the station is going well: When I was holiday I could hardly walk to the end of the cruise ship. Today, I reckon I can walk a mile. By the end of May, I want to be able to walk 3-miles then, I’ll get on my bike again (if I can find it)

My next question is, do I revisit the [Milk: Good Food? Bad Food?] debate? I think I should.

I’m sixty two and a half and will be eligible for retirement in two and a half years. I want to be able to retire and enjoy retirement. If I do nothing else, I should stop being fat and in my mind, exercise is a major factor.

Oh and by the way. I’ve done the 24hr trace and had the scan but I haven’t been invited back to see him yet. I’m in no hurry.

This time, it’s not Poor Podge but:

Go Podge, Go

Wish me luck…

My next post will be about more exciting stuff, cruising. Yay.

I was recently sent to the COPD Nurse for what should be an annual review. I duly arrived at the surgery with plenty of time to spare and sat myself in a comfy chair and amused myself, whiling away a few ‘downtime minutes’ playing Candy Crush (I know, I need to get a life). Eventually, my name was called and into [the room] I went.

“Kevin, are you sure you’re OK” asked the nurse, ‘You’re breathing seems bad and your eyes are all red & puffy”. Thinking to myself ‘it’s probably not worthing asking for a date then’ I explained that me breathing has been bad for the last five weeks and that I had been eating steroids and antibiotics over the same period; “Otherwise, I’m fine” I say.

The nurse, having satisfied herself that I was ok to continue, then explained that she wanted to be breath into a tube connected to a breathing rate analyser (I don’t know what its really called). It looks a bit like those devices the Police use when they think you’ve been drinking and driving – I stress that I have no personal experiences of such things. Before ‘the breath test’ the nurse asked about my medication etc, after which she asked “Have you got COPD?”. “Yes” I replied, “That’s why I’m here” I continued, now a little confused. “Oh” she says’ “I don’t know too much about that I’m afraid but we should still do the tests and hopefully the GP will know what the results mean.

So, I breath into it, 3 times long and slow and 3 time as hard as I can as long as I can. As always, black dots appear in my eyes, everything goes fuzzy and I come close to, but not actually passing out. The nurse congratulated me. Apparently I did a lot better than she had expected. She printed off the results for the doctor to look at. I asked how I was looking as at my last test I was told my ‘score’ was 47%. She said she wasn’t sure but thought it was actually 53%. This confused me as I understood that COPD never improved. Hopefully it does!

My next appointment was with my GP. He looked at the results and was also confused. Given that I had spent the last 5-weeks on antibiotics and steroid without any apparent affect he hadn’t expected such results. He checked my heart as this had been bouncing around between 105 and 127 just sitting there: this was clearly inefficient. This was probably what was making my breathing so short though he did stress (pre-empting my next question) that this didn’t mean my COPD had gone away.

As I write this, I’m sitting on a train on my daily journey into London. During this time, according to my shiny new apple watch, my pals has been bouncing up and down between 67 and 129 and it does actually feel that way too.

The decision was to double the strength of my ACE Inhibitor and have another review in three weeks.

So, I am in a state of confusion and even despair. Do I have COPD or do I not have COPD? I think I do. Is my heart like it is because of COPD or is a problem in its own right? I have no idea. Will I ever again see somebody who knows about COPD. Confidence is low on that one.

I do know however that I need to fight my way out of the current situation. One way or another, I’m going to get back out on my bike and even start running: Both very slowly. But at least that will help me lose weight which must surely help my heart.

We shall see.

COPD – Creator Of Podge’s Despair

Poor Podge

Cannes, land of luvvies and beautiful people and, for today only, His Podgeness and The Duchess. Their presence however would not be until after they had breakfasted and planned both today and the next day. For Podge was still struggling and the planned 10-hour trip around Florence & Pisa the next day was going to be too much. They had to re-plan their strategy. Fortunately however, Podge does dabble a little in the dark scary world of Contingency Planning and room for re-scoping had been built into their whole cruising schedule. Podge is wise & clever. Podge still can’t breath though. Poor Podge.

Visits to Florence and Pisa are from the boat park in Livorno (It’s about as near as the Oceana could get). Podge had spotted that as they were doing two back-to-back cruises, they would visit Livorno, sail on to Genoa for cruise end, start new cruise, sail back to Livorno. ‘Bingo” remarked Podge, “We could do the Easy Pisa Tour tomorrow and Easy Florence on the next visit”. Podge really is so, very clever and having exerted all his thinking energy both Podge and Tubbs went for a rest then Breakfast to plan the day’s adventure in Cannes.

Getting to Cannes was going to be different from any of the previous towns. It wasn’t possible to walk into town, nor was is possible to get the bus. The Oceana was way to big to park alongside anything in Cannes so had to anchor offshore (that’s a nautical term not money laundering, I mean management) and as such it would be necessary to take a trip in one of the ships tenders (these are the lifeboats or survival craft) of about 15-minutes right into Cannes herself.

