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Visible Health heartrate graph showing short periods of exertion but mostly light activity and REST

Visible Health heartrate graph showing short periods of exertion but mostly light activity and REST

The Man Who Lies Down For Most Of His Gym Session

#LongCovid #Pacing #Micropacing

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Heartrate reaching Exertion during each activity. Reclining on the floor in between.

Heartrate reaching Exertion during each activity. Reclining on the floor in between.

First visit to the #NuffieldHealth gym in 2026 - and it feels great ๐Ÿ’ช

#Pacing and indeed #Micropacing to avoid over-exertion, and my #Coospo heartrate-monitoring armband is warning me to REST when my HR reaches 130bpm ๐Ÿ™

#VisibleHealth heartrate graph ๐Ÿ‘‡

#LongCovid

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I have kept it on a few times. As I only shower for a couple of minutes and I lean against the wall and generally keep my arms close-in to my body I now find that this #micropacing avoids a heartrate spike! A relatively recent this - I had baths only for over a year.

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Visible Health heartrate graph showing spikes when I'm even gently active

Visible Health heartrate graph showing spikes when I'm even gently active

Having to micropace in order to keep my heartrate from rising too high & for too long...

My #Coospo heartrate monitor vibrates at 130bpm and this is happening within a minute of standing upright; washing up took 4 attempts.

This dental infection is exacerbating it.

#Pacing #Micropacing #LongCovid

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Visible Health heartrate spikes on graph when doing housework, but quick return to Resting pace when reclined

Visible Health heartrate spikes on graph when doing housework, but quick return to Resting pace when reclined

This is #Micropacing to avoid #LongCovid #PEM symptoms

I've been doing this for 20 months now.

#Pacing

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KiActiv pie charts

KiActiv pie charts

KiActiv movement for each minute of the day so far

KiActiv movement for each minute of the day so far

...I just added:

1 minute of Moderate movement arriving at the gym

1 minute of Moderate walking quickly on treadmill

1 minute VIGOROUSLY running on treadmill ๐Ÿƒ

1 minute walking Moderately again

Now I'm reclining on the floor ๐Ÿ™

This is how I use #micropacing to get some controlled exercise.

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Reduced heartrate when repeatedly reclining on the sofa

Reduced heartrate when repeatedly reclining on the sofa

What #micropacing for #LongCovid symptom-management can look like:

My #VisibleHealth heartrate data ๐Ÿ‘‡

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Visible Health morning check-in 'Looking Stable' 5 out of 5

Visible Health morning check-in 'Looking Stable' 5 out of 5

EliteHRV Readiness 9 out of 10. In balance

EliteHRV Readiness 9 out of 10. In balance

Daily check-in summaries from #VisibleHealth and #EliteHRV

This #pacing and indeed #micropacing is allowing me to live a more normal life, despite the #LongCovid dysautonomia (and who knows what else?)

It's my Tuesday off work today ๐Ÿ™

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Parasympathetic Activity very high. Readiness of 2 out of 10

Parasympathetic Activity very high. Readiness of 2 out of 10

Piecing it all together using my third morning check-in via #EliteHRV it becomes clear ๐Ÿ‘‡

My early warning system is complete ๐Ÿ™

Avoiding #LongCovid #PostExertionalMalaise symptoms via #micropacing and by noticing a #ParasympatheticSwing while I still have time to act ๐Ÿ™

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Preview
a sloth is walking with a cane and wearing a green shirt and pants . Alt: a sloth is walking very slowly

...And, of course, a key factor in my ability to reset and recover overnight is that I invariably sleep well.

A good night's sleep EVERY night is something I never take for granted - I've been a parent of three small children!

In this very busy week ahead, I'll keep #Micropacing to avoid #PEM

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Looking Stable 4/5

Looking Stable 4/5

In balance 10 out of 10 Readiness

In balance 10 out of 10 Readiness

Good night's sleep. Reset ๐Ÿ™

Another incredibly busy day ahead: a full teaching day (Registration group, then five 1-hour lessons) followed by an orchestral performance this evening.

I'll be #Micropacing to remain #PEM symptom-free. #LongCovid #Pacing

#VisibleHealth #EliteHRV

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Visible Health screen: 4 out of 5 - Looking Stable

Visible Health screen: 4 out of 5 - Looking Stable

EliteHRV screen - 9 out of 10 Readiness

EliteHRV screen - 9 out of 10 Readiness

So, this Thursday morning, I'm not only #VisibleHealth 'Stable' again, I'm also #EliteHRV 'READY' with a good balance between my Sympathetic and Parasympathetic Nervous Systems ๐Ÿ™

It was challenging, but I got through this last fortnight without any #PostExertionalMalaise symptoms - by #micropacing.

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Visible Health heartrate graph

Visible Health heartrate graph

Visiting the @ashmoleanmuseum.bsky.social

Britain's first public museum

Opened in 1683

#Micropacing our visit to #Oxford in order to keep my heartrate under control, to avoid overexertion and, therefore, debilitating #LongCovid #PEM symptoms

Couldn't do this without my foldable stick-seat!

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a person 's feet are hanging out of the window of a car . Alt: a person 's feet are up on the dashboard of a car .

...so I'll be #Micropacing the rest of my day.

I still FEEL absolutely fine - but that's the danger with Post-Exertional-Malaise!

And I really have done very little today!

I know what to do - and what to avoid ๐Ÿ‘

#Pacing for #PEM-avoidance

#LongCovid

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Micro-pacing for recovery | Dr Binita Kane talks to Robin McNelis #LongCovid YouTube video by The Long Covid Clinic: What You CAN Do

Then, 16 months ago, I started monitoring my heartrate to avoid Exertion minute by minute.

