Wednesday, 29 April 2020

2020 Goals Update


In my last post I said this one would follow in a few days; that it’s been closer to two weeks is a good indication of how life is going at the moment. I set myself some new annual goals back in February and this is the first time I’ve gotten around to reviewing progress.

One. The forever delayed podcast. Still forever delayed. I have plenty of plans but other stuff just gets in the way.

Two. Strength & Fitness. I’ve made some good progress with the weights set I got for Christmas, especially since lockdown began. I now wish I’d bought more weights than I did as it’s been impossible getting hold of extra plates from Decathlon. I’ve found some really good workouts on Youtube that make use of dumbbells, barbells and floor exercises, and have been doing programmes between twenty-five and forty-five minutes around four times a week. I did have a slight setback early last week when I strained my back, and was initially concerned about a recurrence of an old sciatic disc injury, but I’ve made a good recovery since and have started to build back up resistance again. On the running front I’ve been going out two or three times a week, doing 5k at least once a week. I managed a personal best of under thirty-nine minutes a couple of weeks ago, but so far haven’t managed to get beyond 5k.

Three. Stabilise weight at 100kg. This is one area I have gone backwards. Two months ago, before lockdown, I was 104kg, now I’m 106kg. A quarter to a half of that weight may be muscle gain from regular lifting, but at least half is fat or at best water retention. The lockdown has made it very difficult to maintain intermittent fasting and time restricted eating. I’m working from home full time, my wife and kids are also home, the successful diet routine just doesn’t fit. It’s not that I’ve been binge eating, but I’m eating three meals and a snack on most days (the kids have been doing a lot of home baking). I’ve also been drinking more beer, not every day and not binging, but as I don’t have to get up at six most mornings and there’s rarely any place I need to drive, there’s no real barrier to unwinding with a few cold ones. Hopefully, if I can keep my fitness up, I can restart my diet once my routine allows.

Four. Improve Technical Knowledge. I’ve been doing some cool stuff with DAX and Power BI at work, and I recently took part in a week long hack using telemetry data where I used PowerApps for the first time. It was genuinely interesting and with a bit of support from Microsoft I built a mobile app that wrote back to a SQL Server database. The plan was also to look at streaming data in Power BI for the first time, but unfortunately the hack was cut short due to the pandemic and the longer-term project it was queuing up has been paused for a few months. I’m hoping I’ll be put back on it when it does restart. It looked like I might get furloughed at the end of last week, instead I’ve been reassigned to a different team, which is not a bad thing as I’m going to be exposed to Azure Data Explorer and Azure Synapse for the first time.

Monday, 13 April 2020

Corona Confusion


Long-time no blog. Despite being in lockdown for three weeks I still don’t seem to have time for my writing. The demands of home schooling the kids whilst both my wife and I work from home has eaten away some of the time gains from losing the commute and pausing the usual treadmill of domestic activities. I’ll write a proper update on my goals later this week, this post is about how the Covid-19 pandemic has affected my CKD treatment. 

To date, thankfully, it’s been a case of potential rather than actual disruption, but I am a little nervous. I managed to get a repeat on my prescription for another two months, despite the review date passing in January, so I’m good there. However, there is some confusion around the renal clinic appointment I’m due in early May, and a little uncertainty over the pre-clinic tests.

After my last appointment, the nephrologist suggested I might like to join a video clinic trial. My CKD is on a managed decline, and staying free of serious illness, I might have five or six years before I need transplant of dialysis. Of course, there’s a very big IF in that scenario, especially now we’ve got a dangerous pandemic raging across the globe. So, the new strategy was to alternate video clinic appointments with out-patient appointments at the hospital, and if there were any hits to the function I’d be back on more frequent in-patient clinics. 

This sounded good, I could simply pop into one of the privacy booths at work and do the consultation on a tablet, rather than taking time off work or going into the office late and fighting for a desk.

A few months back the instructions for joining the video clinic arrived and we were all set. Then when everything kicked off I wondered if it might be cancelled, till a couple of weeks ago I got a letter saying it was still going ahead. Good news. But, (why does there always have to be a But?) the letter stated that I was going to receive a telephone consultation instead of the planned in-patient appointment at the hospital. This has obviously made me a little nervous as there never was a planned in-patient appointment, as the letter suggested I emailed the appointments people about a week ago to find out if it was the video clinic is going ahead as planned, or is it that appointment that has been switched to a telephone call. I haven’t yet received a response.

On the tests front things are also switched up, although this could be to my advantage. My GP surgery used to do blood tests on Tuesday and Thursday mornings, the samples being sent off to the hospital lab before lunch. As I usually work from home on Wednesday’s those slots were typically no good for me. So, a week or so before my appointment I’d drive to the hospital after the school run and wait for a drop in blood and urine test. Now I’m home permanently I thought I’d book a blood test at the surgery instead; only to find it is no longer booking appointments for anything. Instead I spoke to one of the GP’s last week and she told me I should ring up first thing on the day I want it and they’ll give me a slot. As there’s no longer any appointments tests are being done every morning, the only challenge is getting a place in the queue early enough to get it done before the samples have to be despatched to the lab. To hedge matters I’ll start trying for an appointment about a week earlier than normal, giving me a few shots at getting it done before I have to fall back on a hospital drop-in.