Archive for the ‘Health’ Category

Living With COPD

Posted: April 20, 2016 in COPD, Cycling, Health, Uncategorized
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For a change, this isn’t about cruising 🙂 This is about me wanting to reflect on my health and hopefully push me towards a better, healthier lifestyle.

Ever since I was a child I have suffered from Asthma and over the years I was unfortunate enough to suffer a number of extremely bad asthma attacks requiring hospitalisation. So, why, oh why did this twerp start smoking at the tender age of 14. Inevitably, more attacks ensued but many of these were quickly fixed by not smoking for a while but still I smoked. eventually however, towards the end of the last millennium I stopped.

How did I stop? I saw a news paper article about the Paris to Hayling Cycle Challenge (organised by the Association of Charitable Endeavours) along with a photo of two rather fetching young ladies. That clinched it for me. I’ll stop smoking, buy a bike and train for the challenge and cycle with those two young ladies. I signed up the very next day. Being back on a bike again gave me such freedom, which I find hard to describe. I do know however that whatever sort of day I’d had, I would go out on my bike, think through all the issues of the day, put things right in my mind while all the way setting small instant challenges such as sprint between two markers or climb a particular hill in the highest gear possible. I loved it. I loved my bike, I loved it so much I bought more: See here for the list of bikes I’ve had over the years. I never gain saw those two young ladies, boo.

Eventually, I became a committee member of the Association of Charitable Endeavours (ACE), then secretary and route planner as part of a splinter group (The Reccecrew) and would go out to plan training rides and seek alternate routes in France (see here for an idea of a recce in France). I had such great times. But then, one New Years Eve, I weakened and had a cigar. Then another and so I was back smoking again and did so for another three years and then gave up once more and returned to cycling.

I entered once again the Paris to Hayling Cycle Challenge but this time, I took a group of a dozen riders, we called ourselves Team-SIM and we sailed to Bilbao and cycled from there to Paris to meet up with the main ride. This was to be when everything changed for me.

On my first climb of the first day. my heart rate, according to my Garmin, hit 256. I had to stop. I rested for 10 minutes then started off again. This happened twice more before I gave in and finished that day in the support van. This happened two more time in France. I felt as though there was nothing in any of my joints. Clearly, something was wrong.

Returning home, I inevitably went to see the Doctor who obviously sent me to the Cardio department for a check out. The consultant after running a number of tests and getting me to wear heart monitor for a day told me he could find nothing wrong and that I should go home and ‘Die of Something Else’ (his words, not mine).

My next visit was to the Asthma Clinic for a periodic review (never had one of those before) and after various tests I was told that I had Chronic Obstructive Pulmonary Disease (COPD): Personally I prefer my own naming of Codgers Old Puffing Disease (COPD) :-).This was not good news. It was irreversible and degenerative. It would over time get worse. The timescales would depend on my lifestyle. Cycling has to be my lifestyle.

At my last review with the COPD Nurse I was told that my obstructive lung effectiveness was sitting at just 47%.  In my book, that less than one lungs worth of air for each breath. I’m sure the maths isn’t quite that simple: There is for instance the factor of restrictive breathing exacerbated by weight causing pressure on the diaphragm. But whatever, when breathing it feels like one lung so I’m sticking with that.

Now, one of the consequences of COPD is that the heart has to work so much harder to move what little oxygenated blood it can around the body. But because of the limited supply, the heart becomes in itself erratic and causing to to go into Arrhythmia which can and does feel extremely uncomfortable and makes exercise difficult. The consequence of this is that my cycling lifestyle became challenged which meant I put on weight which aggravated the restrictive breathing even more. I’m sure you get the picture.

So, my last review, 47% put me at stage 2 possibly moving to stage 3. My last proper review was three years ago. How do I feel today?  I thought I felt bad, I felt as though I was entering, what I call, the valley of despair. But then I read about somebody with COPD completing the London Marathon.

I’ll tell more in my next COPD update.

Poor Podge

 

Podge & Tubbs Go Back To Back

Posted: April 19, 2016 in Another Cruise, Cruising, Health, P&O, Travel, Uncategorized
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Having conquered Pisa, using Livorno as base camp, the next target was Genoa. Genoa was to be the end of the current cruise and over 1000 fellow passengers would be disembarking for their flight home.Podge & Tubbs however was having none of it: They were staying on.

