A heart attack waiting to happen?

The driver who collected me from the airport this morning was concerned about his health:

As I got into the car he was connected to someone at his Doctor’s Surgery who informed him that there weren’t any appointments available today. Apparently he had been waiting in a queue for 30 minutes. He seemed slightly disappointed but not surprised.

I don’t know what his symptoms were. Fortunately he didn’t volunteer any details and I didn’t ask. Even I have learned that’s not a question to ask close relatives let alone complete strangers. Given I was in his hands for the duration of my trip to the office, and that we were breathing the same air, I hoped it wasn’t anything too serious!

As he drove however I was treated to a monologue on his general state of health and associated concerns. One of the major factors seemed to be his father having a Heart Attack last year, something I could obviously relate to…

Driving a taxi isn’t the most physically active of jobs. Since he started driving about 18 months ago he has put on a lot of weight. In fact, he said he’s put on over 20 kilos. This seems an awful lot of weight to put on in such a short period; it just goes to show what a combination of negative factors can do for you.

Doritos are his major weakness. He eats two family bags a day; one to pass time while waiting on his car, and one at home as a pre-bedtime snack. He felt that he was “unable to give them up”.

There are plenty of more healthy snacks available!

Eating healthily is a challenge for him. He doesn’t like vegetables. Apparently he’s scared of them. To be more accurate, he’s scared of the idea of the taste of vegetables and therefore doesn’t eat them. As he continued to talk about his fear of vegetables, it transpired that due to this fear, he has only ever tried two types.

To his surprise, he actually liked both of the vegetables he has tried; grilled tomatoes and okra. I would therefore put him in the “likes every vegetable he’s ever tried, but hasn’t tried many” camp.

Over the weekend he had been required to help push a friend’s car. He struggled; feeling generally weak, he tired quickly and it wiped him out for the day. An ex-smoker, he doesn’t do very much exercise. He’s often exhausted after a hard day at work, and tends to relax in front of the TV to unwind.

It is recommended that we do a minimum of 150 minutes of moderate exercise each week.

As our journey went on the number of risk factors increased. On one level I felt sorry for him as he was obviously worried and is stuck in a rut. Many aspects of his lifestyle are not that different to how mine used to be pre-Heart Attack.

On another level I wanted to shout at him; he seems fully aware of what he’s doing, not doing and the potential risks, but is seemingly unable to do anything about them.

I sincerely hope he does get an appointment with his Doctor, and I hope his Doctor is able to help him get back on track.

For me it served as a reminder of how easy it could be to slip back into bad habits. Any thoughts of skipping a trip to the hotel gym this evening due to fatigue were quickly erased.

 

One of “those” people

I never used to be one of “those” people. As far as travelling was concerned, as long as I had my Passport and a Credit Card life was good, I was prepared for anything. Over the past year things have changed dramatically.

I wouldn’t describe myself as being “high maintenance”, but my needs have evolved. In order to be comfortable in travel crisis, I now also require an abundant supply of medication and a source of de-caffeinated Tea-Bags.

Essential provisions; severely depleted after a week in the “wilderness”

Following the volcano disruption of 2010, when the eruption of Eyjafjallajökull throwing volcanic ash into the atmosphere and the world’s travel plans into disarray, I think most people are more sensitive to the vagaries of international travel. Irrespective of the length of my trip, I now work on the basis that I’ll be away twice as long as I’m expecting, and for a minimum of a week.

As far as clothes and food are concerned the Credit Card solution still applies. However this doesn’t work quite so conveniently for medication, and I’ve found life is better generally if you have an ample supply of Tea.

Last night my emergency plans were put into action as the last flight from London to Aberdeen, my carriage home, was cancelled. Inevitably it resulted in several hours of chaos and frustration as everyone had to be booked onto new flights and dispatched to a near-by hotel for the night.

Heathrow

The only way to spend an unexpected evening in London!

