It’s the fatigue and coughing that are the most annoying. I’m bored of Facebook, bored of YouTube and certainly not in the mood of doing any programming on the wages app I’ve been writing for work. It’s mostly functional anyway – it just needs testing against the existing app for accuracy and work on printing out reports which is deadly at the best of times. So here I am, writing up a blog on my Covid infection, the fourth day in.
Monday was an average sort of day for a Monday. I managed to get to the gym and do a programme that hopefully wouldn’t wind-up my left knee which was having a bad-knee day i.e. deciding whether to be debilitatingly painful or just painful. It’s amazing how much pain an artificial knee can generate though in the words of the Cape Town surgeon whom I consulted a few years back; “Welcome to the world of knee replacements. There is nothing wrong with your prosthetic but as a disabled person you are going to have more bad days than most people”.
Monday evening I was unusually tired and coughing a bit, the dry cough that is characteristic of a Covid infection. It did occur to me that it could be Covid but I’d go to bed early and see in the morning.
Tuesday I felt fine, got to work early as I had a personal trainer coming later in the morning to see if she could do something about my deteriorating mobility. Sometime later this year I’m going to require lower back surgery as two discs have collapsed and are putting pressure on the nerves to my legs but in the meantime I want to try something less invasive and anyway, it’s a Christmas gift from Marianne.
By the evening I’m coughing again and have a sore throat. I’m tired and go to be early. Part of me wants this to be Covid so that I can get it over with. That’s a bit of a weird attitude as I know that it doesn’t mean immunity to future infections. We know a couple of teachers at a local private school who have a Golden Retriever puppy with whom we arrange play dates for Themba our Rhodesian Ridgeback and they have had Covid infections several times. They are fine but others we know who’ve had the infection are struggling with the so-called long Covid. There are no guarantees.
Wednesday morning and the sore throat is still there as is the coughing. I try taking my temperature with a digital thermometer that Marianne was given some years back. Apparently I’m either hypothermic or a corpse but decide I should get checked out anyway.
There’s a clinic that’s opened up within the last year just five minutes from where we live. Marianne took the gardener there when he had Covid last month and was impressed – no queues and cheaper than going to our GP. No waiting for an appointment either.
We arrive and are the only people there. After signing all the required forms we are weighed and blood pressure taken. My systolic pressure (the first one) is a bit high but no figurative eyebrows are raised. Then we are shown through to the doctor’s room.
Marianne doesn’t think she has much of a case and indeed the doctor agrees there is nothing further to be done. He listens to me as I say that if it weren’t for Covid I’d write off my symptoms as just another cold. I can’t read his expression – the mask sees to that – but he thinks a antigen or lateral flow test, as it’s sometimes known, would be a good idea. I don’t have an elevated temperature.
I’m sent to the nurses’ room where I’m told I’m getting an antibiotic injection. We didn’t agree on this but I go along with it. Little do I know but he’s also written out the prescription for the cortisone and rest of the antibiotic in pill form. It seems the antigen test is a formality. A laboratory technician takes the swab for the antigen test from the back of my brain, well that’s what it felt like, but my eyes are running too much too see if there’s any brain tissue on the end of the swab. The test results arrive as I get to work and I’m not surprised to see it’s positive. I get some information off the computer in my office and head home.
By the time I get home Marianne has moved me into the spare bedroom and I have exclusive use of one of the bathrooms. Given that I’m nearly two days into the infection I probably only have another day or so where I’m infectious but we have to play it safe. Marianne doesn’t seem overly concerned. I sleep most of the afternoon. Themba, our Rhodesian Ridgeback puppy, is delighted to have access to a bed with me on it. He’s not normally allowed onto the bed in the main bedroom if we are on it as Roxy, Marianne’s Ridgeback, has determined that it’s her territory and will tell him so in no uncertain terms which causes a lot of yelping from Themba and anxiety from Marianne. I do notice that he’s farting a lot.
My throat is sore but ordinary supermarket throat lozenges ease the symptoms. The coughing is another issue. I must not start. If I do a coughing fit follows and it takes a lot to control it. My asthma pump does ease the symptoms but it can be over-used and will cause tachycardia (a racing pulse). I’m well aware of this from many years ago when farming in another part of the country and eventually the local GP had to put me onto cortisone to control the asthma. At the time he told me that the area was known to be bad for asthmatics but I wonder in retrospect if it had something to do with the chemicals we used to spray the flowers. It’s best not to start coughing if I can, but lying down seems to aggravate it.
Thursday I manage to achieve nothing which is just as well as that’s what I feel like doing. I don’t feel bad, I don’t feel great. I’m eating normally so it’s just as well my taste is unaffected by the virus. I have no desire to drink any alcohol. By late afternoon I’m feeling tired again but no so much so that I cannot help with Themba’s training. He’s coming on really well and will sit, stay, lie, jump up on a log, recall, touch a hand, leave a treat, look at my eyes on command and is walking well with Marianne. Treats are necessary to ensure compliance though. No treat = not a lot of interest. I suggest we start teaching him to track.
Thursday night starts early again. Themba decides at 4 a.m. that he needs to go outside with lots of restlessness and theatrical yawning. It doesn’t bother me as I can catch up on sleep anytime and Marianne would prefer he did his business outside whatever the hour. We go back to sleep after the interruption – at least it’s take care of the farting for the moment.
