We live almost equidistant from three hospitals. The nearest one is undeniably crap - or was, I've been told it has improved recently. The slightly furthest one was well regarded but I've heard it has diminished in quality. The third one was and still is excellent, so that's the one I've asked to be referred to.
Just got back from a visit I was highly tempted to cancel so they could give the appointment to someone more deserving, but I thought they might appreciate a success story.
Last winter my thyroid blew up, no not the common hypothyroid but hypERthyroid, which put my blood pressure through the roof. That added to the fifty years of damage from undiagnosed diabetes/prediabetes and yes horror of horrors the smoking caused the circulation to my feet to be broken, and an ingrowing toenail caused an infection which nearly led to the loss of said toe, or maybe the whole foot.
Well the thyroid has now been effectively brought in line with carbimazole (I have nothing against using drugs per se, but a lot against using drugs to alleviate the results of a crap diet).
The surgeon suggested I should walk through the pain in my calves when my circulation shut down and try to revascularise myself rather than going straight for the stent. This proved to be spectacularly successful. Though I can no longer walk as far as I used to, I can walk a lot further than I did, I may slow down for a while until the circulation comes back, then I'm good to go again.
He was as pleased as I was with the improvement. Most of my latest test results were bang in the middle of normal, especially the thyroid. Some numbers were a bit off and he agreed this was probably because I was a bit dehydrated after the fast rather than anything to worry about.
The only real concern was my LDL which went through the floor thanks to the thyroid and has now gone up to 4.2. From my POV since the trigs are ridiculously low and the HDL suitably high (1.11 and 1.4 respectively) I'm not as concerned as he was, in fact I suspect at my age this will be protective against everything other than CVD, especially Alzheimers. Much current research shows the LDL is not a danger if it is large and fluffy as the trigs/HLD ratio indicates. The REAL danger is hyperglycemia and hyperinsulinemia, both of which I have been successfully controlling for the last decade, which helps but doesn't make up for the fifty previous years of ongoing damage.
He's quite right that I should give up smoking - but at this stage in my life I'm more concerned with taking myself out cleanly with a fatal heart attack rather than lingering and continuing to disintegrate.
He told me I should "continue with the diet" and was hugely amused when I told him I was eating the exact opposite of what the dietician told me and that was why I was so healthy.
Normally after the hospital I take a detour into a village with a fish restaurant and smokehouse and treat myself, but since I already have the other half of Son of Jaws (the giant trout) and the crevettes, I decided to put that off until a later date. I've just stuffed myself with some more lamb's liver, mushrooms, bacon and runner beans and am now deciding between the strawberries or blueberries with double cream, ground flaxseed and brandy for afters. OK, I decided the strawberries. I'll probably go for a prolonged walk later then polish off the rest of the trout with almonds and frozen peas.
I got chatting to a lovely old guy (older guy) who also used to be an HGV driver, and one of his jobs was hauling peas to the freezery. He confirmed what I already knew, they are only grown within a two hour drive of the factory, sown in rotation so theoretically they ripen in sequence throughout the season, and despite pea harvesters costing £1/3 - 1/2 million apiece and the picking gangs have from two to six machines, they will think nothing of picking half a field then parking up for half a day until the rest of the field is ripe before continuing. I will eat the peas (an anatomically correct quantity) in his honour as he had successfully beaten cancer.
Just got back from a visit I was highly tempted to cancel so they could give the appointment to someone more deserving, but I thought they might appreciate a success story.
Last winter my thyroid blew up, no not the common hypothyroid but hypERthyroid, which put my blood pressure through the roof. That added to the fifty years of damage from undiagnosed diabetes/prediabetes and yes horror of horrors the smoking caused the circulation to my feet to be broken, and an ingrowing toenail caused an infection which nearly led to the loss of said toe, or maybe the whole foot.
Well the thyroid has now been effectively brought in line with carbimazole (I have nothing against using drugs per se, but a lot against using drugs to alleviate the results of a crap diet).
The surgeon suggested I should walk through the pain in my calves when my circulation shut down and try to revascularise myself rather than going straight for the stent. This proved to be spectacularly successful. Though I can no longer walk as far as I used to, I can walk a lot further than I did, I may slow down for a while until the circulation comes back, then I'm good to go again.
He was as pleased as I was with the improvement. Most of my latest test results were bang in the middle of normal, especially the thyroid. Some numbers were a bit off and he agreed this was probably because I was a bit dehydrated after the fast rather than anything to worry about.
The only real concern was my LDL which went through the floor thanks to the thyroid and has now gone up to 4.2. From my POV since the trigs are ridiculously low and the HDL suitably high (1.11 and 1.4 respectively) I'm not as concerned as he was, in fact I suspect at my age this will be protective against everything other than CVD, especially Alzheimers. Much current research shows the LDL is not a danger if it is large and fluffy as the trigs/HLD ratio indicates. The REAL danger is hyperglycemia and hyperinsulinemia, both of which I have been successfully controlling for the last decade, which helps but doesn't make up for the fifty previous years of ongoing damage.
He's quite right that I should give up smoking - but at this stage in my life I'm more concerned with taking myself out cleanly with a fatal heart attack rather than lingering and continuing to disintegrate.
He told me I should "continue with the diet" and was hugely amused when I told him I was eating the exact opposite of what the dietician told me and that was why I was so healthy.
Normally after the hospital I take a detour into a village with a fish restaurant and smokehouse and treat myself, but since I already have the other half of Son of Jaws (the giant trout) and the crevettes, I decided to put that off until a later date. I've just stuffed myself with some more lamb's liver, mushrooms, bacon and runner beans and am now deciding between the strawberries or blueberries with double cream, ground flaxseed and brandy for afters. OK, I decided the strawberries. I'll probably go for a prolonged walk later then polish off the rest of the trout with almonds and frozen peas.
I got chatting to a lovely old guy (older guy) who also used to be an HGV driver, and one of his jobs was hauling peas to the freezery. He confirmed what I already knew, they are only grown within a two hour drive of the factory, sown in rotation so theoretically they ripen in sequence throughout the season, and despite pea harvesters costing £1/3 - 1/2 million apiece and the picking gangs have from two to six machines, they will think nothing of picking half a field then parking up for half a day until the rest of the field is ripe before continuing. I will eat the peas (an anatomically correct quantity) in his honour as he had successfully beaten cancer.