Cupping a booster at Pfizer 4 : 1 Moderna

Seeking jabs here and there

A few weeks ago, I received a message on my mobile phone that I was eligible for a further COVID-19 vaccination for the autumn, or a booster as one might call them. At first, I looked for the option of a walk-in clinic, but the walk-ins were quite more than a walk away, and none were in the centre of town.

When I took my first vaccination in February 2021 the vaccination centre was just under 2 kilometres away, it was where I returned to in May 2021 for the second shot, both the Pfizer/BioNTech Comirnaty vaccine. Later in the year, in November 2021, I got a booster which was the same, way beside the Manchester City Football Club in an array of temporary Portakabin structures and that was an Uber cab ride to and fro in the brisk winter cold.

Booted from a booster venue

I was alerted to a second booster from April this year and even though I was able to book an appointment, there wasn’t enough information provided, so I eventually found I was ineligible after a rather uncomfortable exchange with a doctor and medical supervisor at the vaccination venue nearby beside the public library at St Peter’s Square.

Whilst I was away in South Africa in July, I received a text message indicating my eligibility for a spring/summer COVID-19 vaccine which I scheduled for early August back at the venue where I was rejected a few months before. I received the Moderna Spikevax booster, then two weeks later I had the Monkeypox vaccine and in September, I took the annual flu jab.

Another booster in the arm

A few days ago, I decided to book an appointment rather than use the walk-in option and the nearby vaccination centre was on the list that I scheduled for this afternoon. I was met at the entrance by security and ushered into the vaccination centre where a doctor had a number of questions about how I was feeling about my allergies and the options for a vaccine.

Having answered her questions satisfactorily, I registered for the vaccine and even had to indicate what arm I wanted to be injected in. I then sat in a musical chairs queue with 2 people in front of me, none wearing facemasks even though we were advised to wear a face covering and I was wearing one.

Soon, it was my turn, for the cold we were all bulked up, I have to take my shirt off to reveal my upper arm as rolling up my long sleeve would not suffice. I was given the new modified Pfizer/BioNTech ‘bivalent’ Covid vaccine that targets both the Original strain of SARS-CoV-2 and the Omicron BA.4 and BA.5 sub-variants.

Yes, the protests remain

The usual after-jab protocols of sitting in the waiting room for 15 minutes of supervision had been dispensed with and there was no need to hold off travel for 2 weeks to allow the effects of the new jab to take hold. If anything, no new side effects are expected apart from redness on black skin and maybe some feverishness or joint pain.

Stepping out and back around to the front of the central library beyond the tram rails was an array of posters and placards, everything about COVID-19 vaccines harming and killing children. I think there has been enough study and research on the effects of vaccines on children that the dosages have been adjusted to reduce or eliminate sensationalist propaganda and conspiracy theories. We however live in a free society with a right to protest whatever causes we espouse.

In my case, I just need to drink lots of water and take rest, the information about my vaccination should appear on the NHS app in 48 hours. I am grateful for the public health activities that have helped me avoid contracting the Coronavirus and as someone generally in the vulnerable cohort, I follow all the medical advice I am given about protection and prevention.

It is now Pfizer 4, Moderna 1, we might be on these boosters for a while for health and maybe more for corporate profits, that’s just the way things are.

Congratulations on 19 years of blogging

When writing brings freedom and joy

It is amazing how when we look back and realise how fast time moves, you can notice this in the growth of other people’s children but in this case, it is about Akin Akintayo celebrating 19 years of blogging.

My introduction to these blogs only started a few years ago and ever since I have been captivated, inspired, and encouraged by his blogs. Akin has an amazing way of storytelling regarding various topics.

Meeting Akin for the first time in South Africa was a scary experience for me – I introduced myself to him and all I said was ‘Hello’ and from that moment we started a conversation and during this occasion, I could tell that this man has a certain greatness about him, and just listening to his story I was fascinated wanting to know so much more about him.

As time would have it, Akin and I developed a friendship, and we made plans for more to happen and true to his word, we have met up on several occasions and with each rendezvous always something so much more to learn about him and discover interesting facts and opinions about the man.

Then came the introduction to his blog profile. Wow! there was so much information and topics of great interest, at that moment I remember being inspired to try my hand at publishing blogs, I still try to write but nothing as articulate and clear as how Akin does it.

