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Category Archives: Health

Deadly grapefruit

I bought my evening meal from a Sainsbury’s last night on the way to my hotel. I picked up some grapefruit juice by mistake – I had intended to pick up orange, guess the boxes were close together. Wasn’t too fussed though as I like grapefruit juice.

Whilst eating my food and enjoying the juice back in my room a little late, I got to wondering why I had not had grapefruit juice for a while. I used to drink a lot of it. It came vaguely to my mind that the statins I take to reduce my cholesterol levels (this hotel life style is not great for health eating) had a problem with grapefruit juice. Surely not I thought. Grapefruit is healthy. As I had the tablets with me but no box with information leaflet inside, I called my wife Universities expect good GCSEs plus higher level qualifications b4 to check the small print and sure enough, it says do not eat grapefruits or drink the juice of them.

Too late. I decided that one night probably wouldn’t be a problem. Did a surf this evening to check it out. Oops. Even one glass can be enough to cause problems. Hope I am okay. Obviously not going to drink grapefruit again. Shame.

A few links to articles covering this topic:

About.com
Daily Mail
NHS

Posted via email from kyber’s posterous

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Early morning ice skating and the dreaded lurgy

I had to take a day off sick yesterday, felt really rough and knew I would not be able to focus on work. My current client and project allows me to work at home on Fridays, which is great as firstly, you can generally get a lot more work done as you get fewer interruptions and can concentrate on tasks more intently and secondly, you get a decent weekend as you are home by late afternoon (or even mid-afternoon if you get up early enough and have not calls scheduled later in the day).

However, I had felt a little off colour all week and have not slept well. I did wonder if the hotel room was causing me problems as for some reason the Swansea Marriott had not followed my standard Marriott profile which says to provided me with a feather free room – I am asthmatic and react to feathers somewhat. I finally raised this with them, having not really taken it in properly before, and discovered that they had their own unique profile for me and had not picked up my master profile. They had someone change the bedding for me straight-away and it did help a bit.

The drive home on Thursday night took more energy than usual and I pretty much collapsed at home. My wife had also been a little off colour during the week but my eldest daughter had felt very ill and had had a fever. She had stayed in her room. She was never sick though and we do not think she had swine flu.

My younger daughter had finally got the go-ahead for her physiotherapist to start skating (with due case and attention) again. She had fallen over badly in an ice skating lesson some weeks before and effectively got whiplash. Her trainer was happy to start up with her again but could only offer lessons on Saturday mornings or Tuesday afternoons. The latter were no good as they were too close to school closing time and not practical if my wife was working (although my elder daughter could probably have done the drive). Saturday morning seemed a better bet.

I was not exactly delighted to discover it was to be at 6.45 in the morning – we would have to get here there for 6.30 which meant leave at 6.10 therefore get up at 6am. I normally get up at this time during the week so I can have a swim in the hotel before grabbing a breakfast and hopping on free shuttle bus (or driving in early enough to get a parking space) and have to get up even earlier to be able to drive down to Swansea for a decent time to be in the office. I have little desire to be up at this time on a Saturday. Especially having been off sick the day before. (I agreed with my wife, I would see how I was this morning and she would go if I was not up to it.)

I did manage the early start and whilst still feeling a little weak and woolly managed the round trip ok. Have not done much for the rest of the day though, not least as we are scheduled to head out to see a play tonight. Not sure if we are well enough though…

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Sleep

What is it abou the western world that means so many of us do not get enough sleep. I am tired yet I am still typing away at my keyboard. This must do harm, and it certainly makes me less efficient overall, but I find it difficult to settle down for sleep after a meal late in the day.
 
Perhaps exercise is the key. Not something I have a lot of experience of. I would go for a swim now but the hotel I am in does not keep the pool open all night. Shame. How rare the mood strikes me.
 
Wonder how late I shall get up in the morning. How sad.
 
Nighty night!
 
 
 

Posted via email from kyber’s posterous

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new specs

Had my friendly neighbourhood optician put some new lenses in my existing spectacle frames this evening. The lenses are varifocals to a new prescription so I am going through the usual head mangling process of my eyes (or rather, my brain) adjusting to the changes. Fortunately, the distance part of my prescription has not changed but the reading part has increased a couple of steps so as I walk around, the floor and steps look very strange. Using a computer is particularly challenging as the screen come in at around the mid-point on the specs.

My wife, who works for the optician in question, tells me that a lot of people do not allow enough time for the brains to adjust and give up a bit too quickly. I have been through it often enough to know that I have to give it time., I shall have to suffer a headache or two first though.

We are out to the cinema tonight to watch Terminator Salvation with some friends, and are then off to an Indian restaurant. That shall probably prove to all be a bit of a visual challenge.

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No wonder I am on sick leave

chest infection

I have a particularly nasty chest infection at the moment (never a good thing for an asthmatic like me) and my doctor has told me not to do any work, even at home, until I have completed the course of medicine he  has prescribed and I feel fine again.

Unless I am completely knocked out on bed though, being off sick and not able to work probably stresses me more than doing what work I can. That said, I recognise that I have not been looking after myself this year.

work / life balance

I have been off colour several times this year already although have not taken much time off. I did not even manage a decent break at Easter as I was unwell for three of the four days involved. (I should have had the preceding couple of days off work but we were in the middle of something critical that I had really wanted to see completed.)

The project I am on is big and complex and I have a lot of responsibility. I have had the odd day off because of feeling unwell but should have taken more time to recover as well as being careful about the hours I have worked.

I hate mondays

Mondays were the worst day as after an early morning start to get to the office shortly between 9-10, you had a full day of work and then went off into a senior management meeting that did not finish until 11.30pm (and later for some). More recently these meetings have been less regular, on site (rather than a 30 minute drive away), and finished earlier.

long hours

The rest of the week I was not leaving the office until after 7pm. The hotel was just over the road so after checking in, freshening up, and ordering food, I (like many of my colleagues) would fire up the laptop and get back to it. The arrival of the food would herald a short break and a bit of telly I actually followed for a while. Once the food was gone, I would just “finish off” a few things.