Having spoken with Tubbs’s youngest boy (Master Nicholas) who had been a ships photographer for a year including four months doing the Mediterranean cruises, Podge & Tubbs decided that as Genoa itself probably wasn’t going to be to their taste they decided to opt for an excursion called Castles & Wine (it was the wine that drew their attention).

Podge & Tubbs had no friends

Unfortunately, the day before their arrival they received a cancellation letter to the effect that the tour had been cancelled as they (Podge & Tubbs) were the only ones looking to go. It seemed that nobody wanted to play with them. They had no friends.

Poor Podge & Tubbs.

Being as they were, without friends, Podge & Tubbs decided that they would stay on board all day. This gave Podge the rest he so badly needed, particularly as the next day was to be an epic 8-hour excursion to Florence. This also gave them the chance to smugly watch all those passengers leaving the ship and enjoy the peace and tranquility before the new batch embarked.

Podge, got up early enough to watch the boat glide into port and park. He sat on the balcony for a couple hours watching dawn break and the town of Genoa slowly waking up. Before too long, the seemingly quiet roads became jam-packed with commuters making their way to work. Podge felt smug. All to soon however it was time to awaken The Duchess with her morning cup of Earl Grey. Podge was by now proficient at waking her slowly and gently so that she started the day in a good mood. This always meant that the day would be a good day.

Very soon after, Tubbs joined Podge on the balcony and they sat there drinking their brew’s while watching Genoa going about its daily business content in the knowledge that although this was the end of this cruise, it was also the start of their next cruise: They were doing two cruises, back to back.

Lucky Podge & Tubbs.

The time was by now, 10:30 and they both agreed that it was time to go for a quiet breakfast, especially quiet as most of the passengers would by now have disembarked.

Oh how wrong they were.

The system was different to all previous systems they had encountered. This time, the passengers disembarked over a period up to 16:30 and even worse, the new passengers were already embarking. There were glum looking passengers with their hand luggage, huddled around in groups in the restaurant, waiting to disembark: There were confused pale faced passengers with their hand luggage waiting for their cabins to be available, huddled in groups in the restaurant wondering what was where and where was what.

It was just too much to bear.

Podge and Tubbs turned into His Podgeness and The Duchess, found a free table, just, sat down and had brunch, and left as quickly as possible. They wanted peace and quiet not to sit around with glum faced, pale faced passengers (in need of some sunshine) scattered all over the place. Quickly they made their way to the nearest bar and sourced a handful of Bud’s, tonic for the Gin, wine (just in case they ran out of gin) and some elderflower drinks (whatever they are) and retired to their cabin and there they sat, like two sad recluses, on their balcony drinking G&T and soaking up the sun, until the sun moved away then, they went inside and watched Spectre. The timing was perfect. Come the end of the film, it was time for fivesies so off they went to the Champagne Bar for some light refreshment before their evening meal after which they returned to the Champagne Bar for a last couple of drinks before retiring to bed.

In a way, it all worked out rather well, as Podge got the rest he needed (he did have a bit of a headache as well) and shall be good for the next days epic adventure to Florence. We shall see how Podge is when they get to Florence.

Poor Podge.

 

 

Podge & Tubbs Go To Pisa

Posted: April 16, 2016 in Another Cruise, Cruising, Health, P&O, Travel
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The day after Cannes, the land of the luvvies, Podge & Tubbs sailed into a quaint little town called Livorno the Cruisers gateway to both Florence and Pisa.

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At last, after 9-years it looked as though they might finally get to see the elusive town of Pisa: Tubbs was mighty pleased: Podge was also pleased.

The body is weak, the spirit is strong

Sailing into Livorno found Podge still struggling with his breathing (ManFlu can be far worse than people realise) and knew that the original plan of visiting both Florence & Pisa today was never going to work so he was glad they’d changed their plans to just ‘do Pisa’ today. Now, he was however concerned that even just doing Pisa was going to be a struggle but, at least he had time before breakfast to sit and watch the boat park, the strings get tied and the gang plank being deployed. Podge was not going to let Tubbs down: Even though the last time they missed Pisa was because Tubbs had been ill (a mix of lager, ice cream and heat was the cause that time), Podge was determined to make the visit. It did help however that he had an absolutely splendid fisheye lens to try out. And so, Podge readied his camera bag before, carefully, waking The Duchess with her morning Earl Grey.