Akin can write about anything, inspired even by one single word he has an amazing gift to build up a blog of interest, at times funny, at other times very deep and serious but all in all, Akin has a gift.

All who follow Akin’s blogs will agree with me that we now await the publication of his book. When reading many of the blogs one does realise that all the material is there for what I think would make for a bestseller.

On this day 19 years ago, Akin set out to share with us all his experiences and his thoughts regarding so many issues in the form of blogging.

Today, I want to thank him for being constant in his blogging and thank him for the man that he is – Smart and Intelligent, Motivating and showing so much courage through all that he has experienced and all that he does and for many more years to come, continue to bring us more insight that enlightens and encourages us to be better.

Congratulations and may you never tire in sharing your great work with us all.

Postscript

It has now become a tradition for Brian to write the anniversary blogs for which I am very grateful. In fact, this time, he promised to deliver his copy 48 hours ahead of schedule and since time is a concept of amazing intrigue in Zimbabwe, he did excel himself and somehow, I found his blog in my inbox this morning.

19 years of blogging, sometimes prolific and at other times lazy may not be a measure of anything apart from it being a kind of consistency at a leisurely pursuit. The promise of my book is in the works as I am collecting thoughts in writings and speech-to-text dictations, I am not sure of how it would come together.

Brian sporadically blogs at Brian’s Point of View and can be followed on Twitter at Brian07j.

Something like death by interview

For I could not talk

Looking back at a career of over 34 years, I find that I have faced the full spectrum of interview experiences from being totally tongue-tied in a brain fog of stuttering stupidity that I have to apologise for wasting the interviewer’s time through impressing the quality and depth of my expertise, sometimes even being promoted to a more senior role during the interview, to being engaged just by reputation.

Today, I was caught at the wrong end of the situation, and it was not for the want of the interviewer trying his best to help me along. Then again, the interview technique is probably more an art than a science, there is no assured way of determining whether talent and fit can be deduced from a list of set questions. Each personality and way of expression is different.

Between how you do things and talking about what you have done before, you may be able to assess knowledge and experience, but if the interviewee loses confidence, there is no comeback for the interviewee to redress the situation, you are left crying over a dam of spilt milk.

Crippled by immobility

Early this afternoon, I attended one such interview that on the surface I should have aced as much of what was asked for should have been answered by remembering things that have acquired muscle memory in use, yet, I was a bumbling babbling mess, it could not wait for the whole ordeal to end.

Going over the questions in my mind, later on, the elements began to take form in the things I have done, the other things I know, the community support mechanisms available from where I have learnt much more to stand out, came to the fore, but that battle had been lost because it goes without saying that more articulate and probably better-prepared interviewees would go forward for consideration.

Losing the touch

For most of my last few jobs, I doubt I have had the requisite interview practice, many have been discussions on how I could bring my wealth of experience to the table, and others have been referrals from people who I have worked with in the past inviting me to new projects, another, just reading my profile on LinkedIn was enough to convince them they had the right man. Even I was shocked at the speed at which we went from introduction to can you start tomorrow?

Basically, I am not of the disposition of an elevator pinch proponent that in 5 minutes would win a deal, and neither would I affect to traipse the confines of a Dragon’s Den or Shark Tank programme to persuade investors to invest in a venture. I am not that sort of person.

In a number of instances, I have been asked to give a broad presentation on one of a number of topics, like one to be shown to someone in the C-suite, and then questions follow afterwards. I seem to be much better at that, but it is rarely an adopted interview technique.

Remember who you are

Essentially, I am quite introverted though could be forceful in giving direction for technical solutions, I could concede that I am hardly the best interview candidate, I might feature in the worst decile. I find some solace in this saying often credited to Albert Einstein, “Everybody is a genius. But if you judge a fish by its ability to climb a tree, it will live its whole life believing that it is stupid.”

I am a fish, I belong in the water where my gills help me acquire life-sustaining oxygen, I was a fish out of water earlier and it was death by interview, no other words could say it better.

Thought Picnic: Gathering my thoughts from despair

The darkest night and clouds

To think of the many things, I want to sigh about in consideration of events and issues that have not been as favourable as one would have wanted. The times my mind wanders into tunnels that scream despair and desolation to the hearing that I refuse to heed.

There are words that seek to speak from my lips that restraint would tell should not be spoken, looming hopelessness trying hard to envelop hope and expectation as you walk through the darkest times into the light ahead.

