Patient expertise…What does it require?…

Ms. Bushbuck and growing baby come to call.

“Sighting of the Day in the Bush”

They often stop by for pellets, apples, and carrots.

Note: Load shedding is back on.  We expect a 2 .5 hour outage within the hour.
We apologize for the lack of photos.  This morning’s rain and the trip to Nelspruit made photo-taking difficult.


With rain throughout the area, we decided to leave earlier than planned to make our way to Nelspruit for my first “after-care” visit with the thoracic surgeon who performed the triple coronary bypass a mere 17 days ago.

I’d made a list on my phone of my areas of concern which included the following:

  • Burning feet at night – What I’d assumed…peripheral neuropathy, at times diagnosed after this type of surgery, usually resolving in a few months.
  • Pain in right chest wall – A torn muscle from moving my arm too quickly on the night the power was out.
  • Bleeding incision – As Dr. Phillip stated on Wednesday, it’s a hematoma underneath the which bleeds when irritated during s shower but not bleeding from deep inside my thigh.
  • Side sleeping (which I prefer) – May be done as long as it doesn’t cause pain.
And so it went. My pain and discomfort are entirely normal at this point. I felt a sense of relief knowing my symptoms were within the range of “normal” based on this point in time. 
 
We spoke with the woman who’d had the same surgery on the same day I’d had who went into “theatre” several hours before me. She’s nine years younger than me and was doing much better than I have. But the doc explained that each person is different, and recovery will follow accordingly.  
 
This knowledge provided is with more peace of mind, and now I’ll sit back, doing my exercises and feeling more confident that I will fully recover from this challenging surgery in due time. We don’t return to see the doctor until four weeks from today.  
 
I will be patient and not push it too hard, gradually adding to my activity level, eating healthy meals, rest as needed, and maintaining a positive state of mind.
 
Speaking of being patient, today I’m posting my perception over this past week as to what it takes to be an excellent patient to my exceptional caregiver, Tom, making his tasks a little easier over this long haul which could prove to be as long as three months.
 
  1. The tone of voice -Sure, it hurts. Sure, it’s tough to get out of a chair, off the sofa, or into and out of bed when using arms and elbows are prohibited over these first few weeks. We don’t realize how much we depend on our arms and hands to assist us in moving from one position to another, from one room to another, etc. The tone of voice in asking for assistance is everything.  Instead of saying, “I need help,” how about, “Honey, can you help me stand up?” This pleasant tone may make all the difference in the world in the enthusiasm of the caregiver in assisting in all areas.
  2. No whining, whinging, complaining – The caregiver can’t change the terrible circumstances, nor can they make the pain disappear. Complaining provides no benefit other than when a groan or moan is precipitated by certain actions. After all, we are humans and tend to make it known to all surrounding parties that a certain task is difficult, exhausting, or downright impossible.
  3. Expressing thankfulness – It’s a huge responsibility to be a caregiver and seldom includes remuneration among couples or close parties. A heartfelt “thank you” goes a long way, especially when accompanying the completion of any task together. One can never say “thank you” too many times in a day, here again using a pleasant and sincere tone of voice.
  4. Don’t criticize how household tasks are performed, which generally the patient may have done. Each individual has their way of doing things, and attempting to “re-educate” the caregiver is unkind and selfish.
  5. Don’t complain about meals – Perhaps the patient was the sole preparer of food and meal planning.  Suddenly this task is taken over by the caregiver who a). May not know how to cook or b). Doesn’t enjoy cooking. Firstly, eat the food prepared as long as it fits within the parameters of any special meals as prescribed by the doctor. Secondly, make positive statements to the caregiver about flavor, presentation, or ease used in preparing the meals. Thirdly, if the caregiver asks what you’d like to eat, choose simple and easy to prepare items, not fancy recipes that require time and attention.  If there is something special you’re craving, ask the caregiver to find such prepared items on their next trip to the market. Try to suggest meals you know you’ll both enjoy rather than the caregiver deeming it necessary to cook two separate meals.
  6. Bathing, dressing, showering – Most likely, based on your condition, performing these daily rituals on your own makes the caregiver’s job much more manageable. Only ask for assistance in those areas you find dangerous to do on your own or complex during this period. Do not attempt to perform tasks on your own that only exacerbate your medical issues. You’re not doing either of you a favor.
  7. Each day set aside time when your needs are minimal to allow the caregiver a break – This may be while you nap, read or play a game on a device. Most likely, the caregiver is experiencing some stress, and a designated rest period for them may be all it takes to keep them upbeat.
  8. During periods of ill health or during recovery, there’s never a time that expressing love, affection, and gratitude doesn’t serve you both well. A gentle hug, a tender kiss, or a kind word or compliment will never be lost during this period and, of course, well into the future.
Memories of this recovery period can be a pleasant extension of an already great relationship. Negative comments, behavior, and attitude will ultimately tarnish the relationship.
 
And so, dear readers, we end today’s post with these thoughts in mind and hope, should you ever be the caregiver or patient, you can do so with grace, dignity, and a bit of humor thrown in on the side.
 
Happy day to all.

