Seve

I missed the tribute to Severiano "Seve" Ballesteros Sota and so watched it on the BBC iPlayer this evening. He was a wonderful golfer as I'm sure you are aware and his fight with Brain Cancer played out in a programme not so long ago.

He was just a few months older than me. That brought me up short. Just a few months older. Somehow I never see myself as being that old - I mean 54 is no age to die is it?

The affect such things have on me isn't one of sadness or luck but it does make me consider how fortunate I am. His words were something along the lines of "don't feel sorry for me - I have had a wonderful life and had so much - many people are worse off than I am." That's the measure of the man and it was sad to see him in his latter days. However, you can't take away the enjoyment he gave to millions of fans around the world.

Sunday

Up late - spoken to the folks - decided that FOCC can wait until lunchtime and had some bacon, eggs and mushrooms as a treat and very nice too - forbidden stuff but tastes just great :-)

On the FOCC side I have no taken to adding my pro-biotic yoghurt into the FOCC mixture to dilute it before putting the whole mixture over some cereal. This makes it a little sweeter and adds a light fruit flavour to the mixture and that really makes a big improvement over just releasing the thickness with milk.

Today is a sports fest - the delayed Scottish Open is under way (I think) it will be a full on day as they have to complete Friday's second rounds - they've had localised flooding, landslips and all sorts to contend with. It is Davis Cup Tennis, Tour de France and Silverstone Grand Prix and if that wasn't enough there is Super Bikes on too plus GP2 and Porsche Super Cup. I feel a sit on my arse day coming up :-)

On the good news front A has sold one of her photographs (she's already sold some of her stunning painted chairs). Finally the photo of Brighton Pier has sold - I think it was a £50 one and there had always been a lot of interest in it. I'm sure Brighton Pier has many photos taken of it but she captured the complexity and beauty of the construction it looks as if it is a black and white shot when in reality, when you look closer it is a colour one. That's why photographers are different to most of us they have an eye for showing us something we didn't see when we looked at an object. Her exhibition work is packed up ready to go - it is interesting as she has spent quite a bit of money on the frames which are double sided glass so that you can see the work behind the photograph (these are the photos that have needlework on them). It is all encouraging stuff for her as an artist - I'm really pleased for her - she works so hard that she deserves to be rewarded and perhaps she can make a few more sales... She'll be able to keep her poor old ageing dad in his dotage :-)

Sometimes you just can't make it up

So L wants to sell her iPod and we put it on eBay and get a reasonable price for it and send it off. Punter drops us a line saying it doesn't work. We write back suggesting that it may need rebooting and that you don't push hard on the controls they need a light touch and also that you have to be a bit careful that you are pushing in the right area.

We get a half hearted apology back saying that he's bought it for his 5 year old who can't operate it and so wants a refund - which we arranged today and got the goods back. How on earth can a 5 year old operate something that is lightly touch sensitive and surely to goodness they aren't going to have the patience required or the good sense to look after it properly! Good grief. I hated doing eBay trading as so many people just didn't play by the rules or did things like this. We won't sell it again now as we can't be arsed frankly. Who wants to deal with idiots like that?

It is very good that I don't say what I think to these people :-)

Back Ache

Completely gone and normal service is resumed. A good day yesterday and lots of progress on the business front. Now to just buckle down and sort the business plan out.

As usual though I'm sat at my computer and really shouldn't be. I also realise that I should also be doing some other non business work too but have left it sitting in a pile by my desk - oooppps.

The fun of it all :-) Anyway a good day - Silverstone Grand Prix today and tomorrow so will look forward to that and try not to be computer bound all weekend.

Good News

Yep - my bad back is just a twinging reminder when I get up or down from a seated position. So far so good. We had a full on business day ending at 6.30 pm but all sorts happened before then it was a bit fragmented but we got out of the day what we needed to and that's great. It wasn't as tough as I expected it to be but I'm always well prepared and I'm always surprised that I'm surprised that I am properly prepared :-) Stupid but there you go.

We retired to the pub and back to the Indian - which was great - all 6 of us had the food and my business partner and I paid for the lot of us because they had given up their time for us it was only fair.

It was my third time there in 5 days!!!

I intend to have a good weekend now - I have no more appearances or meetings until September and so it is also my beloved Silverstone (home) Grand Prix (one day I WILL go) and the Tour de France is on and the Open down at Sandwich. Mrs. F. and I were there 18 years ago. Just before L was born. Mrs. F is somewhat vertically challenged and stands 4' 11" in her stocking feet and is quite small so when she is pregnant - well you notice it. It worked ever so well for us as we walked around the Open and she was often offered a seat by gallant people. Bless them all for that I was worried the whole time she was about to give birth at a moment's notice. I had "earned" the weekend away and we had 4 fabulous days of Corporate Hospitality and the most fantastic Golf. Greg Norman won and I saw John Daly driver the 8th (I think) he was really (and I don't use this word often) Awesome. The standard of Golf was just amazing and Nick Faldo lost to Greg Norman. I think that the experience of an Open (especially the last day) is one of those things you can only dream about and when you are actually there it is so easy to get caught up in the moment. Mrs. F. seeing Andy Murray the other day was another such thing. We tend to forget how very fortunate we are to do these things.

I remember saying last year that a friend of mine invites me to a meeting at the Guildhall - it is fantastic, a wonderful occasion and how privileged that I've had that opportunity (and more than once). I need to remind myself of my very great fortune. Some people never get to do that - how fortunate then that I do? Yet I know - I'm certain that some would moan about it.

Those in Sudan and Ethiopia and Kenya at the moment are once again suffering the most awful privations and horrendous problems and for the want of a few pennies the West can save them. They'll never have the privileges that I enjoy, their privilege will be to live and to have their children live. Their daily harsh reality is their privilege. What an awful world we live in that this biblical famine/drought has once again come to pass on these noble people. I wish that I would always be the sort of person who considers this at all time but I don't. I don't think about them when I throw away some food or enjoy an excess of drink or restaurant fare. I'm not a bad person - it's just that I take my life and my situation for granted.

Well enough of this and where it's going tonight - I really feel that I could write a complete book about it but that won't help. I saw the news and wanted to do something but that won't help as I too have dependants on me so it doesn't scan. As I say that's enough for now....

And bang - your energy is gone

As a Cancer survivor one of the things I notice most is the lack of energy I have - I've spoken about the fright or flight problem that is associated with cancer and it's similar outcomes to post traumatic stress disorder. You have nothing left in the tank. You energy is limited and that's a bit like it is now. I've worked really hard tonight to be the sounding board to someone who has a "few" problems. OK it isn't life threatening but it isn't great and so he has family, business and other problems and is getting it in the neck from his wife who doesn't understand the complexities of the problem.

I can understand this as I am no automation going to work 9 to 5 to collect a pay cheque and neither am I your basic single task automation. Here is the issue then. Does he sit down and waste his talent just to bring in the dollars or does he do what he is good at. Can he exercise his judgement in terms of his ethics and beliefs and move away from the job as it is abhorrent to him?

As attentive listener and therefore arbitrator - replaying his scenarios back to him and trying to get him to come to his own decision using logic it has been a busy night. We ended up going for a curry - the same one I went to Monday and will go to tomorrow!!! How we laughed :-)

At least I think he has gone away with a thought through series of answers and actions. He is also turning up tomorrow being one of my key people - I nearly lost him tonight and I don't want that to happen as he is a key member of the team - I think he has also gone away with that message which I have not told him before. He's important to our success so perhaps there is something afoot here to make it so.

I say my energy is gone and so it is - I'm exhausted as I've been sorting out someone else's problem again. It is also exactly a year ago since I had one of the worst nights of my life when my Nephew got what I can only attribute to being alcohol poisoning and I had a bit of a meltdown trying to sort out someone who was in terrible distress. I didn't say it in that post (maybe in another) that I went to pieces as it was family and I just didn't know what to do or how to sort it out - I was on the phone to Mrs. F. and just blubbed up and then did a "get a hold of yourself" talking to and was then able to sort it out. I reminded him of the fact tonight just to get my own back if nothing else :-)

These things just drain you as you are on your guard and having to react to things and be balanced. Anyway - things are Ok and I'm off to bed. My back is giving me some jip at the moment and rightly so but I hope that tomorrow will be better again.

As I may often say to myself "Why me?"

Back problem

Is easing today and I can actually move around without hunching over :-) The pain of getting up and down is also going away which is a big relief I can tell you. For someone who rarely got ill and has only had a few odds and ends go wrong in my life it sounds as if I'm always ill these days - which I'm not. I hate being ill and having a bad back really has been a nuisance this week.

Big meeting tomorrow with the whole gang for a business review. We really hope that we can put the last areas of the business to bed. We have some really good guys involved and with a bit of luck we can nail these final bits and then do a two or three week burst of activity to finalise things.

I'm off out tonight now as I need to go help someone who is feeling pretty deep in the dumps. Luckily it is local so no worries about walking or travelling and screwing up my back. I've cancelled today in London as I was worried about that to start with. This though sounds like it needs my attention. you know when someone is telling you something and they go quiet on you? Well that's what I heard in the call and after waiting and then asking the 'bleeding obvious' "are you OK?" realised he wasn't and offered the meeting as he and I go back a long way and have some 'history' about such things. Anyway, that's to happen later. I could have done without the 3 hours of no internet access which remains an unexplained fault yet the 2nd time in 24 hours it has happened. I know it isn't a fault at this end as my network monitor indicated exactly where the fault was. My supplier isn't admitting anything so three hours lost with me doing my customary tracing and re-booting to find it wasn't me at all :-)

Better get on with a little light clearing up as the office needs to sit 6 of us tomorrow :-)

That makes sense

A friend suggested that this may be down to the compensation I was making for my incredibly bad leg last week. Goodness - it sounds like I'm an old crock but I feel fine apart from my back giving me jip! I guess though that's possible I walked about 4 miles with the bad leg and was favouring it and walking all sideways.

