Mother’s Day during the COVID19 pandemic

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It certainly is a Mother’s Day like none of us could have ever predicted. For me, I’m spending it trying to avoid my two sons. No, this is certainly not how I expected Mother’s Day to unfold. I’m sick and awaiting testing to discover if I have contracted COVID19.

On March 18th, I rang my GP with my symptoms and was then referred for testing. Now 5 days later, I’m still waiting to hear when I’ll be tested.

Until I know if I have COVID19, I need to self-isolate – something which is impossible to do as a lone parent carer of a disabled child. So, until I know one way or the other, and since I can’t self-isolate, I’m limiting my time with both of the boys – something that is tearing me up as a mother and is particularly difficult for my youngest son who wants nothing more than to snuggle with me on the couch and watch a film together.

On March 18th, it was also the 30th anniversary of my mother’s death. Now 5 days later, missing my own mom hits me hard as I can’t spend the time I want with my own children while I await that test.

Until I know if I have COVID19, I feel like I’m walking on hopes of a future as fragile as egg shells, wondering if I’ll have another 30 years with Declan; wondering if I actually do have COVID19, and wondering if have I done enough to spare Brendan Bjorn from contracting it, too, knowing such a deadly virus would be more than his fragile body could fight off.

Yes, it’s a Mother’s Day unlike any other for all of us. We just need to keep holding out hope for next Mother’s Day that we will still have all of those around us whom we love more than life itself. For me, it’s my two precious sons…those two sons down the hallway, isolated in their own rooms.

Stay well. Stay safe. Stay Home.

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Life in the midst of the COVID19 pandemic

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Brendan Bjorn, Declan and I are on lock down in our home. The last thing I ever imagined I’d be writing about is a pandemic, but here I sit, isolated in an attempt to avoid contracting this deadly virus which would certainly kill my first born son and which would leave my own fate in question with the underlying health condition of an auto-immune disease.

Here the entire world is: trying to live life in the midst of the COVID19 pandemic. 

My youngest son Declan (11) is terrified right now. I want to tell you all why. The below photo is from 2013. Brendan Bjorn was in hospital with severe bilateral pneumonia. He nearly died. The doctors even pulled me aside at one point to say they didn’t know what else to do. All 3 of us had it. Declan and I stayed in Brendan Bjorn’s hospital room by his side.

I signed a DNR – Do Not Resuscitate order – for Brendan Bjorn.

Thankfully, a couple days later, they discovered it was mycoplasma pneumoniae bacteria so changed the regimen of antibiotics. 7 years later, here we are now facing COVID19, which causes a severe pneumonia that would undoubtedly kill my precious son. I’ll emphasis here that mycoplasma pneumonia is often referred to as “walking pneumonia” because it is so often mild enough that the infected person can still be active. COVID19 is not so kind.

Declan understands this risk like most other kids his age wouldn’t.

He’s lived it.
He’s seen it.

He has grown up with the knowledge that another virus, cytomegalovirus, is what devastated his big brother’s brain in utero…and he knows that one of the many consequences from that congenital infection will also one day be what takes his brother from him.

So yes, Declan is terrified right now. I am terrified.

I’m telling you all of this to beg those of you not taking this virus seriously, to please, PLEASE, do!

Don’t hesitate to ring your GP if you feel unwell.
Practice social distancing measures.
Stay home!
Wash hands thoroughly and often.
Don’t touch your face.
Cover your cough and sneeze.
Stay home!

You may be young and healthy, but you are not immune. No one is immune. And you can unknowingly carry the virus to other people. So please, remember those people – your loved ones – who this new virus would certainly kill. Please.

May all of you reading this be well.

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2013

COVID-19 and Cytomegalovirus (CMV): The decisions both viruses have left me to make

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As I write this, 9 March 2020, there are now 3 cases of community transmissions of COVID-19 in Ireland. Community transmission means that the person contracted the virus from an unknown source or person. This number will surely rise, and if the latest predictions are accurate, it will rise exponentially. We are a small island country with a shattered health service. If we get as many cases as predicted, we won’t be able to cope.

The government’s official response to the rightly-worried public is to repeat the message about washing hands thoroughly and frequently. While that is definitely great advice which should be followed (so please do!), it is not enough. Let me tell you why…

16 years ago I was thrown kicking and screaming and crying into the world of virology. I didn’t know it would happen. I certainly didn’t want it to happen. But, it happened all the same: Despite all my frequent hand washing. Despite constantly spraying disinfectant on the toys in my office as a Child and Family Therapist at a public mental health center. Despite not actually sitting on the toilet we therapists shared with the clients. Despite using paper towels to turn off the tap.

