Tuesday 31 March 2020

Home

Sorry, it’s been a while... it has taken this long to get over this last bug. It was evil 😈 First little Rosa bean, then Dan, Anouk, and finally me (it’s a pretty strange reality for us where Isaac is the most well in the house!). 

For Dan and I it was mainly a cough. For the girls, they also had fevers..... So, COVID-19? Who knows. The cough was the opposite of dry, and as any parent knows, kids get fevers all the time with a virus. We did speak to our GP, as Anouk really wasn’t bouncing back. We thought he might consider antibiotics (since it sounded like it had settled on her chest) but he explained that we may have had CV, and that we have to assume we have, so isolation is our only option. We are not convinced. In the UK, they are only testing inpatients in hospital right now, despite the ‘test, test, test’ news we hear. So we may never know (unless we can later have an antibody test).

It’s too early to guess if Isaac has escaped this infection or not (whatever it is) - we can only hope our efforts have been enough, as either way its not the kind of bug he would sail through (without intervention, and he’s so recently had *IV’s anyway) and we want to avoid hospital like the plague. As much as we clean, sterilise equipment, eat apart, keep his tooth brush and towels separate and omit hugs (and I really miss hugging my son, guys) it never quite feels enough. 

In an odd way, the world is experiencing something huge, but part of this new reality for most has been part of ours for so long now.... We are used to alcohol wipes, plastic aprons, gloves and masks. We have been in hospital under barrier nursing for infection control too many times to count. We are accustomed to all those funny looks that people give you when you take a big detour around other people who look unwell, or the opposite, when he is having a very public coughing fit and people scowl at us, assuming he is contagious and should be home (the irony that we endure both of these scenarios is not lost on us). We live with the the eye rolls when people assume we are overreacting to infection risks (seriously, he really should not ever go in a jacuzzi). Perhaps, after all of this, there may be just a tad more understanding in the world, for families like ours? On the flip side, we are so touched by the number of people who have contacted us to offer help and ask how Isaac is at this time. Post Corona virus, will we all be a little more accustomed to (and understanding of) the anxiety that those vulnerable in our society live with each and every day? 

Isaac and I had a good chat the other day about what the virus might mean for him (he is 15, so when I say good, I mean around 6 minutes, and these kind of chats are always better if they are instigated by him, rather than me). Knowing that he has letters coming from the government, putting him on the ‘extremely vulnerable’ list is understandably alarming, but as I said to him, these lists are vast and don’t take into account the individual; so if Isaac does catch it, and we end up in hospital? Well, that is our area of expertise, and we have a first class pass to the best team ever. We would have ended on a high five, were it not for the social distancing. 

In terms of Isaac’s care, we now only have phone appointments with his CF team. We cannot send in sputum for testing in the lab as we would normally (instead, we will need someone to take it to hospital for us, where the team will pick it up from the car at the entrance). We have good access to his medications so far; he is about to start anti-fungals (as we’re coming to the end of his course of extra oral antibiotics, and he does still have fairly fruity cough) and these are being sent by post. The CF Trust have sent us a letter that we can use to explain his status, as well as the government issued letter listing him as extremely vulnerable. We have been able to register with GOV.UK to say that we are isolating and may not be able to get the supplies we need. That was a few days ago, but we’ve not heard back since. Thankfully, we have been able to get everything we need, thanks to the kindness of our family, neighbours and friends - thank you so much all. 

I don’t know about you, but in one way, everyday feels the same, like badly smudged together memories. My appetite for the news is huge, but I’ve stopped taking in information. Everything feels too BIG suddenly. Add to this, the dreaded home schooling (we’ve been too ill to fully get on top of this so far, and you know what? I don’t care. They are learning in experience, through endless games, reading and art, and for now, that’s just fine. They are anxious too, and need some downtime) and working full time, days feel weirdly full and yet... at times empty. Overwhelmed yet lonely.

There are, and there always must be, some positives: Both Obie and Rosa LOVE being home and having us all together. Our garden has never looked better. We have dug and filled a pond (plants and snails have arrived, fish to follow... a great little project for all the family). We are doing well keeping active, projects are planned, we have all of this support around us, and most of all..... Isaac is well. He is well! 

We are thinking of all those unwell, those isolating alone, those without their needs being met (physically or mentally), those unable to contact their loved ones, those watching their businesses go down the drain... and to our key workers, putting themselves (or those they love) at risk for others, thank you so much. Stay safe and keep in touch x 

* When we say IVs, I mean antibiotics given intravenously. These treat bacterial infections, not viral ones. However, as people with CF live with bacterial infections in the their lungs all the time (in progressed disease at least, less so infants with CF) a viral infection allows the live-in bacteria to have a little party in the lungs too, which can be far more problematic long term. On the whole, viral infections are acute issues which reek temporary havoc, but it’s the bacterial after party that is more problematic, hence the antibiotic treatment, even if the acute part might be viral**. The exception here is that COVID 19 is a virus that may be as dangerous as the bacterial infections people with CF face anyway. 

