Tag Archives: dialysis home visit

Tuesday 2nd September 2025 – SO HERE I AM …

… back at my desk well over an hour later than I ought to be, but I simply couldn’t get going this afternoon and evening.

I’ve had one of those days when I have done a lot of work but accomplished nothing at all and such enthusiasm that I still possess these days drained away as I watched it.

Having read again my rather intemperate and incendiary notes from last night, and read a few more of recent times, I can see that I’ve been sliding deep into the black pit again, and I’m not the only one to have noticed, as you’ll find out as you read on.

Not that it’s any surprise, of course. This time seven years ago, we were wandering aimlessly around the High Arctic of Canada looking for our ship that was icebound somewhere trying to work its way through the North West Passage.

And six years ago today, I was on the point of stepping ashore at the end of our famous traverse of the North-West Passage, having just spent three lovely evenings and nights in the company of a certain young lady who at one time figured frequently during my nocturnal rambles but has been conspicuous by her absence for much longer than I like.

All of this is enough to try the patience of a saint, and believe me, I’m no saint at all and never will be.

Last night was also a late night, although not as late as this one will be. After having finished my incoherent rant and been through the usual end-of-day routine, I went to bed, still seething with anger.

It was a very long night last night and it felt as if I hadn’t been to sleep at all, so wound up was I. When the alarm went off at 06:29, I was already sitting on the edge of the bed, having given up any thought of sleep a long time before.

Nevertheless, I couldn’t wind myself up to go and it took an age before I ended up in the bathroom. In the kitchen, I’d run out of more medication so I had to wander off in search of the aforementioned in my faithful cleaner’s lovely little box.

It wasn’t true that I’d had a night without sleep, because I found some notes on the dictaphone and I really can’t remember dictating them. A group of us was off to Germany, three or four of us. We ended up meeting a friend who lived on an island in the mouth of the river at Bremen. After we’d settled ourselves down, we thought that we’d go for a trip to Bremen so we dashed out of the house, climbed aboard the little train that was there but found that the train was going the wrong way. It reached the far side of the island and we could see part of the city way across the estuary there but that wasn’t where we wanted to be so we had to stay on this little train and go back across the island to the far side. However, the river was so wide that the ferry crossing was about two hours and it was already about 21:00 so we decided that perhaps we would save that for the morning so we all went off to find something to eat locally. Our friend who lived on there was packing her son off on a school trip and had lots of his things that she’d cleared out that she was going to sell. What she had planned to do was to give them to the school so the school could sell them on as a way of raising funds. She asked me if I wanted to go to have a look but I couldn’t think of a good reason to do that at the moment. Then we began to start making plans. There was a huge boxing match taking place down in southern Germany in a town not too far from the Czech border and we were all planning to go. I thought that I may as well go too, but why don’t we find a hotel in the Czech Republic so that we can say that we have done something different while we were there. We were busily sorting that out when suddenly one of my friends arrived. I’d told him ages ago about buying a motorbike, and he had turned up on a big 500cc motorbike and said “I have your motorbike outside”. I thought that this is going to become really complicated because I’ve come here in the van. How do I take this motorcycle home? This is the wrong time because we are all setting off in a minute for this boxing match. I could see that the friends with whom I had come to this island weren’t at all keen on this guy being here. I thought that this is going to create some kind of wrong atmosphere and I don’t want this to happen but I couldn’t think of how to avoid it.

Leaving aside the fact that Bremen isn’t situated at the mouth of a river, and even so, there’s no island in any mouth of any river in Germany that corresponds to this description, it was quite a dramatic dream. It’s been an age since I’VE BEEN TO THE CZECH REPUBLIC and it’s easy to understand why I’m feeling depressed when I keep on encountering things that I used to do with pleasure but am no longer able to do.

And that includes riding a motorcycle. My last motorcycle was a CZ175 but I had loads of fun on my old CX500 when I moved to Brussels. I really was at one point quite recently thinking about having another one but I was overtaken by events.

The nurse caught me in mid-transcription and sorted out my feet. He thinks that there are no oedemas in my legs, so maybe the situation at dialysis isn’t as desperate as I was thinking. I still think that I’ll be there for four hours though, which will fill me full of dismay.

As he left, I thanked him and wished him a good rest for his week off. It was nice to see him in such a better humour since his holiday.

Once he’d gone, I could make breakfast and read some more of MIDDLESEX IN BRITISH, ROMAN AND SAXON TIMES.

We’re now well into our discussion of Roman land division and the settlement of the individual parcels of land, and how the system of the occupation of the land that the Romans installed lasted until the Enclosure Acts of the late Eighteenth and early Nineteenth Centuries, and how the actual physical division of the land under Roman law lasted until the passing of the Local Government Act 1888.

However, our author implies that travelling the main roads must have been a bagful of fun back in Roman times. He quotes the author JWE Conybeare who tells us that "Intercourse was easy between the various districts, for along every great road a series of posting stations, each with its stud of relays, was available for the service of travellers.”". I’m not sure exactly what service the travellers would have obtained from the stud of relays, but I’m sure that the editor of Aunt Judy’s Magazine could tell us.

Back in here, I made a determined attempt to finish the installation of the office and although it took me all the rest of the morning and some of the afternoon, it’s now all up and running. I have all of the back-up drives and the array working … "hip hip array" – ed … and we have music again too, which is good news. I can’t stand the quiet – it drives me mad.

My faithful cleaner came down later with another pile of vegan cheese and also a pile of the yeast that I like and which has been out of s for a while. She was followed by one of the nurses from dialysis who inspected my apartment to make sure that I was living in sanitary conditions and who then proceeded to talk to me about dialysis at home.

That would be good if it worked, but merely talking about the procedure made my stomach churn and my muscles tense up. However, I did take advantage of her by making her give my faithful cleaner a thorough course in dialysis implants and how and where to apply the anaesthetic cream. That was worth its weight in gold, that course of instruction.

However, she did say something that surprised me. She asked me if I’d considered seeing the service’s psychologist. I haven’t, but I can’t see what good a psychologist would do. I’m dying, I know that, and I’m resigned to it. It’s difficult sometimes to come to terms with it but I can’t see how a psychologist would help me in that respect. And in any case, as I have said before … "and on many occasions too" – ed … I’d hate to be the person who would draw the short straw and have to probe the depths of my subconscious mind.

After everyone left, I came back here where I regrettably crashed out for an hour. That’s disappointing, but with the wretched night that I had had last night, it’s not surprising.

For one reason or another, I was really late going for tea, stuffed peppers etc, so consequently I’m late going to bed. I can’t wait to be under the covers though because, once more, I’m exhausted. A good night’s sleep will do me good.

But before I go, seeing as we have been talking about the lack of motivation … "well, one of us has" – ed … the nurse from dialysis asked me "what happened to your famous ‘get up and go’ then?"
"By the looks of things, it’s got up and gone a long time ago." I replied.