Tuesday, 17 April 2018

Thought Picnic: Addressing irresponsible Facebook communication

Good manners still matter
I have at times had the misfortune of learning of the death of someone known to me on social media, however, I have hoped that the closest relations of the deceased did not suffer the indifference and insensitivity of being informed through the same medium.
It is just good manners to inform the bereaved on a more personal basis rather than have them collide with a wall of grief from a public and impersonal medium. Besides, I take cognisance of my cultural affinities that suggests news of deaths must never be conveyed with bluntness to the closest relations of the deceased either in informing them or in enquiring from them.
Wisdom and sensitivity applied
I remember a conversation I had with a close uncle over a decade ago, he did not know if I was aware that a cousin of mine had passed on, he did not blurt it out, rather he made a passing reference to my cousin that would have elicited a response or a question from me. The response would have indicated I knew, the question would have suggested I was oblivious to the death and then he would with wisdom settle me down before telling me.
I am writing this blog because after the episode yesterday, it is necessary to revisit the matter because I am quite incensed and annoyed. Another uncle of mine should have known better to be smart and wise about enquiring of me from my sister without putting them in unnecessary and preventable distress.
Utterly inexcusable conduct
I appreciate social media provides such ease of communication, the ease is no license to dispense with discretion, manners, decorum, sensitivity and empathy, all of which in my view was lacking from the question asked yesterday that it is contemptible and should be excoriated in the sternest terms.
Nothing makes the act of that distant relation uncle forgivable in the slightest, it was utterly irresponsible and reprehensible conduct. I have elderly parents, I would not want to predecease them, even as I am aware of my vulnerabilities and mortality.
The excuse is not social media or Facebook, it is just plain uncouth behaviour and bad manners channelled through a medium of expression.




Monday, 16 April 2018

Please, confirm is it true that Akin Akintayo is no more ...?

Blogs of fearsome death
I am in mixed emotions about this blog because it reads almost like a blog I read exactly a week ago. He had written that if that particular blog appeared, it meant he had lost his battle to cancer, the blog he wrote a few hours before that, he told us that it was possibly the last blog he would write alive.
So, imagine the feeling I had when a few minutes ago, I received a message from my sister on Facebook to call her immediately I got the message.
Losing my cool
She had been contacted and the message which in my view was in context an incomplete sentence read, “Pls, confirm is it true that akin akintayo is no more”.
I could take issue with many things wrong with that apparent inquiry, incomplete words, the gross levity and disrespect to my person in not capitalising my names; I guess I have suffered more indignities than this in life but accord me some respect in death if I am already dead. If that was a question, I am waiting for the interrogation mark.
I am still alive and well
However, let me assure you all that I am writing this as a living person, breathing, hale and hearty, all my functions intact and hoping that I have some retention of my sense of humour to laugh at this apparent attempt at my obituary long before it is necessary.
I can offer a few suggestions for this line of enquiry.
  • Please, confirm is it true that Akin Akintayo is no more under 50?
  • Please, confirm is it true that Akin Akintayo is no more angry at this message?
  • Please, confirm is it true that Akin Akintayo is no more distressed than my sister who was more upset than I could imagine for hours, unsure of what to believe that she received as a Facebook message?

I had everyone calling and messaging me to confirm whether I was no more communicating by whatever means possible as the enquirer himself is someone I have probably not seen or spoken to in nigh on 28 years.
Again, I am here, I am well, and I hope to God I get to write another interesting blog. Don't believe the rumours and lies, the man is still being the contrarian he is, and for another day, not suffering fools gladly, no, not once.

Please, confirm is it true that Akin Akintayo is no more writing another sentence on this blog? Yes!

