The process continues…No news yet…

In the Charles Darwin wing of the Natural History Museum, there were many interesting displays of insects, butterflies, and small creatures.

After three echocardiograms in three different countries showing severe mitral and tricuspid regurgitation, which prompted us to come to the Cleveland Clinic, we’ve found that my valves are moderate and not severe based on the more comprehensive echocardiogram I had yesterday. I do not need valve surgery.

However, after many other tests, including blood tests, it appears something is very wrong with my heart, requiring more doctor visits and invasive tests. This morning, I had a nuclear stress test, which started with a heart scan with injected radioactive isotopes, followed by a stress test.

They stopped the stress test early when it was too dangerous for me to continue and considered using a blood vessel-dilated intravenous drug as an alternative. Still, the doctor refused to have me injected with the alternate medication for a lay-down stress test since it, too, was too dangerous with the awful EKG (ECG) they were reading on the screen.

Soon, I have to call the cardiologist we saw yesterday to be referred to another cardiology specialist to go to the next step. My not-so-good blood test results are pointing to other possible heart conditions, and at this point, we have no idea what’s on the horizon. My past cardiac bypass surgery may have failed, which may require another open heart surgery.

After I had the bypass surgery in South Africa in February 2019, the cardiothoracic surgeon explained I might get eight years out of that surgery. Now, I am 5½ years old since the major surgery, and it may have run its course earlier than expected.

We’ll continue with as many more tests and doctor visits as possible to have a complete diagnosis and treatment plan in the next few weeks.

The thoroughness, competency, and care exhibited by all Cleveland Clinic employees, from the reception desk staff to the highly specialized doctors, are outstanding. We couldn’t feel more at ease being here. A big sign in some lobby areas states, “Cleveland Clinic is recognized as the #1 cardiac center in the world.” We knew this, but it was comforting to see it, making us realize we’d done the right thing by coming here.

The hotel is nice, but we plan to move on September 2 to the nearby Residence Inn by Marriott, which also has a shuttle to the clinic. Due to demand, hotel prices are high here, but we have to bite the bullet and see what kind of deal we can get from Marriott’s Bonvoy perks program since we are members. We’ll be calling today to see the pricing we can arrange.

Am I nervous or afraid? Surprisingly, not. We’re always enjoying our time together, staying upbeat and hopeful. Tom is a perfect wheelchair operator, and we often laugh over the incredible nature of my being wheeled everywhere.

Some may say, “How do I so freely share such intimate details of my health?” However, hundreds of readers have written our vulnerability has helped them with their worries and concerns. If we can help one person gain comfort during their health challenges, it will be worth every revealing moment.

We are not special. Like many of you, we are trying to navigate challenging times in our lives using whatever means are available to us with dignity, persistence, and humility.

Be well.

Photo from ten years ago today, August 29, 2014:

This is an actual bee, with its size as shown at the Museum of Natural History in South Kensington, England. For more photos, Please click here.

Today’s the day…It’s been a long wait…Test results to follow as soon as we know…

Day #160 in lockdown in Mumbai, India hotel…The frightening reality…
Walking down the street from our hotel in South Kensington, London.

Last night’s attempt at sleeping was fitful, filled with short naps and vivid dreams. As it turned out, I forgot to remind Tom to put “Do Not Disturb” on his phone, and every few hours, it beeped, waking me up when a message came in. Since he doesn’t hear the beeps with his impaired hearing and without his hearing aids while sleeping, he doesn’t notice.

But my sharp hearing picks up every little sound during the night, especially since I am a light sleeper. It was a long and uncomfortable night. I imagine that, with a bit of anxiety about today’s appointments flooding my thoughts when awake, I couldn’t find a way to escape them, regardless of how hard I tried to reframe my thinking.

When I got up this morning, I felt better and ready to tackle the realities of today, but going downstairs for a big breakfast in the restaurant was the last thing on my mind. Instead, Tom brought me decaf coffee from the complimentary service in the lobby. I ate one of my new favorite, very healthy protein bars, IQBar, which can be found at Amazon (please click our Amazon link on our site) and here.

These bars have the most healthy ingredients of any bars I’ve tried and are delicious, a perfect meal replacement or snack. That was all I needed today. The “My Chart” notes didn’t indicate that I’d need to fast for any blood test. I’m sure I’ll have many blood tests down the road, but not today.

