125 Isolation

What is this strange world in which we are now living?  Nothing is as it was and it’s very unsettling.  

This has been a really tough week for many of us and I hope you are managing ok and doing all you can to keep yourself and others safe.  

Last Monday, I should have been flying to Moscow for HSCT.  I’m so disappointed to not be having my treatment and the emotional shock of this change has been very difficult.  For me and my family, everything has been building towards that day and that one aim, so it knocked us for six when it didn’t happen. 

As we have moved though the week and the threat of CV19 has increased, and all the necessary restrictions have been put in place, I have become increasingly thankful to be at home and to be feeling relatively safe.  The thought of trying to travel home from Russia in this situation really scares me … so I’m going to sit this out and see what happens when life gets better for us all. 

I spent most of Monday and Tuesday in a state of emotional shock about this big change, with the rapidly evolving CV19 situation as the back drop.  On Wednesday I had a telephone appointment with one of Professor Sharrack’s team in Sheffield.  I have to say that this was the best neurology appointment I have ever had!  He really took the time to ask me how I am, what has changed since my last appointment and how my symptoms are impacting on my life.  He was also pleased to find that I was still here and not planning to go to Russia anytime soon.  I’m not sure what my rights are to choose my own consultant, but I intend to find out and choose this one if I can.

The upshot of the appointment is that I should have had a brain and spinal cord MRI in January and no one seems to know why it didn’t happen.  So, I am to be referred again and will have a further consultation when the findings are known.  Obviously I have no idea when this scan might take place, but at least I’m still in the system somewhere!  I was also informed that the hospital in Sheffield have suspended their HSCT for autoimmune diseases because of the risks presented by CV19.

There was another devastating blow this week when we realised that the Swan Brewery head shave and Bald Eagle beer launch event cannot go ahead.  Jimmy and Gill have worked so hard for this and are now having to work doubly hard to protect their small brewery business from the current crisis. 

If you are in the Leominster area and would like some good beer as an occasional isolation treat, check out their collection or drop off options here …

Swan Brewery

On Monday, I discovered that both Niamh and I are on the government list of vulnerable people – me because of my MS and Niamh because of her asthma.  

I decided I need to “socially distance” and self- isolate as much as possible ..something I found very upsetting and depressing to begin with.  On Wednesday, we made the decision that we should not be together.  Niamh lives part of the week with me and part of the week with her boyfriend, Callum and from now on, will be living at Callum’s.  It was incredibly upsetting for us both when she came home after work to collect a few things, blow kisses and say goodbye from a distance …but it was the right thing for us to do.  

Yesterday Niamh dropped off a food parcel after work.  I thought I’d feel upset and it was hard not to hug her, but it really did give me a boost to speak to her and to see her in the flesh.  

On Thursday I went back to work.  When I say “went” I didn’t actually go anywhere at all, but worked from home.  All of my team have been working from home since Tuesday and both my employer and team manager have been amazing at ensuring everyone is safe and able to work.  We have a work WhatsApp group and are keeping in constant touch with each other, which is great.  I didn’t want to go to the office at all, so a colleague collected a few things and brought them to me and we even managed a short socially distanced chat, with me on the door step and her on the pavement!  It’s good this is happening at a time when there is a break in the usual rainy weather!  Thank you Jan and lovely to see you ?

On Wednesday evening, the government announced that schools in England would be closing to most pupils from Friday afternoon.  It’s actually incorrect to say that schools are closed – most are, in fact, open and will be providing care for the children of key workers as well as those who may be vulnerable.  I work with children who are in care and who automatically come under the vulnerable heading, so it’s been a hectic couple of days trying to ensure everything is in place for them as it should be.  The task was made more difficult because of both the lateness and vagueness of government directions and the variety of ways in which these were being interpreted. 

Most council staff who are able to work from home are now doing so and our IT systems weren’t designed for this level of remote demand, so there have been challenges, but we are doing our best. 

All in all I have enjoyed being back at work.  It has been good to have something different to focus on (other than on myself!) and to feel I am doing something useful. I am absolutely exhausted though!

I’m glad it’s now the weekend and plan to catch up with friends and family via Skype, messenger, Facebook, whatsapp, text and good old fashioned phone call. How would we have ever coped with this situation without technology and access to the online world?!  I’ve even been invited to a virtual pub lock-in!

