
Every day, they say, is a school day and this week has been a particularly educational one for me. At the beginning of the week, for instance, I learned of the difference between Urology and Nephrology. It is a tiny one, but nevertheless, there is little overlap between the two schools of medicine and furthermore, no information is shared between them. I also discovered that a kidney, having spent eight months being considered, measured and assessed has more than enough time on its hands in which to completely conk out. Maybe, like Schrodinger’s cat, it could have remained in a happily indeterminate state if nobody had looked into it, but the box got opened. I have discovered that I no longer have one fully-functional kidney taking the strain for its temporarily ailing twin, because that, to all intents and purposes, has popped its clogs. It is an ex-kidney.
Never mind, it is not the end of the world and I am assured that I only need one of them – although why, in that case, nature’s default model presents me with two I am uncertain – and the other one appears fine, providing, of course, that it does not find its own way to fall between the diagnostic cracks over the next few years. I have learned that whilst a kidney function of 90+ is acceptable for most people, the doctors are happy with 45 for the mono-kidneyed amongst us, so – on a per-kidney rating – I am bang on track. Although the consultant is at pains to point out that I am not, in fact, down to half the expected number of renal organs, I am merely carrying a non-functional member of the fraternity around with me much like the parents of a psychology student or a three year-old with a handkerchief. She is also at pains to inform me that everything she has told me might just prove to be factually incorrect once the urological Ying to her nephrological Yang has had the opportunity to appraise the scan images that she, as yet, has not been privy to. But she doesn’t think so…
I need, apparently, to eat well, to drink healthily, to exercise and to lose a little weight. All of these, I am told, should reduce the hypertension that has been having a playtime in my arteries for the past eight months of uncertainty. My blood pressure will, I am sure, fall like a stone with the knowledge that I am still unsure of anything except the likelihood that things are now somewhat less repairable than originally anticipated. Probably… I have no certainties and in that, I suppose, I am in exactly the same position as everybody else.
Accepting what you have got is not difficult, it is essential if you don’t want to drive yourself mad. One way or another, things are definitely not bleak: they’re ok, I’m ok. I feel well and there is nothing I cannot do (which is amazing because there was so much that I couldn’t do last week – swim without looking like a drowning dog; run without looking like my final day has dawned; bend down and get back up without audibly grunting). My diet is good, I’m relatively healthy (once I’ve taken the pills) and I’m fit. There were other, far more concerning options, so I am, all in all, in a good place.
I know that I tend to over-think things, which is certainly not the healthiest of habits, although I do try to keep my concerns to myself by and large. I do talk to my wife of course who tells me ‘you over-think things’ so that’s ok and I am fully aware that most people have more than enough problems of their own without having to listen to mine.
Which leads me to the final thing that I have learned about myself recently. I have discovered that I am far more British than I could possibly have imagined. I have spent the last couple of days consciously trying to make light of the situation because I am aware that worrying about such things achieves nothing. Finding absurdity is what I do best. Physically, I am visibly well and although my fitness tracker (which appears to have been programmed by my ex-headmaster) continues to tell me that I must try harder, I am actually far fitter than thirty year-old me ever assumed I would be at this age. To moan about this set-back would seem incredibly disingenuous. Outwardly, the biggest reaction I have allowed myself to date has been a proto-Gallic shrug; the kind of thing a Parisian does when his morning coffee is not quite up to scratch: c’est la vie and all that. I’ve got football to play tomorrow, grandkids to mind over the summer holidays and a drawer-full of chocolate to resist. Most of the pending D.I.Y jobs have been put on hold over until the weather starts to cool, but they are waiting for me. (Boy are they waiting for me!) I will try to be good with both food and drink (three litres of water a day I am told which, given the size of my prostate1 in relation to that of my bladder, may prove a very interesting challenge – but I’m always up for those) and should I fail I will blame any ill-effects on the non-operative nephro-bean – it might as well serve some purpose…
*“This parrot is no more. It has ceased to be. It’s expired and gone to meet its maker. This is a late parrot. It’s a stiff. Bereft of life it rests in peace…” Monty Python’s Flying Circus – The Norwegian Blue Parrot.
1In a similar vein, I have just read through this post (Prostate) from way back in 2018. Time passes, but it would seem that the more things change, the more they stay the same…