The toll is heavy on health and well-being, you become a recluse of all kinds of expression even as the walls that seem to close upon you are held away from collapsing on your helpless frame by forces within and beyond that grow with the intensity of a volcanic eruption blowing apart the concealment of ineffectuality, I will thrive beyond my wildest dreams even if now all you are clawing at is the will to survive.

Strengthened beyond description

Life is a force that defies explanation and the will to live and live well is more than a burning desire that gives strength to see beyond the present struggles. When all is said and done, you are a warrior that goes down fighting for what we have resolved to do change the soldier’s narrative as victory is won more by making the enemy die for their country much as the heroics of dying for one’s country might eventually be celebrated.

When I feel that I am alone in the battle that I face, what I do not see with my naked eyes is the multitude of angels arrayed in battle on my side, I am growing in confidence that in this experience of what life is, I am on the winning side. Goodness and mercy follow me, all the days of my life. [BibleGateway - 2 Kings 6:17-20 (NIV) Psalm 23:6a (NKJV).

World AIDS Day 2022

Beyond a fateful diagnosis

This is my 20^th World AIDS Day since my HIV positive diagnosis and I cannot tell for how long I might have contracted the virus before it was confirmed after a very developed and stringent testing regime, what matters is with a medical verification of my status, certain things needed to change.

I guess what changed the most in my life was my outlook between the idea that I might not have much time left to doing everything possible to enjoy whatever time I am fortunate to have to tell a better story beyond diagnosis.

Yet, living with HIV brought both adventure and the mundane, the mundane as in as the virus ravaged my body, I ignored what the consequences might be as year after year others noticed my apparently failing health.

The onset of AIDS

It was in the 7^th year of my diagnosis that things took a turn for the worse, early in year, much as I was in my professional peak, a dark brownish stain appeared under my left sole, something I dismissed as athlete’s foot and on inspection by a doctor in Spain, never came to much of a comment. Yet, I was conscious enough to want to hide expanding dark mark when I was reclining in a deck chair by the pool, because someone did come to ask about it.

By Spring, my energy levels were down, I spent Easter in Geneva with my best friend after which I was back on the job market. Then by mid-Summer I had a bout of shingles that came and went in 2 weeks with the blessing of no post-hepatic neuralgia, though my foot was now becoming a problem.

What was manifesting in August was a painful sore that I could not walk without my foot being heavily bandaged and no amount of painkillers could assuage the pain, I tested the limits of my ability to endure pain. I had developed full-blown AIDS presenting as Kaposi’s sarcoma, a virulent skin cancer and it was screaming on my left foot.

The legacy of the early sufferers

My gratitude and good fortune for the sadness and the celebration of World AIDS Day comes from the fact that many young men perished because of AIDS and the lack of help to treat the diseases that came as a result of contracting the Human Immunodeficiency Virus (HIV), many also had the painful lesions of Kaposi’s sarcoma leading to fully emaciated and painful deaths.

When I went into hospital delirious in pain after my doctor in the Netherlands instituted emergency measures to get me seen by specialists because on the first sight of my foot, she said, “This looks serious, I need to refer you.” The professor who came down to see me immediately said, “We have a bed for you upstairs.”

I was at the point where advancements in HIV medicine gave the consultant the confidence that medicine did not have a decade before, because he said, “We can treat this, but it depends on how you can take the treatment.” The prognosis was I would be fine if I could tolerate the treatment, or I will be gone in 5 weeks if I could not.

Indeed, my survival comes down to the many whose treatments that variously failed but redounded to the body of knowledge and expertise that grew over decades, I am one of the fortunate ones who came back from the looking death in the face to live and thrive. It always gives me pleasure to interact with medical students when they attend my biannual consultations, because I hope that in some small way, I inspire them about the power and miracle of progressive medicine that can treat diseases that were once untreatable.

On celebrating World AIDS Day

This is what World AIDS Day means to me, the need to know your status and embrace the result with promptly accessing medical options available. In 2002, you were not immediately put on antiretrovirals, even in 2005, they were thinking of treating a Vitamin B deficiency rather than the virus.

World AIDS Day is about everyone affected and infected, privately or publicly, silently or in advocacy, proudly or stigmatised, we need to come out and bring an end to the scourge of HIV whilst making the very efficacious treatments freely available to everyone touched by HIV. I am also grateful to the health services in The Netherlands and the UK, the consultants, doctors, nurses and personnel who have devoted time and resources to seeing the end of HIV.

