Categories
Health & Wellness The deep, emotional stuff

Hypertensive? Me?

High blood pressure has been a chapter of my health journey for about a year now. I thought to share my experience and learnings for anyone who’s on a wellness journey, too!

How I found out

In September 2022 I underwent a minor day surgery. I had a similar procedure done before in Germany, removal of a skin cyst. It’s 20 minutes: inject, cut, scoop, stitch.
My biker pal and surgeon of choice, Dr. Hungu suggested Nairobi Hospital for ease of billing. (My insurance kubwa in a smaller hospital would have meant reimbursement)

Now, Nairobi Hospital follows all sorts of international protocols for surgery.
I’m a bit annoyed by all the procedures (i.e. I had to fully undress, was taken to the theatre in a bed, and asked to remove my nose piercing 🫣).

My Blood Pressure was monitored for a whole hour and was between 135/90 and 145/100.
Must be the emotions, right?
Probably.
Doc suggests I buy a BP monitor for home use, just to be sure. Easy. MyDawa delivered the same day!

In the next two weeks I didn’t measure numbers below 135/88 and 145/100 on the upper end.

Indeed I was hypertensive! At 39!

I had been through triage at doctors many times but honestly had never paid attention to the BP they measured for me. Good lesson!

In October I had another surgery lined up. Something was growing in one of my ovaries. It was benign but I wanted it out and all mental energy went to preparing for this and finishing key work assignments.

My surgeon and anesthesist weren’t too worried about the BP in relation to surgery.
The numbers in the various checkups kept showing hypertension stage 1.

“But please see a specialist!”

Yes, sure. When all this is done.

I stayed in hospital for a night and someone suggested to call the hospital cardiologist as part of the ward round.
My encounter with said specialist was a disaster. After the laparoscopic surgery I was in pain. I could hardly walk as my core was still numb, my shoulder hurt like hell, my breathing was shallow, my voice hoarse from being intubated and the opioid side effects were just starting to wear off.

The cardiologist walked in with three other people who all lined up in a row in their white coats looking expectingly (I guess it was some sort of training?). I wasn’t wearing much under the back-open-hospital-gown. He asked to touch/examine my legs (not sure why).
Then gave me a prescription for Amlodipine and an appointment to see him 3 weeks after starting the meds.

😵‍💫

Needless to say I didn’t start the meds. I wasn’t heard. No questions asked.
I started crying when my gyna surgeon came to discharge me. He surely has seen hundreds of women in tears, but still. The great intention of linking me with an expert hadn’t been fruitful.

I recovered from surgery for around two weeks. Lots of time to research on blood pressure (German and English resources, medical sites and alternative sources) and interview both my parents separately for family history.

Other than a headache I hadn’t had any symptoms. But knowing that my heart is pumping my blood with high pressure around my body, for God knows how many months already, constantly affecting all blood vessels, which over years would damage potentially all organs incl my beloved brain and eyes was just crap.

I got a referral for a caring internal medicine physician from another biker doctor pal.

~~~ Diagnosis ~~~

I went to see her at her clinic at KNH. I carried the family history, my blood works for the last year and BP recordings for the month.
Dr. Jackie Kagima, although a busy clinician, took her time to review everything. She explained the body’s functioning and we discussed possible causes and scenarios (from lifestyle to medical). We talked about treatment options and while I was keen on lifestyle changes, in the end she proposed to start the meds as I was working on lifestyle. I learned a lot from that conversation and it put what I’d read online in perspective.

From the examination, she agreed that my heart is “loud”. Palpitations is the term. I always thought that everyone hears their heart beating, like I do! Apparently not. 🤯

Y’all okay never having heard your own heart beat? 😂

My thyroid results were okay. My sugar, cholesterol, and bone chemistry were great. A baseline cardiogram was neutral.

I had a diagnosis but no “medical” root cause.

Great news actually! Nothing was wrong with my body. I decided to stop searching.

And to rely on my intuition.

I just knew deep down that this was related with -1- big emotions around effort-output-ratio in various departments of my life, -2- lack of exercise since the pandemic which had also led to a few extra kgs, -3- some compulsive and anxious thought patterns, -4- not enough good sleep

In short: lifestyle changes were in order!

And I got the meds.

The tablet is tiny and easy to swallow. And the heart shape inspires one to take charge of cardiovascular health.


