Slice of Chaotic Life

The daily life of a celibate middle-aged man.

Archive for the ‘Health challenges’ Category

Enviable illnesses

Posted by Itlandm on March 28, 2012

“I’d love to go out and exercise, but for my health I had better stay on the couch and eat snacks.”

I don’t know about you, but to me that sounds hilarious. It also happens to be true for me. How did I end up in Bizarro world? Let us, in true Bizarro style, start at the end.

I stepped on the bath scales today and found the dreaded number 85 staring back at me. Actually 85.8 kg (189 lbs) but that is still too close for comfort. The actual weight depends on how food I have in my digestive tract at the time, of course, as well as  fluctuations in the water balance of the body. There is always a margin of error. But as I have mentioned before (?), 85 kg is around the weight where my heart will start racing at high speed (sometimes even at max pulse) at more or less random times, although most commonly during or after I take walk. Around 86 kg I experience increasingly frequent palpitations, or so it feels. There is some kind of increasing randomness of the heart at least.

It is to try to find out these two things that I need a Holter monitor, a portable EKG basically, measuring the heart activity in real life activity rather than while lying on my back.  But I can’t get that for a while due to the way health care is rationed here in Norway. So there is no point in triggering these things in the meantime. There may or may not be a risk to having them – I am not a cardiologist, but judging from the Internet they are not regarded as good things exactly – and they are quite unpleasant. On the other hand, I want to be able to provoke them easily when the Holter monitor arrives, which won’t happen if I am too fat. Ideally I should stay around 87 kg, which is usually fat enough to not trigger any irregularities, but something I can easily get rid of in a few days of walking.

But evidently the fattening project has failed me. Yesterday I took a short walk again, just half an hour or so, but of course the commute includes approximately 30 minutes of walking interspersed at various points (10 minutes to work and 20 minutes back, in addition to the bus ride) and then there’s the 20 minutes I walked during the lunch break. So I guess it all adds up. There were definitely some weird feelings about the heartbeats during the afternoon walk yesterday. So I was not really surprised to see my weight had gone down again.

I can’t help but find this amusing. Because I get horribly sick if I eat fat, I have to eat large quantities of carbs and I still can’t gain weight unless I stay very, very quiet. If I hadn’t been sick, I would have struggled with ever increasing fat like most people my age, probably. I certainly was heavier before 2005, and these things usually only go one way. So now I have to eat as much as I can without getting sick, and stay indoors on a sunny evening when the jogging shoes are beckoning.

There are probably literally millions of people who wished they were in my place. Whining about not being able to get fat is like whining about not having enough to do at work. Which, incidentally, I haven’t. My boss is super happy with me and has recently decided to give our team less to do. ^_^ I could have taken more phones, but I conveniently also have an illness that restricts my speaking. And one that restricts my traveling. I am all set! Better living through chronic illness!

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Marching on

Posted by Itlandm on March 24, 2012

As I said in my previous entry, I decided to not exercise unnecessarily, but continue to eat as much as I could. There seems to be a clear connection between my weight and the disturbances of the heart rate. Above approximately 87 kg, there are no disturbances at all. Between 86 and 87 there are palpitations. Once I start to see 85, there is a seemingly random risk of tachycardia (racing heart). So my plan is to stay above 87 kg until just before I’m seeing the doctor again.

Today, however, the weather was so nice that I decided to take a walk. Besides, it is Saturday. That means I am not going to work. My commute includes nearly a quarter of an hour walk each way, and every couple days I also take a walk in the lunch break to shop groceries. So half an hour of walking, I decided, would be just business as usual.

As it happens, I ended up walking for approximately 50 minutes, as I decided to take the long way back home. My pulse was ridiculously low when I started. It was as if I was just ambling around the kitchen rather than walking at a fairly good pace. This is typical when I have not taken any long walks for several days, unless I happen to have an infection. This is where it is tempting to start speeding up. That’s what I did last summer when I triggered a tachycardia so bad I had to be fetched in an ambulance. I ignored my low pulse this time, walking quickly but not pressing myself. The pulse increased to a more believable level after 35 minutes as usual. There was only little palpitation, and they did not appear in the evening either. So this was a triumph. I’m making a note here: Huge success! It’s hard to overstate my satisfaction. ^_^

The sun was shining, the weather was so  warm it could have been May instead of March, except the trees were still black. Or that is what I told myself as I was walking. When I came home, I looked at the outdoors thermometer, and it showed 11 degrees C (52 Fahrenheit). I guess I am still used to the winter!

