Wednesday, 28 September 2016

The long and lonely nights and the goals goals goals

2.10 a.m.

The norm for me these days is that I am  awake for hours in the night.  My breathing is laboured and I sit up to enable the air to reach deeper into my lungs.  Every minute seems to stretch into an eternity and I am bored, bored bored.

The night doesn't begin too badly as I use this time to catch up with my admin for the ph website that I help to co admin.  Following on from this I then read the newspapers online, but what then...... the night stretches on and on.  I hear an occasional car passing as I like all the windows open as wide as possible and I wonder who is in the car, where they are headed, where they have been etc, boring but not enough to get me back to sleep again.  So what do I do, well get up, sit at the desk and begin this weeks blog.

Hospitals, hospitals, hospitals!

What a week it has been.  It seems almost every day has necessitated with me going to the hospital for one test after another or to a ph exercise class.  I generally attend once a week to my local hospital for a warfarin check and as this time I also needed a fasting blood test I decided to do them both together.  How stupid was I then that on the morning that I was to attend my weekly warfarin check up my husband handed me the tiniest piece of a banana that was left after slicing the rest to top off the porridge for Izzy.  Without giving it a thought I popped it into my mouth and continued to get ready to attend the said appointment.  It wasn't until I sat in the car that I realised what I had done.  That tiny mouthful of banana meant that I could not take my fasting blood test, beggar!  I could not leave the two tests until the following day as my weekly warfarin one was needed now.  So it was that I attended one day for warfarin and the following day for my fasting bloods.

Between these times I attended two ph exercise classes and one day I went for my flue jab.  I just could not get away from anything to do with hospitals, damn ph for this.

Izzy and dentist

Following on from my being bloods taken we were to take Izzy to a specialist dentist got a small filling.  No she is not given many sweets at all, far from it but having been born with no enamel on the back of her teeth we were told she would more than likely need these before her baby teeth fell out.  On a visit to have her teeth checked and painted with a form of fluoride to help protect them a cavity was detected.  In our family we do not believe in lying to our children about pain so when she asked if it would hurt we told her it may hurt a little as they would need to scratch her gum to numb the area where they were working.  She accepted this and my heart skipped with pride when we saw her happily skipping into the dentist for the said procedure.

The two dentists taking care of her were amazing!  They explained to her what would be done though they called each piece of apparatus being used by a different name to the norm, i.e. the drill was a vacuum cleaner cleaning all the bad from her teeth, the water jet was a jet steamer wiping up the mess etc.  She was very happy to don the glasses and waited relaxed in the chair for the process to begin.  They began by numbing the mouth with the anaesthetic ointment and then proceeded to inject the area.  No problems here, even her little hands did not move in the chair as she was so calm. Drilling commenced, again easy as pie and the filling was soon in place.  She got out of the chair and we proceeded to go into the office next door to make an appointment for another two tiny fillings that they had found  and needed to be seen to and then ......  she burst into tears.  The problems was she said he mouth felt funny.  No it didn't hurt but it felt fat!  well most of us have been here and yes our mouths do feel odd after the injections used.  We told he it would wear off in two hours but she was not happy.

We took her back to ours afterwards as I wanted to give her a drink and a bowl of soup before taking her back to school for the afternoon session.  No drink, no soup was eaten or drunk, she flatly refused. We did have her laughing over a game of snakes and ladders and then I said she must get back to school for the afternoon session.  Tears again, though she loves school so I think she wanted to be molly coddled for a while longer but I am pretty tough when it comes to schooling. I  believe every day lost is a day of schooling that needs to be caught up with so better not to miss in the first place. Off she went to school amidst a few tears.  When we spoke to her later though she was happy and had been the centre of attention at school and admitted the whole experience had not been that bad.

PH research confirmed

All is in place now for me to go and have the first of my appointments for my trial . I am to go to Sheffield, my specialist centre to sign all the paperwork and to have the usual pulmonary function tests, bloods, 6 minute walk, urine and ecg.  Following on from that we are to have our holiday and then return for the two days of intense testing and my right heart cath.   I am so hoping for some improvement whilst on this trial as the alternative its the hickman line but we shall see, what will be will be.  My wish would be to go for a while breathing without thinking, taking deep breaths with no effort, will it ever happen in my lifetime, well I remain ever optimistic about this.  If we have no hope then we have nothing and so with that hope in mind we need to set ...........

Goals, goals goals

It would be so easy for us all to just sit in a chair all day, easy but boring and senseless.  We have been given a life and no matter how compromised we need to try to use it to the best of our abilities.  So for me I like to have a goal, something to achieve, something to work towards.  In the beginning it was to meet Izzy who had not been born at that time, then to see her go to school.  My goals alter as months and years go by and now my latest goals are ..... seeing lots of my friends from Javea in Spain.  To that end we are so fortunate as two of my friends have volunteered to get in touch with people, set a date and time and book a couple of venues for a catch up and meal so very happy days ahead.

One of these lunches will be in the golf course restaurant that was very close to where our villa was.  In fact it was on the walk back from lunch here where we all realised the gravity of the situation with regard to my health.  The beginning of the walk back through the grapevines, on through the fennell fields, a stroll back through the almond orchards was fine and then as we began to climb up toward the villa my heart just wanted to give in.  My face was sooooo red it took 24 hours to calm down.  Anyway the rest is history and here I am but from where we are meeting for lunch and catchup I will be able to see my lovely villa nestled into the hillside amidst all the woods. It will be sad but at the same time lovely to know we have made a mark on the landscape

We shall meet with other friends over the course of the holiday and Colin is hoping to join in some of the walks the Costa Blanca mountain walkers are well known for.   Whilst he is doing this I will be resting under the naya and friends will visit me there.  We are so fortunate that friendships made when we first arrived in Spain are still going on, wonderful times ahead.

Our new build

Very early days here yet but we have met up with two lovely architects who will have the responsibility, along with us of course, of designing the new house.  We told them we wanted something a bit different and though too early to say for sure there is a strong possibility we shall have an eco house built.  They love the land, the position, the views and so bearing all of this in mind and our needs we will work together so once again, another goal.  This goal being that I am determined to live in this house and enjoy all that it has to offer us.  I will update on all of this as things become clearer.

Sad news

We lost our Canadian ph sister Cindy Mallory a couple of days ago.  Her husband came on and told us that her fight was over and that she was resting peacefully now.  How heartbreaking to see the post but of course we must see them, we need to acknowledge that the fight is a tough one and that we lose friends along the way.  Our hearts go out to Cindy's family and friends who saw her battle on unit the fight became too much.