Photo from one year ago today, March 1, 2018:

This is most likely a lone male elephant as explained here: “Male or bull elephants have very different social needs than the females. In the wild, males leave or are driven out of the family group as they approach sexual maturity. Males spend as much as 95% of their lives alone or in loose association with other bulls.” For more, please click here.

Caregiver expertise…What does it require?…

Mom and Babies were hanging out by the recently cleaned cement pond.

“Sighting of the Day in the Bush”

Her attention and love of her offspring have been unrelenting since we first saw them in August.
There’s never been a time in my life that I required a full-time caregiver. Although I had surgery a few times, I recovered quickly and only needed help lifting heavy objects or grocery shopping for a week or so. In all likelihood, this is the case for most of us.
 
But now, I strive to recover from this dreadful and complex surgery with my sternum cracked, chest cut wide open, and numerous incisions are running the length of my legs, all of which are painful, making moving about the complex.
 
In addition, I’ve had two painful chest tubes since removed that have stitches to be removed tomorrow when we return to Nelspruit for an appointment with the surgeon.
 
No doubt, with only 16 days since the surgery, there is still a lot of pain and discomfort. It takes six to eight weeks for the cracked sternum to heal, as would be the case for any broken bone.  
 
In the case of most broken bones, the patient is wearing a cast during this healing process. It’s impossible to stabilize this type of break with a cast, and thus, I must move gingerly to avoid further injury.
 
Thus as described above, this is the time I need a full-time caregiver, namely my husband Tom, who’s had no significant experience in this area throughout his life.
 
I can do several things for myself; bathe, bathroom, getting in and out of bed (where I spend little time during the day as recommended by the doctors). I cannot use my arms for tasks such as folding towels, chopping and dicing vegetables, or performing many household tasks.  
 
Thank goodness we have Zef and Vusi (included in our rent) who come each day to make the bed, wash floors and clean the house. With all the animals kicking up their heels in the dirt garden, there’s more dust in this house than one can imagine. Here again, one more bit of serendipity that proves that this was the best place in the world for this to happen to me.
 
As a result, as the caregiver, Tom doesn’t have to spend time cleaning the house; other than doing dishes and picking up after us after they leave, his attention is not divided in my full-time care. This is another huge benefit for which we are both very grateful.
 
One of his biggest jobs in getting those darned compression stockings on my legs each morning. As tight as they are, it’s an athletic event. It’s not easy putting on these tight knee-high stockings when I have awful incisions in both of my legs, and he’s trying desperately not to cause further pain. But each day, it goes a little more smoothly than the previous day.
 
Over these past five days, since he took over as my caregiver, after my release from the hospital, there are a few things I’ve observed that truly define the quality of a caregiver beyond the basic tending to bandages, stockings, and mobility.
 
Let me add here; I requested an early release from the hospital. Once I moved (after eight days) from the ICU unit to the regular hospital, it didn’t take more than a few hours to realize the quality of care went from a 10+ down to a zero. At that point, I knew Tom could and would take better care of me. As a result, I only spent two days in the hospital ward, in a room to myself. 
During this period of high temperatures, some warthogs avoid cooling off in the cement pond when the water has become warm.
Most patients spend from three days to a week in the hospital ward after being released from the ICU unit. In my case, I spent eight days in the ICU and, as mentioned above, only two days in the hospital ward.
 
Back to the points that I’ve found have been most helpful in addition to basic caregiving tasks have been the following, in order of preference:
  1. Caregiver’s attitude: Nothing could be more distressing than having a caregiver who wasn’t encouraging, upbeat, and optimistic. A negative resentful attitude could, without a doubt, have an impact on the rate of recovery. Regardless of how difficult this may be, never attempt to make the patient feel guilty for putting them in this position.
  2. Willingness to prepare special meals: Many patients have a diminished appetite and desire to eat after bypass surgery. Healthful, familiar meals are a real boon to the patient’s recovery.  
  3. Replenishment of cold fresh beverages can be instrumental in recovery: The medications may cause extreme thirst and a dry mouth. Drinking plenty of fluids is required for recovery. Having stale water or beverages hardly inspires the patient to drink to replenish their needs during the healing process.
  4. Participation in the rehabilitation process: This type of surgery (and most others) require a committed and diligent walking program. By encouraging and gently reminding the patient as to this process is crucial in making a complete recovery. If the caregiver walks with the patient, especially if they’re fearful of falling, the patient grows more confident.
  5. Medication distribution and monitoring: Many times, patients find themselves taking eight to 10 new prescriptions, some of which are taken at varying times of the day and night. A conscientious caregiver will oversee this process to ensure correct dosages to avoid over or under-medicating. Some pain medications cause drowsiness and result in the patient becoming forgetful.
  6. Encouraging rest periods: Instructions after surgery may include certain activities based on the patient’s level of progress. Type A personalities may quickly become overjealous in performing such tasks. As much as the patient believes “more is better,” a good caregiver will monitor such activities encouraging rest periods and following doctor’s orders.
  7. Creating a comfortable sleeping and napping arrangement: If the patient is uncomfortable sharing a bed with their caregiver/spouse and if the space is too small for comfort, an extra bed in the same room might be suitable. Air conditioning in hot weather is a must, as is appropriate heat in cold environments. Avoid extreme temperatures to aid in healing. Ensuring bedding and pillows are placed for the utmost comfort is a must, even when the patient is out of bed and seated at a table or in a chair.
  8. Escape time. When going through a difficult recovery, everyone needs a period each day to escape from worrying thoughts and pain. Watching fun TV shows and movies, games to play, or other such activities reduces the time the patient feels stressed, here again aiding in recovery.
  9. Encourage feelings of self-esteem: Let’s face it, having one’s body mutilated from surgery is a difficult thing to meet for some patients. Only the caregiver will know if this is an issue and provide realistic encouragement during the recovery process and in times to come.
These points became apparent to me over these past several days, and I only have Tom to thank for making this trying time tolerable. Besides, a little laughter throughout the process can easily lighten the load for both patient and caregiver. There’s no shortage of that in this household.
 
