Tag Archives: Heart Attack

Fat and Bald

I turned 43 this week.  I definitely consider myself middle aged despite the fact people try to convince me that I’ve got a long way to go… middle age starts at 60 apparently (mostly according to people too young to really care, or old enough to be horribly biased!).

images (13)Like many men of my age, I had been losing the battle to maintain the physical attributes of my youth… although, to be fair, I wasn’t fighting very hard.  I was drifting towards the stereo-typical look of a middle aged man who’s slightly let himself go… “Fat and Bald”.

My personal journey into middle age took an “interesting” twist with the Heart Attack in the summer.  I am quite proud of what I’ve managed to achieve since in relation to getting myself into decent shape…

It’s been 150 days since my first post-Heart Attack visit to the Doctor.  At that stage, I had been out of hospital for about 10 days, and I was able to walk for about 15 mins, twice a day.  My Body Mass Index was about 29 (Overweight, borderline Obese) and the amount of superfluous weight I was carrying seemed ridiculous (See:  It all smells a bit fishy – 28th June 2013).

Since then I’ve lost about 40lbs and really started to build some strength and fitness.  For the first time in a very long time, my weight is officially in the “normal” range:

Body Mass Index

To achieve this. I wouldn’t say I’ve dieted as such.  If I’m hungry I eat.  I just tend to eat much more healthily.  I have significantly reduced the amount of fat and sugar I consume.  I haven’t drunk any alcohol.  I eat lots of fruit and vegetables.  I also make sure I have Breakfast every day, which I think makes a big difference.  Regular exercise has also made a huge impact.

In summary, as far as the “Fat and Bald” equation is concerned, I am fighting back (and winning) on the “Fat” front… which brings me to hair loss!

I visited the Barber’s today.  A not particularly frequent or regular trip to get my hair cut.  I have to say, I look forward to these visits less and less as time goes on.  In particular, I don’t look forward to the end of the visit when a mirror is produced to check that I’m happy with the back of my head… actually, “No, I’m not!“.

Bald Patch

My poor baldy heid!

My hair is quite fair.  Technically I could argue I still have a reasonable covering of hair however it isn’t very effective at making itself seen!  In short, I have a bald patch that has been increasing in significance in recent years.

In the great scheme of things this really isn’t a big deal (although it causes much amusement to some members of my immediate family!) and I’m looking forward to the day when I get all my hair cut short so the patch becomes irrelevant.

In the meantime, I guess it acts as a good reminder that time only moves in one direction, and I should spend my energy on things that I can directly influence.

Let middle age roll on… I’ll fight it where it matters!

Twice the satisfaction

I’m a believer in the principle that exercise counts twice as much if you don’t want to do it than it does when you do.  As a result, I almost look forward to days when I lack motivation because you get so much more satisfaction after your work out.

Today was one of those days.  Work was busy.  The weather was grim; cold, wet and windy. I arrived home from work a little late, feeling a jaded.

I’ve got into a good exercise routine over the past couple of weeks:

  • I swim first thing on Sunday, Tuesday and Friday
  • I cycle Tuesday, Thursday and Saturday
  • Wednesday alternates between swimming lessons and a visit to the gym
  • On Monday’s I rest.

So far, I’ve had no trouble getting up and out in the mornings.  I don’t have much time to think about it, I just grab a quick bite to eat and head out the door.  I’m finding a swim a good way to start the day.  It makes me feel different… good different.

I’m not the only one to enjoy an early morning swim!

Depending on the day I’ve had, the evenings are more difficult.  Fortunately, once I’ve started, it only takes a few minutes for the fatigue of the day to dissipate and for me to get into my exercise.  I generally feel great afterwards too – clean, healthy and relaxed.

The overall routine is definitely doing me good.  I’m getting stronger and fitter all the time.  I have the continual challenge of staying within the safe working range of my Heart, but it’s satisfying to see my work rate slowly increasing over time… twice as satisfying after a hard day in the office!

The Heart Attack Predictor

Today’s UK News featured a new imaging technique that could find people at highest risk of a Heart Attack:

  • When fatty deposits, known as plaques, build up in the arteries and rupture it can cause a Heart Attack.  The new test detects the fatty plaques on the brink of rupture.  There is currently no way to identify these.
  • In the UK, 200 people die each day from a Heart Attack.

The research that resulted in this breakthrough was funded by the British Heart Foundation.

