Pain relief a diagnostic torture

 

In the end of October I visited the pain relief doctor. Nice word for Scrabble or gallows I just thought of. I was scheduled at the end of the afternoon and, as an expert by experience, I know that after a half-hour walk out you get a painful butt from sitting on the wrongly designed chairs which are specially designed for modern waiting rooms. When I am finally called in later I will be offered a cup of coffee immediately I hope (to ease the pain of waiting?) That hospital humor has never really suited me and I also think it is just schadenfreude really. The pain relief doctor has already explained at the consultation what the intention is. I will get a ultrasound guided Nerve Intercostal Block . I also went through this whole process in 2008 and the treatment is not very exciting although there are some risks of hitting a lung.

Back to the call and pain relief consultation for a moment. I was called if I could be at the hospital in half an hour and have a physical examination. Yes no problem I live ten minutes from the hospital so hop in the car and report. The doctor introduced herself and immediately started to write down my appearance (statuesque man, just a little too fat and pain on the left rib and of course), as it should be, a round of psychological questions was done. This is done to check that it is not imaginary pain. Quite a few "healthy" people seem to suffer from this these days. (I too use the Internet to look these things up).

The psychological examination was completed and we moved on to the physical. After explaining where the pain areas are located, they check pretty hard where exactly it hurts. I could cry and felt like I was about to go completely out of the conscious world. And no I am not very squeamish. I was seemingly able to convince the doctor quickly enough that I was going through hell and the examination was stopped for a while. It was moved on to the back to see if something could be wrong here. A number of suggestions for treatment were made and I had already indicated myself to have it treated as soon as possible. For this I will be referred to the pharmacy for pain relief medication to get through the coming time and some so-called blocking will be done on the rib on the left side at the end of the month. Once I left the hospital, I almost choked with pain in the car and we drove home. I could cry.

And then of course you have to keep eating, after eating a plate of macaroni, I vomited it out into the toilet bowl within 2 minutes under heartfelt apologies. The all-consuming pain couldn't even keep my stomach contents in place. Like being stabbed and the wound just wanted to remind you.

If that pain alone can be cut in half then I am already happy. After so many years I am quite used to it, I must say, and I have always told myself that my environment should not be a victim of my problems. But God Almighty what a pain.

 

 

And finally yesterday we had our adventure at the pain clinic and I must say it is just a strange idea, that for once it doesn't hurt anymore like it did for more than a while. It remains to be seen because at the moment there is still residual pain because the syringes have been inserted and this gives a more severe pain than before but as a reasonable positive guy I am hopeful again, after a week I should be able to do everything again. And then soon I will finally be able to throw myself into some light housework again without complaints afterwards.

I have been sweeping the room whistling a song again that did not happen for many years. And that's quite an amazing sensation when you've had to put the brakes on yourself for so long. I feel like a full person again although I will remain a "cripple" to the rest of the world. But yes, I can only rejoice and put on my old-fashioned bad boy costume again. I am going to do lots of naughty things again. The doctor did warn me not to overestimate myself now, and that it is not certain until the prednisone wears off. It is and remains junk but yes if it makes life less painful. (In the physical sense.) Now to deal with the aftermath of the pain which will be there for about a week as they stick a big needle in you which will give some pain as they shoot in some anti-inflamatorial meds and after this my life will be a big party again. Mentally seen there will be some party poopers and of course the medical bills will not be very small luckily we are insured for this. Anyway there will be those other pen licking ass- #@#$&@@#$ like the tax authorities for example have to cooperate a bit. So there will be some challenges during the holidays.

To give a bit of a picture of what the treatment is here is a link to a You Tube movie:

 https://www.youtube.com/watch?v=m--qyUUzH5U

 

The Old Sailor,

Workplace bullying might end up as Complex PTSD

 

Dear Bloggers,

As some of you might know that my wife is suffering from Complex PTSD caused by her managers over a period of three years and then something in her brain just snapped. Since this event she has been in therapy and until today there is no way to cure her fully. This means that there are no opportunities for her to do any kind of job. As there are to many triggers out there and she might be harmful towards other people. Instead of working she is going two mornings in a week to a farm with care for people with mental challenges and she is learning to do some light tasks and learns to ride a horse.

