Archives: Improvement

Today I am tired. Today made no sense. I think it’s because I’m tired. But really, it made no sense.

I woke up this morning at 6.30am – that’s really early. Luckily, it’s not dark, because the clocks have gone back. So I woke up in the light. But it was still really early. I didn’t get much sleep last night. It was past midnight when the light went out and I then spent the next hour or so getting to sleep, where I then spent the next four or five hours dozing and waking every hour or so to readjust my position because either a) Neve was coming off my face, b) my shoulder was hurting because of the port needle or c) I was lying too much over on my chest and giving myself breathing trouble.

I woke up grouchy. I don’t think many people wake up at 6.30am happy, but when you’ve slept badly two nights in a row, coupled with not sleeping long enough two nights in a row, coupled with being on really high doses of the most drowsy-making drugs in the world (with the notable exception, perhaps of sleeping pills, which I suppose really ought to win the most drowsy-making award and if they don’t then they should really have a different name, or get their makers sued under trading standards) then it’s pretty hard to wake up at 6.30 in the morning without being grouchy.

I did my drugs. This involves (at the moment) doing about 10-15 minutes worth of injecting solutions from a syringe down the tube then connecting up a big bubble-thing which works like a drip, but in a different way. (That doesn’t make sense, does it? If it works like a drip, then it must be a drip; if it works a different way then it’s not like a drip, is it? Told you today didn’t make sense.) That takes an hour to go through, then it’s a couple of quick syringe squirts and hey presto, all done.

So the whole shebang took me up to about 8am. Every Monday morning, I have a delivery of portable oxygen cylinders to give me enough to move around for the week when I want to go out. Invariably, the delivery driver arrives at 9am. Looking at the clock, tired and grouchy, I decided I didn’t want to go back to bed for an hour just to get woken up as I settle into a nice sleep to have to get up and answer the door. So I try to occupy myself to keep myself awake until 9.

Dutifully, the lovely Brummy gent turns up and drops of my new cylinders and whisks away my old ones. Following which I retire to bed for a catch-up nap, aware that I have to be up no later than 11.30 to get ready to go to the hospital for a physio appointment and drug-level check.

I clamber into bed and strap on my Neve-mask, only to discover that the condensation in the mask has done something – I don’t know what and boy, do I wish I did – which makes something on the mask make a really loud, annoying clunking sound every. Single. Time. I. Breathe. In.

Annoying? Slightly. Grumpy-making? Exceedingly.

After, oh I don’t know…. 5 minutes of trying, I give up and clamber out of bed, thoroughly bad-mooded for the day. I wash the mask up, in an effort to have cleared whatever the problem is for tonight, and sit myself quietly on the sofa to start reading Ian McEwan’s Atonement, which I’ve finally wrestled from K and am keen to get through before having the whole story spoiled for me by people who’ve seen the movie.

Bizarrely, all the time I’m sitting reading, I’m perfectly awake and alert, despite having had not enough sleep and being beside-myself with tiredness when I’d gone back to bed. As soon as I got up from my perch, however – to make tea, to fetch things, to do anything at all, really – I was exhausted. My chest was heaving, my legs felt like lead and my eyes couldn’t have been heavier if they’d entered a Weight Watchers programme and won the prize for world’s worst dieter by gaining their own body-weight three times over.

I was not a happy bunny.

By the time K got up I was happily reading away, but ready for some morning physio, which is never fun at the best of times but when you’re tired it becomes a peculiar kind of torture – long, drawn out, unpleasant, occasionally painful, sometimes exhausting, often breathless and very, very hot (this morning, anyway). Needless to say I ended in a mildly worse mood than I start – impressive, huh?

I did manage to lever myself into a bath and chill out for a fraction of an hour before throwing some clothes on and getting ready to head off to Oxford, only to be phoned and told that the physio I was supposed to be seeing had broken her tooth and wouldn’t be able to see me today, so could I come Wednesday instead? Of course, I said. Why not?

