A Few Days Away- Part 1

Carol has been on Half Term for the past week. We haven't had a full week's holiday away, but  instead we went away on Wednesday and came back on Friday. We stayed in a hotel in Salford, near Manchester. We had a really good drive up on Wednesday morning, and visited  Rufford Old Hall, a National Trust property a good deal further north near Ormskirk. There is a link with William Shakespeare, which interested me as I have an interest in both his plays and his life. He was alleged to have performed in the Great Hall there. It was fairly bright and sunny when we arrived, but when we were inside it had begun to rain and the weather generally deteriated into low mist, rain and gloom. As it was Half Term they were doing Hallow'een things for children, which rather spoilt things for us. We had gone for the historic connections, not some over-blown superstitious nonsense which seems to have taken over in this country at this time of year, unfortunately. It's mainly, if not entirely, to do with shops making money out of the rubbish they sell connected with this so-called festival. When I was a child, November 5th was the thing, or Guy Fawkes Night, but it seems to have been overtaken by the other event, unfortunately.

Rufford Old Hall, National Trust property near Ormskirk, Lancs

Carol wanted to see the Anthony Gormley statues at Crosby Beach. It's something we've both seen photographs of, those mysterious statues staring out to sea, some partially submerged in the sand and others in the sea. As the weather was so awful, we decided to leave it for another day, although it wasn't too far from Rufford Old Hall. Another reason for  not going there immediatley was that the light was going. So we drove back to Sallford to find the hotel.

After driving down the MK motorway and leaving at the exit for Salford, we discovered that the place has a really nightmarish road system. It's one mass of duel carriageways, and the hotel itself is in the centre of a sort of knot of roundabouts. This is within walking distance of Manchester United Football Club's stadium. Sorry, I'm not that interested, but we did go and have a look. Having found the hotel and parked the car, making sure we had a parking permit on display inside the windscreen when we left it (otherwise we we likely to get clamped and would have to pay to have the car released.) we unloaded our luggage and then decided to go out and find something to eat, as there was no food available at the hotel.

We wanted a restaurant, not too expensive. Coming out at the roundabout we saw a  branch of Harry Ramsden's  (one of the famous fish restaurants.) the opposite side, but it then took us around 15 minutes to actually get to it as the traffic was so heavy. We decided that this was where we wanted to eat and so went in and found the place virtually empty except for an older man and a little boy. We had our meal and left and went back to the hotel for the night.

We were up early and out around 8.30, as we wouldn't get breakfast and decided that we could get something to eat as we drove up the M6 away from Salford and Mancester on the way towards Crosby where the Anthony Gormley statues were installed (for want of a better term.) We had found them on Google Maps, so had a vague idea what to expect. We were guided by the Crosby Leisure Centre, which we could see on Google Maps as a quite striking building which looked for all the world like something out of Close Encounters of the Third Kind, a sort of U.F.O. crash-landed on the beach. We found a car park, as we had followed the signs from the main road, but it would mean a long walk along the beach towards the statues. It was by now beginning to look as if there was a rain storm brewing, with very dark clouds drifting in from the land. Also, there was a bitter wind blowing making it very cold, and we hadn't brought coats with us, unfortunately. We drove a little bit further, as we could see the leisure centre in the distance. We got a lot closer and eventually managed to park outside and saw bus-loads of schoolchildren arriving as there is a swimming pool within the leisure centre.

The 300th Post!

Quite a momentous day, this, as this is the 300th post. The first post was written on 27th September 2009. A little over three years. I was writing about 'the season of mists and mellow fruitfulness.' Yes, a very similar day as I write this. The trees are slowly changing colour to every variation of brown, russet, red etc. It's a rather over-cast and dull sort of day. The sun is out and it is fairly bright, but there is quite a keen wind.

I can safely say that I feel a good deal better than I did when I began writing this blog, considering the fact that I had a heart attack in May 2006 (see earlier post for greater detail.)  I had intended the blog to be a discussion of my experiences of having a heart attack, and hope that my thoughts, experiences etc might be of use to anyone else who is going through the same things or has a partner or knows someone who has had a heart attack or has problems with, say, the side-effects of the medication. I think that a lot of my health problems are caused by the side-effects of  the medication, particularly statins (for example, muscle cramps, particularly in the stomach. I have now discovered that drinking some fizzy drinks such as Lucozade, can help relieve these side-effects, along with taking mint capsules, which I have on prescription.) I have not had a really bad angina attack, having been prescribed with isoborbide mononitrate. This working in the same way as the glyceryl trinitrate pump spray which I used to use if I had a really bad paid with an angina attack, as it opens up the arteries and allows better blood flow. I take these tables twice a day, at 8 a.m. and 2 p.m.

