What’s preventing us from planning more world travels right now?…

A go-away bird standing on the veranda railing. There are multiple matches for go-away birds, including the grey go-away bird and the white-bellied go-away bird. The grey go-away bird (Corythaixoides concolor) is a turaco family member and native to southern Africa. It’s also known as the grey lourie, or kwêvoël. The grey go-away bird is gray with a black beak and a pink gape. It’s a social bird that lives in groups of up to 30 birds. The grey go-away bird is named for its alarm call, “Kuh-wê!”, which sounds like “Go Away!”. It’s thought to alert other species to the presence of predators or other dangers, such as hunters. The grey go-away bird’s diet is mainly fruit (such as wild figs and berries), flowers, buds, leaves, termites, and snails

When we first decided to come to Nevada when my Afib medication was running out, we thought we’d come to Nevada to get the two prescriptions filled and for me to see a US cardiologist to run another echocardiogram to confirm the diagnosis I received from the cardiologist in Ecuador, revealing I have mitral valve and tricuspid valve regurgitation that needs surgery before too long.

Since this surgery would result in another open heart surgery, we took this diagnosis very seriously since I didn’t want to go through that again after my prior awful experience, requiring over a year to recover. We knew a second opinion and decision on insurance was vital for the future.

Now that I have applied for Medicare Part B (still waiting to hear if it has been processed) and a supplement, Part G has been approved, I had to decide where I’d like to have the echocardiogram and have a prognosis evaluated. After we arrived here, and after considerable thought and discussion, I decided to wait until we got to Arizona to go to the Mayo Clinic for a second opinion.

Once I have the confirmation that my Part B is in place and I receive the Medicare card with an account number, I will contact the Mayo Clinic in Scottsdale, Arizona, and make the appointment for sometime in April or May before we then head to California to see my sister and then off to Minnesota to see our kids and grandkids.

Regardless of our results, we’ll still head to Marloth Park on June 15, 2024. If I need surgery, we’ll return to the US for the operation after we’re done in South Africa if I decide I am willing to have the surgery. I want to go to the Cleveland Clinic in Cleveland, Ohio, the top valve repair facility in the world.

Fortunately, since we can live anywhere based on our homeless lifestyle that we so choose, most likely, we’ll rent a holiday home in Cleveland and stay long enough for the surgery and recover enough to continue in our world travels.

If the Mayo Clinic evaluation determines I don’t need surgery since I have no symptoms in Arizona and Minnesota, we’ll begin with future world travel plans. Of course, we’re both hoping for this case. There’s no way I want Tom to go through what he did caring for me in 2019. It was an awful 24-hour-a-day scenario for many months. With my chosen Medicare plan, a rehab facility is an option for the first three to four weeks, the worst part of recovery.

Also, Cleveland Clinic’s recovery facility provides lots of physical therapy, a must after such surgery, which wasn’t available in South Africa then.

That’s a lot on my mind, but for now, I’ve chosen not to worry and to enjoy each day; I’m grateful for feeling so well. Now that we’ve both recovered from the virus with the cough (not Covid), nothing can stop me now. My new workout shoes arrived yesterday and fit perfectly.

I look forward to working out daily to increase my strength and stamina.

Now that I’ve lost 24 pounds, with only three pounds away from my goal, and am working out again, after only doing so intermittently over the past 11-plus years, I am building up enough strength to walk in most environments. My only concern is walking in Marloth Park with uneven dirt roads. I heard about a woman there who has a fitness center in her home, which can be used for a small fee. If I could use that, I would be able to maintain my new level of fitness.

In Arizona and Minnesota, both locations where we’ll stay have fitness centers. If I have access to a bike or treadmill and some weights, that’s all I’ll need to maintain the progress I am now building. Before we began traveling, I had worked out most of my life since I was 16, staying slim, healthy, and fit. It is time to return to that progress, and I am not letting my age or health conditions be a deterrent.

Be well.

Photo from ten years ago today, January 17, 2014:

Wow! They kept coming until 30 to 40 elephants had crossed. They continued in a steady stream. What a sight! For more photos, please click here.

Guess what?…Nine days and counting…But, right now, life is good…Reading books?…

Our photo was taken in December 2014, when our kids and grandkids came to visit us on the Big Island in Hawaii, at the observation point while Mount Kilauea was erupting. What an adventure!

We wouldn’t have complained if everything at the beginning of our visit to Mirador San Jose had been like it is now. We’ve had power for 36 hours. We have plenty of food to get us through until we depart in nine days when the little store stocked up on meat, and yesterday, we made enough purchases to round out what we need.

