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Inside of Me

(Posted 15:30:25 on 16th March 2008 by Rag)
Another weekend and, unfortunately, another setback as some of my symptoms return. Thankfully nothing serious enough to warrant another trip to the hospital, but enough to remind me that it's not over yet. Anyway, pretty much meant that I've been housebound instead of being able to go out house hunting which we'd got all booked up. What that has done is given me some extra time and I've been able to put the video together of the images that were taken of me whilst in hospital.

Unfortunately (or fortunately depending on how you look at it), there are no images from any of the “rectal probes” that were performed. All that's left are some CT scans and a couple of X-Rays. I've tried to make the video as interesting as I can, but I don't think it gets there (even with the Simpsons take off at the beginning). Also, if you want to watch it and see the detail, you probably need to download the MPEG (.MPG) version as the WMV files are not full screen. I suppose you could watch online and then decide if you can be bothered to download.

So, if you really have nothing to do, go to the Other Videos Home Page and select your viewing choice of the “Inside of Me” video.
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What no rat??

(Posted 07:54:33 on 11th March 2008 by Rag)
Good news. They finally ran a test on me that showed something working properly. Seems I'm processing stuff right and the Crohns isn't as bad as first thought. This means that I don't get the biologics treatment with the rat DNA in favor of Mercaptopurine (6-MP to its friends) tablets. Trouble is, there's a big “Don't Take With Alcohol” warning on the bottle and I'm supposed to be on these for life. Me sees another conflict here that will need to be resolved one way or another. I'm hoping it's because alcohol does the same thing as the 6-MP and that I can just take alcohol after I'm off the blood thinners. No?? Well, it's a thought.
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Illness Ironies

(Posted 08:03:33 on 9th March 2008 by Rag)
Thursday saw another trip to the emergency room (ER). Nothing to worry about, wasn't too serious - in fact, it was quite convenient - I'd been to a client in the morning to give a presentation that went well, then returned home. Picked up some things on the way back and got in around 1:00. Karen had been to the zoo with William and they got back at 2:00. At about 2:15 I got the symptoms (bleeding) that they told me I need to head off to the ER for. Even though I wasn't happy about it, I felt fine. So much so that Karen had a slow puncture in her car and we decided to take it and pump it up on the way. She then dropped me off at the ER, went to get the tire fixed, did some shopping, dropped the shopping off at home, then came to pick me up. Timed to perfection as they were just releasing me (although they offered to let me stay overnight) when she got there. But not before yet another doctor got the chance to have a quick poke up my arse. I tell you, there's now a sweepstake in the San Francisco medical community as to who's going to be next. Bonus points awarded for the most inventive device.

Anyway, the ironies. I got to thinking about with what seems to be happening to me. First, what brought me to ER - the Crohns makes me susceptible to bleeding, but I have a blood clot that puts me on blood thinners that makes me even more susceptible to bleeding. Hence the need to monitor the thinners on a regular basis.

I've already mentioned that I have both constipation and diarrhea at the same time which is an enigma all by itself. Although many have said that I don't know whether I'm coming or going. Then there's the Crohns and the C-diff infection - I can't start the long-term treatment for the Crohns until I've finished taking the antibiotics for the infection (which I finished on Friday so can start on the next thing on Monday). And now for one that keeps rattling round my head - the treatment for the Crohns is going to be biologic so getting injected with some stuff that's made up of both human and rodent dna. For those who are smart enough, they will have figured out that the irony here lies with the blood thinners (warfarin). For those who haven't got there yet, warfarin is used as rat poison, so it seems like I'm going to be putting something into me then killing it.

On another note, the biologics have a few potential side effects (and no, growing a tail and squeaking is not one of them) that are a little worrying, but my biggest fear is getting home one day and looking across the room to see the cat sit up with a glint in his eye then having him chase me round the house.

Another fear is that this treatment involves injections and they kind of want me to inject myself which I'm trying to get my head around. I know that millions of diabetics do it everyday, so I'm sure I'll get there. They did suggest one option though and that was to teach Karen to do it. We both agreed that probably wouldn't be a good idea - not because she wouldn't be capable, more that I'd probably wouldn't be a very good patient for her. Still, not wanting her to feel left out, they gave me some suppositories for the constipation and I've told her she can help me with those if she wants.