There have been many occasions though when a work colleague has replied to my emails in the early hours of the morning or even instant-messaged me (we have an internal instant messaging system) to check something. We must all be mad.

Tuesday, Wednesday and Thursday all kick-off with an 8am morning-prayers meeting that I have trouble seeing the value in at the moment (these are usually reserved for critsit – critical situation – periods on projects which I do not believed we have reached).

hotel food

The hotel menu is relatively sparse, so some nights I order for delivery an Indian or Chinese take-away (or occasionally go out and collect one myself). Probably one night a week, I do go out with colleagues for a meal (Indian, Thai or Chinese mostly – not keen on Tapas or Italian restaurants too focused on cheese)

exercise and diet

What you will have noticed is missing from the above is any kind of exercise (and I am not a great exponent of the art), little leisure time, and virtually no healthy food. Two years ago, I was swimming every day at 6am. I just do not feel like getting up at 6am any more. I have not been for a swim for over a year, ever since I developed a constant cough that seemed to be made worse by swimming.

family life

My family is not best pleased with me. Given the above, it is not surprising that when I get home on a Friday evening, I am pretty much exhausted and do not want to do much over the weekend. The kids just see me lazing around and not being as interested in what they are doing as I should be and my wife, having not had my company all week, then feels somewhat neglected at the weekends. Not good. Given that for years, I have spent more nights living away from home than living at home, I do sometimes feel that I live two lives. My wife is though very supportive and as understanding as she can be and we also talk a lot during the week. With the help of Skype and the like when I am away, we have in the past all “dined” together – I am eating too late at the moment to make this work. It has certainly given some of my kid’s friends a shock in the past (having not taken much notice of the open laptop in the middle of the dining table at the start of the meal).

changing things

I am now actively trying to work more sensible house. On my last project, which saw me working near Heathrow 5 days a week, I did not get away from the office until around 6.30-7pm on Fridays. I am now trying to leave mid-afternoon on Fridays and sometimes earlier if at all possible. I also arrive later on a Monday than I used to. I am looking at being more protective of my hours in the evening and possibly getting to sleep earlier so I can take up the swimming again.

There was talk of being put up in managed flats rather than living in hotels. One of my colleagues (in fact my boss, working on another project) who was always opposed to living in flat was recently forced to do so and has reported it to be a huge benefit. The flat is fully managed so is cleaned and bedding changed just like a hotel room. He can cook is own food though and please himself. As a direct result of cooking for himself, he has lost a lot of weight (and he is no great cook).

As I expect to be on my current project for some considerable time, I must explore the flat option. That would remove the convenient swimming option from my day though (assuming I ever take it up again).

Photography is one of my main hobbies, so I am looking at both getting out and about and doing a bit more in the evenings now the light is with me and also getting some models over to the hotel for shoots. I notice many other photographers who live in hotels during the week do this.  Obviously, would want it to be clear that nothing sleazy that could bring me or my employer into disrepute was going on.

So, fingers crossed that I get better this week (with the benefit of a long bank-holiday weekend coming up) and can return to work healthy next week and put my plans into action.

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Driving Test

Well done to my eldest daughter (17) for passing her driving test first time. The examiner said that it was one of the best drives he had had for years. She passed with only three minors, one of which was a tactical choice (reversing around a corner: go wide, get a minor; but go narrow and hit the curb, and you fail on a major fault) and the other two were probably down to having a bad cold from me.

The route she took was familiar to her. In fact, she had downloaded all 14 of the test routes (they make the available online!!) and her mother had played the role of the examiner and guided her on all of them. I tried to do my part but became travel sick trying to read the directions.

She said the route was one of the easiest. The examiner was very friendly and happy to talk to her once he realised she was comfortable doing this.

She was the first in her group of friends to pass and so has received a lot of attention. She has already given many of her friends a lift and all are impressed with the quality of her driving. She is smooth and careful and comes over as someone who has been driving for years. She is very observant and keen to learn more.

Fingers crossed that fate is with her and she is not unlucky.

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A photo story

We had lined up a different kind of photoshoot to the usual modelling and portraiture work we do. Namely, we were going to attempt to tell a story.

I had been off sick for a couple of days so was not sure that I was going to be well enough to go ahead with the shoot but on Saturday morning, I felt fine and ready to go ahead.

The model arrived on time with her agent and got straight down to work after signing the paperwork. We had laid out a rough storyboard and knew what shots we wanted, where we would do them and what props were required.

We took many shots and can tell several stories, but this 5 shot version is my favourite although I think that it will be best if it was all black and white.

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Sick for Christmas

Last few weeks at work has seen me surrounded by people suffering from the most horrendous coughs and colds and given my asthmatic history, I have been deeply worried about getting sick.

It looked like I was managing to fight off the bugs though until yesterday. First signs appeared during day  but seemed to damp down in the evening and I walked into town with a colleague for a Thai meal (very poor restaurant). Walked back to the hotel without too much trouble but started to suffer an asthma attack and had a very bad night. It was clear I was going down with the bug  big time so rather than heading into the office this morning, I took the decision to medicate heavily but safely for driving and head home early.

I know tonight will be bad and fear for our canal trip.

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Something strange has happened to my knee

After many many weeks of problems with my knee, a good number of physiotherapy sessions and a difficult holiday… the problems seem to have started to go away of their own accord.

The physiotherapist had decided to refer me  back to my GP with a recommendation that he refer me to a specialist. She thought that the specialist would probably want to insert a small camera into my knee to have a look at what was going on.

The day I scheduled to see my GP turned out to be slap-bang in the middle of his holiday. He is in a large practice so there were plenty of other partners to see but the conclusion was that I would probably be best off seeing my regular GP. So I set my mind to a return visit the following week and set myself up for another difficult week. It was.

At the end of that week though, last weekend, something happened. I was playing with the dogs and slipped off the settee landing hard on by bad leg and folding it (the correct way) underneath me. It was agony which lasted some time. I did not think I would get any sleep but I did.