** I am no doctor, but this is my understanding! Always seek sensible medical advice, not the wittering of a slightly mad CF parent with more than a whiff of gin. 

We had to miss the funeral of a very kind and talented friend. Here is the painting he did of our Obie - fly high Gordon. We will miss you x 



Pond under construction. 




Sunday 22 March 2020

Burning lungs and CorinaKindness part 2

My lungs burn. 
Every breath feels like fire. 
My throat tickles again, and again, and again. 
My cough heaves violently against my throat. 
The tissues endlessly being thrown in the bin. 
We clean EVERYTHING. 
We all have this, but Isaac (we think, he is coughing, but CF coughing, not, bug from hell coughing). 
On the plus side, it’s really mucousy, so we’re pretty confident we can discount CV. 
On the bad side?
It’s really frickin mucousy. 
Also not good for Isaac to be around. 
For now, he is on extra oral antibiotics, and is doing OK. 
But essentially we’re trapping him in a house with a bunch of people with disgusting coughs. 

CoronaKindness: Last week we were lucky enough to get one of the last grocery delivery slots for weeks, the driver called first and we explained that we are in isolation not because we are sick (although ironically, we are), but to protect a family member with a lung condition, so we will keep a distance. The guy kindly bagged up all our shopping like an expert, put it into our alleyway, knocking to let me know when he was done, so we didn’t need to have any contact with him. He also told us that next time, they can pack our shopping for us in store, in a controlled environment to further limit the risks. The next day, we received a parcel of goodies from a friend in NZ (thank you Vanessa!). The next, we had a note through the door from a stranger, offering to collect whatever we needed. Our family have us well stocked with food. Friends have shared home schooling resources. We feel like the sad but fortunate isolates; lucky to have so many thinking of us, but missing them all the more. 

In a way, feeling sick right now makes isolation easier... we need rest anyway. It’s going to get a whole lot tougher. Thank you to everyone who is taking social distancing and isolation so seriously, keeping those more vulnerable in our society protected x 


Peter Lanyon ❤️




Wednesday 18 March 2020

CoronaKindness

In the last week we have been at the receiving end of all of this: 
  • The many neighbours, sending offers of any help they can offer. 
  • My dear Mum, dropping off groceries and jigsaws in our side gate, for me to pick up after they have decontaminated for a few hours. Tearful that she can’t help more (she already does more than enough).
  • Friends from work, buying and sending me hand sanitisers, soaps and dettol, knowing I had trouble getting hold of these. Along with treats to keep us going! 
  • My cousin, sending me the medical wipes we need to clean his medical equipment. Her friend, who doesn’t know us, but went out of her way to drop these off on her way back to London. 
  • My brother, who is getting me more. 
  • The friend who thoughtfully gave Isaac a PlayStation voucher, to help keep him entertained.
  • My sister, printing off work for the kids and offering online lessons. 
  • The pharmacist, who took the trouble to order Isaac a months extra supply, so we can worry less about the supply chain breaking down, for now. 
Heartwarming doesn’t quite cover this.... this is family, community... unsolicited kindness. Thank you so much. 

Isaac is not well today, his cough is back with a vengeance, his sputum, dark. We are in touch with his team about next steps. So soon after his last IVs, we imagine the next step will be Cipro, potentially with a side of anti-fungals. Will update soon.

Stay safe, keep talking x 

Man Ray. I’m sure I’ve shared this many times before, but I love it, so have it again.





Tuesday 17 March 2020

Social distancing

These are the kind of things you could consider doing now, to help protect the more vulnerable around you.


For us, we are taking life in isolation day by day. Hugs x 


Monday 16 March 2020

Isolation

This is feeling very fucking real now. 

We are all now in full isolation. There is a confirmed case linked to Isaac’s school. Before that, we had decided to keep Rosa and Anouk home anyway, but it’s making more sense by the hour. Dan worked today, but we’re both feeling ill - most likely with the bug Rosa had last week, and Anouk has now. Nothing more. But since it’s a chesty one, we’ll all be home tomorrow. 

Today I had five meetings on skype. During one, Rosa appeared in the room dressed as an Indian with a curly blonde wig on. By the last, the kids were all fed up and asking me to mute myself to ask questions like ‘I’m bored, what can we do?’ or ‘since the cookers not working, can we have crisps for tea?’. Our standards are already slipping, last night I saw Isaac make himself a bowl of pasta with sauce, but then add squished up crisps on top, as if they were croutons. My heads hurts. I can’t keep up with the work I need to do. And everything single thing the kids want to eat, we have run out of (we still have food, they just naturally want what they can’t have). Each day I drive to a remote lane and walk Obie by the lakes. My only alone time. 

And this is day three.... they are talking about people with underlying health issues self isolating for 12 weeks?! 

