Dieter
Posted by Dieter
Dec 01, 2023

Clear! (Medical Update)

Approximately 1 hour ago, I was handed a letter clearing me for immediate return to work and travel.

Finally.

The news for medical types is that ejection fraction has increased from approximately 25% to between 45%-50%.
Stay on all meds, revisit in 6 months.

Now to get cleared by the fitness exam for work...
Thanks all for your continued kind wishes.

Comments

Dieter
Dieter Dec 01, 2023

Fitness exam Tuesday. They can't administer the fitness tests without say-so from the heart doctors, which I now have.

What a hassle.

EvenBob
EvenBob Dec 01, 2023

I wanted to give kind wishes but I was suspended by you at the time. Haven't you been working all this time while you're waiting for your clearing to return to work?

Dieter
Dieter Dec 01, 2023

Nope!

The medicos ordered me not to work. Modest exertion only, near the house, plenty of opportunity for rest.

I visited the office exactly twice during my recovery, both times after hours, both brief visits, nothing more significant than dropping off some paperwork or a casual watercooler chat.

Really looking forward to getting more than 75 miles from here. My feet are itchy.

smoothgrh
smoothgrh Dec 01, 2023

Glad to hear the good news! I hope you stay on the upward trajectory!

Dieter
Dieter Dec 05, 2023

Work physical cleared me!

... although they want me to repeat my "annual" physical every 3 months for the next year, which simply oozes with an abundant confidence.

High standards for travelling floor-sweepers, I suppose.

Dieter
Posted by Dieter
Nov 13, 2023

Chip Washing



Those chips definitely needed a bath. 400 chips swimming in warm soapy water; it very quickly turned greyish brown as the dirt dissolved away.

A few rinses later, they're laid out on an old bath towel to dry, and feeling a lot less grimy and sticky. The whites are whiter, the pinks are pinker.

Comments

Dieter
Dieter Nov 16, 2023

... and the kids have already started getting the chips dirty again. Some quality greasy fingers from the pizza, and I think I heard a few chips land in a glass of cranberry cocktail.

Dieter
Dieter Nov 30, 2023





Some notes from Heather, in a video a while back:



https://www.youtube.com/live/xUvebJahgGw



She seems to suggest scrubbing and marginally cooler water.

Dieter
Posted by Dieter
Oct 27, 2023

Library

Every once in a while, I get a hankering to work through a list of movies that seem interesting. Unfortunately, a lot of the streaming services don't have the movies I want to see. I could buy movies, but I don't really see the point if I only want to watch it once or twice.
I happened to be killing a few minutes next to the neighborhood library, and wandered inside. They apparently have physical movies available for loan. I tend to forget about this option, since most of the time I use the library apps to stream audiobooks or videos.
Currently watching 21, a movie that I really don't feel like watching often enough to own. I was amused to see one of the Aces in the opening sequence misrepresented.
The style of cards used was the one with the four corner indices for the Aces, which I believe is the "Tech Art II" style face. The index mark positioning on one of Aces would have incorrectly read as a ten-value in the reader device.

The downside, sometimes I have to wait a few days for someone else to return the movie I'm thinking about. This is a minor hassle, since there are almost always other movies on my list, many of which are on-hand.
If absolutely everything else is unavailable, I found they have apparently complete collections of MacGyver and The A-Team.
Still a big fan of the library, even if my local branch only has about 30 inches of books on gaming on the shelf.

Dieter
Posted by Dieter
Oct 13, 2023

No Liquors or Gambling!



One of the murals in town. At least I'm getting some exercise.

Comments

odiousgambit
odiousgambit Oct 17, 2023

$800 seems unexplained, who pays and who gets it, for what?



the "no liquor or gambling" bit I think is like the illegal sports betting I was doing to set me on the path to furthering my vices in Youngstown Ohio in the late 70s ... the slip I would get would say on it "for entertainment purposes only"



in other words, they knew damn well practically the only reason for the races was to gamble, which would be rampant if illegal, but had to claim they were banning it

Dieter
Dieter Oct 17, 2023

I believe the mural is a re-creation of an advertising bill for the (self proclaimed?) "world's greatest county fair" before Clay County, Iowa took over that responsibility.

I estimate this to originally be from the late 1800's, back when $800 would have been a substantial purse.

There are still a number of county fairgrounds in the region that are quite strict about no alcohol on premises.

odiousgambit
odiousgambit Oct 18, 2023

so maybe one race a day with an $800 purse. Odd way they use to say that.