The following morning, whilst still being a little swollen and sore, my knee seemed able to take my weight better than it had for many weeks.

Indeed, over the last few days, it seems to have got better and better. It is still a problem and feels very vulnerable, but it has definitively improved. Fingers crossed that it continues to do so.

A colleague who does a lot of sport and whose wife is an orthopaedic surgeon has given me advice on better exercises I can now do to strengthen the joint. This involves opening the leg against a resistive strap.

I have to conclude that rather than simply having a torn ligament, something was out of place and the fall to the floor put it back in the right place. (A tear hardly repairs from such an event.)

When I first started to have problems, a colleague suggested that I have the knee properly scanned but I chose to trust the judgement of my doctor and also that of the physiotherapist I found close to where I work. Maybe that was a mistake.

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Training day

Change of surroundings today. Headed into an office in central London for some training.

My current client runs a small bus service for staff between the office we are working at near Heathrow and their office near Paddington station. I hate this service. It takes far too long and makes me sick. No, really. I get travel sick easily. Not a good passenger. The buses do feel somewhat thrown around and I get the distinct impression that the drivers really do not want to be doing the job. So, whenever possible, I avoid this service and use the train.

Using the train though presents one simple issue: how to get to the station. The easiest answer is to park in the client car-park and then take a regular service bus to the station. These bus trips are rather shorter that the client bus service and less troublesome to me. It does mean a little bit of hanging around at each end but as the frequent train services are much faster than a bus, I feel this is justified. I can use my laptop or read on the train – something I cannot do on a bus.

Usually, I like travelling on the Underground. No. Really. If I do not have much to carry, I enjoy seeing so many people forced together and like to observe the interaction between them. However, the Underground does not service the disabled community well (I am a de facto member at the moment because of my knee problems). I have to use the taxis to between stations and offices. On the Underground I can read (papers of documents on my PDA) but I cannot read in a taxi. Generally, the journeys are short so this is not a problem.

I got to one of my company offices in good time for breakfast and to catch up with a few people before signing in to check what was going on. Not much of great import – lots of trivial stuff that just needed a little push.

The training was great. Haven’t done any for a long time (must do something about that). It was not detailed learning, rather more a sharing of current knowledge and protocols on interviewing potential recruits to the business – something I want to help out on more than I have done for a while. Good exchange of experience – as is usually the way when you get a bunch of people from very different projects together.

Afterwards, there was time to catch up with someone who joined the company recently – I am his "buddy" to help him navigate through life in the first 100 days or so. Another arm of support outside of his immediate management and project structures. He is a really nice guy and seems very capable. He came in as an experienced hire and so little has phased him – I was able to use shorthand for most things (he gets it). Should be a great asset to the firm. Always good to hear – may be working with him, doing a job he helps secure, not to mention benefiting from positive share-price impact.

I had stacked up a number of weird problems throughout the project so took the time to meet up with some personal internal contacts to bounce things off of them. I did this partly as a sanity check for myself and also to get some additional ideas on what to do about the problems. It is good to be able to brainstorm a few things – we do not get to do it on the project anywhere near often enough (I probably should do something about this).

Shock of all shocks, I was able to leave central London at a sensible time, get back to my car and head for home. Thus, this gets written at a motorway service station whilst enjoying a decent coffee having checked my work email and responded accordingly.

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Need a camera in my knee

Saw the physiotherapist today. I have not had a huge improvement despite the physiotherapy and the exercise regime I have followed. Having to work in an office all of the time and the nature of my work-day has undoubtedly taken a toll but I would have expected some improvement.

It seems that the best thing to do is get a specialist to look at it. Usually this involves sticking a camera into your knee to have a look around. That will be a new experience. The physiotherapist promised to post a letter to me to take to my GP next week.

As always, the walk back to the office after the physiotherapy session was difficult. However, the fire drill later in the afternoon meant I had had to WALK DOWNSTAIRS (not allowed to use the lift). That was HELL and meant I had lots of pain for the rest of the day. Bad timing or what!!

Sleep tonight will be difficult.

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Not missed

A lot of colleagues had assumed that I had been off sick for a couple of days. A good number were concerned about me. Nice of them. I had of course let those most immediately impacted know I would not be around. I had had a few phone calls but not as many as expected. It seems the work done to prepare for my holiday recently and also the stronger direction I had given to my teams had paid off.

I had gone through a phase where I had got far to drawn into working on a lot of line-management activity, administration and chairing of meetings which is not what I was supposed to be doing. I have just about managed to move away from this most of the time (I have to get involved a few times most days and help people see the light) but generally can now focus again on thinking harder and solving or (more importantly) avoid bigger problems.

I have also been trying hard to protect my knee as much as possible. When it become very painful, it gets difficult to concentrate on work properly, which really annoys me. I generally avoid letting on how painful things are but it is difficult to keep it off my face some of the time and I have had a few mini-blackout moments (I avoid the stairs like the plague not just because they are difficult but because of the danger to me and others a faint represents). The black-outs are caused when I put load on the knee wrongly and I get a sudden extra shot of pain.

One of the things I put a lot of effort into is trying to keep people motivated and a good humorous atmosphere going. Tricky when in pain although no doubt some humour can be gained from this. (The advice of the physiotherapist to avoid sitting for more than half-an-hour and not to walk-around provides good material.)

The project I am working on has been through some difficult times recently and we are not where we want to be. There are good reasons for this and obviously there are things that we could all have done better but a huge amount of terrific work has been done. It is clear that there are some team members who have simply had enough and need to move on. Many others are demotivated at the moment. Working to alleviate these problems takes a lot of time and huge personal effort. Clearly, most of the leadership are suffering from huge pressures at the moment. Keeping things going and avoiding more problems as much as possible is stressful but is what the job is about. Despite everything, I am still really enjoying myself (frustration and stress part and parcel of this kind of work – dealing with them is a key skill). It is great to be working on a the full life-cycle of a delivery project and not having to move off onto another client to do strategy work as I used to.

