Thursday, 25 February 2016

Blog Update 26 February 2016 Leading causes of Australian deaths

Blog Update 26 February 2016 

 

The Following is from the Australian Institute of Health and Welfare. The full page and info is at the following link. It makes interesting reading. It also makes you think about the things that the general public think are our biggest killers are actually wrong and therefore don’t get an appropriate amount of awareness or funding. Bottom line people are dying of things they don’t necessarily need to die from.

 

For those of us with Terminal End Stage Cardiac and pulmonary disease this is frustrating beyond words.

http://www.aihw.gov.au/deaths/leading-causes-of-death/

Leading underlying causes of death by sex

Coronary heart disease is the leading underlying cause of death in Australia, followed by dementia and Alzheimer disease, and cerebrovascular diseases (which includes stroke). Lung cancer and chronic obstructive pulmonary disease (COPD) make up the top 5 leading underlying causes of death in Australia in 2013, for males and females of all ages combined.
Figure 1 below shows the number of male and female deaths contributing to the top 5 causes. Males account for more deaths due to coronary heart disease, lung cancer and COPD. Females account for the majority of deaths due to cerebrovascular disease and dementia and Alzheimer disease. For more leading causes of death by sex see Table S1.

Figure 1: Leading underlying causes of death by sex, 2013

Image shows the number of male and female deaths contributing to the top 5 underlying causes of death (coronary heart disease, cerebrovascular diseases, dementia and alzheimer disease, lung cancer, chronic obstructive pulmonary disease-COPD).
Image shows the number of male and female deaths contributing to the top 5 underlying causes of death (coronary heart disease, cerebrovascular diseases, dementia and alzheimer disease, lung cancer, chronic obstructive pulmonary disease-COPD).




Note: Leading causes of death are based on underlying causes of death and classified using an AIHW-modified version of Becker et al. 2006. International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10) codes are presented in parentheses.
Source: AIHW National Mortality Database (Table S1). 

Leading underlying causes of death by age

The leading underlying causes of death are different at different ages. In general, chronic disease causes of death feature more prominently among people aged 45 years and over while the leading causes of death among 1–44 year olds are external causes such as land transport accidents and suicides.
Coronary heart disease is the most common underlying cause of death in Australia for people over age 45, followed by cerebrovascular disease, cancers, dementia and Alzheimer disease and respiratory conditions.
Suicide was the leading underlying cause of death among persons aged 15–44, and land transport accidents were the leading cause among people aged 1–14.
Land transport accidents were responsible for 14% of deaths among persons aged 1–14, and 23% of deaths among persons aged 15–24, and suicide was the underlying cause of 18% of deaths among persons age 25–44 and 28% of deaths among those aged 15–24.
Among infants, certain conditions originating in the perinatal period and congenital conditions were responsible for most deaths (76%). This was followed by sudden infant death syndrome (SIDS), accounting for 6% of infant deaths.

See more on Premature mortality in Australia. 
Figure 2: Leading underlying causes of death in Australia by age group, 2011–2013

1st
2nd
3rd
4th
5th
Age < 1
Other
Perinatal & congenital
Other
SIDS
Other
Ill–defined causes
External
Accidental threats to breathing
Other
Selected metabolic disorders
Age
1–14
External
Land transport accidents
Other
Perinatal & congenital
Cancer
Brain cancer
External
Accidental poisoning
Other
Cerebral palsy & related
Age
15–24
External
Suicide
External
Land transport accidents
External
Accidental poisoning
External
Assault
External
Event of undetermined intent
Age 
25–44
External
Suicide
External
Accidental poisoning
External
Land transport accidents
Circulatory
Coronary heart disease
Cancer
Breast cancer
Age 
45–64
Circulatory
Coronary heart disease
Cancer
Lung cancer
Cancer
Breast cancer
Cancer
Colorectal cancer
External
Suicide
Age 
65–74
Circulatory
Coronary heart disease
Cancer
Lung cancer
Respiratory
COPD
Circulatory
Cerebrovascular disease
Cancer
Colorectal cancer
Age 
75–84
Circulatory
Coronary heart disease
Circulatory
Cerebrovascular disease
Other
Dementia & Alzheimer disease
Cancer
Lung cancer
Respiratory
COPD
Age 
85–94
Circulatory
Coronary heart disease
Other
Dementia & Alzheimer disease
Circulatory
Cerebrovascular disease
Respiratory
COPD
Circulatory
Heart failure
Age 95+
Circulatory
Coronary heart disease
Other
Dementia & Alzheimer disease
Circulatory
Cerebrovascular disease
Circulatory
Heart failure
Respiratory
Influenza & pneumonia
Note: Leading causes of death are based on underlying causes of death and classified using an AIHW-modified version of Becker et al. 2006. SIDS refers to sudden infant death syndrome. COPD refers to chronic obstructive pulmonary disease.AIHW General Record of Incidence of Mortality (GRIM) books are available for selected leading causes of death.
Source: AIHW National Mortality Database (Table S2).

