Tag: Covid-19

An inconvenient wheeze

Published on by Frances Manwaring2 Comments

“Will it kill me?” I ask, fed up with the obfuscation that’s going on, staring him straight in the eye.

“Er … no,“ he replies, eyes focused, consultant-like, into the space above my head. 

Yay, I’m not in danger of carking it any time soon. At least, not from this. Great news, even though I do wish the man would volunteer some information instead of me having to drag it out of him like a mother trying to understand how their teenager’s school day went. Nodding to the squadron of pigs primed for take-off on the grass outside the window, I persevere with the list of questions I’ve prepared in advance.

“Will it get worse as I get older?” 

“No evidence that it will. You need to get flu jabs and stay away from people with colds,” is the best he can do after a lengthy contemplation of the inside of his eyelids. Interestingly, no mention of Covid implications. Well, I guess there’s no community outbreak currently, so I’ll give him a pass on that.

Silence descends on the room after this burst of conversational brio, and we stare at each-others’ shoes like a pair of accountants at a party, wondering who’s going to be brave enough to speak first.

What is it about medical consultants? They may be brilliant in their fields, but the ones I’ve experienced share a startling inability to communicate on any level that could remotely be called human. 

Many people believe that our stresses and emotional issues manifest in physical ways. I tend to agree with this as I’ve had minor respiratory problems for as long as I remember. My breathing kit is like a litmus test of my emotional equilibrium. When I get stressed, my voice gets all husky and breathless — think Marlyn Monroe singing happy birthday to JFK — and I get mild symptoms of a cold. As it’s always been short-lived, I’ve never really thought too much about it.  

At some point a couple of years ago, it stopped being an occasional thing. I reached some sort of tipping point where I’m coughing a lot — a worrying amount. The first year of joined-up-coughing, it stops for the summer. The second-year, it doesn’t. I’m not over-concerned as many people in New Zealand have coughs bestowed by our high pollen count from all the horticulture and similar. By mid-2019, it’s bad enough that I figure a visit to my GP is in order. Having put me through some rudimentary tests, she fobbed me off – somewhat predictably — with antihistamines. Pointless waste of time. Cough, cough, cough. Time passes, I box on. It’s my new norm. I just assume I’m stuck with it. 

By August last year, I’m notably worse and wheezing has long since entered the frame. So, I go back to see said GP, who finally accepts something is wrong, and I’m in front of a respiratory specialist faster than you can say Chronic Constructive Pulmonary Disease. The speed is courtesy of my eye-wateringly expensive private health care policy, which I’m deeply grateful I have kept going when handed the bill. It turns out, and this will likely surprise no-one — it certainly didn’t surprise me – that I have severe Asthma. However, this diagnosis was off the back of a lot of tests, and I was seriously relieved it wasn’t something much worse.

Just as an aside, try being a severe Asthmatic in the time of Covid — talk about an inconvenient wheeze. Convincing scared people that you’ve been hacking your lungs up since long before Covid-19 was even a blob on a laboratory microscope is tricky. They don’t tend to hang around long enough to appreciate the finer points of a dry cough (Covid) versus a wheezy damp one (Asthma). Forget social distancing; we’re talking crossing the street, making the sign of the ‘evil eye’ in their scramble to put as much distance as possible between them and you. And believe me, you do not want to have a coughing fit in the supermarket queue. The one benefit of coughing as if you have a 60-a-day fag habit? People stay the Hell away from you so are out of range of any ‘aerosols’ they might otherwise generously share.

But back to our action-packed story.

“I think the meds are making me worse,” I say somewhat confrontationally.

This elicits no response if you ignore the facial tick that’s starting to manifest.

“So, what happens if I stop taking them?”

“Why don’t you stop until they’ve cleared your system and then start again to see if there is any difference?” he says after another interminable silence.

This seems like quite a good wheeze if you’ll forgive the pun.

“How long will that take?”

“Couple of months.”

And that pretty much wraps it up. I sense we’re in the throes of a break-up. By this time, we have seen quite a bit of each other, and I have become accustomed to his face like Henry Higgins in My Fair Lady. Leaving for the final time, I feel a little aggrieved that he’s just booting me out into the wide world without even the safety net of a six-month callback. Doesn’t he care? Haven’t we gone to Hell and back together? This little pity party lasts as long as it takes to get out of the building. Then I think, “So what? I’ve been on my own before. I can do it. Anyway, who wants to go on stuffing their system with pharmaceuticals when there are other fun options like hypnotherapy to explore?”

Of course, I’m exaggerating in the interests of a good story, and I do my specialist a disservice. He tried hard. As we worked our way through the tools in his toolbox searching for a panacea, he visibly deflated as each failed to be The One. I think he saw me as the proverbial riddle, wrapped in a mystery inside an enigma that he was a bit peeved not to be able to solve. Damn it, why wasn’t I responding to the pharmacopoeia of Symbicort Turbohalers et al. on offer? I was pretty peeved myself. For a person whose favourite activities include singing and bushwalking, I’d hoped for better. Cough, cough, cough. Wheeze, wheeze, wheeze.

The trouble was, his toolbox was limited to the range of available medications, and there was no thought to try and identify the underlying causes or discuss this as an alternative to consider. These days, medication is generally the treatment of first resort, whatever the condition. Many things can trigger Asthma, but I do not doubt that mine resulted from a layering of traumatic events over several years, which caused no end of stress and sleepless nights. Then came a pandemic which didn’t exactly diminish the anxiety levels. 

Even though the medical outcome was disappointing — I badly wanted a quick, easy fix — I also didn’t want to be on large doses of inhaled whatever for the rest of my life and I stopped. Three weeks later, I’m sure you’ll be happy to know, I’m still here and none the worse for wear. If anything, I’m a bit better. The whole episode has helped me think differently about many things that I probably wouldn’t have if the meds had worked. As a result, I’m feeling happier and more in control, hopefully building a virtuous circle of improving lung function. 