Podge hates tenders

Back in 2004, Boxing Day to be precise, Podge & Tubbs were basking on the shore of a little Caribbean Island called Mayreau having taken the tenor across from the Aurora anchored some 20-minutes away. They noticed that the waters were somewhat more boisterous than usual, so boisterous in fact that one lady was dragged down under the waves and was being dragged out to see before a number of people raced into drag her, literally, back ashore. “I’ve never seen the Caribbean like this before” said Podge. ‘Most unusual’ he thought. As the waters continued with their bad behaviour, Podge & Tubbs decided to get the tender back to the boat. What followed was 30-minutes of extreme discomfort and yes, even fear. The bouncing about on the waves is fine, tenders are designed to do this: it was when the tender tried to tie up next to the Aurora to let every body off and back onto the ship. The tender was going up then down, rolling left then right, and banging against the ship with such force that on one occasion, there was a loud thwack after which there was a definite crack on the upper wall of the tender, not dangerous but most disconcerting. Eventually, we pulled away from the ship and bobbed about for what seemed an eternity while the captain turned the ship to shelter us so that we could all board the Aurora and the safety of the cabin then the bar. Ever since then, Podge has hated tenders. 

The next day, on board the Aurora, the Captain broadcast the news of the Indian Ocean Earthquake and Tsunami that had happened on Boxing day.  

Today’s tender trip was a good trip

Podge needn’t have worried about the crossing. Climbing aboard the tender was a breeze, the crossing was millpond like and getting off the other side even easier. Podge is such a Wimp. ‘Just man-up’ thinks Tubbs. She doesn’t actually say it but Podge is sure that what she’s thinking.

Once ashore, it was like entering a different world. There was, what Podge thought, some sort of premier film event event as there were security guards and limos all over the place and red carpet outside the theatre entrances. Given the total absence of paparazzi however they both concluded that it must be some of film expo / conference. There was certainly no shortage of luvvies however and there were plenty of nice young, and some not so young, ladies each wearing the equivalent, cost wise, to an average 3-bed semi in the UK. Podge and Tubbs just sat on a wall by the sea watching them all meander backwards and forwards remarking to each other how stylish they al looked. “just look at that Italian man on the bicycle” said Tubbs, ‘He looks so stylish even with his cloths on” continued Tubbs. ‘Cripes’ thought Podge, ‘What on earth is going through her head when she’s looking at all these men” he mused. Podge decided he didn’t want to know but couldn’t help asking what she meant. She said that she actually meant compared to being in Lycra. Podge dropped the thoughts.

Having spent more then enough time people watching, Podge & Tubbs, ok, let’s be honest, Tubbs decided that they should cross over the main street and view the shops. This is where The Duchess comes into her own and His Podgeness feels his heart start to race and bounce even more than it was already. The shops in Cannes aren’t the average Ted Baker, DryStuff, Clarks, etc. Oh noooo, these were Prada, Gucci, Rolex, And other names so unique to Italy that His Podgeness just knew that they couldn’t even afford to even look in the windows let along go in, although going in isn’t that easy: you have be spotted, approved and buzzed in through the locked security doors. Then she spotted diamonds. “Oooooh look” she says, ’sparkly things, these are nice’. “If you loved me” she said looking at His Podgeness who has by now gone quite blue, through a sudden reduction in oxygen and coming out in a cold sweat. Podge does love Tubbs: His Podgeness does love The Duchess but when he took a look at the earrings being pointed out, ‘F*%k Me” exclaimed Podge, ‘They cost more than a World Cruise”. This was a good ploy, Podge had played a blinder. All jewellery now equated to another cruise and cruises won every time, presumably because Tubbs reckons on getting more sparkly thinks on future cruises anyway. Eventually, she tired and hunger set in. So they started to look around for somewhere to eat, preferably somewhere close to a tourist shop so that they could get the obligatory fridge magnet.

Throughout the whole cruise, Podge had been craving an omelette and when he saw one rather swanky but not too swanky eatery full of luvvies but still with a couple of tables spare, he was in there. No questions, no debate, no why’s or wherefore’s. Podge was in. Tubbs followed, scanning the horizon for fridge magnet shops and maybe another restaurant. Her first quest was fruitful. A suitable shop straight opposite. Her second quest was pointless. Podge wasn’t moving. “There might be somewhere nicer down there” she said, pointing randomly. “There might be” said Podge, ‘There might not be” continued Podge. “But this is nice and I’m staying here. Tubbs knew when to stop and sat down and perused the menu. Guess what, she had omelette and chips as well. They also had a large carafe of Pinot for good measure and they sat, relaxed, ate, relaxed, drank, relaxed, drank, relaxed and then they drunk some more.

The Tender back to the ship

All too soon, it was time to return to the ship and so they made their way back to the tender point for the journey back. Unfortunately, just about every passenger on the ship seemed to have the same thoughts and the number of tenders seemed to have reduced though why was never identified. Each tender can take about 100 people. Podge reckoned they were in a queue of 800+. To load and unload a tender plus the journey time there and back was well over 30 minutes. With two tenders, this was going to take a long, long time. But the clever captan was also good at contingency planning and acted in the same way that Podge had already decided he should. The Captain organised one of the local large capacity sight seeing boats to collect as many of us as possible and bring them over to the ship. ‘Wow’ thought Podge. “We’ve been upgraded, we’re going in a big boat” said Podge to Tubbs. This pleased Podge as they were much nicer than a tender.

Once back on board, Podge and Tubbs deposited their purchases and made their way to the bar for well earned fivesies and for Podge to rest his weary limbs and lungs.

Poor Podge.