Update on my weight loss…Tom is at his lowest weight ever!…Not me!…

In August, the view was amazing as we sailed away on a Norway cruise.

It’s time for an update on my weight loss. But first, let me tell you about Tom! Since we left Minnesota and he stopped eating doughnut holes and bananas from breakfast at the restaurant at the hotel in Eden Prairie, he’s lost almost 20 pounds (9 kg). On the Galapagos cruise, he was careful with portion control and didn’t eat junk, bread, and excess sweets, although he usually ate a small dessert after dinner each night.

Since we’ve been in Ecuador with limited groceries other than items for breakfast and dinner, he’s been eating two pieces of toast with strawberry jam he’s been able to purchase at the little store down the road, plus a good-sized portion of watermelon each day. Even with that, he’s continued to lose weight and right now is at his slimmest when we first arrived in Belize almost 11 years ago.

For us, weight is about health, well-being, and, of course, being able to fit into our clothes. For me, the past few years, that’s been an issue. When I began recovering from open heart surgery in 2019, I started gaining weight from all the heart medications I was on. By the time I got off of all those drugs, about four months later, I was carrying an extra 20 pounds on me.

Norway was exactly as we anticipated, with colorful buildings and loads of charm.

Few of my clothes fit, and when I had an opportunity to purchase clothes online, I went from a size small to a large. No longer could I wear my jeans and most of my tee shirts when I had a “muffin top” hanging over the sides. That part was about vanity for me. I never liked that look on me. I started buying loose-fitting tops to hide my excess weight.

I tried losing weight in the past four years on many occasions but never had any luck. I’d lose a few kilos and then gain it right back, thinking I could eat as much as I did over 11 years ago, and that was not the case. Sure, I continued to eat the low-carb way, but let’s face it, one can overeat in any way of eating. I was deluding myself that I could do otherwise.

Once the Afib started and I began doing tons of research on possible remedies, one fact I encountered over and over again was that as little as ten pounds overweight could increase the risk of Afib. That, not appearance or clothes fitting, was enough motivation for me to attack this with gusto, and I have done just that.

  • So far, since November 1, when I began to cut back, I have lost 11 pounds (5 kg), with about 13 pounds (6 kg) more to go. By the end of this upcoming week, I will be halfway there. How am I doing it? Eggs, nonstarchy vegetables, a small portion of berries for breakfast, a small amount of cheese and chicken for lunch, and a dinner consisting of whatever protein source we have, with portion control in mind. I can eat all the nonstarchy vegetables I want.
It was one more cruise we knocked off to a location we wanted to see.

Since small amounts of berries are okay on low-carb and are loaded with nutrients, I am especially enjoying these as a treat. We’ve been buying the vegetables, freshly picked berries, and watermelon from Raphael on Tuesdays and Fridays when he comes by around 6:00 pm with his truck filled with organic fruits and vegetables.

I decided to post about this today when I found it helps me stay motivated when I’ve shared it here. You know, accountability. I’ve tried this here in the past with less success, but improving the Afib is a massive motivator for me, much more than anything in the past.

Tonight, I am making a beef tenderloin stir fry with celery, onions, broccoli, green peppers, carrots, fresh garlic and ginger. The seasonings won’t be as flavorful without all the usual spices we have on hand, but we’ll make do and enjoy it anyway. Tom will have his dinner on a bed of rice, and I’ll have mine without the rice.

Previously, we only ate once or twice a day, but here we’ve added a light lunch, as mentioned above, which, right now, seems to work better for me since I get less hungry for dinner. I am committed and will stay on this course until I reach my goal, and then, I will add a little more protein and healthy fats to maintain it.

Be well.

Photo from ten years ago today, November 19, 2013:

At dinner in Diani Beach at Swahili Beach Resort…Tom’s hair still had shampoo in it when the water went off during his shower before we headed out.
Luckily, I’d showered hours before him. For more photos, please click here.

Thanks to our readers who wrote with thoughtful wishes…No”haters,” thank you!…

Rock formations in the Galapagos Islands.

Over the past many weeks, we’ve received countless messages. After yesterday’s post here, in which we addressed our health issues, we received many more. If I didn’t respond to you directly after receiving your message, please know I am doing my best to respond to every one of you. However, with so many messages, I may miss a few, and we extend our heartfelt appreciation for reaching out.

Gosh, we appreciate the fact that we don’t have ‘haters.” Even with the best of health and circumstances, it’s disheartening to receive hateful messages and impossible not to read them. Over the years, we’ve had a few hateful messages; in 90% of the cases, we chose to ignore and delete them. Not many hateful messages deserve a response.

Who are these people who write to bloggers and who post comments on social media? I don’t get it. Certainly, we’re all entitled to voice an opinion, but doing so with grace and dignity should be the order of the day. Unfortunately, it is not. Sure, we’ve had some strong opinions sent to us via the comments section on this site or by email.

We have often responded to those trying to avoid being defensive. But, when one expresses a strong opinion to which the recipient may disagree, it’s not always easy not to defend one’s case for the opinions shared.

Beautiful scenery from either side.

While we were in lockdown in India in a hotel room for ten months, we wrote a post, found here, entitled,

“Please “unfriend me” if…Social media during lockdown.”

This post was directed at Facebook friends who may be posting negative, hateful messages, not necessarily directed at us but directed to others, which may be construed as attacking, racially profiling, gender bashing, or offensive to some people, including groups, celebrities, and politicians.

My goal was to exclude those “Facebook friends” who wrote negative comments that appeared on my feed for any of my chosen friends to see, passing on the negativity down the line.

We prefer to use Facebook to see what our friends and family are doing, places they’ve been, people they’ve seen, and a wide array of life experiences. I don’t add everyone who “friends” me, especially if I don’t know them. As a result, I don’t have a huge number of Facebook friends. Otherwise, it takes too long to go through each day’s feeds and updates to see information and photos from those people we do know.

