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

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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.

“It’s always something. If it’s not one thing, it’s another”…

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South Kensington consists of one pretty street after another, with parking always at a premium.

My sister Julie often reminds me of the humor from Rosanne Roseannadanna from “Saturday Night Live” when Gilda Radnor said, “It’s always something! If it’s not one thing, it’s another.” See the video here for a chuckle.

It’s so true. None of us are exempt from life’s unexpected turns, which can result in serious situations requiring an enormous amount of time and effort to resolve, all the way down to minor annoyances that may only need a few minutes of our time and little effort to resolve.

Ironically, we get angry and upset over minor annoyances when most of us handle life-changing issues with resolve and determination. That’s where we are right now. We’re leaning into accepting whatever health situation I am presented with over these next few months, but we are annoyed with the small things we encounter along the way.

The only annoyance we encountered associated with our experiences at Cleveland Clinic was on Wednesday when I appeared for the first round of tests in the cardiac unit when my Medicare number couldn’t be entered into their system for some reason. The night before my appointments, I had tried dozens of times to enter my Medicare number into “My Chart,” the medical information system available for doctors and patients.

In “My Chart,” appointments, notes, test results, and communication with medical staff are readily available promptly. Many medical facilities use this system for their patients, which most patients find helpful in reviewing their care processes.

Two days ago, I felt compelled to complete my file before my upcoming appointments on Wednesday. The app kept reminding me to accept my insurance information but to no avail. On Tuesday night, when we went to bed, I worried about why my Medicare number wasn’t accepted into their system.

Awake early on Wednesday morning, I tried again, but to no avail. I called and spoke to tech support for My Chart at Cleveland Clinic, and the rep said, “No worries. They’ll enter the number when you check in for your first appointment at the desk.” That was a significant relief.

Once we arrived at “imaging” for my first appointment, the rep at the desk couldn’t get the system to accept my Medicare info either. After 15 minutes of trying, even with the help of other staff members, we were sent to a different office where a particular tech support person, 15 minutes later, somehow managed to get the Medicare number into the system. We hurried back to imaging for my appointment.

Fortunately, we are always the “early birds,” and we made it to the appointment on time. Since we had three appointments, one after another, we were concerned. If we missed the first one, we could be late for all of them. After all, we waited for these appointments for four months. It would be a fiasco if we missed any of them. Whew!

From there, everything went smoothly at Cleveland Clinic. But in the past week, another medical insurance-related issue cropped up. A week before we left Minnesota, I received a bill for $1300 from Park Nicollet from my recent stay at Methodist Hospital when I had that horrific blood pressure event requiring me to go to the hospital by ambulance. Why did I get a bill for $1300 when I purchased the zero deductible supplement Plan G with Aflac, along with Medicare Part B?

I’d already paid the annual Part B deductible of $240 when I went to the cardiologist in Nevada in March. I ended up on the phone with Pak Nicollet’s customer service for at least 20 minutes to resolve the $1300 bill, and then, a few days ago, I got another bill for $83.32 from that hospital visit. Today, I called again and discovered they had no information on my Aflac supplement, which I’d provided at least twice during the hospital stay.

Plus, they had my name wrong, using only my first and middle name along with the wrong phone number, again, which I provided on several occasions. The customer service rep retook my Aflac information this morning, and the bill is gone. Such an annoyance!

Now, I discover there is nothing wrong with my valves. Whatever is wrong with my heart is not related to my valves. I had three tests in different countries, all stating I desperately needed valve surgery immediately. The echocardiogram I had here at Cleveland Clinic took twice as long and was more thorough than any of the three previous tests. Go figure.

Last night, I received the results of yesterday’s nuclear EKG that stated, in part, the following, as quoted:

‘EKG  reviewed from stage 2 of Cornell 0% and consistent with exercise-induced type 2 second-degree AV block. This is a very abnormal stress test.”

I’ve researched this comment, but the answers are unclear. I guess I have to be patient and let the professionals determine a proper diagnosis and treatment, whether it’s surgery or other treatment. By Tuesday (due to the holiday weekend), I have more appointments scheduled for next week, with more diagnostic tests, including an angiogram, the test I’m dreading the most. Ugh!

