Category Archives: medical

Meh … with Gin and Beer

The last 24-36 hours has been decidedly “Meh”, at best.
It all started yesterday afternoon when I fell asleep in the chair. Which is, of itself, not that unusual. But the thing was that when I awoke I felt decidedly out of sorts: lethargic, miserable (almost depressed) and ratty; generally incapable. Again nothing new there.
Because we were supposed to be visiting our friend Katy in Leicester today, things had to be done. And as it was to be an early start, an early night was desired. Which was good, ‘cos I still felt “meh” and put it down to the inevitable stress of being bright-eyed and bushy tailed long before o’God o’clock.
Signal for the phone to beep, with a text …
<flashback>
On Saturday we had been out to a local Thai restaurant with friends who had recently returned from holiday in foreign parts. Eldest child (a teenager) wasn’t there ‘cos he was ill with what sounded like ‘flu — the way one does. Anyway we went back to theirs for coffee after the meal as the youngest needed bed before an early Sunday start.
</flashback>
Anyway the upshot was that the teenager was taken to the doctor yesterday, and then to the hospital, to be diagnosed with a nasty, and rather infectious, foreign disease. Hence the text message. We didn’t at this stage know how far the infection might have spread, so I felt we should warn Katy — and she sensibly suggested we abandon our meet-up.
Well, if nothing else it’s a novel excuse!
And it seemed like a good call.
So we relaxed and drank to the teenager’s speedy recovery with a large G&T. But, unlike in days of yore, “meh”-ness was not abated by internal application of gin.
Sleep finally overcame me at about 1AM. And it stayed. And it then couldn’t find its coat to leave. I finally woke up some time after 11AM. Now not just feeling “meh” but also depressed. Bugger!
This last I do not understand; although there must be a genetic something there as my father was the same. He’d not sleep well but then be dead to the world all morning. I remember him being like this even when I was a teenager. Even on non-work days my mother would be up by about 8.30 and around 9-9.30 bring both me and my father cups of tea (in a desperate attempt to get us out of bed). I’d struggle into consciousness and descend by around 10. But not my father. He’d appear at 11, or later, with the words “It’s very odd, I found this cold cup of tea by the bed”.
My father was little better during the week. He’d normally struggle from his bed after 8AM and expect to catch the 8.33 train. (Luckily we lived 3 minutes trot from the station so he usually succeeded.) As a teenager I got so fed up with his frantic approach to mornings that, by choice, I used to get up at 7 and be out to school (just a mile away) before 8AM.
I recognise this now as all being down to depression; depression which didn’t abate as my father got older: he was no better in his 80s than in his 40s.
So anyway … after lunch today I spent and hour lying in the sun in the garden, enjoying warmth and light; and I then spent the rest of the afternoon “jellivating” — just sitting like a lump of jelly doing naff all of any use.

MHH

And now, this evening, after food? Well I’m aware that I’m still depressed, but do feel a bit better for the food and a couple of large bottles of Peroni. With luck tomorrow will bring something less “meh”; which would be good and appreciated.
Meanwhile this whole depression thing is something I really don’t understand. What causes it? Why is it often so sudden and so variable? Why is it there at all? And what can one do it banish it?
With me a part of it is clearly SAD, but not all of it because I still get it in the summer, and always have. And a part of it could well have a genetic basis — as noted above my father was depressive and I’m told his father was as well. Whether there is any more to it I can’t determine. I suspect there is, but I’ve no idea what. Or why.
Nor do I know how to fix any of it. Yes, antidepressants help, but they don’t cure it. Light therapy for the SAD doesn’t seem to work on me; but then I don’t think SAD is the predominant factor.
The best cure is probably amputation at the neck!
Or just shoot me!
[PS. Seems medics aren’t worried about the spread of infectious disease and were relieved that teenager hadn’t acquired malaria. He’s in for a long recovery though.]

Just Stay Well

So you thought the NHS was a simple hierarchy of family doctors and hospitals? Think again.
Created for The King’s Fund**, this animation explains the current state of the NHS in just over 6 minutes. It is well worth watching and puts (some of) the current organisation in context.
And it is about the best explanation I have yet seen.

