Tooth Trouble Again

The nagging cold, a cold that had overtaken me soon after being assailed by the chronic cough of my chess-playing nemisis, has segued into a problem with my leftmost, bottom molar. It has suddenly become sensitive to hot and cold. This is not a welcome development and presages the need for further dental appointments.

It's just another symptom of my body's decline, a decline that is gathering velocity. Teeth trouble and old age form an age-old partnership I suspect. I started writing this post on March 26th and now its April 4th. Nothing much has changed. My molar is still troubling me and the mouth ulcers that troubled some months ago are threatening to return.

After not walking any great distance for some time, I decided to walk around the block on my birthday. The distance seemed much greater than I remember and I certainly felt out of practice. I've been doing my stretch exercises more regularly and feel well enough at the moment except for the molar problem.

Infected

Pretty pissed off. I've come down with a cold of some sort. I'm sure I was infected by a guest who visited the house on Saturday and had a nasty cough. We were playing chess for an extended period and his coughing persisted over the entire course of our games. I've been affected since Wednesday and today is Thursday. 

I took two panadol last night and I've taken another two this evening. The effects are fairly mild but I am weak and tired. I just have a runny nose and general malaise. Hopefully it won't progress further but it makes you realise how vulnerable you are. Avoiding close contact with people outside of the family circle is the best strategy. Even family members who are clearly sick should be avoided.

A hermit doesn't get infected by other people but I'm not quite ready to abandon the world entirely. When I drive by myself and visit a mall, I'm generally not in close and sustained contact with anybody so I'm relatively safe. Getting an Uber of course is best avoided but sometimes necessary. Air travel is another matter entirely and provides a perfect opportunity for infection. This mode of travel should only be undertaken for a good reason. Sooner or later, a virulant pathogen is going to strike me down and the consequences may be deadly. All that can I do is to minimise the chances of encountering such an organism. Being a hermit certainly has appeal as I'm quite done with the world of people and yet I'm not quite ready for the next.

The Big Freeze

Arriving in Melbourne in the depth of its winter and during a particularly cold snap has not proved good for my health. While I did do some walking upon arrival, I found that the cold was affecting my chest and so I've abandoned all forms of exercise. I definitely function better in the tropics and I'm looking forward to returning there.

This is the worst shape I've been in since my affliction emerged toward the end of 2018. Even moving about the city proved too much for me yesterday and I was struggling to make it back home. Since then I've spent most the time sleeping. The fact that I breathe through my mouth exacerbates the problem as the cold air enters my lungs directly whereas via the nose the air has a chance to warm up a little. When I consciously breathe through my nose, I find things are better.

There's so little information available about my condition and I'm not really sure what my condition is. My research leans toward thymoma or thymic cyst but most probably the latter as I have a long history of cysts on head and, as I only learned in 2015, cysts on my liver. "14% of patients with thymic cysts also had hepatic cysts" (see earlier post titled Thymoma or Thymic Cyst) and so there is clearly a correlation between the two. 

Hopefully, the temperatures will be warmer in Sydney in a week's time when we visit and on our return to Melbourne five days later. If this sees an improvement in my condition, then it will be strong evidence that low temperatures exacerbate my condition and are best avoided in the future. On an unrelated note, I weighed in yesterday at 74.7kg. This is the first time that I've weighed myself in a while and this weight isn't too bad considering my recent lack of exercise.

Getting Sick

I felt the onset of a cold last night and took some Panadol at 6 pm and again just before midnight. It's now 5 am and I may take another dose after my morning walk. My illness supports the notion that the cold virus, as with many other viruses, is always inside us. It only takes a shock to the body in the form of my recent overexertion to weaken the immune system and allow the virus to replicate. To my knowledge, I haven't had any close contact with anyone who was ill.

I haven't been sleeping all that regularly lately which hasn't helped. I don't like taking any medication but I always reach for the Panadol Green when cold symptoms arise. Here is what ChatGPT had to say about Dextromethorphan:

Dextromethorphan (DXM) is a medication commonly used as a cough suppressant. It belongs to a class of drugs known as antitussives. Here are some key points about dextromethorphan:

Purpose: Dextromethorphan is primarily used to relieve coughing. It helps to suppress the cough reflex by acting on the brain's cough center.

Over-the-Counter Availability: Dextromethorphan is available over the counter in many countries, often found in various cough and cold medications. It is commonly found in syrup or capsule form, sometimes combined with other ingredients such as expectorants or decongestants.

Effects: When taken as directed, dextromethorphan is generally safe and effective in relieving coughing. It can provide temporary relief from persistent or irritating coughs.

Recreational Use: Dextromethorphan can produce psychoactive effects when taken in large doses or in ways not recommended. Some individuals misuse or abuse dextromethorphan for recreational purposes, seeking its dissociative or hallucinogenic effects. This is known as "robotripping" or "dexing." Misuse of dextromethorphan can be dangerous and should be avoided.

Dosage and Precautions: It is essential to follow the recommended dosage instructions and guidelines provided on the medication packaging. Taking excessive amounts of dextromethorphan can lead to adverse effects, including dizziness, drowsiness, confusion, nausea, vomiting, and in rare cases, even more severe reactions. It is important to be cautious and consult a healthcare professional if you have any concerns.

