09:54 GMT
Yesterday
started as a very miserable wet
morning, but the afternoon did see
some sunny spells. I can't comment
on the temperatures because I was
in hospital, and couldn't even see
daylight for a big chunk of the
day.
This morning has started off
very cold at around 3° C, and probably
lower earlier on because there was a
fair frost when I looked outside after
sunrise. The forecast says sunny
periods now, but it feels like the sun
has been shining for the last half
hour, and it is even contributing to
warming my room. The sunshine/sunny
spells could continue until sunset,
but they will only help raise the
afternoon temperature to 9° C. By
midnight the temperature may fall to
4° C, and continue falling in the
night. For 1am tomorrow the forecast
is saying "mist", and just 3° C. The
temperature may not fall any further,
but the most may continue until 9am
tomorrow. The rest of tomorrow may see
some sunny spells, but the afternoon
may only reach 8° C. At 4pm it will
start to get cloudy, and a few hours
later it could get very cloudy. There
may be some drizzle towards the end of
tomorrow, but the temperature should
stay at around 6° C and so too warm
for any snow.
With me very early (4am) start
yesterday, I was unable to write
anything, and there is no entry for
the 26th of this month. It was quite
an eventful day yesterday, but sadly
it did not end well - except I was
home from hospital at least a day
earlier than expected, and I treated
myself to a very rare treat of Pizza
with some (rather expensive) side
dishes. It was quite a feast, but more
about that later.
All my preparations the day
before yesterday paid off, and I was
easily ready to be picked up at 5am by
"Patient Transport" to be taken to
Kings College Hospital. 5am was the
estimated time, but the real time was
closer to 6am. It was the start of a
very tedious journey. We had to pick
up 2 or 3 more patients on the way.
One patient was in a new build house
in a new estate near the Millwall
Football Ground. Those new estates are
all cul-de-sacs, and it seems things
are poorly documented on many maps. We
wasted ages trying to find the little
road where the pick up was, and the
co-driver had to get out a couple of
times to try and find the correct
front door.
Eventually the lady, in a
wheelchair was found, and added to the
compliment on the bus. There was one
more after her, but that was only a
short stop. We still arrived at the
hospital quite early. One handy things
was I was talking to another patient,
and he said he was due to report to
the Cardiac Cath Lab the same as me.
Even better was that he said he knew
the route through to hospital well. I
ignored the offer of a wheelchair, and
walked with the other patient. It is
easier to see where you are going when
walking, and I am confident I can do
that route again unaided.
We arrived at the Cardiac Cath
Lab, and the receptionist ticked us
off her list - and then we waited !
Eventually it was the receptionist who
guided 2 or 3 of us down the corridor
to Cardiac suite 4. It was not a long
walk, and the receptionist has a wonky
leg, so it was easy for us all to keep
up with her - no wheelchairs needed !
In suite 4 we were given a bed
each and gowns to put on. Then the
waiting started again. Suite 4 has
only 4 beds in it. It was some time,
maybe 10am (our appointments were all
for 8am) before the first person, a
lady, was taken into the theatre on he
bed. (not sure if they call it one,
but it is a convenient name - and it
turned out to be quite appropriate for
the unfortunate lady).
After an hour or two ofboredom
I suggested to one of the nurses that
it might be nice if we were give some
sort of idea when we would be seen. I
was told I was provisionally booked
for 12:30. That didn't seem such a
long wait, and I tried to snooze, but
I think I may have only managed a few
seconds of sleep until something woke
me again. Meanwhile a lot of time was
passing, and I had a sort of feeling
that something was wrong, and it was.
The ladies procedure involved a
pacemaker wire being placed in the
heart. piecing together fragments of
stuff I overheard, it seems it had
caused her heart to bleed into the
pericardium, a sack of skin around the
heart. As that fills with blood it
exerts pressure on the heart. It meant
they had to cut her open to make
repairs, and that took a lot of time.
Fortunately, unlike what the wonderful
nurse Lucy told me last Friday, we
were all due to have a general
anaesthetic for our procedures.
With the lady already under
full anaesthetic they could go
straight in and do what what was
needed. The most important thing was a
drain tube fitted. I think the lady
had quite a surprise when she came
around and found her gown soaked in
blood, and several nurses plus a
cardiologist or two around her bed.
What I didn't find out is whether the
original work on her was carried out
as well. That little emergency messed
all the schedules up, and it was the
lovely Lucy who drew the short straw
to tell me and another woman that our
procedures had been cancelled.
That other woman had come all
the way from Herne Bay in G4S
ambulance to be there - a very long
journey that I think she said started
at 3am. She had more to be annoyed
about than me. It gave a common thing
to chat about about, and she was the
only patient I chatted with during my
stay there. We compared notes about
out journeys there, and stuff like
that. I think we were due the same
procedure - the TAVI procedure, or
fitting of a new heart valve.
Despite it ending on a disaster
(and haven't got to the ride home yet)
there was some good stuff that came
out of it. One was the clarification
that we could drink plain water up to
about an hour before we were due in
the theatre - the notes we were given
suggested no drinking after midnight
before. I admitted I had sipped water
long after that, but I tried to keep
it to a minimum. I was then offered a
glass of water, but told not to empty
it in one go.
Before everything went wrong we
had ordered food for the day. The
usual thing is a sandwich to eat once
we came round from the anaesthetic
enough, and a full dinner for the
evening. I ordered a tuna and
mayonnaise sandwich, and it was
sitting in the fridge waiting for me.
I was rather hungry after fasting from
3 or 4pm the previous day, and so once
our procedures were cancelled the
sandwiches were dished out straight
away. never before has a tuna
and mayonnaise sandwich tasted so good
!
