Crisis mode

 I was recently chatting with a colleague and as we spoke some similarities in the issues we came across were common between our entities. We are finding that clients are staggering within the business environment. The pressures are quite great for many and many are finding the conditions to be overwhelming. 

Well...someone's got to handle it. We can't all run the opposite direction. 

• Indecision
• Lack of discipline
• Poor budgeting 
• Inadequate planning
• Disorganizeed 
• Insufficient preparation
• Fear of failure 
• Not enough knowledge 
• Inexperience 
• No team 
• Weak systems 
• Limited access to financial information, funding, and technical assistance 
• Undesirable people skills

These are all reasons that businesses experience challenges and these listed are from within. They don't really include factors beyond the skills and abilities of the business that impact externally. 

Can we ever be prepared for the unforeseen? 

As we know, it is virtually unrealistic to expect one person to be on the ball with every aspect of the business. It is for this reason that business functions best when there's a team involved, but you must be selective. 

Who we have on the team is important to the success(es) that the business is likely to encounter. All of these areas can be delved into further should you decide to book a planning session should you need help in these areas. Should we not have the talent in-house, we can connect you with those in our network who have those competencies. Either way, there's always a solution. 

Check back often for updates and read/reread our articles based on your business needs. Have a phenomenal day! 

Announcing - The Arrival of an Illness

In Barbados, West Indies, there is a lady who is known for working out to keep fit, yet she suffered a crippling illness; not from any external factors but from within her own body which she sought to keep well through a healthy lifestyle. 

Background

Heather worked at one of the leading department stores most of her working life until just before retirement age when there was restructuring. Her job was demanding, standing for many long hours and interacting with locals and tourists alike to ensure they got the items they sought as they entered the store. 

She maintained her health through daily exercise, using total gym workouts, constantly doing step aerobics to various video workouts as well as walking various trails in the outdoors. It was a lifestyle habit she maintained coupled with eating healthy and cooking healthy dishes. Heather was active in church, being a steward, she functioned in various roles within the church for which she was entrusted and was always on time. 

Her Methodism caused her to serve in the Dorcas Society and the Women’s League as well as she’s always had an internal prompting to be of service. 

Married to her husband Watts of many years, they have been pillars of support to each other. Together they have two children and six grandchildren. 

What happened?!?

Heather was preparing for a life of healthy living especially as she aged. Then along came 2017. 

1. She noticed that her feet began swelling by the ankles

2. Her joint flexibility became limited

3. Knee pain limited her walking since it became too painful to do so

4. This developed into the inability to stand normally

5. The degenerative illness caused her to become bow at the knee and it was increased pain

6. Weakness stepped in depriving Heather of her independence

7. Muscle weakness spread throughout her body

8. She eventually became bedridden

The path that was followed

 Multiple visits with Doctors, Specialists, Physiotherapist, Neurologist was a process that came afterwards and no one was able to correctly identify what was wrong. The feedback was frustrating and expensive, yielding no results. 

The process included the following from the aforementioned:

• Multiple X-rays

• Diagnosis of secondary arthritis

• Osteoporosis

• Spinal Stenosis 

• Spondylolisthesis 

• Administration of Fosamax, medication which made the situation worse

• DVD reports which were prescribed and not used 

• Confirmations of misdiagnosis 

• Psychological assessment suggested 

• Nerve and Muscle Tests

• Blood tests [revealed an Alkaline Phosphatase of >500] 

• More X-rays 

• Referred to therapy - got weaker 

• Referred to pain management doctor - prescription caused severe reaction 

• Another pain management doctor 

• Neurosurgeon - suspected Paget's Disease

• Referred to Rheumatologist

• Finally the Mayo Clinic, who asked for the following:

• Urine test

• Blood test

• Samples sent to them overseas

• Confirmed disease by the Endocrinologist as a Tumour induced Osteomalacia [TIO] 

Conclusion - Tumour induced Osteomalacia [TIO] 

Here is where we are:

• This disease is quite rare

• The most successful treatment is surgery once the tumour is located. Which is hard to do. Full body MRIs are required and are not available in Barbados. 

• The temporary alternative is an annual injection series which costs US$200,000 per annum. 

Action steps have been taken by her daughter Lisa who is based in the USA to assist with covering the costs of treatment via a Go Fund Me fundraiser. We hope you can help and though we understand the tough times of this pandemic, every little bit helps. We hope you can help if it means just sharing to your friends and family, especially since treatment for this condition is not readily available outside of the United States of America. 

Thank you for reading and sharing. We hope you can pledge your support. We are living, something that can happen to any of us - The Arrival of an Illness.