Another post that was equally heartbreaking was one where we learnt of the death of a very young girl Erika Cowie from Swindon in England.  She had only just celebrated her 18th birthday and Stacie Pridden who posted the news was, of course, devastated as they were good friends.  To lose any of our family affects us all deeply, we all feel it as a personal loss to our community. To lose one of our ph sisters at such a young age is so cruel a blow.  Once again our thoughts and prayers go out to the family and friends of Erika, such a brave girl who fought the fight so hard until the end.

Lyric Parsons the baby born with severe ipah was so incredibly poorly.  The medications were not helping and so in the end they had just one more action they could do.  This was to put this tiny new baby on a very toxic medication flolan.  It was very much a last resort for this beautiful baby and thank goodness a post was sent for all to see that she is responding well to this medication.  Her parents can now hold her at last, how wonderful this must be.  I hope and pray that she continues to respond well to this drug and that in the not too distant future all these ph treatments become redundant as we come ever closer to achieving that goal.

PH Conference UK

What an absolute delight it was to hear the news that a date has been set for our longed for conference again.  The venue is the same as we have had for the last few conferences as it would be hard to beat.  This beautiful hotel lies nestled on a golf course in the beautiful Oxford countryside.  Our diaries have no doubt been pencilled in with the two days in May, babysitters are being called on to put these dates in their diaries too as they will be needed so their family member with the condition can attend this very important event. These conferences are a source of information but equally as much there is the association, we meet up with ph friends we have spoken to on faebook, we meet and make new friends too.

Well it is time for me to fill in the paperwork needed so I can once again get my bloods done.  This time it is the full blood box that will be then sent off to Sheffield laboratories with my blood to be analysed and check that my liver function is not impaired with the toxic medications we take and a host of other things that this blood is checked for.  Most ph patients have this done monthly along with their inr blood test that can be done as often as weekly in my case.

Once again I take leave of you all and hope that you stay as well as you can do.  Thank you again for the likes and the shares, it shows me that you actually do read the blog!!

Warm love to you all

Carole xxx





Tuesday, 20 September 2016

Heartbreaking to see these PH babies

Can you tell me you can watch without crying?


I never post my memories from years ago that show up on Facebook, never until now.  I watched this video again and I did wonder just how many of these children are still alive today, how many had transplants and how many died before their transplant could be done.  If you are a parent, a ph sufferer, a carer or have brothers and/or sisters please please if you watch nothing else today watch this video.  it is truly heartbreaking to see this but it shows why we are in desperate need for a cure.  

Meeting PH friend at last

Marcmarydyer, another ph patient and I talk often on Facebook ph pages and we have spoken a few times on the telephone, always a joy to speak.  One of us, don't remember which one, made the discovery that we didn't really live too far apart, particularly if we both drove towards each other!  So it was that we set the date to meet one morning in the lovely village of Hebden Bridge.  Both having ph we could not be sure either one of us would be fit to meet when the day actually arrived so it was a pleasure that the disease gave us a bit of a respite and we managed, so very pleased.

I felt an instant rapport when I met both Mary and her hubby.  Mark left us too it whilst he wandered the cobbled streets and strolled in and out of shops whilst Mary and I sat down with a hot chocolate.  If either of us had any worries about there being stilted silences they were quickly dispelled.  This was a ph sister that I felt at ease with instantly and the conversation just flowed.  Of course the constant hospital visits came into our conversations, we are never far away from another appointment or blood test, we talked of the amazing staff at Hallamshire Sheffield where we both attend, we talked about children and oh so many things.  I don't even remember how long we were in the cafe.  We both spoke of how fortunate we were to have our lovely husbands to help and support us and we took our hats off to the ones coping with this terrible illness without a partner,  we acknowledged neither of us could do this alone.

My sister joined us for a while as we needed to exchange presents and she lives in the village of Heptonstal so this was a very convenient place to meet and we all laughed about so many things. Gill my sister had bought me a gift.  It was actually a heart shaped piece of jewellery with beautiful colours imbedded into this heart.  These were actually my moms ashes!  It sounds a bizarre gift but it is really pretty and it actually feels nice to know that my mom is close.  She rang me afterwards to say what a lovely person Mary was and that we should meet up often.  She need not worry on that score, Mary is now a real friend that I know in the flesh, she can't get away from me now!

The beauty of meeting up with somebody else with ph is that we know exactly how it feels, we know of the tiredness and the lethargy that comes with ph.  We know of the pain in our hearts, the palpitations and of the sheer debilitating condition we live with all the time.  We also know that we have to live the life we have and make every moment count so we were certainly not feeling sorry for ourselves!  We laughed over the slightest things.  For sure there will be man more meetings, this is a friendship meant to last.  Thank you Mary for a lovely morning and thank you Mark as I know you are her carer and the chauffeur also!

Following on from this meeting I decided to see if we could meet up with more of my ph brothers and sisters and so to that end we are now in the middle of sorting out a date for a christmas lunch and catch up face to face.  So looking forward to this.

Holiday booked

Well we risked it and we have booked or holiday to Javea in October.  We have begun messaging or telephoning our friends to ask about a meet up.  We were looking for a villa to rent for a week and hoped to put ourselves on our family Mike and Gill to see if they could let us stay with them for the first four nights as our holiday is for 11 days.  The e mail that came back said that they are not in their villa and so we were welcome to use it for the whole length of our stay with the proviso that Colin cleans the pool.  No problem with that so we booked our tickets and we fly out on the 19th October.  Oxygen has been approved on board {I take my own concentrator but still need to get permission from the airline } fit to fly letter has arrived so I am so looking forward to going back and to make more memories in this place that is so special to us. 

Accidents happen with low oxygen

Because we with ph have a problem with our lungs not being able to oxygenate our blood as much as the norm we do suffer memory loss.  I know I can be told something one minute and forget it the next.  So it was the case with the oven saga and how I was hurt.

Colin had decided to clean our oven and when he had finished a tradesman called , so he had to go and talk to him, leaving the oven door open to air. Although I KNEW he had been cleaning the oven I should have taken more care but I just forgot. The result was I walked around into the kitchen and slammed into the cooker door HARD with my legs. I felt so sick as it had really hurt me with the force. When I could stand to lift my trouser legs up I saw that one leg had the flesh torn away and was bleeding and the other had a big swelling and the blood underneath was clearly visible. 