Complex PTSD is a traumatic experience due to workplace bullying or sexual abuse. But as more attention is paid to these kinds of experiences and exactly what they can do to victims, we are beginning to understand more about this condition. And this increased understanding should, in turn, give hope to the hundreds of people who find themselves subjected to workplace bullying every day.

Because the victims of C-PTSD do exhibit some of the same symptoms seen in standard PTSD, it can easily be misdiagnosed. But C-PTSD sufferers also exhibit some other symptoms that are more specific to the condition. These can include difficulties regulating emotions such as prolonged sadness, inability to control your temper or inhibited temper, and even suicidal thoughts. My wife became a victim of workplace bullying by her manager.

Other symptoms of complex PTSD include either forgetting or consistently reliving traumatic events; feeling detached from your own body and thoughts; overwhelming feelings of helplessness, shame, guilt or stigma; a distorted perception of the bully. Workplace bullying is so much more than just making your job more difficult. It is a very real form of abuse that can undermine a person’s entire sense of well-being.

By understanding the realities of C-PTSD, we can begin to break through the wall that surrounds workplace bullying and begin to let victims know that they are not alone and healing is very much possible. It will not work after three years of constant abuse at the certain point you might just snap.

Just an example of what you encounter with a partner with C-PTSD

All of a sudden a loud scream and she is sitting straight up in our bed her heart is pounding, I am fully awake at 2 am. She is totally panic-stricken and consumed with terror in her eyes. And mumbles: “He is throwing me out of a window”.

Our bedroom is quiet. There are no intruders, only our faithful hairy friends Fedde and Heiko are standing on the other side of the bedroom door.

I wonder if her loud screaming has scared any of our children.

After 5 minutes, maybe 10 minutes as I lie in a snoozing mode again, I feel her and she is terrified in our darkened room. I try to decide if I should call a doctor to give her something to calm her down… perhaps I’m having it wrong and is it only just a bad dream. I am both afraid and confused. I know that it is safe in our bedroom, that there is no immediate threat, but her body and emotions are hijacked, and without my consent I find her immersed in past horrifying events.

Thankfully I do know now, from more than 8 years of experience, that a panic attack will eventually pass.

It feels like it’s going to kill her, but it won’t. but her body and emotions are hijacked, and without my consent I find her immersed in past horrifying events. I have to wait it out.

PTSD is typically the result of a specific, horrifying event, Complex PTSD is the consequence of numerous traumatic events, over a longer period of time. CPTSD is frequently caused by childhood abuse and neglect or, in my wife’s case, being trapped for many years in a very abusive workplace.

Complex PTSD and PTSD share symptoms, but there are some symptoms unique to CPTSD. If you are interested in a somewhat detailed list of symptoms for both PTSD and CPTSD, you can scroll to end of this post.

When I look objectively at the symptoms of PTSD and Complex PTSD, I can check off 99% of them (anger isn’t a symptom for her and also low self esteem has never been an issue) but still she tries to live in denial that she has CPTSD… until she is triggered and panicking so badly that she is struggling to speak’

Every morning she is waking up and begins her day with limited emotional energy. Our children are priority so she does everything to work around her limitations with PTSD to be available for them. She carefully plans her day tasks and she is trying to avoid crowds when she has to go to the shop.

One crowded, overwhelming event can sideline her for several days afterwards, so she is choosing her activities carefully, mindful of the probable fallout.

Still, 8 1/2 years after escaping her abusive managers, she still has nightmares and panic attacks. She is having huge gaps in her memories of the past years.

CPTSD is basically an emotional injury ~ an invisible illness. Since it isn’t as tangible as a broken bone I frequently have to remind her that living so much of her life being on “high alert” and in “panic mode” is both emotionally and physically exhausting.

According to my wife: “For me, being triggered causes a level of overwhelm that is very difficult to describe. Research done by PTSD patients has shown that when someone with PTSD is triggered and panics, the right half of the brain “takes over” and the logical, thinking left side of the brain is sometimes almost totally “shuts down.” When this happens to me it becomes almost impossible for me to speak and I can’t think. All I am aware of is the panic and a desperate need to hide. If I were walking with someone else, we would have to stop talking until the truck has passed because there would be no way to hear each other over the noise of the truck. For the minutes that the truck is roaring past, there is only the truck. I am totally consumed by the noise and vibrations of the passing truck. 

