Raytheon Retirement Plan 2010

COPD, emphysema, LVRS: as four months after the operation

It is now more than four months have passed since the operation. I thought so, I could once again travel to Thailand, but it does not seem to be possible. After the last lung function and blood gas analysis showed Nobember end that my FEV1 is not further improved. The figure is 21.50% of the target. They are also 870 ml of oxygen PaO2 decreased. So far I had no problems, but now the figure is 9.10 kPa, ie 68.25 mm Hg, the oxygen saturation at rest is thus about 92 - 94% and decreases rapidly when moving. This I could without continuous measurement (eg in the walk test) feel, as I already after about 100 m walking slowly out of breath.
with my data took the high oxygen partial account of an expected PaO2 of 43 mm Hg in altitude (about 2500 - 3000 m above sea level). The limit is 50 mm Hg Thus, the health insurance from the lung specialist requested in writing the cost of additional oxygen to take on board. After 4 weeks waiting time the request was rejected. - I found a bit confusing. I then wrote, even the health insurance company and requested a detailed justification for this decision. It then took another week and I received a positive decision. Sorry, but everything has taken too much time. A trip would now be the earliest possible to the middle or end of February. - In Thailand begins in March and the hot period in May / June rainy season until September / October. - In my state, it is probably better if I let it travel. Actually I had
can operate on me to be fit to travel. The late intervention and the subsequent unexpected complications have now spoiled.
thus decreased my quality of life considerably. - So I'm sitting all winter in my apartment. The last time I was more than a month away from home.

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Ottawa - Parc Gatineau

Sun .. the semester is over! At least the lectures. Now it's time to get on the exams. However, I have the luck that I only write two "finals" and must therefore be limited to the stress of learning the next two days. At the weekend I had to do that is better: Ottawa and Gatineau Park:
Friday, 04/12:
Yeha, Road Trip again! Camille Arnaud, Andrew, Christopher and I, two French, two German and an Austrian made his way to Ottawa to explore the capital! Unfortunately, pretty much traffic and we arrived at 10 clock in Ottawa and have plunged directly into the afterlife! Many thanks to all the French in Ottawa, which we heartily hosted!
Saturday, 05/12:
went after a good breakfast of bacon and eggs it on seeing the sights. Of course we have the Parliament and all sorts of government buildings viewed: We did not stay long in Ottawa, as we continue to Parc Gatineau wanted. But I will take all cases to the "Ice scatting" on the channel again in January to Ottawa! Gatineau Park is located about 50km north of Ottawa and we had rented for 2 nights on a small "cabin", a hut in the middle of nowhere. The last few kilometers we had to walk back and put our cabin had no electricity and no running water, but but a really good wood stove: Sunday, 06/12:
Today was hiking, so walking the day. The weather was once again wonderful. So anyone here in Canada can stand me really well, because every time I walk go or anything else outdoor legitimate company, I have good weather:
Unfortunately, the beach was closed and we could not go swimming, but it was also no sharp as it was nice and cold and small lakes have been frozen:

the evening was then boiled vigorously, and we let it go really well in our cabin. At night it started then to snow and the next morning we woke up in a different world.
Monday, 07/12:
saw it this morning but something different:
Juhhuuu! The first snow of Canada. Now I am still on the white beauty ... we'll see how it looks in a couple of weeks. Probably I can see no more snow!
went there at noon and then again gestaltetet to Hamilton and the way back, but thanks to the snow a little longer and more complicated, but the weekend was a real success and after a few days in nature, it gets to be much better! The next is a reward for my work is already on Sunday, it means it namely: New York, I'm coming!

More images (click on the link)

Bam Margera Skate Shoes

Killarney Provincial Park

yeah, I'm still alive! Recently, much too much happened and I had almost daily reports to tell everything, but here is a brief summary of the last weeks:

end of October:
The university has been quite a bit preoccupied with the whole tests and notes that I must always count on. Not very exciting, but I can say but that I all the tests, presentations, etc. have survived until now very good.

Halloween (31.10-1.11) :
Halloween is really big in North America. And when I say big, I mean really big! Three nights, three different parties and always the same costume (notice my red socks): Climbing:
Yeah I climb pretty much here. The McMaster University even has a climbing club and we make almost weekly trips to any rock climbing areas. I was already at three different places and it was always very nice: The first trip took us to Niagara Glen bouldering for climbing without a rope that is in jump height. Super beautiful area with fantastic Boulder rocks! The second trip we went to the "Rattlesnake Point," went to the top rope climb, throw and so climb down rope so:
Yes, we had a really big force, but also a very nice group. The weather has also played perfectly and it was so warm that we were actually made to eat ice cream and went in November in Canada? The third trip took me to Mount Nemo "to" lead climbing "climbing, lead climbing and so I once had to climb right back in the ship ...

