Saturday, July 31, 2010

And some more

Yep - the yuk bit has just gotten under way - it happens every time but at the moment - I can now see why I'm as badly beaten up the large scabs/clots dropping out of me are anything to go by.

It is amazing that this much drops out of you - who would have thought your bladder was that big in the first place?

I've only to now wait until Tuesday to find out what the results are and what they are planning to do with me next! Gee - I hope that it has been worth all this messing around and that they don't want to do this all over again in 3 months. I guess I could live with a 6 month Cystoscope but I ought not to second guess their verdict.

That could be why

I just went to the toilet and a huge scab/clot was passed and I'm just wondering whether this is part of what I was told would be "a little more painful than usual" as my consultant warned me?

Certainly it appears to be larger than usual and I'm glad that I am taking my own advice and taking it easy today. I imagine there'll be a bit more of this to contend with over the next day or so and that should be it. It is, after all, 2 weeks since the Operation.

Friday, July 30, 2010

Tourists

Are funny aren't they? Waiting for the train (or even at an airport) why does everyone queue up when the train or plane isn't even called yet but an official walks towards the doors?

Me? I travelled for a living at one time and so am used to hanging around waiting and knowing a few golden rules about such things. You have a seat number for a reason and if you aren't there, they'll soon call for you. And why queue to get onto a train that still has 30 minutes before departure?

So it was amusing that the lady who stepped up to examine the door suddenly found about 400 people queued up behind her. We let the queue go down for 10 minutes and ambled to the train and got on our seats without hassle. They don't knowingly leave anyone behind...

I suppose it must be me but it is so simple to travel hassle free and well planned. I must say, I find A is great at planning and knowing where she is - probably because she is quite a traveller herself. She is back off to Edinburgh on Monday for a couple of weeks. For her sister's birthday she has given her a return ticket to Edinburgh and some tickets for the Comedy Festival - which I am sure she will love. She will be travelling on her own and I'm sure that she will be fine if she observed A's map reading and organising abilities.

I'm feeling a little better at the moment but urinating is a bit painful. It is strange, it is more of an ache than a stabbing pain. It is similar to many of the early issues you get after a rigid cystoscopy without the violent stinging that sometimes accompanies that. I just need to make sure there is no retention. So far there hasn't been any but I need to be aware that it can happen.

I'm no Jean Claude Van Damm

Obviously! The first day in Brussels and I was keen to show the family around. The wonders of high speed train travel - especially as we had to wait years to get the high speed line itself built. We left at 5 in the morning and by 09:30 CET (08:30 BST) we were arriving in Brussels. A brisk walk to the Hotel and depositing our luggage I took the family on a guided tour of Brussels. Not bad as I hadn't been there for 12 years.

We walked for miles and miles doubling across the capital and seeing all the major sites before arriving back at the Hotel to check in and then we went and did a large circuit around the canal area. By the time we got back we must have covered 6 to 8 miles I reckon.

Out in the evening for a meal and then it began to dawn on me that I wasn't quite my usual self and I could feel that I'd pulled myself about a bit. I think I've just managed to pull around my bladder / groin area and urinating was becoming a bit difficult - and a tiny bit painful. The next day we went to Heysel and the Atomium in the morning - that was all by Metro so not too much walking involved and then we stopped off at Louise for some brief shopping and then got back to the Hotel. As it was mid afternoon - I volunteered to stay propped at the bar whilst Mrs. F. A&L went out chocolate shopping, visited the Cathedral which we had only spent a brief time at before and had a wander around.

The next day we went to Ghent which I had last been to 18 years ago. I had to admit - I barely recognised any of it apart from the centre. It was very quiet when I was there last and they have had a huge building project since - I didn't recognise the 2.5kM walk into town and we had a canal tour and pottered around in some pretty impressive churches they have there. We had the most wonderful lunch and by then I was beginning to get a bit tired again so we headed off and got a tram back to the station and headed back into Brussels. I still managed to slightly overdo it but I suppose you do a bit. I feel a lot better than I really am.