That said, I am making a conscious effort to leave work at a sensible time of day. I do not want to have to be in the office after 6pm anymore. I had been averaging 7-8pm for a long time and was regularly going on to 9pm. Not good. I have remote broadband and usually do some work in the hotel as well (not much else to do) but it is good to have a break first. I am sure staying at my desk late causes me more knee problems as well. Working long hours is rarely that effective or efficient.

So, was I missed? Well, yes. I always see one of my objective though is to do myself out of a job (there is always another one to do). I am getting there on the current activities.

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A couple of days

With agreement from my boss, I took an couple of days holiday at the begriming of the week. Three reasons:

  1. My knee was really giving me gyp but not sufficiently so for me to justify taking sick leave;
  2. My eldest daughter was due to register for 6th form college on the Monday and I wanted to be certain that there were no problems and she was able to get the courses expected (even though these things are all agreed ahead of time, there is always room for problems and I thought it best to be around just in case);
  3. A chance to spend a day with my wife without the kids around (both back to school on the Tuesday).

Knee

Well, my knee did benefit from some more rest. Physiotherapy has continued but does not seem to be getting anywhere. I suspect I will need to be referred for more investigation.

6th form

Registration for my daughter went ahead without any problems. She is in fact in 6th form at the same school (a selective state grammar school) she has attended since starting her secondary (senior?) education. She is not a great one for change, so this is probably for the best. Girls from other schools have joined the 6th form so there will be some variety – several of these girls were already known to my daughter. They get a lot more freedom on 6th form than in the lower years, which has got to be a good thing at this age.

Some of the new girls will no doubt struggle at the school. They have come from schools with lower results overall and themselves are unlikely in most cases to have matched the averages at their new school where GCSE failure is measured in terms of having anything below an A grade and too few A* grades!

My daughter has already noted some differences in learning styles. At her school, all pupils/students are expected to write detailed notes and mindmaps from their first year there. They are not given a lot of handouts to rely on. It seems many of the other schools do provide a lot of handouts and many of the girls are not used to taking detailed notes during lessons. Wonder if this is a sign of the times, with most people using computers for recording and preparing information – most people do not expect to write much anymore and never expect to have to recreate anything that already exists. It is well proven though that the act of writing things down in your own words aids understanding. learning and retention hugely. I wonder if this is one of the problems in education?

Time for ourselves

I was expecting a reasonably frantic rush for back-to-school day but was disappointed. The kids sorted themselves out and waited for the arrival of friends to join in the mile-or-so walk to school.

We had a leisurely breakfast in bed before heading off to Stafford for some shopping. The best bit was buying a few books in Waterstones and settling down to start reading and chatting with a nice coffee/tea (for my wife) in hand at a nearby Starbucks. Very pleasant.

I made a fantastic soup for lunch and then we went to see a local photographer we had come across online. She is in her 60s, retired a few years ago and took to photography. She is very good. Her landscapes are incredible – full of colour, drama, life. She also does a lot of macro work including both still life and bugs and the like. She had some brilliant photos of bees. She is a member of the local photography club – as are we (I have not been for over a year though because of work commitments) – and has entered (and won) many competitions there so she has a lot of material printed out and nicely mounted.

One of the reasons we had gone to see her was because she has a small studio. This is build into her modest double-garage. We plan to construct a studio as well (firstly in one of the "spare" rooms in the house and later in our huge double (at least) pitched-roof blessed garage. We wanted to see what was involved, how things worked, and get some tips. I even got a chance to use her studio lights for a while. The most surprising discovery was to find how strong the effect is of using coloured gels on lights shown onto a black background. Much stronger than I expected. It is strange changing a black background to blue!

I am very happy with the small battery operated flash-strobes I use, but the power and quick recycling of the studio lights was impressive. Well worth investing in. She had blacked out pretty much all of her garage using black curtaining all-round and  black floor mating. For backdrops though she used a couple of paper-rolls (one black, one white) and a white vinyl backdrop – the latter is because she does a lot of portraiture of dogs so needed something that could be wiped clean. All of the backdrops are permanently fixed to the wall on rollers.

She had a large selection of lenses and let me try many of them out from her living room. I want new high-end zoom lens good enough to replace my 50mm prime lens. She had a good 17-55mm that I liked but I hear that there is a new 24-70 out from Nikon in its professional range. The smaller lens costs around £850 new, the larger around £1100. I need to try them out more.

We headed off after cup-of-tea-and-cakes, a quick meeting with her husband (who is not into photography), and a mild panic about the survival of the kids walking home in the absolutely torrential rain.

After a catching up with the kids on their first day back at school while eating a fine meal, I packed up and headed for my hotel down south ready to recommence work the following day. (Well, that night in the hotel in reality of course.)

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Bath mats and low chairs

My knee felt a lot better after a quite settled weekend that did not require me to do much. The drive down on Monday was nice and easy and a physio session in the afternoon helped me a lot – although, as always, I was very uncomfortable for the rest of the day.

Sadly Tuesday started badly. For years I have ignored the warning in hotel bathrooms to ensure that I use the supplied bath mat before taking a shower. Whilst I thought I was probably safer not using one I concluded that that was probably some kind of self-delusion: in our suing culture it would be unlikely a hotel would bother supplying these things if they did not genuinely believe that they would improve safety.

I suspect they do IF INSTALLED CORRECTLY – which means kneeling down and ensuring that are properly deployed and good and firm. Naturally, Tuesday morning I did NOT do this.

As  stepped into the bath left leg (bad knee) first and started to transfer weight to that leg, the bath mat slipped as did my leg. I did not fall over but the jar to my leg was extremely painful. I did manage a shower but it was not easy.

Generally, given that am a very big bloke, I take extreme care when doing things like stepping in and out of baths. The risk of accidental and significant injury is high if I fall over – any trapped limb is likely be subjected to very high bending forces and breakages or dislocations are likely. Slipping on a bath mat was really annoying.

A colleague later told me that he never used them. When staying in a hotel in Japan some years before, he used to hide the mat somewhere in his room each evening. The following day the mat had always been returned to the bathroom but he enjoyed the game.

