Where Do I Start?

I had a wheeze. Then it became a cough. Then the GP did the X ray in Friday that had I posted that I would have but saw nothing. Her guess was that “the infection has not yet consolidated” so I must go on a second round of augmentin to stop it building it up.

I decided to NOT.

I knew I’d be seeing the pulmonologist and I hate meds at the best of times, to treat an invisible chest infection just didn’t sit right with me.

I went. I did the lung function tests and allergy tests. I’m no longer allergic to fur but I’m still allergic to dust. VERY allergic. So he told me to get rid of my children’s soft toys. I told him that would be impossible. So he then said I could keep one for each child, and freeze them for 5 hours once a week and someone else must then vacuum the dead dust mites off. I must also do some allergy spray for the rest of my life. 60 seconds with my head upside down so the spray goes where it should go.

Also, he could hear my cough but given my chest x rays were clear, he veered towards it being caused by a sinus infection. So he prescribed a ten day course of zinnat antibiotic. If I feel it’s not improving on day eight, I’m to go back to the pharmacy and add on a further five days.

He too can’t hear sound at the bottom of my right lung, and my lung capacity is reduced. And that’s where we worry… I must return in three weeks’ time and he will take a listen again. If it’s still off, he will send me for CT scans on my lungs and in my sinuses -my head. He fears it could be Ankylosing spondylitis impacting my lungs.

Speaking of AS. You know I’ve been waiting on tenterhooks for biologics. And you might know I emailed twice to ask what’s happening, last month. I was meant to have an appointment with the rheumatologist tomorrow but on Monday I got a text ‘confirming’ my appointment for next week. I phoned the next day to ask what that’s about, and they said my rheumy will be unavailable so they’ve moved my appointment. Thanks for DISCUSSING it with me and for checking that I’m available!! NOT!

Then a few hours later the admin phoned me back. “Well actually, the doctor has canceled your appointment. She wants you to have started your biologics first.”

Who said I didn’t have issues to discuss with her? Like, my lungs??

I asked, “Where are we with regards to that?”

My heart sank. She said they first have to submit the biologic application to SARAA which is a rheumatologist panel. Then if they approve, it will THEN go to my medical aid company for them to (not) approve! Guys, she has always said the next step was to submit to medical aid. Never did she mention this first one! I couldn’t believe it! I wanted to cry! How much longer am I meant to wait? The pain is increasing dramatically and my methods aren’t working anymore!

I ended the call.

Then I phoned back again. I told her I was in extreme pain and was there anything they could do for pain relief while waiting for biologics. She was shocked, “So you’re not on any pain medication? No NSAID??” I told her how the doctor took me off them at the end of May as they weren’t helping and my disease was progressing so no, I’ve been on NOTHING!

She said she would chat with the doctor and see if they could send me a script.

Then she phoned back. “Alright, these are the meds we will prescribe. Tramadol and StilPane. But you do realise these won’t slow the disease down, right? You do realise you need biologics for that?”

No kidding! Why else would I have emailed twice, and asked TODAY where we are in the process of getting them?? And my knowing doesn’t help. It’s not like the delay is because I’m not coming to pick my injections up!

I asked in a Facebook group about timing. Two replies said the panel has no set schedule and one of them said they are slow to meet. And they might need a certain number of cases before meeting to discuss.

I feel so helpless and abandoned. I finally got a diagnosis in January. But here I am in August with no treatment and no idea when I will start it.

And meanwhile, the disease continues to kill me slowly.

And this is PRIVATE HEALTHCARE!

I thought I’d be able to be the teacher and mom that I want to be. I thought the hiccup would be medical aid saying no and then when that would finally be sorted, the next hiccup would be it perhaps not working and needing to move onto a different biologic.

I didn’t know it would take unknown months to get nowhere.😭

Is Your Life this Crazy?

Tomorrow is my daughter’s birthday. She turns 17.

On the 16th of this month, was my birthday. As I reflect on how I want my children to know we appreciate their lives..and on how I need to find cake, I thought of what my husband said on my birthday this year, given my mother no longer is alive.

“Well, at least I don’t have to worry about how she hasn’t wished you a happy birthday this year!”

Ouch! But it made me laugh out loud! True. Dead men tell no tales. Nor do they continue to make us feel less than. I didn’t realise what it meant for him over the years to get home from work, or be home with me and at the end of the day, ask me, “So, who phoned or texted to wish you a happy birthday?”

And have me reply, “Well, so and so did.”

Him, “Not your mom?

Me, “Man, I’d roll over and die of shock if she DID!”