The train home was fantastic and we were home in a little under 2 hours from Brussels which is great if you think about it - I guess we were travelling for 3 hours in total from the Hotel. The tickets are valid for travel anywhere in Belgium so we reckon we could be in most of the good places in 4 hours! Incredible.

So at the moment I am sitting down, taking it easy and wondering when I can get back to some level of exercise that doesn't damage me. Tuesday is results day and with any luck I might get a 6 month reprieve from the Cystoscope machine :-)

Monday, July 26, 2010

Ran out of words

On that last blog. The flash backs were pretty painful and I'm pretty amazed I'm still here after all of that.

At the time, you really haven't had time to research properly and to sift out all the dross and nonsense and snake oil from the facts. We didn't know how bad things were at the time but they got me into Hospital in record time. As I recall I was diagnosed on the 21st (Friday) and was having the operation around 3 pm on the 25th (Tuesday). It was really hot, I remember that. I remember being absolutely terrified of what they would find in the results. Things were OK later when they let me know that they had got the tumours out etc. My journey had begun. It is a long way on since then - a return to health in many ways after a seriously low point in those early months and now I'm very much under observation and control but there has been a huge piece of the old me ripped out and lost. To balance that there is a slightly better me in certain areas and a slightly more cut throat renegade me as well.

I can't say that I am happy with those changes - they've made me a different person and not being in the greatest of health I've come to realise that I'll never be the full on person I once was. Not a bad thing either - I probably worked myself into ill heath if the truth be known and burning the candle at both ends may be exciting and rewarding but to affect my health like this was not what I had gotten in mind. Better to find out 4 years ago than later I reckon.

Brussels tomorrow - I am really looking forward to that - although it looks as if the weather has turned so no al fresco eating which would be a shame. Fingers crossed it doesn't rain too bad.

Sunday, July 25, 2010

4 years ago

It was this very day 4 years ago that they chopped out the tumour(s) and I started recording what things were like. First in emails and later on in this blog. A lot has happened and I'm pretty sure that it has been a healing process.

Weight

Not unexpectedly I've gone back a pound so I'm now 226 pounds. I'm still pretty tender and took a look at the exercise cross trainer and decided against it. I will have plenty of chance to exercise in Brussels - the only real way to see that wonderful city is by foot. Every turn leaves you with just another glance of this enigmatic city and you can't see that from the metro - although the tram is a bit of a gas.

I'm not too concerned with a small weight gain - in the old days it could have been worse as I hardly ever graze and snack - apart from on fruit or vegetables these days.

I still have a long way to go in the weight loss project. Considering I was at least another stone (14Lbs) lighter 4 years ago and possibly last year I was a lot nearer that mark - I still have a long way to go.

Saturday, July 24, 2010

A Year

Since we were on our Cruise - a year!!! It doesn't seem possible that at this time last year we were in St. Petersburg.

I am looking forward to being in Brussels later this week as a tourist this time though. Even though I spent weekends there, I was still with colleagues some of that time and it isn't the same. It will be good not to have to rush to see everything and who knows I may actually get to the Atomium this time having only ever driven past it before.

Stop Draining MY Energy

The one thing that you really notice about surviving cancer is the lack of energy it leaves you with. I suppose Stamina is the missing bit. I can attest to this as I can suddenly just lose my energy very quickly these days and can just feel myself switch down and slow up. This is par for the course and exercise and eating properly begin to recharge your batteries.

What the title is about is this - people can rob you of your energy and it is like someone just turns you to drain. Where before I could listen to people's troubles and woes - now - I find it just drains me and I can't do more than a short time now as I just wilt and can hardly manage more than a few tens of minutes.

At some point in time maybe your energy levels returns after cancer but I haven't seen it, in fact it just seems to get worse. I think I might just tell these people to leave me alone as talking to them (no listening to them) just drains the energy out of me.

Friday, July 23, 2010

I Glance at my watch

Exactly 7 days ago at this very time I was waiting to go into the Operating Theatre and everything was OK with the world. I would have gone home on the Saturday morning or perhaps the same day.

