Unlike
yesterday, today has started
with clear skies and lots of
sunshine. All yesterday's
sunshine must have really warmed
up the earth, houses, etc,
because it was not a cold night,
and we seem to have started at
20
° C according to my thermometers.
We may have
continuous
full sunshine
today, and
that should
push the
temperature up
to a glorious
29 or 30° C.
Tomorrow may only see sunny
spells, although even those
could fail for a few hours in
the afternoon, and so the
temperature may only reach 24
° C.
Yesterday was a
good day. Seeing the nurse in
the morning was good. Going to
Tesco a little later in the
morning was good. Eating a small
heap of nice stuff for lunch was
good. A double beer
tasting/drinking session in the
afternoon/early evening was
good, and eating some tasty
stuff afterwards was good, but
the latter was probably my
downfall.
Although it was still
slightly cool, it felt sort of
good walking to the surgery in
my second lightest pair of
shorts, and a pair of very light
plimsolls....although I must
admit those plimsolls were not
nearly as comfortable as they
generally were several years ago
when I used to wear them very
frequently. The best surprise
was that (if I have the names
the right way around) is that
the nurse I saw was Jen. She is
the one that believes in more
carrot, and less stick. The
nurse I was hoping not to see
again (although she is far
prettier) is all stick and no
carrot.
We got off to a fine
start when the nurse could not
find a working blood pressure
meter. She had to accept the
picture I had taken of my blood
pressure at 7.45am, earlier in
the morning. To my surprise at
the time, it was a really good
reading. I expected far worse at
that time, although far worse
would have been perfectly
acceptable. I didn't get off
going on the surgery scales, but
the nurse interpreted the non
digital, circular scale at only
200gm more than I had measured
at home under ideal conditions,
and probably 2 or 3kg less than
I was last weighed there.
Next came the diabetic
foot check, and there was some
lack of sensitivity on some of
the more battered toes, it was
all judged to be OK. I got
her to look up my last blood
test results. The one done at
the hospital, for the cardiology
department, measured loads of
stuff - mainly to do with the
kidneys and liver. All but one
were in the middle of the
predicted ranges. The one which
was high was a test for
Creatine. It was not very high.
I am unsure what the
significance of creatine is.
My last diabetic blood
tests were done a week after the
hospital ones, and date back to
May. They were all perfect. As I
had hoped for at the time, my
blood glucose level had dropped
a lot, and was back in a
pre-diabetic region. It
confirmed my own, home readings
using my three blood glucose
meters. Oddly enough, May was
not a very good month, and my
average readings for June were
far better.
The last thing the nurse
did for me was to check
everywhere on the computer
system for any notes about my
visits to the cardiologists at
the hospital. The last notes
were my discharge notes from my
2 days stay in the hospital in
March. What I was hoping she
would find was the instruction
to double the dose of the
mononitrate anti-angina drug
(and less importantly another
drug I have been on for years.
She has sent an internal message
to the staff doctor at the
practice asking him to message
the hospital cardiology
department to get the increased
doses verified.
I hope, although I
suspect it is unlikely, that the
message may come back down the
chain in time to be included
when I order my next repeat
prescription - which could be on
Monday, but I'll put it off
until I am almost about to run
out of drugs. Other than that,
it was a good appointment
because it was evident that I
have been doing the right
things, and that sort of implies
that I know what I am doing -
even when sometimes the results
are not as expected !
As usual, on my annual diabetic
check-ups with the nurse, I came
away with three printed sheets
requesting blood, and urine
samples. Normally the blood
tests are all listed on one
sheet, but because of the
hacking of the systems of the
main pathology labs they uses,
it seems it is being split to
two labs - and one is in Swansea
! I told the nurse that since it
was only May when I gave the
last samples, I would wait at
least a couple of months before
giving new ones, and she was
happy with that.
After I got home again I
had a short rest before changing
into bigger shorts, with more
pockets for stuff, and much more
comfortable shoes. I then went
shopping in Tesco. The thing I
wanted most was to get 4 bottles
of Diet Coke, but I also wanted
to get something to celebrate a
good visit to the
nurse.....Something "bad" that I
could enjoy as a one off before
getting back on the controlled
sugar and to a lesser extent,
calorie diet.