Though to be fair it wasn’t that much better before the recent reorganisation — just different! And actually it has never been a simple structure.
No wonder I’m cynical about it all, but still determined to do my bit to try to make it work professionally. The thing is if we don’t make it work then we’re all stuffed.
Gawdelpus!
** The King’s Fund is an independent charity working to improve health and health care in England. They help to shape policy and practice through research and analysis; develop individuals, teams and organisations; promote understanding of the health and social care system; and bring people together to learn, share knowledge and debate. Their vision is that the best possible care is available to all. They are not a sideshow; they are hugely influential.

You May Have Missed …

Another in our series highlighting articles you may have missed …
Unfortunately top billing this week has to go to Prime Minister David Cameron’s desire to impose a “porn block” on every internet connection. Needless to say the internet has been awash with people decrying the scheme as unworkable censorship. Some has been the usual squealing about anything we don’t like but much has been sensible commentary on the abhorrence of censorship and the practicalities of why the system won’t work. Those of you who know me, and who follow here, will be able to guess my view. Here is a selection of articles:
Original news item from the Independent: David Cameron cracks down on online pornography with ‘porn block’ option
The anotherangryvoice blog shouts against David Cameron’s “national wank register” although the article is more rational and practical than that sounds.
Meanwhile in measured fashion New Statesman asks 10 questions about Cameron’s ‘war on porn’
While in PC Pro the smaller ISPs are resisting.
Another blogger maintains the proposed UK porn filter is a threat, not a safeguard.
Milena Popova looks at the proposals from the perspective of an abuse survivor.
Finally there is the inevitable e-petition on the government website: Do Not Force ISP Filtering of Pornography and Other Content. At the time of writing it has just over 25,000 signatures. Whether you agree or not I’d urge everyone to sign as 100,000 should ensure a parliamentary debate, which is about the best we can do in exercising our full democratic power.
Now let’s return to the usual rather more amusing and esoteric fare.
Big ears! Yes ears (and noses) really do grow as we age.
Here’s an interesting, if slightly contentious, article on why we should fight back against those who are determined to kill off obesity. Yes, we know there may be risks (for some) in obesity but moral blackmail isn’t the answer and quality of life does matter.
At last an explanation for all those tales of werewolves. Apparently sleep quality declines around the full moon.
Still on things medically orientated, scientists are increasingly demonstrating that there are links between faulty body clocks and mental illness although it should be stressed that a correlation doesn’t prove causation.
Well who would have guessed? Bottlenose dolphins use names to identify each other. Wolves too it seems. You mean all animals don’t? I bet they do; just because we can’t understand what name our cat or dog calls itself!
A couple of writers for Practical Fishkeeping magazine go snorkelling in an English river and are surprised by the amazing biodiversity.
Oh dear, here we go again … More sleight of hand in the finance industry. Nationwide Building Society is working out how to issue shares and remain mutual. Ho hum …
Meanwhile some fun … I love it when eccentric, guerilla ideas take off. Apparently campaigners have planted cannabis seeds all over a German town and the authorities are struggling to keep up with destroying the resulting sudden growth.
More fun, but more seriously … apparently the Tory party’s plans to claw back EU powers have been thrown into disarray after an official study describes the London-Brussels balance as ‘broadly appropriate’. As usual though, I bet they ignore their advisers.
And now for a true British eccentric. Obituary for the 7th Marquis of Anglesey, historian of the British Cavalry, who died last week.


And on British eccentricities, here is a series of photographs of Britain’s listed historic signal boxes.
Finally one close to my heart. Biologist Rob Dunn investigates the roamings of his cat, and despite her age gets a surprise.
More anon …

Aromatherapy Awareness Week

Aromatherapy Awareness Week runs from Monday 10 to Sunday 16 June and is promoted by the International Federation of Aromatherapists.

Although like many “complementary” therapies it is much decried by mainstream science, aromatherapy is an ancient therapeutic treatment used in many early civilisations to relieve stress, other ailments and rejuvenate the mind, body and spirit, by the use of pure essential oils from plants, chosen for their therapeutic benefits, specific to the needs of the individual.