So, I’ve handled some annoyances hanging over my head right now. We’ll see what pops up next. Tomorrow, we’ll share where we’ll be over the next three months as we work through this medical process.

Be well.

Photo from ten years ago today, August 30, 2014:

This was the shortest car we had ever seen in South Kensington, England. For more, please click here.

Part 1…Suggestions from dear readers…Five days and counting…

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Women today can’t wait to leave their bras after a long day. Can we imagine how women felt wearing these types of corsets all day?

Our dear readers and long-time cruise friends, Judy and Gary, sent some suggestions on topics for future posts, including the following:

Here are a few topics to consider;
Favorite cruise lines
Favorite ports
Best and worst cruise ship excursion you’ve taken
Best and worst meal you’ve cooked
Favorite and least favorite country you’ve visited
Favorite and least favorite city you’ve visited

Firstly, thanks to Judy and Gary for making these good suggestions. It was kind of you to come up with ideas for us, and we will consider each for future posts. As many of our years-long readers know, we have touched on these topics in one way or another, except for the “best and worst meals we cooked,” which we’ll have to think about for a day or two.

We will address the first of these points in Part 1 today and continue with the balance over several future posts.

Favorite cruise lines and why… We were big proponents of Celebrity Cruise and Royal Caribbean Cruise Lines for many years, preferring their cruises over many others. When we first started cruising, we made a mistake in attempting to experience several cruise lines so that we could select a favorite. In doing so, we missed out on acquiring many loyalty points, which could have escalated us to a position where more perks were offered by working one’s way to various tiers. Realizing this, down the road, caused us to focus on two cruise lines, Celebrity, a subsidiary of Royal Caribbean, both of which we enjoyed for many years.

Why did we like these cruise lines? They were slightly more perk-orientated than other cruise lines, providing a modicum of elegance with exceptional service and perks we eventually received as we climbed the ladder of tiers. As time passed, we enjoyed more benefits as we sailed on more and more cruises worldwide.

What cruise line eventually became our favorite? During the pandemic, everything changed. We had many cruises booked during this outrageous period, and we had eight canceled cruises, most of which were on the Azamara Cruise line, which Celebrity owned at that time. Only one cruise remained that we booked before the pandemic, Azamara, although we booked several cruises after the pandemic ended. During this time, we finally went on the one remaining Azamara cruise and decided it was our new favorite. It was about 25% more expensive than Celebrity and Royal Caribbean, but tips and drinks were included, almost compensating for the price difference. Also, there was an added level of elegance we appreciated. But most of all, we enjoyed the smaller size of only 600 passenger occupancy as opposed to Celebrity and Royal Caribbean from 1800 to 8000, sizes that don’t appeal to us.

Azamara doesn’t have all those activities that appeal to children that we’d never use, such as theme parks and rides. If we wanted such activities, we’d go to a theme park. Although children are allowed on Azamara, their ships are geared toward adults, making the environment quiet and low-key, which we prefer.

No doubt, with my current health issues, we haven’t been on a cruise since last October, ten months ago. Since the onset of our travels in 2012, we have sailed on 34 cruises and look forward to cruising in the future once I am fully recovered. We’ll see how it all goes.

A special thank you to Judy and Gary for their thoughtful suggestions. We look forward to covering each topic as we continue.

Photo from ten years ago today, August 20, 2014:

Tom is getting used to visiting museums. In this case, we were at the Victoria and Albert Museum in London, within walking distance of our hotel. For more photos, please click here.

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

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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.

I gave in!…Accepting the reality…How to live with this major life change…

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Tom was finally smiling again when I told him we wouldn’t have to “walk” the bags down the steep steps at the Eurostar station.

Last night, when Tom returned from Patty’s 90th birthday party, which I didn’t attend due to my current lack of mobility, I told Tom I needed to order a wheelchair from Amazon. Many of our readers wrote with this suggestion, to which I cringed for the reasons listed below. In my mind, doing so was “giving up.”

But I am not giving up. I am heading to Cleveland to hopefully resolve this breathlessness issue once and for all. This is not giving up. It’s moving forward with the utmost will and determination, especially after all these five months of waiting for the upcoming appointments beginning on August 28.

