
Lots of hardware holding my neck together
This is my neck. It doesn’t look pretty but with this amount of hardware holding it together it’s pretty strong. Quite how it got to be such a mess is a long and convoluted saga but it’s worth telling if only to warn just how badly wrong surgery can go.
In 1977, just before I was to start my compulsory military service, I went on holiday to South Africa with my sister and friend of hers and the friend’s brother. We met up in Pietermaritzburg where my sister was at university and made our way to the east coast of South Africa to a small town called Uvongo. We found the campsite and quickly pitched camp. I made my way to the beach whilst the others went shopping.
The surf on the South African coast can be big as there are no reefs offshore so it helps to be surf-wise. The tide was out and the body-surfers were making their way out to the bigger waves, diving under the breaking waves and surfacing once they’d passed.
A wave broke and tumbled towards me, I dived as stylishly as I could straight into the sand. My head hit the sand, swiveled to the left and bent backwards and I became a quadriplegic. Coughing seawater I somehow got my head back to the surface and legs and arms started to move again. I staggered a few steps then stumbled back to the shore.
That afternoon I went to see a local doctor. He was in an old cottage in a quiet part of the town and was totally bored. I explained what had happened.
“Squeeze my hands” he told me.
I did.
“Here’s a prescription for some pills that should ease the discomfort in your right shoulder”.
“So I’ve pinched some nerves in my neck?” I asked.
“Yes, something like that” came the reply.
And that was it.
20 years later and whiplashes to the neck in a military parachuting jump, a car accident and a mountain bike accident, I was in trouble. I’d had crippling migraines since leaving university. Now I had electrical like nerve pain in my shoulders to boot. It was time to see a neurosurgeon.
The same surgeon who’d fixed my spine after gunshot injury sustained during military service way back in 1979 put the MRI film of my neck up onto the light box. He’d done a good job then so I had a lot of faith in him.
“That’s giving you headaches” he said, pointing to a very distinct constriction in the spinal cord channel. Even to my untrained eye it didn’t look good.
I mentioned that on a recent trip to Cape Town a local neurosurgeon had fitted me in for a quick consult. He’d said that on the strength of the X-rays that I probably needed surgery although a MRI would be necessary to confirm it (I didn’t have the time for a MRI).
“Why didn’t you get it done in Cape Town?” the Zimbabwean surgeon asked.
“He only fitted me in as a favour” I replied.
I only realised years later that the Zimbabwean didn’t want to do the surgery. By the time the surgery was done some months later I’d discovered the surgeon was 74, certainly not in his prime but he assured me that it was routine. When I walked out of the hospital after 6 days I was convinced the problem was fixed.
After 3 months I had a final consult and all the adverse symptoms were gone.
“Thank goodness” the surgeon said with relief, “I don’t need to see you again”.
We discussed other things for a short while and I went on my way. No follow-up X-ray was mentioned.
By the end of 2009 I was dropping things and my left shoulder had become very weak. I was advised to go to Johannesburg in South Africa. I duly sent a stack of MRIs to the recommended surgeon and the reply was; “You need surgery!”.
Early 2010 found me in Milpark Hospital in central Jo’burg.
“These MRIs are terrible” the surgeon commented. “Do you mind if we do them again?”.
I was not surprised. The machine in Harare was old and the collar for the neck MRI was broken. A plan had to be made Zimbabwe style and the results were indistinct. So I agreed. Fortunately it was covered by my medical insurance.
The next day I was being prepped for sugery when the surgeon came past.
“Those MRIs, it’s a good thing we redid them”
“Why’s that?” I asked.
“Because it’s worse than I thought – it means we are doing the right thing!” came the response.
After 5 hours of surgery I woke up in agony. It went from bad to worse after that.