Classifying causes of death

Leading underlying causes of death are determined by grouping highly specific causes of death and counting the number of deaths assigned to each disease group. Over 14,000 specific causes of illness, injury and death are presented in theInternational Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10). These specific causes are often grouped in a way that is meaningful for public health purposes.
A common grouping is by ICD chapters which are broad categories arranged according to the type of disease, the body system affected by the disease or the circumstances causing death. Each chapter is further divided into blocks of related diseases. Australian cause of death data by ICD-10 chapters and selected causes of death are published in the AIHWGeneral Record of Incidence of Mortality (GRIM) books.
For leading underlying cause of death analysis, however, information needs to be more specific than ICD chapters and blocks. There is no standard method for grouping causes, however, the AIHW follows the recommendations of the World Health Organization (WHO) (Becker et al. 2006) with minor modifications to suit the Australian context. This grouping is a mix of ICD chapters, blocks and specific diseases to maximise information, separate out ill-defined causes and highlight health priority areas.
The leading underlying causes of death presented here are classified using the AIHW-modified version of Becker et al. 2006.


Wednesday, 24 February 2016

Blog Update 25 February 2016

Blog Update 25 February 2016 

Update time : went down to Cairns Hospital a couple of days ago for respiratory follow up. As Usual Dr Brown was excellent is his analysis and explanation as to what was happening. We went through the ct scan of my lungs which showed a few little masses and lesions but he wasn’t necessarily concerned by it as I have greater problems to worry about lol. The story with my lungs is the tissue and everything surrounding them are the problem with a rise in pulmonary pressures.

He believes that it will be my heart that will take me out (nothing new there) and has maintained the 24/7 365 oxygen script that I was sent home with last November. Unfortunately trying to have some sort of functioning life outside of home is difficult with oxygen bottles only lasting a few short hours. The ideal situation would be a small portable oxygen concentrator but as usual like most medical devices the costs are astronomical. The cheapies on Ebay are just too great a risk in case they just don’t work so a lot of the time I just go shopping in the wheelchair without oxygen and have a fun old time not breathing.

Don’t ever let anybody ever try to tell you breathing and sleeping is over rated lol.

Have to admit as strong as I know I am as a person there are times when I would just give anything to kick a footy, play a round of Golf or play a set of Tennis again. Sport has been my life for over forty years and it has been hard to not be involved in any way this past year. I really don’t think that I can live without it so I am trying to figure out a way to get involved. It’s a work in progress.

Next hospital fun will be rheumatology clinic on 9th March. Yay lol.

My old football club “Hermit Park Football Club” in Townsville that I played most of my senior footy career for is coming up to Cairns to play our sister club North Cairns on Saturday 5th March, so I am really looking forward to making the trek down the mountain from Atherton to see the new young generation play.


Chapter 6 of my book is in the process of being written so I will have that posted soon. 

Sunday, 14 February 2016

Chapter 4 Illness and Death (abridged)

Chapter 4
Illness and Death

July 2001 was no fun. There were no health problems at that stage that I was aware of other that the fact that I was a ticking time bomb like so many in our community. Lets face it nobody goes to their doctor and asks for an angiogram just to see how the plumbing is going. There needs to be a reason.