I just know that these bruises will take weeks to clear. I have declared that when we have our new home and my new kitchen my cookers will be higher up and with the doors that push under so this cannot happen. I know my friend Roy who lived upstairs often banged his legs on his oven door and I worried so much about him but it never crossed my mind would do a similar thing. It does emphasise though that we really are vulnerable due to oxygen shortage and need to take particular care.

My breathing is pretty rubbish today so I am feeling very lethargic.  However there are things I must do so I need to muster up the strength to get bathed and dressed.  Nothing I do though will give me the energy needed to wash and dry my hair so I will just wet it and leave it at that.  The resultant curly mass will upset me but straighteners are out of the question.  

I must confess here before I leave that I did question to Colin if I was making the right decision to trial yet another drug instead of going immediately back onto the iv hickman line.  After talking about it we both decided to stick with our decision knowing we had a promise from Prof David Kiely that he would take me off the trial and immediately onto the line if he felt that my condition demanded it.  All I can do is trust my A Team and hope for the best.  

The weather here is beautiful, would love to do a canal walk, here is hoping my pressures get pushed back one way or another to allow me to do these walks again.  In the meantime thank you all once again for reading, for the act of clicking like and or for sharing.  I feel I know most of you well through Facebook so these likes mean a lot.

Love to each and every one of you and have a good day.

Carole  xx

Wednesday, 14 September 2016

Amazing PH News

My ph hospital visit astounded me!

This was a return visit after the ferinject study to see if I performed better, worse or the same.  My answer was the same and it appeared that the results available at this time showed that too except for a small change of my heart. However I wasn't there just to discuss the study but to talk about having the Hickman line fitted again as my condition deteriorates.  

I bumped into Charlie the day before my end review who said it would be David I would be seeing as he would be working over at the other hospital.  I was a little concerned about this as David was one of the doctors who did not want me back on the line so was a bit tense.  I need not have been as it happens.

My MRI showed very little change, a tiny margin for the worse and though my pressures were rising my heart was coping quite well.  However as we talked about where I was going next in my ph journey he dropped a bombshell that really made us stop and think.  Before I did the study for the ferinject I had been waiting for another trial called Transform Uk an open label study of Tocilizumab.  There are to be 21 people across the UK on this trial  At that time it was not available to us so I switched to the ferinject study.  Now I have completed it I can, if I wish, join the study for the tocilizumab as we are now allowed to trial it. I need a rhc and many other tests but if all goes well I should be on this trial at the end of October . If it seems my breathing gets worse he will take me off the trial and I will immediately get my Hickman line inserted and begin the iloprost treatment again.  I will be the first on this study from Sheffield so if anyone else across the UK  who reads this blog is on this study please tell me how you are doing.  

We discussed another study I had been on and completed and the results are out now but at this stage only to the specialists who were part of it.  For that reason I cannot yet divulge the name of the study or the meds but I can say that it proves that the medicine helps patients with ph so yeah!! By taking part in this study, there were only 20 in Sheffield on it has helped in the developing of another drug that will one day be a player in helping to push back ph.  It made me feel proud that my small part in agreeing to test the drug will lead to its use for many ph brothers and sisters worldwide.  

Whilst I was in his office he told me of another trial, only one person has had it done at this time.  This trial ( and he said I was not ready for this ) actually burns inside the pulmonary arteries to see if they can shrink the blockages and so aid breathing.  As it has only been done on a pig and one human we all agreed this was a very last resort.  

On one of the trials I did I developed dreadful neuropathy but I insisted continuing until the end.  The result of that trial showed many people on the high dose such as I was on did get neuropathy the same as me but that at a lower dose it was tolerated well.  My neuropathy has just about gone after two years so I am now told I can gradually wean myself of the meds for this slowly.  It will be good to get rid of one of the medications I take.

We discussed lowering my meds as they appear to give me a very low blood pressure ergo the dizziness and tiredness etc.  We all agreed though that as the pressures in my lungs are already rising more and more even with the drug then to halve this med would mean my heart would be even more under pressure, 

Selexipag

Again this was discussed and David said he was going into another meeting in two weeks with all banners blazing that we should be allowed selexipag in the U.K.  He is very disappointed at NICE and their decision  not to allow it us yet.  I know he will do all he can to push for us again.  It is going to be interesting to see how he gets on, who knows after my new trial ends I may be allowed selexipag, something to hope for.  

On leaving the office after being with David about one hour we bumped into the very lovely Paul Sephton, he is the ward manager,  A super guy he often had us laughing when he would come on the wards.  He came over to say hello and told me he had been at a conference with hundreds of others and lo and behold who should appear on the screen in front of their eyes  but me!  He pointed to a colleague and said hey look, that is Carole Ayrton.  I was talking about how it was ok to feel scared when first diagnosed but there were many people going through the same journey and through support groups we could become strong etc.  This is apparently going to all centres that deal with ph and will be shown at all conferences.  I as so pleased to play some part in supporting the newly diagnosed and helping them come to terms with their illness. 

So our visit ended with us saying goodbye to Mercy, my trial coordinator, and that I would be seeing her in a months time.  This  time I shall  be staying in a better hotel, one with lifts, the one  I have been staying in has no lifts so can be a struggle with stairs. For these trial visits we do not take up the NHS beds.  I shall continue to have Dean, my designated taxi driver to take me to these trial sessions so we shall see what happens on this drug.  All in all we came away feeling satisfied that we had covered all the options available to me and that we all felt the new trial was the way forward.  I can't think first hand of how many trials I have taken part in but it is a few now and the care I have taken of me on these is second to none.  I also had an hello from afar from Professor Martin Wilkins from The Imperial College in London.  He did some testing on me at the Imperial and always says hello to me via any of my team when they meet up.  

I was also deemed fit to fly so hopefully  I will have my study visit, sign all the forms, go on holiday to Javea and return for the right heart cath and then begin the new trial.  Happy days. 

Idiot

This being me.  We had discussed and dismissed my halving my dose of Sildenifal. I take the maximum dosage.  Just to see if I would still get so lightheaded if I reduced the dose I halved one and took it.  Bad call.  Within minutes it took effect in a bad way.  I think that as the plastic coating around it was now only on half the tablet where I had split it the medicines worked in a different way.  I walked so strangely and my talking was rubbish,  Colin could not understand what I was saying.  I remember very little of the next few hours.  Colin put me to bed with my mobile at the side of me and the landline.  I was to remain in bed whilst he took Izzy to her swimming lesson.  On his return he told me he had rung me to check and I was still talking weird.  I can't remember this phone call at all but the strangest thing was yet to be revealed.