This breathlessness has occurred over the past three weeks, and I couldn’t wait another day. I’ve been unable to go anywhere to see family and friends since I can’t walk more than 20 steps before I have to stop and catch my breath. With only eight days remaining in Minnesota until we leave on August 25, I wanted to be able to get out.

I only need a wheelchair that is light, foldable, and easy for Tom to push me. We’ll be fine if we can fit it into the SUV we’re renting to get us to Cleveland. Once we’re at the clinic, we won’t have to wait to get a wheelchair, and we can use it at the hotel where we’ll stay during the first week.

Hesitancy to use a wheelchair can stem from a variety of emotional, social, and psychological factors. For many, the decision to use a wheelchair can feel like a significant and sometimes daunting step. Here’s a closer look at why someone might feel hesitant:

  1. Loss of Independence: Using a wheelchair might feel like a loss of independence or a symbol of decline. People often equate walking with autonomy, and the idea of relying on a wheelchair can challenge that perception.
  2. Stigma and Judgment: Society sometimes holds misconceptions about wheelchair users, associating wheelchairs with severe disability or a lack of capability. This can make individuals hesitant to use one due to fear of being judged or viewed differently.
  3. Identity and Acceptance: For those who are new to mobility challenges, using a wheelchair may feel like an admission of a new identity as someone with a disability. Accepting this new aspect of their identity can be complex and emotional.
  4. Emotional Adjustment: The need for a wheelchair can be sudden or gradual, and the emotional adjustment to this reality can take time. It involves processing feelings of grief, loss, or frustration about changes in physical ability.
  5. Practical Concerns: People might worry about navigating environments, especially in spaces that are not fully accessible. Concerns about logistics, like transporting the wheelchair or managing it in various settings, can contribute to hesitancy.
  6. Impact on Relationships: Some may worry about how using a wheelchair will affect their relationships, fearing it could change dynamics with family, friends, or romantic partners.
  7. Denial or Optimism: Hoping that mobility might improve or that a wheelchair won’t be necessary can delay the decision. This optimism can be both a source of strength and a barrier to accepting current needs.
  8. Financial Considerations: The cost of wheelchairs and potential modifications to living spaces can be a significant factor in the decision-making process.

If you’re hesitant about using a wheelchair, it’s essential to give yourself time to process these feelings. Reaching out to others who have gone through similar experiences, speaking with a therapist, or joining support groups can be helpful. Transitioning to using a wheelchair can be a positive step toward greater mobility, comfort, and independence, even if it initially feels challenging.

It was not an easy decision for me, but I was inspired by many of our readers’ suggestions (Thank you! You know who you are.) and my recent inability to spend time with those I love before we depart a week from tomorrow.

Be well.

Photo from ten years ago today, August 17, 2014:

Taken from our seats, which were more comfortable than airplane seats. I had pictured four-seat configurations with a table in front of us, which was not the case with our seats. For more photos, please click here.

Is Covid-19 still an issue?… What are travel requirements worldwide?…

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This tiny room at La Fountaine de Mars in Paris, where we dined, had seating for 16. The restaurant appeared to be a converted house with three of four rooms, such as this one on the second level, which we read was preferable to dining on the loud, busy main floor. However, some may prefer the more lively pace. For more photos, please click here.

In the past few weeks, two of our family members contracted COVID-19 and were sick for a few days with lingering symptoms. On each occasion, we were out with them for dinner the night before they came down with symptoms.

Overall, we have taken a laissez-faire attitude that Covid-19 is over, and travel worldwide is back to normal. But it isn’t over. The CDC has reported that 17.6% of tests have been positive over the past week. Still, this number doesn’t represent the general population, which only gets tested when they have cold/flu-like symptoms.

Remember that many people now don’t take a test when they have cold or flu symptoms. They let the symptoms run their course, perhaps infecting others in the process. Subsequently, statistics are highly skewed at this time. There’s no way to determine the actual number of cases in the US and worldwide.

However, travelers are booking trips to countries worldwide, many of whom have canceled trips during the pandemic and are anxious to get back on the road.

Travel and Leisure Magazine has a good article about current COVID-19 travel rules, which can be found here. It’s a good article to review if you plan to travel internationally.

