2024 General Election (and other Minor Distractions)

Saturday. 7.45 a.m. Well, I sat up and watched the BBC's coverage of the General Election on Thursday night. The polling stations closed at 10 p.m. and I had been to cast my vote at 7.15 a.m., at the Oldbrook Community Hall, which is on Oldbrook Boulevard and opposite the Green. (No, I'm not going to reveal how I voted, it's between me and the ballot box.) I watched about the first couple of hours of the coverage and when the exit poll results were announced at 10, just after the polling stations closed, suggesting that Labour would have a landslide majority and the Conservatives were likely to get no more than 120 seats, I went back to bed.

I woke later to continue watching the election results as they came in. It was around 2 a.m. that it was clear that Labour had won, that Keir Starmer would be our next Prime Minister, and that the Conservatives conceded defeat. It has been revealed that it was the largest defeat of the Conservative Party in its entire history. 

Saturday. 2.25 p.m. My genealogy research is going well. Actually, I should say more than well. I am nearing 10,000 people on my tree. I am surprised how many of them, particularly on my paternal side, went to America. One was a soldier in the Civil War and, as far as my research goes, another during the American War of Independence. On my maternal side, one branch, the Gylkes, was a Quaker family and Thomas Gylkes was a clockmaker, some of his clock are valued at well over £1000, according to my Google searches.

Friday. 6.05 a.m. As you will have realized, I haven't posted anything on my blog for quite a while. One reason is that the browser I use most, Safari, has not been working properly. I can't scroll up and down, which makes it virtually impossible to view many websites and in particular, the functions on Blogger are difficult to deal with.

Saturday. 7.20 a.m. I have been struggling to find out why Safari has been playing up (not scrolling up or down.) I have been looking at the settings and trying different settings to see if any of them will work and after a great deal of effort, I have solved the problem! I can't see how this particular setting got altered but it has worked and things are back to some sort of normal. I have been using two other browsers, Firefox and Chrome and find all of them have advantages over each other, but, as I have fot used to Safari that's the main one I have used more or less since the first time I got an Apple Macintosh computer.

I must have mentioned that I had an appointment with a consultant at the cardiology department at Milton Keynes Hospital a few weeks ago. As a result the consultant suggested I have an implant in my chest which would monitor any irregularities of my heart rhythm and hopefully prevent me from having a further episode of either a heart attack or blackout which I had in the early days of 2024. Yesterday I had an appointment to have this procedure done. It was scheduled for 12 mid-day. It was easy enough parking, immediately outside the department. That was one of my biggest worries, not being able to park the car and then having to find a space somewhere else and then not be late for the appointment.

Monday. 6.20 a.m. It is taking a good deal longer than usual to complete writing this post. I will attempt to do so now.

I digress . . . Continuing from the above. I waited for a brief moment in the waiting area in the cardiology department, before a nurse came out and called me in with another patient.

I had to change into a hospital gown. I hate these things! I know they get you to wear them if you have to have a procedure done or have an operation, but they only tie up with a few lengths of thin tape and the back is open, that is, if you don't manage to hold on to it to prevent your behind being exposed. I took off my shirt, remained in my underwear and socks, and just waited. Other patients in the six-bed unit came in and then disappeared to have their procedure done. Above all else, it was just boring sitting and waiting.  Eventually, at around 1.30 I was called in by a nurse, who took me into the (I won't call it an operating theatre. It did remind me of the room where I had the stents fitted after I had my second heart attack in September 2018, at the John Radcliffe Hospital in Oxford.)  The nurse got me to take off the gown and lay on a bench (for want of a better name. It was more like a bed, padded and not too uncomfortable. A surgeon, dressed in a gown (perhaps called a smock, but I don't know, also with a face mask and, one again, reminding me of the stent-fitting, with the surgeon wearing a green gown and a face mask. But the memory of face masks is related, to me anyway, more to the face masks we were expected to wear during the covid pandemic lockdowns, and the second heart attack was around 18 months before all that happened. The surgeon cleaned my chest and then said that I would experience a slight sting, which would have been when he made an incision in my chest, on the left, just over my heart, and the procedure was over, and I returned to the unit to wait, yet again.

A nurse came to talk to me about the gadgetry I was given, which communicates with the implant in my chest (I.L.R. or Implantable Loop Recorder.) I have a box, which looks vaguely like a landline telephone which includes a separate handset which sits in the cradle on the box, as well as a remote device, small enough to fit on my keyring and should go with me everywhere. If I hold the remote device over the implant when, or if, I have a irregular heart rhythm, the device will record an electronic measurement, similar to the reading that is given by an E.C.G. and this data is sent to the cardiology department at the hospital. I was also given a letter, telling me that a remote appointment had been arranged for the 23rd of August, and that I have to send data from the home monitor (the gadget I describe above, and which sits on my bedside table. So, having had the implant and given instructions on the various aspects of its use, which are also included in several leaflets I was given, I got dressed and then left the cardiology department.

A Slight Glitch

I went to Camphill as usual on Tuesday. Teo, the drama leader (if that's his title, I'm not sure.) so Paul was in charge. We started off in a circle of chairs to do check-in which is done at the beginning of each session. A good way to find out any problems with the residents. There weren't. A couple of new faces from the support staff who I haven't met before. Then we did a line rehearsal, making sure that the actors put in as much effort as possible and standing up to deliver their lines. Then we split up into two groups to do work on various sections of the play. Some of the residents were away, mostly on holiday, so some of us support staff read in for them. Then we showed each other what we'd achieved during these sessions. Extracting as much comedy out of the piece as possible and some of the residents concerned that when Teo comes back next week he won't appreciate what we've done.

Then, in the final ten minutes before the lunch break at 12 o'clock we were doing more wolf and piggy movements, getting as much as possible out of this.

Then we broke for lunch. I have been taking a pack-up for lunch for the past few weeks. I have used the café on a couple of occasions, and, although it is very good, it's vegetarian. I don't have a problem with that, but I find their menu a bit limited. Not a very wide selection of food that I would want. I really don't want a full-scale meal, just a roll or sandwich. I did have a toasty on a couple of occasions but as I say, the menu is a bit limited, which is the reason I take a pack-up, usually a sandwich, which I make the evening before, an apple, banana or other piece of fruit, yoghurt, a packet of crisps and sometimes an oaty, churchy, biscuity thingy. I forget the name, crazy I know, but when the name of these items comes back to my memory, then I'll put it on here.

As I sat and ate, I suddenly got a really bad pain in my chest. I didn't immediately think much about it and went on eating and drinking. A cold fruit drink in one of those cardboard cartons with a straw stuck to the side which you have to carefully peel off and then stick in the hole in the top and which then means, if you're not careful, the juice squirts out. This discomfort didn't go away. Then I began to think 'is this an angina attack?' which means I use my G.T.N. spray (glyceryl trinitrate) which I always carry around in one of my pockets, either in my Regatta jacket or my trousers pocket, for such an eventuality as this. Three sprays under my tongue and then wait with your mouth closed for around five minutes, usually sitting down until the spray takes effect. On this occasion it didn't. The pain didn't go away. I had moved from the foyer area into the hall, the main body of the Chrysalis Theatre. I sat on a chair. It was at this point I began to panic slightly. I'll be perfectly honest and say that it's incredibly difficult to differentiate between an angina attack, a bout of heart-burn or 'reflux' and an actual heart attack. I can't explain the differences, but they are definitely similar. With an angina attack you know if you exert yourself a quick burst of G.T.N. spray it is going to go off after around five minutes; with heart burn it generally goes off after a while, the discomfort usually goes if you use a medication such as Zantac or even peppermint capsule. With a heart attack you get a pain which centres in your chest and spreads out to your arms and probably your legs, you sweat and your heart rate increases. I had neither the angina sensation or the angina sensation, because I had used the G.T.N. spray and it hadn't worked. Also, with the G.T.N. spray you get a sort of head rush (not unpleasant) and it's no use using it again as it's use won't have such a profound effect. When the discomfort hadn't subsided I asked someone to call an ambulance as I was in by now a bit of a panic.

The ambulance arrived within about 15 minutes. I wasn't timing it, but it soon arrived. The paramedics ran through the whole situation, from the moment the discomfort in my chest began through to how painful it was, as they always do, on a scale from 1 to 10. It started at about 8 and by the time they took me off in the ambulance it was around 4. They went through my medications and did a finger-prick blood test. Much as Carol would have done when she had to test her blood sugar because she was diabetic. I don't like it, but it was over quickly. I suppose it shows basic things in a test that can then be relayed to the awaiting doctors at A and E. By the time I got to A and E it had virtually disappeared, which reassured me that it wasn't actually heart-related, but they still took me to check me out. They did an E.C.G. as I sat in the theatre and gave me an aspirin tablet to start sucking and then to swallow. It didn't taste as unpleasant as they can sometimes taste, a sort of mint flavour. Certainly not the horrible taste of G.T.N. spray. I had to take my lunch box with me in the ambulance, all packed up and leave my car in the carpark at Camphill. I was concerned about loosing the car keys which were actually safely zipped into one of the pockets in my Regatta jacket.

I was surprised how quickly we got to Milton Keynes hospital. When you're in the back of the ambulance you can't see out, see exactly where you're going, which was the case after my second heart attack in September last year. You're obviously aware that you're moving, but you can't see any scenery as you are speeding along the road. At the A and E entrance I was transferred onto a wheelchair and taken ito the unit and the paramedics handed over the information about my incident. One of them had been writing up  notes on a sort of touch screen tablet computer, so I imagine that links into the computer system at the hospital and no doubt they could see my notes from past hospital visits rather than use a paper system, because I was soon issued with the obligatory wrist label with my name on it along with a bar code which the nurses use to identify me before doing any observations which include temperature, blood pressure and so on. The paramedics asked me if I was allergic to anything (which I'm not, fortunately.) and a list of the medications which I'm on, which I'm able to reel off without any problems. Also, I mentioned the stunts I had fitted in the John Radcliffe in Oxford and other details of my two heart attacks.