I tried to walk the increased pain off but I found the morning really difficult. The final straw came part way through the day when I sat down in an office coffee/meeting area with a colleague. For some reason never explained by our client, the coffee area has a mixture of standard sized round table and matching chairs and low-round tables and similarly low matching chairs. I carefully selected a standard table to sit out and promptly descended into a chair placed at that table that I assumed was standard height (given the colour scheme, vari-focal lenses, and my limited stereoscopic vision – it was not surprising that I made this mistake). The unexpected drop to a lower level caused even greater shock to my knee than the earlier bathmat slip. The colleague who I sitting down with for a meeting said my eyes watered and I said nothing for a while.

The rest of the day was agony. It slowly got worse and worse. I cannot take pain killers generally other than when in hospital because of asthma complications (already suffering because of an anti-inflammation drug).

By evening, my knee was visibly swollen and extremely painful. Sleep proved impossible. The hotel staff were very helpful and supplied plenty of ice on request which did ease things somewhat but I had no sleep.

I took sick leave the following day and stayed in the hotel working on/off as much as I could remotely mixed in with rest and careful exercise of the knee and ice-packs from time to time. My Wednesday evening, the swelling had gone down and the pain was back to a "normal" level. I managed to sleep and return to work on Thursday.

At the physio session on Thursday morning, my knee was checked over very carefully. I had done some more damage but knew what to do. I was warned again about sitting for more than half-an-hour BUT not to put my leg under load. In other words, move your leg around at least every half-an-hour but avoid walking on it far or for any length of time. Not easy to achieve in the job I have and the situation I am currently in.

Fortunately, Thursday was my last day of work before a holiday of a week-and-a-bit. Unfortunately, the holiday we have booked is, essentially, a walking holiday in the Highlands of Scotland. Our plans will have to change to allow me to protect my knee and help it to get better.

The drive home Thursday evening was relatively easy although I had to take plenty of breaks to ensure my leg was properly exercised. I could see that the several-hundred mile drive to the North of Scotland was going to be a challenge.

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Wandering the Internet because I cannot walk anywhere

My knee problems have limited the potential for fun this weekend. The physiotherapist advised me to not sit for more than about half-an-hour without moving my leg BUT to keep off my leg as much as possible this weekend.

Hum. I did think about driving somewhere, hobbling a little way and taking photographs but decided that even that was probably not a good idea.

I have a load of photographs to process but my home-computer is on loan to one of my daughters at the moment until I fix her computer. Don’t feel like doing the fix at the moment.

A few TV programmes recorded on my heavily customised Topfield twin freeview tuner PVR killed a bit of time until the kids decided to get up.

Some work has taken up more time untl my significant other told me to stop working.

Played with the dogs for a while. Then with the fish for a while (well, checked them out).

Finally, I have resorted to doing catching up on some internet stuff like properly trying out the latest version of Firefox and a load of useful addons. I do believe that it is slightly faster and more capable that Opera. A quick google found some sites (e.g. CNET) that had done the comparison rather more scientifically and found this to be the case.

While playing with Firefox, I have rejoined Facebook, created a profile and sent invites to a few people. I also did some updates on Linkedin and I have joined a number of photography related groups on both of these social networking sites.

There were a few outstanding actions I was able to get done on some of the virtual-community style sites I administrate including some tidying up of accounts. The forums have become much easier to manage since moving over to vbulletin (from a British company, no less) – whilst I generally prefer to use open-source software for most things, I have found vulletin has been a wise investment as it has been easier to get support and find other people able to take on admin duties. I still use open-source software for the wikis and the photo sharing sites.

Whilst I am posting some general comments, let me thank the many of you who have taken the time and trouble to feedback to me by email or on one of the feeds. (I still get hardly any feedback in the form of comments on the site itself, which I find interesting – I guess most people use feed services or aggregators and it is a lot of hassle to comment using the form on my site [I could solve this by moving interfacing the comment system to one of the comment services but I have no appetite for writing any php at the moment]).

Now, the thing that has ended up taking most of my time up is the StumbleUpon addin for Firefox. I have been a member of StumbleUpon pretty much since it started but for some reasons never really got around to using it. Today, I told it what I was interested in and it came up time after time with really interesting sites, The latest was to a site with some amazing photos of a sand storm in Iraq.

In complete contrast to finding such photos though, we have just been to see the new Batman movie. Great fun. Completely ridiculous of course, but acted well enough to make it easy to suspend disbelief for the duration of the film.

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My knee hurts

I was in danger of ignoring this for far too long. There was no obvious trauma to explain why my knee started to hurt when I got up after sitting for an hour or so. It first started a few weeks ago and it was a minor inconvenience that I was sure could be walked off.

By the end of last week, I was in considerably pain, my knee (the left one by the way) had swelled up considerably, and any walking was very painful. There were even a few occasions when the flash of pain was such that I blacked out for a moment – not a good idea.

Until the latter part of last week, I had no problems once I was resting in bed but the last few nights found me in discomfort even under these circumstances and this started to impact my sleep.

Fortunately, I managed okay when I went to see Hamlet but the weekend was clearly going to be difficult. I purchased a knee support (lots of Velcro straps) from Boots on Saturday and kept it on for most of the day and in bed the first night. It helped a lot and I was able to drive the family to Wales on Sunday to attend my Father-in-law’s 70th birthday celebration.

My wife’s aunt, also attending, is a recently retired senior physiotherapist and she did a quick check and provided some advice. A key part of this was to see my GP.

Monday morning I delayed my trip down to the Heathrow area by a few hours in order to be able to visit my GP. Got a morning appointment without problems and had a very good consultation. (He even solicited my opinions on "poly-clinics".)

Fortunately, it looks like there is no major problem with my knee but there is some ligament damage and he advised physiotherapy and some anti-inflammation drugs. (Just for fun, the drugs have the potential side-effect of causing some asthma complications. Great!)