As of August 2024, COVID-19 remains a significant concern globally, although the situation has evolved considerably since the height of the pandemic. Several key developments are shaping the current landscape:

  1. Global Trends: COVID-19 cases and deaths continue to be reported worldwide but at a much lower rate compared to previous years. The World Health Organization (WHO) monitors the virus through various surveillance methods, including wastewater analysis, which has become essential in tracking community transmission. Some countries are still experiencing fluctuations in case numbers, often linked to the emergence of new variants of interest.
  2. Variants and Vaccination: New virus variants, such as the JN.1 variant, are being monitored closely, though they have not led to significant surges in most regions. Vaccination efforts continue, with many countries now offering booster doses tailored to these newer variants. In Australia, for example, the government recently updated its COVID-19 vaccine rollout, emphasizing the importance of staying up-to-date with vaccinations, especially for vulnerable populations.
  3. Regional Updates: The number of new COVID-19 cases reported in the first week of August was relatively low, with few deaths reported. Testing continues, though most people now use Rapid Antigen Tests (RATs) rather than PCR tests. Authorities encourage the public to maintain their vaccination schedules and seek medical advice if they develop symptoms.

While COVID-19 is no longer the global emergency it once was, it requires vigilance, particularly in monitoring new variants and ensuring widespread vaccination coverage.

In the future, as we hopefully continue to travel, we’ll make a concerted effort to review guidelines and requirements for each country to ensure we are following current, up-to-date restrictions, if any.

This morning, we ate an early breakfast at Original Pancake House with Greg, Heather, Maisie, MIles, and Madighan. Seeing them all after this long week of staying in was delightful. When we left, I struggled to catch my breath after walking from the table to the curb, where Tom picked me up. Once back in our hotel room, I had to lie briefly to recover. But, now situated on the sofa, I am feeling much better.

The remainder of the day will be easy. Yesterday, we made dinner with leftovers for two more nights to be reheated. Today, I’ll make a big salad to accompany the main course.

Be well

Photo from ten years ago today, August 11, 2014:

Purse-free and with empty pockets, it felt great not to be bulked up when Tom carried our cloth bag with the few items we needed. I was standing behind the entrance gate to the Louvre in Paris. For more photos, please click here.

Off to an event at noon…

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A massage therapy booth at the beach in Madeira. How unusual!

At 11:30, we’re driving to St. Paul to attend an event hosted by the law firm representing railroad workers whose health was impacted by exposure to asbestos and other chemicals while working for the railroad. Tom has completed all the paperwork to participate as a claimant, which has already been settled. Over the next few years, he will receive small sums periodically to compensate for his diagnosis of pulmonary fibrosis, a direct result of the exposure over 42½ years.

After considerable research, the following is a more detailed description of the consequences and long-term effects of asbestos exposure by workers in the railroad industry and other businesses. Tom has been examined, and it has been determined that he has developed this non-curable lung condition.

Pulmonary Fibrosis from Asbestos Exposure in Railroad Employees

Pulmonary fibrosis is a serious, often debilitating condition characterized by the scarring of lung tissue, leading to a progressive and irreversible decline in lung function. Among the various etiologies of pulmonary fibrosis, asbestos exposure remains a significant concern, particularly for individuals working in industries with high risk of exposure, such as the railroad industry. This essay explores the relationship between asbestos exposure and pulmonary fibrosis, focusing on its impact on railroad employees.

Understanding Pulmonary Fibrosis

Pulmonary fibrosis involves the thickening and stiffening of lung tissue due to scar tissue formation (fibrosis). This scarring impairs the lungs’ ability to transfer oxygen into the bloodstream, leading to chronic dry cough, shortness of breath, fatigue, and chest discomfort. As the condition progresses, it can result in severe respiratory failure and other complications. The disease can be idiopathic, but occupational exposure to harmful substances like asbestos is a well-recognized cause.

Asbestos Exposure and Its Health Implications

Asbestos is a group of naturally occurring fibrous minerals known for their durability, heat resistance, and insulating properties. These qualities made asbestos popular in various industries, including construction, shipbuilding, and railroads, particularly during the mid-20th century. However, when inhaled, asbestos fibers can become lodged in the lungs, leading to chronic inflammation, cellular damage, and eventually fibrosis. The latency period between exposure and disease onset can be several decades, complicating early detection and intervention.