I’ve been told repeatedly that in many ways my situation was (and continues to be) somewhat extreme and unique. I am still struggling and doing little steps forward.”

There’s no way around it: PTSD sucks. There are ways that she has improved a lot in the past 8 years though. I can now write about it here on my blog. As horrible as CPTSD is, I want you to know this: there is still joy in the midst of the struggle.

I still laugh with my children. We have so much fun together. Our girls love to make us laugh… it’s become a bit of a competition between them to see who can show the funniest memes each day.

I have been blessed with two Shetland Sheepdogs, one of them is being a service dog for me. They bring all of us so much joy. Truthfully, I am not sure that She’ll ever will totally “conquer” her CPTSD but she is slowly but surely learning to manage it.

Instead of actively working she is trying to learn new ways to heal and better manage the symptoms of PTSD while she embraces her weakness and struggles. Many people do recover from PTSD and even CPTSD. There are numerous healing resources to explore. Perhaps you are also in the thick of PTSD or CPTSD.

CPTSD is a more severe form of Post-traumatic stress disorder. It is delineated from this better known trauma syndrome by five of its most common and troublesome features: emotional flashbacks, toxic shame, self-abandonment, a vicious inner critic and social anxiety.

• CPTSD emotional flashbacks do not typically have a visual component. Emotional flashbacks are sudden and often prolonged regressions to the overwhelming feelings of past abuse/abandonment.
• Fatigue with symptoms of or similar to Chronic Fatigue Syndrome
• Numbness, both physical (toes, fingertips, and lips) and emotional (inability to feel love and joy)
• Clumsiness
• Hyperawareness and an acute sense of time passing, seasons changing, and distances travelled
• Feelings of worthlessness, rejection, a sense of being unwanted, unlikeable and unlovable
• Social isolation, avoidance of relationships
• night terrors, chronic insomnia
• Variations in consciousness, including forgetting traumatic events (i.e. Psychogenic amnesia), reliving experiences (either in the form of intrusive PTSD symptoms or in ruminative preoccupation), or having episodes of dissociation.
• explosive or extremely inhibited anger (may alternate)
• Changes in self-perception, such as a chronic and pervasive sense of helplessness, paralysis of initiative, shame, guilt, self-blame, a sense of defilement or stigma, and a sense of being completely different from other human beings

 

If I could share one thing with you it would be this: please be gentle and take care of  yourself.

The Old Sailor,

Being a Homeowner is not always easy

 

Dear Bloggers,

 

We have lived in our house for almost five years and my wife wants to move back to the little village on the lake were we once started as homeowners. The lack of houses is making the market going wild and it got overheated. Although homeowners that want to sell have to bring their prices down as the energy market has become impossible for many Dutch families. Something to consider for the coming years. So we need to hold our horses for a while until they realize that we are not going to buy that far over budget.

new and old situation

How to budget for a new home so You don’t end up house poor.

Before buying a home, figure out how much house you can truly afford, including a budget for maintenance and repairs.

I have discovered that I was house poor soon after we bought this house in 2018.

When I put 10% down on the 300 -square-meters property with a  111-square-meters house in the city of Sneek, Friesland in the Netherlands, a district on the outside of Sneek, I was surprised to find out what we had to pay, which initially was €162.000 on mortgage.

Above the new situation as the hedge was a fire hazard and the garden was fully out of shape.

Heating the poorly insulated home was also more expensive than we thought it would be. To make ends meet, the budget had to be extended as 52-year-old  we had to take out a home equity line of credit.

“I quickly found that I was spending at least half of my small €46,000 income at the time on being a homeowner,” I never tried this before. “It turned into the home owning me, as opposed to me owning the home.”

While buying a home can be a sound investment, it can also become a financial burden. Here’s how to think about your housing budget so that doesn’t happen to you.

Bovenkant formulier

Getting ready to buy a home? Hire a financial advisor that does all the math for you and sees into the fact that there might be extra costs on remodeling the house. Constructional things can cost a lot of money.

Total renovated the entrance hall and the staircase has been replaced

Onderkant formulier

What does it mean to be house poor?

Someone who is house poor spends so much of their income on homeownership — such as monthly mortgage payments, property taxes, insurance and maintenance — that there’s very little left in the budget for other important expenses.

Being house poor can limit your ability to build up retirement or other savings, pay off debt, travel or enjoy life. Yes been there, done that and got the T shirt.