But here’s the weird thing: having not gone to Oxford, which I took to be a blessing on account of my overwhelming tiredness anyhow, my body then decided that actually, it was feeling pretty happy and perky. After 5 hours semi-sleep, a 6.30am start, a morning of trial after mood-blackening trial, I found myself suddenly feeling an urge to sit at my keyboard and write – to carry on with my screenplay with which I have been having so many recent tussles. (For “tussles”, read: “hit a structural bump which sapped all creativity and forward-momentum and left a big black mark against my 5-page-per-day copy book for the last month or so”)

So all afternoon I’ve been beavering away on my screenplay without so much as a care in the world, pausing only for the occasional break for food, water or the odd episode of Lost (just keeps getting better).

I have no idea what my brain is doing with itself, nor what my body is up to at the moment. My chest feels like it’s improving, but my sleep certainly isn’t. My mind is lost in a mire of lethargy which saps any mental strength and positivity right out of it, whilst still apparently providing me with enough drip-fed muse to be able to carry on doing the kind of creative writing which is usually the first thing to desert me when I’m feeling rubbish.

Literally nothing about this day is making any sense to me right now. But I guess that’s just because I’m tired. Can you tell?

The good news is, I don’t have a cold. The news-that-isn’t-really-good-but-considering-
how-bad-“bad”-could-have-been-really-can’t-be-counted-as-being-bad (phew!) is that my body is keen to make me perfectly well aware of the fact that’s it’s been working very hard thank you very much and has decided to tell my legs, head, arms, neck and just about everything that’s not a vital organ to stop working for the time being. Essentially, my body is currently the French rail system.

Still, compared to dealing with a cold, I can definitely put up with feeling a bit tired and finding tea-making a chore. If I had to spend the next week in bed doing nothing and seeing no one, I would happily accept it for not having a cold. As it is, I am hoping to be able to make it over to my ‘rents tomorrow night for the Rugby, although there is the slight hitch that I may expend so much energy on screaming at the telly (judging by the semi-final), I may not be able to drive myself home.

(I’m acutely aware that the end of the last paragraph will have been hopelessly lost on my American cousins who look in here, so for translation’s sake: there’s a World Cup (think “world series” which actually involves other countries) going on in the sport of Rugby (“Football” without the nancy-boy pads and tea-breaks every 30-seconds) and England (that’s us) have made it to the (Grand) Final, which is somewhere akin to the Texans making the Superbowl (ie, so outlandish at the start of the competition that if you’d suggested they might do it, people would have either laughed in your face or had you committed).)

I’ve made a deal with my body – limbs and all – that I won’t do anything at all during the day tomorrow besides rest and refuel so that I can enjoy the game in the evening, and that I will do the same on Sunday so I can enjoy a meal in the evening with my bro, who’s deigned to reappear from the far side of the world where he was “working”. I use the term “working” very loosely, as he mostly seemed to spend his time sitting up a mountain finding it hard to breath. Heck, I do that in my own living room – I don’t try to call it work.

The only possible barrier to the deal on Sunday is that the Saints are live on TV, but judging from our performances so far this season they aren’t likely to be causing me a great deal of excitement or giving me much cause to scream at the telly. More likely I’ll be slumped in resigned resignation (it’s doubly bad, you see) as they let another 2-goal lead slip away and wave good-bye to another 3 points at the hands of some woeful defending while George Burley makes excuses about us “playing well”.

Still compared to spending the weekend lying in bed with snot dribbling out my nose, my throat closing up in protest, my chest kicking off in a major way and the beginnings of the mother of all chest infections, I think I can handle any sporting disasters coming my way.

It’s all about perspective, see.

Today, I have felt good ALL DAY.

It’s a mystery where it’s come from, and I don’t harbour much hope of it lasting into the weekend, such is the nature of my up-and-down life at the moment, but damned if I haven’t enjoyed it today.