I didn’t know it hurt him on my behalf till this year. It never registered. And I feel sad for HIM. His mother still wishes him a happy birthday and she has FIVE children. I am my mother’s first and she stopped probably a decade ago if not more. Probably around the time she accepted that I had adopted my children for life and was going to educate all my children myself.

Ouch.

But if I was in jail, and happened to steal from my job, she’d have visited me and wished me a happy birthday, happy anniversary and fair Sunday visit.

Believe me, I am sure of that. I just can’t tell you how.

So, I prepare to celebrate my daughter. To encourage her to follow God all her life. To implore her to live right and give us genuine reason not only to be grateful she was born, but to be happy she lives-by living a life of grace and kindness. That’s all I want.

And yes, if she landed up in jail, I’d visit her. But I’d be ‘upset’ about that and not if she adopted and remained a homeschool mom.

PS. I am scared. I had blood tests to check baseline numbers before my rheumatologist moves me onto a weekly biologic injection. And I saw that my kidney function is suddenly at stage 2 kidney disease. They say online not too see a nephrologist till stage 3. And I thought maybe it was due to the pain meds I started in December last year.

But then I went back to old blood results and found a few other kidney numbers and my function has been declining all along. Not only that, my creatinine (in rough terms -how much junk my kidneys are NOT able to filter out my blood) has been steadily increasing. 61, 64 and now 81. After 89, alarm bells start ringing in the medical field.

Given this is a trend and not just one set of bad numbers out of normal ones, I’ve decided to see a kidney guy next week.

Also, my right lung either has so much infection that it’s clogged up fully and has no space for air, or it has collapsed. I’m on antibiotics-sound familiar???-and must go back to the GP on Friday even if I feel better. My cough sounds like the cough of someone with COPD. A chronic lung disease.

I can’t explain the dismay I felt. She had been listening through the stethoscope over my vest (vest in South African, not American. The light underwear you wear when it’s cold.) But when she heard nothing, she got rid of it and my bra. And still-nothing. Seeing a worried doctor is not fun.

But I must say this. I’m thankful to a friend in Kenya. Last time, my friend’s daughter asked me, “Mum, why do you sound like you’ve been running? You know you’re meant to be resting after your op. Why do you sound too busy? You can’t even breathe!” But I did not do anything about it. I didn’t HEAR it. I was just walking. I shouldn’t have sounded so bad. I think though, I thought my body was reacting to the pain. Only when things got so bad that I couldn’t sleep for a few nights, did I see a doctor. and the doctor was angry at me for “waiting so long” to be seen.

This time, I was telling my friend via WhatsApp voice note on Friday, that I thought I had a chest infection as the symptoms were all piling up as usual, and when she wrote, “I can hear the lack of breath” I took it seriously this time. I saw the doctor on Monday. And I’m glad I did.

I return to the GP on Friday. Maybe for chest x-rays if things aren’t bad. I see pulmonologist on Monday who will do lung function tests as I need to figure out WHY it gets this bad. I see the rheumatologist on Thursday morning next week, who I hope will be able to start me on treatment as I had such a bad attack that despite oral and pain patches, I almost went to Emergency for the pain. And then that afternoon, I meet the neurologist who I assume will be aiming to keep an eye on my failing kidney (s). I had small cysts on both kidney and liver in 2020. Did they grow? Do I have Polycystic Kidney Disease? Is it AS related?

Can we halt the decline?

I hope so.

Madhouse

I hate that I homeschool.

Scratch that.

I hate that I’m so sure that I SHOULD homeschool my children. I hate that I’m so aware of my principles and values and of how there’s no affordable (read-government) school that has such values or principles.

I hate that I’m sick.

I got my results back from last Friday. We are meant to be moving me to Enbrel injections (Anyone with any experience, chime in!) and I had the tests done for baseline. And I’m sure to make sure I’m healthy enough to begin.

Now, last week, I told my friend that my kidneys felt sore.

Yesterday, my results returned and I have mild kidney function impairment. I thought maybe I was crazy last week, but it seems you CAN feel pain when your kidneys start struggling.

I won’t even go into the emotional and mental ramifications of that result. I was expecting the one result -and therefore happy that my inflammatory markers were high as it would reinforce to medical aid that I really do have an inflammatory disease going on STILL since my first tests in 2011. But the kidney one was a shock. Yes, I had kidney pain last week but…And I’ve had it before and brushed it off.

Till Google claimed you DO or CAN indeed feel pain.

I don’t know what that means for the Enbrel.

What I do know is that I’m so tired. I thought it was purely AW fatigue but I read that struggling kidneys can also cause fatigue. And I’m not able to fake energy as well as I used to. The cashier today asked, “How are you?”

