Tag Archives: blood test

Blood, Soup and Tears

Today we had Cauliflower and Stilton soup. It’s like the soup we had yesterday but I added garlic and the remains of a packet of  Stilton. It was much better for the added flavour, though I think the lower calorie version (without cheese) is better for us, and means I don’t have to struggle with my conscience about putting Stilton in soup. It doesn’t seem a good use of  what Orwell called  “the best cheese of its type in the world”.

I had a blood test before that. She tried the left arm, then the right, then the left again. After that she went for another nurse, who tried both arms again. No blood. So they brought a third nurse in. She went further up the right arm and hit the vein straight away. Four plasters on the right arm, two on the left. It’s a new record!

Some days are like that.

And that, apart from some TV, is all I have done today. It’s 4.30pm and I am having a short break from TV.

No, there is one other thing, I weighed myself while I was at the surgery. Good news is that I haven’t put any weight on. Bad news, of course, is that I haven’t actually lost any.  It could be worse, I might have gained, but it’s obviously time to start getting serious about weight loss again. I probably need to become ill again as nothing helps a diet along like feeling too rough to eat. However, it’s a high price to pay for losing weight.

Today’s soup picture is a poor attempt, but I’m not in the mood for a long photo hunt.

Blood, blood, blood . . .

This morning I went to have my blood extracted, not all of it, but a substantial amount. I went for two tests, but it’s just occurred to me that they took three tubes of blood. No doubt it will all become clear in a few weeks when I get another helping of unwanted medical advice.

They did my blood pressure too. It’s high. They know it’s always high when they take it in the surgery – it’s known a the “white coat effect”. It’s also a result of being messed about by the NHS with more inaccurate record keeping and unwanted tests and attempts to make more appointments I don’t want. To be fair, it’s more complicated than that and just as deadly as ordinary blood pressure, which is, as we all know, more dangerous than a charging rhino. Or so my doctor would have me believe. On the other hand they also told me that losing weight would lower my blood pressure, which turns out to be inaccurate. I’m beginning to think that the medical profession may not have all the answers.

To add to my annoyance my weight has crept up. It’s not a disaster but it’s disappointing. It has become more difficult to cut back after my appetite returned, and I’m still eating  less than I used to, so I thought I should at least be steady, rather than putting weight on. It’s a puzzle, but one that is easily solved by use of the ELF method – Eat Less, Fatso.

Not sure what to do for the rest of the day. I was planning on going out with Julia but as she is now booked in for flu vaccination at 2pm (after having been involuntarily rescheduled twice – ran out of vaccine the first time and and staff illness the second) the day is less convenient than it was. She won’t be able to settle if we go out before the appointment and it will be dark not long after the appointment, so it’s not really practical. That was one of the reasons my blood pressure was up this morning.

The header picture is a reminder of what we did in November 2019. And a reminder that I am hungry.

Packing Parcels and Other Stories

Today was a day for packing parcels and listing foreign banknotes on eBay.  also rang for a blood test appointment. There were queues of 12, 18 and 9. I didn’t fancy any of them but eventually, at about 2pm, decided that I would have to join the queue of twelve. It took me 31 minutes to get through. Thirty one minutes of appalling twangy music. The time was incidental to the mental anguish of the music. Every so often a dopey male voice came on the line to tell me I was “now in position . . .” and a female voice then added a number. It’s all very strange but at least they have removed the bit where they say my call is important to them.

Fortunately there were no customers and no phone calls in that time. I say “fortunately” but customers are really the point of having a shop . . .

I have a blood test appointment for 8.45 on Wednesday, which will give me plenty of time to help Julia with the list of errands that need doing. I’m looking forward to my “day off”.

I’ll tell you one thing that has really suffered during my recent illnesses – fluency. I used to be able to sit down and rattle off 250 words without thinking. They just came into my head. They weren’t all coherent, or spelt correctly, or even grammatical at times, but they were there. Now I struggle to find 150.

Even now, after over an hour of trying (not, I admit, continuous effort) I’m only just creeping up to 250, my self imposed lower limit.

And now I’ve done it, I’m going to bed. See you tomorrow.

Julia saw an iridescent cloud today. I didn’t even know they existed. She sees better things than I do.

Slowly Bleeding to Death

I have atrial fibrillation, as does Mark Spitz, the record-breaking American swimmer.  Mine isn’t as dramatic as his, mine was simply discovered when I went to the doctor and she listened to my heart.