I woke up this morning after a good night’s sleep (which is rare enough) not feeling horrible.  As I plodded around the flat after rousing myself from the bedroom, I waited for the inevitable on-set of hideousness which usually hits about 20-30 minutes after I get up, but it never seemed to materialise.

I had the smallest glimmer of a headache after doing my morning physio session, but I hurriedly popped some paracetamol and ibuprofen and by the time I’d done my nebs it had passed, never to return.

We were joined, late morning, by our little niece and nephew on a spur of the moment visit with their mum.  There’s really no better way to start your day than with the fun and laughter of a pair of adorable children.  I even had enough energy to police the tiny terror as he rampaged his way around the flat – a job that’s normally delegated to K or his mum.

In fact, he didn’t cause too much chaos being mostly occupied as he was with emptying the fruit bowl and putting it all back again, before deciding to re-home most of its contents around the living room.  We’re still finding oranges in the most unlikely of places and I’m sure we had a lime earlier, too.  His main occupation after fruit picking was wall-drawing, but we managed to get away with just the mildest hint of blue in the hallway, largely down to the grown-up party-poopers who kept spoiling the fun.

Once they’d gone – with the elder of the two climbing backwards down the stairs (all 18 of them) on the way back down the car park, cheered on by her little bro who would doubtless have been counting them down if he had any concept of numbers – we had time to chill a bit and grab some lunch before I ran K to the docs for a quick hello.  From there, since it’s just down the road from her ‘rents, we stopped in for a quick cuppa, which is lovely because it’s a good 20 minutes from our place and we don’t get to do it very often.

When we got home, another of our friends popped over, enjoying his day off, and while K busied herself baking in the kitchen, we sat through Fantastic Four: Rise of the Silver Surfer.  It was awful.  Not just not very good.  It was abominable.  Like the snowman, but with less fur.

Mr S, who brought it over, had refused to see it at the cinema on the basis that he was sure he wasn’t going to like it, so thought it would be amusing for the two of us to sit through the DVD together on the basis that we’d both spend most of the film shouting obscenities at it for being so rubbish.  We, unfortunately, share a few friends who suffer under the delusion that it’s actually quite good and would be very upset to hear us bad-mouthing it all the way through, so this afternoon proved very useful for both of us.

Seriously, though, it’s AWFUL.  Don’t touch it.  Not even for the kids.

Since then, I’ve managed my neb and second physio session and nebs (lots of those, these days) and am still – touch wood – seemingly going strong.  Dinner shortly, then a catch up on last night’s telly, methinks, before hitting the sack for what I hope will be another bonza night of sleep.

You never know these days how long the ups are going to last, but I seem to have perfected the art of making the most of them when they are around.  It’s good to feel good.

Nothing really changes in my life these days – it’s getting harder and harder to find something new to write about that’s not just droning on and on about how hard things can be, or what minute fluctuations my chest is taking at the moment. So I figured that if I’m not up to making sweeping changes in everyday life, the least I could do was to give the blog a bit of TLC.

So here we have it – the all-new SmileThroughIt, courtesy of the lovely people at WordPress (forr all your blogging needs!). Hopefully, it makes the whole thing a bit easier to read – I was surfing the other day and saw the page for the first time in ages and noticed just how SMALL the font size looked on the front (I only see the “back end” of the page, which is all fresh, clean and white, totally different to the published version). It also, I hope, makes it easier to navigate the old posts, or the most recent posts, as well as seeing when I’ve published.

Anyway, as far as the “me” update goes… well, nothing’s changed really.

I say that, of course, but there have been things going on. It amused me last week actually, when I was catching up via text with a friend of mine who’s got himself couped up in the Big House (read: hospital) and he was asking what I’m up to at the moment. I said I’m not doing anything these days, not really up to much. Apart from still doing CF Talk. And the work I’ve got going with Live Life Then Give Life. And talking to the campaigners behind My Friend Oli. And the odd bit of writing.

I suddenly found myself looking back over my text wondering what, indeed, the Roman’s had ever done for us. (Apologies to Monty Python). In fact, said friend said as much in his reply. Told me I clearly didn’t have time to work, even if I was up to it physically.