“I did not have the money for going out with my friends anymore, going to restaurants, or enjoying time as a 50-something-year-old.” It was an extreme time to survive “I was selling all kinds of stuff on Marktplaats, trying to make the heating bill payment.

A total rebuild of the kitchen required a new electrical system due to induction cooking

In fact, 28% of recent home buyers say making their monthly mortgage payments will be among their biggest money stressors for the next two years.

Budget before you buy

Before shopping for a home, it’s important to figure out how much house you can comfortably afford, which may be a different number from the maximum mortgage you can get approved for.

“A reconstruction calculator is definitely a good starting point for helping to determine your housing budget,” says Gerrit who is a certified financial planner. “However, they also require that you have a strong understanding of your cash flow today — what income is coming in, what expenses are going out and what amount you are saving.”

On the top picture you see the new electric system on the lower picture the old one

One rule of thumb is that you shouldn’t spend more than 28% of your gross monthly income on housing-related costs and 36% on total debts, including your mortgage, credit cards and other loans. This is 64% in total

everyone’s situation is different, and the rule doesn’t take into account the need to leave room in your budget for things like furniture, as well as maintenance and repairs. Plan for upkeep and upgrades

The cost of unexpected home repairs and ongoing maintenance can take you, in particular, by surprise. Even a house that was in very good condition on closing day will inevitably need some big-ticket fixes over the years.

I realized just after moving into this new home that the roof had a leak and the draining system needed some work. So I got a roofer over to fix the problem and this took about €4000 out of my budget for remodeling.

The old living room 

41% of people who have purchased a home in the past 12 months say their biggest money worries in the coming two years will be affording home repairs and maintenance.

The new living room

Saving 1% of the property’s value is a good starting point for maintenance expenses per year.

But, you may need to scale up to 2% of the property’s value based on the age and condition of your home, ours is from 1966, repairs you have already made, and the life expectancy of housing components like the roof or furnace.

Bovenkant formulier

Onderkant formulier

Tips to avoid being house poor

Even if you plan properly for a home, it’s possible to become house poor if a job loss or medical emergency leaves you unable to pay your bills.

Painting the outside of the house

In 2018, when we decided to purchase a home with my wife, I knew we wanted to do things differently. I Thought that we as a couple bought our “dream house” after living so frugally for nine years that we could pay off our debts and save up a 20% down payment. Even so, we took out a smaller mortgage than we could have qualified for. After two years of renovating our house to a home again we ended up in extra costs of about €100.000 We took the electrical wiring down and rewired most of the house. All the draining was renewed and also the water and gas lines. We took the wooden floor out as it was rotten and got a  foam concrete floor with underfloor heating a total new heater with new high efficiency radiator panels upstairs, we placed insulation between the floors and still there is some work left to do in the coming years.

Soon on our house you might see a sign like this

“When you're absolutely sure you want to live somewhere for the long term, buying a home with the proper down payment and an understanding of the true costs of homeownership can be a great experience,” I am having a bit of experience through the years. “I found that with my third round of homeownership.” And we are getting ready to take step four.

 

Someday, sometime and somehow the new adventure will start soon I hope

 

The Old Sailor,

 

You have Osteoarthritis and now what?

 

Dear Bloggers,

A few years back in the summer I first felt it: some painful morning stiffness in my fingers. The first signs of osteoarthritis. I resemble my father in many ways. We both went gray when we were 25. He developed osteoarthritis in his fingers around the age of 50 and had deformed, painful fingers and hands 20 years later. Other joints also gave pain complaints over the years. I am a bus driver now and would like to keep doing this until my last day. So, no arthritis for me.

You have to learn to live with osteoarthritis, GPs say and 15 years ago I went to the hospital and the Rheumatologist said it must be Fibromyalgia as there is nothing to find in your blood and you are still young. To keep performing in my job at sea. I had to try things out. They gave me a device that gave electric shocks to ease the pain. After a while it didn’t work out. So, I was getting pain medication and through the years I was on the highest possible dose. This summer the pain was getting back to me, and I became ill of it.

