#exerciseinducedhypertension #livinginsteadofjustnotdying #feelingsorryformyself #heartcondition
I'm turning 60 and I'm heading into the woods. My bucket list is getting longer so I decided I need to start crossing some of them out. I started with crossing off 'living in a National Park' but when my contract in Yellowstone was up I wasn't ready to quit. I've no idea what the future will bring but I'm committed to doing it my way. I'll share my journeys with my readers. Don't know what is going to happen; I just know it's bound to be interesting and fun.
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Thursday, July 20, 2017
MAYBE I NEED EIH ANONYMOUS?
#exerciseinducedhypertension #livinginsteadofjustnotdying #feelingsorryformyself #heartcondition
Wednesday, June 7, 2017
TIME TO LIVE?
Two stents were permanently placed in my heart and I was diagnosed as having ‘unstable plaque’, the kind that sort of bonds with your artery walls and makes them weaker wherever they bond. My artery literally exploded inward, causing two blood clots to form and then travel down to block the entry point into my heart. Several weeks later, my new cardiologist ran additional tests and diagnosed me with Exercise-induced Hypertension. I learned that my love of hiking, biking, training, kayaking and all that love of outdoors stuff could literally kill me. I learned that in order to continue with the things I loved to do, I had to also learn to moderate, to slow down.
That hit me hard. As an active person, I didn’t want to slow down. I started training again through the hospital cardiac rehab unit. It had a little scale which was supposed to remind you of your exertion level so your workout didn’t tax your newly injured heart. Trouble was my exertion level was so far under my blood pressure level once I started cycling or walking fast on the treadmill, I had no way of knowing I was entering the danger zone. I started wearing a BP cuff and taking my BP at random intervals in order to see if I could tease out when my BP had risen to dangerous levels. Initially, my doc and I decided a systolic BP of no more than 190 was the danger zone. Later, after several months of recovery, we moved that up to 200. For months my BP cuff was my best friend whenever I hiked or trained at the gym.
Even though I have tried my best to keep fit, I felt my heart was a time bomb and that every time I accidentally exceeded that 200 BP mark, I was chipping away at the time I have left in this lifetime. Even though the decision was not particularly planned, I eased back on my work and went into self-imposed ‘semi-retirement’. And played. Oh, how I played. I have traveled widely, spent 8 days backpacking in the Sierras, ridden a camel across the dunes of the Sahara in Morocco, climbed down into a dormant volcano on Maui and have continued to participate in the annual charity bike race in my home town.
I’ve been doing that for two years. ‘Living life to the fullest’ all the while honestly expecting an early exit from this wonderful life.
I can do stuff, even travel to remote places, but I concentrate ‘on the insurance’ so I can get home.
I’ve learned some things in the past two years that I don’t think I would have learned (or would have had to learn) without those heart attacks. A little before the one year anniversary of my heart surgery, I climbed Machu Picchu Mountain in Peru. By then, I had learned my ‘safe pace’, resting a lot on the way up, paying attention to my breathing, even asking people whether my face was super pink. I got to the top where my son was waiting to congratulate me. A victory to be sure. About a month later, I climbed Donahue Pass in the Yosemite and shared a pack of Oreos at the top with all the others who had made it to this famous Pass. A little more victory over my heart condition. I learned I can do a whole lot of things if I plan accordingly and take my time, resting often to let my blood pressure go back down before exerting myself some more. It’s my ‘insurance’ that I can get back to my car on my own.
I love to travel and one of my friends, who works in the funeral industry, knowing I love to travel to remote places across the globe suggested I take out a policy which would retrieve my body from anywhere in the world, with the insurance company being responsible for all paperwork hoops and costs of retrieval. I seriously thought about this, even though I am perfectly fine with the idea of being buried or burned or whatever in the traditions of the country in which I might die. I called my son to tell him even though the policy was very reasonable (about $500 one-time fee), I was okay with the idea of being ‘buried’ in a foreign country. His response? “Get the insurance Mom.” Not a plea, an instruction. I realized funerals are not about the dead but those who are left and I bought the insurance.
