Meds muddle

After a fair and relaxed night's sleep, another day with a strong cold wind, sunshine and cloud. When I came to take my meds at breakfast time, I was shocked to discover that I'd made an error in my routine self dosage. Instead of aspirin in the aspirin package there was a strip of Losartan. I have no idea how that happened, but it meant that for the past couple of days I have been overdosing myself without realising. The writing on the back of the foil strip packaging is so small it's easy to make a mistake with my visual impairment. Clare and I walked around to the neighbouring Cottage Hospital where I was treated with motherly kindness by two experienced nurse practitioners. My blood pressure was sky high with the shock and from responding to their diagnostic questions. If I had critically overdosed it would lead to kidney failure I was told. No sign of that. Bladder working normally so far.

The outcome was the need to check with a blood test, which could only be done at Withybush Hospital, an hour's journey away by bus or train. By the time this was proposed I was tired, hungry and thirsty and unwilling to put myself under any more pressure and increase my stress levels. I declined, knowing what the impact on me would be. Having searched high and low for the missing aspirin, I went to the pharmacy in town on my way back to Croft Court and bought some. At half past five I had a phone call from an A&E nurse at Withybush to say they had been expecting me, as the nurse I saw at the Cottage Hospital had alerted them to expect me, despite my saying that I was too tired to make the journey. He expressed concern about my high blood pressure, and I explained this was normal, and something I lived with. The A&E nurse stated his concern and told me that if there was any change in my condition, to call 999. The perils of country life with no car! My misgivings about taking this holiday were justified. Having skipped my morning dose of Losartan as a precaution, I felt there was sufficient justification to take if following this conversation, which doubtless raised my blood pressure for a second time in the day. After this call I felt hot headed, a symptom of high blood pressure I used to experience when under stress back in the day. I took the Losartan dose missed earlier, in the hope this would stabilise me.

I cooked rice to go with a can of sardines for supper, as I didn't fancy fish and chps. Then a half hour walk as the sun set  there was no wind and the sea was still. A lovely calming sight on my way back for an early night. 

Early for Ascension

Another wakeful night, disturbed by Clare's noisy snoring  leaving me unable to recover from mental and physical fatigue, feeling stressed out. If only I had remembered to pack my ear plugs. As a precaution against overdosing on aspirin, I cut the pill in half and dissolved one half in water. It took over an hour to do this and it tasted disgusting.

I made the effort to walk to St Mary's for the Ascension Day Eucharist, and arrived an hour early. I didn't check the time before leaving, and didn't want to be late. I intended to go to the pharmacy and ask them to check the aspirin dosage prescribed, but went to the church to confirm the service time. Several women were there preparing flower arrangements for a wedding, but they didn't know anything about the service time. At half past eleven, Vicar Fr Steve arrived, and the Verger lit the candles and prepared the altar, then there were a dozen at noon celebrating the end of Easter-tide together. I enjoyed waiting, quietly watching the 'liturgy before the liturgy' unfold' letting the stress drain away. I had a brief chat with Fr Steve after the service.  I was surprised he recognised me from our previous holiday visit nearly two years ago.

The pharmacy was closed for lunch when I got there, so I returned to Croft Court and had sardines and rye bread for lunch. Then, back to the pharmacy to inquire about the aspirin dosage. Apparently there was no mistake, but I still can't work out why the previously prescribed ones were more readily water soluble and didn't taste so unpleasant. Clare and Ann had lunch in town. I slept for a much needed extra hour until Clare and Ann arrived.

I went out for a walk to clear my head with fresh air after and drive away the tiredness. Up the hill behind Croft Court there's a long car park which serves holidaymakers and visitors to the Cottage Hospital along one side of the site. Described as a nurse-led walk-in treatment centre, it operates from ten until five on weekdays, dealing with minor injuries and illnesses without a scheduled appointment. It's staffed by Emergency Nurse Practitioners, therapists and GPs in one of fifty centres referred to as Community Hospitals in Wales - a new medical enterprise which has developed in the past decade.

When I returned, Ann and Clare had cooked sausages and baked spuds for supper, followed by stewed apricots, the taste of these reminded me of being in Ibiza during covid lockdown, watching apricot trees blossom and a month later, buying and stewing them for pudding. After supper, Clare and I rearranged the lounge furniture to set up a separate bed I could sleep in without disturbance, hoping to be able to shake off the fatigue that's plaguing me at the moment. Ann and I chatted about ways of recovering from trauma until it was time for sleep.

