COVID-19 Pandemic 2021 Part 9
Over the last year, the UK government has mishandled many aspects of the COVID-19 Pandemic. However, the ongoing national vaccination program is not one of them. Taking the initiative while the major pharmaceutical companies were still developing their vaccines, the UK government has ordered 407 million doses from multiple manufacturers. The aim is to vaccinate everyone aged 18 or over in the UK with one dose by the end of July. This does not include children until further research is carried out regarding safety. At present the Covid vaccine is not compulsory. Two vaccines, developed by Pfizer-BioNTech and Oxford-AstraZeneca, are currently being used in the UK. A third, from Moderna, has also been approved. All three have proven to be effective at preventing people from becoming seriously ill and dying from Covid-19. The Oxford vaccine offers protection against the “Kent” variant currently dominant in the UK. Early research suggests that the other brands do the same.
Over the last year, the UK government has mishandled many aspects of the COVID-19 Pandemic. However, the ongoing national vaccination program is not one of them. Taking the initiative while the major pharmaceutical companies were still developing their vaccines, the UK government has ordered 407 million doses from multiple manufacturers. The aim is to vaccinate everyone aged 18 or over in the UK with one dose by the end of July. This does not include children until further research is carried out regarding safety. At present the Covid vaccine is not compulsory. Two vaccines, developed by Pfizer-BioNTech and Oxford-AstraZeneca, are currently being used in the UK. A third, from Moderna, has also been approved. All three have proven to be effective at preventing people from becoming seriously ill and dying from Covid-19. The Oxford vaccine offers protection against the “Kent” variant currently dominant in the UK. Early research suggests that the other brands do the same.
As of Thursday, 25th February 2021, 19,177,555 people in the UK have had their first dose of the vaccine. 736,037 have received their second. Studies in England and Scotland have found that within weeks of getting a first dose, the risk of being admitted to hospital falls by at least 75% for the over 80s. There is further evidence that vaccines can reduce the spread of the virus too. Health workers who were vaccinated with one dose reduced their risk of catching the infection by 70%, another study found. It should be noted that the approved vaccines require two doses to provide the best protection against the virus. To ensure a prompt roll-out, the UK's chief medical officers have suggested a 12 week gap between doses. This approach is now supported by the WHO which says giving two doses 8 to 12 weeks apart increases the Oxford vaccine's effectiveness and provides greater protection.
The reason I’ve taken such an interest in this matter is because on Tuesday, 23rd February, I received my first dose of the Pfizer-BioNTech vaccine. Because I am a carer to my disabled Mother, I received a text message from my local Doctor’s Surgery inviting me to book an appointment at my local Hospital. The clinic that has been set up there runs into the evening so I arranged an appointment for 6:50 PM. The entire process was very efficiently handled, with orderly queues, prompt handling of paperwork (you have to sign a consent form) and experienced Nurses handling the vaccination. After receiving the first dose you are required to sit and wait for 15 minutes to ensure you don’t have an adverse reaction. The entire process lasted no more than 45 minutes. The Hospital was also only thirty minutes walk from my home. I received a certificate the size of a business card that states the date and batch number of my first vaccination. It will be updated when I receive my second dose.
Because of my personal circumstances, I know of several people who have died of COVID-19. Before my Mother became immobile, I used to take her once a week to her hair salon. Many of the customers are of a senior age group and I found out recently that a couple known to my Mother died just before Christmas due to the virus. My Son works for Transport For London and due to the nature of the industry, many of his colleagues have caught COVID-19 and some have sadly died as a result. So for my family, this pandemic is not something that just seems to happen to other people. I was ill will COVID-19 last April and it was a thoroughly unpleasant experience. Hence the vaccine rollout throughout the UK is significant to myself and my family. Mrs P, my Mother and Sister are all in high risk categories due to underlying health conditions. Fortunately, to date, all have now had their first vaccinations. This has afforded us a great sense of relief and done much for our respective mental wellbeing.
Although the UK vaccination rollout is currently proceeding well, it must not be seen as a “get out of jail card” and an immediate solution to the pandemic. It is important to keep the existing protocols in place to keep infection rates low and prevent further spread of the virus, while the public is being immunised. It is also concerning that certain sections of the public are ambivalent about having the vaccine. As the grandson of a General Practitioner, I support science and am confident in the scientific method. But it is crass to be dismissive of other people’s fears and concerns. I hope that progress can be made to convince people to take the vaccine or else I fear that COVID-19 will linger as an illness of the poor and minorities. Something that will only create further division and unrest in the UK. In the meantime, I look forward to receiving my second vaccination and am cautiously optimistic that restrictions may be reduced by late Summer.
I last wrote about the pandemic in February. Six months on the lockdown and most major restrictions have now been rescinded and life is returning to normal. COVID-19 cases are still occurring with many still requiring hospitalisation. The question of whether they’ll be another wave in Winter still remains, although the government has announced a programme of booster vaccinations. At the time of writing the United Kingdom has currently administered 91.2 million doses of the various vaccines. 43 million people are now fully vaccinated which is 64.6% of the population. The current focus is upon the 16 to 24 age group and there are currently plans and ongoing consultation to extend the vaccinations to school age children. All of which is happening against a background where the pandemic is slowly being pushed out of the news agenda. The UK government is certainly keen to move on and a substantial percentage of the public no longer wish to be constrained by COVID-19 protocols.
Over the last year, the UK government has mishandled many aspects of the COVID-19 Pandemic. However, the ongoing national vaccination program is not one of them. Taking the initiative while the major pharmaceutical companies were still developing their vaccines, the UK government has ordered 407 million doses from multiple manufacturers. The aim is to vaccinate everyone aged 18 or over in the UK with one dose by the end of July. This does not include children until further research is carried out regarding safety. At present the Covid vaccine is not compulsory. Two vaccines, developed by Pfizer-BioNTech and Oxford-AstraZeneca, are currently being used in the UK. A third, from Moderna, has also been approved. All three have proven to be effective at preventing people from becoming seriously ill and dying from Covid-19. The Oxford vaccine offers protection against the “Kent” variant currently dominant in the UK. Early research suggests that the other brands do the same.