I also plan to make some lists of things to do whilst at home and create a bit of a timetable for myself.  I definitely function best with a bit of structure and purpose in my life.  In addition, I will be reviewing my food situation and having a stern word with myself … if I continue as I am, I may well avoid the virus but I am likely to become a very fat alcoholic, which I’d also like to avoid.

The government and NHS websites are being updated regularly with advice and guidance on what we should all be doing to protect ourselves and each other and I am also checking various MS/CV19 pages too …

NHS COVID-19 page

Coronavirus (COVID-19): what you need to do (Government page)

MS Society COVID-19 page

Professor Gavin Giavannoni’s MS and COVID-19 Microsite

So this is my life for now.  Living and working in this little house on my own, with two crazy cats for company. I hope to keep in touch with the people who matter to me and I hope to get myself into some sort of routine that also includes time outdoors.  I am dependent on others to do my shopping and bring me what I need …this doesn’t sit easily with me but I’m going to assume that no one will offer help unless they genuinely wish to provide it. There is an amazing local community group emerging where I live, offering all sorts of help, home deliveries etc. so I’ll be making use of that too.  Most human beings are fantastic in crisis!  (We won’t mention the virus deniers and panic buyers for now!)

124 COVID – 19

Everyone else is talking about it, so I thought I would too!

Firstly, I want to say that I am writing this post to help me to gather my thoughts on the current pandemic situation and share them with you.  I am not giving advice on how each person should respond, but telling you how I am responding right now.  Obviously, as we are in a fast moving situation, my response may well change in the coming days, weeks and months.  

The only advice I would give to others is to read and follow the most up to date advice and guidance and to judge for yourself what measures you should be taking to keep yourself and others safe.  Please bear in mind that the risk could be greater for family members, friends or strangers with whom you have contact, due to their age or health situation – I believe we all have some responsibility not only for ourselves, but for others around us. 

—- ??? —-

As you are aware, I should have been travelling to Russia today, to begin my HSCT, but this has been postponed due to the spread of the COVID-19 virus.  HSCT seriously depletes the immune system and recovery can take several months – clearly now is not the right time to deliberately lower my immune system. 

I have been allocated a new date of 28th July and will be following developments closely as we move closer to that date.  At the moment I’m not feeling hopeful that it will be safe to proceed in July. 

At the moment I am not in work and I now have a decision to make about when or whether to go back.  I am hoping to have a conversation with my GP and make a decision on that this week.  I have appointments with both my neurologist and MS Nurse in April.  

—- ??? —-

As a person with MS, I am not at particularly greater risk due to the virus.  I don’t think I’m more likely to catch it than anyone else, or more likely to die if it do.  My lung function is fine, I don’t smoke and I’m otherwise reasonably healthy.  I’m a little overweight and not as physically active as I’d like to be. 

It is clear, however, that my immune system is faulty.  I have two autoimmune diseases – Multiple Sclerosis and Hashimoto’s Disease (autoimmune thyroid disease).  I also have a higher than normal presence of Antinuclear Antibodies in the blood – this indicates a tendency for the immune system to attack the body’s own healthy tissue (via cell nuclei).  My biggest worry about catching the virus is that it could trigger an Ms relapse, trigger further thyroid issues or trigger another autoimmune response.  I am therefore taking steps to reduce the risk of me being coming infected, which therefor also adds protection to those I am in contact with. 

The MS Trust is providing regular guidance updates for people with MS. Here is their most recent update …

MS Trust – Coronavirus COVID-19 and multiple sclerosis – update 13 March

—- ??? —-

So, these are the steps I’m taking now …

? I have increased hand washing over the last couple of weeks.  I am washing my hands when coming home, after opening the post and several additional times each day (as well as the usual hand wash after using the toilet or before preparing or eating food).  I have stopped wearing rings, watches and bracelets.

?? I carry hand sanitising gel with me and use it often when out, especially after touching anything (including menus and cash, both of which are filthy!)

? I am being very careful about what I touch when I’m out.  This is a difficult one for me, as I need to use handrails etc to stay upright!  I am now wiping shopping trolleys handles before touching them.

? I am not “self isolating” but I am limiting social contact.  I am mostly staying at home, but still doing my own shopping and having contact with family and close friends who are well. 

? I am keeping in daily contact with friends, family and others online – I am worried about us all feeling isolated. 

? Shoes and coats will stay in the room nearest the front door and I am frequently wiping my handbag (inside and out). 

