Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Sunday, March 15, 2020

In her own words.

I have a book, “Australian Volunteers at work – 101 stories” sponsored by Volunteering Australia, published in 2000. Magucha’s story as a volunteer is one of those recorded.

This what she said and which I have transposed:- 

“It feels like home”.

I’m Portuguese, born in Mocambique. I also lived in Angola for many years, but because of all the troubles and the war, we left and ended up in Rhodesia, which today is called Zimbabwe, where I met my husband. From Zimbabwe we came to Australia as refugees in 1982, when my son was eight years old and my daughter one year old. 

I worked in the Fremantle Hospital for ten years as a pantry maid. In those days it was for the children’s future which counted rather that a career for myself. During this time I developed a kidney deficiency. My kidneys actually stopped working, and in 1993 I received a transplant. I had to give up work a year later as the work was too heavy.

But when I went home I thought ‘I don’t like this’. The children were at school, everyone had a life, and I didn’t. I found out that the Fremantle Women’s Community Health Centre needed help, so I began volunteering. I did a lot of translations including pamphlets for Portuguese ladies about breast examination and pap smears. It was all about preventative medicine. I was then asked to join the committee of the Centre and I became the secretary for four years. I help where needed – for instance fundraising and general administrative help. I love being here – it feels like home.

Because of my interest in preventative work we invited Portuguese women to come to the Centre, feel comfortable, and become part of the group. There are a large number of Portuguese women in Fremantle. The group meets every Wednesday and we have a ball! The women who come to the group hardly used to go out before. They lived a restricted life, dedicated very much to children and grandchildren. I tell them nothing is wrong with having a bit of fun. Sometimes we go out for a cup of coffee or lunch. They do things like embroidery, knitting, sewing – whatever can be sold at the annual fete, and the money raised goes to the crèche. We started meeting only one day a month, and now we meet every week.

The women give each other support and tell each other little secrets, how to do this and when to do certain things. Some of the women have health problems. Many worked very hard before they came to Australia, and are now suffering the consequences. Apart from the fun side, there is still serious stuff going on – talk of going to doctors, about prevention of disease, pap smears, breast examination and diet.

It is six years since I had my kidney transplant, but now I’m back to square one because I’m rejecting the transplant. So I’m on a waiting list for another kidney. I could be three years. Apart from that, I feel fine!
                                                            ---///---
NB. Magucha was, with love and great generosity, given a kidney by her younger brother, Joao-Miguel, who came out to Perth for the transplant operation. That, as far as I can now remember, was in 2003. Anyway it lasted right through until she died in January 2016. 

Saturday, August 31, 2019

A special day.

Today – the last day of August – is always a special day for me. It is the anniversary of our wedding. Magucha and I. That was in 1979 – so today would have been our fortieth. 
Not long, I suppose, in the great scheme of things but long enough for there to be many memories. Fond memories. Memories of deep friendship; memories of close companionship; memories of quiet evenings together when each knew that they were loved. That is the important part.  The love.
I try not to dwell on the end – I mean death does come to us all. The “uninvited visitor” calls at His own time and place. I like to dwell, rather, on the strength we each seemed to give to the other and on the many important, if seemingly relatively minor, events that shaped our life together.
But above all I recall Magucha’s strength of character and her courage. She was utterly fearless and met all that Life (and the Fates) threw at her with a courage and fortitude that I found inspiring. 
She never complained. Each day, every event was a new adventure and I never once, not ever, heard her ask “Why me?” Her slowly declining health was certainly a sore trial for all concerned but she always met each day with a smile of good cheer and always with plans afoot. She seemed always to shine a kindly light, which was appreciated by all and drew many into her orbit.
I know that Magucha has gone on ahead, that she is out of sight. But, to me, she is still there and I know, just know, that one-day we will reach out and hold hands again.
I am certainly not the only one who holds such beliefs – many over the millennia have said the same. So I don’t think I am all that wrong!
As anyone who reads what I write will know, I have always loved poetry.  Now the poet who writes under the pseudonym  of Atticus seems to capture my mood very well, and with some humour:
“Angels must be warm to fly –
That’s why she always 
Slept in socks.”

And it is true Magucha always (well nearly always) started off with very loose socks, inevitably discarded during the night!
But this poem, by the Bengali poet Rabindranath Tagore, just titled 87, from a little booklet called Gitanjali always affects me:
“In desperate hope I go and search for her in all the corners of my room; 
I find her not.
My house is small and what once has gone from it can never be regained.
But infinite is thy mansion, my Lord, and seeking her I have come to thy door.
I stand under the golden canopy of thine evening sky and I lift my eager eyes to thy face.
I have come to the brink of eternity from which nothing can vanish – no hope, no happiness, no vision of a face seen through tears.
Oh, dip my emptied life into that ocean, plunge it into the deepest fullness. Let me for once feel that lost sweet touch in the allness of the universe."

Tuesday, April 10, 2018

How human are we - actually?