It is now ten months since The World Health organization declared a global pandemic. The UK is now enduring its third lockdown. The only difference this time is that we are now facing several new strains of COVID-19 and the public is divided over the restrictions. The Government has consistently failed over the last year to take any meaningful action and the country effectively finds itself back at square one. To date, the UK has no functional test and trace system in place, nor are the country’s borders fully controlled in an effective manner. Flights from certain countries are banned but connecting flights can circumnavigate this problem. Only now are passengers tested for COVID-19 on arrival. PPE and glass vials are in short supply. Post Brexit “administrative issues” now threaten to delay stocks of the Pfizer-BioNTech COVID-19 Vaccine. The National Health Service is struggling to cope. All these issues are further exacerbated by a partisan press and a population that appears to be at war with itself.
Although I don’t especially enjoy doing so, I thought it prudent to update this series of blog posts about the state of the COVID-19 pandemic here in the UK. A lot has happened in the last few weeks and there has been a degree of optimism in some quarters, because of the news regarding the vaccine and hopes that the lockdown rules would be “relaxed” over the festive season. However, those who look beyond tabloid and 10 Downing Street propaganda, have had growing concerns that the chickens are coming home to roost and it would appear that is now happening. A new strain of COVID-19 has been identified and is now spreading rapidly in London and the South East. It does not appear to be deadlier than the original strain but the increased speed at which it spreads is the major concern. The National Health Service is very worried about reaching capacity of ICU beds.
When I last wrote about the COVID-19 Pandemic in May, the UK was just beginning to see an easing of lockdown restrictions. As a lot of people surmised, the government was trying to do too much, too soon and without the appropriate logistical support. Hence the last five months have been a litany of political disasters, all of which have contributed to the UK having the highest COVID-19 related deaths in all of Europe. Furthermore, the government's failure to provide PPE, make available a universally accessible testing service and implement an effective national tracing service, has highlighted their lack of talent and overall incompetence. Every week another “dead cat” is thrown on to the altar of politics in an attempt to divert the attention of 24 hour rolling news away from their utter ineptitude. Hence on top of the COVID-19 Pandemic, we’ve seen the spectre of both BREXIT and the “migrant crisis” re-emerge.
It’s a simple question but I suspect that the answer may not be so straightforward. The autumn TV schedule is fast approaching and as of yet, many popular shows have not yet resumed production. There is talk on many of the “entertainment” websites that CBS will start location filming for its NCIS franchises in early September and if the studio side of the production follows suit, then there’s the possibility of completed episodes being available by November. But naturally all of this is dependent on a lot of variables that could change. Will COVID-19 cases diminish in the months to come or will there be a second “spike” and thus another lockdown. Will the ongoing loss of revenue caused by the pandemic further harm the production of new content. Will studios, networks and production companies have to make some hard choices and as a result, will we see some popular shows cancelled?
The UK Government’s honeymoon period with regard to the COVID-19 pandemic is well and truly over. Irrespective of one’s political outlook, it is sensible and dare I say it, reassuring to want to get behind the Prime Minister and his cabinet in their attempts to tackle this dreadful situation. Some may have thought it would be the making of the man and way to bridge the political divisions caused by Brexit. But that was six weeks ago and such optimism has conspicuously withered on the vine. Many of the promises made and have proven empty and a decade of politically motivated austerity has left many key public services struggling. The government was under prepared, lacking in talent and driven by the same hubris inherent in all their political decisions. Namely that notions of British exceptionalism would somehow see us through. They haven’t. Despite the recently recovered Prime Minister (who caught COVID-19 due to not following his own instructions) standing at a podium on 27th April and claiming some sort of success, the reality is the complete opposite.
I started displaying symptoms of COVID-19 on Sunday 5th April. I developed a headache, a raised temperature and muscle pains. And then the coughing started along with a sense of tightness in my chest. It was initially just uncomfortable and inconvenient. By Wednesday all symptoms had become much worse and I felt like I was in a constant bear hug. I was continuously trying to find a position where breathing wasn’t so painful and awkward. Due to the toll that fighting the virus was taking on my body, I was feeling very lethargic, despite sleeping at night for over 10 hours and napping during the day. I also noticed that I was continuously thirsty and was eating a great deal, to fuel my body’s immune system. Then on the evening of Friday 10th April I started to feel extremely cold. That evening was the worst I felt throughout the entire experience. Despite wrapping myself in a duvet and multiple blankets, I could not get warm. And then over the course of the weekend all symptoms started to decline. By Monday 13th April all that was left of COVID-19 was a sense of extreme fatigue. Something that will last for another week according to medical sources.
I wasn’t expecting to write the next instalment of this “pandemic diary” so soon. However, yesterday morning (Sunday 5th April) I developed a headache and shortly afterwards a temperature and muscle pains. By midday I started coughing persistently and noticed what I will describe as a sense of tightness in my chest (it feels like I’m wearing a shirt that is too small for me). These symptoms persisted and I went to bed at an uncustomary early hour. I slept in the spare bedroom, which is also my office and have isolated myself as well as I can (we live in a bungalow) from Mrs P. As of this morning the symptoms have persisted and it now feels very similar to a bout of flu. I am sluggish and groggy but certainly not at the point where I need medical treatment. Napping is proving useful and I’m hoping I can mainly sleep through this, as I am now stuck in the office for the next 7 days. I am allowed access to the bathroom, although separate towels and rigorous cleaning of all handles and surfaces is now the rule of thumb.
Caring for the Elderly: Part 9
I always try to write the posts in this series in way that proves useful to others who are facing a similar experience. Caring, old age, illness and our own mortality are all matters that will cross our path sooner or later. This time I shall be addressing a subject that many of us tread carefully around. Some people will not countenance discussing it in any way, shape or form as it makes us uncomfortable or even scared. In Western culture death is often the elephant in the room; a topic that should not be avoided but frequently is, due to etiquette and other curious societal foibles. Hence, we use phrase like “passed” or “gone” instead of dead and we often invoke religious based platitudes, regardless of whether we have any particular faith or not. Simply put, our response to the inevitability of our own demise and that of those who we love is ambiguous to say the least. I hope in the years to come we grow up in this respect and find a comfortable means of making death socially acceptable to discuss and plan for.
