Welcome to my Heart Blog.

One Persons's journey to a Coronary Artery Bypass Graft (CABG) and hopefully beyond.

I Began this diary while I was sitting in hospital recovering from a quadruple coronary artery bypass graft (CABG). The aim was to track my progress and think a bit more about the National Health Service acute services, what we should appreciate about it and where we might do better.

I stopped writing when there was, frankly, not much else to record. However in June I signed up for a half marathon and thought I would re-open the blog as a training diary. It may even include a few health and exercise tips along the way.

I am neither a health-care professional nor a sports and fitness guru. What I write is no more expert than some of the things you might here from that bloke in the pub, so I take no responsibility for how you might use my ramblings. Be warned!

If you want to you can read the "back story", from hospital to rehab in earlier blog posts. One thing I have learned is that most people are not interested in reading my ramblings so, for those who do, I promise in future to keep them short.

Saturday, 4 July 2015

Thursday 25th June. Hooray! I go home for the weekend.

A reasonable night's sleep.  Having the room to oneself makes all the difference.  After breakfast (porridge, orange juice and tea) I read the paper for a while and then a porter comes to take me for lung function tests. 

One or two other patients are already waiting, coughing and spluttering.  One old gentleman is constantly spitting phlegm, into a paper towel but the noises are pretty ghastly.  I hope they don't have anything contagious.

My lungs are filled with air to which has been added some carbon monoxide and methane as markers.  Because they are not normally in the body the machines can measure how well gases transfer into the blood as the difference between the amount inhaled and the amount exhaled.  Apparently my lung function is pretty good, which as a runner I would expect.  The tests also indicate a material improvement with Salbutamol, which confirms I do have some asthma.

On the way back to the ward I photograph the results.  I can Google the tests later.
The pharmacist visits to talk about drugs.  Aspirin and Clopidogrel will thin the blood. Bisoprolol is a Beta-blocker, Lisinopril an ACE inhibitor, Artorvastatin deals with cholesterol and Lansoprazole the stomach acid that will be stimulated by the other bad boys.  A months supply although I will only be at home for 4 days.   Apparently this cocktail is also beneficial for secondary benefits; the drugs help not only to prevent further plaque build-up in the arteries, but to break down existing deposits and improve heart tissue regeneration.  I will be on most of these for the rest of my life.  A worrying side effect of the statins is that they may cause muscle pain and in extremis muscle deterioration.  However they can be changed or dosages reduced.  On the other hand they don't prevent muscle growth why I get back on the road and in the gym. 

A doctor arrives to tell me my lung function is good.  The tests apparently are required so that the anaesthetist knows I can cope with gas during the operation.  Now all I need is the discharge letter and a shopping bag full of drugs and I can go home. This actually all takes some time.  The nurse chases the SHO three times to sign a prescription for pharmacy and to provide me with a discharge letter. He does the first but not the second.  Eventually Mr Shipolini pops in to see me it is amazing how much more attention you get once you are a private patient. And while he is there signs me out.  
Hooray!  I go home.   

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