Basement Riding to the Mendoza Line

At the doctor’s office yesterday, I weighed 203 pounds, six pounds more than on the very same scale a month ago. Perhaps it is a coincidence but in the last six days I have downed six apple fritters, prescribed by the mental health professionals Rachel C. and Katie B. Suffice it to say, my pants are fitting a tad snuggly. My mood is good though.

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As has been the case since I came home from the hospital, I felt a little better today physically. It snowed overnight. As much as I wanted to go out and shovel the inch of powder, Mrs. Rootchopper would have nothing of it and handled the chore with ease.

For most of the day I hung out reading and waiting for the mechanic to call about Mrs. Rootchopper’s car. The year and a half old battery died. Completely. It won’t even hold a charge. So the mechanics put in a new one. Then they checked the oil and found the dipstick dry. Oops. I hope this is not the beginning of old car syndrome, the affliction that kills both your car and your bank account.

While waiting for the mechanic to finish, I went into the basement and rode Big Nellie. It was my first ride or exercise of any sort since the embolism. I took it easy and noted a number of interesting things:

  • My megamileage base will serve me well. My legs were not the least bit stressed.
  • I felt a distinct cramping in my left calf. I never cramp so I am assuming that what I was feeling was the deep vein thrombosis, the source of the blood clots in my lungs. So there you are you little bugger.
  • About 25 minutes into the ride, I felt the familiar stabbing pain in my right lung. I backed off my pedaling, dropped to a lower gear, and the pain went away. (It’s a 3 out of 10 on the objective pain scale.)
  • I felt numbness in my calves. Since I have nerve issues in my legs whenever I ride my recumbent I thought nothing of it. The numbness went away once I stood up and walked around for a minute.

As I rode I read my book. Oddly, I read much faster when I am spinning my legs than when I am just sitting in a chair. I put the reading to a secondary use. I spent one page on each cog, going up and down the cassette in the middle ring. Then I shifted to the big ring and did the same. At no time was I out of breath but my heart rate was higher than normal for the effort I was putting out.

Big Nellie in the Basement
Big Nellie, Locked and Loaded

All told, I rode 52 minutes. I’d say the equivalent of about 8 1/2 miles at the pace I was going (about 10 miles per hour).

It’s not much, but it’s a start. Now that all the fritters are gone (oink) I can hope to gradually increase my time and intensity on the bike and drift ever so gently back below the Mendoza line.

 

 

 

Old Man Drunk on Apple Fritters

Rachel and Katie – Part Deux

As it turns out Katie and Rachel are the Lennon and McCartney of get-well gifters. It was Katie’s idea to get me the t-shirt that gave me a dose of chronological reality with a side of laughter. Rachel’s part of the gift came in the mail today.

A couple of years ago Rachel did an internship at the Hammer Museum in Haines, Alaska. Food in Haines is expensive unless you want to eat salmon three times a day. In sympathy and in recognition of our mutual love for really unhealthy junk pastry, I mailed her a couple of apple fritters by surprise. She returned fire with a handmade postcard that really knocked me out (despite my rather grumpy appearance in the photos in the link).

I opened the box and pulled out a bag of a half dozen apple fritters. I can assure you that I am allowed to eat these because my blood thinner has virtually no dietary restrictions. It will take some time (mostly to avoid massive weight gain and pancreatic malfunction), but I will set my Old Man determination to the task.

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Six Fritters – Each One the Size of a Saucer

Rachel and Katie kind of gave away the surprise by telling me to look out for a second package. I was half expecting salmon, to be honest. I am pretty sure my letter carrier was happy it wasn’t. (As am I.)

Thanks again you two.

But That’s Not All

When I went to pick up the fritter parcel at our front door, I found, not one, but two boxes. The second package was a complete surprise. It came from my sister-in-law Leah. My in-laws hail from southern West Virginia. I have heard so much oral history in the last three decades from them but it has lacked historical context. Leah’s gift fills the void; it is a book on Appalachian history called Ramp Hollow. (If you are from West Virginia, you know that the title is pretty much perfect.)