Once my information was handed over to the A and E staff I was put in one of the cubicles and lay on one of the trolleys, making sure my belongings, my jacket and lunchbox, were somewhere near by. I had my mobile phone and was able at a later time to text Garry, my neighbour, and ask if he could go into my house and feed and water Alfie and make sure he could get out. I later got a text back from Shelley to say she would do this as Garry was at work. So, at least I knew that Alfie would be fine. Garry and Shelley have a key which they've had for quite a while just in case of an incident that I'm now describing.

More 'obs' done. I was left for a while in the cubicle. A lot of staff scurrying about. Not particularly busy. I would imagine it would be busier in the evenings and more than likely at the weekend. A nurse comes in and says she's come to take blood. Not what I like to hear, particularly as I have an aversion to needles (if you've read any of my previous blog posts you will know why.) She manages to find a vein in my right arm. I keep my eyes tightly shut and the slight sting as the needle goes in is slight, but at least she has taken sufficient blood for it to be tested. It's supposed to show up if you have had a heart attack by a substance which is in your blood called triplin. Then I was carted off on the trolley and parked around the corner near the X ray department. I wasn't sure whether it was just to move me out of the way because they wanted my cubicle or whether I was going to have an X Ray. Someone was wheeled out and I assumed I was in the queue and then I was wheeled in and had to sit up, with this board put behind my back and an X ray was done. Over and done and wheeled out. Back to the cubicle and before I knew it, a doctor was closing the curtain around me (not that it would have made a lot of difference because you can still hear conversations with other parents, but I suppose it's to give a certain amount of privacy. I was informed that nothing showed up  in either the blood test or the X ray that suggested I'd had had a heart attack or anything heart-related. He asked me about my previous heart attacks and the sequence of events that had led up to the incident at Camphill, what medications I was on and so on. Fortunately I can remember fairly accurately what meds I am on and the list is on my iPhone. After that I was allowed to walk to a waiting area. Nowhere to lay down, just a couple of chairs that would allow you to lay down, but not particularly comfortable. I suppose if they had discovered something more serious, then I would have been able to remain on the trolley in the cubicle, but because it wasn't serious, I was expected to sit in the waiting area. I then was told that, because of my history of heart attacks, they would need to keep me in the unit for a further 6 hours and then do another blood test, just to make sure that there was nothing more serious going on.

I had my iPhone with me. I fortunately had the Netflix app installed and I was able to watch an episode of Upstart Crow, the sitcom based loosely (and I mean loosely) on the life of William Shakespeare, and that followed by what must have been the first episode of 'Porridge,' which I have seen several times before, but which stands the test of time brilliantly. Unfortunately I didn't manage to see to the end because the battery of the iPhone died and this meant I was left stranded with nothing to read and absolutely nothing to watch. A mother and daughter came in and sat opposite, paying a game on a tablet or mobile phone, and I attempted without success to snooze, but the chair I was sitting in, although it tipped back so I could lie down, was very uncomfortable and not really designed to allow me to sleep or snooze. Boredom crept in by now. By 7p.m. I would be able to give a further blood test, by time ticked by. I think it was time for the shift hand-over. I could see staff coming and going. There was a door which kept banging shut every time someone entered or left the A and E unit. If I needed the toilet I had to go through this door and the only way back in was to press the button to release the door (going out) and wait until and member of staff went through, using a swipe card to release the door. I asked a nurse when I was likely to have the blood test, being told it was necessary, six hours after the first (it certainly seemed longer.) Then a nurse came in to do take blood but couldn't find a vein in my arm. I have narrow arteries. This has always been a problem. She made an attempt at taking blood, but had to give up and got another nurse to attempt and after a while she managed to get a vein and took the necessary amount to be sent for testing. At last! I could see the proverbial light at the end of the tunnel. The final hour ticked by, and at around 7.45 a doctor came in and asked me to join him in a near-by office. He told me the results hadn't shown any signs of anything in the least heart-related and the pain I had experienced was most likely caused by heart-burn or acid reflux. A relief and it was really as I expected, but they had to follow the correct procedure in case it had been a heart related pain. Which meant I could leave, although I had to walk the relatively short distance home along the Redway, which takes about 10-15 minutes.

I went to Shelley and Garry's house to tell them the good news and Shelley said she had been next door to let Alfie out and took him for a walk, which I expect he would have loved. I cooked a plate of chips because I wasn't in a fit state to cook anything else at that precise moment. Oven chips and Heinz tomato ketchup was just the thing I needed after my several hours in the Accident and Emergency department. I was annoyed in some ways, because I was never offered anything to drink or eat, even a cup of tea would have been nice. I didn't have any money on me, so I couldn't have bought even a Mars bar out of the vending machine in the main waiting area of the A and E department. When I was taken to the John Radcliffe back in September after my second heart attack I was at least given a sandwich and a cup of tea. I appreciate that the staff are busy, but it would have been nice to have been at least asked. Just glad it all had a positive end. I think Alfie was more than pleased to see me when I walked in the front door of the house.

The following morning I rang for a taxi and drove to Camphill to collect the car, being surprised that it cost £6 for the privilege. 

Cardiology Review

Yesterday I got a letter from the Cardiology Department at the John Radcliffe hospital in Oxford, following the consultant's appointment I had there two weeks ago. This is what the diagnoses reports:

1: Chronic total occlusion LAD
2: Primary PCI to right coronary artery- September 2018
3: Elective PCI to intermediate coronary artery- January 2019
4: Conserved left venticular function- ejection fraction on MPS 52%

'From a cardiac perspective he is well. He does not experience chest pain, or undue shortness of breath. Although he did not undertake a course of cardiac rehabiliation, he is to return to regular exercise, walking his dog. He does not experience limitation. His symptom currently is one of fatigue. Nonetheless he has started (voluntary) part-time work.'

'Current medication comprises Candesartan 4 mg od, Isosorbide mononitrate 20 mg bd, Bisoprolol 2.5 mg od, Ticagrelor 90 mg bd, Asprin 75 mg od and Atorvastatin 80 mg od.

'I have not recommended any changes. He should continue Asprin and Ticagrelor 12 months. He should take Asprin indefinitely thereafter. Secondary prevention is otherwise in hand. Given the symptoms of fatigue a tril off Bisoprolol would not be unreasonable. If his symptoms are unaltered I woul re-start the beta-blocker. I have mde no plan for further follow-up in this clinic. His preference would to to be seen in Milton Keynes for reasons of convenience should follow-up be required in the future.'

Yours sincerely,

Prof. Robin Choudhury DM, FRCP

Professor of Cardiovascular Medicine

HonoraryConsultant Cardiologist

I don't understand all the medical jargon, but I suppose if I was minded to, I could look on the internet to find out what all this means. I don't like to be fobbed off with simplified language. I am reasonably intelligent. But at least I know the situation regarding my health. I've had a heart-health problem for most of my adult life and especially since my heart attack back in 2006.

Tuesday morning. It's bright and sunny as I look out of the lounge window. It's 7.55 and in about 45 minutes I will be driving to Camphill for another morning with the drama group.

Yesterday evening I took the MacBook to Curry's so that their engineer could sort the thing out and make sure there is no malware on it. I just hope I get it back relatively quickly. It shouldn't take more than two days, so possibly Wednesday at the latest. Unfortunately, I forgot to take the charging cable and device. I had the foresight to make sure the MacBook was fully charged, but I will take the lead with me in the car, so if I get a phone call from Currys I can always take it there once I finish at Camphill. Just annoyed with myself for forgetting this item.

Later. I've been to Camphill this morning. In the afternoon there is to be a community assembly and the drama guys will be showing the video of 'Stranger Danger; The Three Little Pigs', (or is it 'The Three Little Pigs; Stranger Danger'?) Each of the actors is going to be interviewed as part of the proceedings and have to answer questions about their favourite bit in the play and the video. It took some time to get them to project clearly and remember the answers which were pre-selected. They did extremely well. It was a shame that I was unable to be there this afternoon, but I'm sure they did really well. This will be the World Premier of the video! It is possibly going to be uploaded onto YouTube and Vimeo which means it can be watched anywhere in the world!

The weather continues to be really warm and sunny.

Appointment at Cardiology Department at the John Radcliffe

(Thursday) It's quite mild this morning, compared, at least, to what it's been over the past couple of days. A few days ago I woke to fog as I peered out of the bathroom window as I was shaving, but this cleared gradually as the day progressed.

I was booked to have an appointment at the Oxford Heart Centre Outpatient and Echocardiology Department at the John Radcliffe Hospital in Oxford this morning. Try saying that in a hurry. I must say it's a bit of a mouthful, and I would feel sorry  for anyone working there if they had to answer the telephone to anyone who rang that department and you were expected to say all that!