I always try to write the posts in this series in way that proves useful to others who are facing a similar experience. Caring, old age, illness and our own mortality are all matters that will cross our path sooner or later. This time I shall be addressing a subject that many of us tread carefully around. Some people will not countenance discussing it in any way, shape or form as it makes us uncomfortable or even scared. In Western culture death is often the elephant in the room; a topic that should not be avoided but frequently is, due to etiquette and other curious societal foibles. Hence, we use phrase like “passed” or “gone” instead of dead and we often invoke religious based platitudes, regardless of whether we have any particular faith or not. Simply put, our response to the inevitability of our own demise and that of those who we love is ambiguous to say the least. I hope in the years to come we grow up in this respect and find a comfortable means of making death socially acceptable to discuss and plan for.
My Mother recently celebrated her 89th birthday. My Father was 90 in the Summer. As we’re currently halfway through November the subject of Christmas cards has raised its head. It’s a ritual for many households at this time of year. Due to my parents age and general health, writing is a challenge, so I usually address all of the envelopes and add any important messages or postscripts in Christmas cards. All the pair of them have to do is sign their name but even this has to be done over a period of days. Sadly, one of the most striking aspects of this process is the number of names in my parent’s address book that have been struck through. So many family members, friends and colleagues are no longer with us. Each year the number of cards sent, reduces further. Every now and then in the following spring, they’ll be a letter from a son or a daughter politely pointing out that the recipient of a recent card is now deceased. This gradual attrition of one’s social circle is yet another factor that can add to the inherent sadness of many elderly people.
Despite being 90 years old, my Father is the “baby” of his family. He has two Sisters; one is 92 and another who’s 94. Sadly, despite being a fixed constant in an ever-changing universe, my eldest Aunt was recently diagnosed with a terminal condition and is currently at home receiving palliative care. My Father has spoken to here on the phone but due to ill health he is not able to visit her. However, both are very pragmatic individuals who understand the nature of old age and its consequences. Yet their stoical nature doesn’t make the situation any easier. Usually in life, whenever we are faced with difficult matters, if we keep ourselves busy, throw ourselves into our work or at least have some degree of agency with regard to the problem, it greatly helps us to cope. Yet both my Father and my Aunt are at a stage where life is something that just happens to them, rather than an activity they’re actively participating in.
I feel that this is perhaps one of the biggest challenge’s carers face. Is there a way to find a positive aspect in such bleak situations? Well I believe so. Let us for a moment return to the Christmas card situation. Rather than focusing upon the absence of cards from those who are long gone, I try to draw attention to those that have been received. When a card arrives from surviving family, I encourage my parents to reflect on past good times. “Oh look, here’s one from Uncle Bill. Remember that time he took us Shrimping”. Often this can lead to a positive discussion and raise spirits. Naturally, conversations regarding the imminent death of a loved one are harder to spin in this fashion. But I tend to take comfort in a quote from Doctor Seuss, the American children’s author. “Don't cry because it's over, smile because it happened”. I think this especially relevant with regard to those we love. My 94-year-old Aunt has always been a force for good in my life. She has always been wise, patient, exciting (she had a Tiger skin in her lounge and stuffed animals due to her world travels) and most of all supportive. I think that these are the things that we should focus on at such times. I believe that is what my father is currently doing. It may not totally assuage the situation but I feel that it helps.
My Mother moved into a care home on April 7th this year. Her health was already very poor due to her age (91). She was bed bound, partially sighted, suffering from increasing hearing loss and unable to feed herself. Rapid onset dementia meant that her behaviour had become erratic and she was a danger to herself. Hence her caring needs could no longer be safely managed within a home environment. Fortunately the care home proved a good choice. For the past four months they have provided outstanding care and have treated my Mother with dignity, respect and genuine kindness. Sadly, during that time my Mother had several bouts of illness that saw her hospitalised four times. Eventually a PEACE plan (Proactive Elderly Advanced Care) was set up allowing treatment to be managed by the care home and local GP. Since July my Mother has enjoyed a stable environment and continuity of care.
Last December, my 91 year old Mother suffered a rapid mental decline and was hospitalised. We have subsequently learned that this is potentially due to another stroke. Whatever the exact medical reasons, my Mother has been left bed bound, unable to feed herself and in a state of mental confusion and distress. When she was discharged home in mid January it quickly became clear that the four care visits that were scheduled each day were not sufficient for her needs, despite the staff doing their best and my Sister and I providing additional support. Matters were further compounded by personal ill health and other external factors. My Sister has worked from home for the last two years but has now started a staged return to the office. As we felt would no longer be able to cope we turned to both Social Services and the local Mental health Team for any assistance that they could provide.
In this latest post I wish to discuss hospital admissions and how they can become a regular occurrence when caring for the elderly. Being immobile, losing agency with respect to one’s personal hygiene and being dependent on medical equipment can lead to health related problems, irrespective of good home care. For example, my late Father had limited mobility and spent most of his day sitting. Hence, he used a memory foam cushion to protest against pressure sores. He also slept in a hospital bed equipped with an air mattress for similar reasons. Despite having attentive carers twice a day, he was subject to regular skin complaints due to his diet (he was fed via a PEG tube) and lack of sunlight. Perhaps the biggest source of problems came from being catheterised. Despite scrupulous cleanliness he would still regularly contract urinary tract infections. As a result hospital admissions were frequent.
It has been over a year since I’ve written about this subject. The last post was about my late Father’s funeral. Since then life has gone on and my Mother’s ongoing care has become a fixed and somewhat uneventful regime. There are benefits to be gained from such a routine as it offers stability and certainty for both the carer and person being cared for. However, recently there has been a significant change in the status quo that warrants writing about. As always, my desire is to share some points and present my personal experiences in the hope that they may prove useful and informative to those in a similar situation or who may be just embarking upon their caring journey. The main subject of this post is a difficult one and something that is very hard to come to terms with. It is dementia. A medical condition that affects 1 in 6 people over the age of 80 in the UK.