I don’t spend more than 15 minutes each day looking at Facebook. As I’ve mentioned, once I am done posting, I don’t use my laptop other than for travel research, financial matters (using Express VPN for security), recordkeeping, and streaming shows at night since my laptop has an HDMI outlet to hook it up to the TV so that we can watch on the big screen. Tom’s Chromebook doesn’t have such an outlet, although we could purchase an adapter if needed. But we’re OK with the current set-up as is.

Many have asked if we use Instagram, X (formerly Twitter), and other forms of social media. We choose not to. The reason is very easy for us…we don’t want our entire lives to be about social media. The pressure of constantly taking photos and coming up with clever quips and opinions is not in our wheelhouse.

This was wide enough that a small boat could pass through.

As our readers so well know, we do not use our posts to espouse opinions about everything in life. Instead, we prefer to keep our site free of negative opinions that may offend, annoy, or upset any of our readers. Sure, we freely share opinions on inanimate situations and travel venues, trying to stay focused on our day-to-day lives and how travel impacts our daily lives.

Again, thank you, dear readers, for reaching out. We always appreciate hearing from you and your positive perspectives.

Be well.

Photo from ten years ago today, November 18, 2013:

We watched the movie “Out of Africa,” in the bush last night, surrounded by curious animals. Meryl Streep and Robert Redford both played award-winning roles in the movie, which won the Academy Award that year for Best Picture, with Meryl winning the Best Actress award. Redford won as best actor in other awards granted to foreign films. For more, please click here.

The days and nights seem to blend together and the weeks are flying by…

A pelican in the Galapagos Islands, working on a fish.

With only 51 days until we depart Ecuador to head to Tom’s pulmonology appointment in the suburbs of Chicago, time is flying by so quickly, much to our surprise. I don’t believe that we’ve discussed Tom’s health issue yet. However, it appears he may have pulmonary fibrosis caused by asbestos after 42½ years of working on the railroad.

We will share more about this situation when we know more after January 10, 2024. At this point, all we know is that his appointment is on January 10, 2024, and no matter what, we were heading to Illinois on about January 8. We’ve yet to book the flight, and will do so after I see the cardiologist next week on November 22.

Gosh, we sound like a mess! No matter how hard we’ve tried over the years, we couldn’t avoid our current medical issues and have decided we need to address them in the US, not in a foreign country. My heart issues are a result of heredity and Tom’s…well, from asbestos exposure. We found this out when he had a second x-ray when we were in Minnesota, and he went to Urgent Care for a bad cough.

But we carry on, hoping to get some answers and make decisions based on those answers. This doesn’t necessarily mean an end to our worldwide travels. But, we may decide to make some adjustments that coincide with the necessary imminent and long-term medical care.

Of course, this is at the forefront of our minds, but neither of our situations requires we leave any sooner than planned. Tom is feeling okay right now, with occasional coughing, and I am working on finding a combination of medications that will work for me. I have had to stop two of the drugs the cardiologist in Manta prescribed for me since they made it difficult for me to breathe, a common side effect.

The one drug, a blood thinner, is not causing issues, and another drug I had with me, with an increased dose, seems to be working for part of the day, which, after seeing the doctor next Wednesday, another increase in the dose may do the trick. We shall see.

In the interim, we’re staying positive and doing our best to enjoy the remainder of our time in Ecuador. It’s still cloudy and rainy every day, so we aren’t using the pool as we’d hoped. That would have been an excellent exercise for me. But, for now, I am not doing extensive walking since it seems to exacerbate the Afib. Once the drugs are adjusted to my needs, I should be able to walk longer distances.

A few readers have written asking if we’ll still do the posts if we stop traveling for a while and, as in the past when we had obstacles to bear, we’ll continue to write each day as long as our readers are still interested. This is life. No, it’s not easy, and a certain amount of worry and concern are to be expected now. However, it doesn’t hinder our joy of life, of being together and thinking about the future.

We intend to return to Marloth Park in June, as planned. By then, we’ll have a better handle on managing our healthcare, and with excellent medical care available to us there, we feel comfortable making the trip. Between now and then, we aren’t so certain.

We have many friends our age who continue to travel with medical concerns, some with major medical issues, and we applaud them for their courage. We hope to use them as role models and continue our lifestyle as long as it makes sense. We won’t take any unnecessary risks that could cause harm to either of us and fully support this with one another.

So that’s our news for today, dear readers. We’ll be back with more soon.

Be well

Photo from ten years ago today, November 17, 2013:

My parent’s wedding photo. Please read the post from that date that explains why I posted this photo. Please click here.

Medical care in Ecuador…

Attractive cactus tree in the Galapagos Islands.

Many travelers often mention that Ecuador has good medicalcare, especially when many expats settle in the country for that reason, along with the lower cost of living than many other countries. Today, we’re sharing information about this topic, coupled with a smidgen of information from our recent experience.

From the US Embassy site on medical care in Ecuador:

“Medical Assistance

The Embassy cannot provide health care or medical facilities for private U.S. citizens in Ecuador. We can, however, provide a list of names and addresses of doctors and facilities for you to choose from. Should you be injured or become seriously ill while in Ecuador, the Consular Section can assist you by providing a list of medical practitioners and hospitals and informing family and friends, at your request, of your well-being.

Health Insurance Overseas

We strongly recommend acquiring Overseas health insurance before traveling to Ecuador. If you have Medicare, we advise you that Medicare does not cover health coverage outside the U.S. In addition, we also recommend looking for a Health Insurance plan with Medical Evacuation coverage since evacuations may be expensive, from $ 10,000.00 and up.

Prescription Medications

While you travel, we always recommend that you take enough medication, if required to take any, at least for the length of your trip. If you happen to run out of your medication, unfortunately, the U.S. Embassy or Consulate can’t help you by receiving any medication.