I don't eat chocolate as many family and friends know. I woke up when Colin returned home and saw at the side of the bed a chocolate wrapper bar and my mobile was full of chocolate finger prints and the bedding had chocolate on it.  I have absolutely no recollection of getting out of bed, going to the freezer where chocolate is kept, walking back to bed and eating it.  My mouth had no taste  of chocolate in it and when I brushed my teeth there was no chocolate remnants  so what happened, this remains a mystery.  I do not believe I ate it and my bed had loads on it but why did I get out of bed to get something I don't like. At one point we both believed I may have had a mini stroke but we have dismissed that idea and put it all down to my halving the tablet.  There is a reason our tablets are coated the way they are and my halving it and so exposing all the meds at the same time had affected me badly,  I shall never do this again, ever ever. 

Exiting Times Ahead

I have hinted a few times recently that I will shortly be telling you something and at last I can.  It may not be exciting to many of you but believe it for me this news is the best.  At last we are getting sorted with my wish to have my own garden.  We share one now and though very beautiful I really wished to be able to sit in my own in all weathers and breath in good fresh air.  This is going to be happening thanks to my daughter and her partner Chris.

Danielle and her guy are buying a house in a beautiful area with amazing views.  Now this house came with a plot of land attached that was also up for sale.  Currently being used as an add on to the house garden Danielle asked if we wanted to buy it as it has outline planning permission to build.  Wow, another opportunity to help design our own place to exactly how we want it to be.  I did this before I had children as we did a build a house in the allotments attached to the old village school.  My children grew up happily in this house until I married again and moved.  We then had the villa  built in Javea in Spain so this is certainly not new to us.  We now have the opportunity again to build exactly what we want.  We have both said we want a build with a bit of a twist to it, a house with oooomph!  I am so excited.  It won't be big, the plot is only small and neither of us want a big house now, just three bedrooms and of course bathrooms and a study is all we need. I want a kitchen diner and a lounge.  Ideally I would wish for an overhang to the roof with decking underneath so I can sit under it in all weathers.  This may not all be possible we shall talk to the architect.

The house Danielle and Chris are buying has a bedroom on the ground floor with an en suite. If for any reason I am on my own for a few days I can stay in this part of their house as no steps are involved,  Another great thing about it is that there is only a gate seperating both plots so Izzy and Harrison can just run backwards and forwards between us.

This makes me even more determined to live, to push back the darned pressure levels in my lungs.  I believe firmly that the hope we were given about a real cure from Papworth will be with us to trial at the end of 2018 so another goal to reach.  We all need goals in our lives and this is mine.

Our builder said he will be available to build this house in spring, perfect as we need time to take down two trees, one diseased and one the planning office has agreed can come down if we replace it with another one, no problems with that.  Then to talk  to the architect and tell him what we want, plenty of design and planning will be going in here before that as we need to put our own stamp on this house.

So all in all it has been an interesting week for us here and about to get even more interesting.  I will let you know how I get on with both items.

Thank you again for reading this blog, you know I have said before it means so much and thank you too for the likes.

Have a great day, I am going to my ph exercise class!

Warm love to you all

Carole xx

Monday, 5 September 2016

CURED of ph? Sadly I think not


One of my ph friends lives in America and was able to be prescribed the drug selexipag.  We are still not to be allowed it in the UK.  This particular friend has been very poorly with her ph and she was put onto this drug. When she began this treatment her levels were in their eighties and after horrendous side effects which these drugs give is now happy to report has now gone down to 37. She says the doctors are telling her she is cured of ph and she will be written of in a book!  The doctors are calling it a miracle.

Now though I am thrilled for my friend my concern is that here in the UK we were always taught than any pressure in the lung over 25 was considered that we have ph.  I think that this is the standard level for anyone worldwide when being diagnosed with ph.  My friend will continue on selexipag and hopefully her symptoms will remain stable, It really does puzzle me that the doctors in America treating her are telling her she is cured of ph though.  Whilst I am happy for my friend I do not believe this to be so.   Many of us have had pressures way higher than hers and dropped even lower but are still not considered to be cured and certainly are not being written up as a miracle in a book.  Whilst selexipag does appear to help many with ph it has never been spoken of as a cure,  I believe it pushes back the pressures in the lung but if not taken these pressures will continue to rise .

Still although I disagree with the doctors telling her she is cured I just wish our NICE here would approve it for us, When we see how well this drug works in pushing back the pressures WITHOUT needing the Hickman line I am sickened that we cannot be prescribed it here in the UK,  NICE considers that the cost is too expensive for the gains we would have. I wish  they could read how well my friend  is doing on selexipag.  I would love to be given it despite the awful side effects.  We get horrendous side effects with iloprost and I believe the ones with selexipag are considered to be the same.  To get my levels down to one where I had energy again and could do more things would be amazing.  I am counting the days to my next study appointment when Charlie (my ph doctor) said we will talk about the line again.  Only twelve more days to go.  How I wish it was even sooner.

My fear now is that my appointment will be pushed on even further as the doctors strike has an impact on practically everything happening in the hospitals.  As I feel so bad these days after doing very little I will be gutted if I have to wait for my appointment.  As this is the end of my study appointment maybe it will not result in mine being changed.

Ph exercise classes

My class went well, much better than my last one where my heart rate struggled to get back to my considered normal.  Still though it totally wipes  me out and I find even the slightest task to be impossible after doing this class,  I had to smile though at the end of the exercises and we had our weekly talk.  This one was about nutrition.  We talked of lots of things, diet, water intake etc and how important it was to try to keep weight stable,  One rather large lady sitting next to me had taken a cup of tea after her exercise and I noticed she had taken three biscuits, a blue ribbon, a kit Kat and one I didn't see the name of. When we were being told of the need for weight levels to be lowered if we were overweight she spoke to me in a whisper that she didn't eat biscuits and cake and still could not lose weight! I didn't say anything but it made me wonder if she really did not consider kit kats to be biscuits!

