A story from ten years ago…We haven’t changed much…

In many countries, we don’t see this much use of color in the buildings, which are often brick and stone from centuries ago. Much of Reykjavik, Iceland, has been built over the past 50 years.

On this date, ten years ago, we were on a ship-arranged tour in Reykjavik, Iceland. We opted for the full-day off-road adventure in a large, giant-tired land and water vehicle. It was a pricey tour, but with only eight passengers, it was perfect. Unfortunately, it rained the entire day. But neither of us hesitated to exit the vehicle to revel in Iceland’s wonders, ending up soaked but exhilarated.

As I reviewed the post from ten years ago, I was reminded of our enthusiastic emotional state and the joy we were experiencing in year two of our world travels. Thus, unlike anything we’ve done in the past, I am sharing the verbiage we wrote on September 10, 2014. You can see the entire post here.

So, here we go, the post we wrote ten years ago today:

“Happiness is fleeting. At times, it wraps around our hearts during a special moment or entirely surrounds us on a day when everything in the world is right. We experienced our fair share of those special moments in our old lives. However, the challenges of everyday life are often imposed upon maintaining a perpetual state of contentment.

A pipe broke, spewing water all over the basement. An error on our cable bill threw us into a frenzy to correct it, perhaps leaving us frustrated and angst throughout the day. Day-to-day life has many challenges, often entirely out of our control or beyond our realm of responsibility.

Of course, the greatest angst of all is when we do make a mistake, an oversight, or an unintended spontaneous blurb that may hurt the feelings of a loved one or friend. It is during these times that we may feel as if it will never be right again, and happiness becomes a fleeting memory.

When we left life in Minnesota almost two years ago (October 31, 2012), we had no expectations of happiness being a daily state, of being consistent, or even somewhat dependable.

After being ill for many years and suddenly becoming well in August 2011, we both felt a sense of urgency to take advantage of my renewed health by living “outside the box” for as long as health allowed. It could all change in a day, a week, or a month. We chose happiness as a way of life.

We asked ourselves how we could best achieve such a state of happiness. The answer in our hearts was being free of most responsibilities, certain obligations, and the tasks of maintaining a house, a car, and a lawn.

We were left with only the responsibility of financial matters, planning and following our travel schedule, and, of course, to one another.

Communicating with our faraway loved ones has been nothing but pure joy. Yes, we occasionally feel a tinge of guilt for leaving everyone. But it doesn’t consume us when we’re committed to loving them all with open hearts, not guilt or sorrow, both of which impede happiness. They know we love them.

Ah, the old clichés. Terms such as “live life when you can,” “live life on your terms,” or “live your dreams ” are often espoused when speaking to others, but we seldom adopt these principles for ourselves.

So, here we are, “living life on our terms,” pleasing some, frustrating others, and leaving some curious about how we could dispose of everything we knew and love to make a life of happiness.

Whatever comes, we’ve been exquisitely happy these past almost two years. We often look at one another with expressionless faces, eyes locked upon each other, when suddenly, a wide-tooth-baring grin, almost from ear to ear, fills our aging faces with pure and simple happiness.

“Pinch me,” I often say. “Is this well-organized, meticulously planned, and executed like ours?” Yep. That’s us.  And for however long it lasts, we’re grateful.

We love it now as much as the first day we left the US on January 3, 2013, after spending two months back and forth between Arizona and Nevada, planning our final details. In many ways, we love it more now, with the experience under our belts, the kinks worked out, and the fear all but gone.

I no longer fear flying in tiny airplanes, scorching hot weather without AC, lack of screens on windows, scary bugs, rough conditions, or rough roads. Laying it in God’s hands, coupled with common sense to keep us safe, we carry on.

Today, we share the last of our photos from Monday’s Iceland tour. Monday night, we departed Iceland and will be out to sea for five days. I won’t have WiFi until Sunday morning at 8:00 Eastern time when we dock in Boston. Please email me if anyone needs to reach me, and I’ll check daily.

Posts and photos will continue daily when we’re out at sea, during which I’ll use Tom’s computer with the ship’s slow WiFi signal. In the meantime, we’ll continue to have fun, cherishing each moment, every week, every month, and every year of happiness for however long we’re gifted with the desire to continue on.”

We haven’t changed much, have we? Regardless of how challenging the issues we face, we always strive to be challenged and fulfilled in life. Thank you for being here with us.