Also, please note that special laws and regulations might be in force for sending medication to Ecuador. It does not matter if the package was sent with a courier company, cargo company, or regular mail. Some medications may even need a written import permit issued by the Ecuadorian Ministry of Health or may be restricted by the Ecuadorian National Council of Control Substances. Packages detained by Ecuadorian Customs can’t be released by having someone from the Embassy or Consulate call in. We recommend you research what local options you can get for your prescription medication in case of emergency before traveling.”

International Living Magazine published an article regarding medical care in Ecuador, inspiring many foreigners to visit the country for care and procedures. Here is the article in part from this site:

“One of the great perks for foreign residents living in Ecuador is high-quality, low-cost healthcare. Bloomberg recently rated Ecuador as having the 20th most efficient healthcare system among advanced economies, while the U.S. ranked near the bottom in 46th place.

An internet comparison of healthcare costs worldwide found that Ecuador’s costs are the lowest—lower than those in China, Malaysia, India, Mexico, and Panama. Generally, you can expect to pay 10% to 25% of what you would in the U.S. For major surgery, we’ve seen several cases in which costs were even less than 10% of comparable procedures in the U.S. You will find similar savings for dental care.

Lots of iguanas on the walkway. (Repost).

Although Ecuador is a developing country, you will find first-rate medical care here, particularly in the major cities. Many doctors are educated in the U.S., Europe, Argentina, Chile, and Cuba and continue to train around the world. In many respects, the medical system is reminiscent of that in the U.S. in the 1950s or 1960s. House calls are still possible; most doctors do not have nurses, and the average office visit is 30 to 45 minutes. Another throwback is that Ecuadorian doctors don’t expect to become instant millionaires, and the average income for doctors, according to a Quito medical association, is about $65,000 a year.

A visit to a general practitioner costs $20 to $35, while a visit to a specialist runs anywhere from $40 to $80. For follow-up visits, there is usually no charge at all. A psychiatrist will charge $40 to $50 for a half-hour session. Simple, ambulatory procedures are equally inexpensive. For example, the removal of a small lump (under local anesthesia) and a biopsy cost about $125. Brand name medicines usually cost less than in the U.S. Generics, which are widely available and are much cheaper.

Health Insurance in Ecuador

In 2017, Ecuador passed new laws making some type of health insurance mandatory for all citizens under 65 years of age and all residents under 65 who had their visas registered after February 6, 2017. However, laws were also passed, making it illegal for private insurance companies to exclude clients based on age, sex, or pre-existing conditions.

Health insurance remains a bargain in Ecuador. A review of comparable insurance policies for a 60-year-old man in the U.S. and Ecuador tells the story. In the U.S., the man would pay a monthly premium of $1,200; in Ecuador, he may pay as little as $70. A woman aged 50 to 60 would pay $72 for the same policy in Ecuador, while coverage for a dependent child between two and 17 years of age costs $15.69 monthly.

Turtles at Cerro Colorado Tortoise Reserve in San Cristobal Island in the Galapagos

The policy cited is offered by Salud S.A. (website: https://www.saludsa.com), Latin America’s largest health insurance company, and pays 80% of doctor’s visits, 60% of medication costs, and 100% of hospitalizations. It also offers extra coverage for walk-in procedures and accidents.

Although international health insurance is available from several local companies, costs can be considerably higher than Ecuadorian policies. Remember that international policies must cover high-priced countries like the U.S.

The Social Security Healthcare Option

Ecuador has invested hundreds of millions of dollars to upgrade its national social security healthcare system (Instituto Ecuatoriano de Seguridad Social, or IESS) and, as of January 2014, allowed foreign residents of any age a “buy-in” option. Following a change in 2017, expats now must provide proof of income for the rate of their IESS insurance to be set. That figure will be used if your visa is based on your pension. For other types of visas, you will need to provide documentation to verify your income.

The rates for IESS coverage are based on the income claimed. The primary enrollee (or spouse) will pay a monthly fee equal to 17.6% of their income. A spouse and other family members may be added for an additional 3.41% per month. So, if you have a pensioner’s visa for the minimum amount ($800 + $100 for dependents), your monthly fee as a couple would be $168.08. Remember that you don’t need to disclose all of your income, just what you are claiming to participate.

This is still a bargain, as the public healthcare system covers in-hospital care, outpatient care, extended care, home care, prescription drugs, dental care, and eye care. Again, please note that the healthcare regulations are still under debate and could change anytime. Keep up with International Living for up-to-date information as this develops.

Dental Care in Ecuador

Dental care in Ecuador is also a bargain, costing 80% to 90% less than similar care in the United States. As with physicians, you will find that most dentists are well-trained and have access to the latest technology. Many of them also speak English.

Checking prices for dental care, a cleaning costs $30 to $45. Cavity repairs and fillings cost $25 to $35. Partial plates cost $325, and a complete set of dentures costs about $900, including office visits, fittings, lab work, and impressions.”

For the balance of this article, please click here and scroll down.

Baby turtle enjoying the water at the sanctuary.

As for our personal experience with medical care thus far, although very limited, with only one visit to the cardiologist in Manta (returning for a second visit next Wednesday), the office, his staff, and the doctor were all very professional. The doctor spoke no English, but one of his staff members spoke excellent English and was my translator.

The office was impeccably clean and organized and appeared to have the latest equipment and supplies from what I could determine. Nothing in the office or building was in ill repair, as one may expect. A guard greeted patients at reception, and we were asked to wait in the lobby before heading up the elevator to the office facility. Once in the doctor’s reception area, I was taken in to see the doctor immediately.

There are countless articles on healthcare in Ecuador, and if you are interested, please type “medical care Ecuador” in a Google or other search engine to read further.