I told her, “Ag, I’m fine. And you?”

She replied, “Well, you don’t look fine…”

I thought about it and thought to myself, “Well, I’m actually not ‘fine.’ Can anyone with a chronic illness ever be fine when they are sick for life? But when I say I’m sick, I mean the flu etc. When I ask my friend with cancer how she is, I mean above and beyond the cancer, which is always lingering. (Thankfully, it’s CML and basically has been undetectable for YEARS. )

The cashier then adds, “You look tired. But hey, school holidays are over. You can go home and rest now that the children are back at school.”

Me, “Well…”

It’s been a bad day. Pain. Fatigue.

And the silver lining? The twins are both napping! I got to iron a few things and I’m going to mark. I get a breather of sorts.

But sjoe, I really wish I could come home and rest. I know a few people who have had to take disability due to their AS. They get to rest at home. I can’t.

And honestly, even if I wasn’t married to the home education idea, the meds I’ll be on are too expensive. We will never be able to afford them AND school.

So what will I hope for?

I’ll hope that I stop wheezing, and that my meds provide the amazing relief other patients have had.

I’ll pray that the fatigue and pain disappear.

In the meantime, I’ll chuckle the day after another mad day in my crazy house, where all the children go nuts either in teen rebellion or autistic meltdown or have gone plain old ‘angry throw non matching things up in the air because I can’t fit them into each other.‘

Red Carpet Funeral

I’ve never organised a funeral before. Nobody was there to really guide us, my dad left everything to us and didn’t even ask how we are paying for it all.

When she died, the ambulance came and took her to the hospital morgue. Because she’d died at home, the hospital said she’d have to go to a private morgue. The neighbors suggested Mguda Funeral Services.

Wow, wow, wow. I knew nothing about when death certificates are applied for. Knew nothing about death registers, undertakers…

My mom died on a Thursday. Friday morning, I asked my dad what he wanted us to do regarding the funeral. When should it be? He wanted it ASAP. So did I. The grieving family has to provide ‘snacks’ (scones, muffins and tea or drinks for the people who come and people come every day at different times. It’s hectic! And tiring for my poor 93 year old dad who is frail and felt he had to keep leaving his room to go greet people, go listen to the sermons offered by different congregations , street people, church women.) Where will the services begin? (Started at home where a viewing was done together with a quick sermon, then church and another sermon, then cemetery and another sermon).

What time should the body arrive? My dad wanted it to sleep in the house overnight. Thankfully, he also told me not to forget that I was his and my mom’s firstborn, so whatever I want would happen. I didn’t want her body all night in the house. So we arranged for 8am arrival time.

I took my daughter and middle two to go view the body on Saturday afternoon and we glanced at coffins together with my husband who just went for moral support but didn’t go view. It was surreal. Me? Discussing coffins? But I don’t feel old! (He left the next day so it was just me and my sister planning -and me paying for- the funeral. He arrived the night before the funeral)

Monday I went back with my sister. We chose a not expensive coffin that came with a package. “A package?” you ask.

Why yes. The coffin came with 50 order of services/programmes, a coffin spray, chairs at the cemetery, decor, a stretch tent, some cars to transport out of town guests, water… A PA system and a slideshow.

This particular package cost us R41 300. And unlike the randoms who kept bothering us for the death documents so they could go claim, I didn’t have a funeral on policy on my mother. It was all coming from our pockets directly. Good thing we’d just received a bonus! Not a single soul offered to help pay. I got used to us collecting money at church to give to the bereaved, and in fact, three of my church ladies went to see my dad (Their first time ever. They’ve never even visited ME in my home ❤️) left a financial love gift.

But I did it. We found a ‘package’ that was even cheaper than what dear husband had thought we’d get.

The front car is the hearse. And the other three were the cars for my dad who didn’t drive, and for car-less relatives.

When they said they include 50 bottles of water. I did NOT picture this…

I also hired (Not through the funeral service people) a normal public transport bus (Golden Arrow) for church members who wanted to go to the cemetery but had no transportation, and fridge for the food, toilets , stoves for cooking on, food…A cousin bought a sheep or two (You can tell I’m vegan. I have no clue how many), and her daughter gave some drinks. (After the funeral, people usually go to the home of the deceased and eat lunch provided by the grieving family.)

It was hectic. It was stressful. It was EXPENSIVE. And it is over.

As for what I believe about the dead? Eccl 9:5. My mom is dead and waited to be weakened by God during the resurrection. (1 Thess 4) I don’t believe the dead go to heaven. Think of all the people who were resurrected in Bible times.

“Hey, I know you’re having fun in heaven, but your mom really wants you to go back down again.” Said to the boy who Elijah raised.

