Living With A DVT

April 9th

I thought to myself “I’m definitely going for a walk along the beach tomorrow morning.’

 

April 10th

‘Something is wrong and I think I need to go to hospital.’

 

5.45am

I work up with what felt like a pulled muscle on my left inner thigh. I got up and did some stretches, which made absolutely no difference. I went back to bed and couldn’t even stand having a sheet over my leg.

 

7.00am

I woke up Pete and said ‘Something is wrong with my leg, I think I need to go to a medical clinic.’ When I got up I saw that my leg was swollen to twice the size from my knee up, except I didn’t actually have a knee to speak of. I knew the day was going to be long so I insisted on a 30 second shower even though standing was a killer.

Then I discovered that I couldn’t even dress myself. Another reason husbands are handy.

 

7.45am

We finally got to a health clinic in Whangaparoa. I hobbled into the reception and they got me a wheelchair. I’ve never been so relieved. The doctor there wondered if Elephantiasis was rampant. My thought was ’Dude, that was a waste of your medical studies’. Even I knew what it was.

$98 later we were told to go to the hospital because they would get the blood results back faster.

leg

Rest of the Day

We got in pretty fast to the Emergency Department of the North Shore Hospital. The first doctor, who was from South Africa agreed it was probably a Deep Vein Thrombosis. Basically the rest of the day was having blood tests, waiting for results, getting injections, and having an ultrasound. Because it came on so suddenly and had been 5 weeks after I had flown they needed to check that the clot hadn’t broken off and gone to my lungs or heart.

The specialists told me I have a DVT that runs from the top of my thigh to my knee. It’s a super big one.

Just as I was to admit me to the hospital they realised my address was in another district, so I had to be transported to Middlemore Hospital. So, after picking up Liz, who had been waiting all day at a friends, we went through peak traffic to the other side of Auckland.

There we were at 7pm eating Subway while waiting for a bed.

Pete was flying out the next day to Canberra to do a painting job which couldn’t be cancelled, so we packed Liz off to Hannah’s and Pete went home to pack.

 

Since Then

Hospitals aren’t the quietest places to recuperate. Injections, more tests, blood pressure checks, bad food, noisy environment. Thankfully I was released the next afternoon once I had mastered injecting myself. All you do is make sure there’s no air bubbles in the needle, grab some fat, shove the needle in and push down until you hear a pop. Sounds easy right? Even after 10 days of this, it never became easy.

I left the hospital with crutches (on those for 2 weeks), lots of painkillers (drugs are awesome) and 6 months worth of blood thinners.

I made sure I wasn’t a martyr and took the painkillers religiously, not that I had a choice. The pain was incredible. I had to go and buy track pants because I couldn’t fit my jeans. I even had to buy bigger undies because mine were cutting into my swollen thigh.

Hannah made up for a leg rub of coconut oil, frankincense and a whole lot of other anti-inflammatory essential oils. Not sure if it helped, but it sure smelt good.

I came off crutches after two weeks, and just used them occasionally for another week. Thankfully I could still drive, but when Pete came back, he did all of the driving.

I have to be super religious about taking high dose blood thinners twice a day. I can’t skip a dose, and I have to have it with food. Even after 2 months I still forget to take them.

When I return to New Zealand in September I’ll go for a review to see when I can wean off the medication.

According to the specialists if I cut myself, I’ll just bleed more, but if I fall and hit my head, I need to go to the hospital immediately. I definitely bruise a lot easier and a wound takes weeks to repair itself.

 

Today:

I was told I need to wear a compression stocking, but what the doctors didn’t tell me is that I will have to wear it for 2 years. It’s quite warm here in Kenya, and dusty. By the afternoon my leg definitely swells up but nowhere near what it used to.

A weird thing is that my ankle, my knee and the inside of my thigh ache and burns. Mr. Google can’t tell me anything and I guess I’ll have to just live with it.

A really noticeable thing is my speed. I can walk for about 30 minutes before I have to rest and now I walk really, really slow. I have to swing my leg because it feels heavy. My goal is that by September I can start running, but I’m not super confident of that right now.