Whatever happens from here, my pesky, inconvenient wheeze might just get me bumped up the Covid jabbing-order. Whether this is a silver lining, depends on where you sit on vaccines. I’ll take the win.

Do the Covid Shuffle?

Published on by Frances ManwaringLeave a comment

“Did you have a good lockdown?” the wags are all asking since we moved back to Level 1. As if it really was a war. Maybe it was? Thinking about it, if it was a war, it’s still very much alive on many fronts. The phantom menace we’re ‘fighting’ — the pesky Coronavirus — still stalks the earth.

It’s still hard to take in. It’s as if a fictitious dystopian future has jumped off the page.Life BC seems to have happened in some parallel universe … far, far away. “Unprecedented” they say. Unprecedented, ‘they’ say a lot. It’s le mot du pandemic. The top cliché of our coronavirus times. In these times, our vocabulary has extended — flatten the curve, epidemiology, self-isolation, social distancing and bubble love. ‘Quarantinis’ replaced martinis for the fashionable set, and the WFM brigade came out of lockdown Zoomed-out, near Zombies reeling from Zoomchosis. You know the drill? All that pacing up and down the living room, head shaking purposelessly from side to side, unfocused eyes looking inward to some analogue paradise of yore.

Coronavirus pushed us to a locked-down standstill. A global pause. Emergency workers diced with death, the rest of us dug in at home and were forced to deal with whatever daily reality home represented. We got creative and entertained each other in profound and emotionally charged ways. We laughed We cried. We grieved. We rejoiced. We lost our jobs. We worried about our jobs. Our businesses. We valued things we didn’t before. We applauded new heroes. We teared-up as plucky, indomitable Major Tom shuffled his Zimmer-framed way back and forward across his garden earning staggering amounts for the British National Health Service. Those of us who could, counted our blessings.

We did the COVID Shuffle. That excruciating manoeuvre as you step off the pavement to maintain the requisite distance from an approaching person or bubble, whilst simultaneously smiling like the Cheshire Cat and offering hearty greetings to avoid causing offence. Also, to have a precious moment of human connection.

It’s a bleak time for the party animals in our midst — “introverts, your extrovert friends need your help” was one of the more entertaining and ironic truths coming through from the meme land. Life in the time of Lockdown was also something of a bonfire of the vanities. What’s the point blinging-up a storm to sit at home? Actually, I did smear a bit of make-up around most days — Zoom has a certain motivating quality on that score. Occasionally ditched the leggings for a skirt, or even a dress.

But hey, we succeeded. We flattened the pesky curve. For an intoxicating number of consecutive days, no cases at all — existing, new or prospective. “FOR NOW!” said our Prime Minister, another hero of the moment. Jacindamania isn’t only a New Zealand phenomenon. I know Aussies who’ve asked her to invade and spare them from the bigoted, climate denying MAN they’re lumbered with. How right she was as we now three new cases delivered to our doorstep by returning residents. This was always likely and wouldn’t be too troublesome if the border quarantine procedures hadn’t turned out to be a monster cockup. Jacinda and her plucky little team of five mission are now royally pissed at whatever ‘them’ was responsible. We’ve all eaten our greens and done what we’ve been told at … er … unprecedented cost. Why should other people be allowed to break curfew, even on compassionate grounds? Hey, ho, it is what is.

So, on reflection, it has been a sort of is a war. For more than two months, we sequestered ourselves in our home shelters while the Coronavirus sent its silent but deadly aerosols into our communities and ravaged our economy. Many of us wondered what will be left when the dust settles. For now, we Kiwis have won a battle, but the war itself rages on around the world and the breakout this week shows how easily we could get sucked back in. But it’s not just the pandemic. As we navel-gazed our way through the Lockdown fog, pondering the meaning of life the universe and everything, for even the most fervent deniers, it was hard to ignore the inconvenient truth that our planet and our lives are globally and intimately linked. And that our certainties can be upended in a heartbeat. We now understand in a visceral and undeniable way that there are bigger and deadlier risks on the horizon if we don’t dramatically shift our values, and how we live, spend and consume.

Countries are struggling to meet their sustainability commitments. People are worried — time is not our friend. It’s as if the Coronavirus has swept the lid off a contemporary Pandora’s Box and out has poured the sickness, death and other evils which have blighted the world while we watch the horror unfold with horror and incredulity in real-time on our devices. The gap between the super-rich and everyone else yawns like a gaping chasm that can’t be bridged. Extreme weather events get more extreme. It seems as if we’re fiddling while the Outback burns.

We make pacts with our higher powers that the future will be better. That sustainability won’t be thrown out with the bathwater. We talk about “the new normal” as if it’s a point in time we are waiting to arrive at. But there’s no pre-ordination involved. The new normal is a blank canvas waiting for our artist’s brush. The only question is what do we paint? Will it be a beautiful harmonious landscape? A primal scream? A world where no-one is left behind? I’m putting my money on the latter.

Crises serve up latitude to break moulds. To change the status quo. Shock allows for more shock. We’ve been through so much, what’s a little more if it turns this moment to benefit? As New York Times opinion writer Charlie Warzel put it, “Right now, in the midst of a series of cascading, intersecting crises (racial and economic inequality, climate change, mass unemployment, a pandemic) what’s possible feels more of an open-question than any other moment in recent times.”

My sudden addiction to The Chase during Lockdown, did kick up a useful piece of trivia. Pandora’s Box didn’t only contain all the bad stuff. It also held Hope and we need Hope to soar around the world and work its magic. With hope loose in the world, I’m backing us humans to open our minds to the possible and make all the sacrifice mean something.