I was doing morning calls out Goodna way (a suburb of Brisbane, Australia) and had just finished calling on Civic Video Goodna when I took a call in my car. My boss was on the phone and said he had the national sales manager and the managing director with him and we needed to catch up immediately. At that stage Paramount Home Entertainment was still working out its expenses after splitting the long standing partnership with Universal Studios known as Cinema International Corporation (CIC-Video).

Unfortunately I was being made redundant. It was a tribute to my standing both in the company but also in the industry that I was given a number of weeks to say my goodbyes to my clients on what was a farewell tour of sorts. As much as I was grateful to be treated with so much respect as so many before me in the industry hadn’t, I was shattered. This was my dream job. I loved it and I had excelled in it. Indeed I had grown up in this branch of the entertainment industry.

As far as payouts were concerned the company did only what it was legally obliged to

do. It was an interesting exercise in what a company will do to cut costs. Despite

being the top performing rep for most of my time in the company and the car being

only recently purchased my expenses were huge. I was told that I had similar

expenses to the managing director of the company which I guess wasn’t that crazy to

hear given the size of my territory and the fact that I actually got around and

physically saw almost all of it.




I travelled through country Queensland, northern New South Wales and had quite a

few Brisbane city accounts at that stage as well. In the early years of my career I also

covered the Northern Territory from Tennant Creek north as well. All this was done

by road. My yearly mileage could be anything from ninety thousand kilometres to in

excess of one hundred and twenty thousand kilometres depending on the year.

So I had to come to terms with it pretty quickly as I needed another job. Like most I had a mortgage to pay and all the usual bills so it needed to be quick. Luckily for me I finished with Paramount Pictures and pretty much started straight away with a company called One Stop Interactive.

One Stop Interactive were basically resellers of electronic goods, computer games, consoles and peripherals. The territory was basically the whole country and I was continually on the road. I quite literally went to almost every city, town and hamlet in Queensland, New South Wales and Victoria with the occasional pop over the border into South Australia. I was doing what I truly loved. I was constantly on the road. The hours were long, the mileage was huge and I loved it. It was hard sometimes dangerous work but I thrived and as always I achieved the results.

After gradually coming to grips with the computer and gaming products after nearly two decades of memorizing the Paramount Pictures and Universal Studios catalogues I was very comfortable in my new role. Then September 11 2001 and the events of that day in New York happened.

Like most people in Australia I arrived at work the next morning after being up all night watching television and at one stage I thought the screen would go to fuzz and we would then see the Australian equivalent to the emergency broadcast system. What had happened was unimaginable in its scale and the first thing I thought was if they were prepared to hit the Pentagon and there were rumours through the night that Washington DC was to be hit then our joint facilities at Pine Gap and North West Cape would be targets. Assuming this was some crazy precursor to world war 3.

Once it was established pretty quickly they were terrorist attacks and the missiles weren’t coming it was back to life as usual. I had a Retravision Victoria and Tasmania trade show to travel to in Melbourne for Friday 14th and Saturday 15th so I needed to fly out of Brisbane on Thursday 13th September. I could not have picked a worse time to jump on a plane.

Thursday September 13 2001 was also the morning that Ansett Australia folded. Being a peak hour morning flight I decided to get to Brisbane Airport a couple of hours early so I could have breakfast ahead of what was going to be a huge day. I was booked on a Virgin flight to Melbourne and after I had parked my car I went to the departure counter to check in only to find a football stadium’s worth of people walking around angry and lost as the staff of QANTAS, Jetstar and Virgin tried to help them out as Ansett was grounded. It was obvious I was not going to get checked in time to go have breakfast. It was not a good start to the trip as I was already spooked about flying due to the events in New York City.