What does this mean? Take bacteria for instance. They “work” in a symbiotic relationship with all life forms. To understand the significance of this we’ll need to go back in time – just a tad. Like three billion years (3 billion years) to when there were no recognizable life forms on earth, only a primordial ocean “soup”. Simply put, this soup contained a huge variety of bacteria (never mind where they came from – no one really knows).

Now, return to present times and follow me – it was from out of that primordial “soup” that life (as we understand it) developed. Furthermore – just to put things in perspective – the human body consists of somewhere between 30 and 80 trillion cells (no one is quite sure – it depends on the method of measurement used – volume or weight). But the number of bacteria in the human gut exceeds this by a ratio variously estimated at about 3:1. That’s right, there are estimated to be about 3 times more gut bacteria than cells in our body. Similarly, while the human genome has about 20 000 genes the gut biome has many, many times this – variously estimated at about 150 times this number.

Never forget, too, that we rely on out gut bacteria for our nutrition. Furthermore many different chemicals such as the brain chemical serotonin and many enzymes are produced in our gut. In fact without our gut bacteria we wouldn’t survive. They help digest everything we eat by reducing it to an easily absorbed form, which is then transferred to our blood affecting not only our metabolism but also our moods. 

But the bacteria need us too – to feed them!

So now, because of the symbiotic relationship between us and them (and don't forget we are inextricably linked to all the Earth’s life forms through our bacterial ancestry) consider this scenario:-

Bacteria were here first – we (and all life forms) developed from the original primordial bacterial soup. Therefore, are we just a useful host for bacteria to live in – in our case, our gut biome (recall, there are more of them than cells in our body)? Remember also they get fed at regular intervals, interact with us via the vagus nerve – which connects the gut with the brain (in fact our gut may be considered our “second” brain as there are about 150 million neurons lining the intestines). This “communication”, travelling both ways along the vagus nerve, tells the brain “I’m hungry” or “I’m full” or “I don’t feel well” and then there is that mysterious “gut feeling” that “tells” us to do or not do something. Increasingly researchers are discovering links between our gut bacteria and our general health - physical, emotional and mental.

The food we eat affects our gut bacteria (negatively or positively) and in doing so, they affect our health and our moods (also negatively or positively).

So, how human are we - actually? 

  

Wednesday, January 4, 2017

A wife makes a home

There is no doubt about it, as far as I am concerned. After nearly a year since my wife died, I definitely agree with the old saying that a (loving) wife makes a home.

Women have the ability, that I think most men don’t have, to make a place “homely” – very difficult to define. There is a warmth, a comfort, an ability to arrange furniture, photographs on a dresser, how the cushions are arranged on a sofa, the tidiness in the kitchen, the look of a made up bed – little things – to make a place look “nice”. Certainly all different from the way that I do it on my own.

I am a reasonably tidy person but I don’t always see the incongruity of the way I do things. I mean I use one plate, one bowl, one cup, one glass, one spoon, one fork, one knife – these are kept on the drip tray after they have been washed. Why put them away in the cupboard or drawer? I’m just going to take them out again! But I do make the bed every day! I sleep on alternate sides for a week at a time - then I change the sheets. Aren't I good!!

And I do (really) close the lid of the toilet (water closet? - whatever) after use!

The house is clean (sort of). I do dust and I do use the vacuum cleaner but I am not regular in their use. I clean when it becomes obvious – not a really good practice!!

And cooking – most people’s taste buds would not have evolved enough to appreciate my cooking! Very basic - healthy with lots of vegetables and fish - but no “frills”. Not cooked with the loving care that my wife applied. I cook because I have to eat. Still, I am in good health apart from some age related problems (a few aches here and there) but I am taking no medication at all. Which is good for 76. No?

But still, without a wife (after 36 years of a close and very emotionally rewarding marriage) the house is most certainly not the same. It is a place to sleep and eat but not really a home like it was.


Oh well! Not much I can do about it is there? Life carries on regardless.

Note: I am going to add a big one - one that I, at least, didn't miss until it wasn't  there - social contacts. Women (and my wife in particular was very good at this) are good at generating and maintaining social contacts.
I am not!!

Saturday, October 15, 2016

Euthanasia? All life is terminal!