Back to the Prayer Book (1984)

Another night with the east wind, despite the background heating, needing to get warm in order to get back to sleep after getting up to empty my bladder again and again. Somehow I got seven hours' sleep, but the tiredness persisted until mid morning. I posted today's YouTube link to Morning Prayer on WhatsApp when I got up at eight thirty. A mix of sunshine and cloud with the fifteen degree air temperature feeling like seven.

After breakfast Clare and Ann walked along South Beach and had a coffee before doing food shopping. I went to the noon Rogationtide Eucharist at St Mary's Parish Church with a congregation of fifteen retired people in the congregation, for a 1984 Prayer Book service, including the priest who preached last Sunday. He read the lessons with the confident relish of a man who loves to read scripture in public while the Vicar took  the service. I enjoyed the calm of joining in a familiar liturgy known by heart. I left without speaking to anyone, savouring the inner silence after a disturbed night. I called Clare but got no answer, and sat for a while on a bench in the entrance hall of the market, as we'd made no plan to meet. An hour later I had a call to say they'd walked home, and returned to join them for lunch.

After the meal I slept for an hour and a quarter, then went for a walk.  I was surprised and disconcerted when my nose started bleeding as I was about to turn around and return to Croft Court. I was walking slowly and wasn't exerting myself at the time. I think it was a consequence of being prescribed a double dose of aspirin to go with the other platelet reducing medication I'm taking. I took the pill when I wasn't fully awake and didn't dissolve it in water. Six hours later I paid the price for lack of vigilance. In future I'll dissolve it properly in water and drink only half of it, to reduce the concentration to the equivalent of the first prescription of pills issued to me the first time. I don't know what went wrong, but it was disturbing to read the information on the back of the pack stating that aspirin shouldn't be taken with blood thinning medications.

Clare made a fish pie for supper. I went for a breath of fresh air as the sun was setting, got caught in a shower of rain and had to change my wet trousers when I got back. We're meant to have warmer weather from tomorrow. Feeling it is believing! Early bed tonight to compensate for broken sleep. I so need to reduce the accumulated tiredness. It's so demoralising.

Fatigued

It was after nine when I woke up this morning. Eleven hours in bed for seven hours of sleep, I was awake for four hours, traipsing back and forth to the toilet. When I got up it was sunny with clouds on the move, and less wind today. I felt mentally and physically tired for most of the day. I've not yet adjusted to the change of environment. Clare and Ann are enjoying being in holiday mode, I still feel I'm in survival mode and this seems to absorb a lot of my energy. 

We walked into town to buy vegetables and mixed dried herbs with a fragrant aroma at the organic stall in the Old Market Hall. We went to the Sea View cafe and restaurant at lunchtime, but I wasn't hungry. I sat drinking a cup of tea while Clare and Ann ate lunch. Then I returned to Croft Court where I had a snack of rye bread, hummus and walnuts before dozing on the sofa until they returned. 

Later in the afternoon, once I'd recovered and my head cleared, I went out and walked again for an hour before supper. I prepared and steamed cauliflower and carrots while Clare cooked scrambled egg on toast for herself and Ann. She turned some vegetable protein into a bolognese style sauce for me to eat with bread.

I completed my daily step quota walking around the house while Clare and Ann went for a sunset walk on the beach. I felt too tired to go out again, and started getting ready for bed early.

Welcome visitor

I slept fairly well and was up at eight, wishing I could have slept for longer, but wasn't quite warm enough to doze off again. Clare, on the other hand, complained of being too hot in the other single bed. We walked to the town market after breakfast, where there's a lovely organic veg and wholefood shop. The wholesale veg delivery hadn't yet arrived, so we went to Tesco's to buy bread, pasta and passata, then returned for a cup of coffee. Clare had a dish of crab salad, while we waited. After buying veg we needed, we returned to Croft Court, in a headwind which blew light rain into our faces. As Clare had eaten I cooked a veggie sugo with tagliatelli for my lunch.

On our way to meet Ann at Tenby train station we went to the market to buy local potatoes, then to Tesco's for wine and prosecco, though not for me because of the meds. We mis-timed the walk to the station and were three quarters of an hour early arriving there. It's unstaffed. The waiting room and toilets were locked so we sat outside in the sun until the train arrived.

We walked back to Croft Court with me dragging Ann's suitcase. Clare cooked the fresh sea bass fillets bought yesterday. I scrubbed new potatoes, recently pulled from the ground. Both delicious! After supper we sat around chatting, catching up for the rest of the evening. 