Be well

Photo from ten years ago today, September 10, 2014:

Icelanders believe Leif Erickson, represented in this statue, discovered America, not Christopher Columbus. For more photos, please click here.

Have to start living again…Cancelled dinner plans…

We enjoy spotting gorgeous roses in many countries.

We had to cancel dinner plans for the second time with friends Carol and Mark while we were in Cleveland. The first time was on Wednesday when, shortly before dinner, we went to the emergency room when I had horrific high blood pressure and heart rhythm issues after stopping the drug Flecainide six days earlier. Today is the second time.

Now, on the latest drug, Multaq, I am suffering from horrible side effects after three days on the drug. I can barely move. My arms and legs are weak and painful, and periodically, I find myself out of breath. I am determined to keep taking the drug until I’ve used the entire month’s supply.

After already trying five other drugs over the past few years with similar side effects that never stopped after continued use, I will be out of options. I’ll have no other choice than to take my chances and not treat my irregular high blood pressure and heart rhythm irregularities. That’s the way it is. In the meantime, nothing is required of me but to feel better. No place to go. No one to see. No obligations.

Between us, we’ll manage to make dinner each night, or, when necessary, we can order delivery, which is easy, although expensive. I found a healthy Asian delivery restaurant that makes fantastic bowls with kale, kimchee, lots of veggies, and chicken or beef. These are much healthier than Chipotle bowls. Tom likes Reuben and hot corned beef sandwiches and fries from a local deli.

We’ve been ordering enough for two nights, running about $100 with free delivery (free through Amazon Prime), tax, and tip. This averages $50 a night, more than buying groceries but less than dining out. We can make two to three dinners with what we have on hand, which we ordered from Costco, and order out for the rest. This will average about $300 per week, $100 more than if we cooked nightly.

With the hotel’s complimentary breakfast, which we partake in daily, Tom often doesn’t feel hungry for dinner since he eats more filling food than I do. But I always need to have a meal in the evening. It will all work out well.

Today, I considered not writing a post due to my extreme weakness and need to lie down. But, as patient as all of our readers have been, I at least wanted to post something and let you know that we are thinking of you, regardless of our current challenges.

Yesterday, our friends Marylin and Gary called to see how we’re doing after they’ve been in Marloth Park for many weeks. Several batches of family and friends visited one after another while they stayed in Louise’s house. It was delightful to hear how much fun they had these past few months, with one fantastic adventure after another. This only enhances our desire to return to Marloth Park once the weather cools down, closer to winter.

That’s it for today, folks. We’ll be back again soon.

Be well.

Photo from ten years ago today, September 9, 2014:

In many areas of Iceland, steam rose from the ground due to the activity of the tectonic plates. Overall, Iceland is an island where earthquakes and volcanic eruptions are expected. For more photos, please click here.

Finally, we’re back!…A diagnosis…Huge savings on prescription drugs!…

A storm was on the horizon over the Indian Ocean.

I don’t know where to begin. It’s been an interesting and rough past several days since we went to the ER at Cleveland Clinic on Wednesday when I  had another concerning spike in blood pressure. 220/122, which felt like “birds flying around in my chest,” while I was breathless and could barely walk.

It has been six days since I stopped taking the dangerous drug Flecainide, and the symptoms the drug supposedly covered returned with a vengeance. Since no alternative drug was to be prescribed until after I had the angiogram on Friday and after I was required to stop taking Eliquis, the vital blood thinner to prevent strokes, the ER cardiologist felt I needed to be closely monitored in the hospital until the test was conducted. I was returned to Eliquis and some form of heart rhythm drug that would be safer.

A few days earlier, the electrophysiology cardiologist, Dr Keogh, insisted that l immediately stop taking the drug Flecainide, which can be deadly for heart surgery patients such as me. Below, I will list the discoveries made this past week since my appointments began at the Cleveland Clinic, many shocking to us after all we’ve been through with my health issues over the past few years.

