high blood pressure – HappyStinkingJoy

How Your Health Just Goes In the Toilet Once You Hit 40…

So about six months ago, I go to our Quick Care clinic to get a referral for a sleep study. I leave the appointment with the referral… and a brand-spanking new prescription for blood pressure medication. Stinking people looking out for my health. Anyway, so I had a six-month prescription, and that prescription was about to run out, so I figured that I better go see a real doctor about my blood pressure.

Now, when I went to Quick Care, my blood pressure was like 170/130. I’ve been tracking it ever since, and although there are times when it spikes in the 160/110 range (which is pretty much any time I get pissed off… which, as you can imagine, is almost daily), it’s usually in the 140s/90s. Still high, but better, no?

I make an appointment with an actual real doctor (figure I’m about at the age where I need a family physician). The appointment comes, I go to see the doctor, and my stupid blood pressure is still high. It’s 148/98. So, the doctor wants to double the dosage of the lisinopril that I’m on, and I’m fine with that. Aside from a constant nagging cough, I don’t really suffer any side-effects. Then the doctor tells me that he wants to check my cholesterol. Crap. I have no doubt that my cholesterol is high, and I’m sure that I’m going to have to fork out money for a prescription for that crap every month too. The nurse sticks a needle in my arm and draws a couple of vials of blood. I’m amazed at how dark the blood is… almost black… and I’m thinking to myself that may be part of my problem. With all of the tons of fat that I have eaten in my 41-years of life (’cause, damn it, it tastes good), the crap has actually morphed into actual oil in my system. Of course my blood pressure is going to be high with Pennzoil 10w30 running through my veins, and I’m way past the 3 month/3000 mile mark. Can’t I just get a stinking oil change and a lube job?.

I heard from the doctor’s office today. Low and behold, I have high cholesterol. SURPRISE! They called in a prescription for some statin-thingie to Walgreens, and as of tomorrow, I’ll be medicated for my condition. Possible side effects are muscle cramps, drowsiness, and liver damage. They recommend taking it before bed so that the side effects are less noticeable. The drowsiness thing happening while I’m sleeping makes sense. However, being awoken in the middle of the night with a charlie horse doesn’t sound very pleasant, and I’m sure my wife would agree with me on that. As far as the liver damage part goes, I’m kind of hoping to avoid that. I guess if I have liver failure or something, having that happen while I’m asleep might be a plus?!?

Why is everything that tastes good bad for you (and if someone tries to tell me that steamed broccoli or broiled fish “tastes good”… I may punch him or her in the lying, filthy little mouth)? “Everything in moderation,” you may say, but I would reply that moderation sucks. Stupid common sense. If I’m stuck in the Craphandle of Nebraska with nothing to do and no real future worth caring about, I want to be able to eat what I want when I want. Eating is one of the very few pleasures I have… and now it just happens to be killing me.

AARGH!

Apparently, high cholesterol makes one very pirate-like?

With the history of high blood pressure and heart disease that infests my family tree, I figured all of this was coming. I just hoped that maybe I was going to be the branch that could remain healthy. I’m telling you, optimism in all shapes, colors and sizes, leads to nothing but disappointment, which is why I usually do such a wonderful job of avoiding it.

Okay, so here’s the Catch-22. The potential side effects of the statin-thingie don’t sound very pleasant. So, I figure I need to lose about 20 to 30 pounds and start eating gross crap, which doesn’t sound very fun. Then, when I’m all sickly skinny and eating leaves and twigs, there is still a chance that I will need to remain on cholesterol medication. Stupid genetics. So, do I just let the doctor medicate the hell out of me and potentially destroy my liver (a problem that may never come to be… look at me, the stinking optimist) while I continue to enjoy one of the few simple pleasures I have in life: eating good food? Or, do I give up one of the few simple pleasures that I can experience in the Craphandle of Nebraska in an effort to extend my life so that I can potentially live out an extended life in the Craphandle of Nebraska with no simple pleasures? And even if I give up the simple pleasure, there is still the chance that I will need to remain on the liver-destroying medication, so I may actually give up the simple pleasure and still die of liver failure. Sounds pretty much like a lose-lose-lose situation to me. There… now I’m sounding a little more like the pessimist that I know and dislike an awful lot of the time.