Yesterday, Saturday 17th July, was my late Father’s birthday. He would have been 92. As my granddaughters were staying over the day was upbeat, boisterous and fun due to their exuberance. Today as the bungalow returns to its normal levels of noise and excitement, I have spent some time quietly reflecting upon the nature of bereavement. When my father died last September I was focused upon the practicalities of arranging a funeral during a pandemic, ensuring that his estate was processed and that all possible provisions were made for my disabled 90 year old Mother. These things have now been done and it is only recently that I have had the time to process my own grief. The first Father’s Day (20th June in the UK) without him was naturally a milestone and his birthday has proven similarly so. However, today’s introspection has been beneficial and hence I felt the desire to write about him and share some thoughts on the nature of bereavement.
The funeral service for my late Father was held today. As ever I would like to collate my thoughts and present them here in the hope that I may be able to assist someone else who is currently dealing with a bereavement. Funerals can be challenging at any time but are further complicated at the moment due to the various restrictions imposed due to the global COVID-19 pandemic. However, there is still scope to give a loved one a fitting send off. You just have to be a little more creative about it and try to be understanding of the current regulations regarding social gatherings. Despite my concerns today’s service at our local Borough crematorium went well, if such a term is appropriate. I feel that my Father was honoured appropriately and that his family and friends were able to pay their respects and celebrate his life in a manner that he would approve of.
Long-term care can often end with a bereavement; which is a complex subject in itself. I will not be discussing grief in this post, as that is an immensely personal and subjective experience that we deal with in our own way. Instead, I would like to talk about the administrative and logistical problems that arise after someone has died and use my own recent experiences as an example. My Father died on Wednesday 16th September. He had a series of strokes in 2016 which left him disabled. Over the last four years his level of health has slowly deteriorated and his quality of life has subsequently diminished. This year saw a noticeable change not only in his well being but overall attitude. His stoical outlook finally faded and he lost all interest in life. He fell ill in mid August with Sepsis and then developed a lung infection. When I saw him last on Friday 4th September he told me he was tired and wanted “an end to it all”. Six days later he asked the Senior Doctor on the ward to stop treatment, which wasn’t working anyway. He died a week later on Wednesday 16th September. He was 91.
I last wrote a post about “caring for the elderly” in February. There have been significant changes in my family's fortunes since then and like anyone in a caring situation, the lockdown has had a major impact and sadly not for the good. As ever, I choose to recount my own experiences in the hope that they may be of some use to others who are in a similar situation. So to begin with, my Mother went into Respite Care just as the pandemic was hitting the UK and the lockdown was being implemented. Hence her stay in a nursing home was not the best experience. All the additional social activities usually on offer were suspended so all she effectively did was swap one sick room for another. She came back home just as my sister moved from working in London to working from home. Hence from March onwards both her and I have been caring for both my disabled parents on a daily basis. However, my sister has had to hold down a job at the same time.
My Mother, who has had limited mobility for a decade, fell and broke her arm just before Christmas. She subsequently spent nine weeks at a specialist rehabilitation unit at our local hospital. During that time she had surgery on her arm to repair the fracture and extensive physiotherapy to try and increase her mobility. She was discharged at the beginning of February with a support package in place to facilitate her return home. Sadly, despite physiotherapy, she is immobile as the day she was admitted. Until she sees the Consultant at the Fracture Clinic and is told if her arm can bear weight, she is not allowed to do anything for herself. Hence she is currently having four home visits a day from two carers and is confined to her bedroom. The carers help her get washed, dressed and use the commode in her room. Naturally, the current situation and the inability to do anything for herself, along with the uncertainty of her long term recovery and future, is causing a great deal of anxiety not only for my Mother but the rest of the family as well. At present we have a 3 week wait before she gets to see the consultant.
I always try to write the posts in this series in way that proves useful to others who are facing a similar experience. Caring, old age, illness and our own mortality are all matters that will cross our path sooner or later. This time I shall be addressing a subject that many of us tread carefully around. Some people will not countenance discussing it in any way, shape or form as it makes us uncomfortable or even scared. In Western culture death is often the elephant in the room; a topic that should not be avoided but frequently is, due to etiquette and other curious societal foibles. Hence, we use phrase like “passed” or “gone” instead of dead and we often invoke religious based platitudes, regardless of whether we have any particular faith or not. Simply put, our response to the inevitability of our own demise and that of those who we love is ambiguous to say the least. I hope in the years to come we grow up in this respect and find a comfortable means of making death socially acceptable to discuss and plan for.
I started writing this series of blog posts when I first became a carer back in 2016. The idea has always been to use my personal experiences as a point of reference for others. That is the main reason for this latest update. The things that are currently happening to me and my nearest and dearest may happen to you and yours. Over the last three years a lot has changed in my family’s collective life. Both my parents have gone from living relatively independently and managing their own affairs, to becoming disabled with long term degenerative medical conditions. Both are now housebound and require assistance with basic tasks such as washing and dressing, due to reduce mobility and frailty. My Father has been nil by mouth for three years and requires district nurse visits twice a day to deal with his medicine and catheter. My Sister has altered her working hours so she has more time available in the morning before she goes to work. I have given up work to become a fulltime carer. Between us the days is covered. The latest major change has been applying for power of attorney, which I wrote about in my previous post.
Since spring 2016, I have been running my parent’s domestic affairs. Due increasing ill health, neither can visit a bank, conduct business phone calls or deal with administrative paperwork such as utility bills, insurance policies and hospital appointments. However, there are limits on what I can and cannot do. Cheques and legal documents need signatures. UK data protection legislation often prohibits phone conversations with anyone other than the account holder. Hence despite being able to broadly deal with most things that come up, I sometimes have to involve my parents. This mean conversations on speaker phones which are difficult when both my parents have substantial hearing loss. So after some discussion with both of my parents, I have decided to pursue the power of attorney. At present this is specifically for my Father, as most bills and invoices are in his name.
Once again, I find myself writing about this subject in the hope that it will encourage others to reflect upon the nature of old age, illness and the consequences that arise from them. There is still a prevailing culture of not discussing and sometimes not even thinking about such matters, but both are an absolute certainty in everyone’s life. All too often people find themselves in extremely difficult situations brought about by such events and the difficulty and emotional trauma is increased due to there being no plan in place or provision to address matters. Therefore, I strongly advocate the following. Some may seem like very obvious points, but recent conversations I’ve had with other carers and people in similar situations, has shown that many people have not made even the most basic of provisions in this regard.