I went to my doctor about it. I thought I knew what he'll say: "There's little you can do about it, just learn to live with it." I have heard from many people around me that this is the message they came home with. Or I'm on the doorstep with drugs that won't address the cause. On sites such as the rheumatoid arthritis fund, osteoarthritis is referred to as “this chronic disease” and the treatment consists of drugs such as painkillers and anti-inflammatories, which the doctors have to prescribe for you according to their protocol. To my surprise, I was immediately referred to the Rheumatologist Dr Baudoin in Lelystad. This doctor is not in favor of numbing people with painkillers and other drugs. This is better than just getting a diagnosis in which you are immediately labeled as a "patient" and the "cure" turns out to be an expensive medical treatment that is not yet available. I don't enjoy these kinds of things. First thing I had to do he said was stopping the painkillers and go back to Panadol and solve the hardest moments. My body was totally in distress as it needed to go back to work again. I have been sick of it for three weeks getting fever and diarrhea and as my immune system was totally on the floor. Surprise surprise I ended up with a pneumonia. Isn’t life wonderful.

No one is responsible for my body. That's just me. I have the task of taking care of this as best as possible and that starts with informing myself well. Fortunately, we live in a time when you can keep yourself well informed. I started researching osteoarthritis and what I could do myself to ensure that I can still do my favorite job somewhat decently at 65. Then what I read made me happy and I want to share this with you.

Osteoarthritis is a disease of joints. These can be fingers, but also knees, elbows or hips. It is a form of inflammation that usually ends in wear and tear. It is therefore important to be there early before the wear occurs. This usually only happens after the age of 40, but it is very common. Women are ten times more likely to develop osteoarthritis than men. Wear and tear occurs in the cartilage of the joints, making the cartilage less elastic. The bone outgrowths, together with muscles and tendons, compensate for this reduced function of the cartilage. This is what causes stiffness at first and pain later. Overloading the joint (sports) can also lead to (extra) wear and tear.

Osteoarthritis says something about your overall health

Osteoarthritis seems to be a local condition, but it says something about the health of your entire body. This has to do with that inflammation that it starts with. Osteoarthritis is in fact a signal that the body is deficient in nutrients. The body uses the nutrients present for your essential organs such as your heart and liver. Just like in a panic situation your heart and muscles get blood to take action instead of your stomach which "only" has to take care of digestion. That is equally less important in a panic state. Your joints are “low” on your body's priority list, as are your skin and hair. You can survive just fine with some wear and tear on skin, hair and joints. So they get less nutrients. Osteoarthritis has everything to do with how you feed yourself. Like almost all chronic diseases, by the way. It is therefore important to ensure good nutrition and therefore sufficient nutrients. This is not to say that it is always preventable.

As we age, we become more prone to inflammation. It is therefore important to delay this process as much as possible. Osteoarthritis also has to do with the balance between free radicals and antioxidants in your body, or the oxidation process. This too cannot be prevented, but it can be kept in balance. Eating like our ancestors did before agriculture and livestock were invented is the best thing you can do to fight inflammation like osteoarthritis. In particular, a good balance between omega 6 (vegetable fats) and omega 3 fatty acids (oily fish) is important. Not too much omega 6 but plenty of omega 3 is the advice. Bit of trouble when you are allergic to seafood like me.

Dairy, bread and too many fast carbohydrates can also cause joint problems, so it is important to reduce them. This also applies to red meat.

Soon I am starting together with my wife on a program where they learn us hopefully more to live a happier and healthier lifestyle. I will suffer from pains as I will go to gym again and having a few muscles being not in the best shape. The best is yet to come and the holiday season is on it’s way.

I will try to blog a bit more again although it is painful to my wrists and fingers.

The Old Sailor,

Sitting quietly and look at the debris of my younger years

Dear Bloggers,

Doesn't a new start sound great? When life becomes difficult, you have failed several times, you have messed up a perfect relationship, and you are bored of your job, your house, your friends, and family; a new start sounds exciting when we find ourselves stuck in the mediocrities of life. We all have a past, and for some, it may be memorable, for others it may be horrible. Whatever the past looks like the enemy majors in causing us to indulge in what was. I am afforded the opportunity to have healthy discussions with many people from the young to old, mature and immature, strong and weak but what I recognize is from the least to the greatest the most common issues among them all is letting go of the past.