 

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Heart goes wild again

Posted by Itlandm on March 19, 2012

Palpitations from the morning, on my way home I could feel my heart speed up. It now varied from +30 to +50 above normal speed. (I just came home from work, and put the pulse watch on.) Temperature around 37.5C  (99.5F), the same that made the doctor diagnose influenza when I was in the emergency room a week and a half ago. Obviously I don’t have an influenza that comes and goes. That’s not how influenza works. So all we know is that I have SOMETHING, which makes my heart race and my temperature rise, but we don’t know what.

I called the ER again. They said I could come there in half an hour. But I had a pulse of 150 just standing up. I felt like I was going into shock here. I was not sure I could go that distance unless I got so much better I no longer needed to. Still, when the time approached, I trudged off. Interestingly, my pulse was only a little higher while walking than when standing or sitting. It seems the speed of my heart comes from something else than the muscles needing oxygen. But I don’t know what.

The wait was less this time, and the doctor spoke Norwegian.  She hooked me up to the EKG machine again. I was half sitting instead of lying flat, but the readings were pretty much exactly the same. When sitting normally or walking, my heart does double beats quite a lot today, and has done since the morning. That did not show on the EKG at all. But she could eliminate some dangerous conditions simply from the shape of the graph, which she pointed out for me. So as far as the heart was concerned, there was no need to do anything tonight. She still had no idea what it could be. Not influenza this time. She said it was not sepsis, she had seen patients with that and I did not look the part. (I agree. I mentioned it because of the tooth, mainly.) Besides it is not something that comes and goes. My blood pressure was higher this time, but again not dangerous. (I had been more worried that it would be too low, actually – I felt weak, as if I had somehow lost pressure.)

The ER doctor gave me printouts of both of the recordings (from today and 11 days ago) and a letter to my regular doctor. I could not remember his name, still can’t. So it’s been a while. ^_^ She advised me to call him tomorrow and try to get an appointment this week, for blood tests and to apply for a portable EKG to catch the arrhythmia while I am exercising. (Or just sitting, in today’s case.)

I am pretty sure it is not a mental thing, since I did not panic until after about half an hour. (Same as last time, more or less.) It is first when I continue getting worse and worse for a while that I feel fear. I am a bit ashamed for being afraid of death, but it really is something I think any mammal would feel when the body inches closer to shock.

I am still a bit shaken (and my pulse is still 90-100 instead of 60-70). I appreciate any prayers for my soul. Well, as long as they don’t imply me going to Valhalla or some such.

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Influenza is the new normal

Posted by Itlandm on March 16, 2012

I refer you to my visit to the emergency room a week and a day ago. The doctor concluded that it was the influenza which rages around here at this time of the year, even though I have certainly never heard of anyone having influenza symptoms like that, and even though I have had influenza many times and they never were anything like that. Still, the lady has quite a bit more education and practice with these things than I, so I did not entirely exclude the possibility that she might be right.

She was totally wrong, I think we can safely say by now. Unless influenza lasts for at least 8 days without getting better, worse, or different in any noticeable way.

That said, I have definitely changed in some way from before. I am just not sure whether I changed on that particular day, or earlier, or gradually.

For years and years, my temperature has followed a certain day rhythm: It started at 36C (96.8F) or a little lower in the morning. It increased gradually until around midnight, where it reached or slightly exceeded 37C (98.6F). Well, those days are over: Now it starts at 36 in the morning, rises to 37.2 or 37.3 after work, and falls back to 36.8 at bedtime. So the max temperature is almost the same or perhaps half a Fahrenheit more now, it just falls at another part of the day. What’s up with that?

***

I am definitely stiffer and more achy than I used to be in muscles and joints, and I was already unpleasantly stiff and achy as it was. I assumed this was due to old age. Generally I ignored it, and kept going about my life, including my exercise. The exception was biking, which caused unreasonably much stiffness and ache for so little exercise.

The last few days, I have taken half an hour’s walk after I came home. This fits nicely with the daylight, which now lasts for about that time. My pulse varies from day to day, but only one day (three days ago) was it so high that I decided to go home after barely ten minutes. It was not critical, but 20 beats above normal, so I decided to let my body do whatever it was doing in peace. The day after, the pulse was back to the lower range of what it was before. Next day, in the upper range of the normal. Today, I may well have set a new personal record in  low pulse compared to walking speed. That does not sound like influenza to me, either. I extended the trip to 50 minutes and toward the end got back to more normal pulse. Normal for me, that is.