While it’s a major hassle, I’m really grateful the DVT happened in New Zealand. They have top medical care and it didn’t cost me a thing. If I was in Kenya there is a high chance that I might not be here today and if I could’ve got to a hospital, it would’ve cost thousands of dollars (which we don’t have).

People assume that everything is all better, but it’s not, but I am getting there. My leg aches a lot of the time, like 80% of my day and night.

So it will improve, and thankfully I have a patient husband who tries not to hit every pothole on the road (sometimes there’s more potholes than road) because he knows it’s painful for me.

 

Life is good, we need to make every day above the grave a good one – regardless of how we feel.

Navigating Airports

You can’t avoid airports, but you can help yourself and make it easier. Some people make it bigger than Ben Hur so let me help you out by giving you some tips.

 

  1. Travel as light as possible

Everyone packs way too much stuff. Pack for 4 changes of clothes – remember you can always wash them! Weigh your bags BEFORE you get to the airport. You can go to places like Kmart and for less than $10 buy a small bag weighing scale. There’s nothing more stressful than to get all the way to the airport and either getting whacked with excessive baggage fees or having to dump some of your gear on the lovely people that dropped you off.

Best not to go over the limit on your hand luggage weight as some airlines weigh that bag as well.

bags

  1. Check in online

If possible, check in online before you get to the airport. This saves you time and also covers you if you get stuck in traffic on the way.

 

  1. Get to the airport early

I would much rather be bored at an airport than stressing while sitting in a taxi which is stuck in a traffic jam. Try to avoid peak traffic times for transit. Before you travel, check which of your airports does have free wifi.

traffic

  1. Get your money exchanged at a bank and not at the airport

You’ll get a worse rate at the airport than anywhere else. US dollars are accepted in any country so always have some of those to keep you going. Pretty much at any airport you can buy things in US dollars as well. Also have several ways to access your money. If your wallet gets stolen or lost, what can you do to get cash? When traveling I carry one card with me, and leave the other in a safe place, just in case. Also download an exchange rate app on your phone so you have a good idea of what things will cost you.

 

  1. Wear easily removable shoes

It would be great if all airports had the same way of doing things, but they don’t. When going through security checks sometimes you have to take off your shoes, and at other times you don’t. Keep an eye out for what others are doing, and don’t be afraid to ask. If possible, wear slip on shoes at the airport, it makes easier. If not, at least undo your laces before getting into line. Always, always get your laptop out early.

shoe

  1. Take a jacket

I’ve been on a 14 hour flight from Abu Dhabi to Sydney and frozen my butt off. Literally everyone on the plane had one or two blankets over them. We were all complaining about how cold it was and yet they didn’t turn up the temperature! I always carry a hoodie on the plane just in case. Wear comfortable and breathable clothes.

 

  1. Keep your passport on you

I was in a toilet at the Auckland Airport and there sitting on top of the toilet roll dispenser was someone’s passport. Of course, I took it to a security officer and then I heard the person’s name called out over a public announcement. I’m always super conscious about NOT losing my passport. In lots of places you can’t even hold your passport as you go through the security scanner, so don’t forget to take it out of the tray!

passport

  1. Go directly to the gate

I always tell people that once you’re through the security checks go directly to your gate so you know where it is. There’s nothing more embarrassing than your name being called repeatedly over the sound system and then a whole plane load of people give you the hate look as you finally make your way onto the plane.

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  1. Walk as much as possible

You’ll be sitting down for a very long time on some of your flights. Try and walk as much as possible while in the airport rather than sitting down all of the time. After a couple of days of flying I’ve even resorted to laying on the floor just to catch some sleep for a few minutes. Otherwise I get on my phone on the free wifi and walk when I can. When you’re on the plane get up every now and then for a quick walk or at least do some foot exercises to keep the puffiness down.

 

  1. Wait to be called

When the staff call people up for the flight they will always ask for those who are part of their loyalty program, then those with small children or needing assistance and then by zones. Sometimes it becomes a stampede, as if people are going to miss their flight! It must be frustrating for the staff when they ask for Zone B people and Zone A rock on up. All they do is send you to the back of the line. There’s no harm in waiting.

lines

Don’t presume that everyone on your flight or in the airport have flown before. I met two ladies in their mid twenties who were flying from Johannesburg to Bali and I was shocked that they were first timers. They were fretting about our flight delay because they didn’t know about time zones.