This was a situation that would have wound me up in the past, particularly given that I am no longer such a valued member of the British Airways Executive Club. The wait was long and tedious but fortunately not life threatening.

This is even more incredible given the airline staff performance was shambolic. You would have thought it was the first time a flight had ever been cancelled. In the past, re-allocation of staff away from dealing with the lengthy and agitated queue may well have been enough to tip me over the edge. As it was I remained calm (although high spirits were a little bit too much to ask for!).

The really good news was that I had a lovely cup of tea waiting for me in my hotel room when I finally got there!

Countdown to L2B

Two weeks today, June 15th, Father’s Day, I will be participating in the British Heart Foundation’s Flagship charity event of the year; the London to Brighton (L2B) bike ride. It’ll be a mere 54 mile jaunt from Clapham Common to the Beach in Brighton, and I’m expecting a quiet affair; just me, my little brother and about twenty-five thousand other people.

Last year’s starting line… while I was enjoying my first day in hospital post Heart Attack.

One of the main reasons for participating is that it will mark the anniversary of my Heart Attack; one year to the day when our lives were momentarily turned upside-down. The fact that I’m not concerned about the physical aspects of the cycle shows how much things have changed since last Father’s Day.  It’s amazing what you can achieve with the right motivation and a little hard work (not forgetting the drugs of course!).

I’m so glad that I decided to take up cycling as the mainstay of my fitness regime.  I don’t remember there being much conscious thought in it at the time… it just seemed like the right thing to do.  As well as getting me in shape, it’s opened up a whole new social dimension, and has re-introduced me to competition without needing to be in competition with anyone but myself.

I am personally aware of several other people that are participating in the event having been impacted in one way or another by Heart Disease. Many people will be there for a fun day out, but there will be a lot of others for whom the journey will be much more significant.  I’m sure it’ll be a special day!

Coincidentally, I lived just off Clapham Common (the starting point for the ride) for about five years when I first left University. It always used to play host lots of community and charity events. Generally I’d watch them from afar with a combination of curiosity and (occasionally) a little envy. It’s not without irony that it’s taken 20 years, a move to Aberdeen and a Heart Attack for me to participate in one.

I’m really looking forward to enjoying the occasion with my brother. It’s been years since we did anything like this (if we ever have). I’m also looking forward to participating in a sporting event with him in which we’re on a fairly level playing field… it’s definitely been a long time since that’s been the case! (Not that it’s a race, of course! Don’t worry Mum!)

Brothers

Philip & I circa 1978. The awesome power in our legs was evident even then!

For those of you who are participating, I’ve included a photo of the 2 of us so you can spot us in the crowd. People say that I’ve got cuter over the years, but I don’t think either of us have changed a bit. You won’t be able to miss us!

Not all rides are made the same

Although the route may be the same, not all rides are made equal:

There are many variables that determine how a ride turns out.  The weather is always a major factor and heavily influences many others, but is by no means the only one.  My physical condition and state of mind play significant roles, as does “the rest of the day” (what has gone before and what is to follow).

Thursday’s ride was a good one.  The sun was out, but the wind had a chill. It was warm enough for shorts, but cold enough for arm-warmers.  My ride took me off the beaten track and into the countryside proper.  Having spent a day sitting behind a desk in a small office, it was great to be outside in the fresh air.

Mother Nature did her bit too; the fields are full of skittish lambs and inquisitive calves.  The birds were out in force at all altitudes. Small birds danced through the hedgerow as a lapwing called out overhead.  A pair of pheasants proudly strutted their stuff down the centre of the road until they realised they were being watched, at which point they disappeared in a flap.

This field of cows were particularly inquisitive. Have they not seen a man in Lycra before!?

I turned a corner and found myself face to face with a small deer, quietly minding its own business in the centre of the road. We exchanged pleasantries before it ducked back into a copse of trees.

It was all going on, and provided a perfect backdrop for my ride.