  1. I do not have severe mitral and tricuspid valve regurgitation, which three cardiologists diagnosed in three different countries after three echocardiograms. Thus, I do not need valve surgery at this time based on the comprehensive echocardiogram I had at the Cleveland Clinic. My valves are moderate, but that could change to severe in months or…if I’m lucky, not at all. Of course, we’re thrilled I don’t need the surgery now. But we’re highly frustrated to have been misdiagnosed by three doctors, resulting in considerable worry and concern. At the same time, we’ve waited for my appointments at Cleveland Clinic since making the appointments last March.
  2. The drug Flecainide was prescribed without hesitation by the three cardiologists, as mentioned earlier, with no consideration for the fact that this drug is toxic for patients, let alone anyone who had previous CABG surgery (cardiac bypass surgery). This toxicity caused me to be unable to walk and be out of breath from walking a short distance. Why didn’t they know this?
  3. After the angiogram on Friday, it was discovered that one of my bypassed arteries had failed, and my arteries are too small to add a stent. Instead, when and if I have bad symptoms, I’ll have to have another bypass surgery. Time will tell.

I was started on a new drug on Friday night, Multaq, which also has serious side effects but is safer than Flecainide for my situation. The bad part of this drug is that in the US, the drug costs as follows:

$850 for a 30-day supply

  • Multaq 400 mg oral tablet costs around US $850 for a supply of 60 tablets, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. The recommended dose is 60 tablets a month, 400 mg., taken with breakfast and again with dinner since it is necessary to take it with food to avoid severe stomach upset.
  • Fortunately, I found the drug at PharmStore.com, where I can buy 180 tablets for US $648.99. At this point, I am taking only one tablet a day, cut in half, which the doctors said was fine as long as I take only as much as I need to reduce the side effects and work for me. Currently, I am having harsh side effects, but they should improve in months to come. I’ll be thrilled if I can avoid doubling the dose to prevent more side effects.

4. The doctors (I have four cardiologists) suggested we stay here for the next six to eight weeks while I become accustomed to the drug to control my heart rate, blood pressure, Afib, and PVC symptoms. If it doesn’t work, they’ll have to switch me to an alternative with only a few remaining that I can take. In the past, I’ve already tried five drugs, resulting in intolerable, life-changing side effects. Quality of life is crucial. I am not willing to be sleepy all day or be unable to breathe or walk. Nor do I want to be going to ERs with outrageously high blood pressure, heart rate, and arrhythmias.

It’s a convoluted series of issues, none of which I can avoid over the long haul. But, to be able to avoid surgery and a long recovery right now is a huge relief, and I chose not to worry about what’s to come in the future. We are both excited to return to our world travels in the next few months. We’re contemplating several options, including our next journey to South Africa when it cools down.

Again, thank you for all of your concern and warm wishes. It has meant so much to both of us over these many months and kept me busy on my phone while I was lying in a hospital bed for the past three days and nights.

Be well.

Photo from ten years ago today, September 8, 2014:

The Videyjarstofa house, where a restaurant is now located, was built in 1755 and is thus the first construction made of stone and cement in the country. The church was consecrated in 1774 and is still the second oldest one. The island became the seat of the first Icelandic treasurer and later the first Icelandic sub-governor. At the beginning of the 20th century, the country’s first harbor for ocean-going vessels was built on the eastern part of the island, from which a hamlet developed.For more photos, please click here.

A harsh reality…

Sunset with an unusual shot in Vancouver, British Columbia.

They say doctors are “practicing” medicine. It’s not an exact science. My use of a prescribed dangerous drug has clouded the answers to the cardiac condition that I was prescribed in 2023. Some tests have to be redone now that I am off that drug. Thus, the process of getting definitive answers is prolonged over the next several weeks while more tests are performed.

Being patient has never been easy for me, although I have learned to monitor my response to my lack of patience by being diplomatic. It is rarely beneficial to exhibit adverse reactions to waiting for answers. Of course, I couldn’t be in a better place to seek those answers.

In this case, the required patience isn’t regarding the healthcare professionals handling my case. It’s regarding this Black Box drug I’ve been taking for the past 11 months which was condoned and prescribed by three cardiologists in three different countries, not here at the Cleveland Clinic.

Sure, I need answers as to the condition I am suffering from, which is looking more and more like an electrical problem with my heart, not a plumbing problem, which I’ve described below.

The cardiovascular system can be compared to a house’s electrical and plumbing systems. Each plays a crucial role in keeping the system functioning correctly, and problems in either area can lead to severe issues.