One thing I had in mind
was some ready cooked chicken,
and I bought a small tub of
maybe a dozen, maybe as much as
15 "hot and spicy" chicken
wings. I also bought a small tub
of ice cream, and a few other
things for later. The other
things included a 5 pack of
Korean (I think) "hot chicken
flavour" instant noodles. Each
was about a 100, possibly 120gm
bag.
When I came out of Tesco,
where they had the air
conditioning up enough to make
it feel quite cool inside, I
felt just how much it was
warming up outside yesterday. I
did almost enjoy the walk home
in the warm sunshine, but it was
spoiled by the first angina
pains just starting as I got
home. They very quickly went
away once I was inside, and not
rushing around. I may have been
trying to walk too fast on my
way home because I had gluttony
in mind.
Once I had put away most
of my shopping I dived into the
tub of hot and spicy chicken
wings. I gave them a minute in
the microwave to bring them up
to room temperature, and they
were pretty nice. They were also
very messy to easy ! The other
negative thing is that chicken
wings are always fiddly to eat,
but still enjoyable. The only
bad things is that I had eaten
all be three of them when I felt
I had probably feasted enough,
but it seemed stupid to leave
just three behind, and I scoffed
those too.
Of course I should have
stopped there, but I had left
the small tub of Tesco
Madagascar Vanilla ice cream out
to soften, and I had intended to
eat all that too. I did, and it
was very nice, but I did feel
unusually full at the end of the
gluttonous session. It seemed
the best thing I could do was to
lay on my bed and read, and also
have a snooze. I did snooze as
well as read, and it all felt
rather glorious with the window
open, and sunshine coming
through it.
Fortunately I had made
sure everything was ready for a
drinking session almost the day
before, and there was nothing
significant to do before Jodie
arrived bearing 5 more cans of
"beer". Sadly all were slightly
to severely sour "pastry" beers.
I only had a very small measure
(probably less than a quarter
pint) as tasters of them all.
One was almost nice, and one was
definitely nasty. I had a couple
of more conventional beers to
fill in time waiting for Jodie
to finish her portions, and open
a new can.
Jodie left quite early
yesterday because she was
meeting Alan at London Bridge
before going on to see a gig by
Orange Goblin at the Signature
brewery up in north east London
(near the end of The Victoria
line). One thing I forgot to
mention is that I bumped into
Michael on my way back from the
surgery. He suggested he would
like to join us for a drink
later, but didn't think he would
have time. I hadn't heard from
him again until literally 10
minutes after Jodie had left. he
was asking if we were still
drinking. I said no, but I had
only just stopped and would be
happy to have a few more cans
with him.
He arrived about 10
minutes later, and we got
through about 4 cans each - and
two of mine were very strong
lagers ! It seems that the
problems with his wife, her
dementia, and move to a care
home, are now approaching, if
not and end, some sort of
stability. His current problem
is convincing a couple of banks
that he has power of attorney
for he finances. Once he is able
to set up standing orders, or
whatever, for the care home, he
will be able to relax more, and
maybe we will see a bit more of
him.
It was about 7.20pm when
Michael went home, and that
meant there was still 40 minutes
left of Star Trek: Voyager to
watch while I ate some dinner. I
started off by putting some
fishfingers in the mini
grill/oven to cook, but after
the booze I wanted some NOW ! I
suddenly remembered that I had a
chicken Caesar salad kit in the
fridge that was already 2 days
past it's use by date, and so I
ate that as a sort of starter. I
then ate the fishfingers by
themselves, and wrapped up with
some supposedly zero sugar choc
chip cookies.
It was a nice enough
dinner, but it did leave me a
bit overfull. Until recently
that wouldn't matter, but it was
priming me for another night of
terrible heartburn.....or was it
angina ? I am now very much
thinking that it is actually
angina. Antacid tablets or
liquids don't seem to work all
that well, and not at all last
night. The clue is that it only
goes from hardly a hint to very
strong when I turn onto my side.
I am imagining my distended
stomach crushing some small
arteries leading to the heart.
That may be just fanciful, or it
might have some element of
truth.
