Sunday, September 26, 2021

A Month-Long Affair with Health Issues

It’s September 26, 2021 and for the first time in 26 days, I feel comfortable. It’s been a long time since I’ve felt this way. You see, on the final stretch of August 2021, I was exposed to someone who turned out to be COVID-positive. A Reverse Transcription Polymerase Chain Reaction (RT-PCR) Test showed that I was finally suffering from what I have been dreading for more than a year: I was COVID-positive. It didn’t help that at the tail-end of the quarantine, I developed severe asthma, which I’m still dealing with at the moment.

I’m documenting my experience through this blog as a celebration of surviving this infection, despite the fact that I have a co-morbidity (#asthmastories are something you can definitely find in this blog). I also hope that by putting this down on (digital) paper, I’ll be able to help someone like me in the future.

 

Let’s get this out of the way: VACCINES. WORK.. Prior to getting infected, I had already completed my two doses of Sinovac[1]. Can you get COVID-19 despite being vaccinated? Depends on the vaccine. I certainly did. Nevertheless, the vaccine most likely saved my life. The Department of Health relates that the Sinovac is 5-% effective in preventing mild symptoms, 78% effective against moderate symptoms, and 100% effective against severe symptoms. What Sinovac decreases is the risk of developing more severe – and fatal – COVID symptoms. As someone with asthma, this was what I was most afraid of. During my stint as part of the statistic, I only suffered mild COVID symptoms: body pain and headache were most persistent, some cough and colds, and fatigue, which, to be honest was the most challenging part. Other vaccines have different mechanisms of action, so check out what kind of protection you got… from legitimate sources only, please.

 

Home quarantine is effective if you and your family have the right mindset, the right facility, and the right equipment. Fortunately, I only experienced very mind symptoms (albeit it got a bit worse as the infection progressed). I was advised to do home quarantine instead. Being the paranoid Registered Nurse that I am, I was already doing self-quarantine that I was exposed to somebody who turned out positive. Here are some realizations:

You need to speak to your family clearly, coherently, and calmly about your status so that they can support you while you are on isolation and protect themselves for the disease. I’m infinitely grateful to my mom and my adopted brother who understood that I needed to physically distance myself from them and that I could not leave my room for the duration of the quarantine. They prepared all my meals and snacks, provided me with my daily supply of water, asked about my condition several times a day (we talked through FB messenger), and basically provided for all my basic needs. At the same time, I took it upon myself to be compliant with all the medications I needed to take, take my temperature and oxygen saturation religiously, and make progress report of all my symptoms throughout the isolation period. I also regularly contacted the contact tracer assigned to me regarding my symptoms.

It is important, however, to know that home quarantine is actually a luxury. There are only 3 people in our house. My adopted brother’s room is not even inside the main house. My mom and I had separate rooms and we had two bathrooms. Plus, I had boxes of surgical masks, literally liters of alcohol and hand sanitizers, several spray bottles Lysol, a pulse oximeter (#SalamatShopee), a stethoscope, a thermometer, and the window in my room is actually a sliding door which opens to a small lanai, so the ventilation is pretty good. Not everyone has my kind of setup. Some families only have one-room houses, making home isolation impossible. This is why more facilities conducive for rest and recuperation should be available even to patients with mild cases of COVID-19.

For a more clear-cut guideline of managing COVID-19 at home, check out this online brochure my Makati Medical Center: https://www.makatimed.net.ph/promos-and-events/event/home-quarantine-instructions-for-covid19-confirmed-patients-and-their-contacts

 

You have to be your own health advocate. If you’ve been following my journey, you’ll know that I’ve been in the health advocacy since the early 2010s. My niche, of course, has always been sexual and reproductive health and rights. Healthcare workers, especially nurses, are expected to advocate for patients, but really the best advocate for the patient is the patient. COVID-19’s symptoms may range from mild to severe and, if you’re not lucky enough to dodge the bullet, you may be lucky enough to dodge more life-threatening manifestations of the infection. Regardless of severity, the fact is that you are still sick, and your body is doing its best to fight of an infection that has killed millions worldwide. Help it, for goodness sakes. It’s important to rest, eat well, monitor yourself, and generally put yourself first. If you’re in government and you have COVID-19, please take note that you have the right to excused absence for the duration of your quarantine and/or treatment. Note that excused absence means “period when government personnel are not required to report for work (required quarantine and/or treatment, and work suspension), but are entitled to pay, as declared by the President or the appropriate and competent authorities”[2]. If you’re in the private sector, talk to your supervisor and/or your human resource officer regarding similar mechanisms of support. There should be one instituted, and if there isn’t, it’s time you lobby for such policy to exist.