Whitby

As Izzy was away with her grandad in the motor home my son very kindly said he would drive me and his girl Anna to the coast.  Tuesday was a beautiful day and off we went.  The big trial was trying to park when we arrived in Whitby.  I had intended to leave them to climb the steps to the abbey and drive off to visit with my godmother.  However due to the parking problems I dare not leave my space as I knew it would be equally as difficult to find another one after my visit with Enid.  I walked very steadily along the back street on the cobbles {very hard with ph} and left them at the bottom of the steps.  I knew they would be teaching for the pokemon creatures that seems to be so popular right now.  I went back to the car, opened both doors wide and with my pillow and my seat pushed far back I spent my time with my feet on the dash board and rested.

My son and Anna just loved the abbey and the history of it and spent a long time inside taking pictures of it.  Anna found a concrete "coffin" in the grounds and just had to lay in it!  She got some strange looks from people but she certainly will not be the first to do this.  They found a "rare" pokemon in the graveyard too were pleased about this.  

Whilst we we later having a meal, a very poor one as it happened} we decided we would take another trip out again before Friday.  So it was that Wednesday was us setting off again, this time to Knowelsey Safari Park, bad idea!!!!

Safari Park

I thought this was would be great as all I had to do was sit and watch, this would have rested my heart and I didn't need to walk far at all.  The journey over was really lovely.  I was getting to know my sons girl more and more and she made me laugh so much.  It was a long time since I had been here.  We had been when my children were small and we have pictures of a monkey on the car.  All of us were looking forward to seeing these cheeky chappies. Oh how wrong I was to be excited about this.

When we were in the enclosure for the monkeys and baboons we smiled as we saw them pluck a green P plastic square {indicating a newly qualified driver} from the car in front.  My smiles were to quickly turn to horror though as one, then another baboon jumped onto the bonnet of my mini.  Both  were trying to get the plastic nozzle out of its place and I was horrified.  I started to shout to my son and Anna to get them off the car!  They were both laughing so loud at the antics of the creatures and at me panicking.  They were both filming all of this whilst I was horrified and they just kept on laughing  I told Haydn to squirt water at them through the said nozzles hoping it would frighten them, not at all, such a bad move as they both put their mouths over them and began drinking the water.  I was horrified as first one and then the other baboons managed to pull out the nozzles and then began to try to destroy the pipes attached. Gosh I was banging on the windows and the kids just laughed louder!  It wasn't until we reached the end of the enclosure that both baboons were knocked off the car by the wardens with their big sticks.  The damage was done though.

Once out of their enclosure we parked to asses the damage.  Two holes where the nozzles should have been were very evident and as we did no know how much damage had been done to the tubes that sent the water to the said nozzles we decided to open the bonnet to take a look.  The bonnet was a filthy mess as one baboon had weed all over it and as they are not clean creatures it looked disgusting was their dirt mingled with the wee.   Though we tried and tried to open the bonnet only one side would open.  When my son googled it only then we discovered it was quite a common fault with the mini, the right side opened whilst the left did not.  This left me in even more despair as my concern was would it be safe to drive home on the motorway with the car like this.  I was worried that the wind would catch under one side of the bonnet and warp the metal. We went for something to eat after washing our hands which had been all over the mini bonnet and so of course they were covered with the baboons wee.

After eating truly terrible food, and I mean really bad we had a short walk to see the giraffes but my mind was on the car all the time.  I was worried about what Colin would say whilst the kids were laughing and saying they were going to put onto u tube the video of the whole experience with the baboons.  We got back to the car as I needed a rest and they decided one more time to try the bonnet, HALLELUJAH it opened.  Haydn assessed the damage to the pipes and concluded that they were fine whilst Anna looked up on ebay where we could buy more nozzles.  This turned out to be so complex I decided I needed to consult with my main dealer.  We set off for home after pushing the bonnet back and on arriving at my house Haydn said he really needed to wash the bonnet of the car as it looked so disgusting.  

The following day I rang BMW and have ordered two more nozzles from the scrap yard belonging to the company  They had got a 2015 mini in for scrap and I could have the nozzles from that one.  At a cost of £17 I did well as through the main dealer the cost was £80.  They should hopefully arrive today.  It will be lovely to then give the car a really good wash.  I dare not do it now though as the holes in the bonnet are rather large and at the car wash place they will not take care to avoid them and so all the felt underneath would be destroyed.  I will be pleased when the new covers arrive and this debacle is all over and done with 

Javea/Xabia

I was gutted to read in the paper that thousands or people have been evacuated from this town in Spain as this is where we had our villa.   Our home was built in the woods and we have many friends and family living here.  The fires were begun deliberately by youths.  At least 20 homes have already been destroyed.  I can see the pictures of the helicopters overhead.  They have huge water bags on the underside of them.  When they need water they drop low and scoop water from the swimming pools.  There are also water dumping aircraft busy trying to get these fires under control.  It sickens me that such a beautiful town is in danger of having such damage by young idiots out to create trouble.  Lives could have been lost were it not for the quick thinking of the authorities who have evacuated thousands of people.  I hope the home we lovingly had built and spent so much time in and created many memories is not touched by this but my heart goes out to each and every person under the threat  of these fires.  The woods would go up like tinder and so sad as the views looking out onto the mountains is so beautiful.  

Life is pretty rubbish right now

My condition seems to deteriorate daily.  My breathing is getting more and more difficult and we have now got a piece of paper  where we write down anything that is not the norm happening to me so we can explain to my specialist.  At my hospital visit on Thursday (my local hospital not my ph one) I felt as if I would faint.  My blood pressure drops down to low eighties so it is no surprise that I feel so light headed and poorly.  This happens even when I am resting in bed so I can't blame it on standing up.  Of course we can bet that on the days I go for my assessment study for the final time it will be amazingly good!  Sods law. 

So another week has gone by in the Ayrton household.  We have Izzy again today as the school she attends has a teacher training day.  Why they can't have one in the 7 week long holiday I will never know.  Colin will take her over to the park to fly the helicopter and  I will rest so that I have some strength to attend my ph exercise class again.  

I can hear Colin and Izzy in the kitchen as Colin is showing Izzy how to make crisps in the microwave, a healthier option.  One very excited little girl is helping her grandad.

So I shall get this posted and wish each and every one of you a good day.

Thank you soon much for reading and clicking the like button when you have done so.  My next blog will be after my visit with my specialist hospital so I hope to have something to tell you as to where I go from here.