Tomorrow, we’ll cover the patient’s responsibilities to aid in their recovery process and the willingness of the caregiver to carry on with love, support, and excellent care.
Be well, dear friends, and thank you all for “coming back.”

Photo from one year ago today, February 28, 2018:
Nearby at another tree, we spotted a rhino mom and her baby, born this season and still closely attached to the mother. For more photos, please click here.

The medical saga continues…The news isn’t so good…

Ms. Kudu, Willie and Mike, and Joe.
Willie and warthogs, all getting along.
Wildebeest Willie, he’s quite a guy!
Willie, six kudus, and a few pigs stopped by last night.
Basket stopped by last night.  His right ear has healed but is mostly gone. 

“Sighting of the Day in the Bush”

Bushbabies

It’s almost 2130 hours, 9:30 pm, Wednesday night, and we’re back in Nelspruit at the Leaves Lodge & Spa. The conversation with the doctor this morning was short. To the point, “You have a 100% blockage in the artery in front of the heart (the left anterior), and you need angioplasty immediately, or possibly open heart surgery.”

My mouth dropped open. I can’t believe this. Nor can Tom. How did this happen? Of course, we’re both wrecks. Now, we are waiting in Nelspruit for approval from our insurance company. If they decline, we must pay the entire bill out of pocket, a huge unexpected expense. 

If we miss the window of opportunity for tomorrow’s procedure, the angioplasty, we’ll have to wait until next Tuesday. The doctor only goes to surgery on Tuesdays and Thursdays. We won’t make our Thursday flight to Kenya or make our one-week hotel stay (prepaid) in Kenya.

If open-heart surgery is necessary, oh dear, that will be at least six weeks during which we’ll have to stay in South Africa. We’ll lose tens of thousands of dollars in prepaid future travels, flights, and a cruise back to the US.  

But it’s the way it is, and we have no choice but to figure this out. In reality, we knew a day like this would come. We didn’t think it would be now. My laptop died tonight. I am writing this on my phone.   

I couldn’t move photos around.  I will fix it at a later date.  We’ll be back as soon as possible with updates.

Thanks for all the love.  Too many to respond to, but I will; l keep trying. You people are wonderful! Thanks so much.

Photo from one year ago today, February 6, 2018:

The seas were wild through the Drake Passage in Antarctica as we headed back to Ushuaia, Argentina. It wasn’t as wild as it could have been. But, as usual, Tom and I felt fine, free of any seasickness. For more, please click here.

The medical saga continues…One year ago photos today…

Icebergs are so exciting and unusual.  This was massive, many stories high,

Today’s post will not include photos other than the “one year ago” photo at the bottom of today’s post and a few other photos from the “one year ago” link. See here for that post.  

We’re sitting in the hospital lobby with a prolonged WiFi connection, awaiting the results of the cardiac CAT scan I had a short time ago. This test will determine if I need angioplasty or more.  
Yesterday, we’d been told to call the doctor on Wednesday for the results. But today, the radiology department staff said they’ll send the results to the doctor within two hours, after which we’ll see the cardiologist, Dr. Fanie Fourie, once again for the final diagnosis.

In 2007, I had a cardiac ablation in the “cath lab” at Park Nicollet Hospital in Minnesota. I was diagnosed with an extra “electrical” valve in my heart that was causing an extremely high pulse. Once I had the procedure, I was told my heart was now perfectly normal with no plague or other issues.

However, after having a cardiac ablation, regardless of the reason, an EKG can show as abnormal when the heart and arteries are delicate. I’ve been hoping for this outcome, but the recent jaw pain and the few abnormal ultrasound scans yesterday have dampened my hope.
A Crabcatcher Seal was taking the plunge in Antarctica.

After the ablation, I was back at the health club within a week, pounding it out and feeling quite OK. Since that period, there’s been no incident until this recent jaw pain was diagnosed as possible angina, lack of blood flow to my jaw, possibly due to one or more clogged arteries.  So here we are today at Nelspruit Hospital Mediclinic, awaiting my fate.