I already know from my angiogram that one of my arteries is partially blocked.  I also know that a rupture to the plaque in another of my arteries caused my Heart Attack.  The good news is, the various drugs I take each day will reduce the chances of me having a repeat episode.

It’s easy for me to forget what I’ve been through and how lucky I was to be treated so quickly and efficiently.  It’s also too easy for all of us to take medical advances for granted.

Today’s News served as a reminder for me: a reminder of my good fortune, and a reminder of why it’s important for me to keep training, complete my ride and raise some cash for the British Heart Foundation.

Please feel free to chip in:  http://www.justgiving.com/heartattackwaitingtohappen

Totes Emosh

Today I received some fantastic news…

I recently presented the medical form for my Charity Bike Ride to my Doctor for his consideration.  I had two main concerns:  (1) that he wouldn’t think that embarking on a 300 mile cycle was a sensible thing to do less than a year after having a Heart Attack and (2) that his insurance company might have an issue with the wording of the statement I was asking him to sign.

A “No” would have left me lacking direction somewhat!

On one level I would have understood if either of these issues had arisen.  I was potentially asking a lot given my recent medical history.  I would even have understood if he had asked me to come back in a few months so he could see how my health and fitness have progressed.

On another level, I would have been totally gutted if he had said “No”.  It would have thrown the ride into some jeopardy.  Given it’s been my main focus for the past few months (at least as far as motivation for exercise is concerned), it would have felt deflated.  I think I’m progressing well, and I want to stay motivated.  Having something to work towards really helps.

***

Today I received the form back, signed and stamped by my Doctor.  As far as he is concerned, I am “good to go”.  I just need to continue to gradually build up my training and listen to my cardiologist.

For the record, I have never used these words before!

It was just some ink on a bit of paper, but I felt quite emotional as I left the Surgery.  I’m not sure exactly why.  It may have been the removal of doubt about whether he’d sign the form.  It may have been the fact that the ball is now in my court as far as the ride is concerned – no excuses.  It may also have been the small vote of confidence that he recognises the progress I’ve made and trusts that it will continue.

Whatever the reason, it reinforced the fact that the ride is important to me.  180 days to go!

Things you learn at a Cardiology Conference

My life has had a little more variety since my Heart Attack. I’ve met some interesting people, discovered healthy eating, caught the exercise bug, been educated in control and tried to introduce balance into my life.

untitled (37)This week, I had the honour of attending the North of Scotland Cardiology Conference.  The conference was open to all Health Professionals in the Region.  There were a number of sessions on prevention and treatment of Heart Conditions throughout the day.

I had been invited along to speak about my “Heart” experiences in a session entitled “A case that has influenced my practise”.  I don’t think there was anything particularly special about my case however they were keen to introduce a patient’s view into the room to provide a different perspective on things.

I’ve spoken in front of groups of people lots of times over the years.  While I wouldn’t say it’s something particularly enjoy, I don’t mind it.  I was happy to “volunteer” when asked if I was interested in speaking at it, although the whole experience turned out to be a bit more nerve-racking than I had anticipated.

The overall Conference Title was “The Patient journey to 2020”, so I decided to speak about my personal life journey, the impact my Heart Attack has had on it, the important role the people in the room have played in it over the past few months, and how important I think it is to keep focusing to the future.  While I recognise that it’s important to operate within your limits, I think it’s all too easy for people to become overly cautious and wrap themselves in cotton wool.  Having survived a Heart Attack, it’s important that you still live!

I arrived a little early for my session (the last one of the day).  I wanted to make sure I didn’t get caught in traffic.  I also wanted to make sure I knew the format and what was expected of me.

The Fleming Auditorium looks bigger from the front!

Upon arrival at the Aberdeen Exhibition & Conference Centre, I was slightly perturbed to discover that the Conference was taking place in the Main Auditorium, a room that seats over 400 people… what the hell had I volunteered for!!!

As it turned out, I arrived a little earlier than anticipated, so I made my way to the back of the Auditorium to listen to the penultimate session of the day entitled “A broken heart.  Are women more vulnerable than men?”.  (Fortunately the room was relatively sparsely populated… and I recognised a few friendly faces from the Cardiac Rehabilitation team)

There were three cases presented in my session:

  • One about a rather head-strong character with diabetes who gave the doctors the run-around for a couple of years before having a triple heart bypass (a happy ending);
  • The second about a 46 year old with two young daughters who had a malignant growth in one of his Heart Chambers and fought bravely before his body succumbed to the disease (a very sad ending); and
  • Me (a story about a journey that is yet to end).