I feel like myself again now that I’m back on two pills a day of the antiarrhythmic drug Flecainide again. I know I will be able to get a prescription to hold me over until my ProgressiveRX order arrives at the end of the month. Yesterday, I called a CVS Pharmacy Minute Clinic. Their medical professionals will prescribe the above drug to fill the gap I was concerned about. Finally, I can stop thinking of this.

Based on the two visits I had to a highly qualified cardiologist in the past month, who continues to check on me on WhatsApp and who says surgery is not required immediately, I will wait until we get to South Africa so I can see my cardiologist there, whom I trust, and have another ultrasound to see if my situation is worsening. If it’s not, I’ll have a scan every six months. If it is, I’ll have to decide if I want to go through another open heart surgery.

But I am not worrying about that anymore. I let it go to continue enjoying our lives now that I feel so well again. The only side effect I’m experiencing from the drug is a little sleepiness about four hours after taking each of the two doses. I can live with this. This helps me sleep better at night, and after the morning dose, a nap is all that’s needed during the day—no big deal.

Today is an easy day. All I have to do is chop and dice for tonight’s dinner and make our little mid-day lunch of sliced ham and cheese rollups. Tom has watermelon with his snack, and I may have cooked broccoli on the side with mine. I haven’t been hungry for breakfast lately, but Tom continues to enjoy his buttered toast with strawberry jam, so we have our little lunch around 11:00. This holds us until dinner.

I continue to stay on my diet, motivated to help with my condition, and so far, I’ve lost 15 pounds and started noticing how better my clothes are beginning to fit. I still have ten more pounds to return to where I was when we first started traveling. These next ten pounds will be the most noticeable. But, as most know, losing the last ten pounds is challenging. Right now, my weight loss is at a snail’s pace, only at about one pound a week, if I’m lucky.

Overall, I am not hungry since I continue to keep my carbs at bay, although I’ve had to up them from 20 grams a day to about 40 grams a day to ensure I get full with lots of vegetables and strawberries. Calories do count whether we like it or not, regardless of how and what we eat. Based on my lowered level of exercise at this point, as I slowly improve my heart health, which is ultimately most important for me, the weekly loss is minimal to keep the Afib under control.

But I will persevere. If I only lose ½  pound a week for the next 20 weeks, I will reach my goal by April 24, 2024. As quickly as time flies, it won’t be long before I get there. Once I achieve my goal, I will adjust my intake to maintain what I’ve lost. Health concerns have been a massive motivator for me when I had little motivation in the past to keep me on track. My clothes fitting better and appearing less chunky didn’t help motivate me to reduce my food intake. Now, it’s somewhat easy.

We enjoy listening to various podcasts while working on our computers during the day, and when there’s a lull, we both get a kick out of playing fun games on our phones. Since neither of us reads many books these days after binge-reading in the early days of our world travels. I can’t seem to focus enough to get lost in a fiction book, although I will occasionally read a non-fiction book, most of which I received for free from Amazon Prime on the Kindle app on my phone.

When lost in a fiction book, the time passes way too quickly for my liking, and at this point in life, I’d prefer to eke out every possible moment of my day being present instead of being lost in a book. In the first three or four years of our world travels, I read over 300 books that are still on my Kindle App.

That’s it for today, dear readers.

Be well.

Photo from ten years ago today, December 5, 2013:

We encountered these two wildebeest as we rounded the corner from our house. Enormous, it was taller than a horse, much larger than any of the wildebeest we’d seen at the tail end of the Great Migration at the border of Kenya and Tanzania. For more photos, please click here.

Day #274 in lockdown in Mumbai, India hotel…Part 3…Christmas wishes…Chanukah wishes (belated)…Kwanzaa wishes…Boxing day wishes!…

On the last night of the Maharajas Express, we were all assisted in dressing in traditional Indian attire.

Today’s photos are from the post on March 18, 2020, as we recapped some of the time we spent in India prior to the lockdown. For more on this date, please click here.

Reading the post from March 18, 2020, made us cringe when realizing it was two days later, when our booked middle-of-the-night flight to South Africa, for which we were turned away at the airport at the last minute, required that we return to the hotel from whence we’d come, only to close a few days later. This resulted in our search for a hotel that was allowed to stay open during the lockdown. Subsequently, that scenario brought us to this hotel, Courtyard by Marriott Mumbai International Airport.

