Slice of Chaotic Life

The daily life of a celibate middle-aged man.

Archive for May, 2012

Rainy day

Posted by Itlandm on May 16, 2012

Rain is pretty rare here on the south coast of Norway. So I take it as an opportunity to not actually walk or jog today. This is kind of intentional – although my walking shoes are watertight, I have decided in advance to not walk or jog when it rains, since I anyway should take the occasional day off and these are the best for it. Well, except in the heat of summer I suppose. But that seems pretty far away – except for a couple days after my cardiologist visit, it has been pretty chilly up till now.

It feels kind of strange to sit out two days in a row, but I may well need it. And at least my glycogen reserves should be fully rebuilt after this!

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A day off from exercise

Posted by Itlandm on May 15, 2012

My knees hurt and my legs are stiff from moving too fast without warming up properly. I have reached the age where even my warm-ups require warm-ups. I am sitting out a day.

Conveniently, my digestion is also upset. I seem to react much more strongly to xylitol (the natural sweetener) than I used to. Xylitol is actually a sugar, but is not digestible by humans. I guess my intestinal flora is a bit confused at it too. I used to chew xylitol gum and eat xylitol candy in moderation but pretty much daily during my previous intestinal flora, but after the reset from the broad-spectrum antibiotics I have to be more cautious, it seems. Hopefully it will rebuild soon.

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The tooth is reattached

Posted by Itlandm on May 11, 2012

I went to my regular dentist, which picked out the tooth (this is one of the two wholly synthetic ones, after all), cleaned the spot where it had been sitting (I kind of made this an issue), sterilized the tooth and glued it back on. Cost me barely $200. Between the oral surgery, the various heart tests and artery scans, and now this, there’s a bit of maintenance. But by Norwegian levels, it is not hideously expensive. We don’t have universal insurance for dental works, so that’s the actual price. For other health expenses we get part of them covered by the state-run health insurance. (Technically it is not a tax, but most people think of it as such, since it is mandatory. In any case, I have definitely paid my part so far.)

To be honest, I had the tooth fixed two days ago, on the 9th, but forgot to write about it then. It is much easier to write when there is something to whine about than when something is fixed! A human trait, I still have some of those… ^_^’

My upper jaw still hurts when I wake up from sleep, for some reason. Perhaps I gnash my teeth in my sleep? Let us hope that is not a predictor of my final sleep! In any case, it tends to improve quickly after I get up. And my nose no longer smells like a decaying zombie – that’s bound to be a good thing!

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Blistering

Posted by Itlandm on May 10, 2012

Evidently I made a mistake on Sunday (for a change! ^_^) When I took off my shoes and found blood on my socks, I showered the broken blister for a while, dried it with a clean paper towel, and slapped antiseptic salve, gauze and skin tape on it. This was not ideal, I have found from later reading.

When I grew up, broken blisters were a fact of life, and only sissies whined about them. But these days, it is a quite serious condition, it seems. This is due to more aggressive, multi-resistent bacteria which have spread throughout most of the world over the last decades.

So far, I seem to be doing well enough: There is only a small red patch around the wound in the morning, although walking a lot makes it larger. It is not healing, or at least very slowly: There is still a little red on the gauze each morning and afternoon when I change it, although I think it may be less today.

Perhaps I should go to a doctor, have the wound re-opened and then closed professionally. But 1) there’s probably still a 4 week wait for doctor appointment unless one is at the brink of death, and 2) clinics are where the superbacteria gather. So for now I am just following it warily, dressing it twice a day, and not walking/jogging more than an hour at a time and only in waterproof shoes when it rains.

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Tooth smell

Posted by Itlandm on May 8, 2012

The smell of tooth bacteria, dental plaque, caries, that kind of stuff. Don’t know how it smells? Rub one of your teeth with your finger before you brush in the morning and sniff it. Icky! How do I know? Well, for one thing, I have been shoving the loose tooth back in place when it tried to fall out for two days now. Also, this smell now fills my nose, especially when I swallow, all day since sometime at work. Probably related to the previous problem, but somewhat disturbing in itself.

Probably related to these: A light headache (I would guess the bacteria have crept up in the lower right sinus again) and a feeling of lump or swelling near the top of the throat, also on the right side, probably also courtesy of our bacterial visitors. Luckily it does not seem to impact breathing at all, neither through the nose nor mouth. But quite distracting anyway, especially with my history when it comes to breathing.