On the 4th night I woke up in the early hours and couldn’t get my right arm off the bed. My left arm was slightly better and I could just reach the handle on the chain over my bed. The nursing staff were puzzled and insisted it could not be swelling on the operation site as that only happened up to the third night. The surgeon was concerned and redid all the MRIs. He told me that he didn’t see anything he wasn’t expecting to see though the report that got back to the referring doctor in Zimbabwe clearly stated there was swelling, and pressure on the spinal cord, at the operation site. Evidently my body hadn’t read the text books.
The pain eventually subsided but I never got the full function back to my right arm and hand and now have had to become left-handed (with limited success). Weakness to my left shoulder resulted in surgery to it to decompress a pinched ligament but that was not wholly successful and I’ve had to give up swimming as a result.
In early 2014 I was in trouble yet again – falling over my own feet and eventually had to admit I needed two walking sticks instead of the one I’d used for the past 35 years. My GP referred me to Dr. V. He put the images up on the light box and could hardly contain his excitement (beware of surgeons who sense a challenge – they love challenges).
New MRIs were ordered and the news, once again, was bad.
“You need to make a decision soon. This degeneration is moving quickly” Dr. V. cautioned. Unfortunately I’d already booked to go to a bucket list event; a World Horticultural Congress in Brisbane Australia. By the time I got back I was in further trouble so hurried up and booked the surgery.
“This is to stop the rot” Dr. V. said from behind his surgical mask as I was wheeled into the operating theatre. “Anything else you get back will be a bonus”. The procedure went well with no complications and the rot was stopped but there were no bonuses. Dr. V. had been as good as his word.
Recently I went back to Dr. V. for a checkup on the neck and to asses a potential problem with my lower back which is starting to show signs of degradation below the original war injury that I sustained in the Rhodesian military in 1979 (this is accounted in https://gonexc.com/reflections-on-the-first-half-abridged-and-mostly-expurgated/). It was well treated by the standards of the day but now if you look at the X-ray on the left it’s possible to see where one disc has collapsed below the L4 vertebra and I felt that my gait and balance had suffered as a result. Dr. V. wasn’t so sure and sent me off to see a neurologist for nerve function testing.

My lower back. Look for the collapsed disc between the 2nd and 3rd vertebrae from the bottom.
I got chatting to the technician who did the actual tests and discovered that he’d tested my hands back in 2009 in the big government run Parirenyatwa hospital. I was curious to know if it was still running as it had closed in 2019 when all the junior doctors had gone on strike over pay so low that they could not afford to feed themselves and get to work. When the government had stone-walled the doctors the senior doctors had also gone on strike in support and they were fired too. A wealthy entrepreneur had offered to pay the junior doctors a useful wage but they replied that even if they could get to work there was nothing in the hospitals to work with – no bandages, syringes, gloves, medication etc.
“The junior doctors were reinstated – well those that hadn’t emigrated were – but the senior doctors weren’t and now there is no-one to run the departments” said the technician. So the hospital remains dysfunctional. Which applies to many hospitals around the country.
Fortunately for me I can afford the local private healthcare system which is adequate for most things. For the more technical I have an offshore policy that I have used in South Africa. The vast majority of Zimbabweans have no health cover at all and no way to pay for any.
I have been out of Zimbabwe for 10 days now, staying in the USA where my sister is very ill. In that time the unofficial exchange rate for the Zimbabwe dollar to the US dollar has plunged from 30:1 to 40:1. Nobody except the banks and government use the official rate (called the interbank rate) at 18:1. It is illegal to use anything but the interbank rate but even a fuel station chain, part owned by the government, is now openly charging US dollars for fuel. Just before I left Zimbabwe I was in a big hardware store in the industrial sites of Harare buying electrical cable for a borehole pump. The customer next to me asked if he could pay for a car battery in US dollars. The till operator nodded and printed out the relevant invoice. At the end of the counter the man operating the in-store bureau de change was asleep. The electronic notice board for the exchange rates on offer indicated the official interbank rates. Nobody was interested as the store was offering the black market rate. Yet the central Reserve Bank and the finance minister continue to trumpet that the economy is on course to de-dollarize i.e. go back to the Zimbabwe dollar.