I cancelled tonight's meeting and have just taken it easy with watching a couple of DVDs I got for my birthday. I've cancelled tomorrows trip to London for the same reason. It feels a little easier right now - and I'm off to bed to get a good nights rest.

It's amazing how these odd things keep cropping up. Anyway - things could have been a lot worse - they might have found something when they checked me out a few weeks back. I need to keep a sense of perspective :-)

Not good

My back isn't right and it's making my leg buckle every now and then when I put weight on it :-( It's OK when I sit or when I stand but transition between those steady states is accomplished with ooohs and aaahs!

Discretion being the better part of valour etc I have cancelled going to tonight's Lodge meeting and tomorrow's lunch in London. I'd like to go but I know I'm just going to make my back worse if I do.

I can't imagine that this was just doing exercises as I was pretty careful to be quite gentle about it.

Oh well - take it easy I suppose and see how I get on.

Well that's unusual

I don't often get a bad back. I wonder if it was the exercises I did yesterday - I wasn't particularly vigorous with the stepper or the dumbbells but I suppose not having done any exercise for 2 weeks may be a contributory factor? It is very unusual for me to have back troubles - occasionally of course I suppose.

I've cancelled my Wednesday and Thursday outings as I'm not certain that I'll be OK for them - its a lot of up and down stuff and it is a nuisance but I need to be ready for Friday as we have a big team meeting here at the house with most of the team here. We are really quite close to the end of the road now and after this meeting which will set the direction for the last part of the business plan we can pretty much get on and complete out work.

It's taken well over a year - hardly believable - but not entirely unexpected especially as we lost half the team along the way! :-) It will be interesting to see what the summer now holds for us in terms of moving things forward.

Let's hope my back holds up - I'm being very careful sitting and getting up. Sitting more especially is quite painful and so I really hope that I can keep it rested and get rid of the problem before Friday. What a nuisance!

It's my birthday

4th July - it's the same day every year :-) Another year older and a lot happier than I was last year. I was alright and a lot lighter than I am now but I hadn't had operation No. 9 at that point and was just about scheduled for a pre-assessment. Little did I know they were going to give me the worst of all 9 operations then :-)

Today though I'm really upbeat and quietly confident that I'm going to have a good July - no hospital for me. No more treatment just an inspection in December. I just need to work on my weight and getting back to do my exercises once again. It has been a difficult week this week but I feel that 2 weeks after the Operation is a good time to restart. My diet is OK but I need to beware of snacking but this week is a pain as I have two big meals coming up and I'm out on the beer on another night too. Oh well - after that there's isn't anything for the foreseeable so I should be OK to get back to my diet and exercising.

Glad I'm still here - 5 years on and beginning to enjoy myself a bit more at last.

Depression the D Word

I was reading another blog and a fellow sufferer has just gone through one of these dark troughs of despair and is coming out of it. Stuff like "the world without me" and other subject matter was almost a precursor to a very quiet blog and the need to be cheered up but not lectured to.

These days the Black Dog doesn't come visiting me much anymore. I used to get huge swings and ups and downs and I don't tend to get that bad. It's pretty horrible and also debilitating you feel physically bad as well.

Today, perhaps the most obvious (to me) fall out is the emotional response I get to seeing anyone hurt, physically or emotionally and it doesn't even need to be real - I can feel it in fictional characters too.

I don't ever think that I was "hard as nails" in the way I was but lots of stuff bounced off me and I wouldn't be affected by it. Now I'm a blubbering wreck sometimes (when I'm on my own) but can also still be pretty effective at the logical, calm sort it out person to start with. It depends on what that was I was sorting out depends on how I feel afterwards.

Anyway - it is difficult to describe it other than more emotional than I ever used to be but additionally a lot better than I used to be too.

So depression? It was an unfortunate part of the process of getting better and one that I imagine you probably have to go through I can't imagine that many would consider it has an upside but I think to go through it you appreciate quite how debilitating it is to others and can therefore empathise with them and it can give you insights into yourself that you probably didn't have before. It's scary as hell sometimes and it's black and dire and not at all a nice place to be. It leaves you tired and weak and emotional and it stops you being you. When you get out of it and that's scariest of all (what if you don't get out of it) things look a lot better but there are lessons you can learn about yourself along the way. You just need to analyse them and to act on them.

I was considering some of the other areas that suffered too. Relationships, friends, family, work colleagues. Then there's my Claustrophobia which has really gotten bad now although I can "manage" it - I do find it still causes me trouble. Getting in a lift on Tuesday was a case in point but luckily they had people managing the process which was good. If I can avoid trains and the tube (underground/metro) then I will too. I've always had this but never had it as bad as it is now.

I find hot places / rooms difficult as I am still feeling these "hot flushes" or I just feel hotter generally. Stick me in a hot place and I really dislike it.

Sleep patterns are still all over the place but that could also be work - as I work from home you can merge work and home and also the mind is racing when doing this level of planning.

Fear - there's a constant nag that every ailment you get is cancer. Don't ask me why, it just happens like that, ouch twinge in knee (cancer), sore mouth (cancer), cough (cancer) etc. Now I'm not sure but I wouldn't be surprised if this a direct reaction to having had cancer? It does appear to me to be a bit of a strange thing that happens.

I suppose though that the bottom line is that I'm pretty much fixed now and that this roller coaster of a journey hasn't just been about finding, diagnosing, staging, removing, treatment and following up the cancer I've had. What you don't get to realise is that there is another experience that you get along the way which includes a physical and mental one that runs in parallel. Add to that the way that relationships change and who your friends really are, who go, stay and new ones and then how people treat you. Then there's your family and their reaction - some good some bad to deal with and perhaps after all of this you realise that there is far, far more to getting cancer than dealing with that on its own.

It's not surprising that every now and then you'd get a little depressed now is it?

5 - it's a magic number

Yes - 5 years - the 5 year survival rate and here are the UK survival rates - suffice it to say that age, prognosis and other factors also play a part in all this. I don't suppose I really knew that much early on and so like many who are diagnosed wondered just how long I'd last and early on, faced up to death - stared it in the face and decided that I'd say "no thanks". I was almost 48 and on the eve of my 49th birthday. So age was on my side, I did have a high grade cancer but it hadn't gotten outside of the bladder so in reality, as long as they could cut that out and control it so it was contained then they'd be able to save me and that they did.

The main thing is that I'm here now and thanks to the wonders of modern medicine and science and the skill of my Consultant and her team. I look back on 5 years and I'm amazed how far I've come and let me tell you how pleased I am to be here still! :-)

5 Years - it hardly seems possible....

5 Years

A bit of fun after 5 years. The first one may have been my outlook 5 years ago and the second one is how I feel now :-) The first is quite a doom laden gloomy outlook - basically in 5 years, that's your lot sunshine and the second one is a far better outlook in 5 years.

Here are a couple of online videos to watch unfortunately they aren't embeded!:

The first is 5 years by David Bowie a bit down beat :-(

http://youtu.be/louXPUW7tHU

The lyrics are:

Pushing thru the market square, so many mothers sighing
News had just come over, we had five years left to cry in
News guy wept and told us, earth was really dying
Cried so much his face was wet, then I knew he was not lying
I heard telephones, opera house, favourite melodies
I saw boys, toys electric irons and t.v.s
My brain hurt like a warehouse, it had no room to spare
I had to cram so many things to store everything in there
And all the fat-skinny people, and all the tall-short people
And all the nobody people, and all the somebody people
I never thought Id need so many people

A girl my age went off her head, hit some tiny children
If the black hadn't a-pulled her off, I think she would have killed them
A soldier with a broken arm, fixed his stare to the wheels of a Cadillac
A cop knelt and kissed the feet of a priest, and a queer threw up at the sight of that

I think I saw you in an ice-cream parlour, drinking milk shakes cold and long
Smiling and waving and looking so fine, don't think
You knew you were in this song
And it was cold and it rained so I felt like an actor
And I thought of ma and I wanted to get back there
Your face, your race, the way that you talk
I kiss you, you're beautiful, I want you to walk

We've got five years, stuck on my eyes
Five years, what a surprise
We've got five years, my brain hurts a lot
Five years, that's all we've got
We've got five years, what a surprise
Five years, stuck on my eyes
We've got five years, my brain hurts a lot
Five years, that's all we've got
We've got five years, stuck on my eyes
Five years, what a surprise
We've got five years, my brain hurts a lot
Five years, that's all we've got
We've got five years, what a surprise
We've got five years, stuck on my eyes
We've got five years, my brain hurts a lot
Five years, that's all we've got
Five years
Five years
Five years
Five years

The second one is 5 Years Time by Noah and the Whale

http://youtu.be/T8YCSJpF4g4

Here are the Lyrics - far more uplifting I think :-)

Oh, well, in five years time we could be walking round the zoo
With the sun shining down in every me and you

And there'll be love in the bodys of the elephants tool
I'll put my hands of your eyes, but you pick through

And there’ll be sun, sun, sun
All over our bodys.
And sun, sun, sun
I’ll die in next
There’ll be sun, sun, sun
All over our faces
And sun, sun, sun
So, what the hell

‘cause I'll be laughing around your silly little jokes
And we’ll be laughing about how we use to smoke
All those stupid little cigarettes and drinks to put wine
‘cause it’s what we need to have good times

But it was fun, fun, fun
When we were drinking.
It was fun, fun, fun
When we were drunk
And it was fun, fun, fun
When we were laughing
It was fun, fun, fun
Oh, it was fun.