At the end of July, my Father went into Respite Care for two weeks. He was placed in a local private nursing home, via borough social services. The placement was intended to provide him a change of scenery and give the rest of the family with a short break from the ongoing caring requirements. Sadly, things did not work out well. After seven days away from home, my Father became ill and after three trips to A&E (over a period of four days), he was finally admitted to hospital with Aspiration Pneumonia. He was deemed to be at extreme risk by the medical staff and we were told at one point to “prepare for the worse”. However, despite being seriously ill, he recovered and much to everyone’s surprise was discharged and returned home after ten days. Sadly, his already impaired state of health has been further diminished. Three weeks on it is becoming clear that it is unlikely that he will return to the level of ability that he had at the start of July. His health and the quality of his life has been further reduced. Subsequently, the various healthcare professionals that deal with my Father have now started using the term palliative care.
There comes a stage in most people’s life when they start reflecting upon their own mortality. Both my parents have survived two strokes each and are now in the late eighties. At this point in their lives healthcare has moved on from correcting or remedying problems, to instead being more about holding the line and maintaining the status quo. A safe home along with an orderly daily routine provides a stable environment, which broadly allows them both to maintain an adequate degree of independent living. However, both are very aware that their faculties and overall health are gradually diminishing. Neither are naïve or foolish enough to deny this and in recent months have been quite candid about what the future will entail. Simply put both my parents are aware that they are currently “running the last lap”, to use one of their phrases.
I have written in the past about caring for the elderly. I have approached the subject from a personal perspective, as a carer with two disabled octogenarian parents, as well as considering the broader needs of a society with an ageing population. As it has been two years since I formally became a carer to both my parents, I thought I’d share my experiences on the many challenges that my family has faced over the last twenty-four months. I find doing so beneficial and maybe my anecdotes may be of value to others in a similar situation. As I’ve said in my original post, caring for a loved one is something we all potentially face at some point in our lives, and with an ageing population it becomes statistically more likely each year.
In a previous post, written last summer, I mentioned my caring commitments and reflected upon the realities of being a carer. Since then my family’s circumstances have changed considerably and subsequently so have my own. In the UK, social care has become a major political issue and was a key area of debate for all parties in the recent election campaign. Although the UK has an aging population, then NHS broadly manages to deal with its needs. It is the social care that so often follows time spent in hospital, that causes a bottleneck. Too often, the local authorities struggle to find carers and have them in place when requested. This means that many patients are unable to be discharged and have to remain in hospital. Caring is a profession that seems to be greatly lauded and esteemed by politicians in principle but the reality is far different. Overall it is often a poorly paid job, with little or no employments rights or benefits.
The UK population grew by half a million last year to 65.1 million, according to figures from the Office for National Statistics. Of that number 10% are over 75 years old. At present there are 6.5 million carers in the UK, many of whom are coping with an aging parent(s). As healthcare in the UK improves overall life expectancy, the population is rapidly aging which means that every year over 2.1 million adults become carers (although almost as many people find that their caring responsibilities come to an end). This turnover means that most families in the UK face this issue at some time and 3 in 5 people will become carers during their lives.
Thoughts on Blogging Part 9
The last three months have been problematic from a writing perspective and my productivity and motivation have both suffered. I struggle to find appropriate time to sit down and apply myself to writing and when I do, I seldom have the correct mindset to stay focused for long. Yet due to the back catalogue of content available on Contains Moderate Peril, there is still regular traffic coming to the site. Ironically, despite my low productivity, I have started receiving an increase in blog related marketing and have received numerous emails regarding “collaboration”, “featured posts” and “SEO optimisation”. All of which I have no interest in. However, the point remains, I’m not writing as much as I used to and I miss it. The same can be said for podcasting but that’s a tougher problem to fix. It is more labour intensive than writing, so the logical thing to do is to focus on the former and not the latter to fix.
The last three months have been problematic from a writing perspective and my productivity and motivation have both suffered. I struggle to find appropriate time to sit down and apply myself to writing and when I do, I seldom have the correct mindset to stay focused for long. Yet due to the back catalogue of content available on Contains Moderate Peril, there is still regular traffic coming to the site. Ironically, despite my low productivity, I have started receiving an increase in blog related marketing and have received numerous emails regarding “collaboration”, “featured posts” and “SEO optimisation”. All of which I have no interest in. However, the point remains, I’m not writing as much as I used to and I miss it. The same can be said for podcasting but that’s a tougher problem to fix. It is more labour intensive than writing, so the logical thing to do is to focus on the former and not the latter to fix.
Fortunately, Belghast over at Tales from the Aggronaut recently announced Blaugust 2019; a yearly festival of blogging designed to bring together and encourage new or lapsed bloggers. It’s a great opportunity for people like myself to renew our motivation and get back into the writing saddle, so to speak. The event also provides a practical forum for people to share information along with their personal experiences and to help and support each other. It also offers a timely reminder that long form writing and the art of essay writing is far from dead, despite what some members of the internet commentariat would have you believe. If you’ve ever thought about blogging, podcasting, live streaming or generally creating some form of online content, then you’ll find encouragement via Blaugust 2019. There’s plenty of time to get ready as activities don’t start till the 28th of July.
Now I don’t know about you, but I am far more likely to let myself down, as opposed to other people. If I set myself a goal or a deadline and I fail to achieve it, I’m far more accepting of it as the only person who has been incommoded by my actions is me. However, if I make a commitment to someone else or group, I honour such undertakings due to all my cultural and emotional baggage. It’s just something ingrained in me like being on time or saying please and thank you. Hence, I have agreed to participate in Blaugust 2019, not only as a contributor but as a mentor as well. The net result will be that I’ll take part in the entire event and write something every day for the duration. As a result I have already started drafting blog posts and provisionally planning a publishing schedule.