CF clinic are only offering telephone appointments, unless you have significant new symptoms. Isaac’s ENT surgeon called me today to see how he was recovering (really well now, thankfully) and told me what we already suspected; had he not had the surgery when he did, he would be waiting a long, long time before planned admissions would go ahead. We are so thankful for that, and for all the kind messages of support from friends, family and community. We have care packages of antibacterial wipes and hand sanitiser on their way. At the same time, I’m frustrated I can’t do more myself for our parents and other vulnerable people around us, who if not yet, will soon be isolated too. 

After being glued to the news for days, I am suddenly exhausted and have information overload. I crave fiction. The kids are coping much better than me, but for how long? This is going to be tough for everyone. Stay well people x 

Monday 9 March 2020

COVID-19 isolation; strange times

We have been told now to keep Isaac at home indefinitely due to the risk of Corona virus. 

No great surprise; we ended his two weeks of IVs today with his lung function slightly down on when we started (I’m gutted), he is less symptomatic, but there is still a crackle/wheeze to his huff. Not great news - but his team are keen he has a break from IVs and see what happens as he continues to recover from his recent op. 

What we don’t know is what precautions we need to take as a family to protect him. I can work from home (just about) but Dan is a self-employed builder (with a lower risk though; small team, and mostly outside), so does he carry on working? Worse, if schools do not yet close, do we keep Anouk and Rosa home sooner? Do we allow visitors? Do we shop? 

We get individually wrapped Clinel wipes for Isaac’s sterile port/IV care supplied by the hospital, but I also purchase packs of Clinel general wipes (that are frequently used on hospital wards) myself. Clinic don’t usually supply these to us at home, but to clean non-sterile (but still needs to be super clean) apparatus, they are ideal. I use these to clean his nebulisers, the table before starting to prep IVs, and to move from room to room with his IV drugs in hand (I am apron/gloved up, but I need to open door handles etc. to get to his room). Anyway, they come in big packs which last us a month or so, and rather than ask the hospital for these, I simply order them online for around £5 a packet. Today, three packets are advertised on amazon for £375. 

Amid other news that hand sanitiser gels have been stolen from hospital wards, putting those most at risk, at more risk, I am weirdly reminded of the kind of post-apocalyptic/zombie TV series where humans all turn on each other (Dan adores these - I strongly suspect he may have buried emergency supplies in the garden, such is his obsession). 

Someone told me today that he expects police/military on the streets guarding against looting within a month; another thinks it will have blown over by then. I’m not so sure.... I read about some CF families keeping the whole family home and not allowing any visitors, and then in the next breath, those who have been reassured that this will likely not be much more than a cold, so are carrying on as normal. I get the data. I see between the headlines. I know where to find impartial facts (I think).... and.... I have also seen Isaac have a flu virus before that took him from being OK, having IV antibiotics on the ward, to very suddenly being in intensive care on *Optiflow ventilation, reliant on this for high flow oxygen, in a wheelchair for many weeks, and a full recovery which took many months - not fun. 

I think it’s entirely appropriate to have a plan for those more vulnerable in society that is different to everyone else. This is not a one size fits all situation. I get that this is will be a medium to long term issue, but I am keen that we see the government take a proactive stance, not a reactive one. And I’m scared. 

Stay well friends x 

*Having been through our experience on PICU, I am only too aware of how limited resources are (such as Optiflow and our amazing doctors and nurses) .... and which during this pandemic, will be far, far exceeded. We need to support our NHS in any way we can during this time. 

A very little Isaac and Anouk x 


Thursday 5 March 2020

Not for the squeamish...

Isaac’s surgery, thankfully, went ahead today. Not only because he needed it so badly (his headaches, nausea, fatigue have peaked, and the inevitable infection in his poor blocked sinuses will further compromise his lung health) but also that planned surgeries may be on the brink of being postponed to free up beds for Corona virus patients. 

The anaesthetist did um and ahh a little pre-op as to whether he was well enough, but then agreed that this might be ‘as good as he gets’ right now, and only going ahead would give him a chance of bouncing back. Going into theatre knowing there is an increased risk involved is our norm. Thankfully, he was stable throughout, and back in recovery, had good O2 sats. After a good amount of morphine, we were back on the ward, and discharged a few hours later (with the caveat that we would need to go back if the bleeding got much worse). 

Needing to get back for home IVs, we headed off, only on the A14, he begins to feels sick.... I’m stuck between lanes of traffic and roadworks, so single  handedly grab the only thing I can think of, a bag in the back full of his IV drugs I had bought as back up, which spill all over the backseats... he throws up into the bag again and again (all water, as he hasn’t been able to eat) but the action sets off his nose, and the blood starts GUSHING; so there we are, driving along with watery sick and blood pouring out, and he smiles at me, blood smeared across his face, saying ‘I feel so much better now’. We laughed and laughed (because, what else can you do?)...until we realised the bag had a puncture. 

We now have recovery; at least another 8 days of IVs, extra steroids (to reduce his inflammation) and post-op quarantine. After that, he deserves a good long stretch of feeling well. Thank you to everyone who has sent messages of support and have been thinking of Isaac. Love you all x x x 


15th birthday. Blurry as Isaac prefers.