After Flocky turned up this morning I have to say I am feeling a lot better than I have done this past week and I hope that I can quickly recover my brain power which still feels affected by the Anaesthetic.

I did however have a "moment" thinking about my situation and invariably, the one thing that balances all of this is that, I'd rather be alive and have gone through all of that nonsense last week than the alterantive. I'm a lucky guy - I'm alive 4 years after being diagnosed with cancer. I'm still here and I still have my bladder etc. I can only speculate that the mauling I got this time was for a specific reason and my Consultant decided, on the spot (we hadn't discussed this before the Operation), to go for a full set of biopsies for some reason.

Knowing that invariably I am going to have some more of these operations does give me some concern but I am planning on discussing this fully and quite frankly and explaining my concern that the explanation of the procedure and the documentation they give you is nothing like what actually happens to you and that I am quite prepeared to have gone through all that nonsense if I knew it was coming. If I knew that I'd end up like that with extra tests and the other stuff - nasty though they may be - I could prepare for them and cope with them.

Best Medicine

I feel SO much better this morning. Amazing what a couple of beers and a nice Curry with good company can do. It was ever so reasonable too as they have a special banquet offer. Very nice food it was too.

Flocky Bicep is on his way this morning to buy me a coffee which will be good.

What is still a bit of a worry is the side effects of the General Anaesthetic this time - I am still having memory problems and cannot find the right words to complete my sentences. It is OK writing like this as I can take my time but the lads were laughing as I would be half way through explaining something and then lose a word - they were probably laughing at my getting angry with myself.

Thursday, July 22, 2010

Looking forward to

A pint and a curry tonight. It will be good to get out of the house and meet up with a few friends. I am looking forward to getting a bit of work in tomorrow and going away for a few days next week.

Thursday

And I am still sore - my middle, and bladder area are decidedly weak and twinge giving and it still stings a little to pee. My hand is bruised as are my legs just below the calf muscles and I'm still a little "slow" in conversation - I just cannot choose the right word in a flowing conversation which amuses others but frustrates me :-)

Another quiet day today - a little walk around the block again and I am out with a few friends tonight for a curry. I'm getting driven there and back which is a godsend - I could have got there and back by bus easily enough though - I would normally walk it but it feels out of range.

This is definitely the worst I have felt after an operation for biopsies. It isn't as bad as Scar Wars I and II but it isn't far short of them either. They did predicate a need to be inactive for some weeks due to the serious nature of the TURBT work they did. Here though, there was plenty of evidence of lots of activity. The debris and blood have stopped some days ago and now it is a matter of about another week before the scabs come off and I can feel confident of doing some serious exercise once again. Sitting around doesn't really help me feel any better but anything too energetic can set you off bleeding again so it is a balance.

Wednesday, July 21, 2010

4 years to the day

That I was diagnosed with Bladder Cancer. I remember that day. Gee the after sting of the flexible cystoscope and the matter of fact way my consultant told me I have cancer stick with me long after the event.

Appointment Through

Already - that is pretty fast - 3rd August I get to hear what the results are and what the next steps might be.

It occurs to me that this sudden need to take lots of biopsies in lots of places including the neck of the bladder (slightly below where the tumours were) might be some precursor to something. Otherwise - why do it? No good second guessing but I sure hope there was some sort of point in going through all of that nonsense last weekend.

I'm looking forward to a few days off with the family and to practice my French again. Belgian beer is pretty good too and their seafood (Moules et Frites or Fruites de Mer) well - what can I say - I'm really looking forward to that.

The dreams are back

Last night was like being stuck in a cinema such were the nature of the dreams I had. Amazing train sequence and one set in a warehouse and school (I know they don't make sense) but these were just amazingly clear with relatively crisp narrative and even a moral story in one of them.

Each was a waking event dream which pre-empted a visit to pass urine - all that liquid I've been drinking to irrigate my bladder has to go somewhere of course. I've missed these dreams for a while, perhaps all those films yesterday and the train could be to do with the Eurostar to Brussels - who knows?