I have watched several videos on You Tube recently about learning, organisational skills and applying yourself to your hobby or pastime. However, despite a lot of good practical advice, most ultimately state that there simply comes a point where if you want to succeed in what you are doing, you have to “just do it”. Now that may sound a little glib, underwhelming and too similar to Nike’s awful corporate branding mantra but there it is, an undeniable reality for those with a rational mind. So I’m going to try and abide by this statement of the obvious and get back into the habit of just sitting down and writing. It doesn’t have to be Shakespeare or reinvent the wheel. Writing is primarily an expression of ourself and I’d rather do it to some degree, than not at all. Roll on Blaugust 2019.
On Friday 26th June, I had another random spike in internet traffic to Contains Moderate Peril. The statistical package that comes with my Squarespace account recorded over 13k visits in less than 24 hours, which is not typical (although I wish it was). However, all of these visits to my blog arrived via the default homepage and spent between 1 and 2 minutes there. Hence, it was obvious that this was not human traffic, as there was no evidence of any searches being made of content that is available on my site, nor of the “visitors” clicking on any of the links on the top menu and viewing other posts. This was undoubtedly AI traffic arriving at the designated homepage and simply parsing the site. I had a similar spate of this sort of web traffic last November. The only difference on that occasion is that the traffic all came from China. This time round it hailed from the US. I suspect that this is something that will happen more often as companies set their AI loose on the net for what is effectively training.
Today I started the slow process of auditing every post that has been published on Contains Moderate Peril since 1st August 2016. The goal is to correct any obvious typos and replace all existing images with larger ones. The Squarespace software upgrade I applied to the website at the end of last year has finally allowed me to establish a standard format that I am happy with. Hence the ongoing audit is the perfect opportunity to apply these style rules to all posts. There are also some technical issues and matters regarding functionality that need to be addressed. I need to determine how to embed YouTube videos in such a way that they automatically scale to fit whatever device is viewing them. Another area which needs improving is the website search facility. This needs refinement so that enquiries can be more specific. Older posts also need to be more accessible, although I am still researching how best to achieve this.
It’s nearly two and half months since the Blaugust: Festival of Blogging event ended. During that time I’ve maintained a fairly regular writing schedule and I post every two days or so. Furthermore, I finally dragged my blog template, kicking and screaming, into the modern era. I tweaked a few pages and updated the content of the “about” page. The next task is to start going through all previous posts and replacing older, low resolution images with larger, more appropriate ones. This process also presents an opportunity to ensure that all posts follow a uniform style. IE Are appropriately categorised, have links to related posts at the bottom and are SEO optimised. This will be a lengthy task so I think the best approach will be to tackle two or three posts a day. Hopefully this will raise the profile of older content, which generates the lion’s hare of traffic to this site.
Back in March 2019 I wrote a blog post about the operating costs of running this website. I went into detail with regard to hosting and domain costs, as well as the other software and hardware used to write posts and at that point produce a podcast. Let it suffice to say that five years on, those costs have all increased. If we’re just looking at maintaining a blog simply in terms of hosting and the domain registration, it costs about £20 a month to run Contains Moderate Peril. Theoretically, if I want to reduce those costs I could dispense with a specific domain name and use a free blogging service. However, I feel that such a compromise comes with its own set of problems, such as advertising and a lack of control (to a degree) over your content. I therefore choose to pay to mitigate these concerns. If I then wish to do more, such as produce a podcast, create videos for YouTube or live stream, then those costs increase.
When you initially start blogging, your aspirations tend to be very straightforward. Choose a title, find a niche and get into the habit of writing. Simple tasks that can still take a while to master. Once your blog is established and has endured for a while, you may not have any further long term goals other than to just keep going. However, if you feel that you want to achieve more then you have to tackle a new set of problems. There is a great deal of “advice” in the public domain about growing and monetising your blog. A lot of it is questionable but there are some approaches that do work. However, these require you to write to a specific process, chasing the ever changing whims of your potential readership. You have to compromise. And for many bloggers, that is the deal breaker.
I spent some time in July, making some changes to Contains Moderate Peril. I replaced the branding and made some alterations to the “about” page to ensure that it was up to date and relevant. Not that anyone reads it as I still regularly receive enquiries about guest posts. Something I no longer do. Today, I made some further changes as it is my long term goal to grow the audience for this site. Hence I want to try and make it easier for visitors to find the content they seek and offer them related material. To facilitate this, I have added some additional menu options to the blog homepage. These act as filters, presenting specifically themed content for readers. Hence there is a “movie” button that lists all film reviews and similarly one for “video games”. There are also links for two specific video games, The Lord of the Rings Online and Star trek Online, as website statistics show that these are popular subjects.
I’ve been writing online for 17 years. During that time a modest audience has read my posts and occasionally commented on them, which is the accepted dynamic of blogging. Some of my posts are ephemeral. Others, such as film reviews, have greater longevity. Naturally I want people to read my output and I’ve noticed that the film reviews seem to generate a fair amount of traffic. After consulting my website analytics package, it would appear that the majority of readers find my reviews by searching Google. Promoting my writing via social media does very little. Another issue is that readers tend to read the post they found via their search and then leave. Despite there being links at the bottom of the post to similar material. Currently, my blog does not have an effective means of searching older posts. The landing page has only 20 posts listed. There are approximately 2,500 archived.
As a blogger we are often told by our peers not to obsess over website traffic and statistics in general. There is a degree of sense in this. We should be primarily focused on writing, maintaining an equitable schedule and staying motivated. Stats can have a negative effect on the latter. However, one cannot ignore the subject either. As a writer, at some point you do want people to actually read your material, or else what is the point? I have therefore always kept an eye on traffic and have attempted to grow my readership overtime. The results have been varied. In my experience, you do slowly build up an audience by being persistent with your writing. But you also have to promote your work, which is a job in itself. It’s also something that not everyone is comfortable with. “Therein lies the rub” as the expression goes. How do you attract readers without compromising your own standards?
I was sitting in my office over the weekend, half-heartedly typing up a blog post about table manners and dining etiquette, when I paused and lapsed into a state of self examination and introspection.
“Isn’t Contains Moderate Peril supposed to be about gaming, movies and popular culture”? “Yes”, I replied to myself via my inner monologue.
“So what the hell am I doing writing about table manners, then?” my inner contrarian retorted.
“Well it is part of our culture, although I wouldn’t argue that it is a defining aspect of the zeitgeist at present” my conciliatory alter ego responded.
