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Showing posts with label death. Show all posts
Showing posts with label death. Show all posts

Tuesday, 17 September 2019

The march of time

Seven years ago in Spring, under Efi and Adonis’ walnut tree in their garden next door, my neighbour and friend Lefteris and I celebrated our 70th birthdays – he two months younger than I. It was a party of foreigners – mainly English plus my old American friend Tony, staying with us a week– and Greeks, neighbours in Ano Korakiana.
«Αγαπώ την Ελλάδα…αγαπώ την Άνω Κορακιάνα»

It was a perfect evening to mark our arrival at the biblical age for the proper duration of our lives. My friend Kim reminded me that its unseemly to grumble at the problems of being old when so many don't get to be old. All the same today I asked Lin, rhetorically, what justifies me being grumpy and sometimes sad.
“I’m closer to death. Although I’m healthy, I’m weaker and shall get more so. Lefteris is poorly." 
A few days ago he fell, a second time, off steps he’s been using all his life. His back's purple and black. We heard him crying out one morning and ran to try and help but Vasiliki was well ahead of us.
“People die. I’ve no older relatives to talk to. My mum passed in 2012 at 95, your Dad in 2016 at 98, your mum last year at 94. We’re the elders now ... One of our best friends is suddenly ill - diagnosis maddeningly uncertain - and won’t be back to Corfu this year. But it’s not just the elderly who are dying or sick but people in the prime of life. Y crashed his motorbike this July, widowing his young wife and leaving his young daughters fatherless. K and T suffered the worst catastrophe –  their only daughter, aged 28, about to be married, died without warning this March after drinking a morning coffee. A few weeks later my friend Dave phoned to tell me Trish his wife, hardly 50, had, out of the same blue, a fatal heart attack. 'She was meant to go after me' he said. There are other bad things affecting acquaintances. Martin who tripped over a low wall in Duikades a few months ago and fell three metres onto concrete; flown back to England unable to walk or think straight, stuck in therapy for months perhaps disabled permanently. B's wife in an induced coma in the island hospital, suffering sepsis. What a catalogue and there’s more. P, so full of life and wisdom, undergoing the ordeal of chemo following five hours surgery to remove suddenly discovered tumours. That doesn’t count unheralded separations of people we’ve enjoyed as couples – three, perhaps four, whose happiness together we’ve witnessed, whose exchange of vows – spoken and unspoken - was part of my hope for people living happily ever after, their children as banners heralding the out-dated pledge ‘so long as we both shall live’.  And look what's happened to our fecund orange and lemon trees, infested with scale insects and black mould, becoming barren of the fruit that fell into our hands in such abundance!"
Just before our grandchildren were born Amy and Guy bought a house, with our help, on the edge of the city. It was near the largest sewage works in Europe and under the flight path of Birmingham International Airport, but behind it, until the rising ground arrived at the woodland skyline, were fields; arable farmland laced with footpaths, three hundred yards from a canal that led north west from the heart of the city, along whose towpath I could cycle seven miles from Handsworth, via Spaghetti Junction, to visit them, often with Oscar dog running beside me, or, when he got too old to keep up a reasonable pace, and too blind to stay out of the water, sitting in my front pannier.  It wasn’t what you’d call a posh place. I’d say it was 'Minworth', though the post code implied ‘Sutton Coldfield’.
I thought it a brilliant choice; a walk from Minworth Primary School where Guy became a governor. There were country walks – indeed a gate like a magic door in the hedge at the bottom of their garden led into fields. Shops were close. They lived an easy drive on the Tyburn Road from our home in Handsworth.
 The children and Oscar in the fields behind Summer Lane

Two years ago, with much touting by the city of its contribution to providing 10,000 jobs to enrich the Midlands economy, Birmingham City Council was allowed by HM Government to breach the city’s constitutionally defined ‘Green Belt', permitting the construction of 6000 new homes, and, over the next five years, a factory estate on the fields behind the family home on Summer Lane.
Artist's impression of the new Peddimore industrial estate to be built north of our daughter's home

Footpaths were stopped. Signs showed the farm land awaiting concrete. The football field, on fallow grazing behind their house, was flayed and laid with wormless astroturf. A substantial clubhouse arose.
In his last year - 1993 - my stepfather wrote an ode to his love of the countryside that ended with the lines:
I said I must write a warning.  But I was angry and - as the
Japanese say - to be angry is only to make yourself ridiculous.
So we will live out our days in the cracks between the
concrete.  And then they will pour cement on top of us.
Amy and Guy, now with our grandchildren, Oliver and Hannah, and with our long term family friend, Liz and her husband Matt and their children, Sophia and Henry, didn’t wait. A year after the blighting of their edge-of-town countryside was announced, Amy and Guy put their house up for sale. Guy gave notice at the place he’s worked over 20 years, and Amy, with help from family, bought a house on the edge of the Forest of Dean at Drybrook in Gloucestershire – a few hours' walk through the woods to our cottage in Lydbrook. The sale of their house in Birmingham awaits survey and searches before exchange of contracts. They started moving into the new home the third week in August. On Monday 2nd September the children, in new green uniforms, started their year at a primary school in Lea, just over the Herfordshire border, 15 minutes drive north from Drybrook.

