Jan 27, 2014
I haven't been able to enter new journal entries against the actual days they occurred so here is an update of things so far.
Following the by-pass operation I spent 3 weeks in a clinic in the mountains where they got me moving and exercising on Nautilus machines. They gave me a 1200cal / day diet as I wanted to get my weight down further it worked and now I don't need the blood pressure tablets the Drs expect that I'll need them again but I'm determined to get my weight down further. The clinic at Gais have a number of Drs monitoring progress but they are still sticking to the tired low cholesterol mantra. They told me that after the operation I needed to reduce my already lower LDL cholesterol level to a quarter of its current value. When asked why I got no answer I have since found that some work was done to determine the risk of further heart problems based on the blood analysis panel. A correlation exists between the risk and the ratio of C reactive Protein and Total cholesterol. The workers used there results to divide patients into 4 risk categories (low/ medium / medium high / and high) Now I could see the rational behind their thinking, although it does not explain why they wanted the LDL down, lowering the cholesterol by three quarters should put the patient in the low risk category. When I asked about the C reactive protein level I was told that they were happy as long as it was less than 10. It seems to me that reducing both together would be wise and since C reactive protein is the marker for the level of inflammation in the body which allows Cholesterol to be pushed into the arterial wall. Also as Statins given to reduce Cholesterol also have an anti-inflammatory action the correlation between total cholesterol and risk may be a coincidence caused by the further reduction of C reactive protein in response to the Statin that may also account for the correlation being strongest with total cholesterol.not LDL alone.
Since coming out of the clinic I have been exercising two or three times a week on Nautilus machines from weeks 8 and 10 I started to exercise my upper body as the breastbone seems to be stable I'm using more repetitions rather than going for maximum weight over 12 reps. Yesterday I went Swimming in the thermal bath at Bad Neuheim I felt comfortable to I managed to do 6 x 50 meters. I'm still getting these annoying bouts of breathlessness I've called panic attacks but I'm not sure what they are yet. The only problem I noted was that the lower part of both legs and under the feet felt numb I've also noted that my balance is not as good as it was I'm suspecting a drug side effect affecting the nerves but I haven't found any thing yet.