Rather than drive the 90 minutes back to Marloth Park, by waiting for the results today, we’ll avoid a return trip if I need to have some invasive procedure or surgery, providing they can schedule it within the next 24 hours. Otherwise, we’ll drive back to Marloth Park to return sometime in the next several days.

At this point, our visas run out on February 15th, and we’ve planned to spend the night here in Nelspruit on February 14th in preparation for our early morning flight to Kenya the following morning. Oh, so much is up in the air!

Thus, most likely today, we’ll know what course we must take within the next few hours. If we weren’t leaving in 10 days, this would be less complicated. But, with our visa status, prepaid flight, and expensive prepaid photography tour in Kenya, none of which is refundable, it certainly is cause for concern, right along with the health issues.

In our usual way, we’ll forge ahead, attempting to stay as optimistic as possible while in each of our minds, we roll around the worst and best-case scenarios. It’s impossible not to do so and also impractical not to have a backup plan in place.

The champagne and flute carriers were loaded onto all of the 10 passenger Zodiac boats.

At this point, we’ve only discussed the angioplasty possibility. This recovery is only a few days, along with a week or two of taking it easy. We could make it…the visa expiration date and the photography tour in Kenya, which doesn’t officially begin until one week after we arrive in Nairobi, giving me plenty of time to take it easy at the lovely hotel in Nairobi.

We don’t, at this point, want to project any more severe treatment than angioplasty.  Why put ourselves into a further tither of worry and concern? Besides, all of this could be a moot point if the test results came out good enough for a “watch and see” and possible medication route, which may alleviate the issues discovered. Oh boy! I’d be jumping for joy at that possibility!

We’ll know soon enough. We’ll report back when we do. We both want to express our gratitude to all of our readers who’ve commented and written to us by email. Also, we know undoubtedly, that those who didn’t write are rooting for us as well. Thanks to all of you!

We’ll be back at you soon!

Footnote:  As of the time of posting today’s story, it’s 1400 hours (2:00 pm), and we’re now back in Marloth Park. After waiting for almost two hours, we were told the report won’t be available until tomorrow morning after all, at which time we were scheduled to speak to the cardiologist at 9:00 am. Thus we decided to drive back to Marloth. Tomorrow’s post will include the decision we’ve made based on the collective test results.

Photo from one year ago today, February 5, 2018:

There we were, sitting on a Zodiac boat in Pleneau Bay, Antarctica, sipping on French champagne. Was that ever fun! For more photos, please click here.

We’re still in Nelspruit…More medical tests required…Time is rapidly ticking by for our required departure…

A rickety old bridge no longer used near the Municipal campground, bird hide, and the hippo pool.

Sighting of the Day in the Bush”

A hippo and a cattle egret have symbiosis in their relationship.

It’s 1430 hours (2:30 PM), and we’re still in Nelspruit. The first round of the medical tests is completed.  Unfortunately, I didn’t fall into the 25% margin of error I was hoping for, and tomorrow morning’s test will tell more.

We stayed at the beautiful Leaves Lodge and Spa at the edge of town three minutes from the Nelspruit hospital and adjoining Mediclinic. We checked out of the hotel this morning, optimistic for a good result. 

But alas, we had to check back into the hotel a short time ago when the doctor explained more tests were necessary before a determination could be made. The CAT scan will be performed tomorrow morning, but we won’t have results until Wednesday afternoon.

Subsequently, we’ll drive back to Marloth Park to await the results. I can only imagine our readers out there who’ve been through this same process ultimately ending up with angioplasty or heart surgery of one form or another. Surely, you can relate to the worry and concern coupled with the angst of the unknown.

After a lifetime of taking care of my health, exercising, eating a healthy diet, and staying cognizant of stressful situations, I’m disappointed to discover my efforts were no guaranty of avoiding cardiovascular issues in my senior years.

However, the doctor explained had I not been so astute about my health, I could have had a massive coronary and not be here to tell this story. Of course, I’m grateful! It goes to show that genetics play a massive role in our health. My mother’s side of the family suffered from heart disease, obesity, and diabetes. As a young girl, I observed all this ill health and decided I’d take care of myself in an attempt to avoid obesity and diabetes by exercising and a healthy diet. In that area, I’ve succeeded.

A giraffe we spotted in the bush before the rains.

But the powerful genetics of heart disease isn’t easy to repel, so here I am now trying to figure it all out, only two weeks from my 71st birthday. Of course, I’m worried and so is Tom. On top of that, we’re supposed to leave for Kenya in 11 days, when our South Africa visas expire. If we don’t hightail out of South Africa by February 15th, we’d be considered “undesirables.” Oh, good grief.

We’d be foolhardy and flippant to dismiss this as a mere inconvenience in the realm of our world travels. Without proper care, we could conceivably have little time left to continue our journey.  

Remember? We’ve always said the only thing that would cause us to stop traveling was terrible health. Now, we’re determined to do whatever is necessary to ensure we can continue.

Before closing, I must say thank you to each and every one of our readers, family, and friends who’ve sent the kindest and most “heartfelt” prayers and good wishes for a positive outcome.  