The last thought before I post is an old saying when I was younger to “make sure you always have on clean underwear as you never know when you're going to end up in hospital.” In my case I can't help think that this is tempting fate and maybe I shouldn't change my underwear for the next few weeks.
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Hospital Diary

(Posted 17:31:08 on 28th February 2008 by Rag)
OK. Now I'm back home it's time to catch up on some stuff, but first things first, lets give the run down on what happened.

Saturday 16th Feb
Went to hospital ER with chronic diarrhea and fever circa 7:00pm. Was already being treated as an outpatient, but rather than getting better, symptoms got worse. Fortunately (or unfortunately) the results of previous tests were through and I was told I had Crohn's disease. Had series of tests from CT scans to EKGs in order to determine whether I had an infection in order to start the treatment for Crohn's. Oh yeah - and something shoved up my bum so they could take a look round. I think the concept is similar to those boats with glass bottoms, but the view's probably not as nice.

Sunday 17th Feb
At 5:00am completed tests from previous evening. Everything looked OK - good to go with starting Crohn's treatment. Anticipated stay in hospital 3 days.

Monday 18th Feb
Everything still looks good, but Gastroenterologist wants to perform a colonoscopy. Yep, more things to push up the back door. And this after I'd already had a flexible sigmoidoscopy as an outpatient. I suppose I only have myself to blame as I did choose to live in San Francisco so what did I really expect?

Tuesday 19th Feb
Now, in order to do the colonoscopy they have to clear you out. And when I say clear you out, they really mean it. You have to drink 4 liters of this stuff called "go lightly" which makes you do anything but go lightly, I can tell you that for nothing. So, here's the first contradiction - although I had diarrhea, I was also constipated. Go Figure. The way it works is that the block is higher up so that was preventing anything from coming through, but when it let go, it let go. Anyway, I took all this stuff on Monday night and it didn't clear everything so the colonoscopy was postponed for another day.

Wednesday 20th Feb
After another evening of drinking go lightly - yep, I had to go through it all again, they finally got round to pushing the biggest thing they could find up my ring and indeed confirmed that I had Crohn's. Fortunately I was put out for this procedure, but when I came round I had some difficulty breathing (odd!!)

Was allowed to eat after the procedure, so went back to eating. Felt fine in the afternoon, but early evening felt really bad. The poor nurse that came in to draw some blood for one of the many blood tests they do daily was greeted by me sat on the side of the bed holding the commode advising that this was probably not the best time to try and stick a needle in me. She went to get the nurse that was assigned to me and when she walked in I "popped" as they described it in the Matrix. Now for the crowning glory. No sooner had I vomited than I needed to poop - the old coming out of both ends trick. So, dropped the underwear and spun round (all very delicately as I was hooked up to an IV) sat down and let everything flow so to speak. Next thing I've got one nurse injecting morphine into one arm and another taking my blood pressure on the other arm. I have to say, even for me, that's a first.

Thursday 21st Feb
Woke up not feeling too great (unsurprisingly), but all that I had to do was go for a series of x-rays on my small intestine an then would be let go. Trouble was, kept feeling worse. Went for the x-rays - and not just your run of the mill x-ray, this is a time delay series after you drink barium so they can see it go through your body. Whole thing from start to finish took about 4 hours. You get an x-ray every 30 minutes to an hour but can go back to your room to watch TV in between.

After final series of x-rays got back to my room and they were concerned that my legs had swelled up and was still having difficulty breathing. Additionally, they thought that they had seen fluid round my lungs from the x-rays. Great news - apparently there are only 3 things that can cause this - heart, liver and kidneys and they had done every test on my liver and kidneys and they were fine. They suspected a blood clot. In turn, I informed the doctor that if I hadn't been admitted with diarrhea, that would be another symptom he could add that to the list. Was sent for another CT scan that confirmed not only blood clot, but one in my chest (aka pulmonary embolism).

Thursday 22nd Feb
Started on heparin to thin blood and address clot. Now for a little something for you to try back at home. Don't worry, it won't hurt. They moved the IV from one hand to the other. No big deal, but it's interesting what you use each hand for. Your little challenge is the next time you go for a poo, try and wipe only using one hand (being the one you don't normally use). It's possible, but it feels really weird. But, the diarrhea gave me lots of chances to practice this. Although I was fearful that I'd look down and see clean toilet paper in one hand and something else in the other hand, thankfully that didn't happen.