We never imagined we’d see the Taj Mahal. And yet, that morning in the haze and pollution, it lay before our eyes in its full splendor.

This is no typical Courtyard by Marriott one finds in cities throughout the US and other countries, often with few floors and fewer amenities than many larger hotels. This hotel is comparable to a regular Marriott with outstanding decor, many levels, and great amenities. There’s nothing budget-like here.

Amid all the issues over foods we don’t eat, noise, inconsistencies in food preparation, and the endless stream of mask-less guests, overall it’s as good of an experience as we could have expected under these challenging circumstances. Never once was any request we made dismissed or not regarded with the highest esteem.

Exquisite decor in ancient palaces and temples.

The cleaning, room service delivery, and management staff have excelled in every way. We’ve been treated with the utmost respect, kindness, and consideration for which we are very grateful.

Fortunately, booking the continuation of our stay, month after month enabled us to get the best possible pricing, allowing us to easily afford this long hotel stay, unlike any stay in the past. Most recently, the prices for about a six-week period dropped to as low as US $50 a night, INR 3697, per night, the lowest we’ve paid anywhere in the world.

The locals doing their laundry in Lake Pichola but no laundry soaps are allowed. Fishing and private boats are not allowed on the lake in Udaipur.

Being able to use our accumulated “stamps” from Hotels.com on our site, also provided us with many “free” nights when 10 stamps result in one “free night” of comparable value. Of course, these low rates reduce the value of the “free night” credits for future bookings, using the accumulated stamps.

The food situation surely has been the most challenging during this stay. With my ultra low carb way of eating and Tom’s picky taste buds, we had no choice but to order meals outside the realm of our desires and tastes. In the interim, eating a diet of increased carb consumption each day, more than I was used to. The red Indian sauces and excess amounts of vegetables, often greasy and overcooked, caused my health to go downhill.

Several castles are located in or near the man-made lakes in Udaipur.

Tom had no options other than eating chicken pasta with a creamy white sauce every night resulting in a weight gain. I hadn’t gained during that period, but my weight was up considerably from my usual, which had crept upwards while recovering from open-heart surgery.

Many of the medications I’d been taking after the surgery (none of which I still take or need) left me sleeping half the day and grossly inactive, rapidly gaining weight. A year later, I was up 25 pounds, 11.3 kg, and my blood sugar was high, bordering on familial Type 2 diabetes, which only exacerbates cardiovascular disease and blood pressure.

A snake charmer, an expected event in India.

Chronic pain returned making walking the corridors all the more difficult, although I never missed a day. A few months ago, I stopped eating those high carb sauces and vegetables, reducing my blood sugar to a low normal range, and have been able to totally stop taking medications for hypertension, with my blood pressure now at 100/60 without drugs.

As of this morning, I have lost the extra 25 pounds, 11.3 kg, and now fit in all of my old clothing. Thus, when we pack soon, I will be able to donate all the clothes I’d purchased in larger sizes, while in the US a year ago. Whew! So, in that respect, being in lockdown forced me to research ways in which I could reduce my blood pressure and blood sugar, which subsequently resulted in weight loss with relative ease. What a wonderful Christmas gift to myself!

The fantastic chef on the train, John Stone, who assured all of my meals would be perfect and they were..

Tom has lost a portion of the weight he needs to lose as a result of eating that high carb pasta, but surely will do so within the next two months, especially after we get to South Africa when we can prepare our own meals. Hopefully, if all goes as planned, we’ll be leaving  India in 21 days (three weeks from today), arriving in 22 days. We wait with bated breath!

For those who celebrate, we wish you a Merry Christmas and New Year!

Photo from one year ago today, December 22, 2019:

Photo of the beautiful Crocodile River taken from Marloth Park on this date in 2013. For more, please click here.

Settling in…Two Ketuts getting it right…Tom’s losing weight!

This close up of my dinner from a few nights ago appears there’s a lot of chicken on this plate. But, once I dig in there’s only a few good bites on each leg and thigh section. Tom eats the two breasts which are a little meatier but the dark meat which I prefer, is sparse as a result of locally lean free range chickens.

“Sightings on the Beach in Bali”

This is nature, a first for us, a mating pair of dogs stuck during sexual activity. We’d heard about this but hadn’t ever witnessed it. The dog on the right looked on, seeming concerned. They stayed this way for a howling 10 minutes and then were able to separate. Although one was collared they could have been wild. There was nothing we could do to help. One more unusual (to us) sighting on the beach!