I also never, never, never leave the United States without traveler’s insurance from a reputable, rated company that offers medical evacuation to a facility that can handle whatever problem I might be having. There aren’t really a lot of cardiologists in the Sahara Desert or Antarctica where I plan to go next. There are websites that rate the insurance carriers and even the policies available. If you like to travel, you don’t have to give it up but you need to put the cost of travel insurance into your travel budget.
I always carry my medication in little plastic packs you can get at your drugstore. I take my meds mostly twice a day and so I might have 20 to 30 little packages to carry but this way I can count the packages and make sure I have remembered to take my all-important artery opening medication both morning and night. I also take photos of my med labels for customs (never had to use this though) or more importantly a health facility in another country. Finally, I take a few extra days’ supply in another bag just in case my bag with the main supply should be lost or stolen.
All of these measures are my ‘insurance’ that I can take care of myself while being really far away from home and doctors.
Recovery is more than physical
About a month ago, I decided to take a self-imposed ‘retreat’ in the mountains and spend three days by myself in thought, assessing my progress and what I wanted to do with the next two years of my life. I realized that even though I feel ‘recovered’ from my two heart attacks and surgery, I had not yet recovered from that sense of impending doom and death. I asked myself “Do I want to continue to live this way or do I want to do something else?”
This is perhaps the most important question I have had to answer since that fateful July day back in 2015. I’m ok with the idea of no longer living, although I am afraid of the pain associated with dying. But am I ok with actually living in this doom existence? After three days of contemplation and a nice long 7-mile hike up a mountain to see a beautiful, gushing spring, I decided to hell with doom. I want to live like there are many tomorrows in my future. #spendingmysonsinheritance really was funny at the time but a little fatalistic under my circumstances.
So I have gone back to planning on having to have enough retirement saved up to live into my 70s at least. I’ve decided to accept income opportunities even if they mean I might not be able to keep up with travel schedule I love so much. OK, maybe this plan will go into effect next year as I have all these reservations for 2017 travel already made you see. But the point is I am moving forward on LIVING instead of reconciling myself with DYING. And maybe, just maybe, recovery is just beginning.
#excerciseinducedhypertension #heartattackrecovery #livingwithheartcondition
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Friday, May 12, 2017
KASBAHS CASTLES AND CAMELS
Friday, May 5, 2017
TUBES, TOWERS AND TOURS
Thursday, May 4, 2017
A FOGGY DAY IN LONDON TOWN
Friday, June 3, 2016
STRIKE
Anyone who has traveled very much at all knows there are just those days that things do not go as planned. Two days ago was one of those days.
My son and I were on a very comfortable well-recommended overnight bus to Puno where we planned to take a 2-day, overnight trip to the Islands of Lake Titicaca. As we began to close in on Puno in the very early morning, I saw a long line of locals dressed as if they were ready for work walking away from Puno's suburbs. No vehicles were coming toward us on the highway. Surely, something was amiss.
The bus began slowing down and through its front windows I could see 16-wheelers directly in front of us also barely moving forward. Accidents can happen anywhere so at first I was not unduly concerned. Eventually, from my second-level perch I could see that although quite a few people lined the road, just a very few were dragging large rocks out of the northbound lane. Aha! That explained it. A rockslide. But peering out of the front windows again I could see that many rocks of all shapes and sizes were strewn on both lanes.
Our bus was at a standstill at that point and I began to think that one of the persons moving rocks might be our bus driver or drivers of the big rigs lined up in front of our bus. My son and I had heard about the impending strike of train and bus drivers and employees between Cusco and Puno but had been assured the strike would begin after we were due in Puno. No problem. Won't affect us we were told. I'm actually certain the young man who sold us the tickets believed what he said but it was now equally certain that we would indeed 'be affected'.