Smell is a much more important sense that we often realise. Scents are some of the most powerful triggers for the recall of past events: the smell of the sea bringing back those idyllic childhood holiday memories, for instance. That’s why supermarkets so often use the smell of baking bread, or coffee, to entice us. So why should aromatherapy work too?

The medical sector too have recently started utilising the benefits of aromatherapy — for instance in cancer units as supportive care for their patients and pre- and post-operations — and they have seen benefits to the patients which help to speed recovery.

You can find out more about aromatherapy over at www.ifaroma.org.

Walk to School Week

Monday 20 to Friday 24 May is Walk to School Week.

The aim of Walk to School Week, which has been going since 1995, is simple: to encourage all parents, children and young people to make walking to school part of their daily routine.

I know when I was a kid I lived a mile from my junior school and subsequently a mile in the other direction from my grammar school. And I walked to school; in fact for much of the time I came home for lunch so walked about 4 miles a day. (OK, I admit I was a lazy teenager and sometimes got the bus to school, but that depended on being in funds as I didn’t get extra allowance for bus fares.)

Walking is good for us and we almost all walk far too little (guilty as charged!). Far too many children get taken, even short distances, to school by car. Parents get scared (usually unnecessarily) of kids being molested or abducted, parents are in a hurry to get to work themselves, or I’m sure in many cases they’re just plain lazy.

But as always there are many benefits to walking: save petrol — and thus save money and the environment — improve health but getting more exercise; and parents walking children to school are spending quality time with their kids, and maybe even teaching them things about the world around them. Get into the walking habit and hopefully it will stay with you for life.

As always there is more information on the Walk to School website at www.livingstreets.org.uk/walk-with-us/walk-to-school.

Walk to Work Week

This year’s Walk to Work Week runs from 13 to 17 May.

It is generally agreed that in modern society we don’t walk enough (guilty as charged!) because walking is a great way to maintain fitness and helps keep the heart healthy. For those who work outside the home, walking to work also saves on petrol and bus fares, and is better for our planet. OK, walking to work isn’t feasible for everyone so as an alternative why not have a lunchtime stroll in the park or along the river?


You can always use walking to work as a way to raise money for your favourite charity, or just to be like Charles Dickens and Wordsworth who went on walks to get inspiration!

Find more information at www.walkingworks.org.uk.

Book Review

Mary Roach
Gulp: Adventures on the Alimentary Canal

If there is one thing Mary Roach does well it is write. Her style is light, airy and humorous while being informative. It needs to be because she has made her stock in trade writing about taboo subjects like sex (Bonk), death (Stiff) and now our guts. For instance in writing about the biblical story of Jonah and the whale she says:

While a seaman might survive the suction and swallow, his arrival in a sperm whale’s stomach would seem to present a new set of problems. (I challenge you to find a more innocuous sentence containing the words sperm, suction, swallow and any homophone of seaman.)

She takes us on a journey through the gut — from top to bottom. Well, except that she doesn’t; it’s a journey through the top half, as far as the stomach. There’s a black hole of the small intestine should be. And a fast water chute through the colon. So despite the good writing I felt short changed by Gulp. I wanted more, and I wanted a bit more in depth science.

Sure, Roach talked to all the right scientists and medics. But this wasn’t as in depth as either Stiff or Bonk — at least it didn’t feel that way. And as I say the really interesting bits (well, to me, at least) beyond the stomach were too quickly glossed over.

So I was left feeling as though I’d had a decent starter, followed by some sorbet and coffee, but without a main course. Which is a shame because Roach writes too well for this.

Overall rating: ★★☆☆☆

Listening to 'Flu

Back last September I wrote about a Scientific American article which proposed that to reduce the spread of ‘flu we should vaccinate children — because it is children, not the elderly, immuno-compromised etc., who are the super-spreaders.