Drug Interactions: Dextromethorphan may interact with certain medications, such as monoamine oxidase inhibitors (MAOIs), selective serotonin reuptake inhibitors (SSRIs), and other substances that affect serotonin levels. These interactions can lead to a potentially serious condition called serotonin syndrome. It is important to inform your healthcare provider about any medications or substances you are taking before using dextromethorphan.

As with any medication, it is advisable to read and follow the instructions and warnings provided by the manufacturer and consult a healthcare professional if you have any questions or concerns about the use of dextromethorphan.

Here is what ChatGPT had to say about Pseudoephridrine HCl:

Pseudoephedrine HCl is a medication that belongs to the class of drugs known as decongestants. It is commonly used to relieve nasal congestion caused by various conditions, such as allergies, sinusitis, or the common cold. Here are some key points about pseudoephedrine HCl:

Decongestant Properties: Pseudoephedrine acts as a vasoconstrictor, which means it narrows the blood vessels in the nasal passages. By doing so, it helps reduce swelling and congestion, making it easier to breathe through the nose.

Over-the-Counter Availability: Pseudoephedrine is available over the counter in many countries, often found in combination with other ingredients in cold and allergy medications. It is typically available as tablets or capsules.

Nasal Congestion Relief: Pseudoephedrine is primarily used to relieve nasal congestion, including stuffy or blocked nose symptoms associated with respiratory conditions. It can help alleviate discomfort and improve breathing.

Duration of Action: Pseudoephedrine's effects typically last for a few hours, providing temporary relief from congestion. The duration can vary depending on the formulation and individual response.

Potential Side Effects: While pseudoephedrine is generally safe for most people when used as directed, it can cause side effects in some individuals. Common side effects may include increased heart rate, elevated blood pressure, nervousness, restlessness, insomnia, and dry mouth. It is important to adhere to the recommended dosage and consult a healthcare professional if you have any concerns.

Legal Considerations: Pseudoephedrine is a regulated substance due to its potential use in the illicit production of methamphetamine. In many countries, it is sold behind the pharmacy counter or subject to purchase restrictions to control its distribution and prevent misuse.

It is important to read and follow the instructions and warnings provided by the manufacturer and consult a healthcare professional if you have any questions or concerns about the use of pseudoephedrine HCl. They can provide personalized advice based on your specific health needs and any medications you may be taking.

Panadol is a brand name for paracetamol and its analgesic and antipyretic effects are well known. Of course I'm mindful that "taking excessive amounts of paracetamol can be harmful and may cause liver damage". I was diagnosed with a fatty liver back in 2009, during a medical checkup but never found about it until 2015 when I read the medical report. 

After my gall bladder removal in 2016, my liver function test came back normal so that was a positive. It would be interesting to know if I still have a fatty liver after many years of sobriety but I don't want to submit to any medical procedures unless I have to. Hopefully I'll be well again soon and can discontinue the use of this medication.

Scandalous Scales and Chilly Winds

Scandalous Scales: it came as something of a shock to find that I weighed in at 74.3 kg, wearing T-shirt and shorts on the evening of Sunday, February 13th 2022. As I said in a previous post, it's probably best to weigh myself of a morning. I went to the bathroom, stripped-off and weighed myself again. This time I was 73.5 kg which is still disturbingly high. 

For the past week or more, my exercise routine has been disrupted but things have now returned to normal. Today I resumed my morning walk and tomorrow I plan to spend some time on the mini-trampoline as well as practising some shuffle moves, as outlined in my previous post titled The Septuagenarian Shuffle. I'm determined to get my weight back down to about 71 kg. At the moment, I'm heavier than I've been since heading to Australia in July of 2015. 

Chilly Winds: recently the family visited the mountains at the back of Jakarta and the temperature in the evening was around 13°C, drastically lower than the balmy temperatures in the lowlands from where I had just come. There was also a light drizzle and gusts of wind that added to my discomfort. We were staying in one of the chalets that were dotted around the resort and separate from the main building where we had just finished dining.

As we headed out into the freezing weather toward our accommodation, a particularly nasty gust of wind cut right through me and a wave of nausea swept over me. My legs almost buckled and I needed assistance to get to our accommodation. When I did arrive I was shaking uncontrollably and went straight to bed where my condition slowly stabilised. For me, this was an unprecedented and fairly shocking event.

I can't help feeling that the reaction was the result of my thymoma not responding well to the sudden drop in temperature that my body had experienced because of the wind blast. This then affected the surrounding organs and destabilised the mechanism that controls my body's core temperature. The lesson learned is that I need to wear proper clothing before exposing myself to cold temperatures, especially where a wind chill factor is involved.

I'm now back in the tropics at sea level and all is well. There's no doubt my thymoma has grown but, whether it's self-limiting or becomes more invasive, only time will tell. As I approach my 73rd birthday, I'm certainly not the man I once was. I'm diminished in many ways but I'm still breathing and ostensibly still healthy and active. However, I need to remain aware of my vulnerability and not impose unnecessary stress on my body.