When we finally boarded our flight I sat in row 1 which on most Australian domestic flights is a sought after row because it usually means at least business class. In the case of Virgin it was a full economy plane so just the normal size seats but it did have extra leg room being next to the door so I was pretty chuffed. As we taxied onto the runway to take off the stewardess sat in front of us in the “jump seat”. She smiled at me and the young lady sitting next to me who was clearly nervous flying. As I reassured her, the stewardess reached up to a compartment above her and grabbed a newspaper. This was not the smartest of moves as she didn’t look at what was on the front page which was facing me and my fellow passenger.

You guessed it, a photo of the second plane going into one of the towers. I looked left and saw the young lady was staring at the page and I could feel this was going to be a problem so I discretely coughed to get the stewardesses attention and pointed at the page with my eyes. She immediately turned the paper around and was embarrassed and shocked at what she had been showing us for the past couple of minutes and very sheepishly put the paper away. Then we calmed my fellow passenger and the rest of the flight went well.

I arrived in Melbourne and got things organised for Friday and managed to get a ticket to see my beloved Richmond Tigers play the Carlton Blues in an Australian Football League Semi Final for the Saturday via a friend of my boss at the time. Despite having been to State of Origin Rugby League matches in Brisbane, being at the Melbourne Cricket Ground that day with 84,000 fans of two of the most bitter rivals in sport was extraordinary. The way everyone in the stadium went completely silent to honour the dead from the terrorist attacks earlier in the week was matched only by the annual ANZAC Day tribute at the same venue.

Australia really is the greatest country on earth. We are a free nation with some of the greatest attractions on earth. You get sick we treat you with the best doctors in the world. You fall on your face financially we give you a hand up. You go to war and you are our friend we will be the first country by your side no matter how small our population. What other nation of only 19 million at the time could have pulled off the greatest Olympics ever in 2000.

After the flight home to Brisbane from hell due to the roughest turbulence I had experienced on a domestic flight I made it very clear to my boss that I was happy to go anywhere he wanted me to, but I was driving there. After the events of the previous week despite being an experienced and regular flier I was completely rattled. To this day it still affects me at take off and I much prefer to drive twenty hours to a destination than fly two hours.

Things were going well in the new job and my radio show was travelling beautifully on the Saturday morning timeslot. As we entered the new year of 2002 I suspected things were going to just get better and better. I was in a new job that I was thriving in and had been able to spend Christmas with mum in my hometown of Townsville while at the same time I was able to reconcile my high school sweetheart Dianne with one of her best friends after they had stopped talking after a financial issue. I was doing alright for the start of a new year.

One weekend late in January 2002 I had stepped down a grade in cricket and agreed to help a team of young players out. I wasn’t keen on captaining but I did take on the mentor/coaching role on the field and was loving it. The players respected my role and my experience and I was enjoying being appreciated. Things had been going really well. I was scoring runs and my last bowling spell was 4 for 20 odd when our other bowlers were getting hit around the field. I went home that night very proud of myself and happy in the fact that even in my thirties I could still show the young ones how to do it. That night was one of the hottest summer nights on record in South East Queensland and I was freezing to the point of pulling out a doona and yet I still could not stop shaking. I didn’t know what was happening.

The next day was a Sunday and I was a mess. My right leg was starting to go red and the pain was increasing. I got through the night and went straight to the doctor the next morning. He sent me home with some drugs and said if it started to get worse call an ambulance. Well you guessed it. It got worse

By the next morning I called my doctor and said we needed to do the ambulance thing and I would like to go  to Sunnybank Private Hospital as at the time I had private health insurance. My doctor organised the transport so I wouldn’t be taken to another hospital by mistake. By this stage my right leg was red, swollen and in absolute agony. Turns out it was a very serious cellulitis infection the whole back of my leg starting to ulcerate. It was so creepy it looked like my calf was being eaten from the inside out. I was in hospital on all sorts of intravenous medication for a bit over a week. The recovery took a good two months and I was left with a huge “birth mark” on the back of my right leg to this day.

After recovering from the infection I started to get back out on the road again doing what I loved best. I was effectively on the road for about 3 months straight only getting home halfway through the trip to take care of the usual things like paying bills etc. This trip effectively saw me travel through all of country New South Wales, Victoria and I even popped into Mount Gambier in South Australia for a quick day trip.