Rather then use a local physiotherapist, I said I wanted to find someone close to where I was working at the moment. This meant he had to write to ‘Dear Colleague’ which he said he hated doing.

A quick search on Yell found a physiotherapy clinic on the business park I am located on. What luck! They were happy to take me on and my employer’s medical insurance company were happy for me to use them.

My first appointment was today. Great practitioner, lots of experience, really knew her knee stuff (well, convinced me anyway). Walking to/from the place was probably a mistake though. The return back to the office was not fun and the knee caused me a lot of discomfort. I was thinking that I might have to bail-out of the day and head back to the hotel to rest my leg and do some work from my bed.

I have some simple exercises to do. I need to ensure I get up at least every half-hour BUT I should not walk far (not put my knee under much load, certainly not attempt stairs). She advised me to rest at the weekend – minimal walking, just movement.

I had only been back at my desk for a short while when my wife phoned to say her purse had been stolen whilst she and my youngest were shopping in London.

A bus and train trip to Paddington and back to the office pretty much did my knee in. I could not concentrate on my work and eventually gave up (after five though) and headed for my hotel. Usually I feel guilty leaving the office early – or at least when I have not got done what I planned to complete. This time, I didn’t. Finally, I am giving some attention to my health.

A colleague advised alcohol. I am not much of a drinker these days but I took the advice and am writing this after a fine meal with colleagues and plenty of drink (for me at least). I might well have made a fool of myself, but my knee will probably not stop me sleeping tonight.

My next physio session is booked for Friday – the day I drive home so alcohol will not be an option. Oh well, something to look forward to. Maybe the drugs, exercises and support strap will have done the trick by then and I will be well on the road to recovery.

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Brain op girl – not for the squeamish

I have known many people over the years who have had major illnesses, injuries, addictions, and so on. I have lost many good friends. Some passed as a result of self inflected harm be that drugs, drink driving, or over-exuberant use of a motorbike. Others through bad luck or bad choices.

The worst of circumstances for most of us will be in major disasters or situations of violence. In my younger days, I have been in places I should not have been and ended up wiping the blood and remains of friends off of my body whilst running for cover and wondering "why them and not me".

One of the great things about the kind of job I have is that one is constantly moving between teams, from client to client and meeting new and interesting people (as well as some boring and/or annoying people of course).

I slowly became aware that one new colleague (one of the interesting examples) had a hearing problem on one side. The other side she set to be protected from the noise of the office by sitting next to the window on the last seat in a row. When I finally "officially" became aware of this I was asked if I knew why she had a hearing problem and whether or not I had seen the pictures.

Well, I am not shy about asking directly about such things and have found through the years that the vast majority of people are very matter-of-fact about injuries, illnesses and operations they have experienced and often keen to share something of their experiences. In this case, my colleague had suffered a life-threatening brain tumour fairly recently and had the photographs and a video or two of the operation. She was unusual in the experience of the surgeon in requesting photos/video of her operation.

I was fascinated, as were, it turned out, my children – one of whom had had some surgery on her head herself not so long ago.

The photos showed that surgery had been done through one side of her head resulting in the ear concerned becoming useless. The loss of hearing on one side, and balance problems when pressure changes, she had colds, etc. seems to have been accepted as a small price to pay for surviving.

She had given me permission to publish any of the photos on this blog. So I am. You have been warned.

brain 16-21-01

These look kind of odd to me. At first, you think that you are looking at teeth.

brain 11-44-14 

Here we see a scan showing the tumour.

scan

That is one big growth. It is no wonder that my colleague was suffering balance problems and fainting spells. She is lucky not to have died before the problem was diagnosed.

Finally, we see the ear stitched back in place.

ear

I am delighted that she has shared this material. It is really interesting. I am glad I am getting to know her and hope to know her more over time. She has my respect for fighting back to health and dealing with the pain and difficulties I have no doubt her illness, operation and recovery caused (and probably continue to cause).


[By the way, you can click on any of the photos to get to a slightly bigger version.]

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Swimming again

Last year I had got into a healthy habit of swimming very regularly: pretty much every morning when staying in a hotel and also on Saturday and Sunday mornings at a hotel local to home with my eldest daughter.

Then I got derailed earlier this year by, well, coughing – a bug that went around the office taking many of us out for a week or so at a time. I have continued to have protracted bouts of coughing ever since sometimes to the extent that colleagues have become very concerned about me. This does not go well with swimming – generally it is not a good idea to swim regularly if you have bad colds.

My GP referred me some months ago to see a chest specialist privately but despite being private, I could see him only on a Tuesday or a Thursday which is completely incompatible with work. I suppose I might regret this and I really should put my health first but I have that weird "man-cold"/"not until I am death’s door" imbalance with regard to making a fuss/seeing a Doctor. If the cough becomes worse again, I shall have to reconsider a visit.

Well, back to the headline topic: I went swimming again today. First time for months. Really no excuse when one is in a decent hotel with an excellent swimming pool and changing facilities – it really is not hard to wander down from one’s room when half-asleep to a swimming pool at the the other end of the building.

Admittedly, it was not the 6am visit I used to do (more like 7.30am) but I did enjoy it. The challenge now is to see if I can do it tomorrow and the day after and the day after …

Health concerns in the family give me some incentive at least.

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Ill health in the family

Yesterday was a bad day. I am not at liberty to share information here but I have certainly been given reason to revaluate my lifestyle.

I came home during the morning yesterday, having taken a day’s leave for personal reasons at no notice. I always feel bad taking time off – I know I am not indispensable, but just hate letting people down. There are times when needs must.

The next few days will be difficult. We intend to stick to original plans, not least to keep us occupied, and look at caravans. Yes. Caravans. Not sure I can cope with camping anymore (feel sad about this).

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Another day in the office

Quote of the day:
To get something done, a committee should consist of no more than three men, two of whom are absent. – Robert Copeland

I have a somewhat odd role at the moment. Not unusual for me. This time I have gone from leading some slightly odd development projects as part of a larger programme of work to acting as the trouble-shooter on the more intractable problems that come up as defects during testing in the overall programme. At least, that is the advertised role. In fact I spend far more time nudging things here and there to try and avoid problems later.