Thought Picnic: The private grief we've had

The private grief we've had,
As close friends passed away,
Our silent mourning souls,
Couldn't share what made us sad,
In closets, we all wept,
As kith and kin ignored,
The truth of who we were,
The secrets of our lives,
The burdens we still bore,
Of friends that mattered more.
The secrets of our grief
I wrote the poem above in a tweet just a week ago when a friend who I had just learnt had terminal cancer passed away. The realisation that I was sorrowful and yet without those with whom to share that feeling of loss just dawned on me.
It was not the first time that I had shared the demise of a friend, and within the compartmentalisation of my affairs, there are relationships that are as public as they can be and others that are private, discreet, secret and not open to scrutiny.
For those who knew every aspect of my life, to whom I have had the freedom to share my thoughts, feelings and secrets, much can be said about grief, not only of the loss but the fondness and memories that made the person significant, to others whose knowledge of my more private truths are not that obvious, you’re left second-guessing how they would react to being let into the privy of a life.
The love I lost
When I lost my lover just a few days after being discharged from the hospital, I was dealing with a major crisis in my health and other issues that got compounded with the death of a partner. The continuous badgering to get married, which could easily have been met with the great disapproval of my choices in life, meant announcing my grief, and the depth of it would not be understood.
There are many I have met in my social circle, which is varied, diverse, alternative and different that have been of some great significance in my life, friends, lovers, acquaintances, buddies of all kinds that would put the faces of polite society to full blush, we all have our kind of company and those who various kinds of fulfilment to the joy of living and the pursuit of happiness.
For them, there was always a tear, a sense of loss, the heartbroken feeling of the end, with all that is left is memories, thoughts, reminiscences and dreams. They occupy a portion of life that cannot be denied or taken away, whether or not they are acknowledged by others.
We all have our normal
Maybe, it would have been easier to lose someone that fits some norm, the fact is we all lose many that do not fit any easy norm without the need for extraneous explanation that would leave the listener more confused and open you to the negatives of disavowal, disapproval, disdain, disgust and consequent distress or disgrace, all of which is unnecessary in the scheme of things.
You can be a man and lose your boyfriend or husband, be a woman and lose your girlfriend or wife, none of which is insignificant to the heteronormative. We would not be denied the feelings we have for the living and the grief we have when they are departed, even if we are denied the opportunity to pay our last respects to them.
We are always the truth of who we are, even in the secrets of our exciting and sometimes turbulent lives, for we bear the burdens of those dear and loving friends over the times we had the pleasure and privilege of knowing them, to the truth that they did matter more than anyone else would ever know.

Saturday, 14 April 2018

ACT UP brought the focus back to the urgency for human lives

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Setting the scene
I was all emotional when I left the cinema on Monday having gone to watch a film titled 120 BPM (Beats per Minute) [French with English subtitles] that was brought to my notice by my friend.
It was a historical perspective of ACT UP Paris in the early 1990s created along the lines of the direct-action advocacy group ACT UP in the United States.
To the many of us who live with HIV or have had the amazing turn-around from full-blown AIDS, we owe the greatest depth of gratitude to the people who initiated the ideas behind starting the AIDS Coalition to Unleash Power (ACT UP) and how they carried through their advocacy until governments and Big-Pharma were responsive to the plight of all afflicted by the scourge.
At the expense of the dying
From the early discovery of that disease that began to cut a swathe through first the homosexual community, then drug users and unto haemophiliacs, the governments of Ronald Reagan, Margaret Thatcher and Francois Mitterand simply ignored the fact that people were suffering and dying from this new disease.
We saw pictures of emaciated bodies, scientists were involved in a race to understand the disease and especially in the United States mostly for personal glory and national one-upmanship rather than for those who stood to benefit the most from their research efforts. The people who were dying cut down in their prime out of institutional indifference and corporate inertia, there appeared to be no urgency towards the emergency.
I could not have felt a better sense of justice when The Nobel Prize in Physiology or Medicine 2008 honoured the French side of the research efforts and spurned the American side of the battle. Some of the people were playing with lives that were precariously at the precipice of total annihilation through AIDS.
Dragging their feet as people died
It was in the light of this discovery and understanding of the virus that pharmaceutical companies began to work on new drugs but were holding back research results and preventing the early adoption of experimental drugs that could possibly immediately health outcomes for people who already had HIV.
This is where ACT UP’s advocacy forced the question, pushed the debate and ultimately compelled governments and institutions to not only recognise the health emergency but get engaged in eradicating AIDS.
A primer on direct action advocacy
The film centred around the debating forum of ACT UP Paris with their Chatham House type of rules of engagement, the strategies for making the headlines, the resistance they faced from the authorities and pharmaceutical companies before they could no more be ignored and the real issue itself, for all the protests and advocacy, it was essentially about real human-beings, their private fears, their public rage, the loves of their lives and the loss of many who succumbed to AIDS.
More poignantly, ACT UP in its concept and activity was a model of activism that had people normally marginalised, usually persecuted, and generally ostracised decide they had had enough of being isolated and ignored by society, maybe even criminalised by the establishment to identify with a cause for which they had nothing to lose because many in their community including themselves were dying.
It was a movement of existential urgency and by that, it brought attention, engagement and radical change to the way HIV and AIDS was tackled and managed. There is no doubt that advocacy groups like ACT UP are needed today to fight for rights and freedoms that the comfortable and unafflicted enjoy. It is to those who found the courage to upset the status quo that I dedicate this, for without you, we would not be here.
If it is the only film you watch this season, it would have been worthwhile. 120 BPM (Beats per Minute) [98% on Rotten Tomatoes]

