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.

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.

And the saga continues with a big challenge over the next few days…

On this date in 2014, our ship was Royal Caribbean’s Brilliance of the Seas.

There are no words I can write to describe how safe I feel being at Cleveland Clinic in Ohio, in the competent hands of professionals, none of which I’ve experienced in the past. Every doctor or technician I encounter has the utmost credentials, exhibits kind and caring service, and treats each patient individually, not just as a number and income source in the system.

Doc Theo, a family practice physician in South Africa, was the only other doctor I’ve ever seen who was so qualified, caring, and competent. I last saw him in April 2023, 16 months ago. Since that time, with escalating heart-related problems, I sought the help of a few cardiologists as we traveled from South Africa to Ecuador to Nevada.

The most accurate test results I received were in South Africa. Still, the cardiologist in Ecuador last October and then in Nevada in March misdiagnosed my issues, according to the tests and doctors I have seen at Cleveland Clinic, only in the past few days. The problems I have with my cardiovascular system are still not fully diagnosed, with many more tests on the horizon that have nothing to do with my valves.

First, I met with Dr. Grimm, a heart “plumbing” specialist. He’d ordered numerous tests, including an angiogram, yet to be scheduled, an invasive test to see the status of the patient’s veins and arteries, done in the cath lab. Yesterday, we were waiting to hear about other tests to be scheduled to complete my diagnosis. I was told to call Dr. Grimm’s office at the clinic to arrange my future appointments.

When I was on hold, the scheduler finally came to tell me my next round of appointments would begin on November 7. I was shocked! Did I not just wait four months to start this process? She explained that many others were waiting ahead of me and that she could do nothing about it.

When I explained my symptoms, leaving me in a wheelchair to get around, I kindly asked her to do better. November 7th wouldn’t work for me. I was very diplomatic. She asked me to stay on hold, and she’d see what she could do. I waited a full 20 minutes to have her return on the line asking if we could get back to the clinic in 20 minutes for an appointment with the doctor who is a specialist in the heart’s electrical systems, an electrophysiologist, Dr. Keogh.

Within five minutes, we were out the door after asking the front desk to order a Cleveland Clinic shuttle, one of which makes a loop in the area hotels from 6:00 am to 10:00 pm. Within minutes, the shuttle arrived, and we made it to Dr. Keogh’s reception area.

After we arrived, I checked My Chart to see if the appointment with Dr. Keogh wasn’t until 4:00 pm. It was 12:30 pm. This wait would be better than waiting until November 7th! Moments later, Dr Keogh’s nurse escorted us to his office. He’d had a no-show and could see me now. Tom and I giggle that it was “safari luck,” an expression we’ve always used when we had great sightings on the many safaris we’ve experienced.

Minutes later, Dr. Keogh entered the room, and his expertise and knowledge far surpassed any cardiologists we’d seen in the past. I felt like I was in the best of hands. The first thing he told me was I had to stop taking the dangerous drug Flecainide, which I have been taking for Afib since last October when we were in Ecuador. It was the only afib (for heart rhythm control) that worked for me.

Ecuador doesn’t allow that drug to be prescribed in their country. When I couldn’t any more than the one month’s supply I had on hand, we left Ecuador and headed to Nevada, where a cardiologist said I had terrible valve disease and needed surgery immediately. He didn’t hesitate to prescribe more of the drug until I could have surgery on my valves.

Dr. Keogh explained this drug could kill me with a massive heart attack and I must stop it now. It’s been 26 hours since my last dose. The drug leaves one’s system in about 48 hours, when the Afib undoubtedly will return. When he reviewed all of my tests thus far, and I explained that Flecainide prevented my heart rate from going above 90, the stress test I’d had on Thursday could have been inaccurate.

When we left his office, he said he’d devise a plan for me and get back to me soon. Time is of the essence when I am going to be in what is called persistent Afib within two days when the drug is out of my system. When we returned to our hotel room, my phone rang. It was Dr. Keogh. He decided I needed to retake the nuclear stress test without Flecainide in my system. Then, he could better determine where to go from there, such as a pacemaker, ablation, surgery, or other treatment modalities.

Within minutes, I received a message from My Chart stating I had a new appointment, rescheduled for another nuclear stress test on Tuesday at 9:30 am. It was such a relief, especially knowing by then, I’d be experiencing awful Afib. Dr. Keogh didn’t want me on any Afib drugs for the repeated test. He explained that if the Afib gets too awful, we should head to the emergency room to oversee my care. That was comforting.