I drove to the Oaktree Centre, home of Shenley Christian Fellowship, to meet Dave, who was going to drive me to Oxford. I got there in good time, at around 9.15. It shouldn't take more than an hour to get to Oxford, driving out through Buckingham, taking the route I know well because Carol and I always seemed to be going somewhere or other in that direction, probably visiting a Naional Trust property, Stowe Lanscape Gardens being the nearest to Buckingham. We got to the John Radcliffe with pelnty of time to spare before I was due for my appointment, but there was the thorny problem of parking Dave's car. On arrival we had to endure sitting in a queue of vehicles entering the hospital campus. As time was ticking on slowly and there was no sign of finding a carpark, I decided to get out of the car and walk to the reception at the hospital entrance and then text Dave to let him know where I was and then meet up again in the Marks and Spencer cafe near the entrance. It's such a big hospital, almost like a town in itself. So, I walked to reception and got directions to the department my appointment was in.

I got to the Heart Centre and showed the young man on the reception desk and he signed me in and it was then a question of sitting down in the waiting area and, well, what else do you generally do in a waiting area, but wait? A good deal more spacious than the Cardiology department at Milton Keynes hospital. The decorating is a lot more imaginative, not the standard colours, usually white, and far fewer posters. The John Radcliffe seems so much more spacious, the corridors are wider. Is it because Milton Keynes hospital was built on the cheap? It always seems to me that it looks as if the buildings were prefabricated and now, some 40-odd years after it was built, looks a bit shabby. I know they've built a brand new entrance with a Costa inside, but it still looks cheap. I know the money should go on the actual care and treatment of the patients, but the buildings do have an air of sort of run down.

Nobody wants to give anyone eye-contact in these waiting areas. Stare straight ahead and avoid anyone's gaze. I found they had some interesting magazines I would have liked to read, the Royal Academy magazine. Goodness! Something intelligent. Not the usual ancient editions of Reader's Digest, or, usually, women's magazines, or those which are about the goings-on of 'celebrities.' It wasn't long before I was ushered into a side-room by a male nurse and he did some measurements of my height and weight and blood pressure. All quite normal. I then went back to sit in the waiting area once I had finished and it was around a ten-minute wait before a consultant came out of his room with a clipboard in hand and called out my name.

It would appear that I'm doing alright, regarding my heart-health. I was asked if I had had any further angina attacks, to which my answer was, no, I haven't. I'm generally feeling fine. I did say that I got tired easily and I asked if it was likely to be any of my medications, and, if so, could anything be changed, and was told that possibly it was the beta-blockers, the bisoporlol, so I might be able to stop taking that medication. It would be helpful to not get so tired. I want to do a whole day at Camphill, because at the moment I only do three hours, finishing at noon. The consultnt said that he would write to my doctor as well as sending me a copy, and suggest I stop taking the bisoprolol. There are no other problems or complications. I asked if it was possible I could feel one of the stents when I lay on my side in bed at night. There was a possibility that I could. Since having the stents fitted I haven't had any angina pain. Nothing else to report and that was the end of the consultation. I did ask if there was a possibility that any further appointments could be conducted at the cardiology department at Milton Keynes hospital, as it would be more convenient, as it's only a 10-minute walk away from my home, and he said that it would be fine. It's just a long way to go for what was only a 15-minute appointment and I don't have any serious health issues, otherwise I would have to go back to the John Radcliffe. I left the department, texting Dave that the appointment was over and we met up in the Marks and Spencer cafe and I had a sandwich and a drink and we went back to his car and we drove home to Milton Keynes.

Volunteering at Camphill

I've been volunteering at Camphill, as I think I've mentioned in an earlier blog post. I'm working with the drama workshop group, and at the moment I'm doing a few hours on a Tuesday morning. I'm aware that, due to my heart-health issues, I get very tired and by 2 o'clock I am beginning to feel wiped out. I hope to discuss this with my cardiologist when I go for my follow-up appointment on 2nd May, which will be four months after the stent procedure which was done at the John Radcliffe in Oxford. I have got someone from church who will take me. I had considered driving there myself, but  I think it's going to be quite stressful having to drive all the way to Oxford and find a parking space at the hospital. As the appointment is at 11 o'clock there are likely to be no spaces in the carpark, and I had thought perhaps I could park in one of the park-and-ride carparks which ring Oxford and then take the bus to the hospital, but even then it's going to be quite stressful getting to the JR on time for the appointment. So, after this appointment I hope they might either reduce the dosage of some of my medication, such as the atarvostatin which I take at night. I have a feeling it's this particular medication which makes me feel so tired and it causes some side effects, such a stomach and muscle cramps. There again, they might change some of my other medications. Just have to wait and see. It's somewhat annoying that I have to go all the way to Oxford, because the Milton Keynes Hospital Cardiology department is a mere 10-minute walk from this house.

Camphill are going going to do a disclosure because I am working with a vulnerable group of adults with learning disabilities. I have taken all the identification material with me so that the disclosure paperwork can be sent in.

We were discussing various things before we did several hour's of rehearsal for the 'Stranger Danger' play and planning for the next production which is going to be loosely based on Robert Louis Stephenson's 'Treasure Island,' which is one of my all-time favourite books and has to probably be one of the best children's adventure stories ever written. I can't wait to see how this develops, as we were discussing having songs in it, so it's likely to be more like a mini musical than a straight play.

Later. Goodness! The weather has changed. For the worse it would appear. As I write this,  at 5.20 p.m.it's raining. I couldn't believe how hard it's raining.  It's running down the road outside in a torrent, almost like a mountain stream. It has been clear and bright most of the day, although it was quite mild earlier. No frost on the car windscreen first thing when I went out with Alfie at around 6.20. But it clouded over during the afternoon and I thought it was going to rain and it got colder so I put the central heating back on. I have 'Pointless' on television as I write this. It has to be one of the more intelligent of the current crop of television gameshows. Gets you thinking.

I'm amazed. Twice in one blog post. Is this a record? Probably not. But the Christmas tree, which we bought a good three years ago from Dobbies and was potted in a rather splendid pot we got in Homebase (I think it was called something else at the time, but has since returned to being Homebase. How odd is that?) Anyway, it's started showing signs of growth, lots of little green shoots. It appeared as if it had died, probably due to the heatwave we had last summer. It has what look like scorch marks on some of the branches, but it has obviously decided to perk up and continue to grow. It was intended that it could be moved indoors for the Christmas period, but didn't last year due to the passing of my lovely Carol. I wasn't here for the festive period. I spent nearly two weeks with my daughter, Chloe, and her ever-growing family, in Worcester. But to have this Christmas tree growing again is somewhat good news. I kept it fed with plant food and it obviously paid off.

Second Stent and Third . . . Possibly

If you read my blog posts on a regular basis, you will know that after I had my heart attack at the beginning of September I was taken to the John Radcliffe Hospital in Oxford when I had a stent inserted. I then had to go for a scan using what is called a 'Gamma Camera,' which showed that I had some damage to my heart and a blockage which needed treating with a further stent. I was booked to have this procedure done on 12th December and had arranged to be taken by someone from church, but this was the day after Carol passed away and when I arrived at the unit at the hospital in Oxford I was in something of a state because of Carol's passing and the procedure was postponed. The new date was offered, for yesterday, 30th January.

The procedure I was about to have is called a Percutaneous Coronary Intevention (PCI).

I had to be at the Cardiac Angiography Suite (which is part of the Cardiology Department at the John Radcliffe Hospital in Oxford) for 7.30a.m. So Tim O'Brien (who was driving me there).) arrived at 5.45a.m. to make sure we arrived at the hospital in good time. As it turned out we were there by a little after 7.a.m. Fortunately, because of the abortive appointment, we knew exactly where to go and could park the vehicle on the lay-by directly outside. I was let into the waiting area and so had to wait until the unit was officially open.

People began to arrive. Around 7.30 one of the nurses came in and told us we could go through to the ward. I began to change into a hospital gown. I find these garments difficult because you have to tie do up the ties at the next and lower on your back. You really need someone to do it for you, but I eventually managed. I had bought a bag with my things in it. I was told I needed to bring a dressing gown and slippers. Which was just as well, because I didn't fancy wandering around the ward in that hospital gown because they have no back and you need to tie them up tightly otherwise you reveal all and sundry if you're not careful. Then it was just a question of waiting (which you seem to do a great deal of in a hospital, which I can testify to with some authority over the last year-and-a-half or probably more.)

A nurse came to ask me questions about my health, for example, did I have any allergies, was I diabetic, as well as going through my medications. I had bought the entire lot of medications and he went though it all and made a list. Then, the usual 'obs' were done, (observations), temperature, blood pressure etc etc. This is done at regular intervals when you are in any hospital.

Patients were coming and going, some in wheelchairs, others on beds which were trundled about by nurses and porters. People went off to have their procedures. I wasn't long before I was taken into the lab (not an operating theatre.) I had to have a catheter inserted in my right arm. I'm not much good with needles or other sharp items, particularly if they are inserted into my person, at times such as this or when giving blood, but they managed to do this. All part of the preparations necessary before the procedure can be carried out.

Then it was my time to be taken into the lab for the procedure sitting in a wheelchair. I'm not sure whether it was the same 'lab' as the one I was in for the first stent to be inserted after my second heart attack. There was a long, narrow bench or bed which I at first sat on and then laid down on. A series of monitors overhead and a range of what looked like cameras or perhaps they were X-ray machines, because the team who would do the procedure were viewing my arteries and veins on the X-ray monitors so as to find where the blockages in my heart were which were to be opened up by the stent during the procedure.

I was given a local anathesthetic in my right arm (which was laying on the edge of the bed.) Because I had become somewhat stressed by the whole process I was also given a sedative to help me get through the procedure.