Something is weird, but I know not what. I think we can write off influenza. The question is, will exercise heal me or kill me? It is all too clear that asking a doctor is utterly pointless. While they do have equipment I don’t, such as the EKG machine, they simply have no experience with treating mutants.  Or whatever I am. Why do I have the pulse of an athlete and the lung capacity of a smoking couch potato? Why do I have high blood sugar but low blood pressure? Why do I become violently ill from eating fat? Why am I usually ridiculously happy unless I have some acute illness at the moment? I don’t think doctors can answer things like that. They have to concentrate on the average person, and I am nothing like that.

Unless something exciting happens again (Light send it doesn’t), I will assume the “influenza” is the new normal, and go back to my 700 calories a day exercise habit. I may also ask my regular doctor whether I can get a prescription for blood sugar measuring equipment now that I have pre-diabetes. It seems a bit absurd to have to wait with checking one’s blood sugar until it is too late.

***

Finally (this is getting too long) I opened the box of fructose today. This hotly debated sugar is sweeter than ordinary sugar, has a low glycemic index (meaning it does not cause a spike in blood sugar) and is the only sugar that is converted efficiently into fat.  That may sound like a bad idea, but remember that I cannot eat fat except just a small taste without falling ill. I do not know whether the effects come from the fat in the bloodstream or in the digestive tract. If I gradually start taking more fructose, I should find out, since it is sugar while in my stomach but is slowly converted to fat in the liver. I habitually warn against fructose, for that exact reason. But fat is not my problem. Blood sugar is.

See, most type II diabetics are fat, to put it bluntly. In a few it is not visible, they contain it inwardly. But in my case, it seems likely that my pre-diabetes comes from eating large amounts of carbs, flooding the body with sugar faster than it can get used or stored. And I intend to continue that way, because eating fat makes me horribly sick. But if I can replace some of my other carbs with fructose, I may maintain my weight (and thus avoid constant hunger and reduced metabolism) but with lower blood sugar.

 

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More flu (or whatever)

Posted by Itlandm on March 13, 2012

It feels kind of bizarre to be held prisoner by a “fever” of barely one degree Fahrenheit (or a little past half a degree Celsius). The truth is that if the doctor had not mentioned it, I would not have thought of it. For all I know I may have had this for a couple days before the sudden illness too. I would never have noticed. I am more stiff and sore than usual, but I am sometimes stiff and sore. I don’t normally measure my temperature unless I feel worse than I do now.

Yesterday I took a walk for half an hour or so. My pulse stayed comfortable the whole trip, rarely ever getting up to 110. But boy was I stiff and sore afterwards, as if I had walked for two hours carrying various stuff. So there really is something weird going on, whether it is a flu or not.

Today I went to work. There was a big upgrade this weekend and the boss’ boss wanted as many as possible in tech support from the morning. Since I was neither sneezing nor dripping, I assumed I could avoid infecting others if I cleaned my hands regularly with alcoholic disinfectant. This went well enough. But I still have that slightly higher temperature when I came home, I am still more stiff than usual, have a shade of a headache and now my nose is actually getting stuffy. If I get a head cold while I have the flu, I should probably stay home to not infect more people. Old people take that bus. I don’t want to hasten their demise! But for now I am just a little bit more human than usual. I could stay like this for the next 30 years and not complain, if there was only me to be concerned about.

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Emergency room!

Posted by Itlandm on March 8, 2012

Today I had one of my rare visits to the emergency room. It started while I was talking the walk after coming home from work. After around 10 minutes, I started feeling a “ring of pain” circling both my stomach and back when I breathed in deeply. Only then, but it was quite pronounced and unlike any pattern of pain I could remember from before. Well, I turned around and started going home, but on my way home my pulse began to increase. It had been low as usual when I started, but got higher and higher and soon approached max pulse, even though I was walking leisurely. When I stopped at the supermarket, it slowed down a bit, but still too high. I called the emergency number, and they put me in contact with the emergency room here in Mandal. At this point, my pulse was lower, although still above normal, so I said I would walk over there.

