On Cycling into La Bise

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Yesterday before the ride I could hear the wind playing with the shutter slats. I could also hear it against the combes, or roof, if you prefer that word. I looked outside and I could see that the wind was moving branches around. I also looked at the temperature and thought “Do I really want to go for a bike ride in these conditions?” Of course, as this was a group ride I did.

Getting from Eysins to Nyon was slower. Where I get to fourty kilometres per hour I was at just twenty. I could also feel the cold and wished, temporarily that I had another layer.

We went for the group ride, and it felt warm, which is nice, but the wind was forceful. Riding into it, we could feel that it was swallowing most of our speed. When it’s windy it’s hard to feel like a much worse cyclist than usual. Your usual effort is not reflected in the usual speed on that segment.

Sometimes you could feel gusts of wind that try to flatten you sideways, but you counter balance and stay upright. The result is that what would be a relaxed ride becomes a challenge.

There is a moment when I got tired, and started to feel the cold. I was tempted to turn back with the others, but decided not to be lazy. That cost me. By the end of the ride I was truly exhausted. Not exhausted enough to wait for the lift when I saw that the blue circle lit. That blue circle means that a lazy person just ordered the lift.

I shouldered the bike and walked up two floors, rather than wait for the lift.It’s ironic that after a sixty kilometre bike ride in a twenty four kilometre per hour wind with nine hundred meters of climbing, that I am more willing to walk up stairs, than the neighbours walking from the apartment to their car, or the reverse.

I almost always lived on multiple floors so i never use lifts. I have the fitness not to need to, and the impatience not to wait. The point is, despite being knackered I still had the energy to walk up two floors, rather than wait for a lift.

Knowing I’d Run This Morning

Another factor in my sense of being knackered after the bike ride into the wind, yesterday was knowing I had a nine kilometre run this morning. I’m certain that this played a role in my sense of tiredness. When you know you have to make an effort the next day, you tend to save some energy ahead of the next day.

Kcals Burned

Yesterday I burned over 1400 kilocalories and today I burned 900. I made sure to have more rice than usual last night. My legs felt fine and although I would have been happy to run slower, I made it to the end of today’s morning run. 2300kcal within the space of two days.

And Finally

As I walked home, I stopped to get some food for tonight, and noticed that my legs are now knackered. I need to rest them for the rest of the day and recover. Once again I failed to notice that the ride had so much climbing, but we were also unlucky with the wind. That added hugely to the end result, in terms of effort. Today, and tomorrow, I need to recover.

#bise #cycling #leman #tiring #wind
Long tiring busy working weekend, thankfully it's over now and I've tomorrow off 😊 time for copious americanos ☕❤️
#workingweekend #tiring #busy #coffee #americano
Pulling weeds all day in the heat can be draining. So I decided to reward myself with a few Blueberry Pie Oreos, and wash them down with a nice cold soda. Nothing like a little sweet treat to recharge the battery. 😋 #Hard #work #heat #Tiring #sweet #treat #reward

The Most Enjoyable and Tiring Day In Medical 3

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I can’t remember which day it was but it was probably during the weekend or a public holiday as I remembered that I was allocated on call who was in charge of this ward.

I was allocated to “General” on that day and was I was alone at that time. I remembered sitting at the other end of the ward at around 11am when one of my colleagues who was allocated to be covering the “Neuro” patients went to have lunch.

The medical officer on call at that time, a rather “happy-go-lucky” and rather jovial person struts into the respiratory cubicle and asked if there were any house officers available?

To which I responded, we’re right here and he came over. He asked for the person who was in charge of the front cubicles which happened to be my colleague who went for lunch. I asked what’s wrong, is there anything I can help with?

He casually replied, nothing much, just walked in and saw a patient’s pulse oximeter reading 70% under room air. Then he laughed.

Me and my friend who happened to be there at that time were shocked and rushed to the patient. True enough, the pulse oximeter reading was 70%, well, 68%. Oddly enough, the patient seemed rather comfortable and not tachypnoeic. In fact, he was surprised as we crowded around his bed, looking concerned.

I asked him if he was having any difficulty breathing which he was not. Thus, our first instinct was probably the machine was faulty and proceeded to check with another vital signs machine.

This time, it was 65%.

I proceeded to take full set of bloods while my medical officer was writing his review and my friend attempted to call my colleague.

I ran his arterial blood gas and it showed Type 1 Respiratory Failure. Considering he did not have a baseline during this admission, we do not know if this was near his baseline or a sudden deterioration.

We called the Peri ICU team and referred the patient for non-invasive ventilatory support (NIV). Imagine, not knowing why this long stay patient was ever here in the first place to summarising the reason for admission down to his current progress. It turns out, he was due to be stepped down to a district hospital for continuation of antibiotics.

Well now, he can’t.

We transferred hum to the acute cubicle for closer monitoring while awaiting the Peri ICU team.

While awaiting, my medical officer decided to check on a patient who was handover to him for afternoon reviews.

This lady was in her 60’s and was admitted for left pleural abscess, meaning there’s pus in her lungs and for this patient, the whole left lung was completely filled. Clinically, she seemed well, speaking in full sentences and laughing to her family members as well in the morning.

In fact. I was even taking her bloods that morning only to have it splashed all over me after attempting to fill the blood culture and sensitivity bottle.

I recalled walking past her as I made my way to the front of the ward and she seemed alright. However, the moment me and my medical officer oncall stood in front of her. She desaturated an started being tachypnoeic.