So yes, I think to myself, nothing ever changes around here, but I’m still finding myself pretty busy. Saturday was a blessed day of nothingness, somewhat of an oasis after a busy week, which had been draining not just physcially, but not helped my the mood swings and negativity flying about.

Sunday we popped over to K’s ‘rents to say hi and for K to raid their loft to try to find some old books of hers to help with her college course. K being K she’s decided not to do the simple, middle-of-the-road, easy-as-the-proverbial-pie kind of project that they expect their students to do, but rather to launch into a semi-professional study which, all things being well, she is hoping to then go on and get published if we can find the right journal for it. The only thing is, it means she needs to wrap her brain back around the statistics info she learned way back when. I am, naturally, completely useless for this as I can’t really count much higher than 10 and ask me to do division and I’m stuck beyond halving something.

While we were there we were, I think it’s fair to say, attacked by our tiniest niece and nephew. I think it’s also fair to say that they’re not going to be the tiniest for long. The little one is nearly as big as his sister now, despite being 13 months younger. In a reversed nod to Animal Farm, he’s just discovered Two Legs Good, Four Legs Bad – it’s so much easier to cause havoc when you have your hands free to grab, hold and throw things while you move. His sister, meanwhile, is mostly contented jumping on me and her Auntie K.

Today I even managed to venture across town to pick up my own prescription, something which I’ve been relying on Mum and Dad for for a while now, although when I told Mum I’d done it tonight she told me off for not asking her to do it (you can’t win sometimes).

Just writing all this down, I’m starting to realise not only that my life is still pretty full and varied, albeit in a different manner to that which I was used to, but also why I started this blog in the first place. More than just a place to air my frustrations, or my minor triumphs, I began writing these posts nearly a year ago in the hope that putting it down in words might help remind me that life’s not as bad as all that and if I only take the time to look around, I’ll see all the wonderful things I have in my life: my family, K and her family (my second family, really), my friends: a network of people who never let me forget myself. More than anything, maybe I’ve reminded myself to Smile Through It.

I feel like I should be doing a great, big week-long catch up on here, but I don’t seem to have the impetus to go back over the whole of last week and work out what happened or didn’t.  I seem to remember largely feeling pretty knackered, thanks, no doubt, to the IV’s.

The good news is that they really did the trick and we got on top of the infection before it could develop properly.  My CRP at the start of the course was at 89, which had reduced to just 33 after 7 days, which is good going.  The extreme fighting going on is probably the major cause of the tiredness, too, alongside the drug doses.

I also feel like I should be entertaining you all with a blow-by-blow account of my troubles with Sky, but I think I’m so tired of all this malfunctioning technology and maladjusted people on the end of helplines that I can’t even bring myself to muster up a random thread of expletives to describe the situation.

The IV’s finished on Tuesday and I was up at Oxford yesterday for a quick post-IV once-over.  The best news of the 2 weeks (and recent past) is that my weight is now up to a rather impressive 54.4kg – the heaviest I’ve ever been.  I’m hoping that I can keep it on and keep adding to it even as I slowly start to reduce my steroids.   My lung function had improved greatly, too, back up to 0.8/1.3 after dipping down to 0.6/1.1.  It may not sound like much, but when you consider that’s a  25% drop in lung-function,  it goes to show why I may not have been feeling my best.

I have continued, on-and-off, to look at and sporadically work on new projects and a couple of old ones, although clearly a lack of internet access is a bit of a hindrance to most productivity.  Of course, being offline and having nothing else to use my computer for, you’d have expected, I guess, that I would make some significant progress on the screenplay.  Rather impressively, however, that’s not the case at all, and it’s sitting just as untouched today as it was when I lost the internet connection 10 days ago.

Only I could manage to ignore a chance to turn a technological disadvantage into an advantage – looking the mis-guided gift horse in the mouth, as it were.