I did walk there, but my pulse was in the 150s or above much of the way, which cannot possibly be a good thing when I have a resting pulse of 50. By the time I arrived, I felt pretty bad. I was shaking, my hands were icy cold, and my pulse was still racing. I waited like this for a while.  Then I was let into a room and a nurse measured my blood pressure. This did not scare her, although I have no idea what the numbers meant. She took a small blood test to rule out sepsis, I think. It was fine too. This was good, I must admit that had been one of my worries. I still have that tooth abscess after all. If that emptied into the blood, bad things might happen.

After sitting for a while, I got worse again. Shaking intensified, pulse rose, despite sitting in my outer jacket with a quilt over me I was still cold. I was taken to another room where they took an EKG. This showed what I already knew, that the pulse was abnormally high, but they found no other irregularities in it. (For some reason, the palpitations only happen when my pulse is below 120. Thank goodness for that.) So my heart got a clean bill of health again. It is indeed a remarkable heart: Its resting pulse is lower and the max pulse is higher than for healthy men my age. When it doesn’t have one of its irregular days, it is the envy of the neighborhood.

The doctor was Danish. They understand Norwegian easily, since our Book Language is basically Danish with a Norwegian pronunciation. (It is a heritage from when Norway was a Danish province, up until 1814.) It is much harder for us to understand Danish. Those on the south coast have a much easier time with it, the dialect here is closer to Danish and there has been regular contact across the strait here for centuries and still is. But I had a hard time understanding her and sometimes had to shift to English. Ironically, their English pronunciation is only marginally worse than ours.

Every time we conversed, I began shaking. She thought this was because I was scared by the things we talked about, but it happened even when I did not understand her. The real explanation was probably that I could not meditate and understand Danish at the same time, and it was my meditation that kept the shivering at bay the rest of the time. I meditated continuously when not talking, although it was not a deep meditation due to the circumstances.

I was also getting a very slight fever, which increased a little eventually. Judging from this and the available data, the doctor decided it was probably the flu, which is raging around here right now. I have had the flu every few years but never had symptoms like these, but she claims it happens occasionally. Since I later got a faint headache, she may well be right.

I also asked them to measure my blood sugar. It was 7.1 mmol (the European unit of measurement, I believe it corresponds to 160 in the units of Differentland) which is well into the pre-diabetes range. That crushes my hypothesis that strange behavior of my heart comes from having lower glucose levels than it has grown accustomed to. (It was in normal human levels last summer when it last went to full speed.)

In any case, my survival several hours later implies that no internal organs have ruptured, and anything less should probably succumb to sleep, meditation and chicken soup. So I walked home when the original symptoms had disappeared. The ring of pain seems to be gone, the frost and shaking are gone, the pulse is down to about 30 beats above the normal, which is what one would expect from the body battling a virus. So I am cautiously optimistic.

I felt a bit guilty about going to the ER once I realized that it might be just the flu. But providence assuaged my guilt by letting me overhear another person contacting the ER after me. Their emergency was head lice, and they knew it. Your emergency may vary!

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Dysrhytmia continued

Posted by Itlandm on March 6, 2012

Today the road is slippery from half-melted snow again, so I stay indoors after I got home from work. But I might have done that anyway. My heart palpitations are getting steadily worse as the days go by, after I got home from work today they seemed to occur at least once every ten seconds for some while. That is enough that I have to consider getting a doctor appointment again. I forgot the one I had in December last year, as it was months since last time and I had various other things on my mind. It should be easier to remember this time, if the symptoms continue. At least if they continue to get worse.

Palpitations are something almost everyone experiences, and not least in our days when coffee is considered a main food group, at least here in Scandinavia. To further confuse us, nervousness can cause them too, so if you have enough palpitations to make you nervous, they can cause more palpitations. Kind of like love and hate. There is a thin line between love and palpitations if you believe love songs, but that is hardly the problem for me. Rather, the exercise seems to be causing it.

Before the snowfall this winter, my heartbeat was getting so erratic some days on my way home from work that I could not really say whether my real pulse was fast or slow, because it was a jumble of double beat, beats and half beats. And now, after little more than a week with recommended exercise (more than 500 calories extra a day) I am growing closer to this again. This is just not normal, no matter how you look at it.

It probably does not help that I also have bradycardia. There is something just wrong with having a pulse of 50 when I have 66% of normal lung capacity.  I should have noticeably higher pulse than average, but this is as much lower as it should have been higher. So we already know that my heart does not quite know what it is doing, medically speaking. Of course for most people it is only figuratively speaking it is so. I am not quite sure which is the worst.