On the bright side, it got better after slowly consuming a cup of tea with honey. Mm, honey. Presumably good for your health, recommended by Solomon. Our natural source of fructose. Don’t eat too much of it, says Solomon. I think it was Solomon, it is definitely from one of his books in the Bible. Jonathan, King David’s BFF, also discovered the benefits of honey during protracted battle. Unfortunately he had to die, but for most of us honey is likely to prolong the life.  Besides, it is tasty and filling. And it smells better than teeth.

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Less

Posted by Itlandm on May 7, 2012

I have been writing way too much about way too little. Sorry.

Took just one walk today, the 75 minute route (took about 70 minutes). I’m not feeling as good as I did yesterday, apart from it also being a workday. The pulse went up after about 40 minutes, not to scary levels but more than on a good day, so I did not try to jog after that.

Removed the suture thread from the upper jaw drilling. It seems to have healed fine, but the thread went around the artificial tooth and this now hangs very loose. I have to push it back up all the time. This should not be a problem, in theory. Will talk to regular dentist tomorrow to get appointment.

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Runkeeper day

Posted by Itlandm on May 6, 2012

As mentioned yesterday, the ever helpful people on the other side of the Internet have given away a free Runkeeper “app” for my Android phone (you can also get one for the iPhone, if you’re that classy). It uses the built-in GPS in the phone to track where you run / bike / walk /row etc, and calculate how far and how fast you go. It also, I found out, feels the urge to talk to you every five minutes during the activity, to tell you how long you’ve been at it, how far you’ve gone and how fast. It also quietly counts calories, but has the good sense to not talk about them out loud. Not that I would mind, but I understand calories are a touchy topic for many English-speaking people.

The calorie estimate is much lower than my Polar pulse watch. This is for the most part because the watch includes basic metabolism: If you sleep with your pulse watch on, it will report how many calories you have slept off. Most exercise equipment tries to calculate only the extra calories you spend. If I just sit on the exercise bike and read a book, it will report zero calories, while the watch will report something like 100.

According to my watch, this morning I walked for 1 hour and 30 minutes at an average pulse of 119, max pulse of 146, and burned 850 calories. So that would make about 700 extra calories above relaxing. Runkeeper has a more conservative estimate: After the first half-hour round, it reported 175 calories where Polar reported 300. If we subtract 50 for resting metabolism, that’s still 250 over 175, or over 40% difference in estimate. If Runkeeper is right, this goes some way to explain how long-distance runners can avoid starvation.

(EDIT: At the end of the day, I realized that Runkeeper had somehow set my weight to 38 kg rather than 84. I may have accidentally given my weight as 84 lb rather than kg… That weight would definitely require fewer calories to move!)

I once asked my friends on Google+, some of which are runners, how they avoided starvation. They assured me this was not a problem.  That is not exactly my experience from 2005 – at the end of the year I was hungry even after meals, and woke up in the night from hunger pangs.  That year my weight had fallen from 95 kg to 82. Over the past 12 months now it has gone from 89 to 84, a much more gradual decline, so perhaps it won’t trigger the same reaction if I hit 82 at this speed. It was quite uncomfortable back then, and I have a lot more respect for people who diet than I had before.

Anyway, my second round was abandoned after five minutes when I took off my show and saw blood on my socks. The new running shoes gnaw on the top of the foot. It did not hurt enough to distract me for the first round, but this time I broke off, went home, cleaned and patched up with salve and gauze. Then I switched to the old Asics shoes for the next round. They don’t hurt, but it feels harder to switch from walking to jogging in them. The new ones almost seem to encourage that. I find myself moving naturally faster in them, even when I walk. More likely this is because they are new and springy, not because Mizuno is somehow superior to Asics. I distinctly remember the same feeling with the three previous sets of shoes when they were new.

I walked without asthma medication today like yesterday. My pulse was lower, and despite jogging short stretches I did not have any sign of asthma. As I mentioned, I got up to 146 beats at one point, but mostly I went back to walking around 140. Unfortunately that only takes a short stretch of jogging at this time. Then again this could be related to not having run more than a few steps for 45 years… I have this idea that if I push the boundaries of my comfort zone every week, it will gradually expand, until one day I can jog as long as I want without triggering an asthma attack.  Well, that might have happened if I had started this when I was 23. Now that I am 53, I am not so sure. But it is worth a try. It is not like I have hungry children waiting for me at home or anything.