The problem with both of these roles is that can be a bit soul-destroying. Dealing with defects is a lose-lose proposition, just like running just about any kind of support desk. No one wants defects in the first place and the longer it takes to solve them the more problems they cause. If you are not seen to be obsessively and obviously working on the defects, it is assumed that not enough is being done, you do not care enough, or you are not following the plot. On the nudging side, no one is interested in what might of happened. You do not get remembered for what you have avoided but what you failed to avoid.

Fortunately, there is a terrific team of people around me who are passionate about getting the job done and who generally trust each other.

I get an odd satisfaction from getting things sorted out and heading off problems here and there. I am also doing a little coaching at the same time. One of the hardest lessons in this game is remembering to focus on the result not on the journey. You do not have to win every argument, persuade people of your point-of-view, take the awards for fixing things. You just need to get the required result. Even if people do not realise you made it happen and you had to swallow a little pride on the way. (Career wise though, you had better make sure a few people realise and that you have some evidence rather than just achieving the required result – not everyone will play as fair in the long run!)

I think many of my colleagues think me a little mad. I try to always be upbeat, happy and positive (whilst maintaining a healthy degree of cynicism appropriate to the industry). I try to enjoy my work. What I do is fun. Despite the job being difficult, frustrating, and wearing it is a privilege. Most days I ask people if they are enjoying themselves. Them seem surprised. My point though is that they should be. They should remember what the alternatives are.

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How hot a curry can you take?

I picked up a Daily Mail in my hotel this morning and it has a couple of pages on the subject of WHAT CAN YOUR BODY TAKE


What is the hottest curry you can bear to eat?

Some like it hot: Prawn curry

The active ingredient in curry or chilli is capsaicin. The more capsaicin present, the hotter the curry. Ordinary Tabasco sauce is about 260 parts per million capsaicin. A habanero chilli contains about 17,000ppm.

Theoretically, the hottest curry you could make would be a bowl of pure capsaicin crystals. This dish would be 10,000 times hotter than a vindaloo.

Although capsaicin does not actually cause a chemical burn or any direct tissue damage itself, the impact on the nervous system of such powerful stimulation is similar to an allergic reaction. As well as incredible pain, you could expect uncontrollably streaming eyes and nose, upper body spasms, and severe difficulty breathing for 30 to 45 minutes.

In fact, our ultimate curry would be five times stronger than the pepper spray used by police for riot control.
Provided you are healthy with no history of heart conditions or asthma, it might be possible to survive a teaspoon of pure capsaicin, but impossible to eat anything else for a few hours.

Theoretical limit: 5g capsaicin


Current record: 0.1g

In 2005, Blair Lazar refined 500g of capsaicin from chilli peppers to create a sauce. He tried a single crystal. “It was like having your tongue hit with a hammer,” he said.


The article itself is taken from the March issue of the BBC Focus Magazine

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My first ever major back-problem

The events in this posting took place commencing around 23rd May 2007 – can’t remember exactly when.

We have had workmen around a lot over the last few months updating the kitchen and then building an en-suite in the master bedroom. One of the things that really irritates me is when workmen leave ladders lying around the place. I imagine an opportunistic burglar is just around the corner waiting for the first opportunity to use such a convenient slip to get into the house though and upstairs window.

I was especially annoyed to see some of the builders had borrowed my own ladders from the garage and left them out at the front of the house so just before we went out for the day, I ran downstairs and grabbed them. Or at least I tried to. It turned out that they were not our light-weight aluminium ladders but very similar looking very very heavy-duty builders steel ladders. I discovered the mistake when my hasty attempt to upright the ladder from a flat position to an upright on one side position ready to grab them properly to carry them to the garage instead resulted in me being jerked towards the floor. It is so rare for us humans to misjudge the amount of force required for every-day tasks that when we do get it wrong it is a big shock. In this case, I felt things happening in my back that should not have happened.

I stretched for a while and then we headed off as planned. Some hours later, sitting on a simple bench out-side of a pub awaiting delivery of my Sunday-dinner, I started to feel a lot more pain and have some difficulty moving. I also developed considerable pains in my right leg.

Getting home proved very painful and difficult. After lying down for a while at home, I found I had to go to the toilet. This proved to be extremely difficult and painful and I found I could not complete the task so to speak. I managed to get off the loo but my back locked with me at about 45 degrees and I was unable to pull my trousers up. Most embarrassing.

With help from my wife, I eventually got decently dressed and upstairs to bed. I was convinced that after some rest I would be fine. I understood that the advice was generally to take pain killers and, with due care and attention, to keep going.

I was due in York he following day. There was no way I could face it in the morning so I made arrangements to travel up later that day. One car journey, two train trips, and one taxi later I made it to my hotel and gratefully sank onto my kingsize bed.

The following day I was very stiff and still in a significant amount of pain. I made it to the office and got on with my work. The pain got worse and worse during the day and I chaired a critical meeting in near agony. I wrote up notes from the meeting afterwards and have since been told that I chaired the meeting well and that my notes were very good. I have no recollection of the meeting or what I wrote.

A colleague helped me to get back to my hotel. I tried to relax and do movements that I was sure helped relieve the pain. Night time became absolute hell. There was one point where I had taken over half-an-hour to get down onto the floor (I had been taught that lying face-down with arms by your side helped relieve pressures on the back) but then found myself stuck. The pain got worse but moving in any direction was excruciating. In fact, I fainted a couple of times.

After hours, I managed to get some control over the pain and began to move again. I had considered calling for an ambulance during the night but had not been able to reach a phone. Now I just wanted to get home. I checked out of the hotel about 4am in the morning. They could not get a taxi for me so I walked (yes, walked) to the station – only about 10 minutes away normally – towing by suitcase. In some ways it helped but it was difficult and took me over an hour.