As for our current location, we would advise staying closer to a big city for medical care rather than staying at a remote location such as Guayaquil, Cuenca, etc. See this list of population statistics for Ecuador here. (Scroll down the page).

We’ll report back after my next cardiology appointment.

Be well.

Photo from ten years ago today, November 16, 2013:

Flying from country to country in Africa is no simple task. Check out this map illustrating the size of the African continent compared to the US and other countries. For more, please click here.

Fascinating facts about Ecuador…

Look at all these iguanas sharing space on these lava rocks in the Galapagos Islands!

Sorry,, but yesterday was a hard day for me, and i didn’t upload a post. Here we go for today.

Unfortunately, while I continue to work on an appropriate drug regime for my non-stop Afib, there is no way we could consider sightseeing. Right now, walking is not on my radar when it only worsens matters. As I read through the Ecuadorian facts listed below, I’m disappointed that this is my fate right now. It would have been fun to go on a cruise on the Amazon River to see some of these locations, which was our original plan.

Nonetheless, I felt it was vital to share details about this country while we are here. Still, we aren’t sure where we’ll go from here, although possibilities are on our minds, all based on how I feel in a few months. As mentioned in prior posts, we return to the cardiologist on November 22 to perhaps begin a new series of medications.

In the interim, we’re making the best of our situation, busy throughout the days and relaxing in the evenings when we hunker down to relax and enjoy some mindless entertainment. We’ve figured out how to enjoy good dinners, and Tom, as usual, is a big help in the kitchen.

A blue-footed booby sitting in the rocks with blue feet tucked away.

After research, I stumbled across these interesting facts about Ecuador, and today is the perfect day to share them, especially since we don’t have new photos to post. Here they are from this site:

“Ecuador Facts: 10 Fascinating Things You Didn’t Know

1. Ecuador means “equator” in Spanish.

It may not surprise you that the country is called this because the equator runs through it. The country’s official name is ‘República del Ecuador’ (Republic of the Equator). In fact, Ecuador is the only country in the world named after a geographical feature.

Just outside Quito, there is a famous monument named the Mitad del Mundo (middle of the world) to mark the equatorial line. In fact, the monument is actually about 240 meters from the actual equator, but it’s still a nice visit. There is a museum there and a few market-style shops and restaurants to wander about. It is also possible to climb the monument and take in the views of Ecuador from above. An interactive museum to mark the “real” equator is just down the road. (Although the equator is 5 kilometers wide, both museums are on the equator, and only one is in the center of it.)

2. Yasuni Park is one of the most bio-diverse places on the planet.

This protected Ecuadorian National Park and Biosphere Reserve are located deep in the heart of Ecuador’s Amazon. It is one of the most bio-diverse places on the planet, home to species that are entirely unique to the lands. Ecuador has more tree, amphibian, and bat species in only 100km than anywhere else.

As well as the hundreds of tree species, amphibians, reptiles, and small animals (such as Pocket Monkeys or Jaguarundi-small lions found only in the Americas), there are also much larger animals, like the Green Anaconda (factually, Ecuador has the largest snake in the world) and big cats, such as the jaguar to be found.

There is also a huge amount of crude oil in the park. This remains untapped due to a pledge made in 2007 by the President at the time, Rafael Correa. The pledge promised to protect the park and its resources.

3. The Galapagos Islands inspired the Theory of Evolution.

The Galapagos Islands are famous thanks to Charles Darwin and his Theory of Evolution. The theory is centered around the finches of the islands. Darwin examined the way that the same species of bird had evolved differently on the 21 different islands of the Galapagos. It is a fact of Ecuador that Darwin’s research put them “on the map.”

The islands are a remote area found six hundred miles off the coast of Ecuador. Teaming with rare and unique wildlife, as much as 20% of the creatures are exclusive to the islands. The wealth of this pristine site makes the Galapagos Islands one of the most fascinating places on Earth. Ecuador is a must-visit for all nature lovers and adventure seekers alike.

4. Chocolate has a long history in Ecuador.

Cacao has been grown in South and Central America for centuries. It has long been a staple of Ecuador’s national and cultural heritage, often used for its anti-inflammatory properties and other medical benefits. Research shows that chocolate has been consumed here for nearly 5,000 years. Recent studies have indicated that Ecuador might even be the original source of cacao.

As the demand for high-quality chocolate has increased, so has the in-country production. Today, Ecuador is recognized as the producer of the highest quality cacao in the world. It is also one of the largest exporters, producing as much as 80% of fine cacao beans. Despite this, Ecuadorians eat only 300-800 grams of the stuff on average per year, whereas countries like Germany consume 9 kilos per person yearly.

5. Ecuador is where to find orchid flowers.

Ecuador is known as the orchid capital of the world. It has over 4,000 species of these beautiful plants. With over 25,000 plant species worldwide, the orchid is the most varied of them all. It also boasts some of the greatest levels of diversity within the species ranges. Some of the varieties flower for half a year, and some for mere hours. Some of the flowers can even live up to 100 years old. No wonder they’re the world’s most popular houseplant! You can find these plants in Cuenca!

6. Ecuador has some of the finest colonial architecture in the Americas.

The Architecture of Ecuador has seen a lot of influences over the years, the larger cities especially. In the center of Quito, there is the Old Town. The Old Town is one of Ecuador’s first UNESCO-protected sites (along with the Galapagos). It was built in the 16th century on the ruins of an Incan city. The town and its buildings have survived many earthquakes and have Latin America’s best-preserved Spanish Colonial architecture. The city still has many indigenous elements and European inputs, making it a beautiful place to visit.

7. Bananas are an important food product in Ecuador.

Bananas are an undeniable staple of Ecuadorian diets and cuisine. With around 300 different types of bananas growing in the country, supply meets the demand. Here, there truly is a banana for every occasion.