~~~~ Lifestyle changes ~~~~

Eating less salt wasn’t going to cut it. This is a private joke for anyone who’s ever eaten my food 😄

I immediately got the annual membership in the local Karura forest. 3-4 days a week I walked 4-7km. Soon I was able to incorporate sprints and sets of pushups! I rearranged my work schedule to find the 2 hours regularly. I got drenched during rain season, and met a fox at dusk. Friends cancelled forest dates but I still went until I knew all paths offhead.

I prioritised talking to people who would be supportive of my self-healing approach and who have high standards for their own wellness.

Mental health.
I cut down social media scrolling. I listened to many interesting podcasts. Read more books. Fiction but also nonfiction written by psychologists and therapists to gather new perspectives on my self and my relationship to myself.

Saying no to requests. Not volunteering for projects. Taking it easy when things go south. Smiling instead of getting mad/sad. More memes.

Arts, mental health meetups, breathwork, massage. Reiki, herbs, types of cooking oil. More home cooking, no more caffeine. Reducing evening carbs, cutting liquid calories. A lot of experiments.

I made fruit juices and baked oven vegetables. All my life I’ve incorporated exercise into my holidays and long weekends (cycling, hikes) now adding meditation and stretching sessions.

It helped that my close peeps are also fitness and outdoors freaks. We catch up over a walk, not a coffee.

With some friends we started a WhatsApp chat group to share our fitness and wellness updates. Determination is contagious 😀


Sleep.
I read up on REM sleep and sleeping tips.
The social media and bad news detox helped. Time in nature combined with cardio helped. Cuddles helped. But a major insight was skipping the last bottle of water before sleeping so my bladder wouldn’t wake me up. Sometimes it’s random things like this 😳

Anyways, taking meds daily for many months is interesting. They soften your blood vessels, in turn lowering the pressure. It works like charm. Within 3 days on this really low dosage, my BP was down by 10/8 points more or less.

Now my BP hovered around 120-130/83-86 which is considered upper range but not hypertensive.

(They cost around 2300 KES for a month’s supply btw. Not everyone will afford them!)

I was of course measuring regularly. Tracking apps.

Do you know I carried the machine around East Africa for 4,613kms on my motorcycle roadtrip? Wueh. 🥲


~~~ Getting off meds ~~~

Around two months after starting the meds, I stopped them. The internet is full of confusing advice on how to do this.
Anyways, it failed. My blood pressure went up again to earlier Stage 1 values after around two or three weeks.

I met another doctor, a holistic thinking GP, my biker friend Dr. Tasneem.
I was now back on the meds but my goal remained to get off them. She mentioned that even the most radical lifestyle changes can take a year to take effect.

Makes sense, right?
Your cardiovascular system has clogged up for years yet you expect it to clean itself up in four months?
I’m ambitious 😁

It’s not linear

Some days the BP goes up. Or morning is great, evening not. Then I wonder what you did “wrong” or what “right” you ommitted. Then I worry about it. Then you remember that you shouldn’t worry too much because stress is a trigger. (See the compulsive thoughts mentioned above? I set out to rewire my brain to stop them whenever I noticed them. Lots of )

What’s the right balance? Not getting too attached to immediate changes while staying attentive to the trends. Exhausting sometimes. So the meds really come in handy. Swallow, relax and forget about all this for a bit.

And I should say: When I accepted the meds as a (hopefully temporary!) partner on my journey, my spirit and emotions became lighter.

~~~ Success in unexpected places ~~~

Honestly, meds or not, I was loving the changes. I was feeling great. Fit, sexy, stronger. Very in touch with myself. Connecting with animals. Doing great work for my clients. Being creative. Having energy for things I love. Waking up refreshed.