Imagine my astonishment yesterday to see that the UK government is proposing to do just this! Yes that’s right, they’re going to give every child (aged from 2 to 17) an annual ‘flu inoculation. According to yesterday’s Independent report:

All children aged two will be offered a nasal flu vaccine from this September. The programme will be rolled out to all primary and pre-school children next year, with secondary school pupils starting to be vaccinated in 2015.

OK, it would be good if it could all be rolled out this year, but I guess it may in part depend on the vaccine producers’ ability to ramp up production as well as the ability to get suitably trained staff in place to do the work.

But I’m astonished that the politicians have actually listened. I’m even more astonished that they appear to be willing to find the money. Let’s hope dream turns into reality.

National Stop Snoring Week

22 to 26 April is National Stop Snoring Week. This is one of the few medical awareness weeks which I am going to mention, because snoring is usually ignored but can actually be life threatening.

National Stop Snoring Week is the annual event, sponsored by the British Snoring & Sleep Apnoea Association, promoting general awareness that nobody need suffer as a result of snoring: it is a condition that can be treated.


And indeed snoring is a condition which should be treated as it is often a symptom of Obstructive Sleep Apnoea, a condition where the airways collapse during sleep preventing breathing. If untreated, sleep apnoea not only destroys restful sleep (and thus quality of life/ability to function) but can lead to heart disease and strokes. Luckily it is easily and successfully treated in 90% of diagnosed cases.

Of course snoring may have other causes and other effects. If nothing else it often disrupts the sleep of family members. And contrary to popular belief snoring is not something which affects only middle-aged and elderly men; anyone can be a snorer.

More information on National Stop Snoring Week at www.britishsnoring.co.uk/national_stop_snoring_week.php.

Transparency: Yes, I suffer from Obstructive Sleep Apnoea which is now well controlled.

Humanity Restored?

Bastard! One year I’ll learn not to put anything in my diary for at least two days after I have my ‘flu jab. Yep it always gets me, usually for only 24 hours.

This year it hit me hard. GOK why it should.

I had the injection about 9.30 on Friday morning. By 9.30 that evening I was huddled under the duvet feeling like death — the full ‘flu symptoms: fever, aching bones, crashing headache, don’t like bright lights, unable to stay awake but sleeping fitfully and just so depressed.

Saturday’s plans had to be abandoned. But heroically Noreen managed to mop up the couple of bits we couldn’t entirely avoid. Meanwhile I slept the day away. And although I felt rather better by the evening I then couldn’t sleep last night. That’s pretty normal for me when I’m ill: sleep well all day and badly at night.

Humanity is present again today, but only just. I’m still weary and aching; still depressed. Still not functioning properly in the brain department. (Yeah! OK!)

Hopefully normal service will be fully restored tomorrow; there’s too much to do for it not to be.

It’s true what they say about ‘flu, even the after-effects of the injection: it hits you fast and hard, and floors you. If the symptoms come on gradually and you can still function at all, then what you have isn’t ‘flu. If you get hit by a train and can’t function even if you need to, it is ‘flu.

Yes, I usually get some reaction to the injection. I never expect it! But it isn’t usually as bad as this. The only previous year I remember it as bad as this was two years ago when the inoculation contained swine ‘flu (or was it bird ‘flu?) vaccine. That knocked me out for a week! Clearly my body hadn’t seen that before.

What’s interesting though is that not everyone reacts the same. On Friday morning in the supermarket we met a couple who also go to our doctors and who had their jabs several weeks ago: they both said they had had no after-effects at all; not even a sore arm. And my mother says she never gets any after-effects. But I do, and I know several others who do.

Lesson: In future keep at least a couple of days clear after the ‘flu jab, and be prepared to be hit hard. I did neither this year and have only myself to blame. Even Noreen tried to warn me! But did I listen?

But the after-effects of the inoculation, however horrid, are way better than actually having ‘flu properly. One really doesn’t need that, especially if you’re at all immune-compromised (elderly or with a long term condition like diabetes, respiratory problems, etc.) or a carer because ‘flu can really knock you out, possibly even terminally.

So if you’re offered a ‘flu shot by your doctor, I’d say take it. Yes, it may make you feel rough for a day or so, but that’s better than the 1-2 weeks real ‘flu will last.