Railroad Employees and Asbestos Exposure

Railroad employees, especially those in maintenance, repair, and operations, historically faced significant asbestos exposure. Asbestos was commonly used in locomotive brakes, clutches, insulation for boilers and pipes, and even in the construction of railcars. Workers involved in the maintenance and repair of these components were at high risk of inhaling asbestos fibers. The confined spaces these workers often operated exacerbated the risk, as disturbed asbestos materials could easily become airborne and inhaled.

Pathophysiology of Asbestos-Induced Pulmonary Fibrosis

When asbestos fibers are inhaled, they can penetrate deep into the lung tissues and become trapped. The body’s immune response to these fibers involves the activation of alveolar macrophages, which attempt to engulf and digest the fibers. However, the durability and size of asbestos fibers often prevent their complete breakdown, leading to a persistent inflammatory response. Over time, this chronic inflammation results in fibroblast activation and the deposition of extracellular matrix components, culminating in the development of fibrotic tissue.

Clinical Manifestations and Diagnosis

Symptoms of asbestos-induced pulmonary fibrosis, also known as asbestosis, typically include progressive dyspnea, a persistent dry cough, chest pain, and digital clubbing. Diagnosis often involves a combination of a detailed occupational history, imaging studies (such as chest X-rays and high-resolution computed tomography scans), pulmonary function tests, and sometimes lung biopsy. Imaging studies in asbestosis typically reveal diffuse interstitial fibrosis, often with a characteristic lower-lobe predominance and pleural plaques. Over the years, many of Tom’s co-workers have passed away from lung diseases, most of which were caused by asbestos and other chemical exposures.

Occupational Health and Safety Regulations

The recognition of the health hazards associated with asbestos led to significant regulatory changes aimed at protecting workers. In the United States, the Occupational Safety and Health Administration (OSHA) has set stringent standards for asbestos exposure, including permissible exposure limits, mandatory protective equipment, and regular monitoring of air quality in workplaces. Despite these regulations, cases of asbestos-related diseases continue to emerge, primarily due to the long latency period and past exposures.

Legal and Compensation Aspects

Railroad employees diagnosed with asbestos-induced pulmonary fibrosis often face substantial medical expenses and loss of income due to their inability to work. Legal avenues for compensation are available, with many workers pursuing claims under the Federal Employers Liability Act (FELA). Successful claims typically require proving that the employer’s negligence contributed to the worker’s exposure to asbestos and subsequent illness. Additionally, asbestos trust funds, established by bankrupt asbestos manufacturers, provide another source of compensation for affected workers.

Conclusion

Pulmonary fibrosis resulting from asbestos exposure remains a critical occupational health issue, particularly for railroad employees with historical exposure. The insidious nature of asbestos-related diseases, characterized by a prolonged latency period, underscores the importance of ongoing surveillance and early intervention for at-risk populations. While regulatory measures have reduced current exposure risks, the legacy of past asbestos use continues to impact the health of many railroad workers. Ensuring access to medical care, supporting legal compensation claims, and advancing research into effective treatments for pulmonary fibrosis are essential steps in addressing this ongoing public health challenge.

Today, at this event, Tom will see some of his co-workers diagnosed with this condition and dealing with the consequences.

Be well.

Photo from ten years ago today, July 20, 2014:

We were astounded as we approached the waterfall on the road in Madeira as we watched this van drive under it. Next, it was our turn to drive under it. For more and a video, please click here.

Part 2…Pet-friendly travel…Hotels….

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Cute English Cocker Spaniel and suitcase indoors. Pet-friendly hotel. Not our photo.

During our stay at Residence Inn by Marriott, we heard and saw several dogs of varying sizes, including guests with two dogs, usually one small and another larger. Although infrequent during the day, barking has not been an issue at night. We’ve observed pet owners cleaning up after the dogs and keeping them on a leash when outdoors. The presence of dogs has not been an issue for us longer-term guests.