Oh, well, I look while you’re saying: “it’s the happiest that I've ever been”
And I'll say: “i love to feel that i have to be James Dean”
And you say: “yeah, and I feel a pretty happy too, and I'm always pretty happy when I'm just thinking about with you”

And will be love, love, love
Love through our bodys.
Love, love, love
All through our minds
And will be love, love, love
All over her face
And love, love, love
All over our minds.

And I'll remember all these moments suggesting my head
I'll be thinking about then and there's lying in bed
And I know that you believe that might not keeping come through
But in my mind I'm having a pretty time with you

Five years time
I might not know it
Five years time
We might not speak
And five years time
We might not care about
Five years time
We might to prove it along

Oh, there'll be love, love, love
Wherever you go
There'll be love, love, love

01:15 Friday morning

What on earth am I doing sitting here at that sort of time for goodness sake! I'm charged today - I was flashing back through some of the work I'd done and was mightily impressed with what I'd achieved to date. You forget quite how much ground you've covered when you are working on your own so much.

I pulled out some quite large documents and just needed to top and tail them and issue them. Tomorrow I'll tidy up some of the others and we should soon be ready to get towards finishing things off in our business plan. A big meeting next week to settle and finalise numbers for the next phase and we will probably be in a good position to really leap forward.

I'm feeling OK and the only thing I've noticed is not having done my exercises for a week and a half or so - I'm feeling now that I ought to get back on track so I intend to do that tomorrow. My diet was brought to an abrupt halt yesterday as I forgot we were going out for a meal. The beer was excellent so I just had to have a couple and added to Tuesday's drink and food I'm feeling somewhat guilty but I've gone back to basics today and tomorrow should see me back on track.

Leg Cramp

I'd forgotten - until Tuesday that is - about how they must stick your legs in stirrups - how do I know this? Well I did a fair bit of walking perhaps 4 miles in total getting to an event up in London (which was rather good). My leg just hurt like hell - right at the base of the calf muscle and it was only looking back on the blog I noticed that I'd had leg trouble before. It was bad yesterday - it felt like it was totally stiff as if in a cramp tye seizure - I used one of the DVT stockings from the Hospital and have worn that since last night and it appears to have helped a bit. I am also making sure I get in and out of my seat on a regular basis to move it.

I went to Altitude 360 on Tuesday as my business colleague and I were invited to celebrate the company we are partnering with who received the Queens Award for Innovation - the 2nd time they've won it and Dr. Liam Fox the current Defence Secretary was there and many others from other walks of life, hence I didn't mention it at the time. It's quite an interesting venue as you get to see a lot of London from the Tower's 28th Floor - unfortunately it wasn't the nicest day but we still managed to see quite a lot and had an enjoyable time.

We met some good people there and no one thought that our proposition was barking mad so that was a good sign and we were introduced to some very interesting people.

What it looks like in a plan

Click the image to enlarge it.

I decided I'd map out what the last 5 years have looked like in terms of Operations and Treatments and Flexible Procedures and the one IVU. I added some traffic lights (it's not my fault - I'm a Program Manager and I need these things to show I can do my job! :-) ).

It's a busy old time and if you consider that in 2007 when I was trying to help set up that other business - I was having BCGs and 2 operations. In 2008 I started at the Charity and even then my schedule was pretty bad - good grief I had no idea it was that disruptive. If you consider that for 24 hours after BCG you really can't do anything and even a day after that you are unlikely to be at your best you can see how quickly time off work would accumulate. There are a total of 24 BCGs so that's close to 24 days off but quite likely to be close to 36 in total as it would be a half day on the Monday and most of Tuesday. Each operation and there have been 10 would have meant around a week off but in two cases it was close to a month (the first TURBT), 2 weeks (Re-TURBT) and last years Operation took me out for about a week and a half. That's 4+2+7+1.5 = 14.5 weeks in terms of operations and time off. Add to that 10 out patient appointments of half a day (5 days) and the IVU (1 day) and then the 3 flexis at half a day (1.5) and that adds up to around

36 days + 72.5 days + 5 days + 1 day + 1.5 days = 116 days or 23.2 weeks. If you add the days that I didn't go to work because of Post Cancer Related Fatigue - it could easily top 25 or 26 weeks - around about half a year in total. In 5 years, 10% of my time has been used up in some sort of procedure, treatment or recovery.

It will be 5 years this Saturday since that fateful day in 2006 when my life altered for ever. What a Roller Coaster Ride. I'm actually pretty glad I made it to the 5 years - I didn't think that was going to happen - or I wasn't sure it was is probably the right way of looking at that.

It hasn't all been a negative experience though. I'm a quite different person now and I have different values and a different outlook on life. It's not quite been an epiphany but it has changed the way I look at material things and life in general. In a way I wished there had been a more painless way of finding this all out :-)

Bladder Cancer may be a bit different to other cancers (but I don't know). You would find it difficult to know you had it - you can't actually feel it as such. However, the treatment they give you (and I'm sure this is pretty much the same for other cancers too) is the thing that makes you ill, fatigues you, and dare I say it makes you feel ill (of course it is making you better - therein lies the great irony of treatment - it DOES make you better but at the same time makes you feel ill).

So I'll leave you with the chart to ponder. Now work out what all those visits must have cost? 10 Operations, theatre staff, anaesthetists, nurses, cleaners, caterers, porters, drugs, equipment, heating, lighting, back room staff etc. 24 BCGs, the drugs, the throw away equipment, the nurse(s), the bio hazard precautions and the disposal costs. That's why bladder cancer is the most expensive of them all. I could be being monitored for another 25 or 30 years - I'm in my early 50s so it is possible, now think of the cost? I'm rather glad that I'm not paying directly for this myself, rather my NI payments over the years are.

Stage and Grade of Tumours etc

I re-read some of my notes today and had quite forgotten one phrase that rattled me which I'll repeat below.

Here is a list of stage and grade from Cancer Research UK

My first diagnosis was G3pT1 with earlier invasion. That's:

G3 - Grade 3 cancers have cells that look very abnormal - they are called 'high grade' or 'poorly differentiated' and are more quickly growing and more likely to spread.

p - I'm not sure if this is papiliary or pathological state

T1 - the cancer has started to grow into the connective tissue beneath the bladder lining.

It was described as "moderate size so it does represent potential risk to him"

That was in August 2006!

By October 2006 I had CIS which is Carcinoma in Situ which is also high grade.

CIS - very early, high grade, cancer cells are detected only in the innermost layer of the bladder lining.

This is when I started BCG Immunotheraphy Treatment. I had 6 rounds of BCG

In May 2007 there was one small area of CIS and I had a further course of 6 BCG instillations.

In November of 2007 I was clear no evidence of malignancy.

I then had 3 maintenance instillations of BCG

In May 2008 I was once again clear no malignancy or CIS and had a further 3 maintenance instillations of BCG.

In total then 18 instillations of BCG.

In January 2009 there was mild Atypia but this could have been caused by the procedure itself - I was told I'd need more maintenance but this was not needed.

In October 2009 I was once again clear and no evidence of malignancy or CIS.

In May 2010 I had a small recurrence which was a G2pTa

G2 - Grade 2 cancers have cells that look more abnormal - they are called 'medium grade' or 'moderately differentiated' and may grow or spread more quickly than low grade

p - as above and

Ta - the cancer is just in the innermost layer of the bladder lining.

I had to go back in a month or so after this and was warned that "if he continues to get recurrences he may require some more invasive treatment in the future". Don't tell me that isn't chilling? Now I've re-read it it surely is but this was written by the Registrar not my Consultant this time :-)

In August 2010 I was clear and could go onto Flexible scopes.

I had a scope in December 2010 which was clear as was my urine cytology. As you may be aware in April 2011 they saw something they didn't like but in June when I had yet another operation nothing was found there at all.

I look back on this lot with amazement - I'll have to map this out somehow to make sense of it all. What I recognise now is quite what a journey I've been on so far. I hope that I continue to remain clear and that I don't get any more recurrences small as they may be :-)

Monday - Inspiration

And perspiration as we get a really hot day up in the 30s and humid too. Expecting a big storm tonight to finish that off and a fresher day tomorrow. All hell breaks loose in the household tomorrow. A goes of to Uni with Mrs. F. driving her to the station and then goes off to Edinburgh. At the same time L's boyfriend J arrives driving himself around the M25 in the morning rush hour - brave boy :-). My business partner arrives late morning when we will "do lunch" and then we are back here for a couple of hours then off to London to celebrate one of our (hope to be) partner companies getting their Queens Award for Industry - a prominent cabinet minister will be there and we will be at an interesting location overlooking the Thames with a wide view around London. More on Wednesday.

I finished off filing my medical stuff today - it looks pretty incredible all stored together in one place filling a whole Lever Arch File already. Although that does include a load of stuff that I might throw away as I get paperwork each time I go in.

I wonder what they;ll say on the letter to my GP this time?

That's Better

A much better day - I got more done this morning than the whole of last week! What an improvement. I just didn't get anywhere last week at all. I now see that! I shouldn't have wasted time doing anything last week really and I know that - like many - I just felt I should be doing something but I was probably completely counter productive!

