Day 4331

Well, I've got two more medical procedures behind me now. I think everything went well. My upper GI endoscopy has the longest name imaginable. Technically the procedure is called a esophagogastroduodenoscopy. The doctor wanted to do a follow-up biopsy of my esophagus when they discovered that I had a condition known as Barrett's esophagus. Very rarely Barrett's esophagus leads to esophageal cancer, so early testing is always wise. I think they discovered why I have reflux issues so often. The upper part of my stomach protrudes into my esophagus a bit. The doctor didn't think this was serious and said most people learn to live with it. Surgical options are available, but I'd rather just learn to eat foods that don't cause reflux.

The Colonoscopy I had done at the same time also went well. They removed one very small polyp from my colon. Polyps are very common at my age, so I was pleased that I only had one. The worst thing about today's Colonoscopy was the prep liquid I had to drink last night. This always seems like an enormous amount of water to drink in a single evening. I was up most of the night. I was hoping that this would be my last Colonoscopy ever, but the doctor said since they found a polyp, I would have to have one more five years from now. I might also need to have one more upper GI endoscopy, depending on the results of today's biopsy.

Hospital visits are always interesting. The administrative part of the visit is always slow and tedious, while the medical part is usually very swift and efficient. I think I sat in the waiting room this morning for longer than it took to do the procedure. When you sit in a waiting room for any length of time you realize that most patients are older and many are extremely overweight. Old people are why health care is so expensive. If we just threw the old people to the wolves, health care would be a lot less expensive. Since I am an old person, I'm happy to get good care though. I do try to do my part to stay healthy. I stay active, exercise a lot, and eat healthy food. No fast food for this guy. It's probably been decades since I've been to a McDonalds.

Janet wanted to vote today, so we stopped at our polling place while she was driving me home from the hospital. It was a cold, rainy day and the only things on the ballot were a bunch of constitutional amendments. No one was actually running for office where we live. You have to be careful when you vote for propositions or amendments. They seem to be worded as obscurely as humanly possible. If you don't read the ballot slowly and carefully, it's easy to end up voting for the opposite of what you intended.

I missed getting a minimum of 10,000 steps for the first time in a long time today. The doctor said it would be OK to take a walk later in the day, but it was raining outside so walking was out of the question. I can't decide whether to leave the pumps running tonight. If the pumps run dry, there's a chance they can overheat, but if I leave them off there's a chance of a roof leak. We need the rain, but rain is never my friend. Rain disrupts my walks, Dawn gets dirty on her walks, and there's always that pesky roof leak.

The Rolling Stones are in town tonight. It's a sign that I'm getting older that I have no desire to sit out in the cold at the Cotton Bowl and hear them in the rain again. Been there, done that. It always seems to rain when the Stones come to the Cotton Bowl.

Puppies are today's Dalmatians of the Day

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Day 4303

It's always interesting to go to a new doctor. I think this one is a keeper. The doctor I talked with today was the same one who removed the stones from my bile duct while I was hospitalized. and discovered that I had Barrett's esophagus. She did a good job of explaining why a second endoscopy and a biopsy of the esophagus was necessary. Evidently Barrett's esophagus is considered a pre-cancerous condition, even though the chances of it turning into cancer are very low. This inflammation of the lower part of the esophagus is caused by years of repeated acid reflux.  I've certainly experienced heartburn for a long time. Chances are the damage was done decades ago.

The upshot is that I go back to the hospital in a few weeks for an upper GI tract endoscopy. As a dubious bonus I am going to have a colonoscopy done at the same time. I knew that my primary care physician would never stop bugging me about the colonoscopy, so I thought this might be a good idea. Hey, I'm always up for killing two birds with one stone. I was somewhat surprised that the doctor agreed and said that doing both procedures at the same time would be no problem.

I don't look forward to being anesthetized again and having tubes shoved up both ends, but I'm a practical person and agree that this is necessary. No matter how healthy you think you are, seeing the doctor more often is just part of growing older. This is the time of year when I'm due for most of my annual exams anyway. I still need to make appointments to see the dermatologist, the urologist, and the eye doctor.

