Category Archives: health

Resting, Reading and Recuperating

One of the horrors of old age that I have observed is that at a certain stage people stop reading. My father, despite everything, is still hanging in there. He’s never been a massive reader but he’s always done crosswords and puzzles and, although they may be getting simpler, he’s still doing them. This, I feel, is a good thing.

Ever since I had tonsillitis. in around 1964, and my mother suggested reading as a hobby, I have been a lost cause. She bought me a copy of Biggles of The Special Air Police and the rest is history.

I still have the book – it’s within feet of me as we speak. Sometimes I wonder what would have happened if she’d bought Jane Eyre, as she later did. Would I have grown into a sophisticated professor of English Literature? Or would I have given up reading? I suspect the latter. Having been persuaded to read several classics in my early reading career I then gave them up until recently when I thought I should give them another try.

It didn’t really work out well. You may have seen my comments on this previously – that Don Quixote would be much better if it was half as long and had a murder on the first page, preferably Don Quixote himself. My feeling on a number of other classics is similar.

The nearest I’ve been to a classic in the last twelve months is  John Buchan. I’ve managed The Thirty-Nine Steps, Greenmantle, Mr Standfast and The Three Hostages but I’m having a rest for now. There comes a time when casual racism wears a bit thin, even if it is authentic contemporary racism.

I moved on to Dr Thorndyke but after four of them I started searching around for some variety. Having read a book on Q Ships I’m now on Nature Cure by Richard Mabey.  Clare Pooley recommended it to me when I came out of hospital. I broke one of my normal rules and paid £4.99 for a Kindle edition, but it’s been worthwhile.

Clearly the man is marching to a different drummer, even when he isn’t suffering from depression, but it’s a relaxing and informative read. I looked forward to his account of male urology, as this is one of the points where our lives converge. He likens it to a mythical linking of his internal water with the water of the Fens. That’s why he’s known as an elegant and spiritual writer.

I have never thought of it as mystical in any of my three stays in Male Urology, I just use it as a source of broad humour. My internal water is linked to the water in my kettle.

That’s why I’m not known as an elegant and spiritual writer.

Finally,  moving back to the point. It’s surprising how much energy it takes to read and concentrate. I struggled in the days after leaving hospital, and I’m still not fully back in the swing of things. With the sort of time I’ve had on my hands recently I should have seen Nature Cure off in short order, probably in a day. It’s only 240 pages in the paper edition, which is not a long book.

I didn’t have the energy to start it for a couple of days and I’ve been doing a section each day. I still have a bit left, though to be honest I’m now able to read faster and I’m just trying to prolong the pleasure of reading.  I’m doing puzzles now and looking at the web, though still not up to full speed.

Has anybody else noticed that reading can be such an effort? Or am I just getting old?

 

 

Random Reflections

It’s now ten days since the medical profession applied heavyweight medical equipment to some of my more delicate bits. I’m pleased to report that the bleeding has stopped, the swelling has gone and I’m now resigned to the indignity of the catheter. Only five weeks before the replay.

I’ve been doing some thinking about my leg too and with a combination of exercise and stretching it seems to be improving. If I can keep that going I should be back to proper walking by the end of the week.

The only remaining problem was the changing of the leg bag. I haven’t changed one before so I was slightly apprehensive about what might happen. As it turned out there was no problem – everything went without a hitch and I am now connected again.

There was a potential for trouble but I managed to avoid it. Depending on which brand of product you use there are between two and four lengths of tube between catheter and leg bag. The brand issued by the hospital  has 4 lengths. They fitted me with a 30cm tube after the operation.

So they obviously gave me 30cm tubes with the kits they sent me home with. Well, you’d think so. Even with a 30cm tube I have to take care how I set things up. The consequences of getting it wrong is that you squeak like a hamster and have to wipe the tears from your eyes.

Fortunately I checked before opening the packets, as the tubes supplied by the hospital and District Nurse are all 10cm. Fortunately I’d ordered the larger of the two sizes available on prescription (a different brand from the hospital supply) so the ones I collected yesterday allow me to walk without trouble.

It’s tempting to launch into a collection of catheter anecdotes (I have a few…) but I will maintain some pretence of good taste. Well, I will after a couple more paragraphs.

My latest scheme is to experiment with food colourings. I’m looking forwards to showing the doctors a bag of lurid-coloured liquid and seeing what they do. Julia is refusing to help with this, but has suggested beetroot. It is, after all, well known for turning urine red. I’m currently taking a proton pump inhibitor as part of my doctor’s crusade to test every sort of pill known to man, and this may prevent the desired result. I also really hate beetroot, which is another drawback.