Electrical System (Heart’s Electrical Activity)

The heart’s electrical system controls the rhythm and rate at which your heart beats. This system generates and conducts electrical signals that trigger heartbeats, ensuring blood is pumped efficiently. Here are some key points:

  • Components: The electrical system includes the sinoatrial (SA) node, atrioventricular (AV) node, and a bundle of His and Purkinje fibers.
  • Function: The SA node acts as a natural pacemaker, creating electrical impulses that spread through the heart, causing it to contract and pump blood.
  • Issues: Problems with this system can lead to arrhythmias (irregular heartbeats), tachycardia (fast heartbeat), or bradycardia (slow heartbeat). For example, atrial fibrillation (AFib) is a standard electrical issue where the heart beats irregularly and inefficiently.

Plumbing System (Blood Vessels and Flow)

The cardiovascular system’s plumbing involves the heart’s structure and the network of blood vessels (arteries, veins, and capillaries) that carry blood throughout the body. Here’s how it works:

  • Components: The heart’s chambers (atria and ventricles), valves, and the vast network of arteries, veins, and capillaries.
  • Function: The heart pumps oxygenated blood through the arteries to the rest of the body, and returns deoxygenated blood through the veins to be reoxygenated in the lungs.
  • Issues: Plumbing problems often involve blockages, leaks, or malfunctions in the blood vessels or heart valves. Common issues include coronary artery disease (blocked arteries), heart valve disorders (e.g., stenosis or regurgitation), and heart failure (where the heart doesn’t pump blood effectively).

In Summary

  • Electrical issues involve the heart’s rhythm and rate, and problems here can lead to irregular or ineffective heartbeats.
  • Plumbing issues involve the blood vessels and the heart’s structure. They affect blood flow, leading to blockages, leaks, or inefficient pumping.

Both types of issues can have serious consequences, but they originate from different aspects of the cardiovascular system’s function.

After Friday’s upcoming angiogram, which tests the heart’s plumbing, we may be able to narrow down my problem to either electrical or plumbing or, in the worst-case scenario, both. But at this point, I am hopeful it’s only electrical, which is most likely based on new and upcoming tests.

In any case, being off that drug has changed everything. I can breathe better, walk better, and sleep through the night. I hope my remaining issues can be addressed and resolved so we can continue our travels.

Be well.

Photo from ten years ago today, September 4, 2014:

There was no post on this date ten years ago due to a travel day.

More tests this morning…Feeling much better and extremely hopeful…

DSC03380
Stonehenge..

Is it possible I won’t have to have another open heart surgery? Based on test results so far, it’s looking like I may not need to. But the biggest test is upcoming on Friday, and the one I am dreading the most is a cardiac angiogram. It’s an unpleasant test. I’ve had it twice in the past.

If I could be anesthetized during the test, I wouldn’t mind so much, but this test is done while the patient is awake. The idea of being awake again for yet another one of these tests while they cut a hole in my groin or wrist, which they will have numbed with lidocaine, is a bit intimidating to me. Also, a mild sedative is usually provided.

There is no pain during the test, but the concept of a thin wire being threaded into my heart makes me cringe a bit. For some patients, this may not be an issue. Of course, it’s important to discuss concerns with the physician and the anesthesiologist who will be present during the test.

An angiogram is a medical imaging procedure used to visualize the inside of blood vessels and organs, primarily to identify and diagnose issues related to blood flow, such as blockages or abnormalities in arteries and veins. The procedure involves using X-rays and a contrast dye injected into the bloodstream, allowing doctors to see the blood vessels more clearly on the X-ray images.

Angiograms are crucial tools in diagnosing a range of cardiovascular conditions. When a patient experiences chest pain, shortness of breath, or unexplained fatigue, doctors may suspect an issue with the heart or the blood vessels supplying it. An angiogram can help determine whether there are any blockages or narrowing of the coronary arteries, which supply blood to the heart muscle. This is particularly important in diagnosing coronary artery disease (CAD), a leading cause of heart attacks.

It was in South Africa in February 2019 that I had an angiogram that determined that I needed immediate open heart surgery, which is called CABG (yep, pronounced “cabbage”), which is a “coronary artery bypass graft.”

Angiograms can examine blood vessels in other parts of the body, including the brain, kidneys, legs, and heart. For instance, a cerebral angiogram can help identify issues such as aneurysms (weak spots in blood vessels that can rupture) or arteriovenous malformations (abnormal connections between arteries and veins), leading to severe complications if not treated.