Despite all of my best efforts to remain healthy and not pick up any germs while I was pregnant, I picked up a common virus, CMV, – somewhere in the community – which then ravaged my developing son’s brain in utero and changed our lives forever. 

I learned everything I could about Cytomegalovirus (CMV) and a couple of years after my son was born, I phoned one of the world’s leading experts on CMV. We spent over an hour on that first phone call, the result of which was my establishing the first non-profit foundation ever dedicated to raising awareness of CMV and to support CMV vaccine research. I spent a decade at that work along side our Board of Directors, who were some of the most knowledgeable CMV and virology experts you could find. I learned all about IgG, IgM, latency, reinfection, reactivation, different strains, vaccine trial protocol, hygienic protocol, transmission methods…and so much more that frankly I wish to God I never had to learn about, but did.

Fast forward to today. Down the hall from me sleeps my teenage son. My handsome, wonderful, full of love and joy, profoundly disabled, medically fragile and complex son who is at great risk if he should contract COVID-19. Brendan Bjorn would not survive this new virus. After 16 years on this very challenging journey with my son, that is something I can say with certainty. He is far too fragile to fight a virus such as COVID-19.

Decisions to make.

It was easy for me to decide to take Brendan Bjorn out of school while Ireland, and indeed the world, watch to see how this epidemic (ok, it’s a pandemic as far as I’m concerned) unfolds. What isn’t so easy is the decision to take my other son out of school during this time and to have him do his school work at home. For now, though, that is my decision. Even just last week, Declan came home from school having picked up a cold. And yes, despite my constant hand washing and cleaning and keeping my distance, I still contracted the cold from him. Then Brendan Bjorn picked it up and the poor guy just can’t even handle a cold well. He’s still not over it fully.

So, decision made. All I had to do was imagine that cold was COVID-19.

I will end this piece by talking about guilt. Yeah, you heard me right, guilt. Among other things, one lesson I learned by my years of working with CMV-affected families across the world is that so many mothers felt guilt at having contracted a virus which adversely affected their unborn baby. The fact that we all contracted CMV unknowingly didn’t matter: a mother’s guilt at not protecting her unborn child is a real and powerful thing. 

I want to say this: There will be people who unknowingly transmit COVID-19 to a vulnerable loved one despite all of their best efforts. This is unfortunately the insidious and as I say, cruel, nature of viruses. Please don’t feel guilty. Please don’t blame yourself or anyone else. Trust me when I say that feelings of guilt and blame get you nowhere in this regard. Just do your very best to protect yourself from contracting the virus and keeping your loved ones, especially those most at risk like my son is, safe and hopefully those best efforts will pay off. Know that you did everything within your power.

And it is with that thought in mind I am going to do everything within my power to protect my son Brendan Bjorn. So a note to the doctors out there who may be downplaying the virus and fears of the people: Stop it. In many regards, you haven’t a clue.

( Learn more about COVID-19 here: https://www.who.int/emergencies/diseases/novel-coronavirus-2019 )

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When the cute little child becomes a profoundly disabled adult

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Brendan Bjorn turns 16 later this year. Here in Ireland, that means many of his services will be transferred from paediatric care to adult care. Changing doctors. Changing, and even losing, services. I’ve been working the past few weeks trying to navigate the various systems to prepare for this change. It’s not going well so far. First of all, I can’t believe he’ll be 16 this year. In very straight up language, no one ever thought he’d live this long. I sure didn’t. And to be clear, there were a number of times he was close to leaving us.

Yet, here he is just down the hall from me.
My little boy who is now a young man. 

He’s the size of me now. His care has grown increasingly harder as he grows older, grows bigger, while also growing more fragile…and I grow older, too. I’m no Spring chicken at 54.

There’s another element to having a profoundly disabled child that doesn’t often get discussed. Maybe people don’t realise it. Maybe it’s taboo. But those of us who have been on this journey for this many years acknowledge it – as hard as it is to accept or even say:

Profoundly disabled adults don’t tug at the public heartstrings like the still cute, still little enough to sit in your lap profoundly disabled children do.

That’s also straight up language. It’s also true. And if you don’t agree with me, I’d challenge you to name a palliative care level charity helping profoundly disabled adults that gets the same public support as those that cater to children. There aren’t any, and as such, when becoming an adult, the family’s struggle becomes even harder.

There’s a reason I bring this up at this time and in such a blunt manner: Services for profoundly disabled adults, including teenagers like my son who are just entering the adult service world, are in even more dire need of reforms and improvements than those for the younger children. 