There was one thing me and the
woman from Herne Bay had to do before
leaving, and that was to give more
blood samples, To this day we could
not work out why. It was only last
Friday when we had given blood
samples, bit it seems the rules are
that blood samples, even if vistually
duplicates, needed to be given before
out procedures now booked for next
Tuesday (and hopefully we will be the
first to be seen this time). The nurse
who took my blood samples was possibly
a phlebotomist because she was very
skilled - blood first time, and very
little pain.
We both had transport home
arranged for us, and we parted
company. I was walked through (I said
I still didn't need a wheelchair)
through some staff only corridors that
came out to the main Cardiac Catheter
Lab Reception which all the drivers
are supposed to know (mine didn't last
Friday). I knew the man was in the
building somewhere because he had
phoned me to ask if I was ready, but
it was a long wait until he arrived -
pushing a wheelchair that I didn't
need.
I had made a decision that if I
continued to keep walking, instead of
giving in to a wheelchair it would
help keep my leg muscles topped up. If
I got any chest pains it is easy to
stop and wait for a bit. So when the
man finally arrived I said I would
need to use the wheelchair and I
followed him on foot to a lift that
goes down to the other big entrance to
the hospital - and where all the
transport park their mini buses. That
was another bit of hospital I think I
have learned for another time.
When we reach the van he gave
me the choice of two seats (he already
had 3 patients (on in a wheelchair) on
board). I had the choice of a forward
facing seat in the back, or a rear
facing seat in the front. I chose the
seat in the back. Despite giving a
better view of where we going, it was
a poor choice. It was really cramped
and my knees were constantly bang the
back of the seat in front. I was
feeling quite sore before the journey
home was half done. I managed to part
swivel around despite the seat belt,
and that cured bashing my knees bit
was a bit uncomfortable in other ways.
There were three drop off on
the way before I reached home by a
very confused route. At one point we
crossed the south circular, and did a
big loop around Dulwich before
rejoining it. I can't imagine the
direct route being slower, and at
about 3pm I am sure it would have been
a lot quicker. Eventually we were
going through Catford, and getting
nearer home. I began to to think of
what I had left in the freezer that I
could have for dinner when I got in.
Then I had another idea !
We arrived outside my house,
and the only way out without climbing
over the wheelchair user was to go out
the back of the bus. That meant going
down the wheelchair ramp. The last
time I tried that was when it was
raining, and it seemed so slippery I
ended up grabbing the driver before I
came crashing down. In the dry there
is a lot more grip, but the slope is
such that I found myself speeding up,
and once again I had to use the driver
as a brake to slow me down, although I
don't thing I would have fallen over
this time.
It was a joy to open my front
door, and to go inside....well
actually some of that joy evaporated
when I found how cold it was indoors.
My bedroom seemed particularly cold,
and I had to put the heater on full
power for a few hours to get it
comfortable in just a t-short and
trousers. My other idea for my
dinner was to order some pizza. I had
had a flyer through my front door a
few days ago, and I had not thrown it
away despite thinking how all the
pictures looked so temptation.
Last night I gave in to
temptation, and ordered one big pizza
and quite a selection of side dishes.
It was ruinously expensive...or so it
seemed. When I realised I had actually
ordered enough for two dinners it
didn't seem so bad. If I had not been
on intent on being a glutton after so
much fasting, I could have got three
small dinners out of it. That would
have made it seem a lot more
economical.
Delivery was fairly quick, and
I had just about got my bedroom, where
I intended to eat my dinner in front
of my PC while catching up on stuff,
had just about warmed up enough
(although still not very warm) to make
eating more comfortable. Part of the
reason for eating at my PC in my
bedroom was to avoid heating up other
unneeded rooms.
I ended up eating most of the
side dishes, and only a single slice
of the big (12") pizza I bought. It
felt like I had far too much, but not
in a being stuffed way, but far too
much to go unnoticed when I weighed
myself, and checked my blood glucose
this morning. In terms of blood
glucose, I don't supposed to two or so
big spiced rums I had last night did
much good.
During the evening, or some of
it, I watched my usual evening TV
fare, but by 9pm I was feeling the
call of my bed. I didn't get a lot of
sleep the night before (with my 4am
start to the day) and if I got one
second of sleep in the hospital I
would be surprised. I expect to get a
really solid sleep last night, and in
parts I did get some good sleep. I
also decided I didn't have to get up
at all this morning if it felt better
to stay in bed. I did have a bit of a
lie in, but I think I still got up
soon after 8am (and possibly before).
This morning I got a surprise.
Despite believe I had over eaten last
night, I had lost over a kilogram
(1.1kg to be precise) since yesterday
morning. I think that proves the
benefit of some extra walking, and
some fasting. My blood glucose
measurements were still a mini
disaster. The highest reading was
9.1mmol/l, and that is quite bad
(although a little short of very bad).
The other two were 8.4 and 8.7mmol/l.
Although the latter is close to 9, I
continue to regard any reading
starting with an 8 to be "good
enough".
My blood pressure is pretty
good this morning, although only an
hour has passed since I had a double
portion of instant noodles for
breakfast, and eating always lowers my
blood pressure. This morning it was
113/57, and I think that could be
described as very good, but I am no
expert.
My plan for today was to walk
through the park to the Jolly Farmers.
Maybe it was my big breakfast, but I
don't think I can do that walk with
anything like pleasure, and walking
home with few pints of Guinness
swilling around in me could make for
an uncomfortable walk home. What I may
still do is a much short walk to
Tesco, but as I come to the end ofn
this morning's writing I feel like a
snooze could be coming on.
2,531
words today.