EDIT:

Ah, evidently everyone can view my walking on the Internet  when I leave this thing running. This could get embarrassing.  I guess I did go overboard on the first day. Quite a bit overboard. I blame it on the “honeymoon effect”. It is not going to become a habit, I am sure. Although it is kind of fun, for something that is not technically a game.

 

 

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Non-Airomir day

Posted by Itlandm on May 5, 2012

Having checked that my pulse was decently low today too, I decided to make a couple half-hour rounds without Airomir, the asthma medicine I took yesterday.

Remembering the warmth of the last couple days, I set out in just trousers and a thin shirt (and the new running shoes, of course). But it was overcast and a chilly wind today. It would still have been OK if I could jog, perhaps. But around the time I had warmed up (ten minutes walking on the first round) my pulse watch had gone weird. It would easily take minutes between each time it updated the pulse, and then it would sometimes give obviously wrong numbers (like 77 or 181, when I knew I was in the 120-140 range). Since it was so unresponsive, but mostly around 130, I did not take the risk of doing any longer jogging, just a short stretch here and there, and otherwise just walking fast.

I still completed the circuit, which usually takes 33 minutes in walking shoes, in 28 minutes. So it does seem I am moving faster than usual, even with almost no jogging. That is interesting. It means my pulse may not be THAT much higher than it should be compared to my exercise. (Although I doubt I really burned 1000 calories in two hours yesterday, especially since I was just pottering around part of the time.)

When I came back inside after the first circuit, the pulse watch suddenly worked perfectly again. I thought the cold might have had something to do with it, and took a second round with a windproof jacket. Since the cold wind was the major problem, I now felt comfortably warm the whole trip. But the pulse watch still became unreliable after some minutes, although not quite as bad as the first time. Bad enough however that I could not follow my pulse when jogging – it might take a minute or two before the number changed.  So I still jogged only short stretches and walked fast for the rest.

Since I did not jog for long, I did not really risk a full asthma attack. I did however get a light bronchial cough and excess phlegm, same as the previous days. There was really little difference with or without Airomir with the current workload. I assume if I started jogging longer, there would be more difference. The pulse watch is a year old, so perhaps I need to change battery in the belt. I can’t do that myself, will have to send it in, which will take some time. I may buy a new and have the old changed at my convenience. Of course, that was what I thought last time too, and mislaid the old eventually before I got around to sending it in.

I have also downloaded an Android app (Runkeeper) which should be able to keep track of distance and speed automatically while I walk, whereas the pulse watch monitors my pulse, time elapsed and calories used. So if I get to use them both, I should have a pretty good idea of what I am doing. But it won’t be today. While I might have been able to take another round (my feet are less tired than yesterday), my digestion is acting up again, so I’m not going anywhere.

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Airomir day

Posted by Itlandm on May 4, 2012

Two years ago, if memory serves, I consulted a lung specialist and got this asthma inhaler, brand name Airomir (active drug salbutamol). It’s a kind of dust or fine powder that I breathe in as deeply as I can, then hold my breath for a while before slowly breathing out. It is supposed to keep the bronchi open. In exercise asthma, there are the twin problems of increased mucus and constriction of the muscles around the bronchi. Airomir keeps the muscles from squeezing together the airways. I don’t think it has any effect on the increased mucus production, but that alone should not be much of a problem.

On Wednesday, I got a “mini-attack” a couple days before the stress test of the heart. At the time, the stress test of the mind was at its height, as I was fighting the programming from my early childhood that told me that I would die if I ever exerted myself. It was something I had come to believe deeply before I was old enough to understand what was going on. And not believe in a theoretical sense, the way most people believe in a religion: I had felt the struggle to breathe many, many times in my early childhood. Those years were like sleeping with your bed standing at the edge of a bottomless chasm. If I dreamed of running, I might or might not survive the night. (Obviously I did survive, or I would not be here to write about it. Not every kid with asthma did, not back then at least.)

Anyway, I used the Airomir inhaler on Wednesday a couple hours before the stress test, and it went well enough. We even tested my lung function after the stress test and it was normal for my age, which it has never been before. So it seemed like a very good thing. I did not use it yesterday, but today I took a puff right after I had come home and checked my pulse.

My pulse was around average, so I was looking forward to finally jogging some more. Yesterday I had to walk most of the way and only jog a little, because my bronchi started to act up when I jogged enough to get a little winded. Today I would not have that problem. What could possibly go wrong? (You know when I say that, something did.)