Now, I’m scheduled for the angiogram next Friday instead of November 7th. And so it goes with more tests and an upcoming scary few days, especially when we are moving to the new hotel on Monday. Whew.

I can’t express enough gratitude for the love and support I have been receiving from so many of our worldwide friends and readers. You all mean the world to both of us!

To all of our family, friends, and readers in the US, have a safe and enjoyable Labor Day weekend and a happy weekend for our international readers.

Be well.

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

We were on Royal Caribbean Brilliance of the Seas. The following day, we were off on our first tour to Le Havre/Normandy, France, for an all-day excursion to see WWII Omaha Beach, Utah Beach, and American Cemeteries. 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.

We’re on the road to Cleveland at long last!..

If we could have cooked our meals in London, we would have purchased some items at this Farmers Market.

Often, we’ve been asked, “Why did we choose to go to the Cleveland Clinic rather than to the Mayo Clinic in Rochester, a short 90-minute drive from our current location, which is also highly rated worldwide for heart treatment?”

For me, having already had open heart surgery 5½ years ago and with remaining severe cardiovascular disease (hereditary) and my age, I decided I wanted to go to one of the highest-rated valve disease cardiovascular surgeons in the country, if not in the world, regardless of how long I had to wait to see Dr. Gillinov. It’s been a four-month wait for my appointments, which are upcoming next Wednesday.

If I had to wait another month or two, it wouldn’t have been possible as my condition continues to deteriorate, as evidenced by the necessity of using a wheelchair to get around outside this hotel room, which I can maneuver if I frequently pause when moving about. But any trip outside, even to the car, requires using the wheelchair.

It’s helped make the past few days tolerable and allowed me to see family and friends. They even accommodated me to stay in the wheelchair during Friday’s pedicure.

Following are some of the reasons patients choose Cleveland Clinic for their procedures and surgeries.

  1. Reputation for Excellence: Cleveland Clinic is consistently ranked among the top hospitals in the United States and worldwide. Its reputation for high-quality care, particularly in specialties like cardiology, neurology, and orthopedics, draws patients seeking the best possible outcomes.
  2. Expertise and Innovation: The clinic is known for its cutting-edge treatments and surgical techniques. Surgeons at Cleveland Clinic are often leaders in their fields, offering advanced procedures that may not be available elsewhere. This expertise is especially appealing for complex or high-risk surgeries.
  3. Multidisciplinary Approach: Cleveland Clinic offers a collaborative environment where specialists from various fields work together to create personalized treatment plans. This approach ensures comprehensive care, addressing all aspects of a patient’s health, which is particularly important for those with multiple or complex conditions.
  4. Advanced Technology: The clinic invests heavily in the latest medical technology and equipment, allowing for minimally invasive surgeries, robotic surgery, and other advanced techniques leading to faster recovery times and better outcomes.
  5. Patient-Centered Care: Cleveland Clinic is known for its focus on the patient experience. From pre-surgery consultations to post-operative care, the clinic emphasizes clear communication, patient education, and support, helping patients feel more confident and comfortable throughout their surgical journey.
  6. Research and Education: As a major research institution, Cleveland Clinic is involved in numerous clinical trials and studies, offering patients access to the latest medical treatments and innovations. This research-driven approach means patients benefit from the most current and effective surgical options.
  7. Global Accessibility: Cleveland Clinic attracts patients from all over the world, offering specialized international patient services, including translation, travel assistance, and culturally sensitive care. This global reach adds to its appeal for those seeking top-tier medical care.
  8. Positive Outcomes: Cleveland Clinic’s high success rates and positive patient outcomes contribute significantly to its appeal. Patients often choose the clinic based on recommendations from others who have had successful surgeries there and its track record of excellence in complex cases.

These factors combined make Cleveland Clinic a top choice for patients seeking surgical care, particularly those with complex conditions or who want access to the latest medical technology and treatment advancements.

We’re moving along the road to Cleveland and will stop for the night, well before dinnertime.

Be well.

Photo from ten years ago today, August 25, 2014:

We had no trouble finding the distant Laundromat, Bobo’s Bubbles, in South Kensington, England. For more photos, please click here.