America: Hot in the City

Last Friday we got back from the fly / drive in America: 3 days in Vegas, 2 days in Palm Springs, followed by 1 week in Laguna Beach in the OC, California.

It was lovely, but Vegas and Palm Springs were much too much too hot for me and kids (40 degrees C or 108 degrees Fahrenheit in Palm Springs!!!) It was much cooler by the beach in Laguna though. The kids have been jet lagged for the last 3 days since they got back though, which has made the nighttime "interesting" ;-)

I'm in a hurry, I'll update later...(you lucky people ;-))

Itraconazole on the dole

So this last year I've been...

I have been having real problems shifting the mucus out from my narrow airways and what has been coming out has been hard and dry and causing me problems at night as my long suffering misses will attest. My LF has not responding to IVs either and I have lost 20% of my lung power over the last 4 years.

Anyway, I have been racking my brains trying to think of a way to treat this, and yesterday with my CF Team we came up with a plan that involved trying either Itraconazole, Hypertonic or nebulised Meropenem for a month to see which one improved my LF the most most. Itraconazole seemed a bit of a non starter because my IgE Aspergillus levels were fairly low. (there is no fungus in the mucus either, although there is Staph and Pseudo) When I got the email from my new boss the other week, one of the contributing factors to the decision was the thought of spending more time on my health trying to get to the bottom of just what the hell was going on in my lungs. Anyway, to cut a long story short, my gut instinct was to go with Itraconazole first for a month and, amazingly, within a couple of days; it's like flicking a switch, I feel loads better and the mucus is coming up much easier. Blows at the outpatients were FEV1 2.5 and FVC 3.5 so a marginal increase, but hopefully improving for my next visit in 6 weeks.

In other news I handed my notice in last Friday; it was nerve wracking - they wanted me to stay and think things over (but didn't offer me more money ;-)), but I'm still determined to change jobs - more for the excitement of a new challenge really. Having handed in my notice things became a bit clearer in my head; I realised I need to move to find a new challenge. As a developer, there is a real buzz to be had from solving problems and creating elegant solutions and in the last year at work there's been precious little of that happening. There *may* also be the option of working part time at my old place (20 hours a week) but we'll see - if it does happen it will only be a stop gap until I find something new. I realise my talk of taking some time off has now changed to finding a new challenge, but we'll see - in the short term it will be taking time off to concentrate on my health, but in the long term, hopefully there will be more intersting jobs out there, perhaps in the health sector, as I do have an interest in medical science and it would be great to help out in some small way.

For my next job I would like to have the working hours of a senior cat

Should I stay or should I go?

Seriously thinking of quitting my job and having a month off before looking for something new.

The new line manager has just sent me an Email saying:

"Hello J,
I am very keen for you on a monthly basis to spend time on-site here at Norwich. What I am suggesting that you spend a week a month on-site, does this work for you?"

I was thinking of replying along the lines of

"Dear line manager / corporate goon, I have 2 kids under 7 and my wife works full time as well, what do you think?"

So I am seriously weighing up my options, it's not as if the job pays well enough or is exciting enough / look good on my CV enough for it to be worth me missing out on my family for 1 week in 4. Having typed this I have just realised I am turning down staying at a hotel with a free meal and no kids screaming at me for 1 week every month, am I insane? ;-) 

I have some money saved so I will be able to cope for a few months without pay and I will be able to in inverted quotes "concentrate on my health" (whatever that means, probably sat on my arse watching films I taped from film four, sound good to me ;-)) But seriously, there's all this stuff with Kalydeco kicking off, I have lost 20% of my lung power in the last 4 years, so it may be interesting to see if I can reverse it / get to the bottom of it with my team, who knows? Need to decide by Friday though...

It is Oscars birthday tomorrow, he is 4. He is still obsessed with Pirates, is reception ready for him? And will he learn not to wet his pants on a regular basis before he starts next month?

Sods Law and the Roses

Sometimes CF can really kick you up the backside - like when you catch a cold on the last day of your IVs. When I went into the outpatients to do my scores I got no change at FEV1 2.3 /  FVC3.3 so it looks like the IVs were completely negated by the cold, gutted :-( So I'm back on 2 weeks of orals (Cipro and Doxycyline, again) to carry me over this chesty cold, and as much running as I can manage in this shitty weather.