Friday 23rd Feb and Saturday 24th Feb
Not much change as was just responding to the Heparin. The big news though was that they had managed to get a better sample from me when doing the colonoscopy and subsequently found an infection (Clostridium Difficile or "C Diff" to its friends). I think this was found on Thursday, but it didn't seem like a big deal compared to everything else that was going on. So, treatment stopped for the Crohn's to fix the C Diff first.

Monday 25th Feb
Happy birthday to me (or what's left of me at this point). Actually, by now had turned the corner and was starting to feel much better. Downside being that I'm in hospital, it's my birthday and I was supposed to be on holiday. Still, mustn't grumble.

Tuesday 26th Feb
Everything as good as can be expected. Need to complete the injection stuff, but should be released tomorrow.

Wednesday 27th Feb
Given the all clear and discharged. Well, when I say all clear, I have a ton of pills, so if you hear a rattle, it's probably me walking up the corridor. I still need to get a lot of treatment sorted out, but I'm not critical anymore. Which is a good thing.

And there you have it.

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Discharge

(Posted 12:03:24 on 26th February 2008 by Rag)
Good News!!! I'm going to be discharged from hospital tomorrow morning. Obviously with having had something that's put strain on my heart I asked the doctor whether I'd be OK for sex. He said yes, so I told him there's a nice little Italian restaurant nearby that maybe we could go to first.
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Happy Birthday to Me

(Posted 14:13:15 on 25th February 2008 by Rag)
What could be more fun than spending your birthday in hospital hooked up to an IV? Presumably nothing as that's what I'm doing. So, to my loyal fan base that's been wondering where my blogs have gone, now you know.

Normal service should be resumed shortly as I expect to get out of here in a couple of days. I have a backlog of stuff to put on the open forum blogs which I will get to and also want to do an article titled "up my arse and beyond" that gives a guided tour of my body as per the scans that I've had whilst I've been in hospital. Unfortunately there's no footage from the rectal probe which is a shame as I'd quite like to have had a look at that. There are some good x-rays and CT scans though.
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Fan Fare

(Posted 16:55:14 on 10th February 2008 by Rag)
Wow! My inbox has been inundated with one email asking about the Fan Fare of Daytona. Actually, it was to explain the Budweiser shoot out, but I feel the entire thing needs some explanation, so here it is.

In typical American style, somebody obviously thought about - “how can we prolong the event and get more money from the punters?” And here's what they came up with. Ordinarily, a NASCAR race has 43 competitors. To keep it simple, the top 35 in the standings pre-qualify and the next fastest 8 get in. What this means is that all the drivers not in the top 35 come to each track with a car setup purely for qualifying and tend to qualify at the top of the heap, but then go slowly backwards during the race as their cars aren't setup for the long haul of say a 500 mile race. The order the drivers start in is the order they qualify in.

Not so for Daytona. That would be far too easy. So, the top 35 in points from last season automatically qualify. Qualifying is then held and this determines another 2 drives that get into the race (35 + 2 = 37). It's actually 3 that qualify, but we'll come back to that. The field in its entirety is then split in half - odd numbers and even numbers. Each half then enters what's called a “duel”. Two more cars qualify from each duel (37 + 2 + 2 = 41). The next spot goes to a former (Sprint) Cup Champion if there is one in the pack who has not yet qualified. Any remainder is filled up with the next fasted qualifiers. (As I said earlier, the third place in qualifying gets in on the basis that there would always at least one more spot to fill, but the third place in qualifying may also get in via the duels thus pushing the next people to get into the race from further down the qualifying list).

As for the starting positions for the race, only the top two positions from the qualifying session are locked in. The remaining positions are determined by the duels to create forced racing in each of the 150 mile duels (one duel filling the odd numbered spots and the other the even numbers). Otherwise, presumably the previously qualified drivers would drive one lap and then pull into the pits. This means that you could be unlucky enough to qualify third, but have a bad duel and end up starting 43rd.

All very well, but what does this have to do with the Shootout? Nothing really, other than to give you an idea of what's going on. The Shootout is a special event race. Not really sure what purpose it has other than to get the season started. Now, bearing in mind all the rigmarole above for the Daytona 500 qualifying, what is the Shootout? The Shootout is a race for all of the previous season's pole sitters (those people who started the race first by qualifying first). Oh no, if this is a race for the best qualifiers, how complicated have they made the qualifying for this race? Any idea? No, well, believe it or not, there is no qualifying, it's done on a random draw.

And America wonders why nobody else follows its sports.
1 comment
xxx
10:42:19
11th February 2008
Eh? I wish I never asked.