I’m pleased Amy had the resolution to make this move. We have mixed feelings. For the foreseeable future we shall see far less of our family. Richard’s been working in Istanbul for a year. Now Amy’s moved to an area that has the protection – though naught’s guaranteed – of a National Forest, a  place we’ve known and loved for over 35 years; buying Rock Cottage up a path on Bell Hill, Lydbrook in 1981.
Lin's mum Dot, Amy and Richard on the lawn at Rock Cottage, Lydbrook, about 1990

Above the Wye across from the Forest of Dean - a place we've known and loved over 35 years (photo 1995)
Amy and her family won’t have to wake in the morning to the dismal sight and sound of construction-destruction. It’s almost, but for the wild life, a win-win circumstance, since for many the  ‘exciting development’ on the edge of Birmingham adds to local property values, bringing what government PR calls ‘employment, retail and leisure opportunities’.
On one of the first days, the new house sale near completed, in the middle of August, I took a train to Lydney from Birmingham. Guy collected me from the small station to stay with the family at Rock Cottage. Next day I was driven four miles eastward, via Ruardean, to see their new home in the country. I walked around it inside and out and saw it was good. Amy and Guy went measuring for carpets in Cinderford. With Hannah and Oliver and a map I headed into the forest, few hundred yards from their new home, to walk to Lydbrook. We were without Oscar. Our 17 year companion had died of old age in our garden in Handsworth on the first day of August. I buried him on our allotment by the park – along with an episode of our lives.
Oscar's grave prepared by Winnie and I on Plot 14, Victoria Jubilee Allotments
Mum died at her home in 2012 aged 95 on 1st November. Oscar died in our garden on 1st August 2019 aged 17


It means the end of seeing our family in the city, taking buses, trams ...

 ... in and out town with Oliver and Hannah, cycling in the park and along the Birmingham canals, helping open and close lock-gates...
Helping a narrow boat up Farmer's Bridge Locks in the centre of Birmingham

...working on the allotment, helping split logs...
... working with some of Handsworth Helping Hands activities, dipping biscuits in my tea, visiting Handsworth Park ...
The wedded trees in Handsworth Park

Hannah, grandpa and Ollie litter-pick the pond in Handsworth Park and get a free boat ride







When I taught Oliver to row. Hannah's cracked her collar bone a few day back.
... strolling through the Birmingham markets together looking at wares, chatting to stallholders, having snacks at the baked potato van, watching me eating oysters, learning to spend small pocket monies, visiting St Philips Cathedral and St Martins-in-the-Bullring to light candles "for great Nan, for Jack Hargreaves, for Oscar"

 ... and dip fingers in holy water and listen to my stories about the stained-glass windows, meet people and ask questions of people with placards spreading political and religious messages,  take part in defending allotments...
Balbir, Oliver, Hannah and I in Victoria Square campaigning for the Walsall Road Allotments

...listen to buskers, spot a homeless man sat in the street – perhaps bring him a coffee or a soft drink, visit the big bookshop at the end of New Street and leaf through books in the children’s section and talk to staff, wander down the Great Western Arcade looking through shop windows, buying rich cakes from the Polish bakery at the Colmore Row End,

... sit together in the window of Pret a Manger trying to get smiles from those passing outside by waving and knocking on the plate glass, keeping score, and ever asking and answering questions – watching, observing, having small adventures to mull over at bedtimes. It means and end to the grandchildren staying overnight with us helping and chivvying their homework ...

... as well as studying the dramas of Titanic, Bismark, Graf Spee, Marie Celeste, and Nelson’s Victory, the battle of Waterloo and The Battle of Britain – with the aid of exciting films especially A Night to Remember and the films of Sergei Bondarchuk and Guy Hamilton. For the time being it’s an end to striving to answer Oliver’s questions about the universe, life and death, Aston Villa, and the nature of vampires, and Hannah’s interests in saving the polar bears and the existence of unicorns.
Hannah's 3rd birthday on Plot 14 by Jan Bowman


Monday, 2 October 2017

Reducing the ravages of old age?