 I spent or should I say "Wasted" a lot of time and energy on what was, and what could have been. But I am grateful for the present and the bright future that I have in front of me and it's there for you too. I want to encourage you to take your time through this plan and to commit to stop looking back on all the negatives in your life. Our memory is not the enemy, but the way we use our memory will determine the damage. When I look back on life, it is for only moments of seeing what has happened and what it did to me and how I pickede it up how it has brought me through. As you are on the journey with me, I want you to understand that a new start is available to you no matter where you've been or what you have done. Maybe you should clean up the debris and give yourself a brand new start. There is always a moment for new beginnings, and now I look at every disappointment, hurt and pain as an opportunity to birth something new. We do ourselves a great injustice, when we keep looking back negatively.

 
In my life I faced many challenges that already started when I was still young and I lost the first one that I really loved. All of a sudden it struck me and a voice whispered that I should go home. In my head I knew that something has badly happened to someone. The closer I got to home the more I got the feeling that something was wrong with my girlfriend. I kept seeing images of an operation theatre and she called me. This wasn't a bad dream when I came home my mum was sitting at the table and she was crying. My dad was looking sad and said: Listen Son “I've got bad news to tell you.” I reacted I think I already know that she passed away. After the funeral I had to go back to school but nothing reached my brain as I was living in a bubble. I lived as someone who was heavily sedated. After I messed up my final exams I got a letter from the government to join the army.
 

In the beginning I did not like to be there. Ok, I did my best but not my utmost. Untill the moment I met the corporal that had served in Lebanon. He told me that this was just the simple live and out there you did not know what the next day would bring. Loosing buddies and being shot at. His story was fascinating me and it inspired me to be a better soldier. At an exercise in Germany, we had to load a bridge and we ran into a few supporters of Rote Armee Fraction, or at least so they claimed. I came face to face with one of these figures. My motto was to capture or kill him. But killing someone was not allowed in peacetime. in a blow with the butt of my rifle, I disarmed my opponent and went into a handbattle with him. I decided to silence the screaming and slapping bastard. I knocked him out and tied him up and hung him on the outside of the bridge. And then I chased his companion into the hands of the other guys. When my freund woke up he screamed like a lean suckling pig. We had to take them down and they were handed over to the local authorities. I was fined for my actions when we were back at base. I didn't care as I had the feeling that I did the right thing and no one got really hurt. Jus t another scar on my face and on my reputatioin. I was selected to go to Lebanon but the government stopped the project.

I was all of sudden being transferred to an other part of the country a bit closer to home. I needed to fit in the group of soldiers and go with them on excersises building bridges man the radio and securing the place. This was part of my life for the coming months not understanding wat the plan was untill the Sergeant Major called me in his office and told me to shut the door behind me. The only thing that crossed my mind was that I had done something silly again in the last cou;ple of days as I was bored like hell. He send me on a mission to Germany to do something for a special unit. I had to dress up like a regular Jake. I got some train tickets and some cash for my expences. In Germany I had to ring a number and I would get an address to go to meet an other guy who worked for the same network. I was surprised that no one really knew what this group was doing. The operation was strange and I had to take a British guy back with me as he was captured in the Eastern part of Germany which was still splitted up at that time.. I travelled back with the British guy called Rowan and we had to behave like tourists to get back to The Netherlands. Just at he first trainstation we got off the train and I dailed the number that I got from the German guy. Rowan was picked up by a British driver and they drove of. I called the number that and told them that the mission was completed and I could go home. Later I learned that this was a mission to bring servicemen and women back home.

After my Army days I had to fit in the normal life again I missed the militairy stuff in a way. On the other hand I was happy that I had survived everything that came on my path.I stated a job as a dishwasher in a local restaurant and had ambitions to grow in this business. And I did first of all in a local bar and a small disco. I rented myself out as a waiter and bartender and I had a lot of fun doing this. During the wintertime I worked in factories to keep the bills being paid. I had a few relationships during this times but they ended not from my side. Maybe they did not really love me.
 

At certain moment I met my wife and she could live with me and all my funny ways. Of course as in every relationship there are ups and downs. I started a job as a waiter on passengership but at first it was not succcesfull things from my past brought me on my knees. I had to stop and after a period of getting my life together. When I was ready again I took a job as a bartender on a small cruiseliner the crew was great and the food was crap. Heavily drinking after the shift solved a lot of the problems. 

