First Anniversary of My Prostatectomy

 Today marks the one-year anniversary of when I underwent a radical prostatectomy operation at the UF Health Cancer Hospital on the south side of Archer Road.  My dear, late sister-in-law Krista was staying in the same building when I entered it, climbing up its winding stairway to the second floor.  The procedure went smoothly enough, but in the early evening when I fully awoke it was very sharply painful for me 'down there'.  Melissa promptly got me on my feet for a brief post-op walk around the floor, and the Foley catheter had already been inserted.  For the next ten full days I would have little trouble with my urinating and emptying the bag...on the 17h all pain disappeared when it was removed.  Dr. Joseph performed the meticulous surgery, which took a few hours.  We left the hospital for home early on the 7th.  Krista remained there until she was released into hospice in early July.  God bless her, I miss her so much.  A few weeks after the catheter was gone, I speed-walked another Depot Parkrun 5K. The Director, Shauna...who has yet to give me volunteer credit for the end of last September when she asked me go far up and beyond the call of duty for a simple tail-walker assignment...was not at all happy with my participation, claiming health concerns. Too bad she treats it all like a competitive race whenever she runs it.  So today I got up early, ran in place a few minutes, and brewed some coffee.  And what do you know, here's Melissa! And what do you know, it's 4:30...

26 Miles; Little Context

 I have some more things to write for today's entry.  i', going to practice carefullyyping while working things out longhand on pape. My chief lament is what I see as a deplorable lack of meaningful context to what lies before me...

Today's Treatments and Doctor Visit

 After receiving my radiation treatment for today at the UF Health Davis Cancer Pavillion, Melissa and I went on a long walk to the Neuromedicine building, where we met with my neurologist/oncologist physician Dr. Rinonos.  Always upbeat, positive and engaging, that appointment went quite well as my treatments continue unabated.  Afterwards, the day slogged on after I ate my main meal from an Arby's drive-through line, not sleeping very much overnight.  Dr. Rinonos was very enthusiastic and supportive of the exercise routine that I created, making the whole experience one of never leaving the ground (no contact).  I just need to regularly show up and follow through with it.  Later on there was Monday Night Football on ABC/ESPN when the Philadelphia Eagles went to Los Angeles to play the Chargers...Philly has been slumping a bit lately.  Well, we'll see what tomorrow brings...

Possible Side Effects of Upcoming Cancer Treatments

Well, it looks as if I'm about to embark on a series of troubling treatments for my diagnosed cancer, starting with tomorrow's facial mask fitting at the UF Medical Plaza for my upcoming rounds of radiation.  In conjunction with that future scenario, full of predicted possible side effects including fatigue, nausea and constipation, one of my physical therapists yesterday paid us a house visit.  His intentions were spot-on although I had some difficulty understanding the technical jargon he used about getting a new exercise bicycle and walking aid.  It's going to be a test of my will to stand steady in the midst of adversity.  I've already written that I'll be focusing on simple things like showing up and following through, without getting hung up on levels of achievement.  Since at this stage I'm not envisioned as a "resident" hospital patient, I'll be taking on more personal responsibility for the needed self-care that will be greatly enhanced by that which my sweet Melissa will be providing me.  Standing up, successfully navigating the toilet and cleaning (and drying) myself in the shower are basic functional activities that fatigue and stressors on my digestive system could well challenge in terms of my ability to follow through with them.  Also, staying active regarding physical exercise...including future weely Parkrun 5Ks...has been a suggestion from my oncologist.  I think it's important to "will" myself into action, at least on a short-term basis, once the effects of my treatment begin to sink in.  I don't know the exact date my chemotherapy/radiation will begin, but I hope to be ready for it as the almost certainly unpleasant routine settles in...

