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My Story – I Have Been Battling Heart Failure Without Proper Diagnosis

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Abdullahi Wako Dida, 56, battled heart failure for 13 years without a proper diagnosis and on the wrong medication.

He shared his story with Sunday Magazine.

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I started getting sick some time in the year 2000 when I worked at a city bank. It started with swelling in my legs, extreme fatigue and shortness of breath. Both legs would swell whenever I sat in the same position for more than two hours. My movement was also affected and I started having difficulties lifting my left leg when walking. I would also sweat profusely even when it was cold, regardless of what time of the day it was.

Whenever I felt any of these symptoms, I visited the bank’s staff clinics where nurses gave me drugs to manage my condition. It was a time that little was known about heart disease. Though the nurses hinted on the possibility that I had a heart problem, none could refer me to any place that I could get confirmatory tests.

I was still working at the bank when I checked myself into one of the big hospitals in Nairobi with very swollen legs and with a nagging pain in my neck. I was experiencing shortness of breath and I couldn’t further push myself at work. The doctors said that my heart was ‘heavy’. But because the hospital didn’t have specialised technologies to test for heart complications, nothing was done to establish the amount of damage in my heart. And so from early 2000 till only recently, I have been on the wrong medication.

As years went by, my condition deteriorated and the bank was forced to let me go towards the end of 2008, citing my poor health and consistent absence from work. In my dismissal letter, I was reminded of how I had only worked for five days in eight months. From the time I started getting sick in 2000, I had been away from work for about three solid years. My departure from the bank marked my turmoil as I could no longer access the expensive medication I got at the bank’s staff clinics. It also struck me that I could also not provide for my children. I was their sole parent as my wife had died in the course of my illness.

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In June this year, I went to The Mater Hospital when I thought I was going to die. I was suffering from a sharp pain in the left side of my chest and I felt a heaviness in my heart as if I was carrying a heavy load. My difficulties in breathing had evolved into a constant feeling of suffocation. The pain in my neck had also intensified and I had some stiffness from the neck all the way to my chest. I had emptied my savings in managing my illnesses yet nothing was working.

A diagnosis at The Mater Hospital revealed blockages in three of the blood vessels of my heart. Doctors explained that while two vessels had 90 per cent blockages, the third vessel was 100 per cent damaged. They said the first two vessels could be operated on at the hospital to remove the blockages at a cost of Sh1.5 million. The totally damaged one, however, the one that runs into the interior part of my heart where it disappears completely to the puzzlement of medics, required an open heart surgery in India to correct it. I needed Sh3 million for the surgery in India.

I was told my diabetes and high blood pressure had affected my blood flow and caused the life threatening complications in my veins. I can’t afford the treatments, but in the meantime, I have made some lifestyle changes. I quit smoking nearly eight years ago, don’t eat nyama choma anymore and I avoid fatty parts of meat and white bread. I also try to walk very slowly to keep fit. Due to shortness of breath, I can’t walk fast.  It is a lot easier for a Muslim to resign to their fate than turn into a beggar. But I have been forced to go around seeking financial aid for the sake of my two children who are now 17 and 12. I know I can’t afford the expensive three surgeries to treat my heart failure and that that is why I have been going around asking for help. So far, I have received several donations towards my very expensive drugs I am taking. For a month’s medication, I spend Sh115,000. I take nine types of drugs in the morning and four at night. Some of these drugs are to manage my blood pressure and my diabetes. I am also on insulin which costs Sh2,250 every month.

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Public officers above 58 years and with pre-existing conditions told to work from home: The Standard

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Head of Public Service Joseph Kinyua. [File, Standard]
In a document from Head of Public Service, Joseph Kinyua new measure have been outlined to curb the bulging spread of covid-19. Public officers with underlying health conditions and those who are over 58 years -a group that experts have classified as most vulnerable to the virus will be required to execute their duties from home.

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However, the new rule excluded personnel in the security sector and other critical and essential services.
“All State and public officers with pre-existing medical conditions and/or aged 58 years and above serving in CSG5 (job group ‘S’) and below or their equivalents should forthwith work from home,” read the document,” read the document.
To ensure that those working from home deliver, the Public Service directs that there be clear assignments and targets tasked for the period designated and a clear reporting line to monitor and review work done.
SEE ALSO: Thinking inside the cardboard box for post-lockdown work stations
Others measures outlined in the document include the provision of personal protective equipment to staff, provision of sanitizers and access to washing facilities fitted with soap and water, temperature checks for all staff and clients entering public offices regular fumigation of office premises and vehicles and minimizing of visitors except by prior appointments.
Officers who contract the virus and come back to work after quarantine or isolation period will be required to follow specific directives such as obtaining clearance from the isolation facility certified by the designated persons indicating that the public officer is free and safe from Covid-19. The officer will also be required to stay away from duty station for a period of seven days after the date of medical certification.
“The period a public officer spends in quarantine or isolation due to Covid-19, shall be treated as sick leave and shall be subject to the Provisions of the Human Resource Policy and procedures Manual for the Public Service(May,2016),” read the document.
The service has also made discrimination and stigmatization an offence and has guaranteed those affected with the virus to receive adequate access to mental health and psychosocial supported offered by the government.
The new directives targeting the Public Services come at a time when Kenyans have increasingly shown lack of strict observance of the issued guidelines even as the number of positive Covid-19 cases skyrocket to 13,771 and leaving 238 dead as of today.
SEE ALSO: Working from home could be blessing in disguise for persons with disabilities
Principal Secretaries/ Accounting Officers will be personally responsible for effective enforcement and compliance of the current guidelines and any future directives issued to mitigate the spread of Covid-19.