Warm love to you all 

Carole xxxx


Monday, 29 August 2016

I salute all my ph brothers and sister worldwide

When I was first diagnosed in Spain with pah over six years ago to be honest I didn't really believe the diagnosis. Yes I I knew I couldn't breathe, couldn't walk, couldn't dress or shower myself and my heart hurt so bad but human nature being what it is I still didn't quite take it in that I was dying, even despite the fact I could not even be promised six weeks to live.  I was sure that once I was admitted to the Royal Hallamshire in Sheffield and they carried out their tests it would prove to be something different, something that could be cured with an operation on my heart.  As this condition is so rare  how could I truly believe that I was one of this breed.

If I am honest it was because of this belief that whilst in my local hospital waiting to be transferred to Sheffield that I could laugh and joke with my family and friends.  I just KNEW that I would surprise them, that my diagnosis wouldn't stand firm, it would be proved to be wrong. Maybe it would be an undiagnosed hole in my heart, or a blocked artery, something that could be rectified.  Alas it wasn't to be as test after test proved the first diagnosis, pulmary arterial hypertension at stage 4, the very worst it could possible be. So it was that I was to face the biggest battle of my life, to live, even whilst this disease continued on its progressive way.

I have always been a fighter, proving this as at the age of 4 being badly burned with third degree burns on a large part of my body.  My parents were told it was unlikely I would survive but 17 skin grafts later and a huge fight to live and I made it,  It was with this same wish to live, this same stubbornness that I faced pah.  I am still facing this fight today.  Despite my levels rising, my breathing becoming harder and harder I will not give in.  Nobody but Colin and my ph brothers and sisters and medical staff know how hard our days can be.  As our condition deteriorates we learn to adjust.  It isn't easy but we fight to survive to live, to trial new drugs, to be around for the one that cures.                                                                        

With all of the above going on in many of our lives and in view of the fact we have just had the Olympics I think that we should all consider ourselves gold medallists.  We certainly know what it is to work our bodies to the very limit under duress.  Without even a day off for us we struggle against such huge odds so to all my ph family yes, you certainly  deserve a medal. I salute each and every one of you fighting this disease. I award you the GOLD.

Denise Reich

Denise is a blogger too and wrote the piece below, I just found it and I love it.   Please open and read it. It is entitled I won't apologise for having fun while chronically ill. 


Den building

 Last week was the time for this event.  I have to say I was amazed at just how good this den was when finished.  Surrounded by small dens being built by other groups the two grown men and their intrepid willing helpers {3} fetched and carried branches, ferns, leaves etc and the den kept on growing and growing until it reached such lofty heights.  Other groups making their own had been and gone yet still the children were sent to gather more material to cover the said den.  I think the result was amazing as can be seen in the picture below.  When the builds were completed they were then taken down by the rangers at Hardcastle Crags, an amazing day out and a useful skill to learn too. 














Italy 291 victims 

How heartbreaking it is to continue to read the news and see more and more of the horror that has fallen on Italy.  With the earthquake taking so many lives and destroying this small village forever we see how fragile life is, how easily taken.  We read of heroic actions of children who died by throwing themselves on top of their younger siblings, saving the lives of the young whist the quake took their own lives. We read of the refugees helping to pull people from the rubble.  There are stories of heroism among all of this but the fact remains, so many deaths.   Nature can be cruel.  We need to live as well as we can whilst we can.  Stories such as this one surely bring this message to the fore. 

My heart goes out to all of Italy as this small village and the horrors will have an impact on the country as a whole.  Such a terribly sad time.

Stacie Pridden

Stacie continues to fight the rejection of her new heart and lungs  The heart is doing well but the lungs sadly are not.  In a quirky twist of fate she received a letter from the donors husband last week .  She rightly does not reveal all that he said but she does say that this woman sounded to be a brilliant lady and her husband was pleased that she helped Stacie to live.  Now Stacie feels she has let down her donor and her donors family as her body is rejecting the donated lungs.  Of course this is madness, but she feels such guilt.  If anyone on here reading this knows Stacie please please can you all try to reassure her not to worry in the least about this, she must not stress over it.  When she gets some new donated lungs she will still retain the heart of THIS donor.  

Sadly rejection of new vital organs is too common which is why there are so many tests to go through before this can happen, so many physiological talks to be done too.  It must be a hard road as indeed even when the transplant is given there are no guarantees how long the donated organs will last.  I look forward to the day when medical science has come so far on that for all diseases stem cells, made in a lab, is the answer and once they are given our bodies regenerate the bad things.  This is already here for some illnesses and moving ever nearer for others.

Do you remember when you were young, well some of you will still be too young to remember but the comics that showed moving stairways etc.  We never believed it would happen but so much of what I read about is now in place.  So yes, this too will come, diseases will be eradicated.  Oh brave new world indeed!

A day in Whitby

On Tuesday my son is driving me to Whitby to visit my godmother.  This will be the first time EVER he has driven me further than to and from the supermarket.  Both he and his girl then intend to climb the steps to the Abbey, of which there are many and I just know whilst they are doing this they will be looking for the pokeman creatures. I wonder if the ones they will find in the graveyard will be Dracula ones!

I love Whitby, a place we have visited many many times over the years.  An unspoilt fishing town with its uneven streets with the original sets of stones and the tiny little shops, many of then selling and making the jewellery from the jet found here.  I look forward to this time spent with my family.  I will not be climbing any steps though!. I shall spend my time of the sofa of my godmother Enid and playing catch up with her news.

The day is dawning, I can see the sun coming up over the hills and the birds are crying out with the early morning chorus.  I think all this is telling me it is time to go.  I shall take my medicines now and  let you all get on with your day.  I hope it is a good one for each and every one of you.

Next week I shall share some exciting news (well for us anyway!) Just waiting for final papers to come through.  I will tell you though that it involves a lot of digging! 

Once again thank you all so much for any comments, shares or for clicking like.  

Warm love to you all.

Carole xxxx


Monday, 22 August 2016

Does anyone know of a good "Hit Man"?

Does anyone know of a really good foolproof way to kill somebody please?  I want to kill a friend of mine.  This friend and I were  in the Thespians together so I thought a good way to kill her may be that I could be in a play with her.  One that has a gun and I could  accidentally use live bullets in the prop.  Messy that though.  Another way would be to make sure we were working together on a play where the trapdoor was being used and she was the one that needed to fall through it and make sure that the mattress isn't  waiting at the bottom of the drop, that may do it.  I would though prefer a way where it isn't seen that I am involved in any way and preferably one that is a slow and painful death. Why do I want  to kill her?  Well it was Polly Bryan  that "got me" with one of those posts where they ask a question, we respond only to find we have been "had" and now need to send out a silly message ourselves. The object is to raise awareness for cancer, always a great cause to raise awareness for but I am rubbish with things such as this.