This was my game-changer:
www.youtube.com/live/TK-z-D9...

@binitakane.bsky.social and her guest Robin McNelis spoke about what had worked for him; allowing Robert to improve his daily function #Micropacing

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Looking Stable

Looking Stable

10 out of 10 for Readiness

10 out of 10 for Readiness

Pacing without impediment during the school holidays ๐Ÿ™‚

#LongCovid #PEM-avoidance via #MicroPacing

#VisibleHealth ๐Ÿ‘‡ #EliteHRV ๐Ÿ‘‡

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93% Very High Readiness for today

93% Very High Readiness for today

The Hat-Trick!

#KubiosHRV today ๐Ÿ‘‡

#MicroPacing to avoid #LongCovid #PEM

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Heartrate graph from Visible Health

Heartrate graph from Visible Health

Carefully #micropacing to reduce my risk of triggering #PEM

#LongCovid #Pacing and monitoring with #VisibleHealth heartrate monitor and separate #Coospo heartrate monitor to alert me to heartrate spikes (>130bpm)

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Visible Health app says 'Looking Stable'. Heartrate variability is high. Resting heartrate low.

Visible Health app says 'Looking Stable'. Heartrate variability is high. Resting heartrate low.

Kubios app 90% Readiness

Kubios app 90% Readiness

EliteHRV app says that my body is well balanced between parasympathetic and sympathetic nervous systems

EliteHRV app says that my body is well balanced between parasympathetic and sympathetic nervous systems

One. Of. Those. Days.

#VisibleHealth HRV morning check: Trending upwards and body is Stable

#KubiosHRV check: Very high Readiness for the day ahead (90%) and trending upwards

#EliteHRV check: 10 out of 10 for Readiness ๐Ÿ™

#Micropacing to avoid #LongCovid #PEM symptoms

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Looking Stable

Looking Stable

Readiness 9 out of 10

Readiness 9 out of 10

High Readiness - 76%

High Readiness - 76%

It's Friday morning

My body is Stable due to careful #micropacing -HT #Visible_health

Fridays are always my easiest work-day, in terms of pacing - again HT to Visible Health

My other HRV apps ( #EliteHRV and #KubiosHRV) suggest that I've got High Readiness for the day ahead...

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More #micropacing

bsky.app/profile/benk...

Avoiding #LongCovid #PEM symptoms ๐Ÿ™

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40 minutes of ironing over a period of 90 minutes.

That's #micropacing to avoid #LongCovid #PostExertionalMalaise symptoms ๐Ÿ™

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Visible Health app shows heartrate dropping straight back down to Resting pace as soon as I stop exerting.

Visible Health app shows heartrate dropping straight back down to Resting pace as soon as I stop exerting.

Back in Balance ๐Ÿ™‚

And #Micropacing to keep things that way!

#Pacing to avoid overexertion and to keep those #LongCovid #PEM #MuscleWeakness #MuscleAches and #Fatigue symptoms at bay!

Visible Health app. shows heartrate dropping straight back down to Resting pace as soon as I stop exerting.

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Morning Stability 4/5 - Looking Stable

Morning Stability 4/5 - Looking Stable

64% Readiness - Normal

64% Readiness - Normal

Body seems to be back in balance, after 5 DAYS of instability.

The #VisibleHealth app. says I'm 'Looking Stable'

& the #KubiosHRV app. connected to my separate #Coospofitness armband suggests 64% 'Readiness' for today

I'll keep #Micropacing to avoid #LongCovid #PEM ๐Ÿ™

It's my weekly day off work.

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See how important it is that I was #Micropacing earlier today? ๐Ÿ‘‡

The unforeseen can elevate my heartrate for a long time afterwards.

Just sitting on the train, eating a sandwich, and my heartrate is up at 120 b.p.m. ('Exertion'.)

bsky.app/profile/benk...

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See how important it is that I was #Micropacing earlier today? ๐Ÿ‘‡

The unforeseen can elevate my heartrate for a long time afterwards.

Just sitting on the train, eating a sandwich, and my heartrate is up at 120 b.p.m. ('Exertion'.)

bsky.app/profile/benk...

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Hanging out washing - Resting - Hanging out more - Resting - Hanging out the final clothing

Hanging out washing - Resting - Hanging out more - Resting - Hanging out the final clothing

#Micropacing to avoid #LongCovid #PostExertionalMalaise

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Heartrate graph.  HR low apart from shaving and breakfast. Taking breaks for a few mins between activities - reclining on bed.

Heartrate graph. HR low apart from shaving and breakfast. Taking breaks for a few mins between activities - reclining on bed.

What #Micropacing can look like

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Pacepoints summary: 8 out of 27 - 5.2 beholind my PaceSetter for today and therefore 'likely to stay within budget'

Pacepoints summary: 8 out of 27 - 5.2 beholind my PaceSetter for today and therefore 'likely to stay within budget'

A full morning of lessons (teaching Year 8, Year 12 & Year 10).

Then I ate lunch.

Thought I should check my PacePoints Pacemaker...

Looking good! More than 5 #PacePoints behind my Pacesetter - I've been pacing well ๐Ÿ™

#LongCovid #Micropacing to avoid #PostExertionalMalaise

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Exertion graph showing high exertion on treadmill

Exertion graph showing high exertion on treadmill

Pie charts from KiActiv showing time in each Intensity Zone

Pie charts from KiActiv showing time in each Intensity Zone

My #KiActiv smartwatch shows that 5 minutes of my time on the treadmill involved 'vigorous' exercise, but I've recovered much faster today ๐Ÿ™

Grateful for my improved health following the #NuffieldHealth #LongCovid Rehabilitation Programme. Combined with careful #micropacing.

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