For the last 60 years, Ecuador has been one of the world’s largest fruit producers, producing 25% of the world’s bananas, missing out on the top production spot to India. However, they remain the biggest exporter of sweet bananas to Europe (the climate in Europe is incompatible with the growth of our yellow friends).

8. Ecuador is a birdwatcher’s paradise.

This is one of the best Ecuador facts for nature lovers. Ecuador has more birds per square kilometer than anywhere else in the world. With 1632 different confirmed species and 48 more hypothetical, there are plenty of feathers to flap. They also hold the world record for the number of hummingbird species, with an incredible 132 (out of 340) different types of birds calling the country home. Hummingbirds can only be found in the Americas. They are also the smallest bird, with the highest metabolism, in the world. In fact, their metabolism is so high that they have to enter a hibernation-like state every night. This is called torpor and done to conserve the birds’ energy.

9. Ecuador’s different regions are truly unique.

Ecuador has four distinct regions: the Mountains, The Coast, The Amazon, and the famous Galapagos Islands.

Each region has its unique culture; everything from clothes to food varies. In Fact, even languages used vary in Ecuador- particularly in rural indigenous communities. Much of this depends on the materials readily available to the people and how communities have developed to utilize them. For example, coastal food is very coconut and fish-based. However, the food from the mountain settlements is much more likely to be cuy (guinea pig) and corn.

The differences have lessened gradually over time. With the increased amount and quality of transport between mountain and coast (car instead of llama, roads instead of dirt paths) it has become much easier for people to share their goods. Language has also become much more standardized as Spanish has become more predominant in the country over regional languages like Kichwa.

10. Ecuador Has the Real Space Mountain (this is one of our favorite Ecuador facts).

One of Ecuador’s most surprising facts is that the country is home to the closest point on Earth to space. Mount Chimborazo is the highest mountain on Earth… sort of. The Earth is not a perfect sphere, bulging around the equator… In fact, Ecuador sits right on the bulge. (This is also why you are more likely to get sunburnt in equatorial countries). At its peak, Ecuador’s highest mountain, Mount Chimborazo, is the furthest point from the Earth’s center. Although from sea level, Mount Everest still takes the cake.”

A giant tortoise from our time in The Galapagos.

With a base 20 kilometers wide and a peak of 6263 meters, this inactive volcano can be seen from a staggering 140 kilometers away in Ecuador’s biggest city, Guayaquil.”

As we go along in the next few months, we’ll include more interesting facts about Ecuador, especially appealing to those who may be considering becoming expats and moving to this country or visiting at some point in the future.

Be well.

Photo from ten years ago today, November 15, 2013:

We’re not as tidy as we used to be, but there is no cupboard space for food. None of these items will be packed to travel with us. For more photos, please click here.

The constant sound of the surf is soothing…The good, the bad, the ugly…

This is the little store located inside the gated community.

Wherever we are in this house, even at night when the aircon is on in the bedroom, we can hear the sound of the surf. It reminds me of my childhood in California and when I visited my aunt in Massachusetts, who lived across the road from the sea. The mystery and magic of the ocean is calming, and neither of us ever tire of the sounds.

This store reminds us of the little store where we shopped in Belize and Bali years ago.

In many ways, it is fine here. The house itself is comfortable, along with the bed and the furniture. When we stay in, a holiday home must have comfy sofas and chairs, and that’s not a problem here. Writing these comments made me realize that now would be a good time to share “the good, the bad, and the ugly” of what life is like in Mirador San Jose, especially for our readers who haven’t followed along daily.

On a positive note, let’s start with the “good.”

  1. Ocean frontage: Being situated on the ocean is always a huge perk for us, as mentioned above in the comments about the sounds of the surf. When the weather is nice, we can sit outdoors and enjoy the views and the sounds.
  2. The house is quite nice, although there’s some wear and tear from the salt air, which is typical and unavoidable for ocean-frontage properties.
  3. Safety: The gated community provides abundant security for the properties contained therein. The gate is managed 24/7, giving homeowners and visitors a sense of security and well-being.
  4. Restaurant: The only restaurant in the gated community is Kokomo, which is only open on Wednesdays from 5:00 to 8:00 pm.
  5. Little market: Although the little market located inside the gated community is only open on Mondays, Thursdays, and Fridays from 10:00 am to 3:00 pm, it has helped us avoid having to drive to Manta for groceries, which we will do on November 22, when we replace the rental car and go back to the cardiologist. We’ve managed to get by, but the inventory of foods I can eat is minimal.
  6. Raphael’s produce truck: He honks when he drives by on Tuesdays and Fridays with plenty of fresh organic produce from the farm. Prices are reasonable, and the selection is good.
  7. Locals are friendly: When we drive through the neighborhood, people are quick to wave, and on Wednesday nights at  Kokomo, we have felt welcomed.
  8. Washer and dryer: Having both of these appliances right off the living room has made doing laundry easy.
  9. Aircon on the main floor: Although it has rarely been hot enough to use the main floor aircon, we appreciate having this where we hang out most days. The ocean breezes cool the main floor. We use the aircon at night when we go to bed on the second floor.
  10. The owner is kind and responsive: This has always been important, especially when we have maintenance issues. Igor, the owner here, has been excellent, and we appreciate his prompt responses to our inquiries.
  11. Maria, the housekeeper on Tuesdays: Apparently, others in the neighborhood have also had Maria work for them. She does a thorough job at only $20 for three hours, and we couldn’t ask for more. We give her a tip each week.

    Quite a few bottled sauces, sauce mixes, and seasonings are used in Ecuadorian cooking.