During this quiet time in the hotel in the past 24 hours, I’ve spent most of my time returning email messages from kind and thoughtful readers/friends. At the moment, Tom is watching a replay of yesterday’s SuperBowl game and voraciously munching of a bag of salted peanuts, a great stress reducer.

I’m sipping a hot cup of Rooibos tea and thinking about how nice it will be when all of this is resolved, one way or another, and we can go back to being excited about the future.

Be well.

Photo from one year ago today, February 4, 2018:

Many icebergs form spectacular shapes, portals, and openings. For more photos, please click here.

We’re off to Nelspruit, hotel tonight…Hospital tomorrow….Remembering….

A few months ago, we shot this photo of two Big Daddies sharing pellets.

“Sighting of the Day in the Bush”

A  pair of male lions, possibly brothers, checking out their options for lunch.

It was February 4, 2014, that I dropped my then laptop and destroyed the touch monitor. It was impossible to replace the monitor if parts were available since the cost to do so would be prohibitive, more than the cost of a new computer.

To see the post on the day, I dropped it, and please click here. To see the post from the following day, please click here, when our dear friend and driver Okey Dokey drove me to Nelspruit to a computer store to purchase a replacement.

I wasn’t thrilled with the HP laptop I’d purchased, but it managed to get me through until we arrived in Hawaii in December 2014. I ultimately purchased a new Acer model in January 2015, the one I’m still using that I bought at a Costco store in Kona.

While in the US in June 2017, we purchased a new laptop for me, knowing that our extensive travel resulted in tremendous wear and tore on laptops, and we didn’t expect it to last more than a few years.  

Handsome male lion lounging under a tree on a hot day.

As it turned out, Tom needed to start using the new laptop we were holding for me when his laptop died about six months ago. Finally, we were down to two laptops, no longer needing to haul a third as a backup.

The question remained…would my laptop hold out until we arrive in the US in April 2019 at over four years old? It has a few issues for which I figured out workarounds. Now, with only 64 days until we arrive in the US (staying for 17 days), I feel pretty confident, if I don’t drop it, it will last until we purchase a replacement. 

Replacing digital equipment is a challenge when traveling the world for as long as we have been on the move. For us, with all of our accounting and financials, blog postings, photos, and storage of TV shows and movies, no tablet can fulfill our requirements.  

Ms, Bushbuck, and Baby stop by every day. They love lettuce.

Plus, I find I need the bigger monitor and easy touchscreen available on these Acer products along with a lighted keyboard. As a lousy typist (still, after all these years), I need a lighted keyboard for nighttime typing.

Many have suggested we switch to Apple products, but we’ve been PC users since the beginning and have no desire to change. Also, with the higher cost of Apple products and the added wear and tear from constant travel, this makes no financial sense to us.  

At most, in the US, we can purchase exactly what I need for under ZAR 9321 (US $700), whereby Apple products are priced three times (or more) higher. Our philosophy is: “If it ain’t broke, don’t fix it” or, “Love the one you’re with!”

A pair of giraffes at the Crocodile River.

Yes, we do try new things, obviously, right?  But, when it comes to areas of our lives of world travel, we find systems we have in place came about from years of experience, trial and error. And yes, we’re open to new technology, making every effort to research new modalities that may serve us well now or in the future.

So today, as we make our way to Nelspruit for my upcoming hospital stay (hopefully, short-term), I’m reminded of that time five years ago when Okey Dokey and I drove to Nelspruit laughing at funny stories we told along the way.

A short time later, at the mall, we realized that South Africa wasn’t necessarily the best place to purchase new digital equipment with limited options available to suit my requirements.

Giraffes were wandering down a dirt road in the park.

Tomorrow, we’re hoping to be back later in the day, after the first round of tests is completed and we know more. Thanks to good wishes from many of our readers. You mean the world to us!


To our friends and family in the US, have a fantastic SuperBowl Sunday!

Photo from one year ago today, February 3, 2018:

The whaling equipment in Deception Island, Antarctica, and its housing were destroyed by a volcano eruption in 1969, and operations ceased.  For more photos, please click here.

Medical concern, off to hospital…Check out the “year ago photo” below!…Outstanding sighting!

Many refer to impalas as “McDonald’s “due to the big “M” on their backside and…how they provide fantastic meals for the big cats.

“Sighting of the Day in the Bush”

Mr. Monitor Lizard says, “Pool time!”

Over the past few hours, I’ve been deliberating over whether or not to mention a health concern I’m facing at this time. After careful consideration and many discussions between Tom and me, we decided to go ahead and tell this story as it unfolds over the next several days.

Why reveal such a personal scenario? I’m not looking for sympathy, empathy, or attention. Our lives are filled with beautiful feelings and experiences. These particular words don’t necessarily fall into a category of words that typically apply to us.

A herd of impalas.

If we wanted attention, we’d go on TV and tell our story. But, we prefer to live our lives of world travel with all of YOU who, with such dedication, have followed along with us all of these years. Your warmth, kindness, and support are all we ever need to fulfill us in writing this daily story and photos of our experiences.

Subsequently, we decided to tell this story in hopes that if only one person reads it and learns something from it that may ultimately inspire them to improve their own health, this personal expose will have been worthwhile.  
At times, people ask, “How can you let everyone in your business?” When we began posting, we knew we were going to forfeit a part of our private selves.  