So, now I have a doctor. He wants to see me again after about 30 days on the current medications to measure my progress. I should be proud of myself for taking some responsibility for my health and trying to be there for my family’s future, right? But all I can think about is how I’m 41… and it is just going to be a matter of time before Mr. Dr. is going to be thinking that he needs to be sticking his finger up my butt. Seriously… if I’m falling apart this much in my 40s, what bright, shiny stars can I expect in my 50s… and beyond? Well, with the Dr. seemingly intent on destroying my liver, I may not have to worry about it at all…

Why I Avoid Medical People…

My snore has been likened to the thunderous growl of a Tyrannosaurus rex. Now, I know that no living person is exactly sure what a T. Rex growl really sounds like, but I have been told that my snore has to be in the ballpark.

Of course, I have never heard my snore. My snoring has woke me up in the middle of the night on thousands of occasions, but by the time I’m actually awake, I’m done snoring. Funny how that works.

Anyway, my wife and I have been married for over 16 years. My wife has complained about my snoring for, well, a little over 16 years. I finally decided that maybe it was time to do something about it. See what a great guy I am?

Why would I avoid going to the doctor to have something done about my snoring? Well, the reasons are multiple:

1st: I hate doctors. I don’t hate them on a personal level, I just don’t like the fact that I have to rely on someone who makes a buttload of money for my physical well being. I also don’t like the fact that I have to pay said person a buttload of money for services rendered. Yeah… it’s all about the Benjamins.

I couldn’t be a doctor because I’m really not smart enough, and the thought of messing with someone’s other than my own bodily fluids makes me slightly light-headed. Just another of the “life isn’t fair” deals that pisses me off. Okay, so maybe I do hate them on a personal level…

2nd: When you go to the doctor, he or she always ends up finding a bunch of crap wrong that has nothing to do with the reason for your visit. It’s kind of like when you take your car in for an oil change, you know. All of a sudden, you’re needing new brake pads and a front-end alignment and your head-gasket is leaking… you, at the doctor… your car, at the mechanic… it’s all the same. Now that I am “in my forties”, I know that crap is going to start breaking down at an alarming rate. I’d really rather just not know about it. After all, maybe I can get another 2000 miles out of the car without fixing the problem, right? Besides, it seems like when they start trying to fix one problem, everything else starts to go to hell. You know, like the 35-year-old lady who goes in because she sprains her ankle, and they discover she has pancreatic cancer, so they cut her open to get to the cancer, and they find out that it is EVERYWHERE, and she is dead within a couple of weeks… because of a stinking sprained ankle. If she hadn’t gone in for the stupid sprained ankle, she would probably be alive today!

3rd: Uh… I don’t take exactly the best care of myself. I know this. I don’t need some yahoo driving a BMW to point this out and talk down to me while doing so, because when he or she does, my level of class-envy goes through the stinking roof!

Okay, so I don’t like going to the doctor. In fact, I don’t even have a doctor. I go to a local urgent care clinic (Quick Care) for all of my medical needs… which are few and far between. You’d think that, seeing as how I’m getting to the point where annual visits are looming on the horizon, I should probably find a doctor. I don’t like shopping for shoes… and I like shoes… so why would I spend time shopping for a doctor?

So, back to the snoring. I call one of them “sleep centers” (Western Sleep Medicine, I believe it is called) to see how I go about getting fitted with one of those Darth Vader masks to make me stop snoring.

They say I have to be referred by a doctor. I say I don’t have a doctor. They say I can use Quick Care to refer me. I call Quick Care and make sure that they can refer me, which they reassure me that they can. I ask, “So, uh, I’m wanting a referral for a sleep study… and that’s it. You aren’t going to test me for a bunch of other crap, are you?” And I am reassured that I will only be tested for the condition that I am visiting about. Great! So I drive on over to Quick Care. Never believe medical people.

I get to Quick Care and they make me fill out the stinking form that all medical places make you fill out when you first arrive. I get done filling the stupid form out and I realize that right beside the line where I fill-out my date of birth, there is a line for me to fill-out my age. I ask the receptionist, “So, why is there a line right beside my date of birth for my age. Wouldn’t just my date of birth be sufficient? Can’t you figure out my age?” Of course, I’m being a little smart-assy, but in a good-natured way. The receptionists at Quick Care are not exactly “good natured”.