Wednesday, 11.11 to Saturday 14.11 - Killarney Provincial Park
Ok, actually I would have Uni, but I am an Exchange student, so sometimes fast three days skip college and take advantage from the north to perhaps the last opportunity in this to year, a little hiking. Nic, a Canadian know I've learned about climbing, and I are in the Killarney Park went to the "backpacking" and I can tell you it was just indescribable
The weather could once again not have been better: 4 sunny days only, but rather cold, especially at night, but for all the time dry. The first night we had frost in the morning and our tent was covered in frost but thanks to my new sleeping bag from the states but I was nice and warm in the tent ... In the 4 days we have seen all sorts of nice places and were able to enjoy the nature but to the full. Unfortunately we have no bears, moose or seen similar things, but they were not far away, because we have enough tracks found in the mud! At lunch we also had plenty of it, but this was our backpacks but quite difficult at the beginning and I think there were well over 20kg, but for such a beautiful landscape that one is already ruined sometimes the back. Many people we have not hit, but for a 77 year old German who emigrated to Canada 40 years ago and still happily wanders through the countryside and not just on easy trails ... the roads are sometimes but very demanding and you have to use it again and again his hands to come on! I just hope I'm 77 years ever so fit!
I will not continue to rave about the park, because words can not describe it, almost. But pretty good in pictures: (follow the link ...)

Killarney Provincial Park Pictures

Rattlesnake Climbing pictures (simply follow the link ...)

Detritivores, Scavengers, And De

lobectomy of the right upper lobe second LVRS (lung volume reduction)

did after the last operation I report regularly on the progress. But then I moved it to enjoy every minute before, in what I was doing "good."
In the meantime, I twice traveled to Thailand. After my last return in May 2009 but I felt worse. In May 2009, a new lung function test with 6-minute walk test and blood gas analysis. It was agreed that further investigations for a re-operation to make. Thus, in June 2009 completed all investigations, which were needed for another operation. The most important were the heart and lung scan and ultrasound of the heart. Since taking these tests as early as 8 hours, I decided to leave for a night on the short-term clinic of the University Hospital Basel down. - It was later a conversation with the chief physician of the Toraxchirurgie which the operation date was put off a bit and steady on the end of summer.
On 6 September 2009 at 10:00 clock, I entered the University Hospital Basel. It was followed by the entire entry formalities and preparations. On 7 September, at 10 clock in the morning I was then picked up for surgery preparation. As it should be my second operation of this kind I was not particularly nervous. There were some I created infusions ... and since my memory ends there, because one is now mostly been warned not remember that now receives a sleeping pill. - I find good, because not long after you think what probably comes next.

Dull, agonizing and severe pain - to me breathing difficult -. Woke me up I heard different voices around me, which persuaded me and asked after my health and questions about my pain is presented. I was told that they had given me something for the pain. For me it took a long time until the pain eased, although only 10 - were 15 minutes after a recovery period for the first time I opened my eyes and perceived that I was still alive and was in intensive care.. - It was an unpleasant Situation, because I could hardly move. When I asked the nurse sent to me the pillow, because I could not sit up independently, they said - and this is incomprehensible to me still - I should do the
it himself and referred to the temple, which we previously granted under hung up so I could not use it. These things I find daunting. I had this mistress in itself but to seek help if she was not able to alone. They did so -. About 11.00 clock, I was taken to the station in my room.

The postoperative course was normal with some minor complications run. The success of the operation had taken place, unfortunately not as hoped. On the contrary. Technically it was my breath even worse than before surgery. I had to stay 16 days in hospital (7 were planned - 10 days) on the day of my discharge from hospital, I felt almost back as before the hospital admission.. The trip home was difficult. For a month I did not leave my apartment. Not even to the mailbox. I let my food delivered to your home. Then I had the first lung function test, which showed that the success was moderate. had planned my winter trip to Thailand I defer for now. Whether it is something?

It has been agreed, I again in early December 2009 for lung function, come in hope and with the expectation that my condition improved. In fact, I have felt in the last two weeks have shown some improvement. During this time I'm alone twice gone shopping outside the home. - The chief physicians assume that the creeping success is attributable to the open back surgery.
The first two pictures show the scar after the operation, the last picture two months later. The scar measures about 18 cm.