It was rather uncomfortable having my right arm put into a somewhat difficult and unusual position. I could barely feel a thing as the procedure continued. Quite a few people in the room, but I kept my eyes tightly closed throughout. I think there was a sort of sensation as the stent was pushed through a vein in my arm and into my heart. The whole process lasted around 45 minutes. At the end I was told I could sit up, but, due to the sedation, I was not able to do this myself and required assistance from one of the nurses. I was then able to lay on the bed in the ward and after about an hour or more was taken up to the ward where I had a single en-suite room. A good deal larger than the room Carol had in Milton Keynes hospital and with a good deal more room to store clothes and personal belongings.

I was expecting to be discharged fairly quickly. I had intended phoning or texting Tim so that he could come back to the hospital to collect me for the journey home, but I was then told that I would need to stay over-night. I rang Tim more or less immediately because I didn't want him waiting around in Oxford unnecessarily. He told me that he probably wouldn't be able to come back to collect me the next day, so I began to enquire as to busses or taxi cabs into the centre of Oxford as I had thought my only alternative transport would be to catch an X5 bus back home to Milton Keynes from the Oxford central bus station, which was how we had often visited Oxford in the past. I was also told that I wouldn't be able to drive for a week. No problem there. It would mean I wouldn't be able to do any shopping. That is, to drive anywhere in order to do shopping. But then it occurred to me that this wasn't actually a problem because I could do an on-line shopping order with Sainsbury's and have the order delivered. No need to lift anything, particularly with my right hand which was where the wound for the stent was. At that time, tightly bandaged and taped.

I had a ham sandwich to eat some time after I had the procedure. It was just as well I had that to eat because I wasn't supposed to eat anything after 4a.m. I had a meal as I usually do at home at 6p.m., so it was a long time to wait for food and my the time I was done with the procedure I was hungry. Then I was told that I would be moving to a ward upstairs and this move was done fairly promptly. So I was taken to the Cardiology ward and had an ensuite room. A good deal larger than the one Carol had when she was in Milton Keynes hospital. I noticed how quiet it was, too.

I was seen by a doctor and told that I ha actually had more than one stent fitted during the procedure. The wound on my right wrist seemed to be healing quickly, there was no bleeding or redness. As it was tightly bandaged and taped (with that adhesive tape which is very tacky and when they come to take it off it's so sticky it almost takes your skin with it!) I had the obligatory ECG done which showed no problems with my heart and I knew I would then have to spend the night at the John Radcliffe until I was discharged in the morning or whenever the doctors did their ward rounds.

I had an evening meal. I will say one thing: the food at the John Radcliffe is  good deal better than you get as a patient at Milton Keynes hospital.

So, I spent a relatively good night. None of the noise you usually get on a hospital ward. I felt sorry for Carol having to endure screaming and dreadful noise when she was on the various wards at Milton Keynes hospital. Even the staff were quiet, not talking and keeping me awake. I suppose having a room to myself did help, but in all honesty I think I prefer to be on a ward with other people and enjoy having conversations with other patients, but I shouldn't complain. At least I had my own toilet which meant I didn't have to go gar, although things were impeded because I had a heart monitor affixed to my person and a little later I had to have a saline drip, which was on a wheeled stand which I had to push around if I needed the toilet. The drip was because I had a dye put in my veins so that they could see clearly what they were doing during the stent procedure. The drip was for four hours.

In the morning I had breakfast at 8 o'clock and the usual obs were done and eventually a doctor came at around 10-11 and I was told I could be discharged. It all depended on the relevant paperwork being ready as well as any new medication I was to be put on. I was originally told it could be 'lunchtime,' but then I was told 'late afternoon.' I wasn't sure how I was going to get home. I had decided I would need to get a bus from Oxford bus station, the X5, which goes through Oxford to Cambridge, stopping at Bicester, Buckingham and Milton Keynes on the way. As I have a bus pass I wouldn't have to pay. Carol and I had used it on several occasions when we'd visited Oxford and when we didn't want the bother of driving and then having to find a carpark, although we usually used the Park and Ride system which made life easier.

I then got a text from Tim to say he had managed to reorganise himself and he would be able to come back and collect me, which was a relief as I wasn't keen on using the bus because I wasn't certain what would happen if I had a problem with the wrist wound, whether it would bleed and what I would do if that happened. I just needed to be able to text him or phone him once I was certain that everything was done, including the medication and the paperwork before I let him know so he could drive over from Milton Keynes (which takes at least and hour and a quarter.)

I got a visit from the pharmacist who went through my medication (I had taken all my proscribed medication with me.) and I was even given some which was at the point of running out, which meant I didn't have to put in a repeat prescription when I returned to Milton Keynes.) Even the paperwork was complete which meant I could ring Tim. I was at last able to go home. So, at around 4.30 Tim texted to say he had arrived on the hospital campus. I was taken down stairs to street-level by one of the nurses and Tim arrived and I was able to leave. The journey back to Milton Keynes was relatively stress-free, apart from a built up of traffic on the A34, basically because it was, by now, home-going time for most people and we arrived back in Eaglestone at around 6.30-7.00. The house was cold because the central heating hadn't been on for well over 24 hours and it took me a while to get it set up to warm the house.

Difficult Post

I haven't posted on here for well over a week, which, if you are a regular reader of my ramblings in this blog, will not have surprised you. The reason is that my lovely wife, Carol, passed away on 11th December. The last 18 months or so have been a really traumatic journey, from the original diagnosis, through 12 completed cycles of chemotherapy, the infection she got after the final chemo cycle, the hospitals stays (I've lost count of how many she had.), but throughout I have gone with her for each consultants appointment, chemo cycle in the oncology department at Milton Keynes University Hospital, consultant's appointments at the Churchill Hospital in Oxford, Endoscopy, M.R.I. and as  well as C.T. scans, then to Willen Hospice and finally, Castlemead Court in Newport Pagnell.

I have been supported throughout all this by members of Shenley Christian Fellowship, particularly our Pastor, Ross Dilnot, who was with me on the morning of Carol's death. He came with me when I went to the Registry Office to register the death, which we did last Friday morning and then to Mason's, the undertaker's in Newport Pagnell to arrange the funeral, which will be at 2 p.m. on 11th January at Crownhill Crematorium.

I was supposed to have had a second stent fitted the following day, 12th December, at the John Radcliffe Hospital in Oxford. I was driven there by Tim O'Brien who is a member of S.C.F. There was no way I could drive, and I was supposed to get to the hospital department by 7.30a.m. Also, I was told that I would not be able to drive after the procedure. I was on the morning list, so I'd be finished and ready to come home around midday.

But, unfortunately, I had a bit of a meltdown. I should have cancelled the procedure, but it was barely 24 hours since Carol had passed away. So I discussed this with one of the nurses and explained that I was feeling depressed over Carol's passing. She understood and suggested they postpone the procedure. Then one of the doctors came to talk to me and said that there was no immediate emergency regarding the procedure and it could be postponed until sometime in January. Hopefully after the funeral. The doctor had to ring Tim on his mobile because he had gone off to park in a park-and-ride carpark with the intention of going into the centre of Oxford until I was finished after the procedure. Everyone understood that what I have been going through was traumatic and emotional enough and that it wouldn't have been appropriate for me to go ahead with the procedure.

This is a shorter-than-usual post, for me, at least. It was really difficult to write. It has actually taken a few days to put into words what's been happening, but now I've completed it. It's going to be a difficult couple of weeks as you can imagine.

Second Stent

As a result of the myocardial perfusion imaging test, which was done at the John Radcliffe Hospital in Oxford a couple of months ago (described in great detail in an earlier blog post on here.) I have been booked in to have a second stent fitted next Wednesday, 12th December. I have to be at the hospital for 7.30a.m., and I'm being taken by someone from church who has kindly offered to drive me there. I couldn't have driven myself, for one thing, I don't think the stress of the journey there at that hour would help, and, secondly, I wouldn't be able to drive back home because of having a local anaesthetic as well as other drugs and the possibility of the wound that would be made when the stent was fitted. I had a telephone call from the hospital yesterday morning to tell me I'm on the morning list, which means the procedure should be done at some stage during that morning. I have to remain in bed for at least two hours afterwards and can then be discharged. I did wonder whether I would need to stay in hospital overnight, but not this time, fortunately.

As with this sort of thing, it's the waiting which is the worst part. I don't generally like needles, giving blood and all that sort of thing. I have explained things regarding this in an earlier blog post. When I had my second heart attack in early September this year, I was rushed off to the John Radcliffe and there was talk of 'stents' on the ambulance as we drove at speed towards Oxford, but at that time I didn't really think of what was going to happen. Little did I realise, once I arrived, I would be in the operating theatre (I don't think it's actually referred to as that, but never mind) and having a stent inserted in a vein in my right arm. Not a lot of time to think about it, really and truly.

It's been a really wet and windy day today. I took Alfie out for his walk as usual, but I had to put my waterproof jacket with hood on before venturing forth. It had been kept in the back of the car for such an eventuality, so I had to nip out and get it before taking Alfie out. We didn't do the full circuit of Eaglestone Park, because he was getting soaked (not surprisingly), so I decided to cut across the park and make a short-cut back home. He shook himself, as dogs do, to try and get rid of the rain from his coat.