            I did not make use of my excused leave. I was working from home even prior to the diagnosis. (Newsflash, by the way: the only people who think that those who are working from home aren’t working are most likely the ones aren’t working while they’re supposed to.) I worked despite the headache, body pain, fatigue, and all other symptoms. I went on overtime and did work on weekends. I powered through it. Two things: I was not alone in this predicament and this was not something to be proud of. By the end of my quarantine, which was September 14, 2021, I had developed severe asthma, which I am still managing with an apothecary of medications administered through half of my facial orifices.

            If you think I was smart enough to finally get some damn rest, then you over-estimate my intelligence, dear reader. I only stopped to take care of my health when I was already gasping for air while confined to my bed. That was stupid. Do not be like me. Self-care comes first.




COVID-19 has physical and mental repercussions. Oh boy. Here we go. My mental health has always been out of whack, although I’m glad to say it has significantly improved over the years. I’ve always been an introvert. I can go for months just hanging out in my room with very little physical contact with other people. I don’t even mind long stretches of silence from friends and family. However, the very nature of COVID-19 intimately intertwines the infection with isolation. It was though, to say the least

This year has been especially challenging: My grand uncle passed away in April this year, while his family desperately looked for a hospital that will admit him. We a close family friend to the infection as well, and my godmother to Cancer.

 We also lost almost all of our dogs this year: Jamjam, Panda, Theo, Mocha, Chuchay, Burrito, Liit, Orange, Lenlen, and Choco. Theo, Liit, and Choco’s deaths were the most devastating to me. Choco was the only one I had with me physically during my isolation. Amidst physical and mental anguish, Choco was the one I had, physically. I derived all my laughter and warmth from him. He died a few days after I was “released” from quarantine, but I was too sick with asthma at that point that I couldn’t even do anything for him. I’m still dealing with the pain guilt, and hurt at this point. They say pets die to save their hoomans from pain and suffering. My body may be healing, but I don’t think my heart will.  

            I really appreciate the small gestures of kindness: messages from my colleagues who were also sick with the virus, packages of food and medicine from my sister-in-law and our other close family friends, requests for updates from my best friends from different parts of the world, understanding from my professional organization of my need to just step back, and the many others who told me to get some rest and wished for me to get better. To be honest, I was unable to respond well to these people, especially after Choco’s death, because I was - and still am - physically and emotionally exhausted, but these really did make a difference. If you’re reading this, thank you. You’ve made this near-month-long ordeal a bit more bearable.

 

COVID-19, regardless of severity, affects you physically and mentally. It takes a toll on your resources. It endangers and adds additional burden to your loved ones. I hope no one else will have to deal with this disease, but this is an unrealistic wish. We are far from controlling this pandemic. The truth is, many more will get sick and many more will most likely die. For you, who is reading this little rant, let us take care each other, but take care of yourself more. Be kind to one another, but remember to be kind to yourself more. I hope to see you on the other side.



[1]Department of Health (n.d.) FAQs on CORONAVAC (SINOVAC) COVID-19 Vaccine- English. Retrieved https://doh.gov.ph/node/29361

[2]Civil Service Commission (2020). Memorandum Circular No. 08, s.2020. “Revised Interim Guidelines on the Use of Leave Credits for Absences Due to Quarantine and/or Treatment Relative to the Coronavirus Disease-2019 (COVID-19)”. Retrieved: http://www.csc.gov.ph/phocadownload/MC2020/MC%20No.%2008,%20s.%202020.pdf