“Frankly, I’m getting bored with all of this per se” a third voice stated. It was at this point, I stopped arguing with various facets of my id and went to the pub.
March has been a challenging month for several reasons and as a result I’ve written very little. Furthermore, the recently revived podcast has also ground to a halt after just six episodes due to scheduling issues that are beyond myself and Brian’s control. At the end of February, Google made changes to their search algorithm which have had a major impact upon traffic to Contains Moderate Peril. Visits are down by over 20%. I’ll make no bones about the fact that this has really pissed me off. Several years of growth has been unceremoniously swept away at the drop of a hat. So all this, plus the rapidly changing situation regarding my Mother’s care, has found me ill disposed towards writing. To be clear, I’m not talking about writer’s block. I have plenty of ideas and a folder full of draft posts. I just haven’t wanted to write because I feel that I’m just spitting in the wind.
At the time of writing we are halfway through the Blaugust 2021 Festival of Blogging event. Whenever the subject of personal blogging is raised, there are those who immediately declare that “blogging is dead”. According to Google, out of 1.7 billion websites that currently exist worldwide, 500 million or so of those are blogs of some kind. These generate over 2 million blog posts daily. So I wouldn’t say that blogging per se is done and dusted. However it certainly has evolved considerably over the last 15 years. At the start of the current century blogging was a novel activity providing the means of keeping a personal journal online. Inevitably, popularity and ubiquity led to commercialisation and a necessity to monetise. There was a period of time when clicks, traffic and advertising could generate popularity as well as an income. But other forms of social media offering greater immediacy eventually usurped this potential. Now blogging is seen as more of a niche market activity or corporate tool.
By the time that August rolls around this year, I will have been actively blogging and generally sharing my writing online for 14 years. Prior to that, back in the eighties, I was involved in the production of several fanzines. That was indeed a labour of love and although I was happy to write the content, the work involved in physically creating the actual pages was tough. The printing costs were also an early lesson in how writing is not an immediate path to fame and fortune. All things considered, writing has been a major aspect of my life for as long as I can remember. I used to enjoy writing stories as a child and then as I got older I discovered the pleasure of a well constructed essay. I was fortunate to have three very good English teachers during my time at school, who were passionate about their job and very encouraging.
I mentioned not so long ago the possibility of a website revamp. I was concerned that the general layout of the blog was not optimal and that readers couldn’t easily find old material. In the past I even went as far as to write a guide to navigating through Contains Moderate Peril and using the categories to find old posts. Well I got a few emails and Twitter DMs about this and it would appear that folk like things just as they are. So I have reviewed my position and decided to leave things as they are at present. I did a little digging though my website stats, both from Squarespace and Google Analytics and it would appear the summary blocks at the bottom of each post are used and that the bounce rate for my site is not exactly as it first appears. Seems that readers do peruse other articles and the search facility is being used more often, especially for finding film reviews. So if it ain’t broke, don’t fix it.
Due to the ongoing Global Pandemic, many people are now finding themselves working from home or having to stay in for health or childcare reasons. Hence there has been a marked increase in online leisure activities. Steam has been hit by a record number of concurrent users and Netflix and Amazon prime have both seen an increased demand upon their respective streaming services. If you’re not commuting then you are freeing up a substantial amount of hours each week. This potential abundance of “free time” along with a practical need to channel your energy into something to prevent yourself from going “stir crazy”, presents some interesting opportunities. Many people who have previously expressed an interest in writing and content creation now have the leeway to do so. Naturally, as a writing enthusiast and a long time blogger, I am happy to encourage such activities.
The New Year is often a time for revised plans, renewed ambitions and a desire to get back on the proverbial horse when it comes to content creation. More often than not, many of these lofty ambitions wither on the vine or fall victim to our propensity for indolence. Which is why I think it is prudent to ensure that any goals that you set for yourself are realistic and attainable. If for example, you have just started blogging, then it is wiser to focus on developing and maintaining a writing schedule, rather than trying to get a million page views in your first month. Impossible goals lead to disappointment which can then crush your optimism. Measured, targeted achievements, obtained over a credible time period may not seem so satisfying but they get the job done. Which is why I have given a great deal of thought to my own blogging goals for 2020. I am not going to alter or replace the blog template, nor am I going to embark upon too many side projects such a streaming or creating video content. Although I’d like to do such things I cannot sustain them or cope with the volume of work they will create. This year I am just going to try to create as much written content as possible and focus on expanding brand awareness.
The end of Blaugust Festival of Blogging 2019 presents the perfect opportunity to write another entry in my “Thoughts on Blogging” series. According to the Blaugust schedule this is the “lessoned learned week”, although I’m not too keen on that specific phrase. It sounds too much like the sort of bogus, sombre platitudes that politicians trot out in the wake of some national tragedy. But such is the nature of semantics and such is the curious fashion in which my mind works. So rather than worry of the wording, I’ll just simply reflect upon the past month and consider what it means for my writing, both present and future. Because I do believe that over the last month, I have had a minor epiphany with regard to my relationship with blogging.
The last three months have been problematic from a writing perspective and my productivity and motivation have both suffered. I struggle to find appropriate time to sit down and apply myself to writing and when I do, I seldom have the correct mindset to stay focused for long. Yet due to the back catalogue of content available on Contains Moderate Peril, there is still regular traffic coming to the site. Ironically, despite my low productivity, I have started receiving an increase in blog related marketing and have received numerous emails regarding “collaboration”, “featured posts” and “SEO optimisation”. All of which I have no interest in. However, the point remains, I’m not writing as much as I used to and I miss it. The same can be said for podcasting but that’s a tougher problem to fix. It is more labour intensive than writing, so the logical thing to do is to focus on the former and not the latter to fix.