There’s not much else to add, really – I suppose it’s been a bit of a boring week or so, or certainly that anything interesting that has happened seems far too long-winded for me to dredge back up right now.  I’m still tired.

Ho hum, let’s keep rolling along and see what tomorrow brings.  Sorry for being boring today.

I’m in a very weird situation with my body at the moment.

On the one hand, it’s reeling from the effects of the infection and is suffering the usual IV hangover that comes with the first few days of pumping extremely high doses of pretty hard and powerful drugs into your system.  On the other hand it’s simultaneously feeling a huge surge of energy and general boost that comes from having large doses of steroids crammed in on top of everything.

It can’t decide whether to be super-tired or super-energised and it’s seemed to settle on some sort of manically-driven half-way house, where I feel like I can take on the world if only I could have a 10 minute cat nap first…

Still, the main thing is that whatever’s happening, it’s definitely doing the right thing.  Without a doubt I feel hugely better than I did earlier in the week, tiredness aside, and I know that if my appetite is returning (or back with a vengeance) – even if it is steroid-related – then I’m definitely on the mend.

I’ve never been particularly good at recognising (or acknowledging is a better term, I suppose) the signs of an on-coming infection, so I’m quite pleased not only that I picked up on it properly this time, but reacted in the right way by getting myself to Oxford as soon as I could and not just waiting around for my next appointment, by which time it could have taken much greater hold and really started to kick my butt.

I was back at Oxford yesterday for a physio session, which is also a cunning ruse on the part of the team to give me a quick, unofficial once-over to see if there has been any improvement.  They think we don’t know these things, but we really do.  Still, cunning or not, it was reassuring to know that the team all felt I was looking better.  Being multi- rather than mono-syllabic must have helped.

Strangely, this period of minor health-hiccup has coincided with a bright spark of inspiration and I’ve finally broken the back of the script I’ve been working on for the last few months.  I’m now 70 pages in, about 20 pages from the end – at a guess – and it’s all coming together beautifully.  I actually can’t wait to sit in front of the computer and bash out the next six pages each day and often feel like I could do more, had I the alertness to keep focused for long enough.

Still, I’m hoping to have finished my first draft by the end of the weekend and to have redrafted within the week.  The stages between my first and second drafts are very quick – it’s pretty much a read through and polish with a couple of additional scenes, at which point I’ll then sit and work through it much more slowly and may seek out a couple of opinions from people who will give me good, honest notes.

Funnily enough, a great friend of mine for whom I am nominally writing the script, happened to text me on Wednesday to see how I was doing (health-wise, not script-wise) and it was the same day that the whole things became clear and concise in my head, so maybe there’s a spooky little connection thing going on in my head there, somewhere.  Whatever it is, I’m really enjoying it.

It has occurred to me of late, rather alarmingly, that I may be turning into a middle-aged woman.  Not in any real, physical sense, you understand – I’m not that weird, yet – but rather in what I like to call my “Mañana Manner”.

For years I’ve observed that strange phenomenon in women who feel a little over-weight to protest over a long, languid Sunday roast of a dozen or so courses with free-flowing wine and truffles to finish that their diet starts “tomorrow”.  So many “tomorrows” are there in the world of middle-aged women that it’s a wonder today every happens at all.

Losing weight is obviously not an ideal goal for me – being the svelt 52kgs (that’s 8st 2lbs in old money or 114lbs to our American cousins) I am at the moment – but I have found the “Mañana Manner” creeping into other areas of my life ever more prominently as I continue to enjoy something of an “up”.

For weeks now, I’ve been promising myself that I will get back to the screenplay I abandoned half-finished at the back-end of May, when I was whizzing through my 6-page-per-day target almost non-stop.  My birthday upset the balance at the end of the month, and then my prolonged “outage” set me even further adrift.  Now, I seem to find excuse after excuse to avoid putting myself in front of the screen to finish off a piece of work I’m actually pretty happy with.