Undergoing an angiogram involves several steps, beginning with preparation. Patients are typically advised to avoid eating or drinking for several hours before the procedure. Once at the hospital, they may receive a mild sedative to help them relax.

The procedure usually occurs in a catheterization lab, a specialized room equipped with imaging equipment. The patient lies on a table, and the area where the catheter will be inserted is numbed with a local anesthetic. The catheter, a thin, flexible tube, is inserted into a large artery, usually in the groin or wrist, and carefully threaded through the blood vessels to the area of interest.

Once the catheter is in place, the contrast dye is injected through it. As the dye travels through the bloodstream, it highlights the blood vessels on the X-ray images, allowing doctors to see any areas of concern. Patients may feel a brief warm sensation or a flush as the dye is injected, but this is typically mild and short-lived.

The entire procedure usually lasts about 30 to 60 minutes, though it can vary depending on the case’s complexity. After the angiogram, the catheter is carefully removed, and pressure is applied to the insertion site to prevent bleeding. Patients are typically monitored for a few hours to ensure no complications before they can go home, though some may need to stay overnight.

Like any medical procedure, an angiogram carries some risks, though they are generally low. Potential complications can include allergic reactions to the contrast dye, bleeding or bruising at the catheter insertion site, and, in rare cases, damage to the blood vessels or kidneys. However, the benefits of accurately diagnosing potentially life-threatening conditions often outweigh these risks.

Patients need to discuss their medical history with their doctor before the procedure, particularly if they have allergies, kidney problems, or are pregnant, as these factors can influence the safety and approach of the angiogram.

Following an angiogram, the results will help guide the next steps in a patient’s care. If a blockage or narrowing is found, doctors may recommend further treatments such as angioplasty (a procedure to open the narrowed arteries) or surgery. Sometimes, the angiogram might lead to lifestyle recommendations, such as dietary changes, exercise, or medications to manage the underlying condition.

Overall, an angiogram is a vital diagnostic tool in modern medicine. It provides detailed insights into blood vessels’ health and helps inform treatment decisions that can save lives. This procedure combines advanced technology with expert medical care to ensure the best possible outcomes for patients.

This morning, after being off the high-risk Flecainide for five days, I had a repeated stress test. I completed the test but am not confident that the results were ideal based on the conversations between the three technicians performing the test. But I could be wrong. Within the next few hours, after the doctor has accessed and documented the test results, I’ll be able to see his assessment in My Chart. I wait patiently.

After Friday’s angiogram, I’ll know even more. We’ll continue to post results.

Be well.

Photo from ten years ago today, September 3, 2014:

DSC03394
Tom, at Stonehenge, England. It was a rainy day, and we were soaked, but we took many photos. For more photos, please click here.

Moving day…Holding my own…For our US readers, please have a safe Labor Day!…

We visited Normandy, France, ten years ago. A mannequin of Pvt. Steele, which still adorns the church at Sainte-Mère-Église, memorializes the paratroopers who jumped into Europe on D-Day, June 6, 1944. For more information about this event, please click here.

We booked the Residence Inn by Marriott, Cleveland Clinic, a few days ago, from today, September 2 to December 2. Without enough info on my prognosis and treatment yet, we have no idea how long we’ll have to stay in Cleveland. If we need to stay longer, we’ll book more days accordingly.

Again, by contacting Marriott’s Bonvoy Club, we got a better rate than at any other site, saving as much as $50 daily. When we booked it for three months, we didn’t have to pay for all three months in advance and could pay weekly, as we did at another Residence Inn in Eden Prairie, Minnesota. We prefer not to pay for hotels so far in advance.

Paying weekly works for us, making reviewing the weekly room charges easy. Since they don’t have a regular restaurant, we’ll unlikely incur additional charges. As in most residence-type hotels, breakfast is included; although it’s basic with processed scrambled eggs, boiled eggs, bacon, sausage, bacon, cereal, toast, processed pancakes, coffee, and tea, it’s OK for us.

I don’t eat processed foods and usually choose hard-boiled eggs, bacon, and decaf coffee. Since we don’t eat lunch, we’re on our own for dinner. With several tests at the clinic this week, we’ll most likely order dinner from a delivery service. A few tests are somewhat invasive, and I may not feel up to preparing dinner.