In 2024, the hospitality industry saw a significant transformation, with a growing emphasis on pet-friendly accommodations. This shift is driven by an increasing number of travelers who consider their pets part of the family and wish to bring them along on their journeys. Pet-friendly hotels now offer a range of amenities and services to ensure both human and furry guests have a comfortable and enjoyable stay.

Rise of Pet-Friendly Hotels

The demand for pet-friendly hotels has been steadily increasing over the past decade. This trend has accelerated as more people adopt pets, particularly during the COVID-19 pandemic, when companionship from animals became crucial for many. Hotels have recognized this growing market and are adapting their policies and facilities accordingly. In 2024, pet-friendly hotels are not just a niche but becoming mainstream.

Amenities and Services

Modern pet-friendly hotels offer a variety of amenities designed specifically for pets. These include:

  1. Pet Beds and Bowls: Many hotels provide comfortable pet beds and bowls for food and water in the room. This ensures that pets have a designated space and that their needs are met without guests having to bring their own supplies.
  2. Pet Menus: Some hotels have introduced specialized pet menus, offering gourmet meals for dogs and cats. These menus often include healthy and nutritious options catering to various dietary needs and preferences.
  3. Pet Spa Services: Many hotels now offer spa services such as grooming, massages, and even facials to pamper pets. These services help pets relax and enjoy their stay as much as their owners.
  4. Pet Sitting and Walking Services: Understanding that guests might want to explore the area without their pets, hotels provide pet sitting and walking services. Trained professionals ensure that pets are well cared for in the absence of their owners.
  5. Pet Play Areas: Outdoor play areas and dog parks within the hotel premises are becoming common. These spaces allow pets to exercise and socialize in a safe environment.

Policies and Considerations

While pet-friendly hotels are becoming more common, there are still essential policies and considerations to keep in mind:

  1. Size and Breed Restrictions: Some hotels may restrict the size or breed of pets allowed. It’s essential to check these policies before booking.
  2. Additional Fees: Many hotels charge additional fees for accommodating pets. These fees cover extra cleaning and maintenance required for pet-friendly rooms.
  3. Behavioral Expectations: Hotels expect pets to be well-behaved. Owners may be asked to sign agreements ensuring their pets will not cause damage or disturb other guests.
  4. Vaccination Requirements: Hotels may require proof of pet vaccination to ensure the safety and health of all guests.

Top Pet-Friendly Hotel Chains

Several hotel chains have become renowned for their pet-friendly policies and services in 2024:

  1. Kimpton Hotels: A pioneer in pet-friendly hospitality, Kimpton Hotels welcomes pets of all sizes and breeds without additional fees. They offer a range of pet amenities and even have a Directors of Pet Relations program at some locations.
  2. Aloft Hotels: Part of the Marriott International group, Aloft Hotels is known for its Arf (Animals R Fun) program. This program includes pet beds, bowls, and treats, ensuring a pleasant stay.
  3. Fairmont Hotels & Resorts: Fairmont Hotels offers luxurious pet-friendly services, including pet menus, grooming, and pet-sitting. They also provide information about local pet-friendly attractions and services.
  4. Four Seasons Hotels and Resorts: Known for their luxury, Four Seasons properties often welcome pets with open arms. They provide pet beds, bowls, and even pet-sitting services to ensure pets enjoy their stay.
  5. Loews Hotels: Loews Hotels has a dedicated Loews Loves Pets program, which includes pet room service menus, pet toys, bedding, and even pet-walking maps. They also offer pet-sitting and walking services.

Regional Variations

Pet-friendly accommodations vary by region, with some areas being more pet-centric than others:

  1. United States: The U.S. leads the way in pet-friendly hotels, with many chains and independent hotels offering extensive pet amenities. Cities like New York, Los Angeles, and San Francisco are particularly pet-friendly, with numerous parks, restaurants, and attractions welcoming pets.
  2. Europe: Europe is also highly pet-friendly, with many hotels in countries like France, Germany, and the UK offering pet amenities. In some cities, pets are welcome in restaurants and public transport, making travel with pets more convenient.
  3. Asia: Pet-friendly hotels are becoming more common, particularly in countries like Japan, South Korea, and Thailand. While not as widespread as in the West, the trend is growing, and more hotels are adapting to meet the needs of pet owners.
  4. Australia and New Zealand: These countries are known for their love of pets, and many hotels offer pet-friendly services. Coastal areas and national parks often have pet-friendly accommodations, making them ideal destinations for pet owners.