It is another hot day today. I ought to take some fleeting steps out into the real world. Maybe I will wander around the village and see how I get on. As long as I take it easy it should be OK.

Tuesday, July 20, 2010

A lazy day

I've only done a little today and watched a few films - some of the Tour de France and written Scar Wars IX. I've also managed to book a short holiday with the whole family. Finally - and I mean that finally - after weeks maybe months the girls have managed to find a slot so we can all go away. Of course there were many caveats and ifs and buts so eventually after judging these on merit we booked a short break to Brussels. I haven't been there for about 12 years when I worked with Pfizer. Before that I did work there with AT&T and Banque Paribas and it is one of the nicest cities in Europe in terms of getting around and the multitude of things to do.

I doubt the night clubs I used to visit are still there or some of the restaurants but it will be nice to go back there and see how it has changed but I am looking forward to it. We are lucky in that there is a new International Station just 10 or so miles from us and so we can drive there, park up and catch a train to Paris or Brussels or loads of other places.

So perhaps our last holiday together. A has bought L a ticket to Edinburgh and the Festival so they'll both be out and about, plus other Festivals and trips they will not miss out by any means. L has her Provisional Driving License which is pretty amazing. The first time I went to Brussels on business she wasn't even born!

Scar War IX - A Nick in the Neck

Scar Wars IX
A nick in the neck
A long time ago in a galaxy far, far away
Our hero Dave Sky-nando once again tackles Darth Urologist and her henchmen (and henchwomen)
An attack on Bl’dar with Cystoscope and Cauteriser once again threatens our hero’s sense of humour and builds further character. The battle may have been lost but is the war entering its final stages and will the evil empire be defeated? Read on…..

Things had started so well. Exercise, low blood pressure, packed and ready to go, a slow walk and get to the Hospital just after the time required meant no waiting around and straight into operating gown and curtained off area. Plugged into my MP3 player I was off and in to the zone I use to protect myself from the Evil Force of Darth Urologist. I saw the Deep Sleeper Anaesthetist and the Registrar before seeing my Consultant and chatting through the “just having a peek and a few biopsies” stuff we normally do, what to expect and as I’m an old hand at this we agreed that I knew what was going to happen and all that stuff.

I signed the consent form (I must remember to take my glasses next time) and all was fine with the world. At 1:30 the man came to collect me, I jumped on the trolley – we checked my name and birthday, he said “You’ve done this before” and he wheeled me off to the Prep room – for the first time it was the nearest Operating Theatre not the far one but they did say as it was Friday there wasn’t much on.


Prep was easy – my heart rate was high – it always is and my Blood Pressure was high but not as much as some of my previous visits and the cannula was in by 1:40 but there was no Consultant and so we waited. The Registrar said he was going to have to wait as my Consultant “Knew my bladder and what it looked like”. My Consultant arrived 30 minutes later and I was relieved to see she was all OK and that I was ready to get this sorted. I wasn’t too worried – I knew things would take their time I knew this as I had programmed myself to let them do this in their own good time and not mine. I was still pretty early into Theatre and I was in front of everyone else in the room so all appeared fine. The Anaesthetist got me to hold the Oxygen Mask on my face and blow me that’s the last thing I remember until finding myself in recovery.


I came to not knowing where I was or what had been going on. After a few seconds I clicked in where I was, where I was in the recovery room and then when I looked up to my horror I was wired up to two huge wash out bags alongside my plasma bag. I was breathing Oxygen but asked whether I was cathetered if so why? I had to wait for my Consultant to turn up and explain it to me. I wasn’t happy but then shoved up to the eyeballs with General Anaesthetic and other drugs – I doubt I was in any position to rationalise what was going on. No, I had two possible permutations. I was connected to all this gear like I was when I had my initial TURBT and my Re-TURBT (Scar Wars I & I). That could only mean one of two things – a major recurrence and therefore lots of cutting and debris to get rid of or a perforated bladder which is a risk albeit a low risk. I was hoping for the latter of course but knowing there had been a recurrence 3 months ago I feared the very worst.