Mitochondrion - 'powerhouse of my cells'
I'm one of the thousand elders; one of those upon whom medical experiments are performed. Though 5 years past my ‘sell by’ date, at 75, I am perfectly healthy. I think. The various researchers – contacting me (via my blood donating) for the UK Biobank and the 1000 Elders project, associated with Birmingham Queen Elizabeth Hospital, want that in subjects of their research into healthy ageing - specifying a need for 'healthy non-smokers in their 60s, 70s and 80s showing in the healthy range of Body Mass Index'.
Earlier this year I was part of a continuing study by Simon Franklin from the School of Sports, Exercise and Rehabilitation Sciences, exploring whether extended use of minimalist shoes can increase intrinsic foot muscle strength. I'd not even heard of minimalist shoes! I was in a control group, wearing ordinary shoes, with a pedometer on my belt, for two periods separated by 4 months, measured before and after for balance, weight, height, foot muscle strength and style of walking – using an elaborate cricket-wicket length walk, with sensors attached to reproduce an image of me walking in the manner of the movement analyses of the genius Eadweard Muybridge, but of course all appearing instantly with me as a 'stickman' on Simon’s flat screen. He’s sending me his paper on this research later in the year.
Dr Yasir Elhassan at the University of Birmingham
A more arduous participation for me has entailed 5 visits, as the subject of a double blind test of a vitamin supplement, much touted on the web, that reduces the ‘ravages of old age’ by doing something to enhance the 'battery-life' of my ageing cells
Something complicated happening in my cells

“It’s called oxidative phosphorylation” says Dr Yasir Elhassan, the researching doctor. The vitamin or dietary supplement aimed at affecting this subtle and uncertain process in a positive way is called Nicotinamide Riboside, easier known as NR or NAD
One of many advertisements for NR on the web


Companies selling NR claim that it reduces the effects of ageing. In the UK it's on sale with fairly modest claims, but in the USA its retailers make bolder claims, for instance, of an over-the-counter product called Niagen, one retailer says:
N(r) NIAGEN is the ONLY PROVEN Natural supplement for boosting NAD+ Levels in the Human Body. This leads to boosting the metabolism, enhancing mental focus, improving memory, and increasing muscle endurance. N(r) NIAGEN is the greatest breakthrough in natural supplementation since Creatine. In an industry ripe with BS, N(r) NIAGEN is an absolute blue chip, a product built on real science and university clinical data. N(r) NIAGEN only contains one ingredient, NIAGEN. This ingredient, scientifically known as Nicotinamide Riboside, is structurally a member of the B-Vitamin family. NIAGEN has a host of benefits including brain health, muscle endurance, and metabolism; but they all come back to one simple fact; NIAGEN increases the level of NAD+ coenzyme in our cells.
I'd really like to see this tested - on me and others - by reliable research. Through June and August to 1st September 1 this year, with 11 fellow subjects, I’ve been used to explore such propositions, making five visits to the NIHR/Wellcome Trust Clinical Research Facility, Queen Elizabeth Hospital in Edgbaston, cycling there from Handsworth, about 5 miles, mainly along canal towpaths, but on a couple of occasions taking bus and one of the frequent trains to University station.
On my first visit to Dr Yasir Elhassan he sat with me to explain his research. I signed the usual consent papers. After that there were four more visits to carry out a double blind test of the effects on me of NR; neither I, nor Dr Elhassan, knowing whether I’m taking a placebo or the dietary supplement. For three weeks I took a daily dose of what might have been NR or might have been a placebo. There was a break of three weeks, after which I spent another three weeks taking further daily doses of NR or placebo. I remain unsure during which testing period I was on one or the other. Yasir had told me the effects would probably not be obvious. This is why the research, and indeed I too, paid relatively little attention to subjective impressions, though I'll get a questionnaire some time soon asking me about those.
The testing involved, on each of four visits, a variety of procedures; weighing and measuring me, and taking a 24 hour urine sample, and then, as I lay for five hours on a bed...

...in a dedicated experiment room, full of specialist equipment, taking samples of tissue, 'aspiration via a fine-needle biopsy' from my upper thigh...
After biopsy - a tight bandage to stop any possible bruising
– and regular samples of arterial and venous blood from wrist and forearm -

...doing a grip test, testing my oxygen consumption and CO2 production via a sort of space helmet, placed at 20 minutes intervals, over my head, a procedure called -  indirect calorimetry; and taking an oral glucose tolerance test.
The procedures were painless, preceded in the case of the arterial blood extraction and biopsy, by local anaesthetics. Yasir jokes that these procedures are ‘torture’. He's an interesting man; utterly professional, very precise, and yet human; kind in his ministrations, and unpatronising, though he must be well aware of how low is my understanding of what goes on inside my body. If I were ill he'd be the doctor I'd like at my bedside. The same goes for the nurses who helped with his research - especially Nasreen, whose second name I didn't catch.
This is certainly the most intrusive research in which I’ve been involved, yet a million miles from 'torture', or even the surgery that might be needed for a real problem; far less uncomfortable than having Lin, concerned with my aesthetics, tweak small hairs from my nose - septum in particular - with tweezers. That makes me yell!
I'll await the results of this research with interest - not least because I have no interest in averting the so-called 'ravages of age' - unless they start to take my mind. The cost of this dietary thingy, NAD, is high. In my mid-70s my duty isn't to try to pay to live for ever, but to seek to live as well as I can until I go back where I came from and become part of everything again; not to offset mortality but to prepare, as well as courage allows, for death - whose presence  flavours every moment of my happiness.
Walking on Vido (photo: Lin Baddeley)

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Simon Baddeley