Lonely wildebeest.

Simply writing about places we’ve been, restaurants in which we’ve dined, animals we’ve observed in the wild, and cultures we’ve explored in many lands, would make us similar to the zillions of travel logs and blogs so readily available online.

We wanted to touch upon the “human side” of world travel, the pros and cons, the ups and downs, and often the foibles we have many and freely express here. At times, our vulnerability is deafening, even in our ears.

At times, these lone males wander and graze the bush in small or large herds, known as an “implausibility.”

Thus, tomorrow morning we’re driving to Nelspruit to stay in a hotel near the hospital for my 8:00 am cardiology appointment with one of the top cardiology specialists in South Africa. (After all, it was South Africa where Dr. Christiaan Barnard performed the first heart transplant in December 1967).

This morning, I had an exercise stress test with Dr. Theo Stonkquist in Komatipoort, one of the finest doctors I’ve ever met. At the end of the test which I’d thought I’d passed with flying colors, breezing through the process, Dr. Theo informed me the test indicates I have a blocked artery.

All my life, I’ve made every effort to stay healthy when I witness many family members falling prey to many conditions including considerable diabetic and heart-related conditions. I’ve stayed slim, exercised, ate a healthy diet and did everything I could to avert such a possibility. As we now know from science, our genes are more powerful than our dreams of good health.

This implausibility appears to be females and their young.

In minutes, Dr. Theo reached his most highly regarded colleague in Nelspruit (after sending him my results) and immediately made an appointment for me for Monday morning at 8:00 am.

We’ve already booked a hotel near the hospital and will make the drive tomorrow (Sunday), stay overnight at the hotel, and be only minutes from the hospital on Monday morning. Most likely, I’ll be in hospital overnight.

I’ll have a battery of scans and tests, after which a decision will be made as to the next step, which could result in an angiogram and stent. I’m hanging onto the hope that I may fall into the 25% margin of error category based on the stress test I had today.

A female lion at a distance in Kruger National Park.

However, with awful recurring pain, I’ve had in my jaws for weeks which the doc thinks is angina, I’m not overly optimistic that I’ll fall into that 25% margin of error. That very intermittent fierce jaw pain prompted me to see Dr. Theo on Thursday.

We’ll see how it goes. There’s good WiFi at the hospital and surely, if I’m able, I will do a post on Monday after the tests, albeit short with updates. Please understand I may not be able to post if the tests or procedures continue longer than expected. In that case, most likely, there will be a short post, before the end of the day on Monday or sometime on Tuesday.

Am I scared? Sure. I’d be a fool to say this is not frightening. I have no doubt many of you reading this, who have been through a similar situation in the past, were apprehensive and a bit frightened. Dr. Theo prescribed three medications for me to aid in preventing a heart attack which I started immediately (including nitroglycerin in the event of a problem).

If optimism and positive thinking were a certainty for a good outcome, many of us would never worry about a thing. But, we’re human, infallible, and subject to emotions ingrained in us to protect; ourselves, our loved ones, and the world around us.

Be well! Be healthy and carry on!

Photo from one year ago today, February 2, 2018:

The captain maneuvered the ship so we could see this in more detail. This was an incredible sighting…Chinstrap Penguins on an iceberg! For more Antarctica photos, please click here.

Looking toward the future. ..House hunting???…One year ago…shocking photo!!…

When we arrived at the holiday home Louise was showing us, per our request, we spotted these two young giraffes resting under the shade of a tree.

“Sighting of the Day in the Bush”

This gentle little soul is “Little’s Friend.” He stops by each day without Little to see what’s going on. He’s easy to spot with his extra tiny tusks, much smaller than Little’s from which he derived his name.

We’ll be returning to Marloth Park in March 2021. It seems to be a long time from now, but it’s only in 25 months. As quickly as time flies in this life of world travel, 25 months is not so long ago.  

Twenty-five months ago was January 1, 2017. On that date, we were living in Penguin, Tasmania, wrapping up a stay of a period of three months. Penguin was one of Tom’s favorite places we lived in during the past six years and three months. See this link for that date in Penguin.

It seems like only yesterday we were living in Penguin over the holiday season. The memories from that quaint little town are often a topic of conversation when we reminisce over where we’ve been and what we’ve done.

Thus, looking 25 months into the future doesn’t seem so far away. But, this time, I won’t be thinking about Marloth Park as much as I had before we returned last February 11th. After a year here, my cup is complete, and I’ll patiently incorporate this magical place into my thoughts of the future as I do, anticipating other adventures on the horizon.

The house backed up to the parklands where many animals gather, which is the factor that piqued our interest.

Our wonderful friends and property manager, Louise (and Danie), will undoubtedly ensure we have an ideal house to rent (no, not purchase – we’ll never do that!) for the short three months we’ll spend here in March, 2021.

While driving through the park, we’d noticed a property Louise manages that backs up to the parklands. When we drove past that property, there were often many giraffes at the backside of the house, which piqued our curiosity. We asked Louise if we could see it before we leave in 13 days.