Putting order into my illness

I have 5 years of paper, leaflets, appointments, notes made about the BCG treatments, Operations and Pre-Assessment notices and lots of other correspondence that were in a drawer just being stored ready for today when I filed them. I need to do a final chronological sort as it was getting dark outside when I finished getting the paper work into years and into order.

Such a lot has happened, there were so many dark days in those papers, so many deep dark black dog type depressions and do this reminded me of how far I've come along this particular journey. I dearly hope after last week and the clear I got there that much of this is behind me now. If I can continue to work hard on keeping well and eating properly etc then perhaps I can keep bladder cancer away and ensure it never comes back - that would be a good goal I think.

Talking about something that makes you feel alive this from Glastonbury was perhaps the performance of the weekend - it was amazing - such energy.

Actually sat with the family for 10 minutes

Had a barbecue and a few glasses of wine but that's the lot everyone has disappeared off to their respective space in the house. I've left Mrs. F. watching some detective type programme. I've watched my Grand Prix and the only thing that's on TV is Glastonbury Festival - not certain if there are enough good bands on tonight that I like to stay up and watch - they had U2 and Coldplay on Friday and Saturday. Nothing against Beyonce - but that's not quite my scene I'm afraid.

I think I might go sit outside - it's nice a cool out there and perhaps I can do something constructive whilst there.

It's a beautiful day

It's getting up in the high 20s and reaches the 30s tomorrow. It's hot as you like outside, I've finished watching the GP in Valencia and there's nothing left to do really. I've just wandered past the PC and thought I'd drop a few notes down but no one is around both A and L are at work. Mrs. F. Is vacuumming upstairs somewhere and I'm sort of home alone.

Perhaps I'll just fix up a drink and go sit outside for a while - why not?

Which reminds me

That I've had a funny old week really. I don't suppose that this time last week I could have hoped for any better news than I actually got. I mean clear for goodness sake - how good is that? I'm really made up with the news but I totally forgot how shitty I'd feel after the General Anaesthetic. I've got a tasty bruise on my hand too and I have no idea quite why the rest of hand feels so sore?

I've tried to get back to working but decided against it really after two or three miserable failures. Next week - and I mean starting on Monday I will get back to normal (or try to). I am going to restart my exercises which I was planning to do this week but thought that I'd just harm myself rather than help.

We are so close on the business front that I just want to get stuck into that. I know we can't rush this last and vital piece, which is a shame so it too has to be taken slowly and steadily. I don't want to snatch defeat from the jaws of victory and so it is all about taking things a little slowly at the moment and making sure that everything is spot on. Then it's time to see if we have a business or are just barking mad :-) If it is the latter then we have to go and think again, or move to the US and go talk to the Palo Alto guys.

What you forget is people die of this

And here is a one such story - Nick Charles of CNN - probably far better known to my American Cousins than known over here but another victim of Bladder Cancer. He only had it 2 years.

Sometimes I want to get to the point of saying - "do you realise I could have died of this?" but I don't. A lot of the time that's stored away out of mind - it's not good to dwell on such stuff apart from the occasional "There but by the grace of God go I" moment. I tend not to think of it too much but occasionally a story like this comes along and it just pulls you up a bit, enough to make you stop and think and reflect.

A lot of people thought I was going to be fine, a number weren't sure and a number (I think) thought I was going to die. Luckily for me then that I am where I am right now - I guess remission isn't the right word but Cancer Free is.

Spare a thought for the Charles family and all who have lost loved ones through this pernicious disease but also celebrate the many of us who survive through the wonders of modern medicine, the dedication of researchers, nurses and medical staff.

I perhaps need to remember that people die of this and pay a little more respect to my condition than I sometimes do. I'm a lucky guy, I'm alive, I'm healthy and I've survived Cancer in my Bladder.

Oooppss

Well it's 01:20 and I'm sat here at my computer compiling my birthday list and time has run away with me. I see that all I have on here are DVDs. There isn't much that I actually want these days. It sounds sad but I have most things I ever wanted and I have my health and my house is paid for, I have my car and things, such as they are - home comforts I suppose you'd call them and so it's only things like films and music that I'd like and enjoy. Books - well I have hundreds and hundreds and many still need to be read so adding to that burden isn't going to help.

I'd like some luxury foods but I'm dieting and beer and alcohol will only add more to my figure. It's quite strange really that I don't really "want" anything at all. I'd like some day to own a nice watch and so on but that can wait until I have sufficient disposable to do that. I have a nice watch now but not a gold or an antique one for "best" :-)

In a way, things don't much matter any more - even photography which I used to enjoy so much is no longer that interesting. I guess other things are more important :-)

I suppose I'd better get to sleep although to tell the truth I've already slept for about 2 hours during the day.

Body Shock

As described to me yesterday by my colleague. It isn't just the chemicals they pump into you, it's that your body has been invaded by plastic and metal objects, you've been attached to machines and goodness knows what they do to you once your under. I have the usual shaved thigh where they attach the grounding strap - when they cut away a piece of your bladder it's done electrically and the connection on your thigh makes the circuit. It cauterises as it goes - clever. One shaved thigh takes a bit of explaining though :-)

Then there's the stress of going in and the stress of anticipation about what they'll find. I was sure it was precancerous or very low grade beginnings of a tumour. That was answered very quickly but even so, you are probably a lot more stressed out that you think you are and you have also spent time managing that stress and managing the situation - I had music that I'd chosen and spent some time loading onto MP3 players, charging electronic gadgets, getting ready to go in and possibly stay in and so on.

The only person who is surprised that I'm not really firing on all cylinders and that dear reader is me :-) Only I don't get it and that's just typical. I suppose that's just me - I make no allowances for myself and perhaps I ought to. I barely realise how ill I must have been these past 5 years. Poorly, I'll grant you but gravely or seriously ill - is something I've tried not to think about or allow into my thought process. It's actually caught up with me a few times. A bit like now how I feel and how I am are two entirely different things.

A little better

I took my colleague's advice and gave up trying to work and had a bath and then came downstairs and watched a DVD - Gettysburg - a long one but very interesting to see that particular battle unfold and some of the characters in it.

Wimbledon was on later so watched some of that and feel a little better about things now. I'll see how I am in the morning. I do find that I feel particularly guilty for not being back at work but if I'm not actually producing anything because I can't concentrate then quite what AM I doing :-)

Had a few phone calls congratulating me on my results but a little disturbed to get a sort of half facebook message from a distant relative who has a brain tumour (probably benign). Have dropped an email over to see if I can help in any way. It's a shock, he's about my age or maybe a bit younger.

I think I'll head off to bed and get myself an early night and see if that helps things.

The Roller Coaster

It never ceases to amaze me how often I go from a high to a low in quick order. I have to remind myself that I only had an operation 3 days ago and that I should be resting instead - I've tried to get back to work and I feel pants for it.

I beat myself up because I'm "letting the side down" and yet I'm not really, it's a work ethic thing and I feel pretty bad that I'm not pulling my weight this week but a chat with my mate sets me right about that and I'm ordered to stop trying to work (basically because I'm getting nowhere and getting nothing done and frustrating the hell out of myself). He's been through similar things to me and so we agree that this is a good move and I bow to his commands.

It's pretty much a case of how much cr@ps been pushed into my body and the trauma involved, even if they didn't actually take any biopsies.

I have decided to potter about, do a bit of filing and tidy up my desk then go and have a bath and then come downstairs and watch a DVD or something resting.

Now I'm feeling tired

I do try not to overdo things but last night a friend called up and we don't see each other much these days and so I went out and had a couple of beers and a lovely long chat with him. There was a band playing in the other bar - it was a bit loud and so made conversation "interesting".

Got home gone 11 and just felt flat - and this morning I continue to feel quite low. Not about results just in myself I feel out of salts.

My cousin (in-law) in the US has a phrase about "just the occasional tumbleweed passing through" - which pretty much sums up my brain at the moment. It is sunny so I might just go and invest 20 or 30 minutes in the sun and see if that assists me, it is a bit breezy out there too so perhaps the old tumbleweed will move on out somewhere else.

Now I'm feeling happier

It's had a little time to sink in now. There's nothing there, nothing at all, I'm clear - still. That's great news and it's just fab, I'm finally getting there and finally beginning to believe that it is possible that I can continue to make this a common occurrence.

With two conflicting pieces of information I'm not certain how to call the FOCC diet but, as far as I'm concerned - I've seen an improvement in my physical and mental well-being with it and even if it helps a little in terms of helping me keep my blood pressure down and it looks to have done the same in terms of cholesterol too - then who's to say it isn't performing little miracles elsewhere?

I'm just amazed that it's only been a few weeks and I'd sort of expect a longer term effect but there you go.

Of course, I could just be a little too excited by it all and it is nothing really :-) I doubt it but there you go.

I really am feeling chipper about this - it's probably the best news I've had for a long time and to know that the summer can now be free of Hospitals and treatments is just great. Let's see what long term FOCC will do for my health.

I don't often let myself loose with a Yippeeeee - but there you go - you just got one.

What a little miracle that was - I am really liking this feeling at last.

Mrs. F. and L are happy

As they have tickets to Wimbledon tomorrow - Court One and Andy Murray is second match on. Much excitement as we've just found that out and so L is getting slightly hyper :-) It's a nice treat for her to go after her exams and they'll both be very excited - they are choosing bright clothes so I can see them on TV - they'll be a couple of rows back near the scoreboard apparently. As we didn't luck out on any of the Olympic tickets this will have to do I guess :-)

I have placed my beers in the fridge and intend to do some work in the morning and then take the afternoon off sit back and have myself a little celebration and why not watch the match at the same time?