Latest NASCAR News

(Posted 17:04:26 on 9th February 2008 by Rag)
As Daytona week kicks off with all the fan fare that accompanies the Daytona 500 we bring you the top story so far. Most people are reporting on the alleged “punch up” between Tony Stewart and Kurt Busch. Certainly a news worthy discussion, but not what we feel is truly reportable. Instead, we focus our attention on the effects of the big last season news - that of Dale Earnhardt Jr. moving from Dale Earnhardt Inc. to Hendrick Motorsport.

This has caused a lot of concern with fans, in particular the problem that he was going to lose his number 8 car and Budweiser sponsorship. Why would this be of such a concern to his loyalist fans? Apparently it's because they're worried about how they're going to have to change their tatoos! (Seriously - they even covered this on the tv.) So Dale has managed to secure the 88 car and has written the eights the same way as they were written on the 8 car. This is to help the troubled fans and allow them the option of just adding an 8 to their previous tatoo.

What consideration! Actually, most people interviewed (yep they interviewed people on this) said they were just going to take the opportunity to get another tatoo done and not bother changing the old one.

Rag_2008-02-09_164921.jpg   >   Rag_2008-02-09_164921.jpg


Seems that I've picked an appropriate sport to follow. Although my die hardness ends with wearing a baseball cap.
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Airlines

(Posted 08:02:27 on 7th February 2008 by Rag)
So the news story from the US is that United are going to start charging $25 per additional bag. The news from France, however, is that flight attendants are stripping for the pilots. Probably a fair reflection on the difference in service.

The video of the strip tease can be found on The Sun's website. The think I like best about the article is the fact that it isn't possible to squeeze in another pun. Starting with the title across the picture “ hello ... this is your captain tweaking” to the old favorite of finding somewhere to abuse the term “joystick”
2 comments
xxx
14:17:37
9th February 2008
I am worried that our webmaster thinks that the perfect way to keep up to date with what’s going on back in the UK is to read The Sun. For those American readers, I suggest the BBC is a slighty more accurate, if a little less amusing/sexist/racist, view of life over here. Outraged of Oswestry.
Rag
14:25:59
11th February 2008
Ironically the first article where I quoted The Sun was sent to me by a Kiwi. Seems that anyone wanting to find out what’s really going on reaches for the current bun.

Saturday

(Posted 21:09:53 on 2nd February 2008 by Rag)
Saturday morning and time to head out to go house hunting. But not any ordinary Saturday morning to go out for a drive. No, brother Hog ordered himself a car public address system that you connect up and it plays noises (like the noise of a cow) so that you can surprise unsuspecting people. Or so it says on the box. This product is, apparently only available in the US and will only ship to a US address so my brother had it shipped to me and I can then arrange to pass it on to him in the UK - either on my next trip home or by mailing it.

Obviously I couldn't resist the urge to test out this ingenious invention. So I thought, why not video it, so I did. You too can see how amazing this product isn't by clicking on the “Hog Horn” link from the Other Videos page.

Things to look out for:
  • Between the break when I connect it up, I'd practiced using it. Note William's expression when I flash to him
  • On the animal noises, it seems like those that we actually take a guess at (chicken and pig) are actually wrong.
  • Is it me, or is the car's indicator the loudest thing on the video?

Now, what you don't see is that after I turned the camera off, there was actually someone at the side of the road. I hit him with the duck noise and he totally didn't hear it.

Now, now, the other bit that you didn't see was the effort that went into putting this together. We head off on our journey and the windscreen wipers on Karen's car were just leaving a smeary mess on the winDSCreen. I couldn't see a thing out of my side. Karen claimed she could see out of hers, but appeared to be peering between the streaks akin to looking out of a pillbox. I seriously thought this gadget was going to work, so I made her drive back to the car parts shop. I bought two new winDSCreen wipers and stood in the rain for about 30 minutes getting soaked trying to figure out how to fit them. It really wasn't worth it.

Now, now, now, did you know that there is a left and right winDSCreen wiper. No? Well, nor did I. I guess I had a 50% chance of getting it right when I put them on, but odds like that never seem to work out. I believe Murphy's Law intervenes somewhere along the line to considerably reduce the odds below 50% which is why I fitted the new wipers the wrong way round. You can't actually tell from the video as most of the video is just a shot of the speaker on my knee. We drove round for about 4 hours before I realized that I was looking through a brand new widescreen TV and Karen was again peering though the old 14" black and white. I guess I could see so that's all that matters really.
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