 

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My heart loves fat?

Posted by Itlandm on February 25, 2012

My heart is crazy. And I don’t mean that in a romantic way. Rather, it is the old blood pump, the organ that more than any other should benefit from me shedding a couple more pounds. It does its best to sabotage it, or so it seems.

See, I used to weigh just over 94 kg (208 lb) for many years. A little more some days, but never much, no matter that I ate what I wanted and moved no more than I wanted to. But then in Easter 2005 I had a mysterious illness, presumably of the liver judging from the symptoms. Since then, I have been unable to digest more than just a little fat each day. I also took up walking up and down hills in May that year, and between these things I lost 13% of my weight, down to 82 kg (180 lb). Not skeletal, but quite uncomfortable, as I was hungry even after meals and had to get up in the middle of the night to eat. So I was rather relieved when I put on a few more pounds, despite eating almost only carbohydrates. (Pasta in particular, lots and lots of pasta. But I also quite a bit of fruit yogurt.) This time my weight stopped on 89 kg (196 lb).

Last spring I started walking for an hour a day or so, mainly to ward off cancer, but later also to keep my pre-diabetes at bay. This is a fun and harmless activity, in general, and gives a great opportunity to think or meditate while walking. But it also causes me to lose a few pounds of weight before my appetite jumps up to compensate. And when I reach 85 kg (187 lb) weird things happen with my heart.

The first, and perhaps not so strange, is that my resting pulse falls. It is normally 55-60, which is pretty decent for a well-trained man (which I am not – I have not run more than a few steps since I was small, due to exercise asthma). When my weight comes down, my resting pulse creeps down to 50 or even below sometimes. That is just plain creepy: For someone with only 66% lung capacity, I ought to have a pulse of 80 or so. But there are no symptoms, so I assume my body is simply trying to save energy.

The next thing that happens is that my heart rhythm starts to get irregular. My heart will randomly beat twice as hard or not at all. This is also something that happens to a lot of people (especially if they drink coffee) and is not fatal in itself. However, people with this condition are more likely to die from sudden heart stop / heart flimmer if they exercise hard. Some people die during marathons and such each year, and these are they. Not much risk of me running a marathon, admittedly.

When any of these things fail to keep me indoors, my heart will suddenly start beating much faster during light exercise, or at random times – often a while after exercise – start racing at its maximum speed. (Around 190 now, I believe it was higher in 2005 when it did the same. That was the last time I was that slim.)  It goes on like this for perhaps 10 minutes, and remains much faster than usual for the rest of the day, even if I sit quietly.

This year I have only had one heart race episode, but the slow pulse and irregular beats seem to predictably occur every time I dip below 85 kg.

I have never heard of anyone else with this syndrome. I mean, I have heard of each of the three symptoms, they are not uncommon and are generally not considered dangerous in moderation. But the combination of them, ticking in one after another each time I lose weight, that is new to me. Then again, we are all unique, aren’t we?

 

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Dentist & penicillin

Posted by Itlandm on February 6, 2012

I went to the dentist for the half-year routine check. This was very good timing, since one of my two synthetic teeth was loose again. I assumed it was broken – it was not the usual one, but still, these things seem to break occasionally. Unfortunately it was worse. An infection had developed between the root and the jawbone, and a dark spot showed on the X-ray. If it gets to develop, the tooth may fall out entirely, root and all. The dentist will refer me to a jaw surgeon for scraping out the infection, and is giving me penicillin in the meantime. I am not sure how effective that is if there is already an abscess, or even whether these bacteria react to it. But it is worth a try, I guess. Tooth root infections are known to leak bacteria into the blood, where they may among other things increase plaque in the arteries.

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Just to have mentioned it

Posted by Itlandm on January 12, 2012

For the last three days, my heartbeat has been a bit strange. I am not sure it is actually irregular, it is more like it is beating harder than usual, but no faster, and kind of “hollow” as if it doesn’t quite get the usual traction. I have this or a very similar feeling when my blood pressure is falling, but I can’t say I notice any of that.

I am feeling fine generally. But maybe I can find a pattern in it later, if there is an opportunity later. I have learned quite a bit from my health whines over the past 12 years, although I don’t think anyone else has benefited from them!

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