Here is the “bad and the ugly:

  1. Distance to shopping: There are no supermarkets within an hour’s (to Manta) drive of this house. There are a few little markets, besides the small one here in Puerto Cayo, which is about a 25-minute drive, but when we checked them out, they had nothing we could use.
  2. Distance to restaurants: It’s also an hour’s drive to Manta to any restaurants where I could eat the food, and going out at night is foolhardy with dangers on the highway. There are numerous beachside dining establishments, but most use tap water in food prep and use grains, sugar, and starches in their dishes. We’ve yet to see a tourist stopping at these roadside stands.
  3. Power outages: We’d had our fill of load shedding in Marloth Park, but then Danie and Louise resolved that issue for us by installing a comprehensive inverter system that made outage unnoticeable to us other than being able to use the oven during load shedding. There is no such thing here, and when the power is out, there’s no WiFi either.
  4. No known socializing on any night other than Wednesdays at Kokomo.

    Tom was eyeballing some sweets but didn’t buy anything.

Since we arrived almost three weeks ago, we have been fine after many issues were resolved with the conscientious help of the owner, Igor. We are making the best of the above situations during our remaining time in Ecuador, less than two months from now.

Paper products, soaps, and cleaning supplies.

This morning, we headed over to the little store and purchased all the meat they had: two packages of ground beef, two packages of pork chops, and two packages of fish, which will get us through the next week, considering we’ll be eating out on Wednesday. At that point, it will only be two days until returning to Manta to try the MegaMaxi supermarket after the cardiologist appointment and the rental car exchange.

Be well.

Photo from ten years ago today, November 13, 2013:

The Cave, a unique restaurant in Kenya, after the power went out and came back on promptly after the generators were started. For more photos, please click here.

Thoughtful update from reader/friend….Thanks, Bob!…What inspires expats to live in Ecuador…

On the few evenings when it hasn’t been cloudy, Tom has been able to take these sunset photos shown today.

Yesterday, we received the following email from reader/friend Bob, whom I’ve never met but who found our site on Tom’s Facebook page. He attended high school with Tom many moons ago. Bob has been a loyal and consistent reader for several years, and we certainly enjoy hearing from him now and then.

Bob either posts a comment on a particular post or sends us an email with questions or comments, all of which have been very kind and supportive of our world travels and lifestyle. Here is the message Bob sent yesterday, commenting about yesterday’s post found here.

I had written that I had no idea if the vegetables we’d purchased from Raphael’s truck were a good deal or not. With our intent to support local farmers and other local vendors, we weren’t worried about prices when we thought what we were purchasing was within a reasonable range of what we may have paid in the US. Plus, the produce is pesticide-free and organic, based on insects we’ve found on the products.

This shot looks somewhat like a question mark.

If, at any point, we feel a vendor is taking advantage of the fact that we’re foreigners, we’d either negotiate a better price or, in some cases, not purchase if we felt the item(s) were grossly overpriced. Most recently, when we stayed in the US for several months off and on, we didn’t go grocery shopping and had no idea how much prices had increased with recent inflation.

While in Florida for three months, from the end of April until July, we had groceries delivered From Kroger, when there is a possibility prices were slightly higher for delivered groceries. So again, our knowledge of prices wasn’t necessarily accurate.

When Bob wrote yesterday, he so kindly did the research for us, taking our list of items we purchased from Raphael’s truck to his local market, Cub, as described in his message below:

“I read your blog today, and since I eat a lot of fruits and veggies, I went shopping today. I went to Cub Foods.
I did a price shop for you.

Watermelon $5.99
Broccoli. Head $3.99
Whole cabbage $2.25
Med zucchini  $2.79 
Carrots $1.25 lb
Med Avocado $.77 ea (x 3)
Strawberries $3.99 lb on sale
So you got “fresh from the farm” for half what it was at Cub today.
Enjoy,
Bob”
I was thrilled to see this information from Bob. How thoughtful of him to take the time to check these prices and report back to us. Thanks, Bob! You inspired today’s post with this information and gave us peace of mind, knowing we weren’t overpaying, although in this case, for the convenience of Raphael showing up twice a week at our door, we may have been willing to pay more than US listed prices. Apparently, we did not overpay when Bob explained we spent about half of the current US prices.
Another stunning view.
Considering we’re currently buying food from Raphael and the little market in the gated community, we are only spending about half for groceries of what we’d have paid in the US or many other countries. When we return to Manta on November 22 to exchange the rental car and for my second cardiology appointment, we will grocery shop at a big market and have a better idea of prices in Ecuador.
Over the years, we’ve heard many expats have moved to Ecuador due to the low cost of living, including housing, products, and services. Most residents living in Mirador San Jose are French Canadians who chose to retire here, partly due to the lower cost of living here than in Canada.
The rays streaming down from the horizon are enchanting.
We’ve yet to discover the prices of the houses in this beachside neighborhood. Surely, we’ll hear about that and report back here. However, I found this one listing of a home currently on the market for $189,900s, not directly on the ocean as the holiday house we are renting. See here for details.
Also, here is a link for an oceanfront vacant lot for sale in Mirador, San Jose, priced at $34,000.
That’s it for today, folks. We’ll be back with more tomorrow.
Be well.

Photo from ten years ago today, November 12, 2013:

These huge pods have continued to dry out on a tree in the garden in Kenya. For more photos, please click here.

An amazing encounter with Raphael..Again, it’s the simple things…

Here is the produce we purchased from Raphael last evening. The total cost was US $12.50. I don’t know if this is a good price or not, but since we are grateful to be able to buy these, we are fine with the cost. There are three avocados behind the bag of strawberries and a giant zucchini to the right. We aren’t eating salads right now.

Last night, as we were preparing dinner of pork chops, rice, green beans, and cooked carrots for Tom and grilled fish (unknown type) and veggies for me, we heard Raphael’s honking horn. We couldn’t get outdoors quickly enough to find Raphael with a huge grin on his face while asking how we were in Spanish. We enthusiastically answered, “Bien. Como estas?”