On the other hand I’m not sure what constitutes a lethal dose of food colouring. It’s the sort of thing you need to know, because although brightly-coloured urine is a joke, food poisoning is no fun.

 

 

Just like Jane Austen

The day started well, with a telephone call from the pharmacy. This allowed me to drive down to the shop and use the words “Incontinence Advisory Service” for the second time in three days.  This time there wasn’t a crowd of people listening, so it was a less embarrassing experience than the first time.

I am now fully equipped for the next eight weeks and, as a result, feeling relaxed.

After that it was time for a trip to the jeweller’s. I don’t need any jewellery, watch batteries or repairs but I don’t really need an excuse to gossip and drink tea. With my current set-up I am able to drink tea without worrying about the consequences. It was a relaxing interlude, as it’s part jeweller and part antique shop. As I think I’ve said before I feel at peace in three places – church, antique shops and bookshops.

I also feel at home in “all you can eat buffets”, as you can probably tell from the self-portrait, but for some reason I’m never made  as welcome there as I am in the other places and don’t feel so comfortable. The staff always seem edgy when I walk in…

The last visits of the day were to drop off some Easter cards. It involved more tea and a look at several gardens that I used to look after. One of the ladies showed me her 80th Birthday Album. She had spent the week in Whitby with her children and grandchildren. It looked like a good time was had by all, and the Birthday Cake was made by Botham’s teashop. The picture on top was a view of the Abbey framed in the Whitby Whalebone Arch.

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Whalebone Arch – Whitby

As a result of getting out and about I feel much happier, even if the weather forecast is not good.

In fact, with all this tea and visiting I’d go so far as to say I feel very Jane Austen.

The District Nurse

I got up around 8.00 today, which is late but not unforgivably so for an idle town dweller with nothing much to do. It gave me plenty of time to wrestle with plumbing, socks and trousers and do a spot of gardening before breakfast.

It was sort of gardening anyway, going over the joints of the paving stones with a flame gun. It’s far better than weedkiller and easier than hand weeding. The hedge looks like it needs a tidy, which reminded me I was planning some drastic pruning. If I get it cut back in the next two days I can get all the waste in the garden bin ready for the first collection of the year on Friday. Privet really isn’t good for compost.

This time next year I’m hoping to have a new permaculture based front garden. I was hoping to start this year but I haven’t felt up to doing much so far.

Granary toast for breakfast and some uplifting reading on WordPress, including this, this and this. I usually drop in here and here too, but I’m working slowly today. Apologies to those not mentioned, I’m just finding it harder to get round these days.

It was time for a walk then, as I’m trying to get more air and exercise. With a bad leg (not sure what is causing it, but sitting down all day isn’t helping) I’m struggling to do more than a few hundred yards, but that was just right to get back in time for the district nurse.

She provided me with a few bags and the phone number to get more plus help and advice. She also took blood pressure, heart rate and temperature readings with equipment that looked decidedly old-fashioned compared to the kit in hospital. All is as it should be. Finally she accepted that I was able to monitor my own bottom for signs of pressure sores, which was good. I’m a man, not a baboon, and such display is, frankly, neither necessary nor welcome.

By then it was time for lunch, shopping and a drive home.

I’m feeling tired now. Well, I’m convalescing so it’s allowed.

A good time for quiz shows and blogging, I feel.

My Plastic Footprint

I’m feeling uncomfortable in more ways than the obvious one at the moment. Apart from the feeling of discomfort in the bladder area I have a feeling of guilt about Julia running round fetching and carrying for me. On top of that I’ve just been calculating the amount of plastic waste I’m going to produce before my return to hospital.

It’s going to be six weeks before I return. That’s 42 days.

For those of you not familiar with the equipment involved, it starts with a Foley catheter. Don’t read the link unless you have a real thirst for knowledge, it’s just a catheter that stays in place because they blow up a small balloon on the end to keep it in place.

Definitely don’t read it if you currently have one inserted as I’ve just scared myself to death by reading all the possible problems.

They can also, it seems, be used to stop nosebleeds. The mind boggles.

The catheter is plugged into a leg bag.

It is secured to my leg by Velcro straps, which is a skill in itself. Secure it too far down and you can get quite a twinge when you stand up. If I could find an emoticon showing a man with massive googly eyes and drops of sweat I would use it now. That’s how it feels. I now secure it as close to knee level as possible.

You can get one with a longer tube, but giving one to the man who is six feet two would be too simple.