“It’s there so we don’t have to figure it out,” the receptionist says, and I can tell by the look on her face that I’m pissing her off by breathing her air, so I let it drop.

So now I’m thinking to myself that I may be making a mistake by not actually having an actual doctor. I’m thinking that using Quick Care for a referral may not have been the swiftest of my most recent decisions. Did I have to list my age beside my date of birth so they didn’t have to figure it out… or because they couldn’t figure it out? I know, I should assume that the receptionist (or anyone else who touches my chart) would be able to figure out my age from my date of birth. However, before I entered Quick Care, I assumed that a receptionist in a place where people are going to have medical issues addressed and are looking for a little comfort would be able to smile… or at least be partially pleasant. I have learned to never trust my assumptions.

After a short wait, I am led into an examination room. The nurse tells me that the first thing she needs to do is check my blood pressure. Crap! This is exactly what I don’t want. This is why I called before I came… to make sure unnecessary crap wasn’t going to be tested. What does my blood pressure have to do with my snoring? But I’m already thinking I need to keep my mouth shut because of the whole receptionist encounter, so I sit down and let her test it.

170 over 130.

She looks at me like I should already be dead.

“Uh, is your blood pressure always this high?” she asked.

“No, these places freak me out,” I said. “It’s usually more like 150 over 100.” Of course my blood pressure is high. Everyone and their dog stresses me out. I hate any sort of confrontation and life is full of it… confrontation that is. The older I get, the less I am able to deal with the basic BS that every person on the planet seems intent on dishing out. If I could hole-up in a dark room and not have to ever deal with anyone or their problems, I bet my blood pressure would be just fine. I pray to God to let me not get stressed out, but stress is still there around every single stinking corner in this road of life… and God just looks down from heaven and laughs. I think jacking around with me is how God deals with His own stress.

Again… she looks at me like I should already be dead.

“I’m going to get the P.A.,” she said and disappeared out the door.

P.A. stands for “physician’s assistant”. A P.A. is like a doctor, except they didn’t have to go to school as long as a doctor, and instead of BMWs, they usually drive Audis. I don’t hate P.A.s quite as much as I hate doctors.

The P.A. comes in and he talks about getting me a referral for the sleep test, he fills out the necessary paperwork, and then he starts talking about what we are going to do about my blood pressure. He has the nurse run a ECG, and then she sticks me with a needle and red crap comes out my arm into a little vial. I’m ready to pass out as he tells me about the blood pressure medication that I’m going to be put on.

Crap!

So, I leave, I go and get my blood pressure medication, and I go home.

The next day, I take the first of the pills. It’s Lisinopril. It’s supposed to have very few side-effects. I notice nothing and think I’m golden.

I take my second pill the following morning. All is well… until I get out of the shower, reach for the hair gel (it’s Sunday, and I gel my hair up on Sunday to keep from looking like such a hippie freak), and I fall to the floor with chest pain. I can’t even stand up. The wife and kids are already gone, because the wife takes the kids to Sunday school.

Crap!

Okay, so I figure I’m having a heart attack. Figures, right? I mean, if I hadn’t gone in for the stupid snoring issue, I would have been fine. Anyway, I’m downstairs, and I need to find a way to get upstairs. I figure out that if I bend over and do not stand straight up, I can walk without a ton of pain. So I hunch it upstairs and sit down at the dining room table. I start weighing my options.

I can call the wife and freak the crap out of her. Yeah… not going to happen.

I can call 911 and get an ambulance coming. That would, however, be expensive. I’m all about the Benjamins.

Then, I start thinking that I really don’t feel like I’m going to die. You know how people who have heart attacks claim that they get all freaked out because they can tell that they are dying? Well, I’m not freaking out. I’m just pissed because my chest hurts. There is no pain shooting through my shoulder or up my arm, just a sharp pain under my left man-boob. Feels more like something is pulled than I’m dying. I think to myself, “If this cramp in my chest gets worse, do I feel like my heart is going to stop?” I answer myself, “No.” So, I sit there and wait for the pain to go away.