And where would I be without the support of friends, family, neighbours, lovers, and the wider community that blessed me with their humanity and generosity, to them all, I owe a debt of unstinting gratitude. I am blessed.

Here’s to World AIDS Day 2022 because there is still much to be done and I hope that when the work is complete, it would be celebrated in memory of the many who sacrificed life and being to bring an end to HIV and AIDS.

A catchup on the check-up

As things seem to be

Five weeks later than schedule, I was back in hospital for my biannual check-up which follows the usual routine of reviewing the results from tests conducted on my last visit, how I am both medically and mentally, along with other issues that might come up.

In these straitened times that even I in all my denial of reality sometimes suggests does not affect me, there is a sense of dissatisfaction in the state of affairs, a sad feeling of betrayal of confidences and trust that gave the impression of prospect where there was none, then with quite limited resources to hand, one is constrained in agency and autonomy.

It goes without saying that all these has its effects to either a greater or lesser degree on one’s health. Yet we soldier on believing that the travails of the present are temporary and would pass into the annals of recount and raconteuring with a wistful acknowledgement of how trying times have blessed us with an appreciation of the better things that have followed.

Something quite unexpected

In the review of the last battery of tests, I was unaware of an indicative test that had been conducted as neither my general practitioner (GP) nor I were informed of the result. My understanding was the test was rarely done and only annually, if necessary. However, on the consultant’s screen, I could see a third is the depreciation of an indicator that signalled my ability to fight infection with no clear reason as to why that might have happened.

It is a matter of concern, but one will have to wait for the results of tests conducted on fluids taken earlier today to determine if that was a mistake, an aberration, or a trend. With the new computer records system, you are notified of the result as soon as it is known.

Those hardworking kidneys

Beyond that, I wanted some close attention paid to my kidney function tests as the antiretroviral formulary I am on has been administered for over 12 and a half years. One of the components in the combination therapy can cause kidney impairment and I wanted that aspect monitored. However, looking at the trends in my kidney function tests over the last 4 years suggested I did not have anything to worry about.

The discussion nevertheless allows the consultant to pay a bit more heed to the indicators apart from being acquainted with the fact that I quite knowledgeable about my condition, the therapies, and developments in HIV medicine with the view to obtaining the best outcomes for my health and wellbeing.

Drink lots of aqua

Having had 3 instances where drawing blood was an ordeal, my cousin had given me some advice some months ago, so, from the moment I woke up, I was drinking lots of water, something Brian noted as unusual for me. By the time I was at the hospital this morning, I had drunk over a litre of water.

When I went to see the phlebotomist, my veins were in the Christmas spirit as for how my blood filled the vials, we could intone, “Let it flow, let it flow, let it flow.”, and soon, 7 vials were filled without the need for another prick in my arm.

Everything is electronic now, things are called up on computer and there were no forms for new appointments or prescriptions, you just had to give your name and date of birth along with some other personal information to get things done. The days was slow and tiring, in general, I felt good. I will just wait for the results for comparison and the next meet-up is in 6 months, I guess.

Thought Picnic: For the wind that blows

Amongst uncertainty

The legendary Bob Dylan song asks, “How many roads must a man walk down, Before you call him a man?” I guess that is a question that comes to mind at certain times, even so, uncertain times of difficulty and adversity.

Then I think of the many roads I have walked down for which my manliness has been met with doubt, many that have left me wondering about how each day comes and goes with the battle against helplessness, abandonment, and incapacity, whilst striving to exhibit agency and autonomy.

There is a pressing of issues that demand attention towards which for now there is little resource to meet, yet one is persuaded that the momentary unpleasantness will give way to the better of life and expectation.

In the wind

Hardships that visit to lay markers down in the stories we get to tell, each time we pray we are not exhausted by prevailing circumstances much as we are comforted by the encouragement and support of those who hold us dear.

It belies one’s fragility that the outward appearances of stoicism are just that, there is much strength and there is weakness, good fortune, favour, and blessing are the buoys of hope that carry us along that we do not sink into despair or despondency. Sometimes, you wish for just a miracle and then even the normal course of events are miracles in and of themselves.

The answer is blowing in the wind, I guess to feel that realisation, you need to be out where the wind is blowing and not have your hat blown off.