I'm feeling OK, if still a little sore, but that should ease down in the next day or so and I've done next to nothing today to make sure I don't mess up my recovery.

I am so pleased that Mrs. F. and L will get to see Andy Murray as long as it isn't raining I guess. L deserves a day out after finishing off her exams and getting her Uni place in Cambridge.

Scar Wars X - The Red (or Pink) Dwarf

A long, long time ago,
In a Galaxy far, far away
Our hero Dave-Sky-Nando, Jedi Master, Cancer Survivor and all around good guy
Re-visits Darth Urologist and her evil henchmen as they attempt to discover what devilry is at work
An Empire Probe discovered, on the planet Bl'dar, that a hitherto unknown raised red spot has appeared.
Now - with an eye watering sized probe, Darth Urologist attempts re-insertion to ascertain the secret of the raised red spot.

I'd prepared for the long haul this time. I had no less than 3 MP3 players, loaded with music, batteries charged at my disposal and my trusty Kindle, loaded with books both audio and ordinary as well as some more MP3 tracks. I wasn't going to get caught out this time.

I had my early morning breakfast, now a habit of Flax Seed Oil, Cottage Cheese, ground Flax Seeds and poured that over some Weet-A-Bix and Cheerios. That together with a coffee was the last I'd have until after the Operation. I was allowed water which I continued to drink up until 11 just before I left.

I did 30 minutes of exercise on my orbital trainer and then did 5 minutes with the dumbbells which is pretty much my usual work out but this time I did this to some music by Camel which meant I didn't freak out and over do it - lesson learnt is not to exercise to AC/DC or other band of that style :-) I measured my Blood Pressure and it was OK - it was certainly the highest it's been for a while - not surprising I suppose. Next a shower and after that I continued to make sure I was hydrated. I sat around playing Solitaire and Mah Jong and made a note or two on the blog and by and large that was all I did. At 11:05 I left the house and with Camel still playing in my ears had a stroll up to the Hospital arriving at about 11:30.

Having arrived at what used to be Surgical Admissions I then spent 5 minutes looking for it's new location. It didn't matter, when I got there they said everything was on schedule for 1:30 start and that they'd let us know if different. Whatever pencil pusher decided to locate the new Surgical Admissions in a corridor and a small room in the old Private Hospital area should work out that we aren't allowed anything to eat or drink and so situating us outside of the kitchen where food was being prepared and served was cruel indeed. We have to sit together on a bunch of chairs waiting for our anaesthetist and Consultant (or Registrar). I decided that the seats in the corridor area were better as there was a slight breeze there. I had to move shortly after as a man in a wheelchair and his son turned up and it was easier for me to move than try and rearrange things. I turned on my MP3 player and was only disturbed three times - anaesthetist, Consultant and the Nurse to get me ready. Why on earth you should have to be there 2 hours early for the 2 small meetings is beyond me - I could understand the old way as it got you ready, in the zone etc. This way was like the old way and isn't great for your nerves. Each of you waiting to be called for your operation just before it happens! Mmm, I don't like it at all.

I was called in 2nd to get ready and this also corresponds with where my name is on the list - good that makes sense to me - they always say that where you are on the list doesn't count but there you go. Actually that more or less always happens I'm normally first or second to go.

I was taken to a room that I'd been in to twice before and got changed into Operating Gown and sexy DVT Stockings (I've quite a collection of these now - ideal for flying BTW). I heard a lot going on about lack of beds due to high A&E activity at the weekend.

It wasn't long, say 30 minutes, and they came and took me to theatre. They forgot my notes so had to go back and get them. I met the anaethetist and other prep person who got me ready and stuck the cannula in - this time on a different vein to the usual one towards the index finger side of my wrist.

That's all I remember - I could feel myself go out like a light and then I woke with a real start - quite a shock or jolt to see the same two guys - who told me it was all over and that I was fine. They wheeled me out to recovery - just across the way and I had some of the most wonderful tasting water yo can get. The stuff is ice cold and tastes brilliant after not having had a drink for some time. As they stuck an Oxygen Mask on me I did the first set of checks. Was there a saline drip in my hand - No. Was there a Cathether? No. Anything else - nope - all looked good and the Oxygen brought me out of my drowsiness in minutes.

Perhaps 10 minutes into the Oxygen, they came and asked whether I'd like a sandwich? Well yes please and I didn't mind what it was - I eat anything and would be grateful for whatever they had. So in pretty quick order they came with some orange juice, a cheese and tomato sandwich and some strawberry yoghurt which I carefully ate remembering from past experience trying to eat too quickly post operative isn't clever.

I then got transferred to the less serious end of the Recovery room - this was unusual but I had had this before - I'd actually been prepared in this room once before but generally they get you out to ward but again I heard the nurse stating that there were few beds and to be honest, I was the only one there who wasn't particularly groggy or connected to various pipeworks. Not nice seeing all the pipe works connected to these guys as I had that myself last time and on a couple of other occasions. The Nurse who came to attend to me was my own Princess Leah, in fact she looked more like Tilda Swinton than Carrie Fisher but with the most piercing blue eyes. Anyway enough of that already :-) She told me that as soon as I had managed to "have a pee" - that's pass water to some of you :-) I could go home. So she plied me with more of their fabulous cold water and after about 15 minutes I suggested that I could give it a go. With a little initial pain (it's stinging rather than anything else) managed to almost fill the bed bottle they gave me. Well it isn't a bottle anymore it is some sort of moulded cardboard and amazingly they drop some powder into it that solidifies the urine and just throw it away - amazing.

At this point my Consultant came and saw me. She is brilliant, I trust her and I like her straight talking a lot. She told me that once "I'd passed urine I could go home". I told her I had so she was pleased with that. Then she told me that she'd been "Unable to find anything in the bladder and all was clear". As all was indeed clear she "Wouldn't have known where to start taking biopsies and therefore decided that it wasn't necessary". So that meant that I was clear and that she wouldn't need to see me for 6 months. When they saw me in 6 months it would be for a check flexible cystoscopy. She did say to me before the Operation that these things fade and can be transitory and if so she would still cut it out to test it and take some biopsies locally. Obviously that didn't happen. She felt that there was a possibility that as the flexible scope was inserted last time it may have hit the bladder wall and that may have made the red raised area they saw.

That done, another nurse took Mrs. F's telephone number whilst I texted her mobile to come and get me. She was given unusual instructions and her work allowed her to come straight over and pick me up. She asked reception to ring recovery (which is very rarely done) and then a porter came and picked me up (they won't allow me to walk in the Hospital) and he deposited me with Mrs. F. at the reception. She had been allowed to park right outside the doors and she took me home.

So what does all this mean? I suppose we need to rationalise what we know.

• A visual inspection about 4 or 5 weeks ago showed a red/pink tiny raised area. This was sufficiently different to raise some concerns and that it needed to be operated on and biopsied

• This red raised area could be caused by:

• The instrument hitting the bladder wall on entry during that inspection
• Some sort of anomaly or growth
• The potential result of treatment

• I commenced FOCC about a week after this result
• There is nothing in the bladder now - it's clear

Without the additional note offered by my Consultant about the possibility of the instrument hitting the bladder wall which provides a possible explanation and the fact that it is possible for these areas to fade, I guess it would be difficult not to discount that FOCC played some part in this? It's wonderful news for me. I was most upset that they'd found even a small area that could be a recurrence but of course now I'm really pleased that it isn't.

I now progress from 4 monthly check ups to 6 monthly also adds to the pleasure. I'm very, very pleased, it's what I'd dared to dream the result would be. Again, I'm surprisingly flat about the results in another way, perhaps because I'd prepared myself for them to find something and that they might cut me about a bit like the last time so this great news didn't make me leap up and down but it did bring a stupid smile to my face which I continue to wear when discussing my good fortune.

Here endeth Scar Wars X. I sincerely hope that there will be no Scar Wars XI - we live in hope. I am particularly pleased that it will shortly be 5 years since onset (2nd July 2006) and 4 years and 11 Months since Diagnosis (21st July 2006). 5 years is the "magic" number in terms of Cancer survival statistics - how am I going to celebrate it? I have no idea but it's good to still be here and it's good to have come through this. The Bladder Cancer Journey continues - Live Long and Prosper - as someone stuck on my Facebook Page. I'll try very hard to live up to that mantra.

So how do we call this one?

Well - that was a turn up for the books:

They took me down to Theatre and knocked me out -when I came to my Consultant said there was nothing in there - it was all clear and she "Wouldn't know where to start to take any biopsies". As such she didn't take biopsies and I came home - still a little sore of course.

She doesn't want to see me until December when I have my next scope - yes 6 months!

She had said earlier that these marks can be transient and that they can fade - if that was the case she was going to take it out and do a few biopsies around the vicinity.

The only explanation she had was that the flexi scope may have touched the bladder wall when it was inserted.

So did the flexi scope touch the bladder wall causing the red/pink mark or has the FOCC been at work and cleared away the little devil?

My goodness - what a quandary and what a great result - my little miracle. I'm obviously a bit tired and sore at the moment and so not really leaping about at this news but it's pretty impressive nonetheless.

15 Minutes to go

Just drinking my last water until the operation and getting tidied up ready to go.

I'm OK but I can feel that fluttery nervousness coming on - it will settle down once I am settled and back into my comfort zone and in a way as I go to Theatre - it tends to be a done deal and it will "be what it will be". It will probably be OK once I'm plugged into my MP3 player and walking up to the Hospital.