My consultant came out and saw me visibly upset and explained that after she had started the procedure she had decided to take a lot more biopsies and to take some around the neck of the bladder. By doing that she would have caused trauma to that area and there was a possibility that it would restrict the flow of urine and be painful and she had therefore put in a catheter and wash through. She had also taken some samples from where she did the work last time. I forgot to ask the question but she may have said all was OK but I missed that. I was transferred to ward 8 (another first) and was hooked up to the oxygen and offered some water. I know what to do and so started drinking for England but I have to say I have never been this thirsty either, my throat was incredibly dry.


I managed to see my Consultant and ask the right question. It was amusing as she at first thought I’d forgotten what she told me in recovery. No I hadn’t I just hadn’t asked whether it was clear. The answer was pretty good I guess “whilst there were some pink areas, they appear to be from the past operation biopsies.” She went on ”The bladder looks clear and I would be surprised if the Lab reports come back with anything different.” It was then that she dropped the bombshell that I would be in until Sunday. Such were the nature of the cuts inside my bladder apparently that it meant it would have to be.

I found that they seem to allow mobile phones in the ward these days and so when Mrs. F. arrived she found my bag for me and I was able to text out to the world that I wasn’t going to be home Friday night or even Saturday but that it should be Sunday.

About this time it starts to get to the point where I lose my sense of humour. When the nurse took my blood pressure which was low for me and average for everyone else, they left my table, with water jug and glass and things on it pushed away from the bed out of reach. WHY do that – surely you must realise with all the stuff strapped to me I can barely move???? Numbnuts! I eventually see a nurse and ask whether it would be possible to assist me. They do but no apology! Attention to detail people – attention to detail – how hard can it be to work out that I can’t move? Damn, I was going to be in until Sunday and the girls and Mrs. F were doing the Race for Life run in London so how was I going to get home etc…

That night I managed to fire off some SMS messages from my phone and I settled down to some mince and mashed potato which was about all that was available. There isn’t a lot to be said for Hospital food at the best of times. The people were nice but I just seemed to feel that they weren’t paying close attention. As we shall see it comes down to you looking out for yourself.

I was particularly not looking forward to a night inside and with lights out at about 09:30 I started to listen to my MP3 player but gave up. I also hate being in Hospital as I am prone to snore if I sleep on my back and I don’t like disturbing other people. As luck would have it, I know how to sort this out by wedging myself over on my side. Easier said than done with a catheter and more piping than BP used to cap an Oil Well!! Luckily, as the nurse came down to check my urine bag he decided that the wash through bags were no longer needed and they were removed and a bung shoved into the Catheter and so I was able to turn in bed and in fact become free enough to move around. Carrying my bag I was able to have a wash and brush my teeth but how sore I was already was apparent and of course, you cannot freely move with a tube shoved up your penis and into you bladder (no DON’T TRY THIS AT HOME).

The night passed quite well – I was able to hook myself over to the left and hang with an arm on the rail and propped with a pillow so followed a night of fits and starts as the poor two chaps opposite me (Kidney Removed man and Appendix Man) had various treatments done, Morphine shots and all sorts. I was awake early and at 5:30 they came around and start the ongoing process of Blood Pressure and Temperature taking, giving out pills etc. The long Saturday had started. I got up, sat on a chair and plugged in my MP3 player and waited for breakfast at 8.


What happened next sort of started the whole thing off for me as one of the Doctors turned up to take my blood. “You must be joking I said.” “No, we need to check your white cell count”. “I’ve been in 9 times and this is the first time you have ever taken blood from me here.” I was obviously pretty put out and made it known that I was pretty pissed off. Its not as if I’m a real Jedi and needed my Midichlorians sorted out for pity sake. I find the whole thing tiresome and in normal circumstances it would not have been necessary as I wouldn’t even be there. Again, one of my problems is that it isn’t in the plan I had for how it should all go. I kind of said something along those lines that if they hadn’t carved me up so bad none of this would be necessary. Those who know me may suddenly realise that this is me at my worst – I don’t do all this fluffing about stuff and if I’m in that sort of mood you get both barrels.


