Page 19 - November 2021 IB FINAL
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Pacific Health                                                                          Pacific Health


        because they were both not telling us exactly what they were
        going through.
         When we brought mum to the hospital, her oxygen satura-
        tion level had dropped to 70%. It was the first time she was
        experiencing that. We were told it was well below what was
        required for a person to function normally. She had not passed
        out and was not showing any telling signs of distress.
         She was immediately put on oxygen and given medication.
        Her test results came back positive with traces of COVID-19.
        The next day, we brought in dad. He too tested positive.

         Management of mind
         We made a decision not to tell them about the COVID-19
        positive test results to manage their state of mind. Instead,
        we told them that they had chest infections that had to be
        treated in the hospital.
         We asked lots of questions about COVID-19 management.
        The two doctors present explained that they have to man-
        age multiple symptoms that can vary.  As in our mum’s and
        dad’s case, one had fever, the other didn’t. One had extreme   Over the three days after discharge, everyone who came
        shortness of breath, the other was somewhat tolerant of low   forward to help (even when we didn’t ask), had been through
        oxygen levels but still needed oxygen from time to time.   their own COVID crisis, had either lost family members or
         Our dad was discharged after two days.  Mum stayed on for   were in recovery. Each of them knew intimately well, how
        a whole week. She remained dependent on oxygen for the   taxing is to families.
        whole time.
         Both have never had to rely on oxygen or have never really   Drawing on our strengths
        suffered from severe pneumonia that required lengthy hospi-  Recovery is hard. Care is mentally taxing on the carer.
        talisation.                                           COVID-19 is not the usual kind of illness. The best way to
         By the end of the week, she was on the road to recovery.   explain it for the understanding of non-medical people is that
        All the medication had been given or prescribed. It was now a   it is a collection of symptoms which have to be treated. It
        matter of getting her discharged and managing her recovery   looks like malaria, dengue, pneumonia and asthma all in one.
        at home.                                              For some, recovery is fast. For older people, it takes longer.
                                                              The patient has to be helped to bathe and go to the toilet.
         High cost to families                              The carer has to be vigilant against secondary infections that
         When we went to the oxygen bottle supplier, BOC, we were   may come about as a result of poor care.  For older people
        confronted with the reality of high cost of COVID-19 manage-  and other severe cases, it is a delicate trade off - personal
        ment for families.   There are three parts to the oxygen rig:   dignity vs care and survival.
        1.  Oxygen bottle (We opted for a medium size bottle) – K700+  For Papua New Guinean elders, they need their children
        2.  Flow meter – K400+                              around them for support. The reason is simple, they will need
        3.  Regulator – K1500+                              to go to the toilet and to wash with the help of people they
                                                            trust.  The western style of total isolation doesn’t work for us.
         We found that the regulator, which is sold by Meddent, a   We are a spiritual people who need to stay connected to our
        medical equipment supplier in Port Moresby, is more ex-  kin who will protect their dignity.
        pensive than the oxygen bottle and that an oxygen bottle   I hate COVID-19 with a passion.  But this crisis is teaching us
        replacement is cheaper that the initial cost.       compassion, kindness, respect and patience. It is teaching us
         We were fortunate that a friend gave us a rig that had the   to reach deep into our personal reserves and find the strength
        regulator and flowmeter together and we were able to save   to support each other.
        costs.                                                There’s simply no room for negativity. Siblings can’t afford
                                                            to fight or disagree when you’re dealing with elderly parents.
         Support from family and friends                    You have to be of one mind in order to succeed.
         Within the first 24 hours, we faced another crisis.  The   We still have a long way to go. I write this in the hope that
        oxygen bottle was depleted. It was night and we didn’t know   it will assist other families who are going through the CO-
        where to get another bottle.  We didn’t know how long it   VID-19 crisis.
        would last.
         We reached out to friends and family, and they assisted.    editor@islandsbusiness.com
        One part of our extended family supplied a brand-new oxygen
        bottle.                                             Scott Waide is a Papua New Guinean journalist.

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