“You have an irregular heartbeat.” she said.

“I know, I’ve had it for years.”

“We really should do something about it.”

That’s why I hate going to the doctor – I always come away with more than I take in.

I have an International Normalized Ratio (INR) test every few weeks to see how my blood is clotting. I need this because the doctors make me take Warfarin to stop my blood clotting too quickly. Until a few years ago I thought of Warfarin as a very effective rat poison.

If you have a normal set-up you have an INR of around 1. If you have atrial fibrillation they try to get it in the range 2.0 -3.0 which stops it clotting and prevents strokes and heart attacks. If you have a mechanical heart valve they like it to be a bit higher. It’s nothing special, a million of us have it in the UK and ten percent of the over 75s have it.

However, it can be a bit variable, and you may have noticed that I often complain about the testing, as the results can be very imprecise, which annoys me. I do my bit – eat a dull and unvaried diet, take the pills at the same time each day and let them take regular bloods. They, on the other hand, don’t do much, as I recently pointed out to them.

So, I believe I had got as far as 3.5 for people with mechanical heart valve and similar problems. The next step is 5.0 – 8.0. They start getting twitchy at this sort of level, particularly if it is accompanied by bleeding, and start threatening vitamin K injections. At 8.0 they start getting very twitchy . . .

And at 9.6, if you haven’t admitted to any bleeding, they tell you to stop taking the pills immediately and to go for another blood test in two day’s time.

I’m not sure whether to worry or claim it as a personal best.

 

 

 

 

An Interesting Day

Got up late and felt sluggish. Socks went on OK but the trousers fought back and it took some time to sort out. After that it was down to the pharmacy to sort things out (again) which took nearly half an hour). Then, with what was almost a bin liner of dressings and bandages, I staggered across to the doctor. Here I had a blood test. The nurse in question has a good record of getting the blood, but clearly learnt her testing technique in a time when patient pain was not such an issue.  They are still short of tubes. There was a short wait after that as I changed nurses and gat new bandages. The leg is looking  a lot better. I’m still not keen on having it attached to me, but it’s not as repulsive as it was last week.  I now have,enough bandages to make myself into a passable mummy for Halloween.

As I left the surgery I had a phone call –  it was the shop asking if I was anywhere near McDonald’s as we had visiting London dealers and they were making a day of it.

That was about the end of the excitement apart from the tempura pork. We had a pork joint at the weekend and still had some slices left so Julia did it in tempura batter and put sweet and sour sauce on it. It was delicious.  We also had stir fried vegetables but, as you know, I consider them a penance rather than a pleasure. Fried pork in batter with a sticky sauce, on the other hand, is a real pleasure.

The diet?

I’ll get back to you about the diet.

The picture is an old selfie from a day when Julia left me waiting in the car and I ran out of inspiration to write haiku. At that point it’s either turn to limericks  or selfies with special effects . . .

A Downtrodden Man

A woman rang today and asked if we bought unusual American coins. I passed her on to the proprietor, as he has a wide-ranging knowledge of American coins. It turns out she had found a rare Buffalo nickel (1913 San Francisco Mint – I’m hazy on the rest of the detail as I wasn’t listening). The Buffalo Nickel is a lovely coin, and if I were American I am sure they would be a pleasure to collect.

This was unusual because “rare” coins usually aren’t rare.

Earlier in the week we bought some coins off a man. He brought two small lots in- one bag of coins from his wife and one from him. He told us his wife was making him sell the coins he had inherited from his mother when she died last year. They came to £17.50. The wife’s coins only came to £5. So he signed the form and went off with his money. Six hours later we had a phone call from the wife telling us he shouldn’t have sold hers. He had to sell his but she wanted to keep hers. Then she told me she wanted hers back. That was, off course, a problem, as we had already sorted the lot into various other places.

Spanish Poppy

She told me they were worth a lot more than £5. I couldn’t help it, I just laughed. It was the end of a long day (in fact it was 15 minutes after closing time and we were just parcelling up a couple of late orders) and I really couldn’t be bothered. They coins were rubbish, her internet search was misleading and her grading, as usual, bore no resemblance to the reality of the condition of the coins.