I wasn’t expecting to write another entry in the Thoughts on Blogging series so soon, but something came up that grabbed my attention and got me thinking. A simple question that’s often asked about blogging and one that has many layers to it, as well as numerous answers. A new blogger who recently joined the Blaugust discord server asked for help “getting traffic to their blog”. An enquiry that gave me (and possibly others) pause for thought. Because we all to a degree want to attract traffic to our blogs. But I also think bloggers are too coy about this this subject. We’ll say things like “I write for myself” or “it’s not about the numbers” and although I agree with these points, building an audience is important. Let’s be honest, it can be somewhat disheartening after writing a lengthy post about a subject close to you heart, for it to fall flat and not attract any traffic. As discussed before, often it is the casual blog posts written in a hurry, that can be the most popular and the articles you’re most proud of can go unnoticed. So let us be honest. I think most bloggers want to grow an audience and enjoy the sense of accomplishment that it provides.
I decided to take a short break from blogging last week. I have a lot on at present and the only time I’ve had available to write has been in the late evening. I prefer to write in the morning as I’m more focused and motivated. Plus I haven’t really had a lot of positive things to say of late about the two primary subjects of this website. Broadly speaking there’s not a lot of going on in the video games industry that enthuses me. Similarly, the current crop of film releases have hardly distinguished themselves. At present when I do get writing ideas, they tend to be obscure niche market subjects or commentary on social issues. For example, I’m thinking of writing a post about my continuing enjoyment of the Japanese TV show Takeshi’s Castle. I’m also forming my thoughts for an article about how society’s relationship with wildlife may be “broken”. Stuff that is interesting to me but may not be ideal material for readers of Contains Moderate Peril.
As January comes to an end, I am pleased that I have so far managed to maintain a daily writing schedule. I hope that I can continue in this vein throughout February. As ever the actual process of sitting and writing has proven a somewhat mixed bag so far this year. Some days the word simply spill out of me and a blog post potentially writes itself. On others, composing just three coherent paragraphs is like pulling teeth and much time is spent procrastinating and getting side tracked. But a mixture of self-discipline and a degree of pride have helped oil the creative wheels and kept the content flowing. Whether any of it is any good is for others to decided. However, it was nice to find one of my posts quoted in an article over at Massively Overpowered. It means that at least someone is reading my work and pondering upon the points therein. Writing is after all a means of communication and sharing ideas so it is rewarding to know that you’re not just yelling into the wind all the time.
This week, a rather high profile sub-reddit associated with the Star Trek Online community, changed its status to “private” as a means of protesting against the state of the game and the way developers Cryptic are handling things. That matter was surprisingly resolved within 24 hours after an olive branch was extended from the STO community manager on reddit. However, it is not the protest itself nor the state of the game that I wish to focus upon, but the importance of /r/stobuilds as a shared community resource. A lot of STO players enjoy optimising their builds and tweaking their loadout and this site it the place to go to share such information. There is also a group of hardcore players that dig deep into the games data and comprehensively crunch number and generate useful information. Hence if a resource such as this was taken offline for longer period of time, it would have a tangible impact upon players and the wider community.
Spending time in the company of others who have similar interests and passions can be an invaluable shot in the arm and a great source of motivation. For example, I recently joined a Facebook group associated with The Evolution of Horror Podcast. It’s an absolute pleasure to be able to pick over the bones of a movie such as The Wicker Man and explore its finer points. You don’t have to adjust your level of conversation for fear of boring people, or dial back your enthusiasm due to concerns of being labelled a nerd or fanboy. Finding these online havens where you feel comfortable are invaluable, regardless of whether your passion is sport, knitting, Lepidoptery or Phrenology. Remember this point. I shall be returning to it shortly.
I read a post over at Tobold’s Blog recently that got me thinking about blogging, popularity, and the ebb and flow of our passions. The reason being is that Tobold, like many other long-term bloggers, has seen a decline in his audience over recent years. He certainly wasn’t carping about it, just simply observing the correlation between reducing your written output, the decline in popularity of his original subject matter and the number of visitors coming to his site. He also made a keen observation that blogging is not necessarily “where it’s at” with regard to cultivating an audience. If you are producing content specifically to grow and maintain a following, then You Tube and Twitch are better platforms for that. Especially if your content is part of the wider gaming scene. For better or for worse, I now associate gaming commentary with visual mediums rather than blogging. Yes, there is still long from criticism being produced but it’s aimed at a niche gaming audience. One that I would guess is older.
I usually write a post early on in the New Year in which I list the various goals I’m focusing on over the next twelve months. To date I have not done this because I am still trying to work out what I can and cannot accommodate within my current schedule. As a carer I’m kept very busy, but my weekly routine does offers windows of opportunity for writing. However, free time is a finite commodity, so I have to really cut my proverbial coat according to my cloth this year. Therefore, I’ve decided to pursue the following projects. I will continue to regularly post on Contains Moderate Peril as I enjoy having my own platform and certainly feel that I still have a lot to write about. Also, the audience is steadily growing, and I think it would be counter productive to fly in the face of such a development. I was also given the opportunity to write for MMOGames recently and have decided to accept this invitation. Writing to deadlines and deferring to editors, is an invaluable learning experience. Plus, it presents my writing to a wider audience which is great for brand awareness and other awful marketing terms.
There wasn’t a Newbie Blogger Initiative this year and I was saddened by that. I’ll make no bones about the fact that I liked this yearly event and the way for a few months after it, you’d see a lot of interesting new blogs spring up, filled with optimism and passion. But, what’s done is done, and life goes on. It’s up to others to pick up that particular torch and run with it, if they wish to see the event to return. I also miss a lot of my colleagues and peers’ blogs and the comradery that stemmed from the associated community. Again, this is a natural and inevitable attrition process, caused by that thing known as “life”. So, to combat my current melancholic malaise, I thought I’d collate a few of my thoughts about writing online and set them down in a semi-regular post, the same way as I do about podcasting.
It’s been five years since the COVID-19 global pandemic. At the time it was an utterly alien and tumultuous experience. However, due to the way numerous institutions responded (but not the government), many people thought there would be a great deal of social and political change in the UK afterwards. The pandemic highlighted the impotence of the NHS, as well as those who work in jobs designated as essential. It also shone a spotlight on many of the country’s inequalities. Due to our national character, a real sense of community emerged. Something that had been absent for a very long time. Briefly, we got a glimpse of what the UK could be when we all broadly worked together. There was a sense that now was the time to change the status quo. Sadly, nothing changed. As soon as the vaccination program was launched, the UK quickly slipped back into the mire it’s been wallowing in since the end of WWII.