Hopefully when the
hospital cardiology department
finally come up with a cure for
my angina it was also stop this
late night "sort of a bit like"
angina. Last night was a pretty
terrible night, and like several
times before, I didn't finally
get to sleep until 3am.
Another clue that it is arteries
being squashed at night is that
the pain goes away after sitting
in my computer chair for a
while. I think it may have been
twice last nice when I got up,
sat in the chair for maybe 15 to
20 minutes, and then rushing
back into bed, and falling
asleep for maybe half an hour
before waking up again in bad
discomfort. Maybe by 3am my
digestive processes had moved a
lot of the partly digested food
into the intestine, and away
from those arteries.
I would like to discuss
this idea with the
cardiologists, but I have no
idea when I will be seeing them
next. In the meantime I have to
continue to do what I have done
OK one quite a few days in te
last weeks - eat a smaller
dinner quite early in the
evening (ideally about 5pm).
When I have managed that I have
had no troubles going to
sleep. It is possible that
I got as much as 5 hours of very
poor quality sleep, made up of
an hour here, and an hour there,
last night. I don't exactly feel
tired as I write this, but I
would not be surprised if I have
a snooze once all my writing is
done.
I should be able to
describe one of my dreams last
night, but it is so complex even
I don't really know what was
going on. It involved travel,
and apart from a general feeling
I was going home from somewhere
unknown, I really don't know
where I was going. What I do
know is that it involved trains
and buses, and one would morph
into the other at times. I think
it started with getting a wrong
train at London Bridge, and then
having to change trains at New
Cross. The New Cross of my dream
had long curved platforms that
were in the middle of a main
road.
I think it was a train
that I got off at New Cross. I
decided to go to the far end of
the platform to watch for the
next train approaching. What I
spotted was a 47 bus that would
take me back home, but because
it was only a fraction of the
length of a train I had to run
along the platform, which was
dangerously narrow in places, to
get to where the bus would stop.
I made it in time to catch the
bus, and bought a ticket. That
ticket said I was on route 162
(a route I have never heard of),
and at the same time there was
"route 178" etched in all the
bus windows. I think I stayed on
the bus until we came to a bus
stop at the bottom of a small
hill with Lewisham station on
the top. I think the dream ended
as I was halfway up that hill.
I managed to have a lay
in until just gone 7am this
morning. I would have tried for
more, but I didn't think I would
get back to sleep, and after
maybe 10 minutes I gave up
trying. After going for my first
pee after getting up, but no poo
(until at least an hour later) I
weighed myself. I expected the
worst, but it was nit as bas as
I feared. Even without a
poo I was only 400gm heavier
than yesterday, and I have a
theory, maybe a bit of a thin
theory, that it will not be hard
to correct that if I am fairly
careful today, and maybe
tomorrow.
Even my blood glucose
measurements were not the
disaster expected.....well two
of them weren't. The Contour
meter read 8.5mmol/l. That is on
the dividing line between good
and bad. The GlucoRX meter
almost confirmed that with a
reading of 8.6mmol/l. So far, so
good, and maybe even wondrously
good considering what I ate
yesterday. My first reading on
the Sinocare mete was in the
pink area at 9.0mmol/l. I hoped
that was one of those odd
errors, and so I put in a fresh
test strip, and tried again.
This time it was 9.4mmol/l. That
is still safely under the red
line (10.0mmol/l), but is most
unsatisfactory, even if it was
probably about what I expected.
Oh well, at least my blood
pressure is still in the
"optimum" range at 110/48.
Today is a day where I
have some wishes on what I might
do, but no definite plans to
even move those wishes up a
notch to possibilities. There
are two things I would like to
do today. One is to get to
Chain's gig at The Fellowship
pub in Bellingham tonight
(starting at 8.30pm providing
there is no football on). Apart
from the walk to Catford
station, which I would have to
take slowly, and hope the lift
to the platform is working, it
is right next to Bellingham
station, and so easy to get to
(one single stop). I would also
like to spend some time in the
hot sun. I don't think I could
walk far enough to make that
worthwhile, but a thought
suddenly occurs - maybe today is
going to be the day I try out my
new strimmer in the garden.