Using the HDMI cord, we’re watching the “Garage Logic” podcast from the Minnesota State Fair on the TV monitor. It’s fun to see the guys at the fair. Had I not been having the breathing issue and needing a wheelchair, we certainly would have gone to the fair to see them. Joe continues to mention “the Traveling Lymans” every broadcast, five days a week, which always brings a smile to our faces.

At 11:00, we’ll call the front desk to have them order the Cleveland Clinic shuttle, which will take us to the building specified in “My Chart” for my first appointment. My last appointment is scheduled for 3:30 and lasts one hour. We should know something by the end of the day, but we are prepared that we won’t know much until the next round of tests, the dates for which are yet to be determined.

We should return to the hotel by 5:00 when we assemble a roast chicken dinner from the grocery order we placed yesterday. There will be enough chicken, rice, and salad for a few dinners. At that point, we’ll settle in for the evening and stream a few shows. Without a car, we would not be interested in going out for the evening.

That’s all we have today, folks. Soon, we’ll order the shuttle and be on our way. We’ll be back with more tomorrow.

Be well.

Photo from ten years ago today, August 28, 2014:

Ah, my heart flipped at the sight of this warthog at the Museum of Natural History in South Kensington, Londo. The first time we had seen a warthog was in October in the Maasai Mara, Kenya, while on safari. Of course, later in South Africa, we joyfully saw them several times a day. Click here for the first time we saw a live warthog (scroll down the page. For more photos, please click here.

We’ve arrived in Cleveland!…Clinic appointments begin tomorrow…

This is artwork from the Victoria and Albert Museum, which we could walk to from our South Kensington, UK hotel.

What a relief to be here. If something goes wrong, I am where I’m supposed to be. Although I am a little anxious about what’s to come, the peace of mind of finally being here outweighs any apprehension. No doubt, most of us feel a little out of sorts when facing significant medical appointments when we have no idea as to the outcome.

Will I have surgery right away? What if I must wait for a surgical opening for another few months? Will the breathlessness worsen while I wait? Hopefully, these questions will be answered in the next few weeks or sooner. In any case, knowing what is on the horizon will give us both peace of mind to finally know what is upcoming.

The two-day drive was easy when we only drove about 350 miles each day, allowing us to stop for breakfast, a restroom break, and refueling without feeling rushed. We arrived at the Cleveland Clinic complex around 4:00 pm. Little did we know there were two Intercontinental Hotels in the immediate area.

We ended up at the wrong hotel, the Intercontinental when we were booked at the Intercontinental Suites Hotels, a few blocks away. In no time, Tom maneuvered me in the wheelchair back to the car, and off we went to the correct location, having no trouble finding it.

No words can express how grateful I’ve been to have the wheelchair. Thanks to many readers who encouraged me to buy one during this challenging time. It was the best purchase we’ve made in years. Hopefully, after recovering from my treatment and recovery, I won’t need to use it.

There are some nuances in using a wheelchair when, in fact, I can still walk unassisted about 20 feet without gasping for air. This morning, at the breakfast buffet in the hotel ($22.00 per person plus tax and tip), I insisted on getting out of the chair to serve myself. Tom was concerned I’d have a problem, but the short buffet was within the 20-foot range, and I did fine. It would have been tricky to serve myself while seated. I’m trying to maintain a level of independence. I’ll need constant help after surgery, so I’d like to preserve a little leg strength and mobility while I can right now.

Last night, we ordered room service, and it was mediocre. I ordered the most sparse Cobb salad I’ve ever had, and Tom had a grilled cheese sandwich with potato chips. That bill was almost $50. We’re trying to keep our daily food purchases $80 – $100 daily, leaving us with $50 for breakfast and $30 – $50 for dinner.

Thus, we decided to order some groceries from a local market, with free delivery from Instacart for the next month. This morning, I ordered two roasted chickens, two premade chicken and veg salads, and cooked white rice for Tom. Our room has a refrigerator and a microwave, and the grocery order was $34, including tax and delivery. There’s enough food to get us through three to four dinners. We’ll only be in this hotel until September 2.

Once we know what the future holds, we’ll move to a nearby Residence Inn by Marriott to stay through my recovery, for however long that may be. Once we know what’s on the horizon, we’ll book the Residence Inn through Bonvoy member benefits for a reasonable price, as we did at the same hotel in Eden Prairie, Minnesota.