I got back into Ashtanga Yoga, doing the full primary flow without needing breaks. If you know about Chakras and Prana/Chi/Qi, this definitely contributed. I hiked up hills and mountains.

I felt 30 again.
Well, no.
I’m just saying this to show how worth it was for me to invest time in myself and my fitness and wellness.


I saw other friends with similar intentions who weren’t able to pull through. I honestly don’t know how a wellness journey on an 8-5 job plus nasty Nairobi commute and a toddler would look like.

It feels like our environment is just not set up for wellness. If this statement rings true, I highly recommend this reading: The Myth of Normal by Gabor Mate. (In short: why “normal” isn’t necessarily “healthy” and what we can do about it as individuals and society)

Yet, I was on meds. Btw, on the lowest dosage (2.5mg Amlodipine). It’s not even on sale in that dosage in some countries!

Around my 40th birthday I decided to try something new. Every time I decide to learn a new skill without an end goal, it’s transformational.

I signed up for the gym with the sole goal of trying out weightlifting. I have no interest in indoors cardio, or being counted for or motivatingly shouted at.

I want to be able to lift my motorbike if I drop it. (It’s around 170kgs)

And I was curious if the benefits for hormones and bone health would come through for me now having entered the 4th floor as people call it.

A good friend and experienced lifter suggested a 3-day-split. A what?

It’s been fun! Learning the techniques, names for different exercises, listening to my body and distinguishing different types of sensations and pain. Oh, and actually getting stronger every single session is incredible!

Four weeks in, I got a bad cold.
After all, 50+ people were breathing heavily together in a closed space.

I lost my appetite for many days.
I only realised a week later that I forgot to take my meds.

Alarmed, I went to measure. My BP was great. I even took a photo



What?!?

I decided to dis-continue the meds.
I continued the weightlifting.

I’m still a gym newbie! But there’s something amazing about lifting 20kg weight above your head or moving 60kg with your lower back!


Apparently weight training is highly recommended for management of hypertension, diabetes, thyroid and other diseases.

Noone told me. Now you know 😜

Let’s see how it goes from here! Right now my blood pressure is normal. Who knows about next year?

Wellness clearly is not a destination but a journey.
And it’s not a straight line either. You get there through trying out things, self-observation, seeing what works, engaging professionals as thought partners, applying research to your context, combining things and building on your learnings.

And accepting that your body and your soul will throw some curveballs at you but you’re becoming amazing at catching.

I’m currently integrating everything. Strength training, mindfulness, nature. I’ve upped the carbs again to support the heavy workout and muscle building, of course healthy carbs. I still go to the forest and prioritize yoga and stretching sessions. I drink coffee with no effect on my BP.

Wherever you are in your journey, I wish you all the best!

💜

Categories
Health & Wellness Musings on this World The deep, emotional stuff

Epilepsy and 1900 KES monthly

The reason why I don’t want to have a car in Nairobi (besides the ones we all think of: jam, repairs, cops, cleaning…) is that I could miss out on what makes life. You see, Kenya is a walking nation and many real human encounters happen while walking.

After lunch I walked to the nearby mall (beautiful sun today) as just before the entrance a lady walking in front of me collapsed and had a seizure. I stopped to support her face and head. While shaking, she injured her face and tongue on the tarmac and started bleeding.

The medication she needs to control her epilepsy are 450 per week and 1900 a month. With Corona and no work, she doesn’t have that money, she told us after she recovered and sat up against a wall in the dirt. She had visited her sister to get money but in vain. As she walked home she had 3 attacks, me witnessing the third one.

During Corona, do you touch a bleeding stranger? Support her back while she sits? A few others walking nearby stopped and after initial concern helped and one lady offered to accompany her home on the same bus (another 4km walk was ahead of her). The mall security got her water to clean her face. The security chief and I went to the pharmacy and got her meds for some days days and gave her bus fare. (Why do the fancy mall pharmacies not sell generics?)