As it turns out, this house we’ve been renting for the past year is ideal for our desires but may not be available in two years. The owners intend to sell it, and if it sells, it may not be offered as a holiday home by the new owners. If that’s the case, we’ll have to find another house to rent. Of course, Louise and Danie will ensure we have something suitable for our needs when we return.

They sat quietly, unperturbed by our presence.

What are our needs in renting a house in Marloth Park? Here are the criteria in order of preference:

1.  Excellent open garden space and veranda for wildlife viewing
2.  Quality unlimited WiFi connection
3.  Main floor living – In Africa, often steps to are uneven and a surefire risk for falling.  I can’t take that risk with my delicate spine, requiring a main-floor kitchen, bedroom, bath, and living area. Many parks seem to have a living area on a separate level from the main floor bedroom. This doesn’t work for us due to this reason. Although we seldom spend time in a lounge or living room (we’re always outdoors), we prefer that option for rainy and windy days.
4.  Good kitchen for food prep, preferably with ample refrigerator space and an oven.  Believe it or not, some holiday homes don’t have a range when typical tourists don’t stay long to consider using an oven.
5.  Comfortable queen-sized bed or larger.

In reality, these aren’t outrageous requirements. They may apply to many senior citizens for their own homes wherever they reside or any potential holiday situations. We’ve rented many larger properties with an upstairs level but met our requirements for the main floor.

Such beauty.  We’ll miss all of this.

As it turned out, when we looked at that house adjoining the parklands, everything was wrong. Louise knew that house wouldn’t work for us but knew we needed to assess it ourselves since we loved the location.

The main floor had two bedrooms and a kitchen but no living space, which was located up a steep flight of steps. The veranda was facing the dirt road, not the parklands, and there was nowhere to sit other than on the dirt to observe the wildlife in the rear of the house.

Many tourists stay in Marloth Park for a few days while they head to Kruger during daylight hours. Spotting wildlife in the area is all they require during their short stays. In this case, that house could be suitable for those with no issues navigating steep stairs.

But, we satisfied our curiosity and chatting with Louise and Danie, who had come along to say hello, they assured us we’d have no worries about an affordable, suitable house for us in 25 months. We have no doubt they figure it out for us when the time comes near.

Today, the heat and humidity have returned. “Little” stopped by to lounge in the cement pond and dined on some pellets, apples, and carrots. As we go through the balance of the fruit and veg, we realize we won’t buy more produce.  

We’ll finish the remaining three 40 kg bags of pellets over these next 13 days, and we’ll be on our way.

May your day be rewarding and fulfilling.

Photo from one year ago today, February 1, 2018:

It was a “sea of penguins” along the strip of beach in Saint Andrews Bay, South Georgia Islands, Antarctica. For more photos, please click here.

Social whirlwind during our remaining two weeks in the bush…A great evening with friends…

A barren tree in the middle of the S130 in Kruger created an exciting scene.

“Sighting of the Day in the Bush”

Two yellow-billed storks and one cattle egret at the far end of Sunset Dam in Kruger.

This morning, we calculated exactly how many meals we’ll have to cook during our remaining two weeks in Marloth Park. Considering the contents of the chest freezer, we’ll only be cooking dinner eight more nights. We won’t need to purchase more protein sources.

As mentioned in an earlier post, Kathy and Don are giving us a going-away party next Friday, February 8th at their riverfront home in Marloth Park. It will be a sit-down dinner party for 12, the maximum number they can fit at their big table on their third-floor veranda overlooking the Crocodile River.

Wildebeest and her calf in Kruger.

Unfortunately, we couldn’t invite everyone we’ve come to know and love in the park, so we chose those friends with whom we’ve become closest. Sadly, Rita and Gerhard won’t be attending the party.  

They had to leave to return to the US in a hurry due to the sudden passing of a dear friend.  They don’t intend to return anytime soon. We miss them already. But, Rita and I have stayed in close touch, and we have no doubt we’ll be together again, perhaps as early as in the next six months.

Zebras were grazing on new growth from recent rains.

Also, next week on Tuesday, Kathy is hosting my pedicure at a local spa/resort. Linda will join us, after which we’ll all have lunch at the resort. It’s been so long since I’ve had a girls-only event. This will surely be quite an enjoyable event.  

I haven’t had a professional pedicure in at least 10 years. I rarely afford myself such a luxury when generally it just isn’t that important to me. But doing this with the girls will make it very special and memorable.

Four male cape buffalo were lounging at the river’s edge.

Next Wednesday is Leon’s birthday which we’ll attend at Jabula as we had for Dawn’s birthday on Tuesday evening, adding one more event to the social calendar.

On top of that, we’ll dine at Jabula the next two Saturdays, this upcoming on our own and the following with Kathy, Don, Linda, and Ken for our final time together.

Family crossing the paved road.

We plan to dine out one more time in the next few weeks, plus spend our last night, Wednesday, February 13th, in the bush at Jabula, avoiding the cooking and clean-up at the house.  

The following morning we’ll drive to Nelspruit, where we’ll spend one night at the Protea Hotel near the airport for our early morning flight on the 15th to Nairobi, Kenya.