Also, after being off the Afib drug for the fourth day, I am experiencing a few symptoms of suddenly stopping the Flecainide as required by the cardiologist I saw on Thursday. So far, I have only had a few quick bouts of Afib and heart rate increases, but overall, I am feeling better being off of this FDA Black Box drug, which ultimately is a dangerous drug.

We are mostly packed, although we didn’t start until yesterday. We’ve already wrapped up the remainder this morning. We hardly unpacked anything for this one-week stay, but once we arrive at the new location, we’ll unpack everything we’ll need to use in the next three months.

We are locked into a 91-day stay and will be charged a one-month penalty if we leave early. Based on the nightly rate savings, we figured it would be worth it if we could leave early. We won’t head to South Africa until after Christmas and the hot summer months have ended. (Seasons are opposite in the Northern Hemisphere than in the Southern Hemisphere).

If all goes well, we can head to Marloth Park around April, seven months from now. If we leave here early, we’ll have to find somewhere to go while we wait to leave for Africa. We aren’t concerned about that now. As Tom always says, “Don’t put the cart before the horse,” which is hard for me as a perpetual planner.

We’ve received an unreal number of messages from our family members, friends, and readers. A special thanks to each of you for your kind and supportive comments. I try to respond to each one individually, but I will never get to everyone. If I don’t reply, please know how much we appreciate your comments, love, and support! We read every message that comes our way, which is taking up the better part of each day right now. What a meaningful way to spend an otherwise uneventful day in a hotel room when we’re not at the clinic!

Tomorrow, tests begin again at 9:30 am. If it takes all day, we won’t be preparing a post. If we get done early, we’ll write to all of you.

Be well.

Photo from ten years ago today, September 2, 2014:

No photos were posted on this date as we made our way to Stonehenge, England. More tomorrow.

Was incompetency the issue?…Using delivery services worldwide..

The region of Normandy is rich in history and charming for its appealing French architecture of the century’s past.

A few nights ago, we placed a food order with DoorDash, an often-used delivery service that includes ordering from restaurants, pharmacies, retail shops, pet supplies, beauty products, and more. We have nothing negative to say about DoorDash since we’ve always had good experiences using their services, along with GrubHub or Instacart, to name only a few such delivery services.

When we placed the Chinese food order on Friday evening, when our delivery time passed, I called the driver to discover he’d delivered the food to the wrong Intercontinental Hotel, Cleveland Clinic. There are two such hotels near the Cleveland Clinic, including the one where we’ve been staying, a few blocks away, the Intercontinental Hotel Suites, Cleveland Clinic. It was an easy mistake to make.

When I called the driver, he said he was already 25 minutes away but would return to collect the food and bring it to our hotel. An hour passed, and the food wasn’t delivered. He wouldn’t answer his phone. When I called the hotel where the food was delivered, they said they couldn’t get it to us.

We were hungry and didn’t care for a refund, so Tom left on foot to walk to the other hotel to collect our food. Fortunately, he managed to catch a Cleveland Clinic shuttle to return to our hotel. Surprisingly, the food, two hours later, was a little warm. We reheated our plates in the microwave, and by 8:00 pm, we could have dinner.

This is not to say delivery companies are incompetent. This was the first time we’ve ever had an issue, and we won’t hesitate to use delivery services in the future. It was more of a fluke. The only disappointment was that the driver promised to bring us the food but chose not to.

Many delivery companies are international, which we’ve also used when available in other countries. However, to ensure accuracy, we use them more often in the US and English-speaking countries, and when ingredient specifications may not be clearly defined for my way of eating.

Navigating the World of Food Delivery: A Journey Across Continents

As the sun dips below the horizon and the city lights begin to flicker, a universal hum unites people from New York to New Delhi, from Paris to Tokyo—a craving for comfort, convenience, and connection. In the modern world, where time often feels like the most precious currency, food delivery services have emerged as the bridge between our busy lives and the nourishment we seek. This phenomenon, while global in reach, carries distinct flavors and emotions that vary as widely as the cuisines it delivers.