Last week didn’t help, turning as it did into one of those run away weeks which sweep you up from the start and end up dumping you at the weekend with hardly a moment’s pause for breath (paradoxical, I suppose, since I have hardly any breath to pause for) .  An aborted call in the middle of things didn’t help, but I honestly could not tell you whether or not the last three days really did have their full 24 hours or if someone decided to switch us on to fast forward for a little while.

You know the sort of thing I mean: when you go to bed on Monday, wake up in the morning and it’s Sunday and although you know you’ve been busy all week you can’t for the life of you think of the things you’ve done.

So it was hardly a struggle to continue to find reasons not to get back to my desk, although I’m getting pretty good at that now.

It started innocently enough as a case of writer’s block – reaching a mid-point in the story which needed a kick and not being able to work out where it should come from.  I can’t, however, really cling to that as a reason not to have confronted it in the last couple of weeks, since I sorted that problem out in my head a good couple of Monday’s back.

It is much more a case of the intrusion of the “Mañana Manner” on my writing habits: I can’t possibly start writing today, I’ve got to finish this chapter of my book first.  I can’t possibly start writing today, it’s the middle of the week and I shan’t be able to write tomorrow, so what’s the point in getting into the swing of things, just to lose the flow again?  I can’t possibly write today, it’s nearly the weekend.  I can’t possibly write today, it’s Sunday.  I can’t possibly write today, there’s a small black-and-white dog lurking outside my study window.  I can’t possibly write today, the sun isn’t quite bright enough to echo the mood of the piece I’m trying to create and I’m not going to be able to find the right “zone”.

It’s remarkable how creative one can be in forcing oneself not to be creative.

What’s more, it amused me as I thought these things through to myself as I washed-up (yes, washed-up – if that’s not a sign of improvement, I don’t know what is) that for someone who can procrastinate so spectacularly well around doing something I’m passionate about, how is it possible that I manage to park my butt in front of my computer to bang out nearly 1,000 words of blog most days of the week?  I think my priorities may be a little skewed….

Still, the most important thing is that you’ve got something to read to waste 5 minutes of your day.  After my transplant I’ll have plenty of time to do things for myself, for now I choose to put you, dear reader, first.  I’m that sort of a giving kind of person, me.

After almost a full 24 hours tucked away in bed sleeping off the after-effects of our 3am bedtime from Tuesday, I was back up to Oxford today to finish off my IV’s and see how the exercise program appears to be working.

First of all, though, I had the morning to spend with one of my best friends who I’ve not seen for an age, who came around with her shears to attack my unruly barnet, which she did with considerable gusto, even tipping a small vat of bleach onto my head for 45 minutes.

To be honest I’m not entirely sure I like the result, but the thing with Lea’s haircuts is that in all the time she’s been doing my hair (which is about 6 years and counting now), I’ve never actually liked the cut or colour for the first 24 hours. I think it’s because it’s nearly always pretty drastic, so I’m not used to the sight that greets me in the mirror. But without fail a couple of days after I’ve had it done, I always LOVE it. I’m odd like that, but there you go.

We’ve kind of got used to each other now – she’ll finish and stand back excited and happy, cooing and purring over her handiwork and I’ll stare at myself in the mirror and um and aahhh over it for a while and generally be unenthusiastic. Then in a couple of days’ time I’ll do my hair in the morning and be straight on the phone to her to tell her how much I love it. Legend, she is.

What’s more, she’s one of those fantastic friends who you can go for months without seeing but pick up from exactly where you left off as soon as you’re back together again. We had such a great time this morning, it really helped lift any of the remaining fug from Tuesday night.

Oxford was good again. With the steroids being tailed off – reduced by a third in the last week, and with a noticeable energy reduction – I was expecting to see a pretty big difference in the workout session with Lou the physio today. So I was pleasantly surprised again (and pleasantly surprised to be pleasantly surprised again) to get through an 8-minute step-up workout with her and see my sats stay in the optimal/safe 90% range during exercise and rising back to 93/94% at rest afterwards.