I read somewhere that the death toll from the economic impact of the current COVID-19 coronavirus is likely to be higher than the direct death toll from the virus itself. Given the disastrous state of the government health system this is difficult to imagine. Large swaths of the population are malnourished and undernourished. Many are immune compromised with HIV and its effects. Should the virus get to Zimbabwe in any substantial force the impact is going to be massive because those most at risk are the old, infirm, malnourished and immune compromised. It won’t be pretty.
The end-of-summer garden
11 04 2021Aerial view of part of our property and house
It is the end of summer as I write this, the rains have come to and early end, and the garden is drying out and losing the vibrant green. The borehole has sadly not recharged enough to offset the previous 2 years of sub-normal rainfall so already we’ve had to start buying in water. This season’s rainfall was about average at just over 700mm so it’s been a good year for the garden.
We have 3 rainwater tanks of 5,000 litres each so for four months over the rainy season we were self-sufficient and the swimming pool has remained full thanks to the water harvesting system from the roof (blue pipes). We are being a bit optimistic by leaving the pipes in place but for the last 2 years we have had significant rain in April. Curiously we have had municipal water this month, albeit only a trickle, it’s been enough to keep the swimming pool topped up to the point where it can be filtered. It’s not to be relied upon as drinkable so it’s just as well that the borehole flow is good enough to supply drinking water.
That’s Zak lying next to the corner of the kitchen garden. He’s my three-legged Rhodesian ridgeback. You can find his blog here. That’s the remains of a cardboard box he’s lying next to – a dog toy. Not his, he’s so over that sort of thing, but Roxy or Tia’s. They are the others in the Roberts’ pack.
The solar panels we added and then upgraded a year after we moved in. It’s a total of 3,300 W which is more than sufficient to power anything we need during sunlight hours and the batteries can easily carry us through overnight if the day has been clear. The mains power supply is notoriously unreliable during the rains which is also the season of most cloud so we make sure we turn the mains on at night, to recharge the batteries, just in case. We use approximately US$1 a day of mains electricity.
The solar water heater is essential for any household in this climate. It’s so efficient that at this time of year the water frequently boils during the day. We do occasionally have to boost the heat with mains during overcast spells but it’s a comparatively rare occurrence – get one if you can.
Fuchsia on the verandah
Fuchsias, ferns and other shade loving plants thrive on the verandah which we added after moving in. The previous owners had zero interest in the garden and the verandah was just a concrete floor and some ugly walls which came down as soon as we had the money. In Zimbabwe we have fantastic weather (contrasted by an equally dismal economy) so it makes sense to spend as much time outside as possible.
Palms were an early acquisition to block out a very ugly electricity supply pylon. They have grown well and mostly fulfilled their purpose.
The veggie garden was also a new development on a vacant piece of the garden previously occupied by the remains of a car port. The garden shed was a car workshop. Veggie gardens are a bit of a luxury given that we have to buy water in and they don’t like waste water as we found out. Still it’s nice to go into the garden and select a succulent broccoli for supper
Mantis on a rose
Most of the roses came with us from the farm. Unfortunately they don’t always get the attention and water they need but can be spectacular.
A swimming pool was not on the list of essentials when were looking for a property. They are nice to have and I use ours regularly in the warmer months but they are a money sink in chemicals and this one leaks which is a pain. Despite lots of excavation and probing I’ve yet to find a leak. It will have a cover on it soon to reduce evaporation.
The avocado tree is a bone of contention. It doesn’t produce very good avocados and I have the means to top work (graft onto the existing tree) some really good quality cultivars. It means that it must be cut back and then for a few years will cast minimal shade. Marianne is allergic to avocados so she’s only in it for the shade but we have plenty of other trees that we planted after moving in (14 though we have cut down 6 that were in poor health) that are shaping up well.