***

Rides are not made equal, and the same goes for roads:

As a driver, I pay little attention to the roads I travel along.  Unless there is a significant issue, a deep pothole, or loose surface, it’s really of little relevance to me.  As a cyclist however the roads are much more of a factor.  This is understandable given I can quite literally feel the road through the seat of my pants, and because the speed of movement (or lack thereof) there is plenty time to reflect on it.

When asked about most roads, I’m sure the first thing that comes to mind for most cyclists is the condition of its surface.  Cycling on a smooth piece of tarmac is bliss; resistance is eliminated as every stroke of the pedal is fully rewarded.  Unfortunately this is a rare exception.  The roads I frequent tend to offer up more than their fair share of hazards; potholes and bumps, uneven surfaces and sunken grates.  Look around at your peril!

Occasionally, an optical illusion makes a climb deceptively easy, providing the sense that I’ve suddenly developed super-strength and stamina.  There are a couple of routes that I regularly follow that have such hills; they never fail to delight, providing moments to savour.

Of course the general surroundings, the scenery and wildlife, make a big difference too.  There are some stretches that just feel good.  If I’m honest, a sense of achievement also helps with the “feel good factor”, whether it’s a building sense of momentum on a gradual descent or cresting a challenging climb, the surroundings can never be considered in isolation.

There are variable factors too.  As my mind drifts, a thought might enter my head and occupy me for a few miles.  If that’s the case, even the longest, most soul destroying stretch of road can pass in an instant.  As my mind wanders, the miles roll by and time evaporates.  It takes time to cycle long distances, but it often doesn’t feel like it.

It sounds a bit sad, but as I’ve wound around the Aberdeenshire countryside I’ve discovered one road anomaly that gives me particular pleasure:

From time to time, a road will disappear into the distance and (at the same time) re-appear in the distance, seemingly unconnected to the stretch of road I’m on.  It’s only some time later that the route becomes joined up, “whole”.  Usually I only catch a fleeting glimpse as I roll along. Blink and I miss it.

A prime example of the “orphaned road” anomaly.

Over the weeks I’ve developed some rules around this:

  1. The ride has to cover both sections of road. If you don’t cycle along it, it doesn’t count.
  2. You have to be able to see the road surface. Simply seeing a vehicle on a road in the distance isn’t enough.
  3. It has to be the same road. There can’t be any junctions between the sections.
  4. The further away the “orphaned” section of road is the better.

Seeing these orphaned sections of road reminds me how lucky I am. I can’t imagine they exist in urban settings as buildings would get in the way.  The anomaly generally requires changes in elevation and a winding road, both of which make riding more interesting anyway.  I’m fortunate to have such beautiful and interesting surroundings to cycle in!

I’m sure there are places in the world where the phenomenon occurs more regularly, but to my mind the infrequency makes it even more “special”.

***

As I said, Thursday’s was a good ride!  Hopefully there’ll be many more as the summer unfolds!

A disappointing outing

Saturday’s ride was intended to be a strong. solo challenge.  The plan was to combine a couple of stiff hills into a new route of just over 70 miles.  I was familiar with the individual legs of the route so I was comfortable with what I was taking on.  In fact, I was more than comfortable, I was looking forward to it.

Intended Route

The intended route… a solid solo outing

 

As it turned out, it was a less pleasant experience than I had hoped.  I guess the writing was on the wall when I hobbled out of bed to get ready for the ride…

My pain had begun on Wednesday when I went to the gym rather than cycling to “break in up a bit”.  I’m keen to get back to some balanced exercise rather than only ever going out on the bike, so I did some aero exercise on a Cross Trainer and some light weights.

I never feel like I’m working particularly effectively when I’m at the gym.  I either feel like I’m pushing myself too hard and unable to maintain the effort for very long (which is really not very good for me!), or I feel like I’m too comfortable and not really getting a huge amount of benefit from it.