??‍♀️ I am trying really hard not to touch my eyes, nose and mouth – why is this so bloomin difficult?!

? I am using disinfectant wipes daily to wipe my walking stick handle, door handles, light switches, the stair rail, door frames (I hold on to these for balance at home), window handles, blind cords, phone, iPad and TV remote controls. 

? I wipe my keys, steering wheel, car door handles and gear stick often.

? I am opening windows and letting in fresh air. I haven’t seen anyone advising this but I personally thing a well ventilated home is healthier!

? I haven’t engaged with “panic buying” but have enough in my freezer and cupboards to keep me going for a couple of weeks if I have to.  I have made sure I have a few weeks of my regular meds at home and have bought some additional packs of paracetamol. 

I may well add to this list in light of new advice or as I think of further steps I can take to protect myself and others. 

—- ??? —-

I am feeling quite anxious about myself, about my family and friends and others.  Because of my area of work, I know that there are many children who will be in danger if schools close and they have long periods holed up at home.  I know there will be adults in danger because of this too.  I know we are all worried about coping financially and especially about the self employed, small businesses, those on exploitative contracts and those not eligible for sick pay.  I hope when this is all over, we can learn as a society, to make things a little fairer and safer for everyone. 

I remain concerned about our government’s response to the threat of COVID-19, which is not in line with World Health Organisation, particularly in relation to testing and tracing contacts …

Countries should find and test every case of coronavirus to stop the pandemic, the World Health Organisation said a day after the UK announced that only the most seriously ill will be tested.

“You can’t fight a virus if you don’t know where it is,” the WHO’s director general, Dr Tedros Adhanom Ghebreyesus, said at a briefing on Friday. “Find, isolate, test and treat every case to break the chains of Covid transmission. Every case we find and treat limits the expansion of the disease.”

The Guardian – WHO urges countries to ‘track and trace’ every Covid-19 case (13.03.20)

123 Treatment delay

I had a blog post prepared to publish this morning, telling you all about the arrival of my visa, rearranging flights, sending payment and getting everything ready. 

Unfortunately there has been a change of plan …
This morning I received an email from the hospital to inform me that the Russian Health Minister has put new restrictions in place for all travellers arriving in Russia, due to the corona virus.  Anyone arriving in the country must immediately begin two weeks of self isolation and the hospital would be unable to admit me until this was completed, followed by a medical examination.  I’m not sure I could manage two weeks locked in a hotel room on my own.  

This arrangement would also mean me being away from home for six weeks in total and mean that I would be travelling home at the end of April.  In these uncertain times, this just feels too far away for me.  Who knows how much worse the corona virus problem will be by then? 

Obviously I have been watching developments closely over the last few weeks.  I have increased hand washing and tried to reduce how often I touch my face (how difficult is this??!).

I haven’t succumbed to panic buying (well, only of creme eggs!) but have worried about the lack of certain items in the shops, especially hand sanitiser and soap.  I have mostly remained unconcerned until the last few days.  

Today I have noticed an increase in very concerning facts in the reporting on the corona virus.  Many countries are now putting restriction on travel, public gatherings are being cancelled and even school closures in some places.  The UK government has decided we are moving from the “Containment” phase to the “Delay” phase of our response.  I have come to accept that now is not a good time to have a suppressed immune system. 

This is the current UK advice … BBC link 

This evening I have heard that hospitals in the UK have suspended HSCT treatment for MS and for cancer (other than in life or death situations) for the time being.  The MS Society has issued  this advice …

“HSCT is an intense chemotherapy treatment for MS. It aims to stop the damage MS causes by wiping out and then regrowing your immune system, using your stem cells. This treatment greatly hampers your immune system for a period of time and you and your neurologist or healthcare professional should consider delaying this treatment.”

MS Society link

Today has been a really tough day.  I don’t think I realised just how much all the mental preparations have taken out of me and also of my family.  We are crushed …but not giving up. 

I also realise that there are lots of other people affected by this and who are having to make difficult decisions, many of them in a much worse situation than me.

As far as future treatment goes, I’m in a good position, in that the hospital has already accepted me for treatment, the funds are in place and I’m ready to go as soon as the situation improves.  In the meantime, I’m going to focus on staying well, washing my hands, not touching my face and some “social distancing”.  

I have a lot to sort out.  I’ve no idea if I can get any money back from the flights I have booked and I need to see my own doctor to talk about how I manage for now.  I also need to work on my stressed head!