View of the house looking north
Top amongst these is the Acacia (now Vachellia) abyssinica which has grown at least to 8m in the four years we have been here. We didn’t realize that it had been planted in the soak-away from the servants’ quarters and it grew so fast that it its second year it was knocked flat by a strong wind. A strong pole support for a year saw a full recovery and it’s already showing the flat top growth typical of its common name “Nyanga flat-topped acacia”.
The mulberry tree was inherited. It is prolific in production and growth. The latter is easily controlled by pruning and whilst I do really like mulberries, by the end of the season I’ve had enough. There’s only so many one can eat.
If it weren’t for the cottage we probably would not have bought the property. The main house was not in a good state and we gutted it of the lifting parquet flooring, repainted inside and out and re-tiled the bathrooms. The kitchen is still waiting. The house dates from 1960 and was built by a friend’s father and uncle. The cottage is relatively new and was built by the previous owners for their parents. It didn’t need much renovation and we lease it out. We will possibly use it when we retire and rent out the house. That’s a long way off, one doesn’t retire early (or on time by First World standards) in Zimbabwe unless one is financially secure and we are not.
Sabi Star or Impala Lily (it’s not a lily)
The kitchen garden is the site of an old garden shed in which was stored all nature of old engine oils and unknown substances. We tried using the soil but it had been poisoned so gave up and now everything is in pots or a custom-built flower bed of bricks. It’s home to kitchen herbs, lavender and an assortment of annual flowers.
I’ve always wanted a water feature and so the fish ponds were the result. They were stocked with some small gold fish types and various other fish that I sourced from my friend Gary in the border town of Mutare. There are even some sword-tails that can only have got there by mistake as I didn’t buy them. They are supposedly tropical fish but have proliferated in water that can get quite cold in winter.
A succulent of sorts
The fish ponds are surrounded mainly by aloes and other succulents that are hardy enough to survive with minimal watering. They’d better be hardy as they are not getting much water this coming year.
The main succulent garden (top picture) is situated in a part of the garden that has truly dismal soil. It’s full of aloes and other succulents that must do as they can to survive. Aloes are indigenous to Africa and the Arabian Peninsula so they should be OK. This year they have put on quite a show so far.
A showy cluster of aloe flowers
Sunbirds are nectar feeders and normally love aloe flowers but so far we have seen few. Maybe it’s because the garden has only become colourful relatively recently. We wait and hope.
Cosmos
Cosmos are also left to their own devices in the succulent garden. So far they have managed well. They survive well enough in the wild in the higher rainfall areas of Zimbabwe. Apparently they were introduced in horse feed to South Africa during the Anglo-Boer War. These were snaffled from an uncollected customer’s order at the nursery. One of the perks of being the boss.
Daisy-of-sorts
This is another uncollected order. It’s a daisy of sorts, we’ll see if it has what it takes to survive in the succulent garden.
Hoverfly on a daisy
Perhaps not surprisingly the insect life in the garden is not prolific and yes, I am frequently looking for photo opportunities. This daisy is something of a magnet for hover flies. Superficially resembling a bee it’s known as a bee mimic of which there are several. I do make an effort not to use “heavy” agro-chemicals on the garden to the point that the roses have suffered so I put it down to the newness of the garden.
The lawn is drying off and will in time go completely brown. It isn’t of course dead – come the next rains it will revive remarkably quickly. The kitchen garden will take a knock but be kept going by the waste water from the washing machine. Other ferns and things on the verandah will be kept alive no matter what. We’ll just have to hope the next rainy season is a good one and recharges the borehole but nothing is guaranteed in this part of the world – especially not the weather.
A gazania in the kitchen garden – fate uncertain.
The neighbours – I haven’t mentioned them. The one to the west has a husband who is a retired international cricket umpire. She makes ends meet by growing veggies for restaurants from the seedlings I supply her. We’ve never met the one to the north but I do have his phone number. I cannot show their gardens for privacy reasons but you’ll just have to take my word for it that there’s nothing illegal going on that I could see which was just about everything from the drone’s vantage point.
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Tags: avocado, fuschia, mantis, rains, Zak
Categories : flowers, News & Various, photography, Social commentary