Over the years of selling his fresh farm goods to the English-speaking locals in Mirador San Jose, he’s learned the English translation of all his fruits and vegetables, making selecting our preferences easy when we merely say the names of what we’d like to buy.

We don’t bother to ask prices for his bounties, nor do we attempt to explain why we aren’t interested in potatoes, beets, corn, and other starchy, sugary fruits and vegetables. When he suggests such items, we shake our heads, and he continues to let us know any new items he may have that he didn’t have last time. He comes by each Tuesday and Friday close to 5:00 pm.

I nearly jumped for joy when I spotted a container of blackberries and another with strawberries. With my way of eating, I can have berries in moderation, ½ cup per day. He let me choose those I wanted from the containers, as my mouth watered at the prospect of eating these fresh-from-farm berries.

The berries didn’t look as if they were washed. I’d picked fresh berries in the past and could tell. Since I will be eating them uncooked, we soaked and rinsed the two batches separately in bottled water, letting them sit for several hours. This morning, I put about a ½ cup of the blackberries in a bowl, which I promptly tasted. They were so tart, much to my delight, that I’d have to add a little of my sweetener to be able to eat them.

The fact they were tart indicated they weren’t genetically modified to be sweet, as are blackberries, blueberries, and strawberries in the US and other countries, to appeal to consumers who prefer fruits to be sweet. It was only when I was a kid, back in the 50s, that berries were so tart that my mother placed a bowl of sugar next to them, to which we added several teaspoons to the berries. Then, they tasted good.

Now, in the US and many other countries, when you buy berries, sugar is unnecessary when they are already so sweet they are hard to stop eating. Before I adopted a low-carb way of eating in 2011, I could easily and mindlessly eat a bowl of berries without any added sweetener, munching on them as if they were salty nuts, which also are hard to stop eating.

This morning, I had my usual bowl of two eggs cooked in a bowl with ½ avocado for breakfast. But this time, I added a small bowl of fresh, sweetened blackberries on the side. What a treat it was! For me, it was comparable to having a fine dessert.

As shown in the photo above, Tom will enjoy another watermelon while I munch on the berries until Raphael returns and hopefully has more berries in his truck.

We’ll repeat last night’s dinner tonight with pork chops (for Tom) and fish (for me), both of which are marinating in the refrigerator. But this time, we’ll add steamed buttered broccoli as our vegetable instead of green beans and carrots. Buying the pork chops and fish at the little nearby market in this gated community and buying fresh vegetables from Raphael makes shopping for food much more accessible than we initially anticipated.

When we return to Manta on November 22 to return the car and visit the cardiologist, we will shop at MegaMaxi, the huge Walmart-like store in the shopping center, recommended by the locals at Kokomo’s last Wednesday night.

Be well.

Photo from ten years ago today, November 11, 2013:

On our first cruise and venture outside the US on January 3, 2013, on the Celebrity Century, an “Old Hollywood” style ship, sailing through the breathtaking Panama Canal. This cruise line and particular ship may remain our favorite, even after many additional cruises. Our all-time favorite bartender is shown on the far right, Juan. What a guy! For more photos, please click here.

And the beat goes on…Hopefully…

A seal swooning to the sky.

We are doing ok. After over two weeks, we’re settled in and have created a comfortable routine, which provides us with a degree of familiarity and contentment. Sure, in an ideal world, we’d be able to socialize more often than on Wednesday nights, but when was and when is the world perfect? Not recently, from our recollection.

Many might assume that in our nomadic lifestyle, we wouldn’t stay in touch with what’s happening worldwide. Still, I assure you we pay close attention to world affairs, impacting our travels and the lives of those we love in the US and other countries, praying everyone is safe and out of harm’s way.

No doubt, it’s horrifying to hear about the war In Israel, the ongoing war in Ukraine, and wars and strife throughout the world wrought by terror mongers who are heartless and incapable of caring about humanity. What a sorrowful fate for so many.

Basking in the sun.

And yet, it seems easy to sit back and focus on the nuances of our days and nights with issues that may be monumental to us at the time and are infinitesimal in the realm of worldwide affairs. Everything is relative, and a simple annoyance can send us into a tailspin, impacting our entire day.

I sometimes kick myself when caught up in such a simple annoyance when I stop to think about the horrors others are facing worldwide. It would be easy with our lifestyle over the past 11 years of world travel to isolate ourselves from the realities of what is transpiring in the world and stay entrenched in our occasional challenges, but we refuse to put our heads in the sand in a state of oblivion, exempt from the emotions

We all seek comfort in our lives, and it’s easy to wrap ourselves around the routines that provide us with that comfort. We are not exempt from seeking those comforts even amid what is happening in the world. Thus, with that in mind, we are striving to center ourselves here in Ecuador for the next few months.

Beautiful birds frequent the craggy rocks. “This is a Gull. The bifurcated tail gull ( Creagrus furcatus) is completely nocturnal and thus avoids the attacks of the frigates, which fly during the day.

How do we find that level of comfort? By engaging in familiar activities, we incorporate into our lives wherever we may be at any given time. Sure, our surroundings dictate how we spend a portion of each day to entertain and educate ourselves and, of course, take photos to share with all of you.

We’ve had to face that the above opportunities are not available right now, not in this location. There are no social venues other than Wednesday nights for dinner at Kokomo in the gated community. There is nowhere to drive to see scenery we haven’t already seen. The beach is lovely, but the weather is not, nor is it expected to be in the remaining time we’re here. It’s the rainy season now.

It’s too far to drive to the supermarket in Manta once a week and go out for breakfast or lunch, which we always enjoy. Instead, we were finding some meat at the tiny market, allowing us to have enough for dinners, one week at a time. Then, of course, we delight in Raphael suddenly appearing every Tuesday and Friday with his truckload of fresh farm vegetables. His prices are somewhat high, but we like to support local vendors and are willing to pay a little more, knowing doing so helps him and his family.