Wednesday felt like the latter.  I worked up a sweat, but that was about it.  On Thursday morning, however, my calves let me know that I’d done something different.  It wasn’t anything serious, they only hurt when I tried to stand or walk.

Having been able to continue about my everyday business, including an hour on the Turbo Trainer on Thursday, I assumed that my legs would loosen up once I was out on the bike.  Unfortunately that wasn’t the case.

Despite easing myself into the ride and stretching at every opportunity my legs wouldn’t cooperate.  They were tight and painful.  As I approached the bottom of the biggest climb of the day I had to make a decision; My outings generally have a number of “opt out” options, points at which I can choose whether to turn for home or continue on my way.  [Generally these serve as a psychological boost as I head on feeling good about myself.]  The climb would have taken me out into the countryside and also committed me to a second stiff climb.  So the decision was:  Should I ignore my legs and plough on, or not?

I decided “not”.  I like to think this was a grown up decision rather than me just wimping out, but I didn’t feel very good about it.

As I limped home I started to feel the cold too.  It shouldn’t be like this in Mid-May… it’s time for the sun to shine and to be enjoying rolling through the countryside bare legged and in short sleeves.  As it was, omitting to wear overshoes proved to be an error.  Both my feet started to turn into blocks of ice.

As the misery set in, my first “large-bug-in-the-mouth-at-speed” incident capped off a disappointing outing.

At least I made it home in one piece.  Time to put my feet up for a couple of days methinks!

The perfect end to a perfect ride!

Lucky (Part 2)

Eleven months ago I had a Heart Attack.  It was a bog standard, stereotypical Heart Attack:

  • Most Heart Attacks are caused by Coronary Heart Disease (CHD).
  • CHD is when your coronary arteries (the arteries that supply your heart muscle with oxygen-rich blood) become narrowed by a gradual build-up of fatty material within their walls.
  • If a piece of this fatty material (atheroma) breaks off it may cause a blood clot (blockage) to form.
  • If it blocks your coronary artery and cuts off the supply of oxygen-rich blood to your heart muscle, this is a Heart Attack.
    Learn more at:  http://www.bhf.org.uk/heart-health/conditions/heart-attack.aspx

This is what happened to me.  Nothing special.

heart_coronary_artery

What this means is that a year ago I was a walking Time Bomb.  I was unwittingly living with a partially blocked artery waiting to “let go”.  The event that triggered my Heart Attack could have happened at any time and any place.

I’ve said it before, but I was very lucky to have the Heart Attack when I did. where I did.  It was possibly the best thing that could have happened to me.

It obviously alerted me to the fact that I had Coronary Heart Disease and the emergency treatment addressed the immediate risk.

Possibly more importantly, the medication I’ve been prescribed will reduce the risk of reoccurrence.  In addition, the whole event prompted me to get off my fat behind and to get myself in shape, an act that will further reduce the risk.  A combination of regular exercise and a healthy diet has resulted in some dramatic changes.

I’ve been given a second chance, and I’m lucky to be in good enough shape to take full advantage of it.

imagesVT91YNPD

We each make lots of decisions every day.  I’m much more aware of the potential impact of my decisions than I used to be.  I’m hoping with the benefit of my experiences over the past year I’ll be able to continue to make some better ones than I’ve done in the past!

 

The same, but different

This week has seen a relatively gentle re-introduction to training.  Having spent four days cycling into the unknown, I’ve returned to the old familiar routes.  For one reason or another however I’ve approached some of the routes from the opposite direction for the first time.  Having felt like I’d exhausted my options for relatively short rides close to home, the experience has opened my eyes to a whole new range of possibilities.

What I found most surprising was how different the hills feel when approaching them from the opposite direction.  I know this sounds obvious, of course they’re different; the “Ups” are “Downs” and the “Downs” are “Ups”.  However, even taking that into consideration, the hills were quite different to what I was expecting; a long, fast descent doesn’t necessarily mean a difficult climb from the other direction, insignificant descents can become sharp, punishing ascents and long straight slogs can turn into an easy roll.  Perspective and context are everything.