My doctor's appointment didn't stop me from taking my long walk. My new routine is to start the day with our sunrise walk with Dawn, eat a quick breakfast, and then immediately return to the trails for my long six mile walk before it gets too hot. This seems like a good plan even though it doesn't really get too hot anymore. The weather is just much nicer before 11 AM. 

People continue to send me surveys to fill out on an almost daily basis. What is the deal with all these surveys? I get them from the Land Rover dealer, the hospital, various doctors, elected representatives, the electric company, and just about anyone else I've crossed paths with. This is a recent phenomenon. Five years ago nobody asked me to take a survey. I wonder what has changed? Probably everything is driven by big data now and surveys determine what products and services we will get in the future. That's a shame if this is true. The world would be a much better place if people just used common sense to make decisions.

I finally figured out how to get the new medical features on my Apple Watch to work. The good news is that I have a few more graphs to look at in the morning. The bad news is that the batteries on both my phone and watch don't seem to last as long anymore. I've been trying to disable the background app refresh settings on my phone whenever I can find them. These seems to be on by default when you upgrade your operating system. Apple doesn't really care how long your battery lasts. They'd rather just sell you a new phone or computer every couple of years.

I think I'm more or less caught up on things for a while. I haven't heard from the observatory lately, so I'll probably just postpone my next visit until the Spring. I doubt that I'll be returning to Kennedy Space Center this year either. The launches I want to see have all been postponed until 2022. Maybe this is all for the best. It's been an expensive year and I don't have much money left for travel anyway. There's always plenty of walking to do. I'll just walk my way into 2022 and then pick up where I left off.

Lightning is today's Dalmatian of the Day

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Day 4268

I really miss my long walks in the park. These walks provided a much needed sense of purpose. Sure, I was really just killing time, but it was easy to convince myself that I was doing something important. Hey, as you grow older, staying active and healthy actually is important. Sadly, I'm going to have to wait a while until I can get back on the trails. I can take short walks for now, but my doctors say it will be at least three weeks before I'll be able to resume any semblance of my normal activities.

With each passing day I continue to feel a little better. I think I can attribute most of the weirdness I'm feeling now to the Cipro I have to continue taking. Cipro has a number of unfortunate side effects and I seem to be affected by several of them. Cipro is known to cause peripheral neuropathy and I am feeling an odd tingling sensation in my fingers and legs when I am inactive. This may also be caused by poor circulation, since my resting heart rate is curently much lower than normal. I'm blaming the Cipro though. Cipro also causes headaches and I have one right now. Luckily, I was prescribed a short course of this drug. I only have three pills left and I'll be done tomorrow evening.

We are having a mild heat wave. The temperature got up to 97 degrees today. Our sunrise walk with Dawn was fairly normal, but you could tell it was going to be hot later in the day. We didn't take Dawn on a sunset walk because we were afraid the pavement was too hot for her paws. Dawn certainly didn't seem to mind staying inside. I should have stayed home as well, but I felt like I needed to move. I hate being cooped up all day. I waited until it was just about dark and then took a short one mile walk. I was a little tired when I returned home, but I got to see a pretty sunset. I definitely needed the exercise.

Today wasn't very productive. I watered a few plants, wrote a letter to my sister, and made an appointment for later in September to see my gastrointestinal doctor. They want to review their Barrett's esophagus diagnosis with me. I think they'll want to do some biopsies of the esophagus to check for precancerous cells. Unfortunately, this means another hospital visit, but I think the dreaded event is at least three months away.

I wonder where people find the strength to deal with serious illness? My Dad dealt with Parkinson's disease for decades and my sister has been in and out of hospitals for years. I've generally been the healthy one in the family. I did have Hepatitis C but that was the hospital's fault. It's hard to believe now, but hospitals used to routinely buy blood from winos on the street. It's amazing we all lived through the 60's and 70's. In the grand scheme of things, my surgery last week was minor. It has redoubled my resolve to stay healthy though. I don't have that much time left and I want to enjoy it.