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Many thanks Leah. It sits on top of the formidable Rootchopper Tower of PE Recovery Reading on my nightstand. I can’t wait to read it.

A Note on My Health

It had snowed in the night. The light coating made for a pretty early morning. I am grateful that we didn’t get a significant accumulation.

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My Front Yard Early This Morning

I am in no condition to shovel or wovel, even. Mrs. Rootchopper reminded me that the doctors said no bicycling for three weeks. It is unclear whether that applies to geriatric basement riding on Big Nellie. So I will be a good boy and talk it over with my doctor next week. There is also the issue of doing exercises for my back. Most of these are yoga asanas. I seriously do not want to shuffle off this mortal coil while doing a shoulder stand. (I’d give money to see the face of a yoga-mad friend when she heard that I died of acute salamba sarvangasana.)

I have strength but no stamina. Each morning I get up feeling better than the day before but even minor exertion causes huffing and puffing.

I keep hitting the spirometer to increase my lung capacity. You suck on the tube and the blue thingie goes up the metered column. They should put a bell at the top. Not that I have gotten anywhere near the top, much less my supposed goal of 3,250 milliliters of air. Still, it probably warms the heat of many to say that I suck a little bit more every day. (Maybe I could write a book called Ten Percent Suckier.)

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My mental state remains upbeat, although as I get incrementally stronger I can sense some restlessness creeping in. It is already sufficiently annoying that Mrs. Rootchopper has asked me to back off on the caffeine.

I’d rather die.

Just kidding.

 

One Week After

Well, it’s been a week since I experienced the wonderful effects of blood clots swimming upstream from my left calf to spawn in my lungs. It’s a beautiful thing, really. Not.

I’m coming around to accepting this recovery thing. I am a little stronger each day. My health was great then,out of the blue one week ago, it wasn’t.

Yesterday three good-ish things happened. I slept through the night. Basically, I sleep by sitting up against some pillows in bed. Lying on my side was causing some discomfort (not to mention more than a little suffocation anxiety).

Good thing number two, I think, was the fact that I coughed up blood. Eww. Sorry, but I am really surprised that this didn’t happen sooner. It was only a small amount, perhaps a quarter of a teaspoon. The sooner I can get this crap out of my lungs the better as far as I am concerned. (If it becomes a regular thing, or if the amount of blood becomes significantly greater, I have to call the doctors in, just to be safe.)

Good thing number three is my family and I went to another basketball game. I walked up two flights of stairs and was pretty winded. My heart rate went way up. The tachometer was briefly in the red zone. Danger Will Robinson. But after slowly walking a couple of blocks I felt fine. Thank you, bike riding. Inside the Phonebooth (what we call the downtown arena here in DC) I decided to look for my friend Jacques. I walked down the entire 100 level to courtside. There was no sign of Jacques so I walked right back up to the concourse. My heart went thumpity thump thump. Then I walked around the arena to our seats and my heart rate came back down to normal. I made it to my seat without being exhausted like Saturday night. No tears of frustration.

The game itself was a classic. Butler, my daughter’s alma mater, fell behind by 20 points to Georgetown. Then they came back. Bit by bit. The game went into two overtimes and Butler won. My son, who knows sports way better than I do, said that Georgetown has better players but the Butler coach outcoached Patrick Ewing, the Georgetown coach who is in the Basketball Hall of Fame for his stellar playing career. Both coaches are first year head coaches.

We walked back to the car with no ill effects for me. At 11 p.m. I was a little weak, but my spirits were high. It’s amazing what counts as a good day now.

My son leaves today.  He lives on the other side of the world. I am really going to miss him.

My daughter leaves on Friday. I get one more evening with my baby. Then she’s off to London town.

It is cold outside. From the basement I can hear something.

Big Nellie is calling my name.