As is usual, just as Breakfast starts so my Consultant shows up! Luckily she tells me to continue eating whilst she sees Kidney Removed Man and another chap out of sight of me who has some sort of blockage. Then my Consultant looks at my urine bag and says “That’s looking nice and clear”. “You really want to go home don’t you?” I guess the Doctor who was with her had explained quite how bad my reaction had already been to them wanting a blood test and she knows me and my ways “I’d like to I half pleaded.” “Well we can take the Catheter out now and see how it goes but if there is any restriction we would have to reinsert the Catheter.” Now I know what you are thinking, you’d have taken the chance but my eyes are watering just writing this and so I thought for about 2 milliseconds and replied that “I wasn’t brave enough to consider having a reinsertion (having only had treatment ones before) and that an extra day would be fine given the ‘risk’”. Also it made sense that like normal, it would be out at 5:30 the next morning and I’d be home by lunchtime. There was the little matter of an anti-biotic injection if a catheter is in for more than overnight but that was a small matter and once that was done it was just a matter of banging out 3 good samples of urine in jugs before they let you go.


Saturday was the most boring day ever – it was hot and airless and I managed to drink my way through too many jugs of water apparently. The TV requires paying for and at the cost they wanted I could have bought the TV. On and on the day went, visiting came and went and meals appeared and were eaten. A bag of sweets kept me sane and finally at about 8 pm my MP3 player decided enough was enough and stopped working. Luckily I have a back up MP3 player and spare batteries so I switched over and used that one.


Night again proved awful as it was hot and sticky. Somehow, around 2 in the morning I must have managed to go over onto my back – easy enough done with a catheter hanging out of you – it hurts like hell if you pull, push or rest on it. I was awoken by a nurse saying that I was snoring – apart from frightening the daylights out of me she asked the dumbest question of all time. Are you ready for this? She asked “Do you snore this loudly at home?” My answer? “I don’t know, I’m always asleep when I’m snoring!”


With that out of the way I managed to get sorted and spent what was left of the night in a fitful sleep making sure to lie on my side. Kidney Removed Man and Appendix Man managed to get on and off to sleep with some heavy doses of pain killers.


5:30 came and they did the usual vital measurements – again – low for me. However no catheter removal. Was it on the list? Yes it was but no one was acting on it until my Consultant came along. The Doctor came along again with her blood stuff but not for me – she probably saw the scowl I had on my face by then. Everyone else got tested though – maybe this was a new thing?


At this point in time I was a bit concerned as breakfast arrived and my Consultant hadn’t shown up. They weren’t going to remove the catheter without her and so at 9:30 I was relieved to hear her say that it all looks good that can be removed and you can go home. I remind you that this was 09:30 Sunday morning. At this point in time, I fully expected that by 10 things would start moving. I spoke to the nurse who knew nothing about it but had to find the nurse who was walking around with my Consultant. Then at 10:30 there was a break through – they agreed that my catheter can come out but they needed to make up some anti-biotic – I looked strangely at the nurse – “make it up” – “We haven’t got any it will take half an hour”. Now I looked surprised as you’d have thought that they’d have anti-biotic on a surgical ward. An hour later 11:30 or thereabouts she tells me she has got the anti biotic and turns up with a saline bag that has had the anti-biotic stuck in it. Now I often wondered why they kept cannulas stuck in your hand if they didn’t use them? She sets it up and then says – in a sort of absent minded way I forgot I need a urine sample from your catheter. OK so she does that and here’s where the trouble started I reckon. She didn’t get a clean go at it and charged the syringe number of times which really hurt my bladder and started it bleeding as the resultant blood in the syringe showed. Then she said that my cannula was gummed up and she need to clear it. So she disconnected the saline drip and shot this large syringe of cold fluid into my cannula - it felt cold and sort of made its way up my arm.