How are we holding up? Actually, very good. We are upbeat and looking forward to getting all of this behind us so we can continue our world travels.

My first appointment is at 12:45 pm tomorrow, and we don’t need to arrive until noon to check-in. A Cleveland Clinic shuttle will pick us up and take us where we need to go, which information is clearly outlined in “My Chart.”  From there, I have two more appointments. We should be done tomorrow by 5:00 pm, with more appointments to be arranged in days to come.

Be well.

Photo from ten years ago today, August 27, 2014:

Our new friend/reader, Liz from Bristol, England, took the train to visit us while we stayed in South Kensington, England. Meeting Liz, with whom we’ve stayed in touch over the years, was a joy. For more photos, please click here.

Six days and counting..Will we post during the road trip?…Did my wheelchair arrive?”…

We often take photos of nearby restaurants and later look up reviews on TripAdvisor. In this case, in South Kensington, London, it ranked #1572 out of 17,134, making it in the top 9%, perhaps worthy of a visit.

Although, at this point, I struggle to prepare a post daily, we both appreciate your continued readership. The problem is more about deciding on a topic for the day, rather than putting it all together. Once I have a topic depicted in the heading, I can breeze through the post in a few hours with relative ease.

Right now, I don’t have the oomph to tackle a complicated topic requiring research and planning. As we have over the past many months since we’ve been in the US, the topics are most light and lacking major content, except for a few unique posts here and there with travel information.

With the road trip in six days, I’ve decided to continue to post using the app on my phone during the two-day drive. Most likely, I won’t add photos unless we encounter some interesting sightings along the way, nor will we include the “ten years ago photo.”

We have a lot to do to prepare to leave next Sunday, but we will try to continue posting over the next several days until we hit the road next Sunday.

My wheelchair arrived yesterday from Amazon. We were pleased that it was mostly put together. It only took Tom about 10 minutes to add and set the footrests. To my surprise, it’s very sturdy and comfortable, and it costs only $115 at Amazon with one-day shipping with Prime. It folds and unfolds easily and will travel well.

I now accept that buying a wheelchair was a practical and sensible decision. We tried it yesterday when we had to go to the office to print a document, and Tom carefully wheeled me over a few bumps and uneven pavement. But it worked well. It felt odd to suddenly appear at the reception office, sitting in a wheelchair when everyone at the desk was used to seeing me walking. But they were friendly as usual. No doubt, they were curious why I was in the wheelchair, but I didn’t say a word.

We have no social plans today through Tuesday but will go to TJ’s home for a barbecue on Wednesday. On Thursday, my dear friend Karen will be in Minnesota for business, and we’re planning a late lunch at Jimmy’s Kitchen and Bar. On Friday, I am having a pedicure with my dear friend Chere.

In each case, Tom will transport me both ways while I am using the wheelchair. In the late afternoon on Friday, we’ll head to Billy’s for our final get-together with Tom’s siblings. We’ll most likely see Greg’s family on Saturday. Two of the five of them have had COVID-19 these past weeks, and we’ve been avoiding getting together with any of them. We’ll see how they’re doing by Saturday before planning anything.

This morning, I made a batch of chicken salad for tonight’s dinner, and yesterday, I made shrimp salad. I can easily stand on my feet to cook in the small kitchen. We’ll have both salads tonight and tomorrow night, with a green salad on the side. Easy peasy.

That’s it for now, dear readers.

Be well.

Photo from ten years ago today, August 19, 2014:

We walked past Christie’s in South Kensington, London, where we stayed for two weeks. The world-famous auction house occupies almost the entire block. For more photos, please click here.

We booked a hotel at Cleveland Clinic…

A craggy shore in Madeira, Portugal.

With only 50 days until we leave for Cleveland, it was time to book something for at least our first week there. At this point, we have no idea how long all the tests will take before the surgery is scheduled or how far out the surgery will be scheduled. There may be many patients in much worse condition that will be scheduled ahead of me, of course, depending on how I am doing at the time of my first three appointments on August 28.

If I am “holding my own,” it could be two or three months until the surgery is scheduled. The question is, “Do we stay in Cleveland in case of an unforeseen event requiring immediate surgery? Or do we go somewhere else while we wait?”

Only time will tell, along with the test results determining the urgency of my case. Right now, my only obvious symptoms of valve disease are difficulty walking and occasionally being out of breath. I don’t have the classic swollen legs and chest pains, which are severe symptoms of the condition.