I’ve a Split Personality

I’ve been away from our African home for 3 weeks now and I’ve suddenly realized that I’ve got what used to be called a split personality, now it’s known as having a Dissociative Identity Disorder.

Here’s one definition:

‘dissociative identity disorder is a severe form of dissociation, a mental process which produces a lack of connection in a person’s thoughts, memories, feelings, actions, or sense of identity’ (webmd.com)

Most of us turn towards Hollywood on this issue where we see someone suddenly transform into a totally different person and go ‘Oh, they have a split personality’.

Why on Earth would I confess to this?

It’s quite easy really. I was in the car with Pete and we agreed that we felt like fish out of water in a country that we call our ‘other home’. Sure, we hold an NZ passport but it doesn’t make us Kiwis. We are a mixed breed – born in New Zealand, spent a good number of years in Australia but Kenya feels more home than any other place.

tea 2

This does not taste like Kenyan tea.

We literally have to speak a different language, dress differently and act differently. I still get shocked that there is no place in cafes to wash your hands before you eat. It rains here A LOT and it’s the coldest we’ve been in a long time. Temperature wise it’s not that cold but it’s a chill that goes to the bones.

It’s almost like we have to put away our ‘Africa lifestyle’ and pretend that we belong here.

But there’s this tugging of a war inside of me. I’ve adapted and become someone else who doesn’t fit in here, I’m just pretending. I feel like the real me is waiting back in Nairobi.

It’s not that I’m not making the most of it, it just feels weird. I’m loving time with family and the food here is phenomenal, there’s no doubt about that. When I’m skyping my team back home I can slide back into my comfort zone. Even after a few weeks of being away, I feel like there’s a strong pull to East Africa while here I am not connected to much Kiwiana at all.

So what’s the answer?

I think I will embrace my very different ‘mes’, while I’m full on Kiwi on the outside, on the inside I’m very Kenyan. I’ll keep speaking English out loud and Swahili in my head. I’ll use knife and fork with my chicken here but gladly use fingers in Kenya.  I’ll get to understand how this new country of mine (for 2 months) works and then miss the simplicity of it when I return home.

sevens

And yes, the Kenyans beat the Kiwis in the sevens.

When you see me, feel free to say ‘habari za asubuhi’ (good morning) and you will make my day, but I warn you, my Kenyan side might come out in full swing!

 

 

Transport on the ground

For a quick video of this blog you can go HERE.

If there’s only one or two of you traveling you should look at alternatives to hiring a car. When you hire a car you need to look at including insurance costs. The last thing you want is to be out of pocket by thousands of dollars if you have an accident.

oyster

For use in London

Another alternative is to go on public transport. My husband hates going on public transport but even he concedes that it’s a much cheaper way to go. However, you have to do your homework before you get on the plane. If there’s a group of you, it might be easier and cost effective to grab an Uber. If there’s just a couple of you and there’s a bus, train or ferry to where you want to go, why not try one of these.

metro

Metro Card for NYC

Before you leave home make sure you download maps and travel apps for the country/city you’re going to. Google Maps is my fallback. You don’t always have internet when traveling so take the stress out of it all. Also look into whether it’s better to get a one day, 7 day or 24 hour card. Some places like in London cap the daily use to a certain amount, meaning you can travel as much as you like for six pounds. It doesn’t take many trips on the Tube to get to six pounds. In other places you can transfer from a train to a bus at no extra cost if it’s within 2 hours.

opal

Opal card for New South Wales, Australia

Like I said – do your homework before you leave home. We wasted $30 on paying for a travel card we didn’t need.

Most places you will find a vending machine to obtain your card. Then you put as much money on it as you want. A lot of times you can use your credit or debit card. Don’t forget to keep your card as they don’t expire. We have cards from Dubai, Australia, the UK and NYC ready to use for the next time.

dubai

Metro card for use in Dubai

Going on public transport might take you a bit longer but it can certainly save you a lot of dollars and you also get to see how ordinary people do life there. Give it a go.

Where Have You Been?