So, what did I learn in my few minutes at the North of Scotland Cardiology Conference?

  1. Women are more difficult than men
    in relation to diagnosis and treatment of Heart Conditions at least, I’m sure this doesn’t apply in any other situations!
  2. I really am very lucky
    I knew this already, but it’s always good to be reminded!
  3. I am still capable of standing and speaking to a relatively large audience without my Heart letting me down
    I figured this was probably a good crowd to test this out in front of!
  4. Listen to your doctor’s advice and follow her / his instructions
    Thinking you know better is unlikely to positively influence the eventual outcomes
  5. If you think you have a tough job and have to make difficult, important decisions, you have no idea!
    I have so much respect for the Health Professionals who make life and death decisions as a matter of course, day in and day out.  It must be so hard to live with the consequences when things don’t work out.

So, I did my little talk and left feeling good about myself but much smaller than I felt when I arrived.  I think it did me good.  Maybe next time I’ll see if I can attend for the full day!

Feeling small!

Tired and Grumpy

There are different sorts of tired:  Exhausted, Fatigued, Weary, Drowsy, Pooped, Jaded, Sleepy, Run Down, Flagging, Broken…

As predicted by people that know better than me, I was tired this morning.  Which sort of tired I don’t know exactly as it took me several hours before my brain had warmed up sufficiently to properly assess the situation. By which time the feelings had leaked away.

untitled (34)There are many days when I return from work feeling jaded.  A sort of dull fog gathers around my head and upper body as the work day wears on.  It’s not a positive tiredness, it’s one that grows despite you, rather than one you’ve actively gone out and earned.  Since the Heart Attack, I’ve found myself slightly more aware of this sensation, perhaps because I’m more aware (“listen to your body”) or perhaps because I’m affected more.

In the old days I would have poured myself a drink and the woes of the world would have drifted away.  Now, I choose exercise.  An hour on the bike is sufficient to blow the cobwebs away.  A post-exercise buzz, and everything is tickety-boo all over again.

I continue to sleep well, but occasionally wake up feeling sleepy.  Again, in the old world I would resort to chemical stimulants to liven me up.  A couple of strong coffees and I’d be “good to go”.

imagesCAFA5V8ZI’ve also eliminated caffeine from my diet, so I guess I’m a slower starter than I used to be.  This is, however, offset slightly by the fact that I am not impacted in any way by the after effects of alcohol and unhealthy late night snack-attacks!

As it turns out, the early morning sleepy feeling can also be accompanied by grumpiness.  Severe grumpiness on some occasions.

This morning was a case in point…

I had an introduction to the gym last night.  The 20:15 start time seemed fine when it was arranged, but as it happened, I got home from work feeling jaded.  I snuck in a very short period of shut-eye before getting ready, but not enough to make a real difference,

The introduction session was good.  It turned out that there is a lot I can still do in the gym, providing I’m sensible, and keep my feet moving.

By the time I finished, however it was 21:00, and I hadn’t actually done any exercise.  Having made the effort to get there, and inspired by the introduction, I figured there is no time like the present, and launched into a gym session.

Afterwards I felt great!  My exercise buzz wiped out my fatigue.  I was ready to take on the world.  By the time I got home, I was not however ready to sleep.

So I sat up for a while before heading upstairs…

“It was way past my bed time!”

“I would regret it in the morning!”

And I did!

So, sincere apologies to all the people who came into contact with me during the early part of today.  Lesson learned (again).

Louise – I’m sure your Fruit Juices are lovely.  It’s all very exciting!  🙂

imagesCABT2MT2

Out and about

It was another cracking morning in the North East of Scotland this morning.  I marked it with my latest venture out on the bike.  It’s the second weekend I’ve been out early, not quite the crack of dawn, but certainly a good start to the day.  It’s definitely a routine to get into!

Beautiful Morning

A cracking morning to be out on the bike!

As a result of my recent “Sore Leg” post, I have received some guidance that the reason my legs have been hurting is because the cleats on my shoes were slightly at the wrong angle.  Having made some subtle adjustments to my shoes, it felt much more comfortable.  Hopefully problem solved… it’s good to share your woes!