Carol not in a good state when I visited her this morning. (Friday) She's given so much pain relief that she's really out of things a lot of the time. I helped give her breakfast, which was porridge. I would never have believed that I would be feeding my wife in a care home bed. I have mentioned in some of these posts how I worked as a Support Worker for people with learning disabilities, working mostly in homes around Bedfordshire, mainly those run by the N.H.S. as well as being a Home Carer in and around Milton Keynes, but it would never have occurred to me that I would be caring for my wife in such an environment as that. I don't think that she even knew I was there this morning. She was talking some of the time, but not a lot of it was exactly lucid. She was going on about 'The Boys.' I thought she meant her sons, Daniel and Sam, but then I thought, perhaps she means Eddie and George, our grandchildren. She thought they were visiting, but they're not scheduled to visit. She wasn't sure what time it was, and forgot she had breakfast. This whole situation is really difficult. She prefers to lie on her left side, which had been decided when she was at Willen Hospice, but for some reason at Castlemead, the carers had her in bed, lying flat on her back. I said that I didn't want to mention this, but I had to when they came into the room and so they managed to roll her onto her left side, with pillows to prop her up. They told me that they were only doing what Carol wanted, but it seemed to me that at the moment she was really unable to explain properly. Not that I want to interfere but I do want her to have the best or at least what will make her more comfortable. I know that they've managed to get the pain under control, but do at least make sure she's comfortable in bed. She wanted to get out, which she had done at Willen, and managed to sit on the edge of her bed and, with some help, walk a short distance around the bed. But a nurse came in and said that she ought to stay in bed. 

Willen, Strange Phone Calls and Stents

Not easy writing this blog post. You will have noticed, if you're an avid follower of my posts on here, that I haven't posted anything for more than a week. We now know that Carol's cancer has spread, to her lungs and bones. I'm sorry, but there's no cure, no chemotherapy will destroy the tumour. It's really difficult to put these words on here. All I can do as a good husband is to be by her side, to help her with the pain whenever possible.  She is getting good care at Willan Hospice. We don't know how much time we've got left. It's appalling for me and the family. I have support from my church, Shenley Christian Fellowship. As you will no doubt be aware I have been attending this church since last year and I can't thank everyone there for visiting Carol, either at home, in Milton Keynes Hospital and now at Willen. 

Carol's mum and dad as well as her sister Jackie visited last week (I think it was last week. Time has gone into a sort of over-drive since all this began.) They came up from Bournemouth on the Monday and then stayed with family in Leicester, coming down alternate days and then returned home on the Friday of that week.

On the Tuesday I took Alfie, our Yorkshire Terrier, in to Willan Hospice to see Carol. I had to take him in the cage in the back of the car. No sooner had he got out of the car, than be began to bark noisily. In fact he barked almost all the time he was at Willen. I took him into Carol's room and he licked Carol's hands and face. I think she was really pleased to see him, but was somewhat concerned with him barking. Understandable, really, because we didn't want to upset any of the other patients. The staff loved him and made a great fuss of him, which Alfie, as expected, loved every minute of being stroked and being the centre of attention.

I had a telephone call yesterday. I rushed to pick up the thing, which is in the hallway. I'm talking here about our landline telephone. It's one of those cordless models. which means the unit sits in a docking cradle to keep the thing charged, so you can pick it up to answer and speak and talk anywhere within the house. On putting the thing to my ear there was no immediate response, no voice at the other end. I said 'hello!,' several times, then a further few seconds of silence. A sort of hollow sound, then a really awful, obviously mechanical or at least, recorded female voice said 'Good bye!!' and that was the end to the call. So, can someone tell me, what was it all about? Who on earth would bother to make a telephone call and then . . . .  just silence, followed by the awful female voice saying 'Good bye!' Someone's idea of a joke. If so, a rather pathetic one. What a waste of time and effort.

I've since been on Google to look for 'silent telephone calls,' and according to Ofcom these calls are not illegal, but if you can find out who sends them you can complain to them to get the company involved fined if they make too many of them.

I took Alfie out for his routine morning walk at about 7.15 this morning. Alfie doesn't understand that we can't go out when it's dark. It gets lighter later and later. I'm a bit annoyed that I make a real effort to pick up Alfie's poo and put it in a bin. I always carry at least one black doggy bag in my pocket for this eventuality, but it's unfair that some people don't pick up after their dogs as I see quite a lot of excrement on my walk around Eaglestone Park with Alfie. On the way back along the patch back to the house I am shocked to see a postman delivering mail. I don't think I've seen a postman much before midday around here ever. Certainly not in the time I've lived in Milton Keynes. There was a time once, long ago, when you could virtually set your watch by the postman delivering. In Bedford you used to get a delivery at 7 a.m, more or less on the dot, and then a second one around 11 a.m. Certainly not now. They seem to deliver when they feel like it. The other day we got our post delivered at around 4.30 p.m. which was a real shock.

When I got back home there was a pile of mail on the doormat. One was a package from Amazon, with a book in it which I ordered about a week ago. I am supposed to get stuff from Amazon delivered within 24 hours as I have Amazon Prime. Not really sure what they've been doing with that package. Usually Amazon uses their own delivery drivers for their parcels, but this was the Royal Mail. Never mind. At least I got my order . . .  eventually. But it seems the Royal Mail is slipping.

In that pile of mail I had a letter from the John Radcliffe Hospital in Oxford telling me that I would need a second stent fitted. No doubt they know what they're doing because it came from Professor Keith Channon, Honorary Consultant Cardiologist and Professor of Cardiovascular Medicine. I would imagine he has seen the scans done when I had the perfusion test done at Oxford all those weeks ago. I did wonder when I was going to hear. I'm not sure whether I will have to stay in hospital after having the procedure done and how I'm going to get there as well as back as I  don't think I could drive in either direction. Far too stressful.

New Cardiology Appointment and other Matters

(Saturday)I have had a letter today from the Cardiology Department at Milton Keynes Hospital giving me an appointment there on 24th December at 3.35p.m. I'm somewhat surprised that I would have such an appointment on Christmas Eve, or at least, that late in the day. It says that more procedures and tests may be done and may take up to three hours. Which would take things up to about 6 or 7 o'clock by which time you would assume they would be closing for the Christmas period. It does make sense to have my care looked after from Milton Keynes and not the John Radcliffe in Oxford. They did the Perfusion Test there simply because that procedure can't be done at Milton Keynes because they don't have the gamma camera that John Radcliffe has. The scans from the tests done two weeks ago can easily be sent over to Milton Keynes, making life easier for me if I don't have to have the inconvenience of the journey to and from Oxford when the Cardiology Department at Milton Keynes is a mere ten-minute walk from our house.

(I'm writing less on this blog as you may have noticed. I'm writing something each day and then posting it when I have enough material to make it worthwhile publishing it, so don't expect a long piece every day. So there may be a week's worth of stuff in one post.)

2.00p.m. I've been walking to the hospital for the past few days. Apart from anything else, it's good exercise and it's a mere 10-minutes to the hospital. It also saves me around £4.50 in parking tickets so that's £9 over two days, depending, of course, how long I remain on the ward.  But then I saw that the barrier at the exit to the carpark near Cardiology was stuck in the upright position, so you could get out without the need of a parking ticket and no need to pay. Never mind. It's a bright and sunny day and actually really pleasant walking along with the sun shining through the trees onto the path.

Carol feeling somewhat down today. Still in a lot of pain. Although her temperature has come down slightly. I hope this is a good sign and that it comes down to it's correct level and it's a sign that the infection is under control. We will hopefully know more when the doctors come round the ward tomorrow at some time.

We had Holy Communion with one of the chaplains on the ward this morning, which was really nice. We've met all of the hospital chaplains now. Because I didn't go to church this morning, because of a worry that I might catch the bug that is currently going round, it was great to have some sort of worship time, even though not the same as we have at Shenley Christian Fellowship.

Monday. 8.00 a.m. I took out Alfie as usual round Eaglestone Park. Alfie as excited as ever. He met up with the three dogs being walked by the lady we keep on meeting. Alfie wants to be friends but they don't seem in the least bit interested. Alfie barks at them, but no ball-game with these dogs. A shame.

The Human Resources lady from Milton Keynes Academy telephoned early this morning and wanted to know how she was. She wanted to visit and needed to know what the ward visiting hours were. I wasn't entirely sure, but assumed it was from 2 to 8 p.m. When I eventually arrived on the ward at around 10 o'clock I found Carol fast asleep and was going to tell her that the lady was going to visit at some point. Carol continued to sleep until around 11, and then a bit after two of the HR ladies arrived, with a card signed by everyone in Carol's department along with some fruit, some plums and strawberries. They stayed for about 20 minutes. I think Carol was pleased to see them and hear about how things are going at the Academy.

Yes, I forget. It's my birthday, but I don't make an issue of it. Just a pity Carol isn't at home to share cake or something. I just want her home from hospital so we can at least get out of the house and visit somewhere pleasant, Woburn Abbey, Whipsnade or Waddesdon for example. Or even one of the lovely garden centres we visit on occasion, to have coffee and a pastry for example.

Tuesday. I'm taking Alfie to the groomer's for a 1 o'clock appointment today, so I will have to leave the hospital at around midday to get  to Pets At Homet, at the retail park in Bletchley.

We had a meeting with one of the doctors which is managing Carol's pain, along with one of the Macmillan nurses in the palliative care team. They are finding ways to change Carol's care to find some sort of distraction so that she doesn't have to concentrate so much on the pain. It makes sense to me.

I took Alfie to The Groom Room at Pets At Home at Bletchley, as mentioned above. I left in good time to arrive outside at 12.50 so that I could take him in to be groomed in plenty of time.

The newly-clipped Alfie, straight back from the

grooming parlour this afternoon

Whilst Alfie was in being groomed, I went into the nearby branch of Gregg's and got a roll and a drink and went to sit in the car to eat it. I spent the next hour and three-quarters wandering into some of the shops, including the nearby Matalan store, although I wasn't over-impressed by what I saw.

I eventually went back to collect Alfie from the Groom Room at 2.45. He was so pleased to see me, looking so much better for being clipped. You can now see his face without all that hair in the way and the nasty mess that builds up under his eyes has gone. I took him out of the store, barking madly and we drove home.