Anyway, I did fit in a trip to see the Roses at Heaton park last week, which was brilliant. The Stone Roses are part of my misspent youth, they first broke through when I was about 16...pop music had become really bland at that point and when they first appeared on Top of The Pops (in the same week as The Happy Mondays) it was a seminal moment: finally here was something real after all that bland rubbish, and they were from Manchester as well, fantastic! We're the band any good? After a couple of glasses of cheap red wine in a comedy packed to the rafters metrolink who can tell? But the music and crowd were so happy and positive it seemed to carry everyone away on a nostalgic bubble of happiness that rarely actually happens at these type of concerts, and personally, I thought it was a amazing. :-)

Outpatients through the looking glass

Started my IVs today at outpatients as I promised myself last month. Unfortunately my lungs haven't improved enough (FEV1 2.45 / FVC 3.4) despite the lovely week in Kefalonia followed by a shit week in rain filled Manchester (actually thinking about it the two things probably cancelled each other out). Hopefully I can regain some of this LF with the IVs but I don't know. I feel like I haven't hit the heights in the house of lung in a long time now and like Slade I don't know why. Anymore.

I've looked back at some of my old posts I found this one back in late 2008 and I had an FEV1 of 3.1. Who was I then? I had an annoyingly good FEV1 despite not doing any real exercise. Since then I've taken up running, mountain biking, Steve Jobs has taken over the world, died, and Europe is doomed on a weekly basis. And despite all that time and effort into getting physically fitter I have lost 20% of my lung power and I have no idea why. My last roll of the dice is to join a gym and try and build some muscle; if that doesn't work then Vertex and the PCTs had better pull their finger out with Kalydeco because I'm fresh out of ideas on how to beat this thing called CF. The new pharmacist is really hot though ;-)

2008: Smug twat with good lung function;-)

The Politics of Kalydeco

Don't you just love politics? The first cure for cystic fibrosis, the first drug that targets the underlying cause of CF and I have no idea when and if it will be available in the UK. I am hopeful, but hope is all I have at the moment. The company that owns the drug (Vertex) wants to make as much profit as possible, the NHS wants to save money. The total CF budget for the UK is 100 Million. If Vertex charges what it does in America then it will cost 50 million to treat 5% of the people with CF who have the G551D gene and can benefit from Kalydeco. There is posturing on both sides and the months tick by. Meanwhile people on the transplant list are one bad cold away from intensive care. Please sign this if you can, if only to raise the profile of Kalydeco / vx770 :

http://epetitions.direct.gov.uk/petitions/34753

We're currently trying to gather together as many people as possible who have the G551D CF gene. Please leave a message if you know anyone in the UK who has G551D.

I have been on holiday to Kefalonia for a week and have not posted about it. For shame. It was ridiculously lovely and probably my favourite holiday for a long time. I think staying in a villa suits me much more than the battery farm approach of all-inclusive resorts I have been to with the family recently which were fine enough but looking back I was perhaps missing something I only get when we can do what we want when we want. Here's some photos...

Roger Red Hat: Funny Bugger

Gutted,

Just read this post from Rich's blog (One of the blogs of fellow CF people I follow in the sidebar on the left) and (to put it mildly) it doesn't look good. Rich was one of those "call a spade a spade" people who seemed to have a really ascerbic, black, (and quintessentially British), sense of humour with absolutely no regards to the politically correct. However, he was never rascist and quite often he was really bloody funny. He used to post on the CF Forum as Roger Red Hat. 

http://la-boca-de-la-cueva.blogspot.co.uk/

RIP mate and thanks for the nice post about City.

Run de la Mancunian

Ugh! Not my best ever run. It should have been good; a month ago my training was going well and I was all ready and meaning to step it up to that hard-to-reach next level of training, but then loads of jobs and things seemed to get in the way and before I knew it I was unprepared and actually feeling worse than I ever had in the second half of the race (my left knee - cruciate? In particular was really aching for the final couple of miles and it was only pride that stopped me walking the final km to the finish) Also it was Rachel's mate's 40th birthday on the Friday and although we'd planned not to drink, Rach had had a terrible week at work and before we knew it we were downing sambuca shots at 7PM and staying up till 2, not the best preperation for the race on Sunday...I love the atmosphere of the race though, the crowd are really great and signing up for the race has the effect of forcing me to go out running when I perhaps wouldn't bother if I didn't have anything to aim for. No more fundraising for a while though; I've done it for 4 years and I feel a bit bad that it's always the same people donating. I swear I'm going to carry on proper running after the 10K this year though...;-)

1 Hour 10, loser ;-)

59 minutes, totes jealous ;-)