It's all a matter of perspective!

It’s all a matter of perspective!

The scenery looks totally different too,  It’s like I’m cycling along roads for the first time, they are far from familiar.  I know people say that in order to get to know an area you should get out of your car and cycle or walk around it, but I would suggest that you do this from both directions to make sure you don’t miss anything.

I’m sure there are lots of lessons that could be applied to other areas of my life from this experience:

  • If you think you’ve exhausted all your options, look at them again from a different perspective
  • Things don’t have to be difficult, it depends how you approach them
  • If you want to try something new, try something old, differently
  • etc.
Perspective and positive thinking!

Perspective and positive thinking!

This new perspective has provided a nice distraction as I settle back into the next phase of my rehabilitation.  The next month promises to be one of consolidation as I prepare for the next of my three Summer events, a gentle 54 mile roll to the South Coast as part of the British Heart Foundation’s London to Brighton Bike Ride.  Keep on pedalling!

Back to normal

After the excitement of last week, the past few days have been all about settling back into everyday life.  Any concerns about coming back to earth with a bump have alleviated.  Instead, the whole event has left me somehow feeling a bit more “normal”.  It’s really good to be home!

The Euro City Cycle (ECC) had become a very big deal for me.  Understandable I guess given I’ve been working towards it throughout the winter.  I signed up for it early in my rehabilitation, it was a real “stretch goal”.

At that time, no one really knew what I would be physically capable of, now or ever, so it was a bit of a risk.  Not being able to complete it (or more likely, start it) would have been a real blow, and could potentially have caused a major re-think of life post Heart Attack.

Windmill Selfie

My favourite selfie from the ECC

From my perspective, the level of risk has reduced with every mile I’ve cycled over the past 10 months.  I’ve been confident over the past couple of months, but it was great to back up that confidence with a strong ride, and a quick recovery.  I was fine throughout the event and have had no ill effects subsequently.

Having arrived in Brussels I had a couple of days rest.  Time for my legs to recover, to warm up and dry off after the final days of the ECC.  A sniffle flirted with me for a couple of days, but I managed to fight it off.

Someone else’s selfie caught me taking mine!

Getting back on the bike was interesting.  It’s amazing how much more comfortable I am on it having been inseparable for four days.  Just spending time together has made a big difference, it feels natural again, like it did when I was a kid.  The key thing now is not to get complacent, particularly as I’m back on the roads rather than having the luxury of dedicated cycle routes.

The cycling routes on the continent were something else!

The biggest relief, perhaps, is that I’ve got the London to Brighton bike ride to look forward to in mid-June.  This will give me a continued focus, a reason to keep going out on the bike and keep myself in shape.

The ECC was a journey within a journey.  Fortunately it was a successful one.  It marks the end of an important phase of my life, and the beginning of a new one.  No time to stand still!

ECC Day 5: The day after the night before

The day after the night before…  I awoke in the 6th bed in 6 days, a delightful pull down number squeezed into the corner of a double room.  It had been a relatively late night and promised to be a very slow start to the day.

We had the morning to ourselves.  The only deadline was to get ourselves to the Train Station by mid-afternoon.  It was relaxed.  For once there was no-one to giving us orders.  There was no-one to follow.  We were alone.

After four days riding across Northern Europe blindly following a man with an iPad we had been given control back.  The Guides had travelled ahead with the bikes.  We were left to look after ourselves.  Without any counselling we had been abandoned, left to re-integrate into society.  Alone.

Sightseeing in Brussels

Sightseeing in Brussels

I felt a strange sense of freedom… a day without Lycra.  I was able to walk normally, without cleats, able to put my feet flat on the floor.  I was without bike, able to sit inside and watch the rain rather than being out in it.  I had nowhere in particular to go.