Ready but

Still 1 hour and 45 minutes to go. I've done my exercise, I#ve read my blood pressure which is semi amusing (well to me not a professional). The Systolic is a bit high and the Diastolic is fine - pulse is a little higher than normal at just over 100. All within acceptable limits and I hope once I've done a bit of deep breathing at the Hospital and plugged into my music that it will be as good as it can be for me.

Drinking water, answering a few emails and generally pottering about at the moment. It tends to drag waiting to go and I'm taking the opportunity to do a bit of reflecting and not too much worrying. I am also just playing with games on the PC like Tetris, Solitaire and Mah-jong - they keep my mind off things and are about all I can manage in terms of attention span.

I realised that I probably cannot do my exercises for a week after the biopsies. I did go back to it too early once and started myself bleeding. Perhaps I'll go for walks around the village to keep active and not do the strenuous stuff I've been used to doing on the cross trainer. On Saturday I actually programmed one myself on the cross trainer and nearly knackered myself doing it. On Friday I did the Mountain setting which is great except as you get towards the end the high drag on the pedals really stretches your calf muscles and you need to cool down. these days I do a series of push ups using my legs to stretch my calf muscles and also work on my upper body. I then go onto the dumbbells and do a bit more with those so my exercise routine has gone to around 40 minutes now from 30.

So here I am again - for the 11th time (if you count the time I got sent home as there we no beds). Ready to go into Hospital - I'm an old hand at this now and so I know what's coming, what's expected of me etc. I'll see if I can ask to go out today if possible but I'm prepared for an overnight stop if needed. It's a good thing that I'm tired too as I can try and get some sort of dozing done whilst waiting for the Operation itself.

Morning

All a bit rude - up at 06:30 but have had a terrible nights sleep. I thought I'd make myself tired out but appear to have stoked my head full of imagery (I watched Master and Commander and Contact on DVD last night). The dreams and nightmares were pretty bad.

I've had FOCC breakfast - it tends to fill me up nicely and just having a coffee - I have 24 minutes to finish that off and then it's water only until 11 as instructed or 11:30 as shown on the instructions. I'll defer to what I was told and stop at 11. I'll probably leave here at about 5 or 10 past and stroll up - it doesn't pay to be there early and I'm sure that just after 11:30 will be fine and I can get myself off into the zone.

After writing this I'm going to spend a short while messing around on the internet. Then I'm going to do some exercise, have a shower, pack my bag and then get myself ready to go. It's meant to be a sunny day - it's actually drizzling at the moment. Mind you, it is the start of Wimbledon so anything can happen.

Oh well - let's see how things pan out :-)

So here we are again then

It's just gone midnight - I decided to stay up late so that I'm tired and can get to sleep without giving myself a difficult time with my over active imagination. I have my alarm set early as I have to have breakfast by 7:30. I don't have to be in until 11:30. This will allow me to have breakfast and after 7:30 just to have water which I can drink right up until 11:00. I shall make sure I do that too as it helps quite a bit.

I've packing to do and I intend to do some exercises in the morning, have a shower and finish off packing so that I'm relatively busy before going in.

I feel a tiny bit apprehensive - given the last time I was in that isn't surprising but I hope they just cut out the area they saw, have a good look around and maybe take a few small biopsies and just let me get the hell out of there as soon as possible.

Of course - then there's the wait for the Out Patient appointment and the tale of the Microscope to attend to.

For now - I can already feel the back of my wrist throbbing - the cannula will no doubt do that once again. I hope that this will be the last of these but I suppose I'll have to await those results to hear what my fate will be.

I found my head wandering to some very dark places today - I perhaps shouldn't have so much time to myself sometimes. That's out of my head now and whilst it isn't going to be a day to look forward to tomorrow at least as I close this blog I know that it will all be over in less than 18 hours from now.

Sunday - Father's Day

My three strong bottled beers I got from A & L cannot be touched until after my operation so they'll just have to sit in the fridge until I'm ready for them - a day watching Wimbledon with a handful of beers sounds good. I shall force myself to take things easy for a day or two after the procedure - I really want to get on with work as it is getting to the exciting time now. However, I know the penalty for thinking you are fitter than you are and managed, a couple of times, to set myself back in the past.

Preparations for tomorrow are mainly completed - all MP3 players, my Kindle and phone are charged up and ready to go. I need to pack my bag but that can wait - I'll have plenty of time in the morning to do that.

I just need to re-read the instructions I've been given and to remember to hydrate myself properly. Well tomorrow will come soon enough and it's a lovely day - it's Fathers Day and I intend to do very little if anything from this point onwards.

Family Celebration

Well that was a nice evening - met up with the family, Aunt and Uncle, Cousins and 2nd Cousins etc. Lovely to see them all. My Uncle looks (not surprisingly) like my Dad and so do I and my Cousin M so it was a bit spooky to see us all together. When the whole lot of us are in one room it can be pretty spooky :-)

Was a lovely do, 60th Anniversary - that's probably something not many people would see - many would be lucky to see 50 I suppose.

We very rarely have parties but there is one in August when A becomes 18 and she has very kindly invited my Uncle and Aunt and Cousins - which is very nice of her to do. I think the last party must have been my 50th and they kindly turned up then. It looks as if a good number can make it but as it is also another birthday that weekend some can't. It doesn't matter really - it will be nice to see some of them there and to repay hospitality and to let them have a knees up without having to do the organising themselves.

I'll speak to my Mum in the morning - she'll be mortified that she could not attend - I've taken plenty of photos - hopefully not to "rub it in" that she wasn't there :-)

Well who'd believe that? Scar Wars X

So this is the 10th time I've been in for an Operation - 10! Well I thought it might be 9 but then went and checked it out.

I suppose, if you were reading this and have not had Bladder Cancer you'd wonder at having 10 Operations. Well it isn't quite as bad as you probably may think because:

• You get used to it - by that I mean - you realise quite early on that you'll have to be in and out a fair amount even if it is just to take a biopsy like this visit is
• It comes with the territory - there is every possibility that they'll need to do a minimum of three operations - TURBT (1), Biopsy and Re-TURBT (2) and a follow up biopsy.
• After treatment of a high grade cancer with BCG - in the UK they follow that up with full biopsies after each stage including maintenance.

I very much doubt that it will be the last one and it's been almost a year since my last one whereas for the 4 years before that I'd had at least 2 operations a year :-(

It was nice to get the two visual flexible cystoscopies rather than the full operation - again quite how you can imagine (if you aren't a sufferer) that this is preferable may be difficult to understand. However, it's worth considering this in your deliberations:

If you were, unfortunately, to get bladder cancer there is something to consider which is that you will be monitored closely. It DOES or CAN come back - it's annoying that it does this but, the upside (believe me if you have this it is) is that it can be treated and treated well with surgery, Immunotheraphy treatment, Drugs and if worst comes to worst, they can cut out the bladder altogether and build a neo bladder or do something else - they can save you - they have the technology and so the downside to all of that is that they keep their eye on you all the time, you have scopes, operations and other things all designed to keep you well. You often hear of people's cancer coming back and getting them after they thought they'd been cured etc but the thing with Bladder Cancer is that they'd be onto this fast as you like.

It is a whole of life thing of course and that means that I'll probably be being checked right up until the end of my life. I guess that I should be reassured by that but at the same time it is a little daunting too. At least I'll be looked after.

Anyway - 10th Operation in less than 5 years. Add 3 Flexible Cystocopies and the X-Ray which was a pretty low point, then I've had 14 things done in 5 years. Add my BCG Treatments (I can't remember if that was 24 or 18 visits) plus around about 10 Out Patient Visits and you'll soon see how it all adds up. On three Occasions I've been in for more than 2 days, twice I got out in a day and the remaining 4 were 2 days. For 3 of these Operations I had 4 weeks off twice and 2 weeks off last time. All the others were meant to be one or two days recovery.

It's a fair amount of lost time if you think about it - each BCG is a day off and in reality it is 24 hours one day to the next - generally it meant I only worked a few hours on the day and day after treatment. So I reckon that I've probably had about 20 weeks off in 5 years.

So - standby for Scar Wars X

If you want to know where the other Scar Wars Blog Posts are they are here:

Scar Wars I
Scar Wars II Scar Wars II Recovery
Scar Wars III
Scar Wars IV Delayed
Scar Wars IV
Scar Wars V
Scar Wars VI
Scar Wars VII
Scar Wars VIII
Scar Wars IX

Hopefully Scar Wars X will be a non event - I could do without too many adventures!

Last Working Day

Before the operation. I'm feeling OK today and yet a little fluttery underneath. I find that the nearer I get to the event, the easier distracted I am. I'm in pretty good shape this time to go in as my blood pressure is much lower than it has ever been and I feel in good physical shape. I'm still a little heavier than I want to be but if I could work out how to drop 20 pounds by Monday - I'd be onto a good thing and wouldn't need to work again :-)

I'll see how the rest of the day goes - hopefully a little easier than yesterday. I'm now in the zone of "I just want this out of the way" until then I have my Uncle and Aunt's 60th Wedding Anniversary party to go to on Saturday. That will be a hoot :-) Shame my parents and brother and his family cannot make it - well they probably could make it - but they don't travel well. Somehow you'd have thought they would have made the effort to come along but they probably have something important to do like dusting the fireplace.

Windows 7 and Web Cam

I have a web cam and a spare one - used before and thought - I know - I'll set up the web cam to monitor my driveway and use some software I have to do motion sense and capture and record anyone coming up my drive.

Yea right. Windows 7 supports neither of them and there are no drivers for them so they will join the great landfill along with the software and CDs etc that go with them - that's progress for you :-)

So I've ordered a new web cam which at 12Mp is pretty impressive and it has night vision and lots of other widgets on it. At least that will help defend the car when I replace the covers on the wing mirrors.