I drank a cup or so of water and probiotic milk, put on a light shirt and my new running shoes, and set off. Airomir is supposed to be taken about 15 minutes before exercise, ideally, although it can also be taken after symptoms appear. It is more effective to use it beforehand, though, and you don’t really want asthma symptoms if you can avoid them. Now it only took a couple minutes or so before I went outside, but I walked at a normal speed for the first 1o minutes or so, as planned. At this point I was reaching the edge of the town proper, taking a road out along the river. I was looking forward to finally stretching my legs.

That was when my pulse started rising.

Not a full-scale tachycardia attack, like I’ve had four times earlier this spring. It was just that my pulse was faster than it should have been from just walking fast. Normally it is in the range 115-120 at this point, but now it rose to 125 and up toward 130. That is not really a problem, but it was unexpected. I did almost no jogging, and the pulse still increased. After half an hour it was constantly over 130 when walking at a comfortable speed, neither fast nor slow. I slowed down and the pulse did not continue to rise, but I did not get any serious jogging done at all. It was just a 70 minute stroll, really. But my legs felt as tired as if I had moved much faster, too. It was not just my heart. Weird.

Did the Airomir trigger this strangeness? My pulse had been perfectly normal before I started.

The only way to find out is to experiment with and without Airomir some more days. Hopefully there will be plenty of days yet to do so.

Fast pulse is listed as one of the more common side effects (more than 1% of users), but so is restlessness and nervousness, so I would suspect the three of them to be mentally induced side effects (nocebo). As it happens, I did not read the side effects until after I came home. Coughing is also listed, and I did that too, but not really more than I did yesterday. I am not really surprised that I would be coughing after inhaling powder, anyway. It is not something I would normally do.

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Pushing small limits

Posted by Itlandm on May 3, 2012

Yesterday: Stress-tested my heart on an exercise bike, then tried out a new pair of running shoes.  (OK, I did not really run in them. I walked mostly and jogged now and then. But still, it’s a step up.)

This morning: Struck “super-fast regeneration” from list of suspected superpowers. Ouch!

This afternoon:  Why is my pulse back down to vacation levels? Where did the stiffness and soreness go?

So I put on the new shoes again and went on my half-hour circuit. Once I was out of the town proper and had warmed up by walking, I started jogging part of the time. It is not really that much faster than walking, compared to the energy used it actually seems ineffective. It is probably something artificial, I have never seen children jogging. When they don’t walk, they run, not this half-hearted and inefficient movement. On the other hand, it is less draining than an actual run, yet more than a walk. So as an invention for the purpose of exercise, it is actually useful. For people who are out of shape, I mean. For fat people who have walked for enough weeks to not hurt themselves by speeding up a little beyond what walking can do. And for people like me, who have held back every day and every night for over 40 years, for fear of what might happen if we exerted ourselves.

That fear was not entirely misguided since I had, and still have, exercise asthma. It did not trigger during the stress test, but then I had used the inhaler two hours or so before. The short intervals of jogging yesterday afternoon did not trigger asthma either, for some reason. But today I got pretty close. I guess I did jog longer at a time today. And my pulse got up to 140. Normally I have kept it below 125 except very briefly uphill. Anyway, I could feel my chest tightening a bit, and slowed down. On my way home I coughed a bit, but did not go into a full asthma attack with wheezing and stuff.  But if I try this again – and I probably will, unless something very untimely should befall me – I may use the inhaler before I start.

I hate the idea of depending on a drug when it is not absolutely necessary to survive. And I can survive without jogging. On the other hand, the asthma drug is supposedly not habit-forming. Perhaps the opposite: By exercising harder than I otherwise could, my lung capacity should actually expand a bit, so that I would be able to be more active without drug in the future, if any.

Despite the joke from the cardiologist, I am not planning to become some sort of athlete. The purpose of my exercise is to show my body that it is still inhabited, not to impress people. And beside everything else, I would probably lose ridiculous amounts of weight if I could run as much as I walk. I’m already down to approximately 84 kg (185 lb), and the trend is still downward. That is not dangerously low, of course, unless I for some reason have to starve for weeks. But based on my experience in 2005, it is only a kg or two above the level where my body panics and goes into “always hungry” mode, where I am starving even after meals and in the middle of the night. This is unpleasant and probably unnecessary, as my BMI is already now 23.5, pretty much in the middle of the recommended range. And with my inability to digest fat, there is no way I can add another 1000 calories to my day without making my blood sugar even much higher from all the carbs I would eat day and night.

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