Oncologist Visits Today and Tomorrow

 Earlier today...still during late afternoon...Melissa and I met on Zoom computer-video conference with my UF-Health oncologist to discuss my current brain cancer status and lay out the scenario for my future chemotherapy and radiation treatments.  Although the discussion at times seemed prolonged and avoiding progress, it was a good overall experience.  Tomorrow I'm scheduled to get my surgical scalp staples removed, followed by a consult with a radiation oncologist to discuss the future treatment plan and possible side effect drawbacks.  I'm looking forward to some good future outcomes...

Hanging Out in the Old Donut Shop

Sadly, one of my extended family members has recently undergone some extensive health issues, and she has been in the hospital.  I've been driving Melissa to and from for her visits, and this place is in the southern part of Gainesville, with me passing by the University of Florida. This afternoon I seriously considered, on the way back after dropping her off, stopping at the nearby Krispy Kreme donut shop about three blocks north of campus...but changed my mind considering that rush hour was soon on the way and I didn't want to get caught in heavy city traffic. So instead I'm sitting here in my nearby Dunkin Donuts writing this, remembering that Krispy Kreme from my past.  Back in the early 1980s I was single with a very modest income and a pretty frugal existence.  Still, I enjoyed going to coffee shops and studying...being out in public tended to rivet my attention on what I was trying to focus on.  That Krispy Kreme store was open 24/7, and they never gave me any trouble if I chose to sit there for a while.  I think doing this helped me to come to some level of inner peace about interacting in public settings while enabling me to adopt a lifelong discipline of learning.  Back then, I lived in the southwest area of town and would ride my bicycle back and forth, largely down Archer Road and across the UF campus, between Krispy Kreme and my apartment. The early eighties was a time in my life of "no running", but I was still pretty fit with my extensive bike riding.  Nowadays, though, I'm frankly a little afraid of getting on a bicycle and riding through the motor traffic around me...there's too much going on in cars now to distract drivers from my presence on the road.  One of the subjects I remember studying back then was a romanized Japanese language grammar book, which I have sadly misplaced somewhere in the deep recesses of my home.  But my son Will, who tragically passed away last July, was himself a student of Japanese, and one of the books he left to us was an impressive Japanese grammar.  So although it remains to be seen, I just might be inserting some Japanese studying again into my daily routine. Hey, I'm retired and this should be fun.  And although I'm no longer a regular customer of Krispy Kreme, I'm glad it's still standing there in the midst of the excessive construction and congestion that's recently taken place in that part of Gainesville...

Still Recovering Gradually at Home from Surgery

I continue to "shelter in place" as I recover from my July surgery.  On the second day after my operation all hell seemed to break loose about Covid-19, with its Delta variant spreading explosively among the unmasked and unvaccinated population.  I was informed, while lying in my ICU bed, that the visitation policy was changed and that I could name exactly two people who would be permitted to visit me in my room...any others would have to stay in the waiting area until I could be eventually wheeled out to see them.  All throughout my two-week stay in the hospital news kept growing of the disease's resurgence...the day after I was finally discharged, it was announced by UF Health that they were indefinitely postponing elective surgeries in order to ensure ICU beds for the dramatically rising Covid cases...that would no doubt have included my own surgery had it been scheduled just a little later.  And now here I am, some three weeks later, and there's no sign of abatement in the infection and death numbers.  But at least I'm getting better...but it looks like I'm back to mask-wearing in public once I am again able to venture forth into this disease-ridden world.  Because my rib cage was separated for my open heart surgery to replace a defective aortic valve and repair an aortic aneurism, my recuperation has centered around the re-fused sternum area growing back together while preventing water buildup within my chest. Also, following surgery my heart twice went into a-fib (no regular sinus heart rhythm), but a procedure called Cardioversion restored normal beating which I have maintained since.  I am looking forward to a full recovery and getting back to work. A physical therapist has been visiting twice a week and helping me, both to exercise those parts of my body that are safe to exercise, and to take it easy on those parts that are still vulnerable...my walking has dramatically improved. But I don't know what to make of this coronavirus resurgence, except for the fact that it was completely preventable if more people had simply worn a mask in public and gotten vaccinated...oh, the folly of the prideful...