Hard to believe that tomorrow will be September. Where did this year go? 2020 and 2021 have all just blurred together. I wonder if things will ever return to normal? Covid boosters will probably be just like flu shots in the future. The work world will never be the same. I never thought I'd see the day when companies of all sizes were begging for workers and the unemployed still didn't want to work. There is a tendency to blame someone else for everything now. Nobody wants to take personal responsibility for their own lives any more. It's all pretty sad. I'm convinced that the country will remain permanently divided and this won't be good for anyone. We live in strange times. I'm just glad I had a chance to grow up in world that was a much better place.

Domino is today's Dalmatian of the Day

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Day 4264

After a long day at the hospital, I'm finally home again. This is the longest I've ever been hospitalized in my life. You learn a lot when you are hospitalized during a Covid surge. Hospitals throughout Texas are operating near capacity. I was placed on a Covid free floor but you could tell that the disease was nearby. The hospital did a good job of keeping Covid patients in a separate part of the hospital. I was initialy treated in the emergency room, but couldn't be admited as a regular patient until I was tested and proved I was Covid free.

Not only did I have my first and only Covid test at the hospital, I was intubated twice. Both procedures required that I be on a ventilator. You are never even aware that this device is keeping you breathing. Most people are out cold when it is inserted. Breathing pure oxygen feels about the same as breathing regular air. You are only aware of the sensation for a few seconds though before the anesthesia knocks you out. Being anesthetized is still a very strange experience.

Large hospitals are really small cities. They are self sustaining, with their own power supplies. The hospital employs thousands of people. I was completely amazed at how many different people were involved either directly or indirectly in my care. Most of these people have good, well paying jobs and they know it. One of the guys pushing me around on a gurney said it took him a full year just to learn how to navigate the huge labyrinth that is the hospital campus.

If you want to see diversity in action, spend a week in a large hospital. I've never talked at length to so many black people in my entire life. It was a good experience. The lead surgeon doing my abdominal surgery yesterday was an Iranian woman. Most of my nurses were black. Lots of people with high level jobs were middle eastern or Indian. There were lots of white people too, but they were not a majority. 

It was interesting to spend a week with these people. I learned a lot. There are definite cultural differences, but it was all good. The young white nurses were very serious about diet and nutrition and were quite specific about what I should eat after I was discharged. One nurse had a Vitamix just like mine and we shared smoothie recipes. The black nurses told me to eat what I wanted and be happy. My favorite nurse told me to be sure to order the brisket for lunch yesterday and I did. It was delicious and of course the meat was full of fat. Everybody asks you to confirm your birthday when they do anything. When two young black guys who were transporting me to the operating room asked me for my birthday I said Juneteenth and they immediately smiled and started laughing. "Juneteenth boy," they said. "That's good."

My hospital journey isn't over yet. When the gastrointestinal team did their thing on Wednesday they discovered that something is wrong with my esophasgus. I have Barrett's esophagus, caused by years of acid reflux. They want to do an Endoscopic resection, which uses an endoscope to remove damaged cells to aid in the detection of dysplasia and cancer. This will take place about three months from now. What the hell. I've gone this far, I might as well keep going. I really do have a terrible problem with acid reflux and maybe these guys can fix it.

I became familiar with medicine by taking good care of dogs. Most of the conditions I was treated for this week were very familiar to me. Spot and Dash both had stones that had to be removed surgically. Dawn had stones as well. Dot had major abdominal surgery and almost died. All our dogs needed special diets at one point of another. The whole process of doing extensive blood work before administering anesthesia was very familiar. Every dog we've ever had has been under anesthesia. Our dogs made this weeks experience less scary to me. I'd been down this road before. I'm a grumpy person by nature and you'd think this weeks experience would have made me mad. It was actually kind of uplifting.  I feel a little better about everything today.

Cammy is today's Dalmatian of the Day

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