Now Polly is a good friend of mine from when I was a member of the Thespians with her.  When we left to live in Spain I was gutted to leave this theatre and all of the theatre company behind.  Polly and I became Facebook friends instead. She wrote a post yesterday asking if anyone knew of a good cure for foot fungus. Being a good friend I advised her to go to Boots chemist, they would sort her out and then I got the sting.  Because I had responded to her message I now had to write one of my own, there was a list of 9 I could choose from, post it and then send a message to those that responded to my post. Below is the message I received from Polly, not a message thanking me for my prompt response to her problem, oh no. I received THIS: -

Sorry, You shouldn't have commented/ or liked my last status Hahaha! Now you have to pick from one of the below and post it as your status. This is the 2016 Breast Cancer Awareness game. Don't be a spoil sport. Pick your poison from one of these and post it as your status. 1 Diarrhea again? 2 Just used my boobs to get out of a speeding ticket 3 How do you get rid of foot fungus? 4 No toilet paper, goodbye socks 5 I think I'm in love with someone? 6 I've decided to stop wearing underwear 7 It's confirmed I'm going to be a mommy/daddy 8 Just won £900 on a scratchy 9 I've been accepted on master chef 10 I'm getting married Post with no explanations. Sorry, I fell for it too. Looking forward to your post. Ahhh don't ruin it. (Don't let the secret out). And remember it's all for the 2016 Breast Cancer Awareness....Be a good sport ok?... 😊 🙂


I can't do things like this, I truly can't  so had to engage the services of my long suffering hubby, divorce proceedings will begin shortly!  He was so busy but took time out to help but as the messages came in thick and fast congratulating me and he was getting more  and more  impatient  with me  I thought it was time to draw a halt to the proceedings after mailing around 12 people.  

Now if I had thought more about it I should have done a different one. It seems all of you love Master Chef and are excited for me. My great friend Martin Connelly though saw through this as he asked the question "so why is Colin doing all the cooking then, too clever for his own good this guy.  Anyone that knows me well knows that I wouldn't be able to stand long enough to boil an egg without collapsing let alone cook a meal, and under so much pressure too. So the truth is I am NOT doing Master Chef, it was just a way to raise awareness for cancer.  Now I have done my bit I hope I never get stung  again.  

I still am friends with Polly really so don't send in your ways to kill her!!! 

Ph rehab classes.

 I have done my second class today and it went well.  I did all I had to do and more as I did a six minute walk test at the end instead of three.  When they asked why I did I told them that I just automatically set my timer for six minutes as that is what we always do at the hospital!  It was tough though as I swayed from one obstacle to the other.  I did think I would faint a couple of times.  The oxomiter went a bit wrong though as it registered my heart rate at 41 after all the exercises.  Gosh with a heart rate like this my name should be Mo Farah!  After a couple of false starts it read five beats more than they would have liked but due to the six minute walk test it was understandable that it was raised higher than it should be. I like the class, like the exercises and the physiotherapists that take care of us.  The other patients seem friendly too,though as we are all exercising we don't talk as we just don't have the puff! 

Den building

We are taking Izzy den building.  I certainly will  not have the puff or stamina to help out with this but friends of ours have their grandchildren at home for the summer holidays too so we all decided to meet up and the  grandads take the kids building dens and Moira and I will sit in the tea  room at Gibson’s Mill and enjoy a nice piece of cake! I reckon I got the best out of this deal, though had I not had ph I would have loved to have done this exercise. Loved things like this when mine were  

Juncker 
Loath this man as I believe his attitude towards Great Britain and the EU as a whole will be the reason why the EU (in my opinion) will collapse.  Yes I know I voted Brexit and no I don't wish to change my mind but as he heads the EU his unbending ways and his oh so clever attitude towards my countrymen is the reason many of us fought, and won the vote to leave.  He has faced repeated calls to quit since Brexit but  appears to be doing a " Jeremy Corbyn and is still in place, now saying all borders should be open. This despite all the terrorist attacks,  Oh yeah, it makes sense Juncker, open all borders and allow even more of the murdering swine that are intent to kill as many as they can, whilst sending 12 year old children to do their dirty work for them. Idiot! We still need to monitor people in and out of our country.  Maybe we can allow everyone and anyone over the border and not bother to check luggage etc, makes it easier to get bombs across.  Tell you what, how about the murdering swines ISIS just drive into our country off the ferries in their tanks and carrying all their weapons of war, that would do it. After all lets  make life as easy for them to kill is as we can. Juncker is mad and bad 

MarcMarydyer

This isn't her name of course just her name on my Facebook page.  Mary and I have been Facebook friends for a few years now but never got a chance to meet in person as she has never made it to a conference yet.  Well at last we have made arrangements to meet for a coffee in a few days time, Our ph friends know that this may well not come off as either of us at any time may be having a duvet day or a ph episode, they hit without warning often but we both know this so all we can do is hope that we can manage a sedate coffee in a place central to us both.  It is so lovely when we manage to meet up with another ph friend as it is such a rare disease.  I am so looking forward to this and praying that ph finds something  else to do for the time we are hoping to meet.  


Well so much interesting things this week in the above so I decided that for those that do not receive it I would post it all.  We get so much info in this weekly digest and I look forward to reading it as soon as it comes in.  Always reminds me just how far we have come in the race for the cure or the better meds that help us with ph.  Still looking forward to the day though when ph is eradicated for us all, it's coming, just believe it.  

I think I will bother Colin again one more time to get this blog out today as I also have Izzy's journal to update and e mails to friends and  I just don't seem to get around to doing,  Spent all Saturday having a duvet day and it takes some catching up, not that I do much, Colin takes such care of me but he can't do my journal and he can't do my e mails.  

Take care each and every one of you.  Thanks for liking and or sharing my blog.  Warm love to you all and a huge thank you for taking the time to bother to read.  It does matter so me, truly it does.  Wish I could get as many likes for this as I did for my Master Chef post!!!!!