The bus began zigzagging very slowly through the minefield of rocks intentionally placed in order to impede traffic in and out of Puno. All those people walking weren't doing it for their health; they were walking to work because they had no other choice. We passed an actual barricade and a burned out old car which had been dragged into the streets to form a roadblock. Two men carefully and with great effort tugged the barricade just enough out of the way that the line of trucks and long-distance busses could get through. I wondered if the many onlookers, obviously unwilling to assist, either supported the strke or were at least sympathetic to the strikers. I could no longer take comfort in the fact that the 'situation' was 'someone else's' problem.
A little background here. I am the child of a labor leader during times when the union not only pushed for higher wages but also better working conditions. While I don't always agree with a particular strike, I know that some strikes are about very serious matters that benefit the shrinking middle class in my own country. I certainly was concerned about crossing picket lines if they existed.
Not knowing what other choices we had for getting to our destination in a town we knew nothing about, we felt our only reasonable course of action was to let the bus company take care of the situation until they could no longer do so. In general, Peru has been in the tourism business for a long, long time and its transportation services have proved to be reliably clean and efficient. For now, we would stay on the bus.
The bus continued its tortuous path inching closer to the Central part of Puno. At one major intersection, riot police stood in a line with their shields ready. This, too, was not reassuring me that we would be unaffected by the strike.
Just a few blocks from the riot police, we stopped for what seemed like a very long time. Finally, the young woman who acts as an attendant for the night busses began informing all of us that the bus could go no further and we would all have to walk wherever we might choose to go. Puno was effectively shut down.
The bus driver pointed the way we should go to find the Plaza where we would perhaps find at least tuktuks we could hire to get us to our hotel. One older couple traveling with luggage that bespoke of them not being used to toting their own bags (and clearly unable to do so) concerned me. How would they get to where they were going safely? I decided to enlist my son to help but we were already loaded down with our own gear. This plan was not optimal.
A young Peruvian woman, chattering away on a telephone, approached us to suggest they let her friend, who lived in the city, come to meet them where they were and drive them to their hotel. Although I have experienced kindness wherever I travel, I was very pleased that someone else recognized their distress and acutally had an operable plan of assistance.
Dan and I, backpacks affixed to both our fronts and backs, began walking the direction indicated by the driver. We finally came upon a taxi, the only one on the street, that was willing to drive us to our hostel. We honestly thought the affect of the strike on us was mainly over.
That night we decided to walk down to the Main Plaza to look at the church and find a restaurant for dinner. The Plaza was eerily vacant. The church was open but no one was around to give us a tour. We saw police in heavy presence around the Plaza but decided to continue down one of the main pedestrian lanes for food. Most of the restaurants we found were closed. Aha. No tourist busses; no need to be open.
We were looking for a tourist information center as well but even most of those were closed. Finally having found one of the only tourist agencies open, we finished our business (how to get to the airport after our island stay) then found a lone open restaurant. After a delicious dinner, our luck held out and we were able to hire one of just a few available taxis to take us to our hostel in the gathering dark.
Two evenings later, having returned to Puno after our sojourn on the Islands, we found a very different city. Traffic was heavy and pedestrians filled the sidewalks and sidestreets. Some fiesta was happening and (mostly) mothers with gaily dressed little girls were walking toward the party carrying what looked like miniture floats on sticks. Puno was back in business.
When traveling, it is easy to get caught up in the drama of the country you are visiting. But events like this strike are rarely cause for concern for one's welfare but rather inconveniences that test one's patience and resourcefulness. Personally, I like being tested and feel that such inconveniences are part of what makes taveling in foreign countries most interesting. And such inconveniences nearly always require interaction with your hosts in some way. Most of the time, these interactions lead to a much greater appreciation for your host country and its people. I have come to expect my hosts to understand and assist when I need help. Rarely have I been disappointed. For me, traveling reinforces that we are all sharing space on the same beautiful blue marble.