Monday, 9 April 2018

Cancer: You can’t keep winning this game at life.

Strumming the pain
It is heart-breaking and humbling to watch and he is strumming the ebbing signs of life in the departure lounge from a body wrecked even with a mind so lively and writing full of poetic movement.
I discovered on my Twitter timeline only a few days ago that a friend who had never met but was much an acquaintance was dying from terminal cancer. As I went through his timeline, he had cancelled a wish list, married his partner, signed over his house, began to receive visitors who had ignored him for years but were now seeking to see him for the last time.
The cancer commons
Cancer creates some sort of kindred spirit, in my case, I have been fortunate, I survived, but I never cease to feel as vulnerable when I learn of anyone being visited by this rotten scourge.
I immediately wrote a direct message to him expressing my deepest sympathies of learning of his situation. He had written in detail about all his feelings physical, mental and emotional, all of which I would well relate to. However, I have learnt that just because I have once had cancer does not mean I can say I know what you’re going through.
At best, I understand, maybe I can quite relate, but beyond that, each cancer experience is unique and different, from the diagnosis through the prognosis and the options you have to tackle the disease. In my case, I was given some hope, responding to treatment meant I would survive that episode else, I had just five weeks to live. In his case, it was an aggressive leukaemia or which all options had been exhausted.
He responded so graciously to my message wishing me a long healthy and happy life.
The slow goodbyes
I am the going through lots of emotions, a man so young watching his life ebb away because there is nothing he or medicine could do about it. Miracles we were taught to believe in seem to be in such short supply, they have become the substance of fable or fairy tales even if we are literally commanded to have faith.
Online, I am almost encamped in a vigil on his timeline at the sadness of this because this was one who brought love, joy, happiness and laughter to others in his prime and his strength.
His condition is at a point where what can be done is palliative, h has moved into hospice care and though he went in with his dog, he has sent his dog home with his husband because the dog can sense that things are not so good with his master and is taking on that strain too.
Reading through his blogs, I have not seen resignation or regret, but an acceptance of the inevitable and a desire to breathe his last in the arms of his beloved husband. Cancer, you can’t keep winning this game at life.