However, the two valves have been diagnosed by three cardiologists and echocardiograms as being “severe,” which, untreated, could result in a stroke or heart attack if left too long without treatment. There are no drugs that can prevent these potential outcomes.

In reality, regardless of how long we have to wait for surgery, we’re better off staying there than in some other city in the US. We must play it by ear and see what transpires during that first week or two.

As a result, we booked only one week at a hotel connected to the clinic with a shuttle service back and forth to the hospital. Finding an affordable hotel was a lot trickier than expected. We were willing to pay more than usual for the convenience of the first week of tests and may have to extend it if further testing is required. There again, we have no idea at this point.

This morning, we started searching online. We were particularly interested in the Intercontinental Hotel, Cleveland Clinic, since it is .2 miles from the hospital, which has a shuttle back and forth, preventing us from the necessity of renting a car for the first week. Here are the prices we encountered:

Expedia.com

InterContinental Cleveland, an IHG Hotel

$284
InterContinental Cleveland, an IHG HotelOfficial site
$329
DEAL

14% off

Hotels.com

$329
Hotels.com
Free cancellation until Sep 8

Priceline

$329
Priceline
Free cancellation until Sep 7
All options

InterContinental Cleveland, an IHG Hotel

$284
InterContinental Cleveland, an IHG HotelOfficial site

Hotels In America

$294
Hotels In America
With these high prices, most of which didn’t include taxes and fees, we searched further from Expedia on our website at the link on the right side of our page. Because we are Platinum members and use $46.00 in One Key cash, we could book the week for an average of $211 per night.
Of course, these perks may not be available to those using Expedia infrequently, but we’ve found it’s an excellent place for frequent travelers. Building relationships with various sites that provide excellent pricing for their frequent users takes time and effort.
Once we have completed the first round of tests after consulting with the doctors, we can make a plan for our future stay. We may stay a few miles from the clinic, where prices are considerably lower. We might stay further away during a waiting period and move closer once the surgery transpires. We shall see.
That’s it for today, dear readers. Thanks for all the well wishes, supportive comments, and emails regarding our Fourth of July post two days ago.

Be well.

Photo from ten years ago today, July 6, 2014:

Even a cloudy day in Madeira, Portugal, has some appeal. For more photos, please click here.

It’s not easy…

The view from the dining room in the house in Campanario, Madeira, in May 2014.

Each day, when I load my computer to prepare another post, I ask myself, “What will I write about today?” Unless something specific has happened that inspired me for the day, I am often at a loss as to what to write. It’s easy when traveling with endless photo ops and stories to tell. Right now, it’s not easy.

At times like this, when it’s not exciting, I peruse the most recent news to see if there’s something interesting to report. Often, that news is distressing, and I don’t care to go down that road too often.

Yesterday, when a police officer and two civilians were killed (see the story here) and several injured in a shooting only 20 minutes from here, I cringed over writing about this. But a part of me feels compelled to report such local incidences to serve as a warning to everyone to be careful. Even so, there would have been no way to prevent what happened. The only lesson it serves us right now is to stay away from Minneapolis if possible and stick to the suburbs.

But even suburbs aren’t exempt from shootings and crimes. Nowhere is safe, including many areas we’ve traveled throughout the world. We’ve been fortunate, although we’ve made many efforts to stay safe, but no measures can ensure total safety.

Now, back to commenting about what to write during these quiet times, which is more in my mind now than in the past, I can’t help but be concerned about the upcoming many months. I even considered taking a break from posting, not for me but for all our readers who may become tired of our mundane posts and stories with nothing much going on.

Based on our current circumstances, it is almost three months until my appointments at Cleveland Clinic, beginning on August 28. Once we arrive, a series of tests will transpire, possibly over a few weeks. Once the tests are completed, there will be a surgical consultation with Tom and me to discuss and determine the course of action and time frame for the upcoming surgery.

From there, it could be as long as two months until I have the surgery, during which, most likely, we’ll stay in Cleveland while we wait. They will plan my surgery date based on two factors: 1. The severity of my situation, 2. The availability of a time slot for the surgery. I have no control over either of these factors.

There will be other patients lying in hospital beds with my condition, with worse symptoms disabling them, that will have precedence over my case. I fully understand and accept this reality. Also, if I were a celebrity, the waiting would be minimal. That’s another fact of life.