Western Sleep Medicine is supposed to call me to schedule a sleep study. I haven’t heard from them yet. I may not have to worry about it. After all, I went to medical people for one problem and they discovered another. I give myself two weeks, tops. Damn it… I swear, I could have got another 2000 miles out of this s.o.b.

Something About Nebraska That… Doesn’t… Suck… I Guess

I have come to the conclusion that the negative attitude I hold toward all things Nebraska is starting to have a negative impact on my health. My family has an ongoing rivalry with heart disease, and heart disease seems to be winning. All of the males (and some of the females) on my dad’s side of the family have battled high blood pressure and I am no exception. I can actually feel my blood pressure rise when I get stressed, and I am constantly getting stressed. The stress gets so bad that, once it kicks in, I can’t concentrate. My thoughts flutter around my head like moths around a campfire. If I try to pull those thoughts into my psyche to concentrate on, the thoughts, much like the moths, burst into flames and are forgotten. The feelings of hopelessness then descend in waves, and I actually begin to question my sanity. Ever felt like you were going crazy? Not a good time. Stress makes me feel like I’m going crazy.

In order to try to alleviate a little of the stress I feel in my life, I decided to focus this entry on something about the panhandle of Nebraska that actually makes me happy. That’s right, I’m going to try to find a positive angle to follow on something. Finding something in the panhandle that I don’t perceive as completely sucking is not easy, but I’m going to give it a shot.

Nebraska is known for its beef: marbled, corn-fed beef that practically melts in your mouth. If you want a truly great rib-eye steak (perhaps the best rib-eye on the planet), and you want to experience that steak in a truly Nebraska-esque setting, there is only one place to go…

The Oregon Trail Wagon Train.

The Oregon Trail Wagon Train is a local landmark. It used to be known as “Gordon Howard’s” until the Howard family sold it. I’m sure that most folks are familiar with a chuck-wagon-style cookout. Many of the touristy places in the West and Midwest have these kinds of cookouts, but most of them serve crap like barbecue beef or barbecue chicken… you know, the shredded stuff that goes on a bun… and with most of them, you are paying for the experience (because the food sucks).

I remember going to the Flying T chuck-wagon supper last summer near Rapid City, SD. It was over $20 per adult, the food was not impressive, and the portions didn’t come close to filling me up. The staff was kind of rude and barked orders to the paying customers (which, I guess, is supposed to be part of the charm). There was some good-old country music after the meal (if you like good-old country music… which I don’t) and the band tried to hawk their CDs the whole time. I love Rapid City… the Black Hills are one of my favorite areas to visit… but I will never go back to the Flying T. There are much better places to eat in the Black Hills.

Anywho, back to a good chuck-wagon meal. At the Oregon Trail Wagon Train, the ambiance is pretty rustic.

They have a horse-drawn wagon and they take you for a short ride. Usually on the wagon ride, the driver will point out spots in the vicinity that were actually part of the Pony Express trail. It’s pretty cool to think that Pony Express riders used to actually ride so close to where you are about to enjoy your heavenly steak.

The “cowboy coffee” is plentiful and is cooked over an open fire.

When you get to the botton of your cup, you get a mouthful of grounds… which is the way it should be. If you ain’t chewing your coffee, it ain’t real cowboy coffee. All of the food is cooked over wood coals from a real fire… as opposed to a fake fire, I guess. The boiled potatoes and the green beans are cooking in these funky, homemade-looking metal structures, and the “grill” is loaded with fire wood. When they light the wood, you know that good times are getting near. See, this is the thing with the Oregon Train Wagon Train: you pay something like $22 per adult (same as the Flying T), but you are actually getting an honest-to-goodness rib-eye dinner that exceeds the quality of a steak you could get in a fancy chop house.

On my last visit to the Oregon Trail Wagon Train (which was a couple of weeks ago), there were a crapload of grasshoppers. I happened to notice a spider hanging in her web on the eave of one of the old buildings. I figured that, since my family was about to dine on some good grub, I would treat the spider. I grabbed a grasshopper and threw him into the spider’s web. Honestly, I didn’t figure the spider would mess with him, but I went back about fifteen minutes later and found the following:

I showed the kids (the wife refused to look) and they thought it was gross. You can actually see where she has her mouth attached to the hopper. You know she injected her venom into the hopper, waited for the venom to start dissolving the workings inside the exoskeleton, and is now sucking out the juicy remains. Awesome! The kids didn’t really think so… not right before dinner. Still, I thought it was pretty cool.

