By Jen Mistrot and Elizabeth Cook

BRENTWOOD (CBS SF) — Sisters can be the best of friends, and Afshan and Uzma Rehman are no exception. So when both found themselves living in a new country, they leaned on each other for support.

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But like most all sisters, Afshan and Uzma have also experienced their fair share of sibling rivalry.

“We fight a lot,” said Afshan with a smile. “We argue a lot. Like, we literally had an argument this morning.”

But the two admit they have never stayed mad for long.

“We were always there to give each other that positivity,” explained Uzma. “To tell each other ‘Okay, you can do this!’.”

Encouragement of each other has seen Afshan and Uzma through some very tough times. The 29-year-old identical twins were born in the United States. They traveled between California and their parents’ native Pakistan before moving to the Middle East in grade school.

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But by the time Afshan and Uzma were teenagers, their father’s violent behavior made home unsafe for the twins and their siblings. So their mom made the difficult decision to bring her family back to the US, where she would raise her children as a single parent.

“For her it was a very tough decision,” recalled Uzma. “It was a very tough decision because it was the four of us being very young.”

“Not having a dad there your whole life,” said Afshan. “Even though he was there in the picture but he never gave us that support.”

Missing their father hurt, but the move was their first hurdle. School came next.

“The way you grow up in Pakistan is very different than here,” explained Afshan. “When you come here as a teenager in your teenage years, you don’t know that teenage life. You don’t know how they are going to treat you.”

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“You get looked down upon,” said Uzma.

“You’re not able to do anything. Oh there was racism. There was like, ‘Go back to your country.’”

But the twins’ country is the United States and California is their home. Both excellent during high school in Brentwood, then graduated from college before launching careers in high tech.

And there have been other great accomplishments and life changes for both women.

During the pandemic, Afshan had a baby and tackled a master’s degree.

“Hectic but I made it out,” said Afshan of the experience.

Uzma kept busy with volunteer tutoring while raising her four year old son.

“I teach him where we come from,” said Uzma of her son. “I teach him where I grew up, how I grew up.”

Both stayed close to each other, offering love, support and friendship.

“We were always there,” said Uzma. “To give each other that positivity.”

The twin sisters want their children to be good friends too. So the pair also stay close to their mom, even when they don’t see eye to eye.

“If me and [Uzma] are fighting my mom does not intervene,” said Afshan with a laugh.

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“She is like, it’s like going to work it out.”

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Cary Edmondson-USA TODAY Sports

The San Francisco 49ers lost heartbreakingly to the Green Bay Packers in Sunday Night Football 30:28 after a game-winning 51-yard field goal from kicker Mason Crosby after time ran out.

One of the key games for the 49ers on the track was 3rd and 10th with their own 25.

Kittle, who caught seven passes for 92 yards, was second on the team with nine passes, just behind Deebo Samuel, who was thrown ten times on Sunday and took five of those passes.

After the game, Kittle, who is often viewed as temperamental, encouraged his team to swallow the loss and move on to the next weekend, trying to get better from week to week.

“You know, what I said after the game was take 24 hours, mourn the loss, do whatever you want with it,” Kittle told NBC Sports after the loss. “We’re coming in [next week and] We’ll look at the tape. Look in the mirror, see what you can do better, and then take that into the next week. “

While fixing the mistakes from the last game is important, Kittle looked forward to next week as he plans to cheer the Seahawks at home in the far end of their two-game home stretch.

“You know, whatever you didn’t bring last week, bring something new to the table, get better on one thing this week,” Kittle continued. “We got the damn Seahawks coming in [so] I’m excited about that. We have the division rival [and] I’m really excited to have a chance to cheer her on. I know they will bring all of their energy and all of their best guys here so it will be one hell of a fight. If you don’t have the right attitude for it, you’re not on the right football team. “

After losing to the Packers, the 49ers are now 3rd in NFC West with a 2-1 record as the Cardinals and Rams both stay 3-0 after their victories on Sunday.

Now the 49ers will turn their attention to the Seahawks, who are currently 1-2, lost 30-17 to the Minnesota Vikings and finished fourth in NFC West. This game will be an afternoon game at Levi’s next weekend.

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In March 2019, my mother Holly got a second chance in life. Your bilateral lung transplant was a gift in a class of its own. It saved and extended her life when nothing else would. It gave her body back the strength to enjoy life. It restored their health and independence.

A short year later, she was just out of the University of California at San Francisco to check in for her year-long post-transplant appointments when her doctor called her to go home and stay there.

In an instant, the COVID-19 pandemic took so much of the freedom and independence it regained when it got new lungs. The cost of a lung transplant was that she would spend her days with a weakened immune system. Even before COVID-19, this was a major cost factor. She has promised her doctors and her donor that she will protect her gift and accept the challenge of an immunocompromised life.

In this new world, the virus has taken away or changed a lot of what made life comfortable – for all of us, but especially for people like my mother. But we all know this story. We have all gone through our own losses and suffered our own ailments for the past year and a half. I am not going to try to list them for the sake of making a point.

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Despite all of the inconvenience of a pandemic raging in my mother’s vulnerable life, she has found ways to divert her attention from the grief. Something that has helped both her mental and physical health was exercise.

Walking has always been an accessible and important part of her recovery. Even before the acute exacerbation she was hospitalized, my mother was undergoing pulmonary rehabilitation. When she was in intensive care for three months, daily walks were critical to her survival. Her distance increased from six steps to six laps up and down the hall until she had a fight for new lungs.

In the months after she was released from the hospital, we walked San Francisco and Golden Gate Park together. When she was finally allowed to return to the mountains, she and my father went the old routes in their neighborhood. The mile-long walk around the local pond was insurmountable when my mother’s IPF went bad. Thanks to her new lungs, she can easily complete the loop again.

To keep things interesting, my parents decided to change their exercise routine. Last summer, their communal pool offered lap swimming by appointment. This was a perfect, gentle change as my father developed a painful autoimmune disease called polymyalgia rheumatica. They swam all summer, but the outdoor swimming season is short at high altitude.

In winter they were usually on the slopes or with snowshoes to keep fit. Standing in elevator lines and stuffing themselves in gondolas with strangers didn’t seem like the safest way to spend the day during a pandemic, so they crouched down at home.

When the world thawed this spring, my parents decided to buy e-bikes. They were irritated by winter and got bored of walking the same old routes over and over again. And when vaccines reduced the number of cases, the pool went back to its previous schedule – all children, all day. Even before the pandemic, places like this were on my mom’s no-go list. Please no cooties.

The price of the bikes was high, but the investment was worth it. Their new bikes allow them to conquer steep hills with relatively little effort. This keeps the force on sore joints, old injuries and battle-weary heart systems low. The electrical assistance only works when the pedals are moving. Even if the engine gives them a boost, they have to keep their legs moving.

Both of my parents loved sitting on two wheels again. My mom said it feels like being a kid again when you can take off your bike and leave the house in the dust. Cycling around town for hours feels new and exciting after years of not being able to ride. Knowing that the bike will help her get home up the mountain at the end of the ride takes away the fear that she might be stuck somewhere due to fatigue or joint pain.

E-bikes are an adaptation that enables my parents to do something they enjoy again. Adapting to change is what people do best I think. When things get tough, be it in your body or around the world, we adjust because we have to!

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Note: Pulmonary Fibrosis News is solely a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always contact your doctor or other qualified health care provider with questions about any medical condition. Never disregard or hesitate to seek professional medical advice because you have read something on this website. The opinions expressed in this column are not those of Pulmonary Fibrosis News or its parent company BioNews and are intended to stimulate discussion on issues related to pulmonary fibrosis.

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