I guess it took getting me out of the kitchen to help Tom lose a few pounds. Over the past year, we’ve been on three cruises during which Tom gained a few pounds, never quite getting rid of them with me doing the cooking.

Oh, it’s not that I wasn’t preparing our usual low carb, moderate protein, high-fat meals. It was due to the fact that he simply was eating too much food on any given day. There’s no manner of eating that allows for an all-you-can-eat mentality. Too much of any food raises insulin, resulting in fat storage, subsequent weight gain, and possible health issues.

We love all the flowers beginning to bloom.

The fact that I tried not to tell him to cut back to avoid “preaching” which I can easily do given the opportunity, gradually he gained a few more pounds here and there.

Well, it’s entirely different here in Bali when some of the low-carb, sugar-free, grain-free snack items he usually enjoys aren’t available in the tiny markets. When we’re shopping and cooking in many countries, the availability of foods we enjoy is a lot different than in Bali. It’s sparse here, particularly when we’re so far from the biggest supermarket Denpasar (the four-hour harrowing drive). 

The local markets where the two Ketuts shops only have basic items: eggs, vegetables, fish, seafood, and chicken. Since we don’t eat fruit due to its high sugar content and carbs, our choices are few. 

Not only are there lovely plants and flowers on the grounds of the villa but they’re easily found on a walk down the road.

Shopping at the largest markets within a 45-minute drive left us with few items in our basket. They don’t carry cheese of any sort other than the highly processed individually wrapped packages many tourists purchase. A portion of natural unprocessed cheese is always a nice treat if hunger pangs although not available for us here.

As a result of the lack of snack options and with the intent of dropping these excess pounds, unprovoked by me, Tom has steadily lost weight over these past three weeks since our arrival. 

Against a white stucco wall in a neighboring villa…

As we readily fell back into place on our 24-hour-intermittent-fasting, dining on one hearty high fat, veggie laden and moderate protein meal each day, Tom has since lost 16 pounds, 7.26 kilo, 1.14 stone. The bulging belly is gone, gone, gone.

For me, it’s not about the “look” of the belly that is of concern. As far as I’m concerned he’s always adorable to me. It’s the medical issues that may result from belly fat that easily could put a fast end to our world travels. 

We both share the responsibility of staying healthy, utilizing every aspect of good health within our control, to ensure we can continue for as long as we’d like. We don’t take this lightly. In reality, at this point, the only thing that would stop us is a medical issue that we couldn’t resolve on our own. 

Although there aren’t a lot of chickens at the villas on our road, there are many on the side streets. Most aren’t meaty like this one.

I can’t tell you how many times over these past years that we would’ve visited a doctor in the US had we still be there. It was so easy to do. Spend three or four days coughing, having a sore throat, or feeling some new type of pain or discomfort, and off we’d go (in our old lives). 

Now, it’s different. If something doesn’t feel right, we don’t rush to a doctor or urgent care. Of course, if it felt outrageously serious, we would. Only twice in our travels have we visited a medical facility; once when I had a groin pain in Kauai (since resolved, nothing serious) and again when we had physical exams and tests last July in Trinity Beach, Australia. 

A type of orchid, perhaps.  Sorry folks, I just don’t have a knowledge of flower types and the wifi is too slow for research.

Plus, we’ve both had our teeth cleaned and, Tom had issues with an abscessed tooth which was since pulled in New Zealand months ago. Not every country is suitable for dental work and cleanings.

Do we worry about being in Bali with less than stellar local medical care within reach? Worry causes stress.  Stress causes illness. Why worry? Just taking good care of ourselves is our best worry reducer. Sure, something unforeseen beyond our control could transpire. We have an emergency plan in place, just in case. But worry?  Nah, not worth it.

This cat wanders about the neighborhood.

Instead, I’m reveling in his weight loss, as he is too, feeling it’s one more layer of health we embrace as we continue to travel the world. In the process, I too, have lost a few pounds I’d gained in Hawaii last year, now back to my comfortable clothes-fitting weight. 

Perhaps, the two Ketuts are getting it right after all! Maybe I’m learning something from them, less protein., more fat (coconut oil), and more veggies!

We hope your day finds you feeling well!

Photo from one year ago today, May 22, 2015:

A year ago today, we were almost at the end of our four-month stay in Kauai posting favorite photos such as this newly hatched albatross chick, nestled under a parent. What an amazing experience we had in Kauai in many ways. For more, please click here.