Cardiology Appointment at Milton Keynes Hospital

(Wednesday) It was quite foggy when I took Alfie out this morning when we walked around Eaglestone Park. Alfie doesn't quite appreciate that we can't really go out until it's light otherwise we'd be walking into trees and bumping into things we wouldn't be able to see. It's definitely getting dark earlier in the evening and the mornings aren't light until at least 7.15. But, being a dog, Alfie can't really be expected to understand, but never mind. 

I have an appointment at the Cardiology Department at Milton Keynes Hospital at 9.00 a.m. this morning, so I must get to the carpark by at least 8.45. Not really a problem, but the traffic is probably at it's heaviest along Standing Way at that time, so I must leave earlier in order to get there in time. I'm having a echocardiogram done, which I had done at the John Radcliffe Hospital on the Tuesday after I had my heart attack. It only takes about 15 minutes, so I have a good idea what to expect. It's not an E.C.G., which is an entirely different beast. That is an electrocardiogram which measures the electrical activity of your heartbeat.

Currently  my blood pressure is 113/70 mmHg, heart rate 69 bpm and Sp02 96%. The echocardiogram done at the John Radcliffe on 4th September showed a normal LV size and wall thickness and systolic function that appeared at least mildly impaired.

My current medication is as follows:

Asprin dispersible 75 mg.
G.T.N. (Glyceryl Trinitrate 400 mg.
Isoborbide Mononitrate 20 mg.
Lansoprazole 15 mg.
Bisoprolol 2.5 mg.
Atorvastatin 60 mg.
Ticagretor 90 mg.
Oxybutin 10 mg.
Candesartan 4 mg.

I've still got a slight cough which is a side-effect of the Ramapril I was given when I left John Radcliffe in Oxford on the Tuesday after I had my heart attack. But, hopefully, it is coming to an end. It's not as bad as it was, but I do get fits of coughing. As I've stopped taking this medication and gone back to Candesartan it seems to have worked, although Carol said that several of the nurses on her ward have complained of coughing and have said that it might be due to the warm weather we had in the summer and as it's dry and sunny at the moment there is a lot of dust around which might be responsible for coughs, dry and sore throats .

Later. 8.30p.m. Sitting here in the lounge and really waiting to go to my appointment. As I look out of the window it looks quite sunny. Actually the past couple of days it's been remarkably warm and sunny. I suppose it's the time of year when you get foggy mornings and then once it clears you get bright sunny days which are really pleasant but then it can change and be quite cold and it's at that time you need to put on your central heating for a bit of background heating.

I was in good time for my cardiology department appointment and got to the hospital at 8.45 which meant I was able to park the car easily and then walk to the cardiology department which is only a short walk away. I didn't have to wait very long before I was called in by the nurse.

An echocardiogram is fairly straightforward, compared to the other procedure I had done on Monday at the John Radcliffe in Oxford. I had to take off my shirt and lay on a bed. The nurse put some sort of gel on my chest (presumably like KY jelly or other personal lubricant.) I had to first lay on my left side while she put the sensor device on my chest and moved it about several times. After a while I had to move even more to my left and had to hold onto a handle to prevent myself falling on the floor. She pressed the hand-held sensor fairly hard but it didn't hurt. The machine wasn't like the one used on the ward at the John Radcliffe which was portable, this machine looked far more complex. The whole procedure took no more than 20 minutes. The procedure was apparently ordered by the cardiology  nurse who is going to set me up on the rehab course which is hopefully going to start at the end of October and they have to make sure I am in a fit state before I commence that course.

I'm generally feeling well at present, although I know my limitations and if I over-exert myself I know I will only get angina so it's best to walk slowly. I have a tendency to walk too fast, so to avoid pain or other problems it's best to just slow down. I do occasionally feel queasy but I think that's my medication. There are certain side effects that I just have to get used to. I have managed to sort out the cough which was almost certain to have been caused by the Ramapril, which has now been replaced by Candesartan. I do get tired easily, which I have been since my first heart attack in 2006. A relatively short rest on our bed sorts this out, or if I'm out and about a couple of minutes sitting and I'm back to normal. I have to take a G.T.N. spray with me when I'm out and about and if I use it before anything strenuous, then it's a question of using it before an activity. But I know over-use can be a bad thing as I think if over-used it's less effective.

I went to Sainsbury's when I left Carol at hospital this afternoon. It was bright sunshine as I came out of the carpark and it seemed worthwhile to get what groceries I needed rather than going tomorrow morning. I was in and out within barely 30 minutes and it was easier to park when there was plenty of space in the carpark underneath the store.

Having unpacked my shopping when I returned home, I was sitting in the lounge and Alfie looked at me and began to bark loudly so it seemed appropriate for me to take him for a walk as it was so sunny and warm.

Myocardial Perfusion Imaging Test At John Radcliffe

I've mentioned that I had a Myocardial Perfusion Imaging Test procedure booked at the John Radcliffe Hospital in Oxford today. (Monday) I was taken by James, a good friend at Shenley Christian Fellowship. He wasn't due to pick me up until 12 midday as the procedure was at 2p.m. and it wasn't going to take 2 hours to get to Oxford. Generally, with light traffic it wouldn't normally take more than an hour. I wasn't over-keen on driving myself, due to the stress it was likely to cause and I certainly didn't need any more, what with Carol already being in hospital and also the state of other drivers attitude of other motorists, being tail-gated and generally not being in a fit state to drive that far at the moment. Also, I don't think Carol would have been happy if I had gone on my own. I was ready to leave well before 12 noon. He phoned me to say he'd be ten minutes late. When he got here he had to set his satnav and we left for Oxford.

The journey was relatively straightforward, but still I'm glad I didn't have to drive. We had to stop on the A34 because the satnav wasn't working or something, so James used his mobile phone as a satnav.

We got to the John Radcliffe but then we weren't entirely sure where the department was that I was going to, the Nuclear Cardiology department. The John Radcliffe is an enormous hospital, spread across a really large campus and it can be extremely difficult to find the particular department you need when you don't know the exact layout of the place. Then we had a problem with parking the car, a vast carpark but absolutely no vacant spaces. So I had to get out of the car, having got James's mobile number so we could keep in contact. I went into the main reception entrance and asked at a desk, and was given instructions as to the exact place I should go to, along a very long corridor (why do hospitals always have at least on long corridor? Is it something that the architects work into their masterplans or something, just to keep patients and visitors fit with all the walking?) Even then I didn't know the department was on Level 1, so I had to go down in a lift, which, when I got in one, insisted on going up first before delivering to the correct floor. But then I had to walk a considerable distance before finding the right department although I had to ask at two further desks before eventually ending up where I should have been. I can't say it was particularly well signed, just endless corridors and stairs to reach it.

All the while James texted me. He said he would attempt to park outside the hospital and then, later, said he was going to go to a library. One was going to be closing at 1 o'clock, so obviously no use, and then he said he was going to Bicester, which we had come through on the way over from Milton Keynes, and he said he'd head back to the hospital to pick me up at 5.30.

I reported to the reception in the department and then had to wait in the waiting area, but I didn't have to sit there long because a nurse soon came to get me and went through to one of the preparation rooms where I had to have a canala inserted in my right arm. As usual with me I had to lay down on the bed because I have a problem with needles, usually with giving blood, as you will have discovered if you read my blog posts regularly. The nurse had a real problem finding a vein, and at one point wanted to put the thing in my hand, which I refused. It's not the pain of the needle, it's mostly when whoever is attempting to put a needle in is fiddling around, looking for a vein, try one area, then another, then they tap your skin to raise a vein, it won't work here, then there, they might start to put a needle in, it takes too long, at which point I'm feeling queasy and sick. But eventually the canala was inserted and eventually the radio-active substance put into my bloodstream. My blood pressure was taken, which was low. I don't have a problem with that. I had to remain laying down for a minute or two. I began to feel better and eventually stood up and had to go and wait out in the waiting area for an hour before they could do the fist scan. I was shown what the machine was like,  through a window into the main room and how I would lie on the bed with my head out though the end of the machine as the camera revolved around me. I have to admit I don't like being enclosed in a small space and get mildly claustrophobic as a result.

So, I sat and waited for the hour. I had to drink water, for whatever reason. I could have eaten something, but I wasn't hungry but I currently don't have an appetite. I had eaten earlier, before I had left home, at around 10.45. Some people waiting with me had bought food with them but I just couldn't face a thing. They had a television on to watch, an ancient edition of 'Bargain Hunt' on the Really channel, not a channel I would normally watch, and then what seemed like endless episodes of 'Homes Under The Hammer.' I attempted to read, as I had a book with me, but I couldn't concentrate on it, so I gave up.

When the hour was up (and goodness, how it did drag. Really boring, unfortunately.) I was called in to the next room for the scan. I had my blood pressure taken. I had to lay on the bed within the scanning machine. They put something under my legs to raise them slightly. I think I had pads put on my chest, that connect you to an E.C.G. I had to slide right back and put my head out the other side of the machine and raise my arms and put my hands behind my head. To be honest, I didn't like it. I don't like enclosed spaces. The actual camera part of the machine encircled the whole bed with me on it and my chest had to be under the camera. Fortunately they had music playing, from Classic FM, so as the machine started I could concentrate on that and not on the humming, whirring machine as it kept circling me. Also, the whole procedure took around 10 minutes, not a moment more or a moment less. I had to lay completely still. My arms began to get cramp and I wanted to stretch my legs, but I had to keep perfectly still. Then one of the nurses said that the procedure was over. Thank goodness. The thing began to stop revolving and I was able to be moved down the bed so that I could sit up. I then sat on the edge of the bed and the pads were removed from my chest and I could leave the room, and had to drink water as I sat outside. I was told I should eat something, but I didn't feel hungry and really had no appetite, although someone sitting near me in the waiting room had food with him in a bag and kept eating fruit and other things.

