228: 29.4 Prescribed Solitude (Ramadan Reflections II)


I was listening to a talk by Sheikh Abdel Hakim Murad yesterday where he was talking about how the whole world is in a prescribed state of solitude. Without really realising it, this Ramadan, we are all performing our own i'tikaf within our own homes. We are temporarily cut off from things that our souls have learned to desire and crave - such as material wealth and the feeding of our need for instant gratification. A trip to the grocery shop is no longer easy nor is online shopping for things like clothes, stationery or books. And the space in our hearts where those previous desires took root are now left vacant. 

Streets are quieter, everyday life is slower. And our minds that of which were once constantly bombarded by distraction are now almost reluctantly and awkwardly asked to stop and ponder. After realising that our thirst for meaning and connection cannot be quenched by mindlessly bingeing shows on Netflix, we are now left asking, "Now what?" Our thoughts and feelings are given a larger podium, a louder voice. An emptier mind is a vulnerable place to be in - we are not used to such silence. Inwardly, we are forced to face our fears and anxieties which we normally burry deep. Whilst outwardly, our world has visibly shrunken - with our lives revolving between rooms as opposed to between cities and countries. 

There is little place to hide your deficiencies from your loved ones, let alone yourself. And as we live between our four walls, we also come to a larger realisation that the freedom that we used to have was a privilege and gift we all took for granted. Within the uncertainties in today's world, we are left completely dependant.

Whilst we are depending on one another to do the right thing by following the rules of self-distancing and staying at home, a larger dependence on God is manifested and physically palpable through this pandemic. We depend and trust Him to get us through this, and we seek His help in every step of the way because honestly, (especially with the leadership of lunacy that we have at our disposal currently) we cannot get through this on our own.

As the hadith of the Prophet (s.a.w) states as he (s.a.w) taught this prayer to his beloved daughter, Fatima (r.a): 

"Ya Ḥayyu ya Qayyūm (The Ever- Living, The Sustainer of All Things), by Your Mercy I seek help, rectify for me all of my affairs and do not leave me to depend on myself, even for the blink of an eye."

Thus, whilst there are many challenges this year, I am grateful for the beauties of spending Ramadan under lockdown. It has enabled me to be unburdened from the unimportant weights I use to carry and it has given me the space and opportunity to reflect and reconnect to God. Alhamdulillah for all His blessings.



227: 25.4 I'm Not Special (Ramadan Reflections I)


It is quite strange to be in Ramadan during the COVID pandemic. All that we knew about the month and all that we associate with it has been abruptly upended. Everyone is advised to stay indoors and when out for essential activities, we are to keep a far distance away from each other. A far cry from the packed mosques with brothers and sisters praying tarawikh after breaking iftar together, sharing food - an atmosphere that we are unfortunately not granted this year. Whilst many acknowledge the wisdom of sticking to the rules, others in America are gathering in the thousands protesting the lockdown. As they shout, "I need a haircut, open up our city! The virus is a media scam!" I am left perplexed at how they seem to be completely unfazed by the fast increasing death tolls reported in their state and worldwide. Some people even had the audacity of proclaiming that those affected were already sick anyway - as if they were somehow magically protected from the wrath of the virus.

As ignorant as they seem, I think I too fell prey to the fallacy of self exceptionalism. When the pandemic first hit the world, it was reported as being far away in Wuhan, China. As if the logistical distance wasn't enough for me to dismiss this issues as "not my problem", the media initially kept reporting that only the old and those with co-morbidities were those dying from the disease. As the infection crept closer in proximity to our front door, I held on to the fact that I was young and healthy. I felt confident that if I got it, that I would be ok. Thankfully that turned out to be true - but as I finished my night shift last night, a baby who was admitted to our unit changed my perspective. The baby's mother who was younger than I am now had emergency C-section because she had to be admitted to ITU for her worsening symptoms secondary to coronavirus. The baby was born into this world alone - his mum intubated and his dad self-isolating at home. The only thought running through my mind was: that could have been me.

The recklessness of thinking I was strong enough or young enough to beat the disease was faced with a stark, unforgiving reality which made me question "Why her and not me? Why was I spared?" Scientists to this day still don't understand why some people fair worse than others. But what we do know is that the coronavirus hunts indiscriminately - irrespective of age, wealth, health, colour and gender. At the end of the day, flesh is flesh. In the eyes of the virus, we are all the same.

This pandemic has truly humbled me. I have learnt that no, I am not special - my body is as vulnerable to attack as anyone else's and it was truly only by the mercy of God that I was spared from a worse fate. The true question is: what am I going to do now with the health and time that I have?

226: 10.4 A Coronavirus Story


It has been a confusing and harrowing couple of weeks. About a week after we got back from our trip to New York, A and I started to exhibit symptoms of coronavirus infection. Surprisingly, despite my work in hospitals, A took the fall first as he started to get night sweats and fevers. As his symptoms persist, I was given a choice to either self isolate for 2 weeks at home or to move temporarily to a paid-for hotel room so that I can continue working. I decided to take the latter option because the department was so short on doctors due to staff illness already. 

But only after 2 nights at the hotel, I started to become ill too. I thought it would be beneficial to jot down my suspected coronavirus story (I say suspected here because test swabs are like gold dust in the UK) in order to highlight the subtlety of its symptoms. Everyones story is different - not everyone has a cough or shortness of breath or even a high fever - this is just one of the pieces in the confusing puzzle that is COVID-19.