That would be weird. I believe we are sleeping and our breath goes back to the atmosphere, or to God.

And one day, all death will cease.

And we don’t want all this expensive stuff. Bury us asap so the grieving children don’t have to be stressed. And we aren’t having any sermons. Just a memorial service and cremate my husband, and bury me. No people constantly ringing the bell and my children having to feed people all week.

What’s Going On??

Tomorrow I see the surgeon about whatever is going on post op, deep inside. Not the actual wound, but below. Started with a small big pea-sized lump and it’s now a huge area of pain. Well, as big as my hand. Woke me with a huge wallop this morning at 3am and is still aching badly. Literally felt as if something smashed me inside.

I’m scared. I’m scared of the costs of diagnosing the problem, and what will be entailed in fixing it.

I got a call from the rheumatologist’s rooms. The PA said that after long deliberations, I’ll be put on Enbrel. She had said she would send forms, but I haven’t received them. The next step will be to send motivation letter to medical aid.

I’m so scared. I looked up the costs. They are impossible! Google says you’ll inject yourself every week and that depending on the dosage in each injection, I’ll pay between R4300-9000 per jab! That’s weekly! No way I can do that! And my med aid plan is one of those that orders have 100% said didn’t even pay the 80% the more expensive plans pay.

I need this. I’m in so much pain that I can’t even do my AS exercises themselves. And the thought of it progressing without me at least slowing it down… I have my cane. But I want to have the opportunity to feel so well that I don’t have to use it.

When will my body cooperate?

Let’s hope the cause for the pain is diagnosable and fixable. In an affordable manner!

Next up-the red carpet funeral.

Sudden Epilepsy???

So, Sunday, Mr father was discharged. They say he has epilepsy. They didn’t observe any of his attacks, they didn’t do any ECG or brain scan to figure out WHY, but they are sure that his episodes of not breathing, losing consciousness and coming close to death, are caused by epilepsy.

My sister took his prescription that the hospital sent with him to the local (tornado) clinic. They refused to give her the medication, saying the hospital should have given him the first dose. But the family friend who fetched him from hospital was told they don’t dispense medication, that she must get it at the clinic! So now that, my poor dad must go be seen by the clinic doctor physically, then they will give him the meds. Poor old man. And what a system! It’s a hospital discharge form! Surely that’s enough evidence that a doctor HAS seen him. Especially given there’s a doctor’s name and signature on it!

What did they prescribe valproate, Vit B12 and multivitamins. I googled the valproate. If you have any first hand knowledge of it, please do share, because google makes it seem like the side effects are horrible!

I’ve still heard nothing from the rheumatologist. So it’s a month now since I did the biologics work up and I still have not been on any treatment.

I ordered a cane yesterday.

Life Sux

Sorry for the wording, but it does.

My father is now a widower for the second time. And he’s not doing ok with it-understandably. The first time, I hear he wept and wept daily. This time, I only witnessed tears on the day of my mother’s funeral. It was terrible.

And now it is worse. He’s been in and out of hospital this week. He was sitting in a chair on Tuesday and suddenly couldn’t breathe, lost consciousness…Ambulance took him to the nearby day hospital and two days later they discharged him.

That very same night, it happened again and he’s now back in hospital. And this is not a nice hospital. It’s government, not private. And one of the worst I’ve been in, in a terrible area.

When I used to visit my mom, I was always shocked by the bullet holes in the glass doors. Gone are those doors. It’s now heavy metal bars that someone inside controls. You can’t walk in… And same with the gate. You get out your car, greet some guy who is probably be a gangster (Svhool children get shot to death en route to school in this area for Coloured people), and have to wait for the automated gate to be opened by someone else. A guard whose shed I think is bullet proof. And there are many security gates before you can enter the actual ward areas.

You come out, and the guy who could be a gangster is still there talking to you, telling you he kept your car from being stolen. And you know…Though nobody ever stole your car before, you have to thank him by giving him money.

The ward is one large ward for men and women. Lights on always. Shouting by the demented or psychotic patients mingles with the moans of those in pain.

No aircon in this cold weather. No warm blankets. My dad had two from home and still felt cold.

I went to the hospital again yesterday afternoon and was told he’d be discharged. There was no doctor with whom to discuss his diagnosis. They didn’t tell him anything. They gave us prednisone and when I asked the nurse why, she said it was for his chest. He wasn’t coughing or anything but get…

Just a few hours later, after getting home, it happened again. Lost consciousness and difficulty breathing. Again, my sister had to go to the nearest police station to meet the ambulance there. In our Black areas, some criminals attack ambulances amongst other types of vehicles, so the ambulance needed a police escort.