This morning’s ride was the longest continuous effort I’ve put in since my Heart Attack.  We went at a steady rate and kept going.  We covered about 16.5 miles in just over an hour (including spending some time trying to correct a mechanical “knocking” sound that turned out to be the lid of my water bottle rattling against the frame!!).  It didn’t feel fast, but it felt quite tough.

Morning Ride

The first of many loops around Westhill – slightly more undulating than the Turbo Trainer!

I do have to remind myself that I’m recovering from a Heart Attack, and back this up with frequent checks of the Heart Monitor.  I am however also making up for about 20 years of physical neglect, so my of my body is at the limit, not just my heart!

It really is great to be out and about though.  It gives me confidence that I’m making good progress.  I’m just about to enter my last week of Cardiac Rehabilitation, so it’s a good time to start to (slowly) push the boundaries!

My poor old legs

I feel a little sorry for my legs.

After years of neglect, I have asked quite a lot of them recently.

man-shaving-one-leg

My legs have been abused, but not this badly!!!

My legs had little, if anything, to do with my Heart Attack but they’ve been required to play quite a significant role in my road to recovery.  Walking, cycling, cross-trainer… I would have struggled to get this far through my recovery without them!

They have had little in the way of assistance.  Other than the occasional stretch, they’ve been left to their own devices.  Conversely, my Heart has had the assistance of lots and lots of drugs to help it recover, to make it more efficient, to help it out.  My legs have had none.

Over the past couple of weeks my legs have started to fight back.  Little niggles have made getting moving in the morning a slow process.  Aches and pains have come and gone.  Nothing bad enough to stop me from exercising, but sore enough to be a constant reminder.

I’m going to need to cajole my legs into coming along for the ride (quite literally!).  They continue to have an important part to play in my on-going recovery.  Hopefully the niggles will recede in time.  I certainly won’t be taking them for granted again!

Ch… Ch… Ch… Changes (FD +50)

Doesn’t time fly!

It’s the big Five-Zero!  Fifty days since I had my Heart Attack.  Seven weeks and a day.  Forever, and no time at all.

Doesn’t time fly when you’re having fun!  🙂

To say a lot has changed would be an understatement.  Some changes have been forced on me.  Some have been voluntary*.  Others have been a consequence of circumstances.

Scary?

“It must have been scary!”…  No, not really.  At no point over the past 51 days have I felt like my life was in imminent danger.  However, it doesn’t take much imagination to see that things could have gone that way.  In the UK, one in three people who have a Heart Attack don’t make it to hospital.

The next time you’re in a lift with two other people, imagine one of you not making it to your floor.  I was in that lift.  I was lucky.  I didn’t realise how much danger I was potentially in until afterwards.  By that stage, the immediate danger was over and the ball was in my court (more or less).

A new Dad (in reverse)

In some ways, it feels like part of me died when I had the Heart Attack.  Not in a bad way.  In a way that created space for new parts of me to grow in their place.  In fact, its probably more correct to say “dormant” rather than “new”, many aspects of the “new” me have been there before.  A very long time ago!  So long ago that only close family members and very old friends might recognise them.  As far as the girls are concerned, I am a new, thinner, slightly bizarre, “active” Dad.

Even knowing what I know now, I’m not sure if there is anything that would have convinced me to make some of the changes I have done in advance of something “happening”.  It still all seems slightly surreal.  Perhaps if someone I knew well, who I could easily relate to, had been through the same thing as I have, it might have been enough for me to take action.  Perhaps.

The bottom line is, if you want to, it’s not that difficult to convince yourself that it won’t happen to you.  That you’re low risk.  Different from people like me.

Awareness isn’t enough!

You need to take action to make a difference.

It doesn’t surprise me that prevention of Heart Disease is such a challenge.  For many (me included) it requires big changes to make a difference.  I guess the key is to keep any changes small, to recognise when you’re veering of course and make minor corrections to keep you on track.  So many people are so far off course that small changes just aren’t enough.

For me, my broken heart has been fixed, the course has been corrected and I’m looking to the future.

Catching up

I have some catching up to do – a holiday with the family (although Florida must wait!), recognising the patience of my colleagues, repaying the goodwill of our clients, and sustaining the lifestyle I’ve adopted since leaving hospital so none of us have to go through this again!

Here’s to the next 50 days… and making it count!

***

*Voluntary is probably a bit strong.  I’m not sure I had a huge amount of choice in any of the changes, but I guess even the perception of choice makes them more palatable.