Anyway, to cut a long story short, we sorted out a selection of coins that resembled the ones she had and the boss, worn down by her whining, just gave them to her to get rid of her, and to reinforce the idea they were virtually worthless.

It’s her husband I feel sorry for, he had to get rid of his but she keeps hers. (He’s a little older than me, by the way). His must be quite a cheerless existence.

You see all sorts in a coin shop . . .

Leaf

In other news, my blood test was OK this morning, though I still have to go in next week. I really must start applying pressure about less testing.

Wednesday produced some brilliant service from the NHS, who sorted a problem out in five minutes and had my delivery with me inside 24 hours. If I were a curmudgeonly sort I would point out that if they had done their job right in the first place three weeks ago there would have been no problem.  However, it is the system that is at fault and an individual who sorted it out, so credit where it’s due.

Then tonight the warning light came back on in the car. Did I tell you about that? Ys, I checked and I see I did. So far that Engine Management System has failed to flag up a single problem but it has cost me hundreds of pounds for replacing a faulty valve and several trips to the garage to get lights reset. It’s the next step in consumerism – first we had planned obsolescence, then we had vacuum cleaners that need replacement filters all the time instead of a new bag every few years, and now we have systems in cars that need repairing even though there is no actual fault with the car. This is either brilliant or very annoying, depending on your point of view. To me, it feels like Volkswagen are picking my pocket on a regular basis. Technology does not seem to be good for me.

Wheat

And that’s before I get on to the story about how I had to open a HP account to use my own scanner on my own computer. I couldn’t work round it by downloading a fix from Microsoft as they don’t recognise my account details. I answered a lot of stupid questions to try to retrieve the account and they told me I hadn’t answered enough. A big sort out is coming and the machines are going to come off second best when I raise the New Luddite standard. Thirty minutes messing about just to scan something for Julia, when in the old days, before the “new and improved” system, I could have done it in ninety seconds.

Photos are random, just to keep you awake.

A Plan Comes Together

The first half of the morning’s plan is complete. I got to hospital for 7am, found the last remaining parking space (as someone left), had my tests done (3 tubes this week) and went back to the car park to find a number of empty spaces and several people wearing NHS lanyards getting into cars in the (visitors only) car park. At the moment I am filling in time before going to the doctor to be lectured on my weight. She dressed it up as a discussion on anti-coagulants, but weight came into the conversation at the end, and I can imagine what is going to happen.

I am now off to complete the second half of the morning’s plan.

That was the doctor’s visit. It started badly when I was held up behind a couple demanding information on getting a Covid Passport so that they could go away on holiday and help spread the disease. Bad enough they want to go abroad,  without cluttering up the surgery when I need to get to the desk.

The good news is that I am the same weight I was when they last weighed me four years ago. That’s even better when you think I ddi put weight on but have managed to bring it down again over the last few months. I’ve used the Tootlepedal diet – cutting out a little bit here and there, and it’s working so far.

The doctor was able to make some helpful suggestions and has also changed my anti-coagulant to one where I will only need one blood test a year. I can’t start it until the blood results come in, but if it’s OK I will be able to have blood tests every year instead of the current weekly tests.

It’s all looking quite good at the moment. I’ve been advised to lay off the cereal and go onto eggs for breakfast, which is good, as I like eggs. However, it’s also bad as I can’t prepare them in advance or take them to work with me. Swings and roundabouts, as we say.

The third part of my plan, which I forgot about until just now, which renders my maths obsolete regarding halves, was that the pharmacy had all my stuff in and it was correct. I didn’t bother complaining that they hadn’t texted me last Friday as promised. There’s just no point…

Nottingham Man “very happy” after second vaccine

This started of as the second post of the day, but I fell asleep around 11pm and so this is now the first post of the next day, written just before leaving for work. It may be a bit rushed. It is also the second successive post featuring me being punctured. It’s a wonder I haven’t deflated.

I failed the blood test. My INR went up despite my dose going down. My dosage has been cut down yet again, but the trouble is that once you start losing it, it can take ages to get things back on an even keel. After a couple of years of good results, I have now gone haywire. They say it is due to lockdown, but a friend who had been on Warfarin tells me that it has always been a feature of his dosage – you get up to widely spaced tests, enjoy a year or two of stability then suddenly it all goes wild,

A few years ago I had an accusing phone call from a student nurse who had been given the job of ringing people and discussing their test records with them. Mine was about 75% – a sign that I wasn’t taking the Warfarin regularly, I was told. I pointed out that my record over the last 12 months was actually 100% and that all the bad results came in the first few months as the “highly trained” nursing staff failed to get the dosage right. There was a pause. Then she agreed with me and rang off. I don’t mind being accused of medical delinquency, because I am an appalling patient and very bad at remembering pills. However, I can analyse stats.