After this trip I commenced what was to be a month long trip throughout Queensland. A couple of weeks into the trip I was feeling exhausted. I had been incredibly tired during the previous few months and had fallen asleep whilst I was being shown around the Gippsland region of Victoria by a couple of dear friends. I had also commented to friends back home that I was working myself into the ground at the time and I needed to do something about it. At the time I was working huge hours, driving serious distances, managing a football team at home and also somehow putting together a Saturday morning sports radio programme in Brisbane. Even though I was loving every minute of it, in anyone’s language it was probably too much to continue doing long term.

Up to this point it had been enjoyable to catch up with many of my old clients from the movie days as they also carried computer games and consoles and that gave me a big head start in building up new clientele for this business. Things were going well and on Friday July 5 2002 I had the following week’s worth of calls in Far North Queensland organised. Whilst I worked on the Saturday morning I had the rest of the weekend to spend in my hometown of Townsville and most importantly to spend that time with my Mum.

Sunday morning July 7 2002 I woke up to mum leaving in an ambulance to head to Townsville General Hospital with a heart scare. I couldn’t travel in with her as my stepfather Harry was in the second stage of Alzheimer’s and was getting childlike when under stress so I needed to look after him.  Later in the morning he was happy watching the TV so I thought I would take the opportunity to get a nap in before getting ready for the trip north on Monday morning.

Around 2pm I woke up on mums waterbed with massive pain in my back between my shoulder blades. At first I thought my back just didn’t like the waterbed but very quickly I found out something more serious was happening. I started to feel a pain that was like a blunt object being slowly forced through my spine and into the front of my chest. I picked up the phone and called triple zero (the Australian Emergency call number).

The person who answered started to ask a heap of questions so I cut them off as I could see I needed to get to the end of the very long hallway and unlock the front door. Harry was frozen and scared. He did not know what to do so I had to make sure he was looked after as well. I told the operator that this was not a crank call as they had been there that morning to pick my mum up and I had to leave the phone to open the front door. I said “I think I’m having a heart attack please hurry up!”

The ambulance arrived in minutes and the paramedics did their thing getting me into the vehicle. I told them about Harry and they got on the radio and made sure there were people around there quick to look after him. I started to go in and out of consciousness and have difficulty remembering what happened on the trip to the hospital so some of the rest of this chapter is from medical reports and what close friends told me afterwards.

I was wheeled through the emergency room doors at around 2:20pm and immediately went into cardiac arrest. The paramedics immediately jumped on top of me and proceeded to administer CPR while the medical staff proceeded to get ready to do what they needed to do. The cardiologist on call that weekend was brought in and the doctors in emergency proceeded to work on resuscitating me. The report says that I was dead for 20 minutes and it took 12 to 14 zaps at 350 joules and brilliant CPR to bring me back. This was evident afterwards with my chest bruised and quite burnt from the whacks on the chest and the electric shocks. I would never be more happy to be beaten up. 

Apparently I would normally have been called dead at 10 minutes as the general rule of thumb was brain damage usually occurring at 4 minutes and brain death at 10 minutes. Apparently they kept going as I was young at 33 years of age and there were still signs of brain activity. At the time the medical team reckon after 20 minutes they stopped zapping me and I came back after that. They could not figure out how I was alive in such a hot tropical climate and so long with my heart stopped.

They stabilised me and proceeded to wheel me into the cardiac catheter suite so they could unblock my arteries and stent the blocked vessels. They then placed me in an induced coma and gave me an epidural so I wouldn’t move around in my sleep so to speak. This was done as I had devices implanted near my heart via my femoral arteries to give my body “a rest”.  During the first night a close family friend called my ex fiancĂ© as I had been calling for her in my periods of delirium and advised her as to what had happened and that I wasn’t expected to make it through the night. The reaction from her was to tell him thank you for telling her "I need to get to work now".