So, another hour elapsed. Again, watching television and being generally bored. Once the hour was over I hd to go into another room. I had to take off my shirt while they connected me to more pads, which went to a computer which showed E.C.G. readings. I had to stand on a treadmill and walk, at first at a slow pace and then they gradually increased the speed. I had to hold on to a handrail, and walk steadily. The speed of the treadmill was increased and I managed to keep walking steadily, but I began to feel a tightness in my chest, but they made me keep on walking. One of the nurses put something into my arm through the canula in my right arm. No doubt more radioactive substance but I think it was more likely something to make my heart beat faster, probably adrenaline, but I'm not sure. I had a stress test done at Milton Keynes hospital in the cardiology department several years ago and they did something similar whilst doing a sonic scan of my heart and the adrenaline or whatever it was made my heart beat faster. I think this new test was similar to that. As I got more and more tightness in my chest they slowed down the treadmill until it stopped, but frankly it was stressing me somewhat and I was relieved when it was over. I know when I'm out walking when to slow down or stop to rest, whenever I feel some tightness in my chest, so it was with this test.

I got off the treadmill and they took the pads off my chest and I went back to the waiting area.

Another hour to wait. Or perhaps a bit more. I attempted to text James, but by now my mobile showed that I had little battery-life in it. I decided to turn the thing off, otherwise if the battery failed I wouldn't have enough power to text James to let him know I had finished and where to pick me up from.

It was well over an hour by the time I went into the room with the gamma camera in it (I've been looking at the literature I was sent prior to going for this procedure and that is what the machine is called.) I had my blood pressure done again. By now (it was around 5.15p.m.) I was heavily sick of the whole thing, feeling really tired (which is an effect of having had a heart attack, so nothing new there.) I had to lay on the bed thing in the machine and my legs were lifted it up with a sort of bolster thing. Not sure why, although perhaps it helps my blood circulate better for the camera. Then I had to put my head back as far as I could out the back of the machine and put my hands behind my head. Again the machine started. But this time the operator left the room. I didn't get far into the procedure, unfortunately. I had my eyes closed as I had the first time round, but then I opened them and saw how close the camera thing was to me and I'm afraid to say on here that I got a horrible panic attack. I just can't stand being enclosed, I've mentioned it on here earlier. I just freaked out and in the process I move my position. I continued with the procedure, but when it had finished the nurse said that because I'm moved it had ruined the results of the scan. I would need to do it again. I explained that I'd had an awful panic attack and the staff did understand. I didn't want to have gone all the way to Oxford for this procedure and then not have it completed successfully. They said to me that next time someone would be with me during the next run with the gamma camera, and it wouldn't be so long, perhaps seven minutes. So, I agreed to have a second attempt and this time it went well, with the nurse talking to me throughout. The earlier attempt wasn't pleasant and I just hope that I don't have to have another scan like it. Just don't like being in enclosed spaces like that.

So, that was the final scan, thank goodness. I packed up my things and had to open up my mobile, which even than had very little battery power. I managed to text James (by now it was about 5.35 p.m.) and attempted to walk to the hospital reception area, where I'd come in earlier. I walked along a really long corridor, expecting it to lead out of the building, but I came to a set of double doors which I couldn't open, it requiring a card to swipe to get it to open, which I didn't have. No doubt a member of the hospital staff would have such a card, but I obviously didn't. I walked back the way I'd come, a long walk, and I wasn't feeling 100%, so it was hard work. I used a lift and hoped I would get back to the level which lead out to the reception area. I eventually got there, James having said earlier in a text that he was now back on the hospital site. I decided to walk out of the building and thankfully I saw his car drawing up down at the road-level. So I got into his car and we began the journey home, arriving back at our house at around 7.15. I was so grateful to James for his kindness to drive me to Oxford and for the successful conclusion of what was a very long and tiring day.

Saturday Morning Frost

(Saturday) I went out to the meter cupboard to check the gas meter. It was fine and didn't need credit putting on it, fortunately. It was quite chilly and there was a light frost on the car's windscreen. The first frost of the autumn.

I went to Sainsbury's early. I got there at around 8.45. Not busy at that early hour. I had to pick up my repeat prescription. I forgot to tell them at the pharmacy that I'm no longer taking Ramapril and now on Candesartan. It needs to be put on their list of my new medications. I now realise that Carol had a repeat prescription which needs collection and should have been ready. For some reason another of my meds wasn't available., Oxybutin. I can't think why, because I've only about four left. It's Ashfield Medical Centre just being awkward for now real reason. Or perhaps they just don't have any in stock. They said I couldn't have any until 27th October, so that's nearly in a month's time.

I got home, unpacked my shopping and then drove to the hospital. Carol seemed in a better frame of mind. I think at last the nurses have got on top of her pain relief medication.

As we sat quietly in the room, I was aware of someone entering  behind me as I sat in one of the chairs near the door, without our permission. One of the patients, who must have a learning disability. It was a bit of a shock. He came in and started looking at Carol's belongings on the bed-side table and touched the bed. He was followed by a carer, who apologised, and got the man out. The man didn't make any sound, didn't talk or anything. The type of patient I would have been caring for at one or other of the houses I worked in for the N.H.S., but they were usually those with extreme challenging behaviour. This man has been wandering about the ward all day and has two support workers with him. Carol was upset he had come in. The carers shut the room door to prevent him coming in and came back to again say they were sorry he had come into the room. It would be somewhat unsettling to have your personal space invaded like that.

I took Alfie out for his, by now, routine run across the park. I didn't go the whole circuit, because I felt a certain amount of discomfort in my chest. Not an angina attack, but I wasn't keen to risk being out. I always carry a G.T.N. spray, nevertheless. It has been mild, with  weak sun shining on the scene. A lot of leaves now fallen and definite signs of autumn. I can't believe it'll be October tomorrow.

This evening I have managed to put my medication out ready to take. I have looked at the repeat prescription I collected this morning and find that my Bisoprolol dosage hasn't been changed with the new order, it is still at the original, higher dosage of 5 mg, but it had been lowered to 2.5 mg by the doctors at John Radcliffe. Also, I got Ramapril, which has now been replaced by Candesartan. It's obvious that Lloyd's didn't know about the Ramapril being replaced, but the surgery hasn't looked carefully at the Bisoprolol dosage and it needs changing to the correct dosage. I think I will need to go back to Lloyd's in Sainsbury and get this rectified. No doubt it will require the surgery to make this change before Lloyd's can change it. So more aggravation.

When I got home I found a pile of post. One of them a letter from John Radcliffe Hospital in Oxford.
I have an appointment there on Monday 8th October at 2 o'clock to have a Myocardial Perfusion Imaging Test. Seems to be similar to Carol's scans and the whole process takes 4-5 hours. My concern is that I don't relish having to drive all that way, and then, all the way back home afterwards. I would hope Carol could come with me, but considering her health at present I'm not sure. When she had a scan at the Churchill Hospital in Oxford all those months ago, we went via a hospital ambulance/minibus. However, it wasn't the most comfortable journey, but if it means I didn't have the stress of getting to Oxford I would be more than happy to go on that ambulance. Unless someone at church could volunteer their services, but that's a big ask, considering the length of time the procedure is likely to take. I'll have to look into the options. Until I got the letter today I had never heard of this particular test.

More Unnecessary Aggravation

(Wednesday) I've mentioned on an earlier blog post, that I went to our doctor's surgery a week or two ago to find out whether they had received notification from the John Radcliffe Hospital regarding my new medication so that when I made a new repeat prescription it would be up-and-running and there would be no problems. The discharge information was given to me when I left the hospital and a copy would have been forwarded to my doctor's surgery. I was informed when I went to speak to the receptionist she looked on the computer system and assured me that the new medication was record. Little did I realise that actually this wasn't the case. Or if it was, then part of the information was missing, or at least it would appear so.

I went to Sainsbury's early this morning and went to the Lloyd's pharmacy within the store, which is our nominated pharmacy for all our repeat prescriptions. We've been using them for several years now. But when I went to give them the new order I was informed by their pharmacist that they couldn't do the order without first having it on THEIR system. I would need to ring Ashfield Medical Centre and speak to them to have the new medications recorded before the pharmacy could make up the order. As you can imagine, what with having had a heart attack three weeks previously and also having Carol in hospital, this is only adding to stress and frustration which is certainly not what I want at the moment.

Having completed my shopping in Sainsbury's, I returned home and immediately telephoned the surgery. I was expecting it to take some while to get through, there also was an option on the menu which you have to select when you ring, to phone a special prescription help-line, but this 'after 11 a.m.,' which didn't exactly please me as I wanted to go and visit Carol and if left too late it would be difficult to find a parking space for the car. I just rang the normal telephone number intended for making appointments, but told the receptionist my repeat prescription was urgent. I ran through what I wanted to order until I reached Ticagrelor, which I had been prescribed especially because it's supposed to protect the stent I had put in at the John Radcliffe. The receptionist had never heard of it, which was a surprise. It now seems a doctor will have to approve this additional medication before they can make out a prescription, which will then be sent electronically to Lloyd's before the repeat prescription can be made up. There seems to be some sort of bureaucratic glitch in all this somehow.