This time, the diagnosis is epilepsy-no brain scan done. I hope a doctor witnessed an attack. I hope they know what they are doing, I wish I could ask them myself.

As for me? Pain. I have some swelling and pain and hard lump where the needle was removed, and my body is just bad. I emailed my rheumatologist to ask where we are in the process to get my meds covered by medical aid, and emailed the surgeon to ask about the increased pain.

None have responded. Emailed rheumy six days ago and surgeon a day ago.

Sigh

My poor dad.

Black Funerals Are Horrible

I’ve always agreed with my husband that we don’t want a pastor. Just do a quick memorial service and cremate us.

Now that I’m on the other side, I see even more how draining it is to lose a close relative. The undertakers, the policies people had on your loved one that they went to claim from and want the death certificate for, the choosing of coffins and ‘packages.’ Do you want a fleet of undertaker cars to transport the bereaved coming in from out of town?

The muffins and scones and drinks you have to give the people coming in to bring condolences… The tent for the cooks, the tent for the ones who won’t fit into the house, the people coming in and out from all congregations that heard the news. Preparing bedding and beds for non-local relatives. Hiring chairs for the church congregations coming to do services before the funeral. Hiring chairs FOR the funeral. Hiring large gas stoves and pots to cook for the funeral goers. Buying the food for the funeral goers. Buying plates (we are doing disposable) for the funeral goers. Paying for funeral programmes, buses to transport people from the church to the cemetery. And if we didn’t live within walking distance of the church the service will be at, we’d need the bus to transport people from the home were the first part of the service will be, then to the church, then to the cemetery. Getting drinks for the day of the funeral… Hiring toilets…

Why didn’t anybody warn me!?

Just do what my husband’s Muslim colleague’s community do. All the ladies in the community who know, get together with their own pots and ingredients and help cook for the funeral. And because the burial is ASAP, there aren’t days and days in which to feed people coming to condole the family.

It is extremely unfair that the grieving family is expected to pay so much for extras. I’m going to put in my will that my burial must be asap and no people bothering my children. My poor dad is hardly resting because he feels he must entertain all the people coming in and out the house. We are using so much electricity boiling kettles to make tea for people…

If this is what it means to be Black, count me out.

I’m an honorary White.😫

I Don’t Have a Mothet

This is weird. I now have experienced what people go through when they forget the person is deceased and still think they will see them.

I saw a message from my sister’s colleague saying I should call home urgently. But I was busy preparing for my appointment in a few hours. Then I saw a call from my parents’ neighbors and I thought, “Ok, something terrible has happened. A terrible injury, or a death… My going now as opposed to later will not change the outcome… A call from my half brother-son of my father came in and I knew. “One of my parents is dead. I’d better get the children’s lunch and diapers etc sorted.”

Then, a message from the relative who told me she and my mother didn’t want us to adopt and God had cursed us with twins for doing so… How ironic. My text above her one telling me my mother had died was saying, “Wow, innocent children. Thanks for showing me your heart.” You can’t make it up.

So, I told her I had an appointment to go to that I canceled because of unplanned surgery and I didn’t want to cancel it again do I’d go later to the house. . I don’t even know how many grand children to put in the obituary. I don’t even want to plan one.

It is so, so complex. The night before, I’d looked up a whole lot of word on narcissistic mothers. And as I approached the house, sipping up my jacket, my thought was, “Uh oh, brace yourself. She will tell you you’re fat.”

Except she won’t because she’s no longer alive.

What a sad life, that all your daughter can think of about your parenting recently is the vitriol your sister spewed, and your negative comments on looks.

I lost a mother.

But not a loving, caring mother. Just a mother who looked good to outsiders. She didn’t even know I’d had surgery. She knew nothing about my life when hers ended. She missed out on wonderful children who loved her deeply.

Right now, I’m frozen. I did weep. But only when I got home and realized that out of all the relatives and family members milling around, coming in and out, only a distant aunt cared enough to ask how I am, and to ask about my children. And she spoke very positively about homeschooling, upset that the government is clamping down on it. wanting to arrest us if we don’t comply to their laws and South African curriculum and paying for external people to test our children annually. My teens and MANY others have done just fine without that.

So yes, I wept over ONE person caring shot me and wishing me well.

That is the upshot, I lost a ‘mother’ in the true sense of what a mother should be, long ago. I don’t know if I ever really had one. And, some ‘strangers’ care about me. Unlike what my mom thought, my life as an educator of my children is not a waste in their eyes.

Weird post. Weird life. Grieving what could have been… Maybe it’s better this way. I started the grieving process long ago.