Thursday, 22 March 2018

Keeping my blood pressure normal

Will Uber help my blood pressure?
My biannual check-up came up again yesterday, and it is interesting that much as the same things happen, each episode is a story in its own right. First, I needed to ensure my hospital card and medical journal where I record significant milestones were in my pocket and for a 10:00 AM, the job of getting there had to go to Uber.
Much as I gave myself enough time, the Uber driver not only took a circulatory route to the hospital, I was again afraid that by the time I had my blood pressure taken before seeing the consultant, it would be reading at levels brought on by anxiety as in the case of my last two visits. Literally, through the ride, he was chatting on his handsfree phone as I sat beside him, not an activity that prepares you for a high rating.
In any case, I kept calm, arrived with 7 minutes to spare before my scheduled appointment and sat in the waiting area expecting to be called to take a few measurements of my height; as if that would change, my weight; which does change frequently and my blood pressure; which read within the normal scales.
The nurse who tended to me was a slightly older man who I was seeing for the first time, he had made a career transition from a driving instructor to nursing, quite unusual but interesting.
The bloody tales are good
When the consultant called me in, she who had taken over the department from the consultant who retired last year and was involved in some charity work in Myanmar, I reckoned we had not seen each other for about 18 months. When we first met, I had done my research about her, seen most of her recent seminar and conference presentations and determined how she had come about her foreign name.
In her consulting room was a quiet student doctor that I tried to involve and engage in the conversation. I am freely aggregable to having students sit in on my consultations, considering others allowed that for the expertise and treatments I now enjoy.
We started with the pleasantries before reading the runes of my bloods, the tests were done six months before, the counts good, the loads good too, then kidney, liver and cardiovascular functions looking good too. That niggling issue with Vitamin B12 and folic acid deficiency anaemia was still there, improved, but not yet the acceptable region.
All the jokes about how folic acid helps my maternal tissue along with returning to be served by the Bra Advisor at Marks and Spencer’s seemed to flow in the conversation to initial confusion and consequent laughter. We scheduled in a facility to get my full results electronically and apart from doing the blood yesterday, I also got the kit for bloods for my next appointment.
Besides that, there were questions about my love life and sex life, the former is non-existent whilst I search for someone and the latter, we all have needs.
A change of pills after 8 years is possible
During that discussion, we reviewed the situation with my HAND test which I had last year and the possibility that the drug regimen I have been on since May 2010 might have some contributory factors. New drugs also have become mainstream and there was a need to begin to consider switching to the newer drug therapies.
Whilst I have resisted the switch to generics, I was willing to review the options if provided with the information. I was given three options to research and we would select a course in three months’ time.
I was 12th in the queue at the phlebotomists’ when on going in, I was told the computers were down and that I needed to return to the clinic to get a printout of the bloods to be taken.
More to the vials and the colours
It was there that I learnt from the nurse who tended to me earlier that the colour coding on the blood vials was pertaining to the kinds of additives or reagents that were added to the blood for testing purposes.
Certain reagents clotted the blood, others thinned it, then colouration and other reactions with the blood helped in the test selection for each sample of blood taken along with the timeframe within which the blood must be tested. If you need to know, I have provided a few links for you to review. [Geeky Medics – Blood Bottles Guide] [KCH Vacuette® Selection Chart – PDF] [UHB – Clinical Microbiology Tests]
In some ways. I am surprised that I was never that curious about what those colour codings meant, I was more concerned about the number of vials being drawn to sate the thirst of the vampires’ convention.

I returned to have my blood taken, picked up my 3-month prescription and that was my appointment done until I get an email for my results and possibly a letter from my General Practitioner (GP), that is what we call family doctors here to visit for a booster injection for Vitamin B12.