 

I’ll Take Medical Insanity for $2,000, Alex

  • On the way out of the hospital, one of my doctors mentioned doing an MRI to examine something as a follow up to a CT scan of my abdomen. I thought I heard her say “adrenal” and maybe “renal”. Well, I looked at the scan results. There are small abnormalities on my right adrenal gland (which sits on top of my right kidney) and my right kidney. Since cancers can be precursors to blood clots, the doctors want to investigate further. According to the interwebs, the vast majority of these sorts of abnormalities are benign cysts. It also turns out that one of my siblings has a similar anomaly on his kidney. It’s benign.
  • I didn’t sleep a wink last night. I don’t think it was my lungs. More likely my insomnia was caused by drinking a beer after dinner. This usually messes up my sleep cycle. Suffice it to say, today’s 4 hour afternoon nap was a winner.
  • I also learned that the blood thinning medication that I am on does not break up the blood clots in my lung or leg. The clots in my lung will be absorbed by my body over time. My doctors think this is what happened after the May 2016 episode. In any case, the anti-clotting medicine will keep my body from adding more clots. It took about a week to ten days for my 2016 problems to go away. It’s obvious by my relative lack of progress that the damage this time is far more severe and will take longer.
  • The results from my chest x-ray in May 2016 and the one last week are very different. In the former, my chest is clear; the x-ray shows no abnormality. In the latter there is pneumonia and a partially collapsed lung. This prompted a CT scan to follow up.  The CT scan found the clots that caused all this. Mostly the blockages are in my right lung but there is some blockage in my left.
  • As a practical matter, I feel like I have aged 25 years in less than a week. I have very low energy levels. My breathing is still very shallow. There is good news buried in this. I am not losing my mind from wanting to jump on my bike. Once my kids leave, I am going to start riding Big Nellie for a few minutes at a time in the basement. That will tell me how high I have to climb to get back to normal. And maybe help me defeat the evil Spiro, the Dark Lord of the Lung.
  • Speaking of Spiro, the spirometer, he’s winning so far. The force isn’t very strong in me. I haven’t been able to exceed 2,500 milliliters of air inhaled yet. My target is 3,250. This is for the typical 6 foot. 62 year old. I have no idea what a 9,000 mile bicyclist with asthma is supposed to use as a target so I’ll go with “normal” for now.
  • My mental game remains pretty strong. The first 24 hours were tough but going to see Star Wars and basketball games and hanging with my kids is really helping me stay away from the big red self-pity button.
  • If you talk to me, you’ll find my voice trailing off. I can’t sustain my voice for as long as I am used to. I need a few seconds to reload the air bags. Most people will count this as my personal gift to them.
  • Finally, if this had to happen it’s good that it happened in the dead of winter. When it’s cold and windy outside I enjoy curling up with a good book and a cup of tea. And I won’t lose any warm weather cycling days during my recovery.

Pass the Cookies and Beer

  • I was being a good boy. Except for one holiday party, I had greatly curtailed my alcohol consumption since my bike tour. And I’ve stayed out of the junk food cabinet for two months. So I did the math: much less alcohol + no junk food + daily riding = pulmonary embolism.
  • Sooo, let’s reconsider. My recovery plan: more alcohol + junk food out the wazoo + daily sloth = bicycling fitness monster. What could go wrong?
  • In the hospital, my thinking was all about denial. I am going to get better in record time. No problem. My body, apparently, has other ideas. This is going to take a while. My body gets a little tiny bit stronger by the day. I am, however, a long, long way from being back to anything approaching normal.
  • Ever since the event rides I did in August and early September, I’ve been wondering if something was wrong with me. I went from a bad climber to a horrible climber this year. My 50 States team had to wait for me at the top of every hill. It was embarrassing. Whenever I started climbing, my speed dropped like a stone and I had no ability to get it back. Was I throwing clots into my lungs this summer? Was my strong heart kicking out unnoticed clots for weeks? Whatever the answer, I am betting that I have much more cardiopulmonary fitness than the average PE patient. My doctors were pretty funny remarking on it too. I look like the average man on the street until you measure my vital signs and take an EKG. (Better knock some wood, right?)
  • I’ve been reading, watching movies, watching sports, and hanging with my family. This has really lifted my spirits. If I stop and think about things, my brain goes into weepy mode. Thankfully, it’s nothing like true depression. A tear here and there actually kind of helps. Even having not meditated in several days, I am confident that I have the mental part of this sussed.  I need to be vigilant. Hearing words of support from friends and family and readers helps a ton. I am truly grateful.
  • Spiro, the spirometer, is not my friend. Spiro, you are dead meat. I am coming after you. I may be a wimp now but just you wait. I am going to kick your ass.
  • Since most of the clots and the pleural infarction are on my right side, I can sleep comfortably on my left side, which is how I prefer to sleep. If I turn over onto my left side, my breathing becomes shallow and labored.
  • My family gave me four books for Christmas. And cold weather cycling gear. I won’t make much use of the latter in the days ahead, but the books will come in handy. Once I get some strength back, I’ll be reading with Big Nellie.