Tenby Sunday

I slept quite well and got up slowly for breakfast at eight. Cloudy with a cold north west wind today.  We allowed ourselves half an hour to walk to Saint Mary's Church for the Eucharist. It took us about ten minutes, which meant we could sit quietly and enjoy the atmosphere of people being welcomed as they gathered for worship. I read most of Morning Prayer before the fifteen strong choir sang Bruckner's 'Locus Iste' from the vestry behind the organ before entering in procession. It seemed to me that the congregation of about sixty adults were mostly of grandparent age, with a dozen children of Junior School age, taking an active part in the service taking the collection, accompanied by an older adult. The stately ritual of a town centre church Sung Eucharist was relaxed and prayerful, the children walked around looking at ease,  comfortable to belong and be included in worship. Retired clergy preached and presided. Tenby's Ministry Area Leader was at another church today. It was a good  experience of parish liturgy well done. The only thing striking me as odd in a rural coastal community where fishing is still feature of the local economy, was no mention of today being Rogation Sunday.

We had a cup of coffee on our way back to Croft Court in a restaurant overlooking the sea and out of the strong cold wind. China cups instead of disposable ones, and a large slice of choccy cake for Clare. While I was preparing lunch, she baked flapjacks, to use up some of the large packet of oats, bought on Friday. We had broccoli with rice and cod perfectly poached in almond milk, with clementines and flapjacks to follow.

As the lining of my jacket pocket had come apart I had a repair job to do after lunch. This went well until I ran out of thread, and needed Clare's help to finish it off for me. On removing my wallet from the jacket I discovered my rail card and tickets weren't there where they should be. I searched  everywhere and started to panic - out of control again. Clare started checking her wallet in case she had picked up mine at the last ticket check before arriving at Tenby. She found her rail card, but not her ticket. More chaos! Eventually, I found my rail card and tickets in a hidden compartment of the wallet I don't normally use. Clare's tickets then turned up in a compartment of her mobile phone case. Panic over.

We walked into town again to enjoy the colourful aspect of the townscape, the harbour and vast expanse of golden beach illuminated by the afternoon sun. There's a fishmonger's stall in a small old building, open for fresh fish, or crab sandwiches if you prefer. Clare bought sea bass fillets for tomorrow's supper when Ann arrives to join us.

I went out again after supper for some fresh air and completed my daily distance, following the road away from the beach uphill towards the place where we stayed on our last visit. It's a matter of reconstructing my visual memory map of the area. This afternoon's panic over misplace tickets left me feeling very tired and incoherent, so it's early bed for me, even before Clare, who's usually first to surrender to sleep.

Carten 100 challenge

I wish I could have slept for longer, as the after effect of running on adrenalin yesterday left me tired and struggling. Clare was up and active, keen to go out and explore after breakfast. Her uncertain memory and poor sense of direction meant she needed me to go with her. We walked down to the harbour, then up into the old town. 

A big black Americano at a bar in Sergeants' Lane revived me somewhat. It's a lively and busy area, with a few art galleries plus pubs and restaurants, including one belonging to the Tenby based Harbwr brewery. As I was taking photos of the street, a lad welcoming customers told me his uncle owned properties there. All are old buildings with different trade histories, sympathetically renovated and adapted for the purpose of hospitality - this perhaps explains why it works well, architecturally speaking. Clare has her eye on a harbour painting in one of the galleries! 

We visited Tesco's and an artisan bakery to shop for decent rye bread and ground coffee, then found a fish and chip restaurant for lunch before returning to Croft Court with me feeling desperately in need of a rest. I slept for an hour and a half, then went to Tesco's again to buy a few more food items we'd missed earlier. The trouble with a holiday letting is that you have to bring all your own food supplies with you - fine if you have a car - but buy everything you need from scratch if you prefer cooking for yourself, and that takes time.

As we walked to and from the shops this afternoon, we saw scores of cyclists passing by, all participants in the Carten 100 charity ride from Cardiff to Tenby. The finish line was down in the harbour, not that we were around when this happened, but apparently it is a popular public event. It's not a race but a hundred mile 'challenge' ride through the very varied coastal terrain of South Wales. A rather tough 'fun run' you might call it.

After supper, I went out for a breath of fresh air, walking uphill on the road above North Beach to where I could get a better view of the west facing bay with the town spread out on the promontory behind it, and took a few photos. Just after I returned the setting sun illuminated the crowds an unexpected bright pink colour. Cue for a few more photos! 

Disappointed at being unable to find decent marmalade in Tesco's, Clare took a lemon and cooked a small portion of marmalade with it. A treat for tomorrow's breakfast. Early bed for me tonight. Still tired from getting here and settling in yesterday.