After a while I moved back home and got a job on the DFDS ferries on the lines between Asterdam and Newcastle and Hamburg and Harwich. During this period I tripped and fell down the stairs at home and do the crash I lost my balance and speech for several months . Do to hard work and help from family and friends I recovered almost fully and after a few years I was back on board. I did many jobs during these years on board and ended up in the Guest Service Centre. when my health deteriorated and I was forced to look for another job according to my specialist, a reorganization had to take place and my job was at stake. After my discharge, I decided to become a bus driver in public transport after about six months. It changed my outlook on life. We are enjoying our moments together in our own way. I am sitting behind my computer writing my blog and my head is traveling down memory lane.

 
Not that bad I think for a regular guy who never got his high school diploma but learned a lot on the way to a regular life with a regular job. No I am nothing special to you but for the ones I love I am their special specalist who is happy most of the time. 

And it doesn't matter if it is dark out there we have to believe that there is always the Sun to come out. Every good day is called yesterday.

We were made to move forward, and it's time to stop looking back.

The Old Sailor,

Sick and tired of the Corona virus

Dear Bloggers,

I have been away for a while again as most of my family members are still suffering from the Corona virus that has struck the planet. Well I had the feeling that we were the lucky ones that we only got the mild symptoms. On the evening of the 12^th of March Ifound my wife in bed being feverish 38,4 degrees Celcius (approx 101 degrees Fahrenheit) She had this for 2 days and some pressure on her chest. We are not that quickly surprised as she lives with Asthma for more than 20 years. The second night she had respiratory problems and her lips turned blue for a little while when I phoned to the doctors office her breath stabilized. After these two days she was still a bit short of breath and quickly tired. I called my boss and the medical advisors of the country and they told me to stay home and self isolate with our family.

The house is alway stocked up for a four weeks survival as we do only do shopping for fresh things like vegetables and fruits. Meat and Bread we have standard in the freezer. No need to panic as toilet rolls are always on stock as well. Next victims were our oldest daughter (who works in Kruidvat a health,beauty and Pharmacy shop) and me. Practicly the same things but with a sore throat and a dry cough and tremendous headache. Our youngest daughter only had a cough for a few days and was feeling a bit weak.The advises of the government were a bit shady as one office said 24 hours after the fever you could go back to work as the other office said to stay at home for 2 weeks after the fever????? My Boss (I work as a driver on commuter busses) ordered to stay at home for the 2 weeks and so I did.I went to work again and I actually felt fine although after work I was totally wasted.

And I kept going with this dry cough. After the second week I came home being short of breath and had the cold sivers. I measured 34 degrees Celcius (93,2 Fahrenheit) and called the doctor again. My daughter stayed feverish with high and low temperatures. The doctor came to our house fully covered up due to Covid-19 and checked me out. I have no fever anymore and a mild pneumonia in my left lung. My daughter is admitted to the Hospital to check on other causes than the Corona virus. Still there is no testing on Coronavirus.

Now in the weekend on the 17^th of April my wife is having a massive asthma attack and gasps for help as she turns blue in the face the paramedics arrive and rush her of to the hospital. With hardly any chance to say goodbye to her. There is no way to visit or join a patient who is a suspected case of Covid-19. Late in the evening the Hospital calls that she is pretty much stabilized and I can come and collect her. As I am coughing I am not allowed inside and the nurse is bringing her in a wheelchair to our car.

Well let me explain a bit of this silly symptom called a dry cough it is a bit like the heavy smokers among us will recognise. That hurling sound that you make and goes away with first smoke. This is all explained by a medical doctor as this one of the symptoms of Covid-19.

A dry cough is a cough where no phlegm or mucus is produced (known as non-productive). A dry cough is irritating and usually associated with a tickly throat. Dry coughs are often caused by viral illnesses such as colds and flu, but they can also be caused by allergies or throat irritants.
Specific treatment for a dry cough will depend on the cause of the cough.
How long does a cough normally last?
Coughs associated with a cold or the flu tend to last a week or 2, most clearing up within about 3 weeks. A post-viral cough may persist for several (up to about 8) weeks after a viral illness, while some coughs persist for longer and are usually a sign of an underlying problem.
In adults and children, a cough is described as acute (short term) if you have been coughing for up to 2 weeks. In adults, a cough that lasts for more than 8 weeks is described as a chronic (ongoing) persistent cough. In children, a cough that lasts 2 to 4 weeks is called a prolonged acute cough. A cough that lasts more than 4 weeks is considered to be a chronic cough.

