Nuffield clinic visit

I slept fairly well, and thanks to Clare, usually getting up before me and phoning the surgery on my behalf I was given a mid morning appointment with Dr Dyban, in which I was able to discuss the impact of my medication regimen and how to mitigate this by spacing differently ones with combined side effects that affect my quality of life. She reported back to UHW cardiology that I had been too poorly to attend for the fitting of a 24/7 blood pressure monitor, due to the effect of the clot dispersal medication, just in case the letter I sent had not been read and noted. It was a good conversation with no added prescription to take away with me, just a suggestion to take the blood pressure medication after lunch. My head is fairly clear, even if my blood pressure is high. As long as I relax and don't drive myself hard when I exercise I won't be making things worse. My shoulder joints have improved since my physio session with Clive yesterday. The numbness and tingling in my left arm hasn't gone away but doesn't vary in intensity so much as it did, perhaps because there's less pressure on nerve endings from stiff muscles. The strained right shoulder isn't so painful either.

America and Iran have signed a peace deal, but Israel continues to attack Hezbollah targets in Lebanon despite the Memorandum of Understanding stating that Israel's occupation of Lebanon will not continue. Shipping may be moving through the Straight of Hormuz and the American blockade of Iranian ports may be lifted at the moment, but for how long? Israel isn't safe from attacks by Iran's allies whatever moves it makes. America and Israel did not succeed in sparking a successful revolt against the Iranian regime. The regime change they achieved resulted in a more hard line leadership, daring to resist Western might. 

Despite the destruction of much of its military hardware and infrastructure, Iran is still able to fire missiles at any American supporting Gulf state, and still holds the geographically strategic asset of the Straight of Hormuz. Leading Democrats assert that Trump didn't start the war with any plan of how it would end. Diplomatic negotiations are finally taking place, but America is now in a weaker position, having failed to think things through thoroughly, with Trump treating the whole affair like a deal making game show, relying on uncertainty, making things up as he goes along.

While I was out at the surgery Clare went shopping. I made a seafood paella for lunch on her return. It's the first time I've done that for a long while. My head was swimming, as is often the case late mornings, due to the impact of medication on my stomach. I feel better as soon as I start eating, but never feel hungry, just more light headed than usual. 

Once I added the mixture of fish pieces at the end of cooking the rice and veg, I 'irrigated' the paella with a generous dose of Sauvignon Blanc, as I didn't have a whole lemon to use. It tasted good. I allowed myself a glass to drink with lunch as well, thankfully without ill effect. It's pleasing to know I've not lost my touch in cooking one of my 'signature' dishes.

Again, I took my blood pressure pill after eating and noticed less ill effect than when I take it with the other meds in the morning. That's an encouraging finding confirming the value of Dr Dyban's suggestion.

Clare and I took a taxi to the Cardiff Bay Nuffield clinic at tea time for an appointment about her increasingly painful hip joint. Dr Mohenty the surgeon who did her hip replacement examined her and established that there was inflammation in the lining of a group of muscles at the top of the hip bone. He injected the area with a mixture of anti-inflammatory and anaesthetic drugs, and prescribed her more physiotherapy sessions. We missed a number nine bus that would have taken us to the bus interchange in the city centre, and ordered a taxi to take us home, just too late to hear 'The Archers' live, so we listened on BBC Sounds as we got supper ready.

I watched a couple of episodes of 'Panda', the rather eccentric downbeat family comedy detective series, with love stories, confusing to follow on times. I'm still not sure what to make of it. Lightweight escapist entertainment, observing relationships in a quirky way. And so to bed.