Well, here’s another one.

There goes the next referral to the Peri ICU team for intubation and also Urology for emergency suprapubic catheter insertion as we attempted to insert a urinary catheter multiple times but failed.

Now, all these events happened very fast but at the same time, time flew by fast. The second patient was intubated and we inserted a femoral venous catheter. My medical officer then wanted to excuse himself to settle the pending discharges in his other ward. However, the first patient wasn’t saturating well under NIV and needed to be intubated.

There goes another intubation as well as another femoral venous catheter insertion. Finally, after all the chaos, things began to finally settle down.

I proceeded to trace my coming mornings, considering that I was the only one in charge of “General” that day and nobody would be helping me. Finally, I proceeded to begin my oncall reviews. This was around 8pm by that time.

After completing my in all reviews with intermittent disturbance in between. I proceeded to aid my friend in preparation of her coming mornings.

It was close to 11pm, I was just clearing my stuffs and getting ready to go when a nurse informed me that a patient seemed rather tachypnoeic.

Annoyed and tired, I attended STAT to find a patient sitting at the side of the bed with his BiPAP machine unlatched and hanging at the side of the bed. The patient beside him then told me, he removed it himself an hour ago.

Boy… Why am I not surprised?

This is another impending intubation.

At this rate, I might as well not leave anymore.

The day was busy enough. I sometimes wonder why is it that we feel guilty to even desire to return home on time? To walk out with the family members watching us finally ecstatic to return home for the day while their family members are stuck in the hospital?

Back to that patient, I didn’t left him gasping on his own of course, I fixed back the BiPAP machine, took an arterial blood gas and alerted my night colleague and medical officer oncall to which they attended STAT.

Thankfully, the following day, I was allocated as night shift. Thus, despite returning home late, I was able to sleep in and recuperate a little before returning back to work that night.

It was a busy day but considerably a rather fun one considering that I happened to work with a rather jovial medical officer oncall and my colleague stayed back to accompany me despite her shift being till 6pm.

Working with certain people definitely helps alleviate some of the pressure of the day.

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@shayman

I ask that question in my head, multiple times each day.

#Tiring
☹️

Opinion | The Alabama Democratic Party is exhausting

Watching Alabama Democratic leadership miss opportunities for gain in order to fight with other Democrats is tiring.

Alabama Political Reporter

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This weekend has been physically demanding. On Saturday I rode with people who do nothing but ride, so they’re far fitter, on a bike than I am, so by the end of the ride I was struggling to keep up.

## The Options

I fully expected the weekend to be difficult, Originally I considered the Tour D’Aï walk but that would have been a long climb, followed by a long descent. It would have also been exposed to the sun during a sunny hot day. The first hot day of the year. It would have required hours on trains. It’s because the bike ride was close and convenient that I chose to do that instead. No commute, or at least no commute by public transport.

## Fatigued

Yesterday I woke up. I could feel my knees. I walked around, opened windows, to see if my knees would warm up and feel better. They did, so I showered, and eventually I decided that I would go for the walk after all. This is despite my right knee telling me that it wanted to rest.

I walked to the train station, waited for it, and one hour twenty later we started hiking from Le Pont to Vallorbe, via the Grotte Au Fées and the Grotte De Vallorbe.

## The Caves

The Grotte au Fées is more interesting because it’s actual exploration but the Grotte de Vallorbe is interesting because of its scale. I would have explored more of the Grotte au Fée if other people had been equipped to explore, as I was. As they weren’t I did not explore.

We went to the Grotte de Vallorbe and I had forgotten how large it is, but I had an advantage over other people. I had a head lamp with me so I could light the cave, to see more. That’s how I found that there is either salt, or some other type of cristal at the bottom of one hole that I was able to light.

I had also forgotten about the scale of the Cathédral portion of the cave. It’s large and it made me think of the Planet Earth caves and caverns episode. It would be impressive to explore a huge cave.

What made yesterday’s hike different from others is that I was already physically tired from the previous day of cycling. It’s not often that I ride 60km in a single day, especially not with the harder part at the end, with people who are fitter than me.

## Twenty Nine Thousand Steps on Sunday

Yesterday I felt tired from the start. Despite this I managed to walk from home to the train station, and then 13-14 kilometres on a trail, before walking in a cave, and then to the train, and then from the train to home. I toook 29,000 steps despite feeling low on energy. On a “rest” day I walked 22.3km according to Garmin.

## And Finally

This was an exceptional weekend. Saturday was difficult, especially when climbing from Nyon but Sunday was an endurance challenge. I started the hike tired so I had use up reserves. I can hear it in my voice. I sound tired today. Today I may have a short second walk, just to flee the noise pollution and heat.

https://www.main-vision.com/richard/blog/a-weekend-of-hiking-and-cycling/

#cycling #effort #endurance #hiking #tiring

A Weekend of Hiking and Cycling

This weekend has been physically demanding. On Saturday I rode with people who do nothing but ride, so they’re far fitter, on a bike than I am, so by the end of the ride I was struggling to k…

Richard's blog

@aethelshane   #WritingCommunity

#Haiku #575Prompt #Challenge
#Prompt: #Tiring

When folk with no kids
Complain that they are tired
I inwardly laugh

@aethelshane #haiku #575prompt

#tiring

propped up my eyes with
(I've got so much work to do)
toothpicks with blunt ends

when life is tiring
and doesn’t feel inspiring
you need rewiring

#haiku #writing #poetry #575Prompt #tiring

@aethelshane