After a couple of days I made a miraculous recovery and finally regained consciousness. At this stage nobody knew how bad the brain damage would be. I had been dead for 20 minutes. So the first thing I was asked was where I was. I answered by saying I was at the “brand spanking new Townsville General Hospital” in a strange voice which concerned everyone at the time. As they talked to me more they realised I was high as a kite on the morphine in my drip. To say I was a modern medical miracle was the understatement of the year. Good people and science performed the real miracle. There was brain damage as we would realise later on but I was alive and functional and that is what mattered.

During my 3 or so days in cardiac intensive care word had gotten around my old clients, workmates and peers in the movie game. I started to receive faxes and phone calls from various people in the industry despite me not having worked in the industry for roughly a year. The faxes started to make the nurses wonder who I was as they were all coming through with various studio letter heads. Paramount, Fox, Roadshow, Disney etc. were making the nurses start to ask questions so a friend decided to have some fun while I was out of it so to speak and told them that I was Tom Cruise’s manager. Of course given that I was mostly unconscious during that time I had no idea and was in no position to stop the silliness. It was a source of great mirth later on.

By Friday 12 2002 I was moved to the general ward. A miraculous recovery by any standards. As usual the nursing staff were the usual combination of wonderful caring people, some there for the paycheck and a tiny number who simply shouldn’t be in the job as they are dangerous and just don’t care and don’t want to be there. Thankfully most of the time one gets the wonderful caring ones.

At 5 days post cardiac arrest the hypoxic brain injury was starting to show its symptoms. I had been so weak up to this point that the simple things in daily life were being done for me but now that I was regaining some strength I was noticing that my right arm and shoulder would not move. Before I had a chance to investigate, the worst thing that could happen, happened.

That evening I unfortunately had a couple of nurses who simply shouldn’t be in the job rostered on that night. Thankfully there were really good ones there to balance it out so I did my best to direct any questions or concerns to the good and caring ones. I started to feel pain that was almost identical to the heart attack pain I felt on Sunday. I pressed the button and waited and nothing happened all the while the pain getting worse. I knew something serious was happening so at this point I walked out to the nurses station in agony and told them what was happening. One of the nasty ones fobbed me off and told me to go back to bed. I stood up to her and said no and that I am having another heart attack. If the issue wasn’t as important as it was I would have taken further action against her at a later date but I had more important things to worry about, like staying alive.

One of the lovely nurses could see I was I serious trouble and I was feeling completely abandoned by the very people who were supposed to be caring for me. She took me back to my bed and promised she would do an ECG on me straight away. This would tell us straight away if something serious was happening. She hooked me up to the machine while one of the smartarse nasty ones stood there with a smirk on her face. If looks could kill at this point the look I gave her would have her quite rightly lying in a pool of blood on the floor. The machine went to work and did its reading. The piece of paper came out and everyone went deathly silent. I said I’m having another heart attack aren’t I? The lovely nurse who did the ECG confirmed this while the nasty one just stood there with a very sheepish look on her face.

 The pain was getting worse and the good nurses went into action making calls, giving me the necessary medications to give me the best chance of survival. I was lucky that I was in Townsville because it was the only public hospital north of Brisbane with a cardiac catheter suite. My heart was already badly damaged from the first heart attack 5 days earlier. It turns out that when they went in and unblocked the arteries on the Sunday they had missed some blockages at the back of my heart. The blockages were now causing another major heart attack.

As I was being wheeled to the catheter suite the pain was getting even worse and I was fully aware of what was happening to me. I was truly terrified and scared that I would die this time. Mum had been by my side throughout this but she had her own medical issues and I was scared of what would happen to her when she found out I was having another major heart attack.

I started to cry as I felt it was all over. The poor treatment by the nasty nurses had outweighed the wonderful work by the good ones in my mind. I was scared if they had anything to do with my treatment it was all over for me. I was terrified and my body had been through so much that week but all of a sudden a nurse named Rosa said that she wouldn’t let me die and that nothing like that would happen to me, “not on my watch”.