As mentioned in an earlier post, I am writing a novel. This, since the beginning of writing this blog. I never thought that it would develop the way it has gone, but I am really getting into my stride now. I'm currently reading Les Miserables, by Victor Hugo (the novel which is the basis for the musical and soon-to-be-released film version.) I'm quite amazed by this. It is an almighty work of fiction, some 1,500 pages. I am being influenced in my own attempts at writing, not necessarily by the story or the characters, but by the construction (ie. multiple storylines and characters that intertwine.)  For those who have not read this novel, I can recommened it, and in particular the version I am reading currently. It in a new translation by Julie Rose, and is in paperback, published by Vintage Classics.  The ISBN number is: 9780099529965 for those of you who want to find it in whatever catalogue or computer system you are likely to use. In Waterstone's, the British bookstore, it is currently on display, or was when we went to the Oxford branch two weeks ago.(no doubt in preparation for the imminent release of the film.) In America it was published by The Modern Library. There are good notes at the back, which are always useful for a novel of this sort.

Cardiology Department Diagnosis

This morning I had a copy of the letter the Milton Keynes  Hospital cardiology department sent my G.P. following my recent appointment. The following is a report in that letter. If it is in any way helpful to anyone who has had a similar medical problem, had a heart attack, suffers from angina, or in any way identifies with my medical history, then I am recording it here.

Diagnosis list

'1. Myocardial infarction 2006 (angiogram at Bedford, conservative management.)

2. DSE 2008: no inducible ischaemia.

3. Hospital admission with troponin negative chest pain and equivocal exercise test- September 2010.

4. DSE October 2010: negative for inductible ischemia.

Medication List

Asprin 75 mg od

Pravastatin 20mg od

Isosorbide mononitrate 20 mg

Plan

1. GP to please discontinue isosorbide mononitrate and commence Amplodipine 5 mg od- uptitrating to 10 mg od

2. GP to please commence proton pump inhibitor

3. GP to please commence ACE inhibitor if no contra-indications.

On his admission his troponin was negative and he went on to have an exercise tolerance test which showed no gignificant changes, although there were some equivocal lateral ECG changes. He had no limiting chest pain but managed 6 minutes, 7.3 METS.

Cardiovascular system examination was unremarkable and his blood pressure today was 129/72.

He had a dobutamine stress echocardiogram on 16th October which was negative for inducible ischaemia.'

 I have Googled 'ischemia' as I had no idea what it meant, and this is what I found:

'Myocardial ischemia is an intermediate condition in coronary artery disease during which the heart tissue is slowly or suddenly starved of oxygen and other nutrients. Eventually, the affected heart tissue will die. When blood flow is completely blocked to the heart, ischemia can lead to a heart attack. Ischemia can be silent or symptomatic. According to the American Heart Association, up to four million Americans may have silent ischemia and be at high risk of having a heart attack with no warning.

Symptomatic ischemia is characterized by chest pain called angina pectoris. The American Heart Association estimates that nearly seven million Americans have angina pectoris, usually called angina. Angina occurs more frequently in women than in men, and in blacks and Hispanics more than in whites. It also occurs more frequently as people age—25% of women over the age of 85 and 27% of men who are 80-84 years old have angina.

People with angina are at risk of having a heart attack. Stable angina occurs during exertion, can be quickly relieved by resting or taking nitroglycerine, and lasts from three to twenty minutes. Unstable angina, which increases the risk of a heart attack, occurs more frequently, lasts longer, is more severe, and may cause discomfort during rest or light exertion.

Ischemia can also occur in the arteries of the brain, where blockages can lead to a stroke. About 80-85% of all strokes are ischemic. Most blockages in the cerebral arteries are due to a blood clot, often in an artery narrowed by plaque. Sometimes, a blood clot in the heart or aorta travels to a cerebral artery. A transient ischemic attack (TIA) is a "mini-stroke" caused by a temporary deficiency of blood supply to the brain. It occurs suddenly, lasts a few minutes to a few hours, and is a strong warning sign of an impending stroke. Ischemia can also effect intestines, legs, feet and kidneys. Pain, malfunctions, and damage in those areas may result.'