I learned last week that in-home nursing support was refused by HSE Primary Care for Brendan Bjorn. I am still awaiting an explanation as to why and when that decision was actually made, considering it was approximately a year ago the request was submitted yet I only got the answer last week.

Right. So I thought, private – I’ll try for some privately paid respite despite the cost of around €55 per hour. (Desperation and exhaustion lead one to such a decision). Maybe I could do a fundraiser as other families are very successfully doing for nursing care, despite me not wanting to ever do public fundraising again. (Yes, special needs families often resort to fundraisers to survive this journey)

Then the bad news: I learned yesterday that the one private nursing agency in my area which would provide in-home nursing respite for me (I had hired them once last year) is no longer providing private care in this way. They are only going with State funded contracts now. They also have a shortage of nurses, like the rest of the country.

So, no hope for in-home nursing help and/or respite. A 54 year old lone parent, full time carer with rheumatoid & osteo-arthritis and degenerative discs and there is no in-home nursing assistance. Some days I just sit here on my couch and think, this is really f*cked up. 

We in Ireland need to have a very serious look at our society.

Do we want to spend tax money on greyhound racing, or do we want disabled children waiting in pain to get the operations or special equipment they need?

Do we want to spend tax money on bailing out a disaster of a soccer organisation for the same amount that disability services just happen to be cut by, or do we want profoundly disabled adults to be able to have the humane care and appropriate services they desperately need?

Do we want politicians to be able to receive multiple, extraordinary pensions and for years longer than the public can, or do we want family carers (who save the same State €10 billion per year by caring at home for their disabled love ones) to have some help, some respite, a reprieve in care before they too are disabled, reaching retirement age with no financial security and no pension?

My cute little boy is fast becoming a young adult.

When services and supports are so lacking that you hope the years don’t turn into decades, you know that something is drastically wrong with the supports for the profoundly disabled members, and their families, of our society. 

This is one of those days and sit on my couch and think, this is really f*cked up.
And so it is.

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Trying to survive when caring 24/7 but getting zero in-home nursing assistance or respite

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The last time I got in-home nursing respite was June 2017. We lived in a different county at that time. I also received in-home nursing respite in another county. Here in County Wexford, though, it has been refused. As a full time, lone parent carer to a profoundly disabled teenager with complex medical needs who is also very fragile, having no nursing assistance, no in-home nursing respite, is nothing short of negligence by a government who professes to care for society’s vulnerable. Disability Rights and the Rights of the Child are apparently non-existent, hollow pieces of legislation in Ireland.

The profoundly disabled children and adults in Ireland – and indeed those of us who are their voices as their carers – have been swept under the rug and forgotten about…or is it, ignored? 

This cannot be allowed to continue. 

I have 2 sons. I am now in a position where I have to fight for proper services and supports for both of them as my youngest son has been referred for an OT (occupational therapy) assessment which has a wait list of over 2 years in County Wexford. OVER TWO YEARS FOR AN ASSESSMENT. This is absolutely neglecting the needs of a child with a possible disability that will impact his education, and as he’s entering secondary school this Autumn, I’ve decided to pay the €450 for a private assessment for him. I don’t have that kind of money as a full time carer relegated to existing on a fairly meager amount social welfare, but I’ll find it…somehow. I have to.

And I’ll keep fighting to change and improve the system, the supports, and even the laws if need be. For my sons – both of them – and for all of the other families in Ireland who are in this situation crying themselves to sleep at night before having to get up an hour later to do more caring.

At this point, I’m just hoping I don’t collapse before I see those goals met…trying to survive while caring 24/7 but getting zero in-home nursing assistance/respite and fighting battles on many fronts. 

 

 

Running for election? Let’s talk about the PROFOUNDLY disabled in our society

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“The true measure of any society can be found
in how it treats its most vulnerable members”

Dear politicians, candidates and political parties,

As I sit down to write this, the general election here in Ireland is only 3 weeks away. My reasons for writing this open letter to all of you is two-fold: 1) I want to share with you what PROFOUND disability means and entails, and 2) I want to ask you, in advance of the election, what you and your party will do specifically to help improve the lives of children and adults with PROFOUND disabilities, as well as their families who are usually their full time, unpaid, carers.

I’ll start with the first point: What does it mean to be PROFOUNDLY disabled? 

Generally speaking, a person is classified as profoundly intellectually disabled if their IQ is, or is estimated to be, at 20 or below. More often than not, profound intellectual disability is accompanied by physical disability or indeed multiple disabilities and/or medical conditions. Some examples of these are: vision loss, hearing loss, epilepsy, feeding and/or swallowing issues, breathing issues, cerebral palsy, orthopaedic issues, gastroenterology issues, skin breakdown concerns, being non-verbal. Mind you, that list is not fully inclusive, but it is a good starting point in describing how people with PROFOUND disability require full, complex, around the clock care – including medical care – and are unable to take care of themselves.