***

Generally I felt more “normal” than I have in a long time:

The previous night’s beer didn’t seem to do me any immediate damage, I hadn’t fallen over or experienced any side-effects, and I woke up feeling fine.

The first beer since my Heart Attack

The first beer since my Heart Attack

Possibly more importantly the Euro City Cycle is behind me.  It has been a real focus for me for the past 10 months;  the end of a key recovery phase?  I can now look forward with a little more comfort, a touch more relaxed.  It feels good!

***

After a relaxing two-hour journey we arrived at London St Pancras.  The Guides were waiting for us:  We were instructed to follow them to an unknown destination.

We blindly followed them; winding our way across the station concourse in a chain which gradually fragmented as people lost contact.

We emerged into a light drizzle… normal business had been resumed!

ECC Day 4: Falling down and bouncing back

Richard, Geoffrey and John are locked in the dungeon and Henry is coming down to execute them:
Prince Richard: He’s here. He’ll get no satisfaction out of me. He isn’t going to see me beg.
Prince Geoffrey: My you chivalric fool… as if the way one fell down mattered.
Prince Richard: When the fall is all there is, it matters.

The Lion in Winter, 1968

To be a cyclist means giving up an element of control.  Whether it’s relying on other traffic, experiencing hazards along the way, trusting the person in front, or simply sitting stationary with a cleated shoe attached to a pedal, there is an element of risk involved.  Improved bike handling skills and general awareness can reduce the risk, but it’ll never be eliminated.

As with life in general, bad things happen.  The most important thing is how you deal with them, and how you bounce back.

Over the four days of the Euro City Cycle there have been a number of incidents.  Fortunately none of them were too serious.  No serious damaged was caused other than a little bit of hurt pride.

With many of the incidents, the comedy factor was high:  Irrespective of fault, Guides going down is always hysterical, like a Referee falling in front of a large crowd, you just have to laugh (quietly, of course!).  Momentary lapses of sanity are also worth a giggle, a man hanging from a lamp-post unable to extricate himself from his pedals for example, or user-induced brake failure resulting in a tumble down an embankment.

Bridge 4

Negotiating a bridge under construction… like you do!

Despite these occasional incidents, over the course of the trip people’s confidence visibly grew.  With a little encouragement and practice, everyone became more comfortable, cycled a bit faster, a bit closer together, we slowly developed to become part of a team.  I’m not saying we got there, but we got better.

For a few seconds on the final afternoon we almost managed to draft, cycling in formation into a head wind, the lead rotated to share the effort as we pushed to maintain a steady pace.  For a few seconds, we almost managed it.  It felt good!

Despite having to battle the elements once again, we all made it from Breda to Brussels.  If I had been in Scotland I would have described the weather as dreich (“Low End” also works).  The persistent rain and low temperatures made the going tough.  Dampness got everywhere causing electrical equipment to fail left right and centre.  However, we fought through and made it.

Broken bike through broken camera

Broken bike through broken camera

It’s been a pleasure to share this experience with the 20 other participants.  I’m sure everyone felt some emotion as they approached the finish line; a sense of accomplishment or satisfaction.  It wasn’t the hardest cycling ever, but there were definitely moments when everyone will have had to dig deep, calling on hidden reserves of energy and endurance to see the journey through.

For me, the overwhelming feeling as we crested the final hill and rolled towards the Atomium in Brussels was relief.  My journey didn’t start in Brentwood, it started in a hospital bed last June.  I’ve cycled just under 300 miles in the past four days, but over 3,000 miles preceded them as I worked to get myself fit and strong again.  There was a “Finish” sign next to the Atomium, but my journey is far from over.

Along the way, we’ve managed to raise just under £3,000 for the British Heart Foundation.  Thanks to everyone who has donated and for all your support over the past few days!

(Incidentally, it’s still not too late if you’ve been meaning to contribute: Click here)

ECC Finish

Relief, pride and satisfaction… what’s next?