While I was playing with the spider, the wood on the grill had been started.

Now we were just waiting for the fire to burn to coals and the steaks would go on. There are some pretty cool things to check out while you are waiting for the steaks to start cooking. There is a path you can follow that takes you back to the North Platte River.

Usually this area is kind of mosquito-infested, but this late in the summer, I guess the mosquitoes had other things to do. There is a little fort for the kids (of all ages:) ) to check out. You can actually climb up into the watch tower and check out the grounds.

There is a old black lab that hangs out (except she seems to disappear at meal time) and she loves to have her belly rubbed (if you are so inclined to rub a dog’s belly… which I am).

There are a variety of old tools attached to the sides of the out buildings that are kind of fun to check out. The Oregon Trail Wagon Train also has a small gift shop and a small bar attached to the gift shop, so you can buy some overpriced, low-quality toys and nick-knacks right before you start downing the brews.

I usually avoid the gift shop and the bar. Why pay for a beer when there is all of that free cowboy coffee to chew on?

For the more sportsy people, there are a couple of horseshoe pits.

Yeah, I guess horseshoe tossing ain’t really a sport, but this is Nebraska, so horseshoe tossing is right up there alongside tumbleweed chasin’, cow tippin’, and sheep… uh…

… shearing? Besides, tossing a shoe from time to time can be kind of fun.

If you run out of things to do and are feeling a little bored waiting for the steaks to go on the grill, there is a multitude of spiders which I am sure would love to find a juicy grasshopper in their webs 🙂

Finally, the fire has burned down to coals, the coals are raked out nice and smooth, and the steaks get thrown on the grill.

Every time I have been to the Oregon Trail Wagon Train, the guys in charge of grilling the steaks seem to have a beer in their hands. Every time. And dinner is served 7 nights-a-week all summer long. I wonder if they are hiring?

The dinner bell rings, we all get in a line, and we proceed by the grill. They ask you how you like your steak done, and you get it exactly how you like it. You then get a heaping spoon of green beans and a large, red boiled potato. You help yourself to the available condiments (from which steak sauce is absent… and you better not even think about asking for it) and make your way to a table. Waiting for you on the table is a freshly baked loaf of the best sourdough bread in Nebraska.

After you gorge yourself on a hearty meat and potato meal, you head to the ice cream counter and get yourself a cone filled with delicious home-made vanilla ice cream.

While you are licking your dessert, you are directed to the campfire area where one of the steak cookers (half-baked on beer) will lead the entire dining group through several sing-along songs that are usually silly and probably quite fun (if you go for sing-alongs… which I do not).

We usually leave after a song or two and head for home, quite satisfied.

I promised myself that I was not going to bitch about anything at the Oregon Trail Wagon Train. This chuck-wagon-cookout is the best cookout-type place I’ve ever been to, and I am trying to manage my blood pressure. However, I am know for breaking promises… and it goes against my nature to not complain about something, so I’m gonna complain about the flies. The Oregon Trail Wagon Train is out in the middle of nowhere. You can see Chimney Rock from the cookout site, which is also in the middle of nowhere.

When you are in the middle of nowhere and you cook-up good grub, you are going to be invaded by flies. And I’m not talking about a few flies, I’m talking about flies of horror movie proportions. The setting is great, the food is awesome, but you are going to spend a large portion of your time waving flies away from your plate. I guess this doesn’t bother me too much. The food is worth the waving, but I kind of wish the owners of the Oregon Trail Wagon Train would do something about the flies. I don’t know what they could do, but if they could find something, I would not have a single bitch about the place 🙂

If you ever find yourself in the panhandle of Nebraska, I have a couple of things to let you know. First, I want to apologize that you are in the panhandle of Nebraska. Second, if you find the time, check out the Oregon Trail Wagon Train . It’s out of the way, but worth it. Besides, the entire panhandle is out of the way, and your here, so you might as well eat some good grub!