Iguanas  were checking out the activity at the pier.

We spend a certain amount of time each day communicating with family and friends via Facebook, WhatsApp calls, and texts, all of which work well here in San Jose with a good internet signal when at the house. When we drive to Manta, which we’ve done a few times since we arrived on October 24, we lose our Google Fi signal for most of the drive since it is so remote.

We always say we like remote locations, where we’ve stayed in most countries, but in all cases except here, it’s been convenient to shop, sightsee, and dine out. Good photo ops have been in abundance. Thus, we apologize for the lack of photos in Ecuador, but we certainly had plenty while in the Galapagos only weeks ago. Today, we are including a few more photos from that adventure.

Be well.

Photo from ten years ago today, November 10, 2013:

I would’ve loved to try the pufferfish (click to see NG’s pufferfish video), a deadly poisonous fish if not cleaned properly, but I passed since it was flour-battered and fried. “Chips” in Kenya translates to French fries, not potato chips, which Tom promptly figured out. For more photos, please click here.

Trip to Manta to a highly rated cardiologist…On a new plan…

Once we arrived in Manta, there was considerable traffic.

I continue to write about my heart problems to be transparent with our lives of world travel and also to share the path we’ve chosen for those who may be experiencing similar issues. None of the information we share is suggestioning “what you should do.” Please see your medical professionals for your specific needs.

So here’s the story as it rolled out over the past few months. The day we arrived in Mirador San Jose, on October 24, the Afib started again. I didn’t experience it at all while we were on the Galapagos cruise or in Quito, even during the difficult days of seasickness on the cruise and during the four days of high altitude in Quito, at 9350 feet above sea level. I was grateful I had no problems at that time.

It’s easy to figure out what road signs are saying.

Once we got here and the Afib wouldn’t stop, I started taking the drug, Flecainide, that I’d been prescribed last April when I was in the hospital for three days, having many tests with no specific answers as to why I had Afib. Many times, I read that Afib doesn’t necessarily appear for any particular reason, making it difficult to treat and tolerate. We all want answers.

I only had enough pills for three months of Flecainide at one per day, which I’d only taken once after getting out of the hospital, which I stopped when I had awful side effects. I had one bad episode on the airplane from South Africa to Florida and never had another bout until I had a few events on the cruise to Norway. Those bouts resolved on their own after a few hours. Then, after the cruises, I never had a bout while we were in Nevada for nine nights, but then I had a few events in Minnesota during the month we were there.

A man walking with his horse or donkey carrying a load of supplies.

After reading that exercise can help Afib, I gradually increased my daily walking steps. After one week, I was in a constant state of Afb. The one Fleacainide a day wasn’t enough. I knew I needed to up the dose to two pills a day, 12 hours apart, per the suggestion of the cardiologists in South Africa. When I took the second dose 12 hours later, without any improvement, yesterday morning, I knew I needed to see a cardiologist.

Immediately, I got to work searching online for a five-star rated cardiologist and found in Manta Dr. Alfredo Zambrano. I called their office, but they spoke no English. When they saw my call coming in, to which I hung up when I couldn’t communicate with them, they immediately sent me a WhatsApp message, translated into English. My appointment was for 3:00 pm yesterday, only hours after our initial contact.

With a high poverty rate in Ecuador. The national poverty rate in Ecuador is estimated at 25% of the population, while the extreme poverty rate stands at 10.7%, with the highest incidence in rural areas. Many homes and buildings are distressed.

Of course, I was still in Afib when we arrived for the appointment. I had written down all my questions in Spanish using Google Translate and handed the doctor my phone to read the questions. One of his assistants spoke excellent English and translated for us.

He did a lengthy ultrasound and an ECG. My appointment lasted one hour. The bill was $100, which included the tests. A few years ago, I had a similar appointment to get checked out in the US, and the 15-minute appointment was US $480. Hmmm…

An old boat in a side yard.

Well, anyway, the doctor showed me on the ultrasound screen that I have a problem with my mitral valve, referred to as a regurgitating mitral valve, which medication can help at this point. It’s what is causing the Afib. He prescribed three new drugs and had me stop taking my current blood pressure and Afiib drugs. I started the new drugs yesterday on our way back to San Jose.

These drugs all have side effects, some more than others. By the time I went to bed at about 10:30 pm, I had taken all three drugs, spaced out for specific times as prescribed, and never taken all at once. One by one, as I took the drugs, within about 45 minutes, I began to feel the side effects. After taking a second dose, it’s taken until this morning for the Afib symptoms to stop.

A typical shop on the side of the road.

Yes, I feel drained and exhausted, but the doctor said I can start walking again once I’m feeling better. It may take weeks to adjust to the meds, but I am not giving up. This is my life, and I will do whatever it takes to get through this. Down the road, I may need surgery, but he said not right now. Thank goodness.

After the pharmacy, we began the one-hour drive back, heading directly to the restaurant for dinner at Kokomo in the gated community. We hadn’t prepared anything for dinner. It was busy, and we had an opportunity to chat with some locals. I wasn’t myself, but I did my best to smile and be cheerful. We didn’t stay long. I was anxious to get back to the house to put on my pajamas and relax for the rest of the night while I waited for the drugs to work. So far, so good. We did the right thing going to the cardiologist, who, by the way, had a very professional office and staff.

Today’s a new day. I feel relieved and hopeful. Sure, I am feeling the side effects, but I will work through them in the coming weeks; I am looking forward to being able to stop thinking and writing about this troublesome condition. Thanks for listening, dear readers.

Be well.

Photo from ten years ago today, November 9, 2013:

This goat in our yard in Kenya was definitely not camera-shy, practically stepping on my foot as she approached. For more photos, please click here.