The whole point of the procedure, from my point of view, is to get a decent night’s sleep so I don’t really want to be getting up all the time to empty it. This is where the night bag comes in. It’s four times the size and you can get about 7 hours out of it before that sense of urgency alerts you to the need for emptying.

The night bag has several feet of tubing attached. I haven’t measured it yet, but it’s long enough to trail across the floor at night and get tangled in Julia’s feet.

To attach the night bag you merely connect the tube to the tap of the leg bag and open the tap. To remove it you close the tap and disconnect. Remember to leave the soft tube on the leg bag. Simple. Even an idiot can do it. Most of the time. I’ve only had one emergency sock change so far, and one trip to root through the bin for the connector…

Anyway, plastic waste.

You use a leg bag for a week, so I’ll need six, which seems a bit of a waste. However, I don’t want an infection to build up so I’ll do as I’m told.

You have to throw the night bag and tube away every day.  That’s 42 bags and about 50 yards of tubing.

I think you could open up the top of the night bags to make flower pouches. They already have eyelets for hanging and a drain hole.

However, Julia says no.

I’m sure there’s a way to repurpose the tubing too, but she isn’t keen.

So that’s 42 night bags, 50 yards of tubing and six day bags.

That’s not the end of the story, as they come in packs of one leg bag and five night bags. I need nine packs, in plastic outers, and at a ratio of 7:1 will have six surplus bags – three leg and three night. I’ll be interested to see if they have a system for taking them back into stock.

To be fair, the NHS is making big efforts in recycling and if I were to get an infection by reusing equipment I would moan at great length. You know I would.

However, I still feel bad about all this plastic.

We also have three pairs of crutches from various rugby injuries because they won’t take them back, but that’s a different story…

 

 

 

 

Hospital Food

I have been in hospital three times – 30 years ago, 12 years ago and 2 days ago.

Thirty years ago the menu system served to me was the meal that had been ordered by the previous occupant of my bed. That, at least, was the theory, but subsequent experience suggested it might be less logical than that.

The conversation tended to centre on “operations I have had”, which didn’t really improve the atmosphere around the dining table.

The random nature of the menu arrangement became clear when, after three days, I left without once getting the meal I’d ordered. What I did get was mainly boil-in-the-bag scrambled egg, consisting of a square yellow block surrounded by water. With the addition of random veg and bits of fish and meat…

I will leave this painful episode with a quote from one of the convalescents, who actually seemed to like the stuff: “You don’t get food like this at home, do you?”

I had to confess that I didn’t get food like that at home.

Spool forward 18 years and once again I’m in the grip of the NHS. They have had my trousers down, tested my prostate and declared an intention to insert a camera into my bladder via a passageway quite clearly not designed for the purpose.

They had to take me in again after getting it wrong the first time – I’ve run them into one as they were only a few months apart. On each occasion they cancelled first time due to lack of beds.

The first meal was cold because we were at the far end of the ward. The only choice was fish and chips (bread-crumbed fish garden peas)  because everything else had run out. There were five of us but only four fish, so they chopped the tail sections off and served them up to the fifth man.

They didn’t actually run out of food again in the next few days but we never had the full menu available or hot food. I did suggest it might be nice if they started at our end of the ward sometimes but they just looked at me in a snotty manner and ignored me.

To be fair, the food and system were both better than my previous experience.

Finally we have the latest round of visits – the December swelling and the events of Friday. More trousers, more tests and more cameras.

They have a new trolley, which keeps the food hot, and they seemed to have plenty of food. The choice is better and the standard is higher. The fish was better, it was battered and the peas were mushy, as is proper. It isn’t perfect, it tends to lack vegetables, but they do deliver it to your bed, and I did look forward to mealtimes.

That anticipation may have been due to boredom rather than the dining experience, but it’s definitely an advance on 30 years ago, when I used to dread the menu lottery and developed a fear of scrambled eggs.

 

A Tale of Tubes and Tears

The last few days have not been great, though due to the magic of blogging you won’t know that. When you’ve been reading about the trip to Wales I’ve actually been in hospital in Nottingham. On balance, despite the unpleasantness of a stay in male urology, I prefer Nottingham. There were no Kites, and no bilingual road signs, but the food was better and there was no problem with finding a toilet when you wanted one.

However, as a consequence of the operation and the bad night that followed I’m feeling subdued and tired, so I’m taking the easy way out and talking of hospital rather than Wales.

I quite enjoyed the first part of the visit, though I really don’t like spinal anaesthetics – being stabbed in the backbone isn’t my favourite procedure and I’m not fond of anything that involves putting my feet in stirrups whilst men with beards mess around with urological equipment.