While I appreciate that the Hippocratic Oath in effect stipulates physicians should  “do no harm”, this is not the end of the matter.
To only allow (or disallow) a “terminally” ill person to decide when they wish to end their life is looking at this problem from the wrong end. It is not if they are ill, terminally or otherwise, but a person’s quality of life – their perception of that quality, which should be the main issue.
Recall and understand that all life, repeat ALL life, is terminal – we cannot escape the end. It is terminal! Sooner or later we all die – ill or not. Palliative care, however well administered, will not halt this process. Furthermore it is impossible to accurately determine the exact time or date in the future as to when a person will die. So to stipulate a time or date (following the Victorian “model”, six months is suggested), sometime in the future which may determine whether or not a person is “allowed to die” is regrettable, to say the least. 
Furthermore, why should anyone have to “live” according to another person’s expectations? We have no “right” to interfere. It is not our life; it is not our choice.
We, and by “we” I include all humans, were presumably born to live in the world. Now if a human being decides, because of the status of their health, that the life he or she is currently experiencing in the world is not a “quality life”, who is to say they are wrong? We, you or I, cannot experience that person’s view with all the emotional, stressful or painful events they may have suffered or endured during their life to date. How can anyone, other than the person concerned, determine what level of “quality” is acceptable or unacceptable? 
We can have no idea how this expression of life plays out; or how life events (particularly their health) affect a person’s outlook, towards themselves or others – no one can “know” this except the person concerned. They make a choice based on such experience – good, bad or indifferent. It is their decision. You or I are in no position to say they are wrong. 
Similarly, what evidence, what insight do we have such that we can proclaim that a particular person’s view or expression of life (as currently experienced) is wrong and that we (or at least the “experts”) alone know better? We may not like or approve of their view but - so what! 
Likewise, what evidence is there for the “experts” to state that those who wish to end their life may be suffering from a “mental disorder” (hence the proposed requirement - for a totally subjective - psychiatric assessment on any person wishing to end their life). Disordered from what? From “normal”? As far as I can determine there is no accepted definition of “normal”. Possibly those considered “mentally disordered” react to life’s trials and tribulations differently from those around them. Are they “wrong”? Or are those who condemn euthanasia just being intolerant and lacking in understanding, compassion or empathy? 
Then there is widespread over prescription of antidepressant and antipsychotic medications (remember that, allegedly, one in five people (1 in 5) will, allegedly, suffer from a “mental illness” in their lifetime). There are many reasons why all concerned should be critical about psycho-pharmaceutical drug treatment, such as uncertainty regarding the causes of mental disorders, the problematic accuracy of the few diagnostic tools available, poor understanding regarding the mechanism of drug actions and their many side-effects together with the related problem of publication bias. Then there is commercial conflict of interest, [Note:The reanalysis of the – originally ghost written - GlaxoSmithKline Study 329 relating totheir antidepressant drug formulation paroxetine,Paxil, (also known as Serotax or Aropax) provides an illuminating, if unfortunate, example of these issues]
Also there is extreme pain. Anything that results in an actual or perceived loss of personal control will (possibly) bring about a loss of dignity and of “hope” - those most subjective attitudes of mind.
Furthermore for some to say that only God can decide when any person dies is surely a gross over assumption – how do they know? What special insight do they possess? Is it not possible, because (I assume) God gave us free will, that God may have already decided to allow a person who wants to die, to die?
Then what about those who say that the legalization of euthanasia would see the end of compassion? Surely it would be more compassionate to allow someone who wishes to end their life to do so in a private setting of their choice, with (possibly) family and friends in attendance?
Far rather this than, to get their way, forcing a person to take extreme actions – starving, drinking or drugging themselves to death; shooting themselves; jumping off a high rise building or cliff; driving at high speed into the support column of a freeway overpass or into a tree on a country road; consume rat poison or drink some corrosive liquid (such as ammonia) and take four days, in agony, to die.
Recall also that the British philosopher David Hume (1711 –1776) said, “I believe that no man ever threw away Life while it was worth keeping.” 
Finally I will repeat a quote, from the Indian sageJiddu Krishnamurti (1895-1986), who said, “It is no measure of health to be well adjusted to a profoundly sick society”. 
There we have it – in a nutshell! 


Tuesday, November 18, 2014

It’s not the Economy, stupid – it’s people!



Homelessness in any society is a measure of its Moral Compass and Social Conscience. In Australia, where I live, the latest figures provided by the Australian Bureau of Statistics (ABS) in 2011, record that there were 105 237 homeless people (49 out of every 10 000 people in the country). In the Northern Territory this reaches the staggering figure of 700 in every 10 000! This astonishing number reflects the very poor status of the Original People of Australia - the Aboriginal. We should hang our heads in shame.

In the USA – the wealthiest country in the world – on any night in January 2013 the US Department of Housing and Urban Development (HUD) reported there were 610 042 homeless people (19 out of every 10 000 people in the country). According to the Walking Shield website that caters for Native Americans there were 90 000 Native American families that were homeless - using the U.S. Commission on Civil Rights 2003 figures. This is now 2014 and, with respect, I suggest that there will not have been much improvement since 2003.

These figures – statistics – are an appalling indictment of the way current economic theory and capitalism are disconnected from “real” life.

Everyone is worried about the “economy” but they forget or ignore the fact that the “economy” would not exist without people. People ARE the economy. Look after people – pay them a liveable wage – and the economy will prosper. The low paid will have more money to spend after the essentials have been catered for. This is both the ethical and the morally correct thing to do.

The “multiplier effect” is, I understand, something like 1.5 – for every $1 in increased basic wage (for the low paid) there is a $1.50 benefit for the “economy”; increased spending power, increased taxes for governments, reduced requirement for social security benefits and generally better health and well-being for the recipients. This is the “churn” effect that money has - what goes around comes around and then some!

I remind my one loyal reader that over one hundred years ago Henry Ford said that every worker should be paid enough to buy what he makes!

It is not the “economy”, stupid – it is people!!