Dieter
Posted by Dieter
Oct 06, 2023

Rounding Up (medical update)

Welcome again, gentle readers, to the continuing saga of Dieter's recovery.

Throughout much of this ordeal, the doctors and experts have been advising me that I could resume my normal activities after about 12 weeks. Today, I learned that I am not supposed to resume travelling until my next evaluation, which is scheduled for about 8 weeks from now.
No, they cannot just test me now.
There apparently needs to be time for the muscle to grow and heal before they can do the tests (meaningfully), despite me feeling (mostly) fantastic.

We'll be discussing at length if I might be able to resume travel with some physical restrictions. Maybe I'll promise not to change a blown tire by myself, but I'll be allowed to load my own luggage.

Rounding 12 weeks up to 19 weeks seems... abundantly precautionary.
Sitting around the house does not seem to suit me. I'm accustomed to doing most of my grocery shopping hundreds of miles from here. The walls are closing in, and wanderlust calls...

Comments

100xOdds
100xOdds Oct 07, 2023

Insist to Take the treadmill test. If you pass that, then you're muscles are fine now. No need to wait 8more weeks.

- Dr 100xOdds :)

Dieter
Dieter Oct 08, 2023

Is this what they're calling a "stress test" on the treadmill?

I overhear people talking about them...

(Their main concern seems to be weight restrictions on the arms. Their secondary concern is that I will be way out of timely reach of emergency services, should something go horribly wrong.)

100xOdds
100xOdds Oct 08, 2023

yes stress test. your heart rate goes to like 180bps, kinda like your wife walking in on your with another woman. :)

Why limit arm lifting weight?

Dieter
Dieter Oct 08, 2023

They're worried that my arms will overload the spot where they cracked open the chest to do the heart surgery.

I feel fine, but I'd hate to be in a position where I have to choose between overloading myself to the point of injury or being stuck for 3 days - a real possibility travelling the mountains during tire chain season.

Dieter
Dieter Oct 10, 2023

Update (again):

Another several phone calls clarified that their concern is ejection fraction - how much juice is getting squeezed out on each squeeze of the juice squeezer.

Apparently, it's low.

If you've ever thought I seemed heartless, there may be a medical explanation...

Mosca
Mosca Oct 11, 2023

I had 4x bypass a few years back… 1992, when I was 35. Just hang in there. Nothing about recovery is going to be fun. Everyone’s path afterward is different, so I can’t give any advice, but I will say that maximizing your recovery potential is directly correlated to your lust for life. All the best.

DRich
DRich Oct 11, 2023

I rarely take the doctors advice. When I had my back surgery they said to plan on taking six weeks away from work. My surgery was on a Wednesday and I was back at work on Monday morning. Granted, it was a desk job so there wasn't a lot of movement involved. The hardest part was walking up the stairs to the second floor where my office was.

Dieter
Dieter Oct 12, 2023

Sadly, disregarding the medicos isn't a ready option.

Since I (used to) travel for work, and work is insisting on a clean (enough) bill of health before I resume travel... I'm somewhat stuck using as directed instead of going off-label.

I guess it's an opportunity to make time serve me. I've got a hefty stack of books I've been meaning to read, and now, fortunately, not much better to do.

Current audiobook: The Last Shadow by Orson Scott Card. Audiobooks are very convenient for the prescribed rehab exercises, like long walks through the park.

100xOdds
100xOdds Oct 14, 2023

Wait.. your heart isn't pumping out as much blood?

Why is that? And how do they fix that?

So you feel tired and dizzy often?

Dieter
Dieter Oct 14, 2023

I feel great. I begin to get light headed if I keep a too-vigorous pace for more than about 10 minutes. (This happens on the treadmill, sometimes. Walking through the neighborhood, a few seconds pause here and there to take in a view or sniff the autumn leaves is amply restorative.)

When they last measured the ejection fraction, a few days after the surgery, they found that the number was a bit on the low side. I don't find that surprising, since I had just had my chest cracked open, I believe I was still full of surgical drains, and I had spent the past several decades trying to live fast and die young.

They're just declining to re-evaluate the number (yet), since for most patients, the improvement before the next scheduled test is insufficient to warrant a change in status.

So I wait, and go for walks, and spend time reading. Blackjack Blueprint (Rick Blaine) currently. I'm not learning a whole bunch, but I agree with many other reviewers that it's well organized, well written, and a very good starting point for a modern beginning counter.