A bull elephant we stopped to observe, hoping for a better photo.

Yesterday, we made a reservation at a highly rated restaurant, Orange (coincidentally, like the name of this holiday home), where we’ll dine that evening on Valentine’s Day.  

We informed the restaurant we’ll be writing a review and look forward to an excellent experience. Currently, this restaurant is listed as #1 out of 89 restaurants in Nelspruit on Tripadvisor.  We’ll write our review here shortly after that and also at TripAdvisor.

He moved into a clearing, and we noticed he was standing with his back legs crossed.

As for last night, we joined Uschi and Evan at their home for sundowners. As it turned out, Uschi had put together a few trays of fabulous appetizers, all of which I could eat.  

We’d intended to stay for only an hour or two but ended up not leaving until 2130 hours (9:30)! The friendship and conversation were utterly delightful, and most assuredly, they’ll be at the party and staying in touch down the road.  

Our dear friends Evan and Uschi, on their veranda last night.

The meal we’d left to be cooked went uneaten, but tonight we’ll have the easy dinner. I’ve made a salad and prepared vegetables after we just returned from shopping in Komatipoort.

Enjoy some of our remaining photos from Monday’s foray into Kruger. Tomorrow, we’ll be back with all new photos and more.

Uschi with us at the veranda table.

Happy day!

Photo from one year ago today, January 31, 2018:

View of the sea from Grytviken, South Georgia, Antarctica.  Please click here for more photos.

Do they really feel? Do they really care?…It was a mongoose mania morning in Marloth!…Videos!…

Mongoose Mom and Baby.

“Sighting of the Day in the Bush”

This was one of the youngest kudus we’ve seen this season.

It’s cool and cloudy again today. The morning couldn’t have started better. Unusual for a weekend morning when there are often loads of short-term tourists in the park, we were pleasantly surprised to find a steady stream of wildlife visitors, including a band of mongooses who entertained us, which precipitated these three included video, each uniquely different!

The neighbors next door are here for the weekend and obviously, have something delicious they are feeding the animals since the animals have been going back and forth between our two houses. They’ll all stay there for 15 to 20 minutes and then, when bored, return to us.

They stayed close to one another except during the egg-eating frenzy.

They are opportunists possessing a bit of flair in their methodology of procuring their next meal. In any case, we’re the recipients of the resulting pleasure of their somewhat obsessive meandering between the bush homes.  

We love every moment, every adorable face, every tongue swiping across their lips in anticipation of the next tender morsel. Whether they love us, like us, or feel any emotion toward us is difficult to determine.  

We can’t help but equate their responses to those similar to dogs we had and loved over the years. In time, they grow to recognize us, respond to us, and often exhibit human-like responses to our obsessive attention to everything they do, each time they gaze into our eyes, each time they exhibit an animated response.

Sure, these visiting animals are not domesticated, such as dogs, but that doesn’t negate their ability and seeming interest in who we are and what we have in the way of sustenance.

Mongooses are trying to crack eggs.

There are many schools of thought on this theory. Do animals really know and love us, or are they simply responding to instinct and a desire for food, comfort, and safety?

Here’s a link to a website that presents an interesting debate on this topic. The bottom line? We each can choose to believe what is most logical to our needs and emotions.  

I choose to believe the more intelligent animals on the planet have the innate ability to communicate with us, which has been proven repeatedly in many laboratory settings.  

Feeding mongoose eggs in a bowl.

Over this past year of spending 12 to 15 hours a day, most days, observing their behavior, I’m hard-pressed to believe it’s all about instinct. But, as humans, we ultimately have the innate ability to choose what we believe, and we may not all agree.

And perhaps, our instincts as humans may be no different than that of animals.  Everything we do, everything we feel, everything we think, and everything to which we respond is based on one sort of motive or another. Do you agree with that?

These thoughts were precipitated by an interesting conversation we had last night at Jabula Lodge and Restaurant with dear friends Lynne and Mick, the first couple we met in Marloth Park five years ago, ironically at Jabula. We had a delightful evening with this well-traveled and fascinating couple and so appreciated them hosting the evening.

It was our last time together for a few years, as they too will soon be heading on another adventure in Africa. Undoubtedly, we’ll continue to stay in touch until we return to Marloth Park in March 2021. Besides, Lynne and Mick are true birding experts and often assist me in identifying birds in the bird photos we post.

Mongoose eats a rib bone.

We continue to revel in all the wonderful friends we’ve made here over the years and hope our mutual travels will bring us together at other locations throughout the world.

And, of course, we continue to revel in all the fantastic wildlife friends we’ve made along the way. The big question remains…if we’re fortunate enough to rent this same holiday home in 2021, will they remember us? We’ll let you know.

Happy day to all!

Photo from one year ago today, January 27, 2018:

This is unreal. The Black Browed Albatross on Steeple Jason Island remove tall grass from these massive “pod-like” structures, adding mud and vegetation to make it a freestanding pod on which they can nest. Here’s a young chick making a little noise while atop their elevated nest. That’s amazing! Please click here for more photos.