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Uhuru convenes summit to review rising Covid-19 cases: The Standard

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President Uhuru Kenyatta (pictured) will on Friday, July 24, meet governors following the ballooning Covid-19 infections in recent days.
The session will among other things review the efficacy of the containment measures in place and review the impact of the phased easing of the restrictions, State House said in a statement.
This story is being updated.
SEE ALSO: Sakaja resigns from Covid-19 Senate committee, in court tomorrow

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Drastic life changes affecting mental health

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Kenya has been ranked 6th among African countries with the highest cases of depression, this has triggered anxiety by the World Health Organization (WHO), with 1.9 million people suffering from a form of mental conditions such as depression, substance abuse.

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Globally, one in four people is affected by mental or neurological disorders at some point in their lives, this is according to the WHO.

Currently, around 450 million people suffer from such conditions, placing mental disorders among the leading causes of ill-health and disability worldwide.

The pandemic has also been known to cause significant distress, mostly affecting the state of one’s mental well-being.

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With the spread of the COVID-19 pandemic attributed to the novel Coronavirus disease, millions have been affected globally with over 14 million infections and half a million deaths as to date. This has brought about uncertainty coupled with difficult situations, including job loss and the risk of contracting the deadly virus.

In Kenya the first Coronavirus case was reported in Nairobi by the Ministry of Health on the 12th March 2020.  It was not until the government put in place precautionary measures including a curfew and lockdown (the latter having being lifted) due to an increase in the number of infections that people began feeling its effect both economically and socially.

A study by Dr. Habil Otanga,  a Lecturer at the University of Nairobi, Department of Psychology says  that such measures can in turn lead to surge in mental related illnesses including depression, feelings of confusion, anger and fear, and even substance abuse. It also brings with it a sense of boredom, loneliness, anger, isolation and frustration. In the post-quarantine/isolation period, loss of employment due to the depressed economy and the stigma around the disease are also likely to lead to mental health problems.

The Kenya National Bureau of Statistics (KNBS) states that at least 300,000 Kenyans have lost their jobs due to the Coronavirus pandemic between the period of January and March this year.

KNBC noted that the number of employed Kenyans plunged to 17.8 million as of March from 18.1 million people as compared to last year in December. The Report states that the unemployment rate in Kenya stands at 13.7 per cent as of March this year while it stood 12.4 per cent in December 2019.

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Mama T (not her real name) is among millions of Kenyans who have been affected by containment measures put in place to curb the spread of the virus, either by losing their source of income or having to work under tough guidelines put in place by the MOH.

As young mother and an event organizer, she has found it hard to explain to her children why they cannot go to school or socialize freely with their peers as before.

“Sometimes it gets difficult as they do not understand what is happening due to their age, this at times becomes hard on me as they often think I am punishing them,”

Her contract was put on hold as no event or public gatherings can take place due to the pandemic. This has brought other challenges along with it, as she has to find means of fending for her family expenditures that including rent and food.

“I often wake up in the middle of the night with worries about my next move as the pandemic does not exhibit any signs of easing up,” she says. She adds that she has been forced to sort for manual jobs to keep her family afloat.

Ms. Mary Wahome, a Counseling Psychologist and Programs Director at ‘The Reason to Hope,’ in Karen, Nairobi says that such kind of drastic life changes have an adverse effect on one’s mental status including their family members and if not addressed early can lead to depression among other issues.

“We have had cases of people indulging in substance abuse to deal with the uncertainty and stress brought about by the pandemic, this in turn leads to dependence and also domestic abuse,”

Sam Njoroge , a waiter at a local hotel in Kiambu, has found himself indulging in substance abuse due to challenges he is facing after the hotel he was working in was closed down as it has not yet met the standards required by the MOH to open.

“My day starts at 6am where I go to a local pub, here I can get a drink for as little as Sh30, It makes me suppress the frustration I feel.” he says.

Sam is among the many who have found themselves in the same predicament and resulted to substance abuse finding ways to beat strict measures put in place by the government on the sale of alcohol so as to cope.

Mary says, situations like Sam’s are dangerous and if not addressed early can lead to serious complications, including addiction and dependency, violent behavior and also early death due to health complications.

She has, however, lauded the government for encouraging mental wellness and also launching the Psychological First Aid (PFA) guide in the wake of the virus putting emphasis on the three action principal of look, listen and link. “When we follow this it will be easy to identify an individual in distress and also offer assistance”.

Mary has urged anyone feeling the weight of the virus taking a toll on them not to hesitate but look for someone to talk to.

“You should not only seek help from a specialist but also talk to a friend, let them know what you are undergoing and how you feel, this will help ease their emotional stress and also find ways of dealing with the situation they are facing,” She added

Mary continued to stress on the need to perform frequent body exercises as a form of stress relief, reading and also taking advantage of this unfortunate COVID-19 period to engage in hobbies and talent development.

“Let people take this as an opportunity to kip fit, get in touch with one’s inner self and  also engage in   reading that would  help expand their knowledge.

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