We’ve literally spent since February on the road. Pete and Liz travelled to Uganda, back to Kenya, Tanzania, Zambia, Botswana and then South Africa, just to drop off a safari vehicle for someone. They then hitched a flight from Johannesburg back to Nairobi then on to Abu Dhabi, Sydney and then Auckland. All that time Sharon was with their growing family in New Zealand.

Once Pete and Liz arrived, the three of us spent April through to July travelling throughout New Zealand speaking to schools, Rotary Clubs, churches, mens and womens meetings, talking about our work in East Africa.

liz n bub

Right now we’re in Sydney, but have spent the last few weeks in Canberra, Melbourne and Tasmania. The reason we went to Tasmania was to visit one of the kids from Kenya who we helped get to Australia, his father was a refugee here. So we kept our word and went all the way down. This Thursday we head to Queensland for a week. We’re looking forward to the warmth but won’t have much of a chance to relax as there’s plenty of speaking opportunities and catchups with people that we know.

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A big reason to return to Sydney was to rebuild our team which had depleted over the last few years. Because we work with volunteers, it’s very hard to keep our people. One day, we hope to employ people at this end of the world.

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So this trip has been part fundraiser, part family and friend catchup but pretty much all business. It’s been great but we’re looking forward to returning home to Kenya to our hard working team who have been doing a great job.

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We’re Not In Kansas Any More Toto

The enormity of what we are undertaking this year is really sinking in now. Who in their right mind would spend 6 months away from Kenya and try and raise $50,000 for projects as well as double their own personal income? The itinerary is always evolving and there are lots of variables to work with that complicate it. It’s an insane plan and I sure hope it pays off.

So here we are, in our country of birth (New Zealand), total strangers to the system, language, food and culture. Google maps confuses me as it says the names of the roads in an odd accent and isn’t helping me pronounce Maori words.

You would think that after 6 weeks I would’ve become accustomed to things here. Actually, I’m better than Pete and Liz who’ve only just arrived. I feel sorry for them because I understand what a head spin it is being here.  nz

The Driving

People indicate! Wow, what an experience. Everyone here complains about how bad the traffic is. Ha, if they only knew what it could really be like. I have to admit that it gets frustrating having to wait for the traffic lights to change, it seems like forever. I don’t like driving at night but here I’ve done it a few times and because of the overhead lights and reflector lights on the roads, it is no effort.

 

Food

The variety of food here is AMAZING! I can even get gluten free food wherever I go. However, there is lots of food we shouldn’t be eating because of the sugar levels. Fruit is fairly expensive and when you pay 10 times the amount for a smaller avocado, it does your head in. For the first time in about 6 years we’ve had fejoas, which is phenomenal. The problem is that we are here for a few months and because of the good food, we’ve all put on weight already.

 

Language

I’ve never heard so many ‘sweet as’ and ‘sure bro’ in one conversation. Even coming from people serving at a counter, the answer always seems to be ‘sweet as’. I suppose it’s better than saying ‘cool’ after every conversation. Kiwis say a lot of ‘aye’ at the end of their sentences. Pete’s picked it up so that just about every sentence finishes with ‘aye’ and it drives me up the wall. I hope it’s something he can wean off when we leave.

 

Shopping

The sales here are phenomenal. Whenever we come out of Kenya, we always have a shopping list ready to go. Things in Kenya are very expensive and we know that places like NZ and Aussie have great sales. In Kenya it’s a sale if there is 1 or 2 percent discount. I picked up a frying pan that had 50% off, now that’s a sale. Unfortunately we couldn’t find many summer clothes to take home because it’s all about winter here now. However, after a few weeks I’m a bit tired of trailing the malls for a good deal. All we seem to have done is see the inside of the car, the inside of a meeting room and the inside of a mall.

 

The Reverse Culture Shock will pass, but it might take some time. How did you cope when moving to another country?

The Medical Gap

As pretty much the entire universe knows, our youngest daughter gave birth to the most perfect baby girl on Wednesday. But it hasn’t been without its dramas.

Hannah has had gestational diabetes throughout her pregnancy. That means she has had to cut out sugar, reduce her carbs and test her insulin levels 5 times a day. There’s extra scans and monitoring baby growth closer.