The operation was OK, and being awake allowed me to watch what was happening and talk to people. The recovery room was also quite fun, and the nurses on the ward were very cheery. I even arrived on the ward in time for lunch (fish and chips followed by apple pie and custard).

They even, to look on the bright side, fitted me up with a personal toilet system. It has taken care of the problems I had with passing water, and it means that I can no longer be caught short as I have all I need strapped to my leg.

I was horrified at first when they told me I was going to have a catheter for 6 weeks, partly because it’s the sort of thing that only happens to old men, and partly because I was hoping to have everything fixed up in one go. It seems they want me back in six weeks to tidy things up and remove some stones from my bladder. Typical NHS, you go in for help with one problem and come out with another.

Tea (served at 5pm) was tomato soup followed by  leek, chicken and ham casserole with mixed veg. I had the tinned fruit for dessert to try and increase my intake of fruit and veg. You don’t really get enough fruit and veg in hospital, which is strange (a) because it’s healthy and (b) because nurses are obsessed with asking about bowels.

The food was excellent, far better than when I was in 12 years ago. It was hot for one thing, which wasn’t always the case last time.

I could do a post on hospital food, and may well do that later. I won’t, however, dwell too much on catheters. I can be quite amusing on the subject, but it’s really more suited to the rugby club crowd rather than the sophisticated readership of WordPress.

No pictures today – there wasn’t much that was suitable to photograph.

At the Garden Centre

We had some time to kill yesterday in Peterborough so we went to Notcutt’s Garden Centre at Ferry Meadows for an Apple and Cinnamon scone. I took the opportunity for some spring flower photography.

The scone was large and had a good flavour (much of it down to sugar, I think). On the downside, it was a bit dry and crumbly and could have done with more apple. It wasn’t bad but I won’t be rushing in to buy another.

Dad’s brother Tom was down visiting from Lancashire. He’s 86 and much fitter than Dad, who just turned 88. That’s probably due to a lifetime working outdoors, in contrast to Dad who spent most of his time in cars and offices. He travelled with his son and daughter-in-law this time as the drive is getting a bit tiring these days.

After Peterborough they are going to Buckinghamshire to see my Uncle Jim (94). He spent his life using a bicycle and never owned a car. He met my aunt when he was stationed in Lancashire during the war and after he left the army cycled up from London to see her. He’s still 100% mentally, though he recently had a knee replaced.

I’m seeing a pattern here.

 

 

 

 

 

Fish Pie

I need to brush up on my food presentation technique and buy plain plates, but I think the photograph gives the general idea.  It’s fish pie with peas, sweetcorn, onions, mushrooms and dill in the sauce. It’s topped with sweet potato and served with carrots, asparagus and a cabbage and broccoli mix. They aren’t all full portions but I imagine there are six portions lurking in there.

Yes, I feel guilty about the out of season South American asparagus but nobody is perfect.

At one time I would have sat back with a snug expression on my face, having done a day’s veg in one meal. Since recent changes to government advice it’s now only 60% of my day’s intake. Even with thick cut marmalade for breakfast, a pickled onion with my lunch and two bits of fruit I’m falling short of the new target.

Looks like I’m going to have to rethink breakfast and eat vegetable soup for lunch. Or salad. For the rest of my life.

That’s the paradox. The healthier my diet (which is something achieved by eating food I don’t enjoy) the longer I will live. And the longer I live, the more salad I’m going to have to eat.

 

 

Courgetti Spaghetti

All is good on the meatball front. I am able to produce a well-seasoned meatball that is soft on the tooth and holds together well when poached in tomato sauce.

When cooked in the oven they tend to flatten on the bottom, form a crust and dry out a bit. I could try a more sophisticated approach to this, but as I like them poached in the sauce I may just stop cooking them in the oven.

I tried frying one batch. It was a soft mix and probably not well-suited to the method. As you don’t actually need to brown them before poaching I’m going to avoid the frying pan in future.

After an unsatisfactory encounter with Boodles – spiralised butternut squash noodles – I’m glad to report that the courgetti spaghetti was far better in both taste and texture. The problem, apart from the cost (£1 for a small portion) is that they release a lot of water, which doesn’t look great on the plate.

I can’t immediately think of a way round this, though I will try dropping the lot into hot oil next time, not heating it gradually. I will also look at a selection of dishes where the extra water won’t be a problem.

Does anyone have an answer to this problem?

Next stop, bean burgers.