Vigilance demanded

News blues…

President Ramaphosa’s update to the nation on South Africa’s Covid status: (38:00 mins)
Key takeaways:
More than 1 million infected and more than 27,000 dead, a rate of 50,000 new infections since Christmas Eve; new cases dire in KZN, Western Cape, Gauteng, and Eastern Cape
New variant – 501.V2 - is well established in SA and it appears to be more contagious than first wave; it’s also fueled by super spreader events -
We’re all paying price for the lack of vigilance people displayed during the holidays: not masking, not sanitizing, not maintaining social distance, and hosting/attending public events that increase the risk of transmission
Alcohol contributes to risky behavior; also drives up trauma cases in hospitals; fewer restrictions on alcohol creates increased trauma cases in hospitals and puts unnecessary strain on hospitals already full; health care workers exhausted - and more than 41,000 health workers infected
A doctor wrote a letter stating: “We’re all going to pay for your inability to be responsible with our lives”
NCCC recommends Lockdown level 3, from midnight, to:

• Minimize risk of super spreader events
• Limit activities of infected persons showing no symptoms; decrease unsafe interactions; increase implementation of social distancing, wearing masks, sanitizing, and regular symptom checking
• Redirect scarce resources
• This includes all indoor and outdoor gatherings are prohibited for 14 days from midnight
• Funerals cannot be attended by more than 50 people
• Businesses must determine social distancing guidelines and limits
• Curfew: extended form 9 pm to 6am, nobody allowed outside during curfew except for medical, security, and essential workers
• Most businesses must be closed by 8pm
• Everyone must wear a cloth mask over nose and mouth in public. Adjusted level 3 makes every individual legally responsible for wearing a mask in public – compulsory for everyone and failure to do so will be considered an offence that could lead to arrest, fine and/or prosecution with up to 6 months in jail.
• Sale of alcohol: this industry is important but out priority is to save lives and protect health care system: every medical related item and person is needed to save lives so alcohol sale is prohibited except for some exceptions. This will be reviewed in next few weeks if there’s a sustained decline in alcohol-related incidents.
• Businesses may operate as long as health protocol are adhered to, except for alcohol related business.

Restrictions are in effect until January 15, 2021 when they will be reevaluated on the basis of state of pandemic
Hotspots subject to additional restrictions:

• Eastern Cape and Garden Route
• KZN: Durban,
• West Rand and Joburg
• Western Cape and Karoo
• North West
• Limpopo
• Beaches, dams, lakes, pools, closed to the public
• Parks: some open
• Minimize travel within districts and minimal social contact.

Vaccine update:
SA is part of global access – COVAX – with ZAR 283 million contribution already made. SA will be among first group of African countries to get vaccine, probably in the second quarter of 2021;
Need to build partnership between govt and business to augment resources to achieve herd immunity
Public must observe highest degree of vigilance and protect others
Avoid 3Cs: closed spaced, crowded area, contact with others

Play your part to defeat this pandemic
Instead of parties at new year, spend time with close family – no fireworks but light a candle for those who have lost their lives and the sacrifices made by all.

Meanwhile, back at the ranch…

Late this afternoon I learned my mother, residing (unhappily) in the Care Center, had “fallen in the passageway.” This, after I’d visited her earlier in the day and found her fuzzy, confused, and focused on my brother, his well-being, his location, and his absence.
I drove to the Care Center to pick up the dog and arrived just as the ambulance was pulling out of the parking lot. I flagged it down and was able to talk, briefly, at my mom (she was in no shape to talk to me). I told her I would relate events to my brother and ask him get in touch with her… and that I was taking Jessica back to the house.
Due to surging Covid infections, the ambulance EMTs didn’t know if there would be a bed for her at local hospital - or where they’d take her if there was no bed.
I had to trust that they knew what they were doing.
I picked up Jessica’s food – the dog was freaked out – and talked to the Sister on duty. Apparently, mom – foggy as she was – got up, did not ring for assistance and used her walker to head down the passageway (to the bathroom?). She moved aside in the passageway to accommodate another resident and fell. Her leg was clearly damaged as it was at an unnatural angel.
We got Jessica in the car and I drove home.
Jessica looked very uncertain after she arrived. The other dogs were cautious and one, an officious beast at the best of times, looked ready to attack. That’s all I need: dog fights, dog emergency care at the vet, more dog hassles….
Last night, at 9pm, the hospital-based surgeon, phoned. My mother, he said, has what looks like a broken hip. Then he asked, “Is she usually this confused?”
I explained the events of the last week, mentioned that her regular doctor had taken her off her chronic blood thinner meds just last week in case of a fall.
The surgeon said he had no information at all on my mother’s medical history. Nothing in the way of background had accompanied her admission. All he had received was, "Elderly woman, fell, hurt her leg and may have hit her head."
In other words, the Care Center had sent her off without documentation. I know documentation exists as I’d filled out pages of forms on her medical history forms when my mom was admitted to the Center. Yet she had nothing to guide her medical care at the hospital. Moreover, shock and confusion meant she could provide nothing meaningful.
Covid mandates that no one can visit patients. So, my mother, scared, confused, has a broken hip that requires surgery that she cannot undergo until the surgeon contacts her GP to learn more about her medical history. She also requires a Covid test before she can be fully admitted to the hospital. And she’ll require another Covid test before she can be discharged back the Care Center.
After talking to the surgeon, I phoned the Care Center to request an appointment with the matron. Alas, the matron is “on leave and won’t be back until next week.”
“Well, who is in charge now?”
“Sister Liz.”
“No, I need to talk to someone with higher status than Sister Liz.”
Turns out no one is available.
I gave my email address and asked that a Trustee contact me.
Sending my mother off to hospital with no safeguarding documentation is a dereliction of care.
Emergency surgery on someone just recently off blood thinners could be fatal.
Over the past few weeks, I’ve let some things slide at the Care Center. For example, my mother was able to take too many pills last week - after the Center had said their care givers would dispense her pills to her.
True, my mother is stubborn, stuck in her ways, imperious, and sometimes quite unpleasant (I’ve been on beneficiary many times). But, Care Center personnel’s failure to provide minimal vigilance cannot be overlooked.