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

COPD – It’s Not The End

Posted: May 7, 2016 in COPD, COPD - Codgers Old Puffing Disease, Health, Uncategorized
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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:

IMG_2903

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.

Kevin, Have You Got COPD?

Posted: April 27, 2016 in COPD, COPD - Codgers Old Puffing Disease, Health, Uncategorized
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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

Podge & Tubbs Go People Watching

Posted: April 11, 2016 in Another Cruise, COPD - Codgers Old Puffing Disease, Cruising, P&O, Travel, Uncategorized
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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.

Podge & Tubbs Go Ashore; Podge & Tubbs Come Back

Posted: April 9, 2016 in Another Cruise, COPD - Codgers Old Puffing Disease, Cruising, Health, P&O, Uncategorized
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The next day Podge was so very, very poorly. His breathing was really, really difficult: Podge’s cold had been upgraded to man flu and this combined with COPD (upgraded from Asthma) did not make for a good mix: No part of Podge’s body had any energy, his lungs even less.

Podge felt sorry for himself.

At around 06:00 Podge dragged himself from his bed desperate not to disturb The Duchess from her slumber (disturbing her slumber was a bad thing) and made himself a coffee and went out onto the balcony to watch the ship arrive into Marseilles. Podge sat for an hour watching the world go by, watched the ship park, watched the men tie up the strings and set the gangplank, or should that be gangway, to allow the eager passengers to escape ashore or join their excursions.

Podge and Tubbs had no plans for the day.

As there was nothing planned, it was ‘planned’ they they would have a late breakfast / brunch then maybe they’ll take the shuttle bus into the town of Marseilles, it was after all a place they hadn’t yet visited. They had plenty of time as the boat wasn’t leaving until late anyway as it was to be just a short overnight hop to the next port of call, Cannes. This now leisurely morning ,including an extended ‘rest’ before breakfast pleased Podge greatly but even so, Podge never neglected his duties and so, at the allotted time of 09:00, he presented Tubbs with her Earl Grey Tea, awakening her slowly so as not to start her into one of her ‘moods’ – the sort of irrational, comes out of nowhere for no reason type mood that only women can have :-). Luckily as she slowly awakened, a pleasing smile grew from her sleepy face and Podge knew that he had one a good job and succeeded, and so this day would be a good day. With that, Podge returned to the Balcony to enjoy his peace and solitude.

Eventually, The Duchess arose from her [beauty] sleep and joined His Podgeness on the Balcony (it does sound grand doesn’t it). It was all Podge could do to look up and say good morning such was his physical struggle this day. She gazed upon him and inwardly doubted that she was going to see Marseilles today; there was no way Podge could make the journey. For Podge’s part however, he knew that his Tubbs really wanted to go ashore, if only to get the obligatory fridge magnet and of course, Podge wanted to see if he could buy some more inhalers. And so, although the body was weak, the spirit was strong and he declared ‘ok, let have some breakfast, then make our way, slowly into town’. This pleased Tubbs for not only was she going into town after all, but she was absolutely starving and breakfast, by now it was actually an 11:00 brunch, was just what she needed.

The shuttle bus into town took 30 minutes as the bus took its eager passengers into the centre of town, everybody just looked out through the glass like goldfish in a bowl wondering, wondering when the town would be become a nice town for so far, a nice town it really didn’t look. It’s very difficult to work out how to describe Marseilles, no doubt on sunnier days it may look a lot different, and it being a Sunday may not have helped but the town came across as unkempt, rubbish was everywhere, maybe even unloved but that’s only the perception of an outsider, but the one thing that was for sure, Podge & Tubbs did not want to spend any longer in town than they could help. On arriving and disembarking the bus, they looked around, almost in trepidation. Everything seemed so dishevelled, walking had to be with care for fear of stepping on the wrong stuff, most places were shut and everybody seemed to be just standing around bemused. Is this really the drop off point? everybody wondered. Apparently, it was. Looking around once more Podge & Tubbs espied a department store which was very nice, just as many department stores are in the UK are but once outside again it was back in a cityscape of seemingly neglect and lacking in care. They did wonder down to the Old Port but nothing endeared them there, so they found a pharmacy, bought two more inhalers, €10 this time which is probably £4 each so they seemed to be getting dearer and then they went in search of fridge magnets.

Podge was struggling.

Although all they’d done was sit on a bus for half an hour and wondered around for another half an hour, it was enough to tire poor Podge. Poor Podge was struggling by now. He just wanted to get back on the bus and go back to the ship. But he knew this wouldn’t be possible, nor advisable until the fridge magnet had been sourced. As luck would have it however, the journey back the bus involved travelling through a small market (why do markets alway chirp up women, especially Tubbs?) selling exactly the same sort of stuff that every other market sells although obviously, some of the images differ, such as those on fridge magnets.

Before long both Podge and Tubbs were back on board the bus, Podge clutching his two more inhalers but struggling to draw breath, Tubbs clutching her new fridge magnet and both Podge & Tubbs eager to get out of town and back onto the ship.