Day 1: Runny nose
I often get sinusitis attacks - so didn't think much of it. I began to develop sneezing and a runny nose with phlegm. I took an anti-histamine tablet and nasal spray - the combination helped alleviate the nasal secretions. Felt fine otherwise. I remember going to bed really early that night in my hotel room - woke up in the middle of the night to go to the toilet and I remember feeling fairly weak. These thoughts were quickly dismissed because it was 3am in the morning anyway - who feels normal at this hour?

Day 2: Lethargy, fever
I woke up at my normal hour on a work day. Felt a bit tired despite sleeping 10 hours - but thought nothing of it. Walked 20 minutes to work; perhaps slower than usual - but again, this is me trying to piece things retrospectively. I remember not feeling quite right the whole day at work but not being able to put my finger on what was wrong. I couldn't stand up for too long during ward rounds without feeling dizzy and out of breath. I had to sit between patient reviews which was really unlike me. "I am having really heavy periods today - maybe I am anaemic?" I thought. Then I started having muscle aches and really cold hands which prompted me to check my temperature. A nurse on the ward kindly obliged but my temperature was 36.9C which was no where near fever level. But another nurse commented, "Are you alright? You look really pale." To that I responded that I did feel unwell, but I had no cough or fever. 

Amidst all this, we had a sick baby admitted onto the unit which took away my attention on the evolving symptoms. But thankfully, my consultant let me go home early and said to let him know if I spiked a temperature overnight. I took home some of the disposable thermometers and when I reached my hotel room - it read 38.4C (as the picture above). I called in sick, thus commenced my 7 day isolation. Checked out from the hotel and went back home.

Day 3: Night sweats and evening fever
Woke up the next morning in a cold sweat. Took some paracetamol and checked my temperature and thankfully it was normal. Strangely felt fine throughout most of the day. Then evening came, and I felt ill once more. Took some paracetamol again and noticed that my smell is going. Still there though.

Day 4: Can't smell, can't taste
Woke up again in a cold sweat. Ate some cereal in bed and noticed that I have completely lost my smell and taste. Not even a tinge of flavour - zero taste, nothing. I got up and brushed my teeth to realise I could not taste the mint from the toothpaste. Throughout the day, I could only tell whether something was hot or cold and through their differing texture - but everything tasted of plain water. Evening crept in, and back was the illness. I remember thinking that this was a strange illness as the fever and lethargy seem to only come at night. With other viral infections, the fever would mostly be constant. But with this, it was sly in how it manifests - it would trick you into thinking that you were getting better only to punch you in the gut when night fell.

Day 5, 6, 7: Getting a bit better everyday
Sleeping 12 hours every night but the symptoms were getting slightly better each day. Still can't smell or taste which adds to my anxiety. As a food enthusiast, I find myself thinking will they ever come back? No cough, and my chest feels fine. Still have the lethargy and muscle aches in the evening - but haven't had a true fever in the last 24 hours. I tried standing up to pray but every trial made me too tired, it was like all the strength in my body built up through running the streets of New York vanished. I prayed sitting down instead the whole week.

Day 8: Chest tingling
Today there was a new symptoms - chest tightness. I hadn't a fever for a few days which was a good sign. The muscle aches come and go but with it was also intermittently a sense of breathing really cold air. In normal circumstances, I don't take notice when I breathe, but this sensation was hard to ignore. Sometimes it also felt like there was a band across the front of my chest. This also came and went - sometimes staying for quite a while but it wasn't severe enough for me to feel short of breath.

Day 9: Back to work
Because I was feeling a lot better and I fulfilled all the criteria for going back to work (7 days from start of symptoms and more than 48h fever free), I returned to work. The lethargy was still there albeit mildly. In the afternoon, during a departmental meeting, the chest tightness reappeared. Thankfully it self resolved when it reached the evening. It was hard to enjoy the free sushi roll donated by a local restaurant because my taste had yet to return. Thankful that it wasn't a busy day, so I wasn't on my feet too much.

Day 10, 11: Back to normal self (minus senses)
Had the weekend off to recuperate and feeling like my old pre-COVID self. Emailed occupational health to test A and I only to get a reply that they are only prioritising those who are symptomatic on Day 3-5 of illness. Seems like we'll not get tested. Looking on the bright side, at least we are symptom free this weekend.

Day 12: I can smell perfume!
Smelt a whiff of familiarity when I picked up A's perfume bottle - oh, bliss Alhamdulillah!
Also managed to cycle home from work - so grateful that I had enough energy to do so!

Day 14: My taste is coming back!
Could taste the cheese on beef lasagne - that means my taste is returning Alhamdulillah! Cried tears of joy when I tasted salt at home. After weeks of not being able to taste anything, I'll take what I can get.

Day 16 (today): Grateful
Taste buds are still on their road to recovery - rediscovering flavours again has been a journey in itself. Maybe this is what babies feel like when they start eating solid food. A and I had a nice government approved walk outside in the sun near the lakes. Having come out the other side, we are feeling extra grateful for the mild symptoms that we went through (A had similar symptoms to mine but in a milder form); everyday acknowledging that it could have been much much worse.

What we learnt going through this is that this infection is truly a marathon. Symptoms disappear to only reappear later. It will intensify when you think you have turned the corner. And compared to other viral infections, it takes a really long time to recover. Alhamdulillah, we are young with no underlying illnesses so we could recover at home with minimal support. But we also realise that so many have lost their lives to this virus despite being in the position we are. There is no special reason for us to be spared from its more violent form.

When we thought back to what the year 2020 will initially bring, we would have never thought that 'recovering from coronavirus' will be on that list. Either way, Alhamdulillah for all His blessings. Stay safe everyone, lets get through this year together.