On to my second point: What will you and your political party do specifically to help better the lives of the profoundly disabled members of our society?

A few years ago, I got together with a few other parents of profoundly disabled children. Their children are actually adults now whereas my son is a teenager. All profoundly disabled. All of us are full time, unpaid, carers. We established an advocacy group called Profound Ireland. As election looms, I can safely say that we are all in agreement that services and supports for the profoundly disabled members of our society are sorely lacking. Much reform is needed. More services are needed. And we as carers need much more support to continue providing the intensive care required for our loved ones.

Below are just 10 points I would ask you to consider and to then please reply to me with what you and your party will do to help better our lives. I can be contacted via this blog or on Twitter at @addressinglife.

10 Questions…will you:

  • Ratify the Optional Protocol to the UN Convention on the Rights of People with
    Disabilities without delay?
  • Fully commence and provide appropriate funding of the Assisted Decision Making (Capacity) Act?
  • Increase funding for services for profoundly disabled individuals and ring fence that funding?
  • Expand respite services and set them on a statutory basis?
  • Assure equality of respite hours and services across all counties in Ireland?
  • Fund in-home nursing respite if requested by family and without the Loco Parentis restrictions?
  • Provide home care packages on a statutory basis, including an increase in financial assistance such as reduction in electricity and waste charges considering the above-average costs incurred by families with a profoundly disabled child?
  • End the post-code lottery of services being provided and assure families across Ireland will have equal access to all required services?
  • Decrease waiting times for all procedures and treatments for profoundly disabled individuals to a maximum wait 30 days?
  • Reclassify the family carer roll of a profoundly disabled loved one from social welfare into a Carer’s employment contract resulting in an income at fair market rate with salaried wage complete with payment into PRSI and pension?

 

I look forward to your replies. 

Signed, Tracy, mother and full time, unpaid carer to Brendan Bjorn (15) who has profound intellectual and multiple physical disabilities with a life-limiting condition. 

 

 

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A self-indulgent, guilt-inducing desire

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I have a desire to run away.

Not forever. Just for a week alone in a cabin in the mountains where the only thing I can see and hear is nature. No one but myself to take care of for a week. If I wanted to, I could sleep all day and stay up all night. If I wanted to, I could have a couple of glasses of wine because I wouldn’t have to be on constant high-alert for a medical emergency as I am now. I could go for a long hike or a leisurely stroll or just sit at the water’s edge and think of everything imaginable or nothing at all. I wouldn’t have the constant monotonous whirling sound of a feeding pump echoing in my ears. I wouldn’t have the sound of alarms going off in my head day and night, even when they actually aren’t. No nappies or vomit or medicines or seizures or appointments to attend or schedule. No phone. No internet. No noise. No chaos.

No caring. 

Just for a week.

Alone.

I know, it does sound odd for someone like me who is so isolated as a result of being a full time carer to want a week alone in the wilderness. Some people find their center in church. Some people find it being by the ocean. For me, it’s always been the mountains. God, how I miss the mountains. Better yet, how I need that inner-peace which I find in the mountains. 

As I type this blog piece, I know people with cancer fighting for their life as they lay in a hospital bed. I know parents whose children have had cancer treatments and other health procedures delayed because of our broken health system. I know there are people with no home; people who have recently lost a beloved family member; indeed, so many people who have it far worse than I do. And my sons, I love them with every fiber of my being so how can I dare to think of a week without either? More guilt sets in as I contemplate this desire. To you all, may you forgive me for evening thinking of this self-indulgent dream.

I write this only as one person, just one perspective of self-reflection, in my own life. Still, considering the points above, I feel guilty at writing these thoughts.

My mother died from cancer at the young age of 60. Sometimes it crosses my mind that I’m only 6 years away from that age and then my anxiety (a demon I wrestle with too often) kicks in and panic hits me that this could be it for me – this life of caring 24/7 and then I die. That’s it. This is it. No more mountain hikes or strolls along the lakeside or sleeping in or staying up late or having a glass of wine without being on-call. No more freedom or ability to enjoy so many things I previously did before becoming a carer 24/7.

No more silence in my mind or calmness in my soul…

And then, as anxiety would have it, a panic attack takes hold, as it did this morning while I thought of this self-indulgent, guilt-inducing desire of mine. 

Ironically, it’s precisely in that panic attack occurring that my psyche tells me how this desired week in the mountains is actually rooted in self-preservation and self-healing. But even so…it cannot be. Not now, anyway.

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