The United States: Convenience at Your Doorstep

Food delivery has become synonymous with convenience, speed, and choice in the United States. The sheer variety of options is staggering. Whether craving a greasy cheeseburger at midnight or a vegan quinoa salad during a lunch break, services like Uber Eats, DoorDash, and Grubhub fulfill almost any culinary wish. The ease with which one can browse, select, and order a meal with just a few taps on a smartphone is a testament to the country’s love affair with instant gratification.

But beneath this veneer of convenience lies a deeper psychological layer. For many, ordering food is not just about satisfying hunger—it’s about comfort, especially in times of stress or isolation. Selecting a meal, waiting for its arrival, and finally indulging in it can be a soothing ritual, particularly in a society where people often feel disconnected from the traditional cooking at home. The delivery person becomes a temporary link to the outside world, a reminder that even in solitude, there’s a connection to the broader community.

The pandemic amplified this dynamic. With lockdowns forcing people indoors, food delivery services became a lifeline for many. Not just a way to avoid cooking but a small luxury—a way to break the monotony of endless days spent at home. The arrival of a delivery driver was sometimes the most human interaction people had in a day. It’s a service that offered a sense of normalcy in a time when nothing felt normal.

Europe: A Blend of Tradition and Modernity

In Europe, the relationship with food delivery is a bit more complex. On one hand, cities like London and Paris have embraced services like Deliveroo and Uber Eats with the same enthusiasm seen across the Atlantic. But on the other hand, there’s a deep-seated appreciation for traditional dining experiences. The leisurely meal at a café and the ritual of shopping for fresh ingredients at a market are cultural staples many Europeans are reluctant to abandon.

In cities like Rome or Barcelona, food delivery often feels like a convenience reserved for the rushed, the overworked, or the young urbanites who prioritize efficiency over tradition. Yet, there’s an exciting fusion happening. High-end restaurants that once resisted the idea of takeaway now offer gourmet meals delivered to your door, complete with detailed instructions on how to plate the dish just as the chef intended. This blend of old-world charm and modern convenience reflects Europe’s ability to adapt while still holding on to its roots.

Food delivery is still a novelty and unnecessary for many Europeans, especially those in smaller towns or rural areas. The psychological relationship with food is steeped in the idea of communal dining, of meals being an event rather than just sustenance. Therefore, while the convenience of food delivery is appreciated, it is not yet a replacement for the deep cultural significance of cooking and sharing food.

Asia: A Symphony of Flavors at Your Fingertips

In Asia, food delivery has taken on a life of its own, shaped by the region’s rich culinary diversity and the fast-paced nature of its urban centers. In cities like Bangkok, Seoul, and Tokyo, food delivery isn’t just about convenience—it’s an integral part of daily life. The options are as varied as the cultures within Asia itself. One can order anything from sushi to street food-style snacks, all with the expectation of speed and precision.

In many Asian countries, the rise of food delivery services has also sparked a unique cultural shift. Traditionally, meals were a family affair, prepared at home with care. However, the demand for quick and easy meal solutions has surged as more people migrate to cities and adopt hectic lifestyles. Apps like GrabFood in Southeast Asia and Meituan in China have revolutionized how people think about food, making it possible to access a vast array of dishes with minimal effort.

Yet, this shift comes with its own set of psychological implications. The convenience of food delivery can sometimes lead to a sense of disconnection from the act of cooking and the rituals surrounding meal preparation and consumption. In societies where food is deeply intertwined with identity and tradition, this can create a subtle but significant tension between modern convenience and cultural preservation.

A Global Appetite for Connection

Across the globe, food delivery services have become more than just a way to satisfy hunger. They reflect our collective need for connection, comfort, and control in an overwhelming world. Whether it’s the convenience of a late-night burger in New York, the fusion of tradition and modernity in Paris, or the symphony of flavors in Tokyo, food delivery offers a unique window into how we navigate our lives and identities.

Ultimately, no matter where we are, ordering food is about more than just eating. It’s about the emotions that come with it—the anticipation, the satisfaction, the comfort. And in a constantly changing world, that’s something we can all relate to, no matter where we call home.

Tomorrow, after we move to our new location, only blocks away, we’ll place a to-be-delivered grocery order since we’ll have a fully equipped kitchen where we can again prepare easy meals. It will be nice to get settled.

Happy September! To our friends and family in the US, have a safe Labor Day weekend!

Be well.

Photo from ten years ago today, September 1, 2014:

The Normandy American Cemetery and Memorial in Normandy, France. For more photos, please click here.