    Big Nellie in the Basement
    Big Nellie, Locked and Loaded
  • Tomorrow we go for diner breakfast and the new Star Wars movie. Then I write some thank you cards. And we’ll see about some very light exercise too.

A Proper, if Reluctant, Recovery

After totally botching a recovery ride yesterday, I decided to give it my all today. It being a national holiday, the last one for many weeks (a stretch of the calendar that I call The Long March as if it is comparable to Bataan), I slept in. Then I did what most old farts do, I ate a slow and methodical breakfast and read the dead tree edition of the newspaper. The good folks at the Washington Post had the decency to load up the sports page with baseball stories causing me to cry tears of joy in my Rice Chex.

Next came some web surfing. This is normally utterly unproductive, especially when accompanied by solitaire playing. Today was an exception. I learned (and saw with my own eyes) that the bald eagles at the National Arboretum have produced one egg. You can watch the entire process of egg sitting on the webcams that the U.S Department of Agriculture set up. This is a phenomenal time killer as not much happens for days. It is oddly addictive, however.

Interspersed with eagle watching and solitaire playing, I read some of Bill Bryson’s In a Sunburned Country. It is a funny travelogue about Australia, which I happened to have visited a couple of years ago.

At about 1 pm, I tired of my sloth and jumped aboard Deets for a ride to my local bike shop to have my front derailler looked at. It started throwing the chain to the inside a couple of days ago and I couldn’t get the appropriate adjustment screw to adjust.

Lucky for me there appears to me a time warp going on in DC. It feels like April. Flowers are coming up. Pollen is dusting cars windshields. The sun is warming bicyclists in shorts.

I expected there to be a long line at the bike shop and was delighted to see there was none at all. The mechanic on duty made quick work of the adjustment advising me to put the chain in the biggest gear before fiddling with the adjustment screw. I knew there had to be a trick. The adjustment was free (thanks Spokes Etc.) and I was on the road in no time.

I stopped at the scenic jersey barriers at the Belle Haven Marina for a photo op. Pay no attention to the ugly developments on the far side of the river.deets-at-marina

I rolled into Old Town and could see that the Presidents’ Day parade was still going on. I took the Wilkes Street tunnel from Union Street to check out the proceedings. The air in the tunnel was about 10 degrees warmer than on the street. It was also dark owing to the fact that I was wearing sunglasses.

A walker said hello and used my name. It was Bruce who I worked with until recently. He was dressed in white. Immediately behind him was a group of four or five people including his wife Paula – with whom I still work – dressed in her mandatory black. They looked a bit like Spy vs. Spy from Mad magazine.

I stopped to take in the parade. I couldn’t for the life of me get my phone to work properly to take a decent picture in the glare of the sun. I saw some bagpipers and what looked like Mummers driving itty bitty cars.

Having marched in parades for six years during my military school days I can only tolerate them in small doses. I hopped back on my steed for a slog along the perimeter of the parade and its crowds.

Once I found a street that would take me back home across  the parade route I took it. Slowly. The idea was to recover from the last two days. I took the hilly route home, mostly to test out the derailer. It worked fine.

After 17 miles, I dropped off my bike and drove to Huntley Meadows Park for a quite stroll in the woods. As I drove down the entrance road, I passed dozens of cars parked, an overflow from the normally empty parking lot. So much for solitude. Now I know what there was nobody at the bike shop.

So I bagged the idea of a walk in the woods and came home.

Sometimes recovery happens. Sometimes it is thrust upon me.