I got the first train from York to Manchester and there found an open pharmacy in the station and the pharmacist, with due consideration for my general health, dosed me up with a range of pain killers and muscle reliefs that I could use in combination to allow me to get home. I took a train from Manchester to Stafford and then drove home (none of the drugs made be drowsy – on reflection though I was probably not safe to drive; I just wanted to get home).

I did see a doctor the following day. He was concerned. Ultimately though plenty of pain-killers, a really good physiotherapist and lots of very specific exercise as well as 6 weeks off work (longest ever break from work for me – the Doctor was very reluctant to sign me fit for work at the end but I was going stir crazy) sorted me out.

Unless I have an operation (which is risky) I shall probably always have some pain now and I have to be very careful.

The first week of my sick leave was rough. I could not do anything or stay in any one position for more than about 15 minutes (day or night).

It scared me.

My birthday arrived during the early part of my sick leave. Not a great event.

Several weeks later, we celebrated my wife’s 40th birthday in an exclusive castle-hotel but I was unable to take part in most of the celebration because I was still not properly mobile.

I returned to work gratefully and although I had to be extremely careful over the first month or so (and got tired very easily because of the discomfort) and managed to get my work done without further mishap.

Now, many months later, I find that I am pretty much back to normal although with a constant background pain that I have to live with and a degree of paranoia about anything that could hurt my back. For example, I recently switched from driving to the office of my current client (a 3 to 6 hours drive – depending on the traffic) to travelling by train. Train travel is worse because I have to take two bags with me: a suitcase I can tow and a backpack with my computer and key documents. Every now and then I get a reminder twinge to be careful. Gulp.

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Uncle-in-law for 2nd time

My wife’s brother and his wife have become parents for their first time with the birth of a daughter. Several weeks earlier than expected but a good weight and healthy. Obviously needs support on the food and temperature fronts.

My wife’s sister and her husband are also relatively new parents having see their first child, a boy, born late last year. He is suffering at the moment with eczema and a pretty severe case of croup (which always seems horrific to the parents).

Personally, I am pretty glad that our kids are well into the teens. The aforementioned new parents are all a good few older than me and my wife were when our first-born arrived. We know what the parents have coming (worth it for the good times no doubt, but sill something of a roller-coaster).

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Postponing a holiday for work

One of the things I am usually really careful about is ensuring that I take my holidays on time with my family.

I do not generally make much of a song and dance about it, but I do work very hard and very long hours. Although I try to get away from the client offices before 7pm each night, I usually end up doing more work back in the hotel. On top of commuting times at the head and tail of each week, this means the hours really add up and you need to ensure you get your holidays.

Every now and then though things do not go to plan. There is too much to do and something has to give. You miss the odd thing here and there and stuff you thought was being done a certain way or by a certain time you belatedly discover wasn’t. Also, sometimes you have not been told the whole story (things are kept back). You have to remember to keep asking the same questions and lookimg for evidence before putting to much reliance on what you are told. You would think I would have learnt that by now.

Unfortunately, this week is when a number of such gaps caught up with me. No doubt exacerbated by my various laptop problems and ill health last month which took me out of the loop for a while and left me scrambling to catch up.

Thus, I left the client office later than usual on Friday and did not get home until close to midnight. (Thanks to a colleague for dropping me off at a station on their way home that saved me a trip into and across London to get to the right train which would have seen me getting home after midnight.)

I have hyperglycemia and have to eat regular meals but this also got messed up on Friday. The railway station cafes were closed and there was no food available on the train! Fortunately (odd though it may sound) I had so much work to do, I upgraded to first-class, got my laptop out and worked on the train so intensively that I almost missed my stop two hours later. My wife took pity on me and prepared some food for me. A midnight feast!

One of my daughter’s has gone off on a school skiing trip to Austria (and this is a state school! – never did anything like that in my day). My other daughter was expecting some much needed individual attention on a half-term holiday. Breaking the news that I had to work over the weekend and on the Monday (if not more) was not a fun thing to do. My wife and daughter were not best pleased with me. To their credit (and my undying gratitude) they did get over it and switched to being sympathetic towards me understanding that this was the last thing I had wanted to do.

So, I worked very hard on Saturday as did one of my team (thank goodness) who supported me a lot. We used the Windows Net meeting software so we could see what each other was doing and talk through updates together.

Today, Sunday, I have a conference call at 10.30 to see if what we produced yesterday was good enough. I did not sleep last night and am dreading the call in case I find I have gone off in completely the wrong direction and have to start-over or at least have a lot of updates to do.

Fingers crossed. With a bit of luck, only a few minor tweaks will be needed and I can spend some time relaxing today. Tomorrow, I have to go back to London for a couple of meetings and IF things go well, I shall then be able to go off on a belated and shortened holiday.

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The cat has done a runner

We finally have to admit to ourselves that the cat (the only one we had left) has done a runner. Despite being with us for some 9 or so years, she got really scared by the addition of a second dog to the household. This is despite the fact that when the dog was first brought to us by the Dog Trust to test things out, she seemed to hold her own.

She did creep back into the house a few times the first couple of weeks but we have now not seen sign of her for for more two weeks.

The cat was very very fit and healthy (the life in the country obviously suited her) and like most cats, when the going gets tough she showed no loyalty but obviously found somewhere else to live.

As our dogs are regularly let out in the field next door for a run, she must have decided that she could not even stay in the area

I have absolutely no doubt that she is alive an well despite the cold snap. She has remained a very active and effective hunter (that eats what she kills), is smart, and a cat that already spent a lot of time out of doors. She could certainly have found shelter easily and fed and watered herself. I expect she has found another human home.

Although I never really liked cats (much prefer dogs), I do feel somewhat sad (not least because my youngest daughter is very upset – she has known the cat for most of her [my daughter’s] life). I recognise that this is typical of cats. Whilst the there are always stories of the odd cat doing sticking with owners through thick and thin, most show no loyalty and move on as soon as the situation ceases to be ideal for them. You just know that she will not feel bad about things in the way that we inevitably do. I find that all the more irritating.

You can’t help wondering where she has gone and how she is doing though. Damn her!

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