Back on board

Once back to the safety and comfort of the Oceana, Podge & Tubbs dropped off their vast array of purchases, Podge took some [legal] drugs, for his breathing, then went along to Magnums for what is now known as fivesies or 5 o’clock drinks. The bar steward greeted them with his normal cheery self and announced that he had heard from a previous bar steward who they had met on their last cruise that Mr Podge liked Laphroaig Whiskey and so they had got some in especially for him. This cheered Podge greatly, he even started to feel a little better but nevertheless, with his body still weak and even though his spirit was now stronger, he still couldn’t run a marathon nor half a marathon, he couldn’t run for a bus, in fact he couldn’t run but at all, he was definitely better than the morning – must be the news about the Laphroaig.

At the end of the day, Podge mused and thought to himself, ‘what a weird day, thank god she didn’t wakeup in one of her moods’.

Poor Podge.

Podge & Tubbs Go To Church

Posted: April 6, 2016 in Another Cruise, COPD - Codgers Old Puffing Disease, Cruising, Health, Memories, P&O, Travel
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After leaving Gibraltar, they had the pleasure of a day at sea where they could relax, enjoy the sea air and for Tubbs to enjoy the massage session Podge had booked for in the Spa. Tubbs believed it was because Podge wanted some quiet time but she wasn’t going to argue. Afterwards however, she wished she had argued. Apparently, the girl applying the massage was from a specialist intensive interrogation camp where pain and pressure were applied with equal measures. Tubbs was in great discomfort.

Podge had got it wrong, again.

When Podge gets it wrong, Podge pays, one way or another. Whether somebody has a direct line to a greater power or not shall remain unclear but through the remainder of the day and through the night, Podge’s breathing deteriorated.

The following morning brought Barcelona, a place both Podge and Tubbs have visited before. But today, Podge was weary and wondering how he was going to manage the excursion they had planned but Podge was desperate to do it. But, with a late start and an hour on a bus, Podge knew he would be ok for the 90 minute trip to the Montserrat Monastery which included a trip on a rack train on the way up to said monastery perched on the edge of the ‘serrated mountains’ as the locals like to call them on the basis that they look like rows of teeth.

The train ride itself was a lot more enjoyable than was first feared: Tubbs believed the train to be one of the steep vernacular railways but the rack train was actually quite a gentle and very, very scenic ride to the top of the mountain where the monastery was perched. Once off the train, the guide then route marched the group, with Podge acting as ‘Lantern Rouge’ and Tubbs watching front and back to make sure they didn’t lose touch with everybody else, up the hill to show them where the bus would be when it was time to return to the ship. Having got to the top, the guide then route marched the group all the way back down again to where everybody had got off the train and route marched them all up the other side, passing café’s and shops much to the dismay of Tubbs and, to some extent Podge also, and so the group continued up another hill.

Poor Podge: By now, poor podge was struggling.

Walking was becoming tiresome for Podge, walking uphill took all the breath and energy he had. Podge needed rest. Fortunately, the nest stage was inside the Basilica (Church of Montserrat)  where all were greeted by sights of absolute amazement wth statues and paintings every which way one chose to look. It’s hard to describe how it looks without pictures (these will appear when Podge transcribes all into “Places We Have Visited” or of course one could Google it or look it up in Wikipedia (what would one do without Google or Wikipedia?). Anyway, Podge finally managed to extract himself from the group and take a seat for some quiet time and inner thought. Podge mused, people come here in search of healing so why shouldn’t he but poor Podge didn’t know how to go about it so Podge truly was, today, Podge The Puffer: Poor Podge.

Tubbs was wise. Podge was tired.

Eventually after some rest time, Podge and Tubbs were able to continue to view the inside of this amazing church and then step outside and look out across the mountains and down to the place from whence they came and they then knew just how privileged they were to be where they where. It was truly wondrous. Podge was having another Lourdes / Santiago de Compostela moment. Podge may be becoming a little religious. Soon enough however, Tubbs once again recognised the signs and just knew that what Podge really needed was to go to the souvenir shops, to buy the obligatory fridge magnet, and then off to the coffee shop for a rest and a drink.

All too soon however it was time to take the long walk back up the hill to where the bus would be waiting to take everybody back to the lovely Oceana. It was only a 5% gradient but poor Podge really found it a struggle and was glad to finally climb onto the bus and settle down for an hour and enjoy the scenery during the journey back to Barcelona. At last, the ship came into view and within no time they were back on board and settled onto their balcony. Podge was tired but Podge was happy!

The Lizard returns!

As they sat upon their balcony, the sun came out and shone directly on Tubbs (Podge always knows which chair Tubbs should sit on) and a serene smile spread across her face as she basked in the warm glow of the sun, heating up and storing energy, just like a lizard.

And so the day ended with The Duchess sitting on her balcony smiling contently, gazing down upon the world looking as though all was good. His Podgeness however just sat there trying to breath. Podge had taken The Duchess’s cold as penance for her Massage Session the previous day. Poor Podge.

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