Can you believe it? She cried from exhaustion. 1900 a month and even worse, the generics are nowhere to be found currently, another lady who stopped and who previously suffered from epilepsy but recovered, explained.

I could have gotten mad at our health system failing us and her.
But I know that we need a civil society stronger than our challenges.
I got the opportunity to have a conversation with 5 previously unaware strangers about this disease and how we can support.

I remembered the saying that God has no hands but our hands.
Don’t walk past someone in need, if you can help.
Do a first aid training. And please learn and educate others about epilepsy. It’s noone’s choice, not contagious and it’s not a curse.

#epilepsy #nairobi #sisterskeeper #firstaid

Categories
Health & Wellness

Noise pollution. Are you leaving your health at the mercy of others?

Yesterday my friend and I refused to pay the fare on the bus. The driver had ignored our repeated requests to reduce the volume of the deafening music.

That threat quickly led to the desired change. The volume came down and finally we could communicate verbally with the conductor: “Will you pay our hospital bill and hearing aids when we need one?”

People were smiling. Crazy mzungus at it again.

My friend told the crowd: “Now you think the loud music is cool and I’m a crazy woman. But in ten years you’ll be deaf and remember me!” She further explained to the other passengers what influence loud music has on the human ear, especially when exposed at a young age.

I couldn’t tell whether the mothers on the bus holding infants were listening or understanding. Certainly the adolescent males on the bus laughed it off.

Awareness of issues affecting health in the general public.
It’s a similar issue with cars and bikes driving very closely behind lorries and their passengers inhaling all the unfiltered Diesel smoke for several minutes. Cows grazing and snacking on roadsite dump sites, with huge financial losses to their owners should they succumb after eating plastics.

There’s a level of helplessness here. It’s life how we know it. Yet, this is not an earthquake or flood which can only be controlled through action on a macro level. These are the actions of human beings right in front of our eyes. We HAVE influence on our environment.

Categories
Health & Wellness Musings on this World

Not Monday again! <-- is this you?

People approach me saying that they just don’t feel effective at work, drained or stressed.

This post is a collection of questions for those who want to take a first step to change something, knowing they have to take control: of their feelings and maybe even of the actual situation at work.

Sometimes it looks like everyone else is happier in life and has a more fulfilled work life. Have you ever felt that way?

It seems that social media influences the way we see our lives by drawing comparisons and building unrealistic expectations. So do look beyond the status updates of job lovers and business trip beach pictures 😉

The other thing is also that we may be the first generation that studies abroad and visits over 10 countries before we’re 30. While the world is open to us we’re also “Generation Internship” and facing threats like a massive demographic shift and global climate change. This leads to many feeling insecure and worried about life and the future.
Could this be the case for you?

I think every generation grows with the tasks presented to them.
Past generations rarely looked for meaning and fulfillment. Work was there to earn income to sustain life and if it didn’t harm your health it was a good job. This is the case for a few billion people in the world today as well. My flatmate calls a meaningful job a luxury.

Do you think that you are entitled to a happy work life?

In this post I’ve collected a few reflection tools, ideas and links on how to deal with the worries related to your work life.
I’m no expert by all means, please take this as friendly advice rather than professional.

Start by bringing your expectations to surface. My great coach recently asked me: “What did you hire your job for?” Bamm! I had to think about that.
It was also surprising to see the diverse answers even among my relatively homogeneous friends. So start by increasing clarity of what you are hiring your job for.
Honestly, take a pen and paper and write that down first: What are the roles that you want your work to play in your life?

Only read further once you’re done – then possibly extend your list. (We’ll call this wish list later on in the article).

How important is the salary for you (right now and in the future)?
What does the sector of work and/or the brand of your employer mean to you?
Are you looking for a higher meaning in your work?
If you could chose between fixed vs flexible working hours, what would you do?
Are you looking for long term predictability?
Are colleagues on your list and what do you expect from them?
etc.