I realised today that I've been beating myself up about progress and didn't really need to as I've made a lot of progress in reality and just need to remember that. My last working day tomorrow and I intend to clean up the office a bit and make sure everything is tidy.

It could be interesting tomorrow morning - my daughter was meant to get me some Cottage Cheese today - she delayed and then went out to dinner and arrived back here a few minutes ago without it so I'll have to improvise tomorrow - I have a bit of Quark left and I spied some soft cheese so I'll use that as it's nearly similar. What a nuisance though especially as she took off with £5 cash so I'd better remember that I suppose! I can always wander down to the shops and get some later in the day I guess.

L finished school today and so that's it I suppose - the end of an era - both are finished at school both will be at University after the summer and I'll have to learn to talk to Mrs. F. again I suppose :-) That'll be interesting.

Exercise continues and blood pressure remains encouragingly low. The diet seems to be working although I overdosed on soup today :-) I shall have to think up something different to have for my dinner tomorrow!

Can't be arsed

I know it sounds bad but I really can't be arsed to do anything too much at the moment. The operation is about to hove into view and I get distracted and restless. It was funny though that I was speaking to my business partner about not having achieved much and as we talked about it we both came to realise that, in fact, I'd done a lot of work this week even though I felt I hadn't. It's a bit of a guilt trip too as he is stuck into a piece of work that only he can get on with and I need that work done before I can add my piece to it.

It is Ls last day at school today - she has just left to go and do her final Maths exam and with any luck she'll be able to get the results she needs to go to Cambridge in September/October.

It's funny how my nerves are beginning to kick in now - I thought I'd be OK about it but I suppose that it's only natural to worry a bit about things. Work distracts me but I also get then distracted from work with the odd random thought. At least I made my list of things to be done before Monday so I'm happy that is started and I can add to it if I get any of these random interrupt thoughts.

Blood Pressure

Still good and very pleased with that I am too. My exercise routines are getting better and I managed over 7km tonight.

Have to say I'm beginning to feel a little apprehensive - pretty normal for me - just getting to the stage of getting a little sad and a little pensive about things. I'm certain that it will all go well on Monday - I just need to get my act together over the next few days and get myself "in the zone" to go in. I suppose I didn't have my Kindle the last time I went in so that will be useful as it has music and books and an audio book in it plus I have my MP3 players (3 of them now) so I shouldn't run out of stuff to keep me distracted.

I certainly notice that I'm feeling a bit quieter and withdrawn than I normally am and I guess that is just another way of me dealing with things too.

Well - better get off to bed and see if I can get any sleep - the dreams are most bizarre at the moment - the other morning I was on a Cruise Ship that couldn't get through an area so we disembarked and folded the ship up and carried it - then unfurled it again - I have NO idea what that was all about - it seemed very realistic but even in my sleep I knew it was too ridiculous for words :-)

Quark

Well - this morning I had my first dealings with using Quark in the Budwig recipe for Flax Seed Oil and what is normally Cottage Cheese.

First, Quark costs about the same and has little or no salt or sodium in it. It looks much like any cream soft cheese and was quite difficult to get level measures and also to get it off the spoon at all as it is quite a creamy consistency. Having said that, I did struggle manfully to get it in the mixing bowl and added the flax seed oil - it mixed in pretty much as Cottage Cheese does but is much thicker. I added some milk to bring it down to a better consistency but perhaps a little too much as I made it quite runny.

It tastes really sour on its own but it was fine poured over some cereal though. It certainly doesn't have the slightly salty taste that Cottage Cheese does but it is still quite a sour taste.

I think what I might do is go between the two as I go on - there doesn't appear to be much Cottage Cheese around with reduced Sodium - although, having said that, most is pretty low by most standards, a serving providing about 10% of the daily allowance.

Quark is only sold in small tubs but is around the same price point so cost isn't an issue. I can probably do more with Cottage Cheese recipe wise but will see how I get on. For the moment, it seems to do the right things - that's the most important part.

Coffee with Flocky

A nice wander down to the local Costa Coffee and a chat with Flocky starts the day off nicely. Unfortunately, overnight, some little scroat has come up the drive way to the house and stolen the wing mirror covers off of the girl's car. It's a nuisance and it's a shame we aren't allowed to electrify our cars in the UK - I'd hate to affect the little sod's human rights! We have some bloody strange legislation from the European wet liberals that doesn't allow us to electrocute or otherwise castrate or kill trespassers and thieves. Some say I'm a little to the right of Attila the Hun when it comes to my politics :-)

So, perhaps I will set up a little webcam to sort this out in future. It's a quiet little road but occasionally we get this sort of minor irritant.

Oh well - better get on with some work I suppose :-)

Curry with friend

And we got around to talking about his Dad's death a few months ago and mortality and how it was about 5 years ago that I got the news etc. It wasn't a maudlin type of conversation, more a review of how life is and how easily it can be taken away. His Dad being a case in point. He died very suddenly and he wasn't ever ill or showed any signs. OK - now - it was a godsend that he died quickly, knowing that his widow was taken care of - he was worried about that as they took him away in the Ambulance. He thought about others before himself even at that trying moment.

He died from a stroke that affected his Brain Stem - that was it - we discussed the whole thing and the view that when he saw his father moments after he had died how it wasn't him, there was no life there. It's a sobering thought that all my close friends have lost their fathers and yet my dad is still alive. I am going to my Uncle and Aunt's 60th Wedding Party this weekend and like I've stated before - I go to these but my Mum and Dad and my Brother don't. It's a shame really. Whilst I can't say that I'm bosom buddies with my kid brother, I think I'd get my arse together and go see him for an anniversary or key moment. As you may recall, neither my brother or my parents turned up for my 50th birthday. I suppose I should be a bit more "hurt" than I am about that but, like the conversation I had tonight, I really can't be arsed to get upset about it anymore.

I feel good and bad about that all at the same time. My Mum would come at the drop of a hat and maybe I ought to offer to sort that out but Dad would just whinge and she wouldn't want to leave him on his own.

I HATE the idea of getting old and I hate the feeling that I am turning into my father too.

We, Mrs. F., A and L will go to the party this weekend - we will face the usual questions about how come my parents aren't there or my brother but we will be and that's important. They think I'm seriously ill. My cousin, their daughter, has had Breast Cancer and she and I are kindred spirits - we have the "life mantra" let's do it now before it's too late and all that :-) I keep trying to tell them I'm fine but I think - given the family history - and the experiences most have with the "Big C" that they look on the two of us as little miracles! :-)

Anyway - I am annoyed but understand why my parents and brother don't go to these things but you'd have thought, as it's family and very rare that they'd come along. After all, being very blunt about it, it may be the last chance my father and his brother actually get the chance to meet each other. I think it's sad but then again, I don't really see eye-to-eye with my brother and I suppose you could look at it in the same way. My only redeeming feature is that at least I go up and see my parents and make myself available to meet him - even if he doesn't want to meet me.

Families are shit sometimes aren't they?

Quiet Time - Before the Storm I bet

All gone quiet here at the moment. Most of the work is done but my business partner needs to work on something that will then free me up like a cork out of a Champagne bottle! There's lots of little things to be done at the moment and the little stuff takes up a lot of time. The other problem is that each relies on something of its predecessor and so we have bottlenecks and it isn't easy to do parallel working at this stage in the business.

It's exactly one year ago since we started - we commenced with 6 (4 founders +2) and we are now at around 5 but 2 of the original founders are not with us. that really has cost us at least 6 months if not more as we have had to fill in for those missing people and replace them too.

I'm busying myself with work on the business plan and tidying up what I've already done and hopefully we will be able to bring it together in the next two months or so. Then we will see if we are barking mad or have something that someone will want to invest it.

Things are quiet at the moment - I doubt that will last very long at all.

All be over this time next week

And I'll either be languishing in Hospital or be home. I hope the Latter.

I'm getting little bursts of not being happy about going in but nothing too bad. I never have liked Hospitals and maybe I'll count up the number of times I've been in after this trip in. It's probably 8 or 9 times I think.

It is almost getting to my record of when I was a kid - I think that was 11 times in total for my Ears, Nose Throat and goodness knows what else. It's amazing there is anything left of me to cut away :-)

All good fun - not :-)

One Week To Go

Funny how I looked at my watch and thought - this time next week. In fact it will be this time next week when I'll be climbing into my operating gown and setting myself up for a series of consent forms, BP readings, talks with Consultant, Anaesthetist and Registrar plus the Nurses. I try and keep myself to myself, I am not one of these people who natter away with small inane chitter chatter. I far prefer to get myself into a zone where I am in my own world, listening to music and then a little later just waiting for the tell tale sound of clogs and trolley when they come to get you. Invariably, I've been sitting for around 2 (or more sometimes) hours by the time that comes and in a way it is a bit of a relief as you know that you're on your way to the theatre and thereafter, its one minor pain in the hand and that's you out of it for a while.

But that's a week away :-)

A little too much to drink

Yesterday - we carried on and had a few too many - not that I was particularly hung over you understand but the funny thing was that I got a call today and we met up again for a couple of beers at lunch time. Well, thank goodness I don't have too many occasions to drink or have large meals again until September when the season kicks off again. The odd meeting here and there which I can cope with but, luckily, not too much else.

That will allow me to continue dropping weight and keeping to my diet.

Mrs. F. has managed to find some Quark Cheese. I'll try it out later this week when I finish off the cottage cheese and I can report on what it is like. It certainly has next to no sodium or salt in it which is good.