Falling asleep at 11pm could have been a side-effect of my vaccination yesterday, but it’s also consistent with my normal routine, as regular readers will know. I also have a slightly sore arm, but it’s only sore when I catch it on a door frame, as I managed to do last night and again this morning. It is also a possible side effect of the vaccination. Or possibly just consistent with being stabbed in the arm with a needle. I didn’t even bleed from the injection site, which always seems to scare them due to my Warfarin.

For the purposes of posterity (I’m thinking of that future PHD student reading my blog as  valuable historic document) I’ve had no side effects from the demon vaccine apart from a little soreness in the arm, and that is consistent with being stabbed in the arm by a needle. As far as I can tell, I have had nothing that can be attributed to the vaccine, but nobody interviews people like me for the paper – they just want stories about pain and death and misery. That’s why I chose the title for today.

Bringing out the worst in me…

It’s 7.57. On a normal day I would just be lacing my shoes up, ready to take Julia to work. But today isn’t a normal day. I was at hospital for 6.55, securing one of the few remaining parking spaces. Either there are an awful lot of visitors outside opening hours or the staff are using the visitor spaces. I think you know where my money would go if I were a betting man.

I had a twenty minute wait at Phlebotomy because they needed a chat about gloves and the faults with the label printing software. During this time I also noticed that although we have “social distancing” in p[lace for chairs in the waiting room, the chair I selected was not socially distanced from the store cupboard.

When one member of staff used it, we were around 3 feet apart. When four members of staff needed it at the same time, three of them with trollies, I became part of a milling crowd of phlebotomists. I’m going to take a guess here, but my conclusion is that the person who drew up the seating plan had never been to outpatients.

I could go on to offer some suggestions for improvements, and discuss management and leader ship, but I’m eating my breakfast with one hand and typing with the other, thinking is probably a step too far. Anyway, next door’s builders are using power tools and it’s difficult to concentrate.  There’s just something about getting the simple stuff wrong that really brings out the worst in me.

8.26 now. I’ve blogged, I’ve breakfasted and I’ve just checked the work eBay sales. It’s been a quiet week. I can’t see the day being distinguished by urgency and hard work.

Next time I post I will be fully vaccinated. It’s an all action day – blood test in the right arm this morning, vaccination in the left this afternoon. How’s that for advance planning? Two arms, two needles. I’m glad I don’t have a third needle to accommodate, as it would be a tricky choice.

Photo by Anna Shvets on Pexels.com

 

Phlebotomy Friday. Again.

I woke several times during the night and at 5.48 decided it wasn’t worth going back to bed as the alarm was set for 6.30. This allowed me to have an unhurried breakfast, a reflective cup of tea and a few minutes answering comments. What it didn’t allow, was a parking space when I went for my blood test.

Parking has been getting tighter down there, and this wasn’t a total surprise, though it in’t normally full by 7am. It is supposedly a car park for visitors only, but I’m not sure this is true. When they first made it free they had a staff member on the entrance checking that you were a visitor. Since that check has been abandoned it has been steadily more difficult to find parking. The cynic in me, seeing a variety of clues inside the cars, and seeing drivers dressed in NHS uniform, tends to think the staff are ignoring the notices and taking the spaces meant for visitors.

The other part of me, the part that wants to believe they are all heroes and angels, doesn’t want to believe it. “Say it aint’ so, Joe!” my inner, innocent, self cries out.  However, when I think back to the times I have been in hospital, including the time I was left glued to the bed by dried blood despite a request for help, I do start to wonder. If they are capable of leaving me stuck to my bedding, they are certainly capable of stealing my parking space.

I will, however, cut them some slack, because they generally do a good job and it’s a lovely day. The sun is shining, there was minimal ice on my screen this morning and the Robins were singing in the hospital garden.

The blood test, performed with the panache odf a world class fencer, took mere seconds. Touché, you could almost hear her cry.

And now, having got home in time to write a post, I will go to work.