With this new self-awareness analyse your current work:
On a scale from 0 to 10 how much are you looking forward to going to work on an average Monday?
(Don’t get this wrong. Work isn’t  watching football and many people won’t reach the ten)

Be spontaneous but do write down your answer as a digit. (We’ll call this ‘rating’ from now).
Then put more thought into the following two questions:

What are the things I look forward to? What’s cool about my job? (Those things that make the points over zero)

Write a full exhaustive list (even with a two!) before thinking about:
What are the things I am missing? What would make me enjoy my work life more? (Those things that are missing to a ten or at least a solid eight)

Take your time to think through this. These are your building blocks on your way to improvement!

Is leaving an option?
If you have a low rating and the work doesn’t tick many of your boxes on your wish list you may be tempted to think of leaving.

Sometimes a new job is the best solution and just takes a leap of courage. Sometimes it’s not an option for various reasons.

Remember that leaving may not solve all your challenges especially if you take ‘baggage’ to the new company (like high expectations, emotional instability, lack of communication skills, low awareness of own skills). It’s worth considering how a new start may help you leave behind baggage or whether you need to clean the house first

Explore other options available to you in the same company: a new department (sooner or later), a clearing conversation with your boss or a part-time arrangement leaving time for your own business are only some of them.

Your wish list and a critical view on the job market using networks and experts can help tremendously!

Become a stronger contributor:

If you are hired and you want to stay you need to answer the question why you were hired – into the company (possibly years ago) but also on the current role/project.
Have you ever been told? What do your colleagues and bosses value in you?  What responsibilities do you take and which skills/experience/personality are expected from you?
Try to think like your boss and write down their perspective. If you honestly don’t know, the best will be to find out from them. Unspoken expectations can cause friction.

Secondly come back to yourself and reflect on your fit on the role.
What do you think are your strengths? Are you using them in your role? Why not?
Do your colleagues and bosses know about these strengths? Why not?

Of course now you need to figure out how you can do more of the things you’re good at and more of those that you enjoy doing. Think of ways to put more of such tasks in your 40 hours a week that could make sense from your and your bosses perspective.

Also look at the list of expectations from your company to you: Are there any that you can’t fulfill? Has that brought challenges so far? How could you deal with this discrepancy in the future?

Feeling out of control?
This is a great article about focusing on doing things you can control! This will slowly help you rebuild your confidence and you will gain more control of situations in which you would previously feel tossed around.

Make a plan on how you will increase the rating by at least 1-2 points in the next 3 months.
Write down a couple of ideas, especially some bold ones (why not ask the boss-boss for mentorship over lunch if networking is on your wish list?)

Also write some solid and performance-related ideas which are easier to implement, like asking for feedback on a monthly base or making sure you speak at least x minutes in any team meeting.

Show this plan to somebody. Ask for their support and also ask them to track your progress regularly. Make sure that whatever you write in your plan is achievable and puts you more in control over your current and future work life.

But – if you’re feeling a depression creeping up, a constant fear of the future or a loss of sanity over your job please get professional help: a coach, a psychologist or a counselor. They can help you figure out how to tackle things further and whether your mental or emotional life could be at risk. A first session could be free or can be available for 40-80 Euros.

Establish clear boundaries between work and private life to empower both aspects.
Sometimes people mix up different aspects of their life, transfer emotions and end up feeling out of control and expectations spiral up. The following questions can help you establish whether other parts of your life need empowerment as well.

Do you enjoy living in your city? Would you be comfortable telling your own 20-year-old self how you spend your free time? Is your flat comfortable and gives you space (physically, emotionally and mentally)? Are your core relationships healthy or have you neglected setting boundaries with those close around you? Do you have a good balance of relaxation and challenge/adventure? Do you get enough workout, fresh air and spiritual nurturing? Do you have creative hobbies or do you mainly consume opinions or entertainment in your free time? How much do you love yourself and show yourself love?

To understand such a mix-up we can easily imagine a person who starts a new job and after a few months feels less happy and fulfilled. 
Is something wrong with the new job or is it the fact that he/she stopped cycling every day and now spends more time sitting in the car instead? You want to treat the rotten tooth and not its neighbor.