Recovering at Home from Surgery

Just to keep this blog more or less continuous, I'm writing today's article.  It's been two weeks since I was discharged from the hospital following my aortic aneurism/valve replacement surgery and then two weeks in the hospital.  Melissa has been taking good care of me in just about every phase of my slow recovery.  And sometimes the patient himself doesn't see any improvement in his condition...but I've been told I'm doing much better: very encouraging. My physical therapist has been giving me different projects to work on and I have found them helpful.  On the second day after surgery, Shands hospital policy drastically limited to two named people those allowed to visit me...all because of the Delta variant resurgence of Covid-19.  And just as I was being discharged they formulated their policy of postponing elective surgery because of the shortage of ICU beds...had they scheduled my surgery for August as originally planned, I have no doubt that my operation would have been put off.  In any event, I managed to get it in under the wire and am very glad to be at home...

Watched Tokyo Olympics

When I was in the hospital for two weeks following open heart surgery, I had available a TV to watch, both when I was in the intensive care unit and when I was moved one story below to a more general room.  Once I felt capable enough, I watched a lot of the Tokyo Olympics...which were shown on NBC, NBCSports, USA Network, and CNBC.  I focused on the events for which judges did not play a dominant role in determining scores, opting instead for games and races.  Volleyball, basketball, table tennis, water polo, swimming, badminton, fencing, soccer, bicycle track racing, team handball, field hockey, softball...I enjoyed watching them all, noting that badminton looks pretty brutal when played on a high level.  I somehow missed out on many of the track and field events...in perspective this was most likely due to the fact that they were mostly held after my discharge from the hospital.  But my favorite events, which I enjoyed greatly, were the women and men's marathons...they were among the final events there.  But for the most part I skipped on the diving, gymnastics, artistic swimming, and skateboarding due to the objectivity factor of the judges.  I also thought the rock climbing competition was mesmerizing.  The Tokyo organizers minimized spectator presence due to the pernicious pandemic...understandable. For the same reason they decided not to stage awards with the winning country's national anthem...for me it was refreshing as I had long believed that the Olympics had become way too divisive with the nationalism.  Still, I admit that I would consistently root for the "home" team or contestant.  In just a few months China will be hosting the Winter Olympics...I sincerely hope I won't be back in the Krankenhaus when it takes place...

Annual Medical Checkup Okay, Some COVID-19 Talk

Yesterday I had my annual April medical checkup at my local hospital, to undergo tests on the progress of an ongoing serious medical condition first diagnosed when I was 55 but which has actually preexisted from birth: everything checked out fine...they'll see me again next year, no treatment necessary.  Toward the end of March I was sure that they would contact me for rescheduling in light of the COVID-19 pandemic, but they kept the appointments and everything went according to plan...other than the temperature check upon entry into the building and everybody wearing masks with lines taped on the floor that people had to stand behind for distancing.   At last report there were in my home Alachua County in northern Florida some 227 reported coronavirus cases, one death and some thirty-odd hospitalizations...the extensive medical network here may find itself, however, dealing with cases from other counties that don't possess the means to accommodate the patient load should that need arise.  But that hasn't happened yet, and just going by the rate of increase of confirmed cases, the infection curve around here seems to be flattening...this area had shutdowns and restrictions in place early on, several days before the state government imposed its own statewide.  I am not yet all that eager to resume "normal" life the way that some of my fellow Americans are itching to do...in all fairness I recognize that many have lost their source of income and are in a desperate economic fix, none of it of their own doing.  I don't think the protests we're seeing across the country are helping, though...especially since they started after talk from officials had already begun about gradually reopening the economy.  So I'll still keep on wearing this awfully annoying-but-necessary face mask when out in public around others, practice social distancing and hygiene, and be thankful that at least up to this point my family and I have been spared this horrendous illness...