This morning the sore throat is gone. A pity in a way because I quite liked the lozenges. I seem to recall as a child stealing them out of the medicine cupboard at home in place of sweets (candy) that was strictly rationed. The lethargy (or is it fatigue?) is still there and the coughing is no better. I will go back to the clinic next Wednesday which will be the requisite 10 days after symptoms started and get another antigen test done. If it’s negative I should be able to get back to work. In the meantime I have my phone and can get messages delivered via one of the foremen who stays in a room on our property. I’ve noticed in the past that the business runs just fine without me provided there are no emergencies such as broken boreholes and pumps. Even those I think can be dealt with remotely if I have to.
Themba is still farting. It’s amazing the volume of noxious gas a Rhodesian Ridgeback puppy can produce. Well, he’s not that small anymore at nearly five months old. I sincerely hope he grows out of it.
Zimbabwe Absurdity 
Where is the covid-19?
14 04 2020The message is clear
Officially there have been 3 deaths due to the covid-19 (the causative virus is called SARS-COV-2) in Zimbabwe. Nobody really believes that – testing is sketchy at best but the point remains; the deluge has not arrived and nobody really knows why.
South Africa has a much more robust medical service than Zimbabwe and it’s top medics are also puzzled by the lack of a tsunami of covid-19. Their containment policy has been much more rigorously applied than Zimbabwe’s and testing has been widespread. Nobody is prepared to say that this has worked just yet, and planning for widespread infection goes on regardless.
Meanwhile in Zimbabwe we are taking precautions on a number of levels. I don’t do the shopping even when it’s not restricted but Marianne tells me that all the shops she goes to, which is just the food markets and pharmacists, have hand sterilizer for customers and it’s not always optional to use it. At the doctors’ practice I use it’s prominently displayed (picture above) and although its use wasn’t being enforced I’m pretty sure that someone would have called me out if I’d avoided it. It’s a sensible precaution along with the advice to social distance.
Having left the doctor with a script for my asthma control I went to a local pharmacy. On the way I passed by a noisy crowd outside the side entrance of a local supermarket. They were queuing for mealie meal (maize meal), the local staple food. It was a scrum of pushing and shoving – social distancing was the last thing on a hungry person’s mind!
There’s much we don’t know about this virus. The mode of transmission is assumed to be mainly by droplets and aerosols from infected people coughing or sneezing and to a lesser extent contact with contaminated surfaces. We don’t know if it will follow the seasonal pattern of the common ‘flu – there are indications from outbreaks in the southern hemisphere which is now coming out of summer that it won’t be. This could be bad news for Zimbabwe or good news. We are just going into our winter which is characteristically cool and dry. We tend to be an outdoor economy and work in well-ventilated office spaces as there is no real need for heating or cooling, so virus transmission by aerosols is likely to be low. Indeed a study in the online journal PLoSCurrents indicates that influenza in the tropics is much more sporadic (not seasonal) in nature and the most usual mode of transmission is by contact not aerosols which are sensitive to temperature and humidity. Not good news for Zimbabweans for whom social distancing is an alien concept.
“There really is nothing else that can prevent this virus from spreading in the population outside of public health interventions like social distancing. It’s the lack of immunity in the population that is making people so susceptible.” (Andrew Pekosz, Professor of Microbiology and Immunology at Johns Hopkins University, USA.)
There is of course the possibility that the lock-down has been effective in preventing the covid-19 from really getting going. I don’t think that really is the case. While the roads are relatively quiet they are not as quiet as in South Africa – I have yet to encounter a road block. A friend in the USA who’s daughter is a doctor working in Liberia has commented that they covid-19 hasn’t really taken hold there either. Whatever the cause I see a real issue here if it doesn’t take hold like expected; the general population will become contemptuous of the warnings and let down their already low guard for the next time.
“Public health measures can only succeed if there is a high degree of social solidarity, which requires trust in public health agencies and their leaders.” (Mark A. Rothstein is the Herbert F. Boehl Chair of Law and Medicine and Director of the Institute for Bioethics, Health Policy and Law at the University of Louisville School of Medicine and a Hastings Center Fellow.)
And there will be a next time. It could take the form of another novel virus or a resurgence of the covid-19. The virus that caused the 1918 influenza pandemic that killed around 17 – 50 million people took 3 years to abate, so we should expect the covid-19 to be around for some time and a possible resurgence in the northern hemisphere winter is a real possibility. There’s also a possibility of a resurgence at the end of lock-down – a problem that South Korea may already be experiencing.
The tuberculosis vaccine, BCG, is mandatory for children in Zimbabwe and other African countries. There has been speculation that it could explain apparent anomalies in the spread of the covid-19 as it may confer resistance to other viruses. My friends in the medical profession are sceptical that it will be of much use to my generation as the vaccine is thought to be effective for a maximum of 20 years though that is hugely variable depending on, among other things, geographical location. Trials are underway though it will be several months before the results emerge.
World UV intensity map
We have plenty of sunshine in Zimbabwe and are heading into the sunniest time of year; winter. It’s long been known that patients exposed to sunshine and fresh air recover quicker. UV light, which is also in abundance here due to our altitude and latitude, is an important sterilant and vitamin D generator which is also important for the immune system. This all sounds like we should have an easier time of the pandemic, should it arrive, though I think this is far from a certainty. I am not taking chances and as an asthma sufferer I am high risk so will continue to take my medication. And wait.
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Tags: BCG vaccine, COVID-19, influenza, pandemic, SARS-COV-2, UV, vaccine
Categories : corona virus, Environment, health, Social commentary