My Aunt called to make sure that I'd be OK to go to her party next week - which I will. It's funny how people think you are at death's door when of course you're not. It was surprising how many people were quite seriously worried about me yesterday, you'd have thought I was going to have something amputated :-) It's very strange what I think is acceptable and what they do.

Nice Surprises

My suit, the one I use for Lodge meetings fits :-) Just three weeks ago it was almost cutting me in half and I couldn't wear either of my waistcoats because they wouldn't button up. This morning, my shirt felt loose around my neck, my trousers are a snug but not uncomfortable fit and my waistcoat and jacket actually do up. Three weeks ago I couldn't do the buttons up as they hardly met. It's nice surprises like that which are the most welcome - it just shows how much weight I've lost in the past few weeks.

Yesterday Steve Kelley dropped me a note that if I could find Low Sodium Cottage Cheese, that would be even better for me especially as I am under treatment for high blood pressure (not that you can call it high now). Despite lots of research we cannot find it at all but what we did find was that Quark is readily available and that has just traces of salt and sodium. So that will go on the list in place of Cottage Cheese. Having said that, I do eat a fair bit of Cottage Cheese anyway as part of my diet and so I might just balance that or throttle it back as I'm having 6 tablespoons every morning and probably 4 at lunchtime. I'll record what happens on this as we go.

However, the good news is that I'm obviously losing weight and feeling good, blood pressure is nicely stabilised at 130 over 90 or less than that almost all the time.

A week and 2 days to go until I need my Rigid Cystoscopy, I really hope that they don't decide to pull me around as much as they did last time :-( I still look back at that as worse than having the original tumour cut out in the first place.

It's coming up to 5 years in July - 5 years and yet the trouble really happened around about now 5 years ago. I spotted a couple of bits of blood in my urine but thought it was to do with lifting about the heaviest thing I'd ever lifted up and down the stairs. Within weeks, all that was to change. Wow 5 years - I can hardly believe it has been that long. What a ride!

Exercise went on hold tonight

I was on an emergency errand. My friend's mother lives locally and I made sure that she has my number so that if she needs anything she can get me, or one of my other friends who lives locally. It was actually OK to give up my exercise as I decided to walk there and back which was quite good - I suppose it is 20 - 25 minutes walk and so I managed to get a good 40 to 50 minute walk in place of exercising on the cross trainer.

It was a simple thing to fix. the Freeview box wasn't responding so after checking the batteries in the remote and being an IT Bod myself, I just cycled the power to the box or as they say in the call centres "Turn it off and on again" and hey presto it worked so I was there all of 5 minutes. On the way home Mrs. F. drove straight past me :-) Not that I wanted a lift of course.

I'm out tomorrow to a Lodge meeting and it will have been a year since I gave up the Secretaries job. It will be nice tomorrow as I have a guest and he and I can sit back and enjoy the meeting and I don't have to do anything. It's quite pleasing in a way and we have a healthy lunch too - a salmon salad - which will be nice. But can I resist the temptation of the cheese and biscuits when they come around? If the Brie is beginning to run and the Stilton is ripe too I may have a problem. Perhaps I will forgo my desert and have a little bit of cheese - how I miss it :-) Anyway - I'm sure I don't have to live like a hermit and can treat myself once in a while!

Two Weeks On

And the FOCC addition to my diet appears to be working in small ways. I have lowered my blood pressure to normal levels which is pretty impressive. I was amazed that it was "normal" at the Hospital although it was a bit high at the GPs. The daily readings I do show a marked improvement and looking back to last year and before it is like falling off a cliff.

I can certainly feel better and circulation is markedly improved as is my skin. Because I'm also eating far more fibre and vegetables and fruit - there is also an improvement in digestion.

Yes - I'm pleased about doing this - Mrs. F. isn't wild about the cost of the Flax Seed Oil but at £9 for 2 weeks worth it isn't so bad. The Flax seeds and the Cottage Cheese aren't that expensive so it evens out. I've made myself a batch of lentil soup which is pretty wicked - I used red lentils, mushrooms, carrots, tomatoes, mint and a handful of other herbs and spices. It's got a fair old kick to it :-) I'm eating no bread, margarine, cheese, cakes, biscuits etc. I'm having plenty of fruit and salads, oily fish, hummus, cottage cheese, fish sticks, soups and the occasional jacket potato.

I'm exercising at least every other day - although I've done everyday this week so far. I'll probably not do Saturday as I am out. Around 30 minutes at a time and trying to get to 7.4kM or above (around 4 miles or more). I'll not try for my target 5 miles (8kM) for a while until I lose a bit more weight and strengthen my legs a bit. I tend to then do a series of stretches and exercises for 5 minutes afterwards with some small dumbells that allow me to stretch down.

I then go and cool down a bit and take one or two Blood Pressure readings and record those - hence I get a good view on blood pressure and pulse. This is really useful to keep the habit going. I must remember to also measure my weight, waist, chest for my weight loss chart. I forgot last week (I only do it weekly).

Whilst exercise sucks (A phrase I have no hesitation in stealing from fellow sufferer Steve Kelley Thanks Steve), it does make a difference and it's no use dieting without putting in some exercise as well. I've made it a habit and that's part of the trick to it. It is so easy not to do it but make it part of a routine and also understand the benefits (not always apparent as you struggle for breath and find yourself sweating like crazy, slightly red in the face and tired out at the end of a session). How anything that makes you like that is good for you I have no idea :-) Anyhow, you don't need many sessions to see what a difference it makes. I've probably lost one notch on my belt size this past 2 weeks as well as feeling much better.

Still sucks though :-)

How it's described in writing

So the copy letter of my flexible cystoscopy came through today. It describes it as a "Slightly raised, red, very small area on the posterior bladder wall". Also that the urine cytology showed bacterial overgrowth. I think that means is was probably contaminated. It certainly wasn't the usual type of pot I use and I also wondered about the "wisdom" of me taking it in over a weekend?

Anyhow, yesterday's was all OK and they took the sample at the flexible cystoscopy and did cytology on that. So I think it can only have been contamination rather than a reflection of what's up with me!! :-)

So we will have to wait and see what they make of this very small area - it may be something to do with treatment but who knows - it is too early to speculate.

So much to do

So little time to do it in. It's really difficult there being just two of us in the business as we have to do everything. We have a new guy, a very good friend of mine who will get involved as our Commercial man - he and I go back 38 years - so we kind of trust each other :-) However, he cannot do what we need to as it is more about the internal detail of the next phase and it's in our heads not out on paper. So it's down to us.

We've worked so hard this past year especially as we went from 4 to 2 of us and these little bits and pieces of work are taking a long time - it often happens - the bulk of the work is done and just needs checking and these tiny little bits of detail take a while to do.

Not to worry - I'm feeling up for the challenge now especially as I've a few weeks to burn away before going into Hospital.

Blood Pressure

I am really pleased about my Blood Pressure readings. They are plummeting and I even managed to have a normal reading at the Hospital so things really are getting seriously better.

I've been on a part of the Budwig Diet for just under three weeks. In that time, my skin and circulation has felt better and my blood pressure appears to have come down significantly. There are other noticeable differences which, let's just say, a more fibrous diet appears to have improved too.

I'm trying to keep away from sugar, starches, high fat products, preserved meats and I'm generally eating far more fruit and veg with quite a bit of fish, lots of cottage cheese and lots of soups. I have all sorts of dried fruit and nuts too. The only thing that's taking time is to wean myself off artificial sweeteners which appear to receive a bad press. I'm using some syrup naturally pressed from fruit but after trying it in my coffee found the taste not to my liking - it is great with FOCC Flax Seed Oil and Cottage Cheese. What I have now started doing is to mix the FOCC, add some milk to make it less thick then pour it over breakfast cereal, Weetabix or Bran Flakes or Cheerios all of which just help to make it a breakfast rather than eating a gritty thick cream.

I'm really pleased at the way it is all going, I hope that today's blood test may also show good improvement. As the Tesco Advert says "Every Little Helps" too right it does.

Pre-Assessment

Went better than expected. Blood pressure of 143 of 93 was the lowest ever recorded there and although heart rate was 120 I managed to deep breath it down to around 100 eventually.

ECG was fine albeit heart was racing again. The nurse knows me well and did my blood test in seconds - she is very good and knows that all I need is to take it easy and not get any sudden shocks. The Doctor was very late so I didn't leave for at least an hour after when I normally do - in normal circumstances I'm in and out in around 30 or 40 minutes. I note that I was second to be seen today but as it is quite a wait until I go in I don't think I can read much into that at all.

Home to a nice cup of coffee (which I didn't have before I went!). Had my FOCC for breakfast and quite a bit of water to make sure I could provide a urine sample on demand at the Hospital.

So we are all set for the 20th June now. My GP can now also have copies of my blood results and hopefully all will be well. Which is what the Doctor said after examining me - not heard that before. They'll make a decision based on those results? So all done, once again. Good old MP3 player as well as I was able just to relax with that - I should perhaps have taken my Kindle too as that would have helped me calm down. Being late on my way home I got caught in a shower - which wasn't meant to arrive until tomorrow :-) Mmmm

Hospital in the morning

At least it isn't the crack of dawn this time and so I can get up about 7:30, do some exercises and then breakfast and head off for my appointment. It's a pleasant walk there and back and if they get to see me quickly I'll be happy enough. At least I don't need to get two blood tests - I will be interested to see what the results are like though - I wonder if they are much lower than they were pre FOCC?

Once tomorrow's out of the way I'll be happy and then can just wait until the 20th hits for the operation itself.