Wednesday, 14 March 2018

Thought Picnic: Gentlemanly conduct still matters all the time

The setting in which we find ourselves
On the sacking of Rex Tillerson as the US Secretary of State by President Donald Trump, I can reflect on an episode in my own life just a year ago. I was into my fourth year at the same organisation, where after a stint of two years I was invited back to work on another project.
When I was leaving the first time in 2016, every manager I had worked for and there were 4 by then, one on the verge of leaving the firm had the courtesy to meet with or call me, even from South Africa to thank me for the work I had done.
When I was invited back, I acquired other managers, intermediary and direct who I worked well with until a reorganisation led to my having a new manager instituted over me. For some reason or another, apart from the introductions, we never got on to a smooth start.
It was not working for me at all
For the six months that I worked for him, he did not appear to have any confidence in any I did, I was constantly asked if I knew what I was doing rather than being given the support, encouragement and backing to do the sometimes critical jobs I needed to do.
On many occasions, I was not accorded the formality or structure of understanding the direction in which he wanted to lead the team, rather, my roles, responsibilities and work activity were changed without notice, without communication and frequently learnt about through third parties.
My workplace in the space of half a year became a place of disillusionment and unhappiness as every attempt to engage my manager yielded no appreciable result. Then, one Thursday morning, it came to a head where after undercutting my influence in a change that was primarily under my control, I had literally been reduced from designing systems to shifting boxes.
In the 29th year of my working in IT in various levels of expertise and reporting to middle and top-tier personnel, the conversation in conference came down to macho talk as to whether I was going to do what I had been instructed to do or not. That for me was the very last straw that broke the back of the camel burdened with indignity and disrespect. I handed in my phone and badge and walked out of that job. I was done.
I handed in a formal notice the next day explaining the reasons for my leaving and received no acknowledgement nor compliment, I had become a nobody to him.
Maybe some of us are too old-fashioned for modernity
There are many things I have encountered in my working life and what least impresses me of everything kind of attitude is the occasional lack of courtesy and disrespect that some people in management seem to have a natural expression of their personality that they have apparently never learnt is bad or just think is normal.
As someone brought up in a somewhat old-fashioned style of comportment, decorum and formality, in address, dress, communication and interaction, it does affect me, if those graces are absent.
It is such a grace that was absent from the way in which Donald Trump dispensed of Rex Tillerson by the deployment of a tweet. Rex Tillerson was once the head of the world’s largest publicly traded oil company.
Gentlemanly conduct still matters all the time
The very least Donald Trump should have done if he ever were a gentleman, which in my mind he never was despite the money he has, the kitschy possessions, the company he keeps and the way he presents, should have been to meet Rex Tillerson face-to-face and inform him of his intention to fire him.
To have done that with a tweet is utterly discourteous and disrespectful to Rex Tillerson, but it says much more about Donald Trump, he is crude, he is not cultured, badly brought and definitely not a gentleman.
You do not sack one of most senior members of your team without meeting them and having a chat to them, but it is sad that these basic elements of courtesy are disappearing from our communication, we are deserting the cultured for the uncouth and accepting that development as the norm. I can’t, I won’t and where such persists, I would neither tolerate nor accept it.
When a man decides I am nobody’s boy
It spoke volumes that when Rex Tillerson gave a final public address to his department, he never once mentioned Donald Trump nor thanked him for the privilege of being asked to serve his country and many noticed.
Rex Tillerson did not need to be the US Secretary of State, he was not being promoted beyond his capabilities that he needed to have fealty and obeisance in deep gratitude to Donald Trump, he was his own man, not a yes man.
There is no doubt that Donald Trump is attracted to two kinds of people working for him, those given positions they are neither competent nor capable of that they just step in not believing their luck for opportunities they never earned and that comes with serious issues, the others are stars and the successful in their professions that he taps in order to be able to brag that he can get the best people to work for him.
These stars or trophies owe Donald Trump nothing and eventually, there would be friction when whatever they do does not feed The Donald’s ego or when disagreement on issues gets taken personally for a president so insecure and constantly found defending himself caught in the warp of an impostor syndrome.
Sometimes, you have to jump first
It could be said that the smarter person would never consider the idea of working for a garrulous, truculent and immature person like Donald Trump, but sometimes a greater call is made of you and you almost begin to believe that you can contribute, for Rex Tillerson, he probably should have walked away a while ago, jumped before he was pushed.
I had that inkling too, for all that I had already done, it was very likely I would have been pushed when my contract came up for renewal in a few months then, I decided, rather than suffer that indignity, I would jump at my own choosing and it was the right decision.