The next couple of weeks is going to be the real test of the plan’s long-term prospects as I drop the IV’s and begin to slowly ween myself off of the steroids. If I can keep my appetite up and give myself enough fuel to run through the programs I’ve got, then potentially I can keep my chest feeling stronger and clearer for longer and avoid the usual post-IV dip.

The motivation is still there, even if the energy levels are more variable. It’s just a case of trying to find the right moment in each day to get the most out of my chest without leaving me exhausted for the rest of the day. It’s another of those slow learning processes, but at least it’s got very positive benefits to aim for and a real sense of achievement to top it off if it works.

The end-of-IV checks included looking at my lung function which has stayed at a fairly stable 0.8/1.4, which is good if unremarkable. Mind you, I’ve not been over 0.8 for more than a year now, I think, so it’s probably safe to say that’s pretty much my ceiling now, so as long as I’m staying there and not dropping, we know things are going OK.

Although the exercise program is unlikely to improve my base lung function, the hope is that it will help out with the oxygen flow round my body and help reduce the breathlessness. We’ll have to wait and see if the theory holds true, but for now, it’s time to plough onwards.

PS – thank you all for your wonderful comments and messages of support over the last couple of days, they really do make a massive difference in picking myself up and keeping on. And K wanted me to add big thanks to everyone for her birthday wishes to! So you all rock, muchly! xx

Tonight I am a tired boy, but it’s OK to be tired because all of my energy has been expended on being wonderful and making sure my beautiful, doting, life-enhancing and gorgeous other half enjoyed the most fabulous, spoil-some birthday in the history of ever.

I even got up 30 minutes early this morning – that’s a whole half of an hour, that is.

Imagine, rising from bed in tip-toe quiet fashion so as to leave the birthday girl to her beauty sleep, nipping out to the Tesco on the corner to pick up some nice, fresh croissant and fruit juice, sneaking back in and setting out all the breakfast and presents and celebrations to look lovely for when she wakes.  And all before my morning IV’s, too.

Of course, it doesn’t always work as seamlessly as planned.  Tip-toeing out of bed is all well and good, but it’s hard to muffle the enormous, alarming “BUZZZZZZZZZZ” of the oxygen concentrator as it kicks to a start in the morning.  I’ve heard teenagers make less noise when parents have tried to rouse them from their slumber during school holidays.

Still, the advantage of the concentrator in the bedroom is that while the alarm may be startling, once it’s on and running the mid-level hum it generates masks out most of the noises created by banging around preparing breakfast spreads and makes sneaking out of the house a whole load easier.

Of course the easiest way to win someone’s affection on a birthday is to buy them presents, so this was something I took care of some time ago and in copious quantities.  I say some time ago, but being a boy what I mean is ordering them on the ‘net last week.  I don’t want to give you some illusion of forward-planning anywhere akin to the levels K works at, where she has already started assembling gifts for Christmas and people’s New Year birthdays.  Forward planning in my world consists of remembering that there’s a day you need to remember at some point this week.  This month if you’re lucky.

Still, said assembly of presents appears to have been appreciated and it was brilliant to be able not only to entertain my Mum and Dad for a mid-afternoon visit (yet more presents – including ice creams for everyone: they can come again!) but also to make the self-powered trip over to K’s parents’ for a little birthday tea party with most of her nieces and nephews.

As delighted as I have been over the last week to be enjoying something of a return to previous heights, there’s nothing that quite reinforces the value of having at least some state of health than being able to do things without having to second-guess yourself or your body.

A couple of weeks ago I wouldn’t have even deigned to consider seeing both sets of parents in one day, let alone driving us all the way to K’s ‘rents.  To be able to do it all today and to make the day so special for her is a one-in-a-million feeling and it really rams home the importance of making the most of the good days when they come along.

But enough of me – today has all been about K and making her the happiest girl she can be.  I’m fairly confident we’ve managed to achieve it between me, our families and our ever-generous and wonderful friends.