I'm having problems with a cough, which I have mentioned in earlier blog posts. Apparently it is a side-effect of taking Ramapril. I spoke to the pharmacist about this matter, because I spent most of last night awake with this horrible cough. Nothing seems to alleviate it, no amount of cough linctus or cough sweets. I just concerns me that it might spark off something like another heart attack. The pharmacist looked at all my medication already held on their system and she saw I was on Candesartan. Which apparently does the same job as Ramapril, but without the side-effects. So it does seem odd that the doctors at John Radcliffe should charge this medication regardless of the fact that I had no problem with the Candesartan but now have to endure a horrible cough with Ramapril.  I decided to go into the Cardiology department at Milton Keynes Hospital when I went to visit Carol this morning, with the intention of mentioning this to the cardiology nurse I spoke to last week. I was fortunate to be seen by her briefly when I went in. She said that  the cough would most likely be as a result of the Ramapril but she couldn't change it for me, I would need to speak to my GP. It would appear that Ramapril is a standard medication given to patients after they've had a heart attack. So, I need to telephone Ashfield, how ever long that is going to take, and ask my doctor to see if he can change the Ramapril for Candesartan or a similar drug.

Having said in the previous post that it was getting colder, it's actually been quite warm for the past couple of days. The weather is getting so confused. I came out of the hospital yesterday and there was bright sunshine, similar to what we have today (Wednesday.)

It's Getting Colder

(Sunday) It rained early this morning. so there was no question of me taking Alfie for his walk across Eaglestone Park, even though he kept staring at me when I was eating my breakfast as I watched BBC Breakfast at around 7.30. For a start, Alfie doesn't like getting wet, so there was no point in us both getting deluged. If you open the patio door to let him out into the garden, if it's raining, he won't go out unless he absolutely has to, he will poke his head out and decide that he won't bother, thank you very much.

I was determined to go to Shenley Christian Fellowship this morning. I needed to return, three weeks after my heart attack. Obviously I didn't want a repetition of that Sunday morning.

It's been raining most of the morning, but by the time I got to the hospital the sun was shining.

On arriving back home after visiting Carol, I found the house somewhat cold so I put my fleece on, the first time this autumn.

(Monday) As I've said in the last bit, it is considerably colder. Alfie was quite insistent that he was going to get his routine morning's walk across Eaglestone Park. I took it slowly, but I was fine, considering things. I put my red Regatta fleece on and we went out, with a weak sun shining, but there was a definite nip in the air as we walked down the path and into the open space where I usually let Alfie off. No chance that anyone will be allowed to sleep, with Alfie yapping and barking madly. We cut across the park, not going the full circuit. I rested briefly on one of the pieces of outdoor gym machinery, and texted Carol on my mobile, just to give a brief word or two about Alfie's walk with me. Not so much a walk for Alfie, as he runs madly about, but always comes back when I call him. He still must wonder where Carol is at the moment. He must have wondered where on earth I was when I was whisked off to the John Radcliffe in Oxford three weeks ago.

I got back to the house and suddenly found that it was really cold. I think it will be necessary to put on the central heating for the first time this autumn when I get back from the hospital late when I've seen Carol.

Later on Monday. It's quite sunny and pleasant now. The weather at this time of the year can be really strange. It may be cold one moment and then warm and sunny the next, although even with the sun out it can be deceptive, seeming warm but underlying it can be quite chilly.

Cardiology Nurse Appointment

(Monday) Carol came with me to my first appointment with one of the cardiology nurses at Milton Keynes Hospital this morning. We've walked through the cardiology department quite a few times because it's immediately opposite the entrance into the oncology department which is where Carol came to have her 12 sessions of chemotherapy, so we know it fairly well, usually acknowledging the lady on reception as we walk through.  So it was rather off for me to be there for my own appointment this morning. At least we could park the car easily because we were so early and we went into the Macmillan unit which is further along the corridor to get the parking ticket clipped so we didn't have to pay to park.

We sat down in the waiting area, having reported to the reception desk. There was one other person waiting. Which I assumed would mean I would be next to be called in. But a couple came in, a woman in an electric wheelchair, and her husband (I presume that they were husband and wife.) was called in almost immediately. The letter I'd received giving me the appointment (although I had been telephoned to giving me the appointment. They sent the letter as a reminder.) told me I should arrive a good 10 minutes in advance of the appointment so they could do the, by now, routine observations, such as blood pressure, temperature etc.

Then I was called in by the nurse, Lucy is her name. I had bought all my medications with me in a carrier bag, along with the discharge information from the John Radcliffe. I discussed what had happened leading up to my recent heart attack two week's previously.  It didn't seem to follow any particular pattern, for example, I had difficulty distinguishing between angina, indigestion and any other sensation which lead to it happening. We went through all my medications and discussed any problems I had with the, including the fact that the Ramipril was giving me an annoying cough. She also checked my blood pressure, which appeared very good, considering. She then went through the rehab course, which I can join, but at the moment I can't start because it would appear they don't have any space so it's not likely to start until the end of October. I can't give a clear date to begin this because we don't yet know what Carol's treatment plan is likely to be and probably won't know anything until we've had the consultant's appointment on Friday. So, it's rather open as to when I can begin, but I will go to the hospital gym for this. I wasn't even aware that there was a gym in Milton Keynes Hospital. But when I go I will be checked out to see whether it's safe for me to do this by having a cardiogram done. Then we went on about food and diet in general and then the appointment was over, but it's nice to know I have someone to go to if I need advice since having my heart attack. I will receive a letter soon confirming the day and time I have my first cardiology rehab session.

I saw a piece on BBC Breakfast on Monday morning, before we went off to the hospital for my appointment, about the Highways England campaign called 'Don't Be A Space Invader,' which is to attempt to stop tailgating, something which I have experienced and mention in my blog posts, where a driver will come up far too close behind me when I'm driving. It can be extremely intimidating and in some cases, really frightening. There are, apparently, around 100 people killed or seriously injured in crashes caused by drivers who drive far too close to other vehicles, Highways England says. Around 9 out of 10 people say they feel 'victimised' by this. Police would fine motorists £100 for driving too close to the car in front, in response to concerns over an increase in antisocial driving on motorways and A-Roads. As a result of this, I'm glad that something is being done about this. Apparently you are supposed to give a 2-second space to the car in front when driving on any road. There are markings on the M1 coming south when we come down the motorway, chevrons, that is, markings on the road, which are supposed to give you an approximate distance to keep from the car in front.

Checking On Ashfield, (and other matters)

(Monday)Because I have had some changes to my medication, since I had my recent heart attack and was cared for in the John Radcliffe Hospital in Oxford, I needed to check that our doctor's surgery at Ashfield Medical Centre had received the letter from the hospital which has a list of the amendments. I just don't trust them to have this organised so that, when I need to put in a repeat prescription I get the new drugs on the list. We drove to Beanhill and went into the surgery and I asked as the reception desk whether the amendments had been made to my medication and the receptionist looked on the computer system and it had been up-dated, which means our GP had received the information plus a letter from the John Radcliffe which I'd received recently regarding my heart attack last week.

(Wednesday) I'm still managing to find the remains of the adhesive that they use to stick those contacts on your body when you have to have an E.C.G. when your in hospital, on my body, usually where you can't get at it easily. It's a sort of sticky residue which will wear off given time, but it's quite difficult to get off except when you use soap and water. I found I still had several of these contacts on me when I got home from hospital.

I'm still suffering somewhat from a dry cough, caused, I'm almost certain, as a side effect of some of my medication. I do occasionally get a twinge in my chest, no doubt caused by the stent, but it soon settles down. Certainly not as bad as any angina attack. I still have bruises on both my knees which were caused when I collapsed in church. A bit black and blue, the right knee is more swollen than the left and a good deal more painful. It has been difficult to bend but I can walk a good deal easier than when I first left hospital. I seems odd, but when I was supposed to have had a heart attack, in all honesty I can't remember any real pain as it was going on, no shooting pains up my arms as you're supposed to experience.  When I had my first heart attack in 2006 there was definite excruciating pain then and afterwards, when I left hospital after a week I could barely walk. This time I was able to walk without any problems. After the stent was fitted I was very drugged, no doubt as a result of local
anaesthetic, and felt really horribly woosy for some time and couldn't walk unaided, but it soon wore off, thank goodness. At one point it seemed as if the whole room was spinning round and round. Quite unpleasant. I had to sit down and rest before it went off.  I also have a bruise on the left of my forehead which is somewhat painful to the touch but not too bad at the moment. When I was in hospital they did check these injuries out but they decided that there was nothing serious in them.

On the weather-front, it's a somewhat overcast sort of day (as I write this at 8.00 a.m. on Wednesday 12th September.) I'm not sure whether we'll get sunshine today as it's sort of cloudy and I think it rained slightly overnight as the ground outside is damp.

I've had a telephone call this morning from the Cardiology department at Milton Keynes Hospital checking me out to see how I am after my heart attack. It would appear that the John Radcliffe in Oxford have been in contact. I had a short interview to discover how I am at the moment and I bought up the matter of the dry cough and the lady I was speaking to said it would be a side-effect of the Ramipril, one of the additional medications I am currently on since being in hospital. So, at least I know where this cough is coming from, considering I'm not feeling inwell due to a cold or 'flu. She said that I could ask my doctor to change this medication, but I mustn't stop taking the Ramipril. She asked me about diet and then gave me an appointment for next Monday at 9.20 a.m. As it's only a 10-15-minute walk to the Cardiology department from our home at least there should be no problem either finding the department or finding it. We have usually entered the hospital through Cardiology when we've been to the oncology unit when Carol was having her chemotherapy sessions. All this showing how rapidly the various N.H.S. departments have got on my case to get me up-and-running with rehab.