Causes of dry cough

A dry cough is often the result of:

• a viral illness, such as a cold or influenza (the flu), or Covid-19 the disease caused by SARS-CoV-2 – the novel coronavirus; or
• a post-viral, or post-infective, cough (cough that persists for weeks after a viral illness).
  

However, a dry cough may be a result of other problems, such as:

• Asthma
• smoking;
• Hay fever due to inhaling substances you are allergic to, such as pollen, dust or pet dander;
• certain types of lung disease known as interstitial lung disease; or
• a side effect from a medicine (for example, cough is a possible side effect of most ACE inhibitors – often prescribed for high blood pressure).
  

Other, less common, causes of a dry cough include like heart failure and lung cancer
A dry cough can be aggravated by:

• breathing cold, dry air;
• air pollution;
• inhaled irritants such as dust or smoke;
• exposure to tobacco smoke;
• excessive use of your voice; or
• a change in temperature.
  

Complications

Can I hurt myself coughing?

When a cough is severe, pulled chest muscles and even fractured ribs are a possible complication.

Diagnosis and tests

Your doctor will ask about your cough and any other symptoms you may have, and perform a physical examination. Depending on your age, history and examination, your doctor may order tests such as:

• a chest X-ray;
• a throat swab (sample of secretions from the back of your throat which can be tested for infections);

Dry coughs are often related to a viral illness and in most cases special tests are not needed.

When should you seek medical advice about a dry cough?

You should you seek medical advice if:

• you start to cough up blood or copious amounts of mucus (phlegm);
• you are short of breath or wheezy;
• the cough is mainly at night;
• you have associated chest pain;
• you have a fever;
• you are a cigarette smoker;
• you have a hoarse voice;
• the cough is associated with vomiting or a choking sensation;
• you have other symptoms such as an ongoing headache, sore ears or a rash;
• you have recently lost weight or have general muscle aches;
• the cough is in an infant aged 6 months or younger;
• the cough has lasted longer than 10 days, with little or no improvement; or
• you have high blood pressure, a heart complaint, respiratory illness (such as asthma), gastrointestinal problems or are taking other medicines.
  

Treatments for dry cough

Dry coughs that are caused by a viral infection such as a cold usually get better on their own within a week or two. Self-help measures can help make you feel better in the meantime, and cough medicines may provide some short-term relief to adults with a dry cough.
Other treatments for dry cough will depend on the cause.

Self-help for dry cough

There are some simple things you can do to provide relief from a dry cough.
Honey can help treat a dry cough by coating and soothing the back of the throat (pharynx), and relieving the irritation that triggers a dry cough. Try drinking warm water containing honey and lemon, or taking one to 2 teaspoons of honey 30 minutes before bedtime. Note that honey should not be given to children younger than 12 months of age due to the risk of infant botulism (a rare bacterial infection).
Drinking plenty of liquids can help, and warm broths or teas may help soothe your throat.
Gargling salt water (in older children and adults) may also help with a dry cough associated with a cold and sore throat.

Dry cough can be a side effect of some medicines such as ACE inhibitors and beta blockers (used to treat high blood pressure and heart problems). Your doctor may recommend stopping any medicines that could be causing your cough and replacing them with other suitable medicines for your particular condition. Talk to your doctor about alternative medicines if you are having this problem.
Repeated coughing from any cause can irritate and inflame the larynx (voice box) and upper airways. So the coughing itself makes your airways more sensitive, leading to more coughing. Strategies that can help you reduce the urge to cough and help stop this type of self-perpetuating cough include:

• taking a sip of water with a hard swallow when you feel like coughing or clearing your throat; and
• avoiding any triggers that you know tend to aggravate your cough, such as overuse of your voice, cigarette smoke, or excessively cold, dry air such as from air conditioning.
  
  
  
  
  

Still I think that I have only mild symptoms and they are though and yes the ones that are

Hospitalised are in a severe condition being on oxygen is scary. The ones that are ending up on ventilators are the ones to pray for as many of them will not make it back to their loved ones and that is the worst thing in live that can happen to you. Stay as much as you possibly can away from other people. When it hits you it might destroy you and everyone you love. This virus will get the biggest guys one there knees it even kills very healthy people.

Stay safe and stay healthy.

The Old Sailor,