Carole xxx

Wednesday, 17 August 2016

Update on the hope of a cure

By the above title I mean the hope of a cure that was on our news channel over a year ago. Doctor  Nick Morrell and his team felt that they had found a cure for pulmonary hypertension but of course further work needed to be done.  I know that on mice and rats AND human tissue their testing showed that the condition was reversed.  We were told that this is a new way to look at ph and so through their searching a different route they strongly believed that we had a very real hope of a cure.

Now I am pretty impatient kind of girl when it comes to my health and as I can feel daily a deterioration in my condition I just knew I needed to follow up on this.  I sent Dr Morrell an e mail and asked how much further on they were with this.  He very kindly came back to me the same day with this.

Dear Carole,

Thanks for the enquiry.  I assume you are talking about the BMP9 potential treatment that was in the news last year? This potential treatment in now being developed by the biotech company (www.morphogen-ix.com} and we hope to be trialling the drug in patients by the end of 2018 if all goes according to plan.  The trial will be conducted in the UK so all PH centres will be kept informed when the time comes.  Please watch this space.

Best wishes
Nick Morrell

So what is my plan now.  Well of course to keep as well as I can so that I can trial the drug.  I am not sure why it is just being trailed in the UK, maybe it will be trialled worldwide too though he just mentions the UK.  I know the trials I have been on have been from Canada and America so I do know they share all their trial results etc.

We now we know where we are up to.  I think we all need a goal, something to work to and one of mine is to still be here when the cure comes.  If you open up the link, well actually you will have to google it then there is some pretty interesting stuff about it. Lets hope we are all here when the breakthrough is made.

Gosh car trouble in spades!

I took my car in as it had a slow puncture, well the computer on board kept saying it did.  After months of it being blown up around every three weeks I finally decided I needed to get it repaired.  My local garage were very efficient and said they had found a piece of metal and so sorted out the problem.  Right, good job done.

Friday I went over to Leeds and received a parking ticket.  Though  was parked correctly in the bay and my badge was clearly on display a jobsworth parking attendant looked a my car around four minutes after I parked up and noticed I had forgotten to set the clock.  Despite being in a disabled bay where I could stay all day he issued a ticket.  I was gutted.

The following day I again went to Leeds and went in the wrong way.  Anyone who knows Leeds knows it is a nightmare to get around with all one way streets and bus lanes.  I followed the loop but eventually turned too soon and found myself in a bus lane!  So I know I will receive a ticket for being in a bus lane next week.

On my way home, and no I made sure I put the time on my clock this time, I saw with horror the light came on that told me to drive carefully as my tyre was under pressure again!  Gutted I decided to drive straight to the garage and ask them to look at it again as I needed the car the following day.  They were perplexed but settled me in a chair with a cup of hot chocolate and went to work on the car.  In minutes a guy returned with the tyre to show me the problem.  There was "bubbling" around the valve and this meant that there was a problem as this is what tells the computer there is low pressure.  Nothing they could do, it had to go back to the BMW dealership.  A call to BMW and I was told that the service department was closed but she did put me onto the recovery team.  The result was that my  car was taken away on a car carrier and I have been loaned a Renault Megane.  When he asked me what would be my preference for a car I said I didn't mind, automatic or stick made no difference but it MUST be clean.  It must not smell!  I know this sounds daft but I have had loan cars that still had dirty tissues in the pockets and had tons of dog hairs that went all over my clothes.  Also I have had loan cars that smelt of cigarette, ugh!

I am told it may take up to four or five days to sort my car out!  What!!!!!!  Well at least I am mobile again.

This turned out better than we could envisage.  Colin's car was due for service on Monday so went over with him as my car was in the same dealership service department  My car was ready at the same time as his so I drove it home.  When I took my loan car back to the company they asked why I bothered with getting the car as I didn't drive it more than the few thousand yards to their office.  My reply was well as I had been told it may take days for my car to be returned I needed a car.  Only afterwards did I think to myself I should have told him to mind his own business, particularly as he tried to get £24 off me for insurance on the loans car.  As I had to give a £50 deposit when I hired it this concerned me but I argued that I did NOT take out this insurance.  Reluctantly he said he would refund the £50 but it would take a few days to reach my account.  I do not understand this as they told me that though they take details of the £50 they don't actually take it.  I shall watch my account with interest.

Roy Taylor

Sadly Roy died yesterday at 1.30 in the morning.  Not sure where he died but I think it was his own home.  Of course the family have chosen not to tell me anything of this so I was not able to say my farewells to him.  unbeknown to them however Roy and I did have a talk as I went up one evening and rang his bell, no response as he is deaf.  I looked through the letter box and he was just coming up his hall to go to the loo.  I shouted and banged the door and he opened it.  He let me in and we had a pleasant time chatting about old times.  He dare not tell his family as they said they would not speak to him again!  So sad but pleased we had this final talk.  Can't  wait for the place to be sold now.  On the plus side though with regard to property we have some exciting news of our own that I will share in due course, just waiting for final  signatures!!!

Andy Murray and Olympics in general

Well I am so pleased that Andy won another gold medal but fed up with all the stations commenting that he was defending his win after his previous win.  I never saw or heard them saying that about any other medallist who had won a gold previously.  They just said they were hoping to win yet another gold medal.  Why the difference for Andy.  Anyway he has won a second gold medal and I was so pleased for him. His opponent played a great game and this is a man to watch , this great tennis player from Argentina showed just what a formidable player he is, Juan Martin Del Pitro, what a guy to follow.  Both men were understandably emotional after the game and very tired.  They both cried and it was said that one news reporter said it wasn't macho!  what the heck,  they had fought a brutal game for over 4 hours, tiredness and elation and disappointment was at the heart of tears.  I have no problem with seeing a man cry, stop being such and old fart whoever said this.

I see that now we have some of the cheating Russians out of the game it leaves it open for other countries to really show off their skills.  Of course as Britain is doing so well there are people wondering if we too have followed the lead of Russia.  I think not, I believe we have just upped our game and shown the mettle Great Britain is famous for, well done you guys. so proud of each and every one of you.

Well enough from me as I had a dream that somebody wrote on the bottom of my blog that they were nice blogs but too long!  I woke up really believing that I had seen it so keeping that in mind I take my leave of you all again but not without once more thanking you all soon much for reading them.  It means a lot as does the clicking the link for like and comments too is always a huge bonus.

All have a great day and Stacie go well with your tests at the hospital today with regard to your lung function tests, I pray they have risen and that you do not need another transplant.

Much love to each and every one of you.

Carole xxx

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