Baby had been super active in the womb and it was all looking good that the doctors had decided to let Hannah go right up to the 40 week mark, where originally they were going to induce her at 38 weeks.

And then baby stopped moving.

This was one of those events that stops your heartbeat. I suggested to Hannah to call the midwife whose care she was under, who said we should immediately go to the hospital. Luke (Hannah’s husband) drove pretty determinedly but there was this heavy silence in the car. No waiting, they saw us straight away. The relief experienced when we heard the heartbeat was huge. They decided to keep her in anyway.

Although baby’s heartbeat was good, the doctors had decided to induce baby on the Tuesday night. Not sure why they chose nighttime as the morning seemed a much better idea to me.

babe

I was really impressed with the staff, the quality of care but mostly the concern for baby and mother. The resources and technology are amazing, way better than when I had my kids 25 years ago.

Of course, it all got me thinking about the huge gap between what is available here and that in developing countries. I’ve friends in Kenya who have had babies and it’s a whole different world there.

 

  1. The God Factor

I call it this, because there tends to be a thinking in East Africa from people in certain positions – medical staff, police, teachers – which says ‘Don’t you know who I am, I must be obeyed without questions at all times’.

Kenya: You would never dare question what the doctor says and you simply don’t ask.

NZ: They give you informed options and don’t flinch if you question them ‘why’ or ‘could we try this’.

hospital 2

  1. The Price

Kenya: While there is a policy of free maternity care, practically it’s not so. You need to pay for services like scans. I’ve close friends who didn’t have the $30 for a scan and had a breach baby who died 20 minutes after birth because of complications. The emergency cesarean section would’ve saved his life but that was around $800. They only earn $200 a month. You need to take everything in with you to hospital.

NZ: Every single thing is free. Food, personal bathrooms, sanitary products, scans, hospital stay, sheets, pillows and even free wifi.

tray

We met a young 18 year old who had been raped and become pregnant. We arrived on the day she gave birth to her son. She was not allowed to leave hospital because her family did not have the funds for payment. Every day she stayed the debt was accruing. No doubt the family had to borrow money to get the girl home.

 

  1. Rooms

Kenya: Don’t be surprised if you are sharing a room with 8 other women. Imagine a metre between your bed and the next. Babies are often kept in a nursery, except for feeding.

NZ: While there’s the odd room that will have 4 beds in it, most are single or doubles. Baby is in your sight at all times, in a plastic bassinet beside you.

hospital 1

  1. The Birth

Kenya: I’ve yet to meet a Kenyan man who has been in the birthing room. It’s just not done any other way. In rural areas it’s older women who assist.

NZ: At the hospital our daughter went to, you could have as many support people as possible. In the birthing unit you could have two.

Nairobi has a few really good hospitals, so if you can afford to go to them you do. One is notorious for bad after birth care, but people go there because it’s free.

Our close friends whose baby died not long after a breach birth were forced to go to one such hospital. She should’ve had a c-section but the staff said to her that the lines to the theatre were long and ‘she carried small so she should deliver okay’. Of course, as in Kenyan culture, the dad went home (by public transport) but was called back because something was wrong. When he got there he was told his son had died. He never got to hold him because there was ‘confusion’ to the whereabouts of his sons’ body. He was told it was in the morgue, went there and they said to him he was on the ward. Went to the ward and was told he was in the morgue. What the attendants really wanted was bribe money. A terrible experience to an unnecessary tragedy.

Of course, if you have money, nothing is a worry. I’ve friends who’ve been in birthing centres in Nairobi and loved it. I’ve also known people who travel for half an hour on a motorbike to a rural clinic to give birth, all by themselves.

I applaud the work of Kenya’s First Lady – Mrs. Margaret Kenyatta in creating Beyond Zero which aims to improve maternal health. She is using her position to bring about awareness and change in a much needed area.

Me, one of my goals to is ensure that remote medical clinics have access to water, latrines and hand washing facilities. It’s high on our 3 year goal.

bed

Every life is precious no matter where they are born. For me, I’m getting to enjoy my short time with Isabella Rose and find inspiration every time I look at her to help other children across East Africa have a great start in life.

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