Rosa’s words were the absolute perfect thing she could have said at the perfect time. I went completely calm and all of a sudden I was ready for whatever happened next.

Once I awoke, first of all I was happy to be alive and secondly I started to realise almost immediately that my life was now changed irrevocably. It seemed that it hadn’t sunk in after the first heart attack but leading up to the second attack and afterwards it was hitting home that my life working as incredibly hard as I used to was no more.

For the next couple of months my recovery was simply getting well enough to be independent and do the things in life that I used to take for granted. The paralysis in my right arm and shoulder was weird but my main concern was finding it harder and harder to breath along with angina pain in my chest. Not having any idea of my future was scary in itself. I found out later that the doctors that were treating me in Townsville had already decided in their own minds that I would need a heart transplant.

During these couple of months in Townsville I still managed to do my radio programme contributions by phone to Brisbane. My partners in crime David and Nathan Kelly and the man who started it with me David Simmons did a sterling job while I was away. I had no idea that something that I only considered a hobby that I did on Saturday mornings would become such an important part of my life. My high school sweetheart Dianne had played an important role during this period by contacting old school friends and advising them what had happened and it was good to see these people as they visited after not having seen some since high school.

My boss at the time traveled to Townsville to meet up and pick up the company car which was disappointing as I was more than capable of driving it home when given the go ahead and nobody else was going to be using it. I suppose at that stage I should have realised what was coming as far as my employment was concerned.

I knew in my own mind I was a strong person and could handle anything that life threw at me and goodness knows it threw plenty at me growing up. Now I was in for the battle of my life. I was entering end stage heart failure.

I was dying.















Tuesday, 2 February 2016

blog update 2nd February 2016

The last few days in the beautiful wet tropics have just been awful. 37 degrees Celsius and 95 percent humidity and virtually no cooling rain. It seems Atherton is in a bit of a rain shadow. especially the part i live in. virtually every town and hamlet on the Atherton Tablelands got cooling rain as would be expected given where we live but we have been missing out.

Not normally something one who lives up this way would have a whinge about but it becomes a problem when almost all of the day you breath via a machine. the oxygen concentrator is blowing very hot air into my nose so the amount of oxygen is less dense and your oxygen sats are down. At night i sleep with a CPAP machine that is currently blowing hot air coupled with the oxygen into my lungs at the same time so it isn't the most comfortable situation at the moment and seems to be bringing on gout and rheumatism. Finding movement more difficult and my hands are aching and sore. Its also making me quite exhausted and slowing down my writing. With a bit of luck i'll get through the next month and the cool weather will be upon us here in the Tablelands again. 

Oxygen therapy review will be coming up at Cairns Hospital on the 18th of February. i need to get bigger bottles as i have spent the last month without oxygen when away from home. 

Hopefully I will be able to get back to writing up my sports blog. Some time ago i started a top 10 Grand Prix drivers of all time essay and i hope to finish it soon. Greatest of all time articles are extremely difficult to write due to the extreme emotion that gets attached to them so it should be interesting to see the response as my top 10 is not what people will think. 

I will also be doing one for sports cars, touring cars, indycars and american stockcar racing. this will take time as i am halfway through chapter 4 of my book so the cooler weather can't come quickly enough. 

Its funny you know being sick and in agony is something i got used to down through the years. Terminal illness does that to you but its those wonderful moments of clarity and energy that you sometimes get at 3 in the morning when its cool and you feel productive. At the moment its the exhaustion, a return of the angina and lack of those wonderful feelings of energy at the strangest hours that i miss right now. The days and weeks are passing so quickly at the moment i'm losing the ability to even plan a week ahead. 

I worry right now that i don't know what to do to feel ready to jump back on the keyboard for a days work right now. 13 years of being kicked in the guts every time you think you are bouncing back medically takes its toll. Right now i would take a pill or a drink or eat anything if it could give me just a few hours respite from this exhaustion. I don't expect anything more grandiose than that as i have accepted what is ahead of me as i have been through it once before. 

Chapter 4 should only be days away if the weather cools a bit :)

cheers

D