Time for action?
However your reactions to my post and your reflections may look like: Be loving and gentle to yourself. Reward your own effort and stay committed to what you are trying to achieve.

I’d like to close with a recent quote of my friend Tatenda, who as a Zimbabwean and Pan-African truly understands economic challenges and their effects on individuals and communities and who as a social entrepreneur is a role model for many African Gen Ys.
“Have a passion for your work. If your work is meaningful to you, your work life will be a joy. If you can’t be passionate about the work itself, be passionate about the reason you do it. Maybe you don’t love your job/company/career, but the money and benefits are good for your family. Be passionate in your choice to do right for your family.”

A few recommended readings:
* non-violent communication is a concept enabling you to understand how your needs and feelings relate and to learn how to be more in charge of them than the other way round.
* Seven habits of highly effective people
* About the pursuit of meaning and happiness

Looking forward to your comments!

Categories
Health & Wellness Musings on this World

London and the Need for Talking

November 2011.

This article will make some of you smile others frown. It is about returning to Western Europe, “the first world”. I lived in East Africa during the last three years. I was often asked whether I am not scared of losing my edge (IT expertise) or becoming “slow” or how I can live in “such” conditions. Obviously such questions already show the asker’s low understanding of my motivations, and their judgement and perceptions.

But even more does it give insight into the image that exists of “Africans” (I really have to put this in quotes having experienced the diversity that exists in the continent). Africans take their time, talk a lot with their neighbors and family, and are never in a rush to get something done. So far the assumption.

This post focuses on the talking bit of the African culture and the importance of togetherness. Actually this post is about the absence of the two in London… Let’s look at your typical day. Waking up in your room, no sharing needed, you deserve privacy and your salary can afford it! Electricity and water work perfectly, no reason to engage in small talk about the same with your neighbours. Your smart phone synchronizes the news and your mail, now just a quick Coffee to go in the corner shop. The shop attendant talks in Hindi with the Guy filling the shelves. “One Pound Twenty″ really doesn’t require an answer, but you sip your coffee walking to the bus stop. You “touch in” your oyster card, but the loud beep and the driver’s shaking head tells you that your ticket expired and, yeah, you can’t buy bus tickets on the bus. You decide you can walk the two stops, at the tube station you extend your weekly transport pass on the machine. At least the touch screen doesn’t look at you compassionately like the old lady when you had to get off the bus. Half an hour later your day seems to have stabilized. Nothing really exciting on the news, so you start scrolling through your mail. You are used to the pushing and polite “excuse me”s on the tube. On entering the office building, this girl greets you on the corridor, she must be new here. Work is going good, emails, reports and one team meeting.

During lunch break you head for a quick shopping tour through Sainsbury’s, these self-checkout terminals are much faster than the usual cashiers! At 5.30pm the office building’s cleaning lady looks at you with tired eyes. Finally home, you watch some soaps, ordering movies on Sky is cheap and convenient. You decide to shop for birthday presents on Amazon before you sleep…

This summary of my 3 weeks in London shows how technology facilitates life here and also the process-orientation that has taken over: People are used to fitting into the process and the process makes the world go round. If you don’t actively shape it, every day will look like the other and you will not need to talk a single word in 24 hours. Maybe I became slow… But give yourself a break, a small reason to talk and return my greeting on the corridor tomorrow!

Oh, and the first sentence that was directed at me today was the “I just wanted to tell you that I like your hairstyle” of a shop assistant. He was black.

Categories
Health & Wellness Musings on this World

Saturday morning magic in Nairobi

Sometimes I’m asked why Nairobi.

It’s these Saturday morning things: An old muslim mzee cycling by, a massai dressed in colourful blankets, a rasta sitting on the bus next to a woman with a church headscarf. A stranger taking a boy on his lap because there’s no free seat, adolescent writers telling the interviewer on radio that they write life advice books to inspire people who feel challenges to not waste their lives on drugs.
People are so expressive and human!