Wednesday 27 May 2020

Chronically ill people during Covid-19



Spare a thought for the chronically and critically ill during the Covid-19 crises

I had to go to the Charlotte Maxeke Johannesburg Academic Hospital for a check-up last week. It’s one of the government hospitals that’s been earmarked for Covid-19. The hospital was opened in 1979 and covers health care for maternity, paediatric, orthopaedic, dental, surgical, and medical needs. It’s built against a hill in Parktown and has 3 floors of underground parking. The fifth floor, that’s level with the main street entrance, is called ‘Hospital Street’. This throughway leads to all sections of the hospital, and each has four floors. The hospital was built with empty ‘interstitial’ floors that could be opened up to double the size of the hospital in an emergency – like now. I am not sure if this has been implemented for Covid-19.

Charlotte Maxeke is an academic training hospital for undergraduate and post-graduate students. Wits medical school, in collaboration with other universities, has produced some world-class research. More recently specialists have designed the innovative protection head-box for Covid-19 patients.  

I was impressed to find the hospital spiffed up. The flooring along Hospital Street has been replaced, walls have been painted and fluorescent lights have been repaired or replaced. Even though I was too early for the appointment for my bone-density test, the doctor did not make me wait. Unfortunately, there were no doctors available for the clinic, but our scripts had been written up, and we were all given a follow-up appointment for six months’ time.

Strict Covid-19 protocol was followed – although I must say that many patients did not seem to be taking these seriously – wearing their masks under their chins, not sticking to proper social distancing, and ignoring sanitising stations. The medical profession can only do so much – it’s up to us to protect ourselves. I understand that this is easier said than done. But we all have to make an effort. If we could see the virus, we would all be a whole lot more careful.

I have been going to Charlotte Maxeke for my Lupus for the last 12 years. It has become my ‘security’, marking my Lupus journey from one visit to the next. I have an amazing Lupus specialist whom I can contact in an emergency. In Government hospitals, all appointments are made in advance and there is no such thing as phoning-in to see a doctor. Everybody has to wait their turn – no matter how sick you are.

Covid-19 has created a huge insecurity for regular outpatients – even in private hospitals. Understandably, the focus is on coping with Covid-19 and we just have to ‘hang-in’ there till it’s over. This stress amongst outpatients was clearly evident. Whereas regular hospital visits were something of a ‘social outing’, most people I saw were anxious about interacting with others. People don’t smile when they wear a mask. I missed the usual ‘happy chatter’, sharing sandwiches and stories, teaching women who showed an interest in how to knit or crochet, and taking knitted teddies to the children’s ward. I can’t do any of these things for a while now. It makes the burden of Lupus that much heavier to bear. It also makes the stress of Covid-19 so much more of a reality.

So, spare a thought for people you know who have cancer, have had a transplant, those who need dialysis, and those awaiting surgery that has been indefinitely delayed. Their Covid-19 challenge is a lot harder to bear.