OK so I’m sitting there really pissed off now this slow drip is going to take ages, she’s hurt my bladder and I can see blood and bits coursing down the pipe to the urine bag and then I feel it. I start to feel a little nauseous and a little hot, then my breathing started to quicken and my ear drums started throbbing. Oh no, I realised exactly what was happening. My chest started to heave and I managed to get my MP3 player off and push the nurse emergency call button. I grabbed the arms of the chair and braced myself – the next thing I knew was I was coming around and mumbling and my legs and arms were thrashing about everywhere. The nurses looked pretty scared – I spoke to one of them and said I’d fainted (obviously) and they laid me on the bed, got me completely flat and this must have been around 11:45 as lunch arrived as I was lying down.


I explained that I was almost certain it was the flush of the cannula or the back pressure on my bladder. I explained that this was exactly what happened to me the first time I came in (Scar Wars I) when they tried to correct a blockage in my catheter and with a similar outcome.


You would have thought that someone would have come around to see me after 15 minutes or so wouldn’t you? No it was 30 minutes or more later that they came around and saw me – I then asked permission if I could get up and have my lunch as it was getting cold. “but its salad said the nurse” “I know” I said. So I managed to eat my lunch and then lay back until gone 1 pm when the drip finally finished. The Doctor wanted to keep me in and in no uncertain terms I explained to my nurse why she wasn’t going to keep me in and exactly why. This seemed to work and finally at 1:30 the catheter came out. Could I have the cannula out? No apparently not. I went for a shower and then of course had to do the obligatory 3 pees in a jug. I managed those at 2:10, 2:30 & 2:55 at 3:15 they finally came and ultrasound scanned me and I was free to go at 3:20 at 3:30 I arrived home.


Nine times in the past four years I’ve had operations, seven of them have been rigid cystoscopies and like travelling in parallel universes there is not one that has been the same as another – not one! What is that all about? Somehow I would have thought that there would be some sort of commonality as suggested in all the literature you ever get from the Hospital before you go in – but as in the Corporate World that’s just the advert – the real thing is often a lot different to how you expected it to be. Let that be a lesson to us all.

Swelling

Yes - marked swelling where my bladder is - and sore too. Not pleasant but bearable and I have to temper everything with the knowledge that if I had the offer of those three days versus a clean bill of health then I would have taken that so I can only be grateful that it is my health and not them having found a cancerous growth or some other thing to worry about.

As always - I need to work out some way of not losing my equilibrium when it doesn't go the way I thought it should go. I had even planned for the unexpected and the possibility that there may be another tumour - oh well - I think that I need to try once again to work on a way of letting these things happen without me getting myself all in a twist.

The trouble is being a control freak doesn't help. Being out of control doesn't do a dyed in the wool Programme Manager any good whatsoever.

Weight

Well I weigh this morning - before breakfast and after perhaps draining myself with the three or four trips to the bathroom last night - an amazing 16 Stone and 1 lb. That's 225 pounds.

I ate very little in Hospital and in fact even yesterday I only really had soup and fruit with Spaghetti Bolognese last night. The portions I eat are much smaller I notice and I no longer snack - well that's not true - I snack on fruit and celery sticks if at all.

Crickey - 225 is pretty good - my waist isn't good at the moment as I'm sure it is swollen from the beating it has just taken under the cystoscope and cauteriser thing.

I doubt I can keep this sort of loss up although I'm still 14 pounds or so heavier than I was 4 years ago so it must be possible and I'm still 2" around my waist and 1" around my neck larger than this time last year - none of my shirts bought for the cruise fit me at the moment so I'm probably getting back towards where I should be. When I was a young guy I was just 11 1/2 Stone but amazingly fit and that was when I was working on site and leaping around scaffolding and doing all that manual labour an electrician does. I've filled out a bit since then :-) obviously :-)

Good thing I wasn't in Hospital longer or I'd be my target weight in no time!!