Podge craves a selfie stick

Earlier in the cruise, Podge and Tubbs joined the new latest craze and took their first selfie and they looked upon the results and thought ‘not bad but could be better’. “What we need” said Podge, “is a selfie stick”. Tubbs just looked at Podge with that sort of ‘buy one if you really wish, and [dare] to’. type look. Podge parked the idea but vowed to return to it later when her guard was dropped.

As luck would have it, when they reached Pisa and were about to get off the bus Podge espied a number of eager traders rushing to the bus to offer all the opportunity to purchase some local souvenirs, these being Ray-Ban sunglasses, Prada handbags, Rolex watches and yes, even selfie sticks. ‘Perfect’ thought Podge, ‘I can get one now while The Duchess is happy and content’, he mused. At this very moment, the tour guide on the bus advised that these sellers were illegal sellers and surprise, surprise, their wares were counterfeit. She also iterated that if the authorities catch anybody buying anything from them, the buyer could, although unlikely, be fined up to €1000. Podge, being averse to risk decided he didn’t want a selfie stick after all.

Pisa at last

After leaving the bus and avoiding the sellers with a polite but firm ‘No, Grazie’ or possibly ‘go away’ or words to that effect, Podge and Tubbs made their way through the street markets, Tubbs did well to avoid all, after which they finally made it to ‘The Square of Miracles, and of course The Duomo (Cathedral), The Baptistery (also leaning but not much), and the Bell Tower (The Leaning Tower of Pisa). Podge and Tubbs were so pleased with themselves. Podge was pleased for Tubbs and Tubbs was pleased that Podge made it :-).

With only one hour, which was more than enough for Podge who’s breathing was once more a struggle they, as quickly as they could, made their way around the building taking photos as all tourists do, badly. Podge tried to make up for his artistic inadequacies by using his special fisheye lens but all equipment has its limitations. 😦

They considered the opportunity to climb the Bell Tower for a view from the top but the sign at the door advised against it for anyone with respiratory or cardio problems; so that ruled Podge out and Tubs didn’t want to leave Podge on his own so they gave that a miss. They did however opt to climb the steps inside the Baptistery  to get a view from the top of there. This was both a good idea, at least they were able to see inside from on high but also a bad idea as Podge needed to stop three times and then sit down for 10 minutes waiting for his breath to re-find itself – Poor Podge. Eventually it did, Podge took his photos and then together they went down the [Exit]. Now, the stairs up and down are similar to those in a lighthouse, following the wall of the structure made of stone but, with no handrails but wall either side. So, the climb up and down was interesting. Imagine then what it was like when part way down the [Exit] route a party of French (who else) school children decided it would be fun to come up that way instead. Podge wasn’t happy: Podge inflated himself to make himself bigger to make it difficult for them to get by but had to concede and simply stand to one side (slightly) and let the little perishers by, all 40+ of them. Podge was grumpy.

Eventually, and not before time, they all had to depart The Square of Miracles and set course back to the Oceana where both Podge and Tubbs would deposit everything they could in their cabin and make their way to the poolside bar for a well earned glass (or two) of Pinot.

Both were very happy. They had conquered Pisa. They had done well.

The Duchess
The Duomo and The Baptistery
The Duomo (Cathedral)
Insider The Baptistery
Insider The Baptistery
The Baptistery
The Baptistery
The Duomo and The Baptistery
The Bell Tower
The Bell Tower
The Bell Tower
The Bell Tower
Forgot
Forgot
The Duomo (Cathedral)

After drinks, came dinner, after dinner came drinks, after drinks came an early night, i.e, they went to bed the same day they got up. Podge was done in. The day had taken its toll. The next day was to be a day of doing nothing except watch passengers disembark at the end of their cruise. This was good because Podge needed a rest.

Poor Podge.

PS: – His Podgeness has since purchased a selfie stick from Amazon – Tubbs has yet to find out

 

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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