Thus, if the consultation occurs in mid-September, and I can have surgery within two months, the surgery might occur in mid-December. From there, with at least a three-month recovery period sufficient for air travel, it could be mid-March until we can fly to South Africa. If my recovery is slower, we could be as late as next June, a year from now. As much as that is a painful thought, it’s a possibility.

Although after my last open-heart surgery, I was able to travel three months later, it took me a year to fully recover. This may be shorter for younger patients, and also, since I already have coronary artery disease, the recovery period may be longer. I don’t know the answers to that now…everyone is different in their recovery.

Subsequently, I don’t know what I’ll write about in the next three months other than to continue on this current path…the trivialities of our daily lives, not necessarily trivial to us but undoubtedly trivial to our worldwide readers. Once we get to Cleveland, we’ll share the processes at the clinic, where we’re living, and so forth.

Once I have the surgery, most likely, there will be a two-week lull when I won’t be able to write at all. Once I can move my arms a little, I will begin again, with the utmost enthusiasm, knowing the healing process has begun. I can’t wait to get this over with.

After careful consideration, I have decided I will continue to do the posts, however dull and uneventful they may be. If you find yourselves uninterested, you know what to do. We understand and offer the utmost gratitude for your encouragement and support over all these years.

Be well.

Photo from ten years ago today, May 31, 2014:

We chose a table closest to the ocean under a bright red umbrella, casting a red glow on our photos. For more photos, please click here.

Oh, oh…an unexpected glitch impacting our lives…

Sunset in Marrakesh, Morocco, in 2014.

As soon as I awoke this morning, I checked my phone for any messages, hoping to hear from Cleveland Clinic about my appointment date. Initially, I was thrilled to see a message from the doctor’s assistant but frustrated when I read the message stating they hadn’t received my package from UPS, which I sent on April 1.

Immediately, I found the receipt for the shipment and tracked the result, which clearly stated it had been received on April 2. Tina, the doctor’s assistant, couldn’t find the package. This is very problematic. Every day lost is one more day that I am walking around with a time bomb in my chest.

I have been communicating back and forth with Tina and hope I’ll soon discover she’s located the packet. If not, I must start the process again, returning to day zero. This is beyond stressful and frustrating. Some of the documents required my signature. They don’t do online document signing.

So, I must go to another UPS store, sign the papers and ship them overnight. It would have been easier if I had emailed them, but they insisted on a shipment. I sent Tina the actual receipt that it was received on April 2 at the correct address and the name of the person receiving the package. What more can I do?

Now, I wait for Tina to notify me that she’s found the package. I am not happy about the stress of this situation, but as I wrote a few days ago, patience must prevail, and I am working to stay calm and maintain an even keel. It’s situations like this that are most stressful for one’s health.

At the moment, Tom is researching rental cars for when we depart here on May 1, and he was able to book a car to get us to Minneapolis, returning the vehicle on May 30 in Minneapolis at the airport. We are checking to see what might be available on May 30, depending on the schedule for Cleveland Clinic, since that will be the beginning of the long Memorial Day weekend.

Everything we are booking now is up in the air since we know nothing about where we’ll be any time over the next few months. But having cars and hotels booked gives us peace of mind as long as they are cancellable. No longer do we book anything that doesn’t offer a free cancellation.

Since COVID-19 has settled down, more venues offer free cancellations. This is particularly helpful for us right now.

On another note, yesterday, we went to the Apache Junction VFW for “Taco Tuesday” on Monday. Both Tom and I ordered taco salads without beans. He ordered his salad with the taco shell; mine was plain. The portions were very small, but the food was fresh and tasty.

Soon, Colleen will pick me up for the “girl’s lunch” they had previously planned with neighbors, asking me if I wanted to join them. I happily agreed. It had been a while since I attended a girl’s lunch, and it sounded like a fun idea. Tom will stay in our unit while I’m gone. Most likely, later in the day, we’ll play Buck Euchre again. We played yesterday afternoon, but I gave up my seat to Colleen at about 7:30 pm.

Tom drove me to our park model and returned to Margie’s to play cards while I spent the remainder of the evening streaming mindless drivel while playing with my phone. It was a relaxing and easy evening.

Be well.

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

The pointy-toed shoes remind us of magic carpets and flowing gowns typical of the perception of Morocco, which is not too far from reality, minus the flying carpet, of course. For more photos, please click here.