K really is the other half of me – she’s the light to my dark and the sweet to my sour, but I know that I’m just as much to her.  Everything we share we share together (which is meant in a much less, “well, duh,” way than it came out…) and everything we go through we go through together.  Neither of us will ever know the physical struggle the other faces, or feel each other’s pain, but we will always know that wherever we go and whatever we do, we have someone with us no matter what.

Happy birthday, gorgeous, don’t ever stop those happy feet.

So I’m now mid-way through my course of IV’s (provided I’m only on for 2 weeks, which is always a big “if”) and I was back up to Oxford today for a check on how things are going, some mid-point bloods and an exercise session.

As I mentioned in my post about my annual review here, the docs think that if I can get myself doing some exercise and building some of the muscle mass I’ve lost over the last few months, I’ll stand a much better chance of keeping my lungs ticking over for a while longer than they may first have predicted.

Apart from the exercise (which I’ll come to in a bit), the most amazing thing to come out of today were my oxygen saturation levels – the amount of O2 that gets transferred into the blood stream to be carried around the oxygen.  I know I’ve been feeling brighter and fitter over the last few days, but nothing prepared me for the physio clipping the monitor to my finger this afternoon.

Normal sats levels run between 99-100% and back when I was off O2 and doing well a couple of years ago – and for a good while before then – I used to run fairly steadily about 96-97%.  Recently, even with my constant flow of 2 litres of oxygen per minute being shoved up my nose, I’ve usually topped out at 89%.  That’s pretty low.  OK , very low.

Imagine my surprise, then (I seem to say that a lot on here, so I guess all you guys who stay with me and continue to read this must have a pretty good imagination by now) when I perched on the bed on the ward today and saw my sats hit 94% at rest for the first time in well over 4 months.

I was totally gobsmacked.  I have to admit it was totally beyond my wildest dreams that I could or would recover the function that I’d lost, having convinced myself I’d waved  it goodbye for this set of billows.  Even my physio seemed a little startled by it, but she said she didn’t see why we couldn’t maintain or even improve them with the right exercise programme.

Obviously, it’s not exactly Olympic standard – I don’t even need any gym equipment, unless you count the beautiful, girly-pink dumbells they had me using for my bicep curls – but it’s something which gets my heart-rate going and will hopefully strengthen some of my core muscle groups and increase my general exercise tolerance.

The programme consists of a “cardio” set (in quotation marks as it’s not exactly pushing my maximum heart-rate) to build endurance and “weights” set (in quotation marks because all but one of the exercises actually uses body weight and nothing more) to strengthen my arms and legs, the areas which take the biggest hit during any period of inactivity.

The endurance set is a very simple 5-6 minutes of step-ups onto a low stair, broken up into 1 minute reps with 30 seconds recovery in between.  The aim is to increase the time by 30 seconds every couple of days until I reach a comfortable but taxing plateau, repeating the set every day.

The strengthening set consists of several different extension exercises, including leg-lifts, quad stretches, hip movement and arm/shoulder lifts. The idea is to do 3 sets of 8-10 reps of each of the exercises three times a week – so Monday, Wednesday and Friday, I should think.

I’m actually really psyched about being presented with something that I can do to help myself.  For so long now I’ve felt like a passenger on this ride.  I know that doing nebs and physio everyday is a big part of fighting off the avalanche of attackers busying themselves in my chest, but this finally feels like I have a chance to do something to take the bull by the horns and drag myself back up the slope.  (And on the way up I’ll find some more weird metaphors to mix, too).

It remains to be seen just how good I am at staying motivated when things get tough and I’m tired, aching and stressed out, but everything has to start somewhere, so it might as well be on a high.  If I can just help to turn this into a habit, then maybe it’ll become as second nature to me as nebs and physio are at the moment.

Needless to say, I’ll be doing my best to use the blog as an exercise diary, so I can be applauded or chided as necessary to spur me on.

(PS – for the record, my lung function mid-IV’s is at 0.8/1.5 which is actually better than it was at the END of my previous set of IV’s)