Conclusion

In 2024, pet-friendly hotels have evolved to cater to the growing demand from travelers who consider their pets part of the family. With a range of amenities and services designed to ensure a comfortable stay for pets and their owners, these hotels are setting new standards in hospitality. As the trend continues to grow, we can expect even more innovations and improvements in pet-friendly accommodations, making travel with pets easier and more enjoyable than ever before.

For more details on pet-friendly airline travel, please see our post from a few days ago here.

Be well.

Photo from ten years ago today, July 17, 2014:

We shot this pirate ship as it cruised past us. We’d seen this boat when we were here in April 2013. For more photos, please click here.

Amazon Prime Day sales for the travelers…

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We embarked on a whale-watching catamaran trip while in Madeira in 2014. Unfortunately, we didn’t see much during that outing, but we saw many whales in Hawaii in 2014/2015.

While researching a topic for today, which I do when nothing specific pops into my mind, I stumbled across the following article, which could mean more to our readers than my mindless drivel during this quiet time. Amazon Prime Day is coming soon, on July 16 and 17. Today, I’m posting this money-saving article (see below) for our readers who may be Amazon Prime members or those considering joining Amazon Prime at some point.

We have been Amazon Prime members for many years for several specific reasons:

  1. Amazon offers free shipping on most purchases, many of which include same-day or next-day delivery. This is particularly interesting for us in the US since I don’t care about shopping in stores such as Target, pharmacies, and Walmart. Amazon’s prices are competitive, and searching for the best deals is easy.
  2. Amazon Prime’s streaming service, Prime Video, has a plethora of excellent documentaries, series, and movies. Most are free, although some may be premium releases for an additional fee. (We generally don’t pay for new films and series on Amazon Prime and will wait until they are available to stream at no added cost). With the higher costs for many streaming services, Prime Video is an excellent source of entertainment.
  3. Free Music on Prime Music for the first five months. We listen to free music on YouTube when the five months are over.
  4. Use the Amazon Kindle App to read books. Millions of books are offered at huge discounts for reading online, and many are free of charge.

As described on Amazon’s site, there are many more reasons to use Amazon Prime, which you can find here.

Amazon Prime is currently $139 a year, or a little over $11.50 monthly. For us, it pays for itself in its first few months by avoiding shipping fees alone. Even when we’re outside the US and plan to order a shipment of supplies, we have everything sent to our mailing service in Nevada (no shipping fees) and then have our mailing service ship everything to us in one package, costs varying based on speed of delivery and location.

In the past few years, after spending considerable time in the US, we haven’t had to have the items we purchase sent to our mailing service; instead, they are shipped directly to our hotel, wherever we may be staying, without shipping fees. Amazon texts us that the package has been delivered and that we can pick it up at the reception desk immediately.

As mentioned above, you can click on the Amazon black box on the right side of our homepage along with our other advertisers. We earn a small commission for your purchases, but you don’t pay more, which helps offset some of our site’s maintenance costs. You do not need to be a member to buy products on Amazon, and prices and services are the same when using our site or going directly to Amazon. Please click the link here. 

From this site: “Is Amazon travel’s newest metasearch site?

Amazon Prime Day is fast approaching, which historically has meant little in terms of news for the travel industry. But this year, Amazon has a dedicated page to “Prime Day Travel Deals” with big-name brands, including Carnival Cruise Line, Southwest Airlines, and Tripadvisor experiences brand Viator. Car rental companies Turo, Sixt, and Avis are also participating.

The opportunity to sell with an online retail giant is appealing, according to the travel brands included in the July 16 and 17 shopping event.

“Consumers are interested in unique experiences, and this Prime Day offering puts cruise vacations in front of a targeted audience that we want to reach,” said Amy Martin Ziegenfuss, chief marketing officer of Carnival Cruise Line.

She continued: “Amazon has been a great partner as we’ve worked together on other activations, so making our cruises available for Prime Day builds on our partnership and adds value for customers of both brands.”

Similarly, Viator recently partnered with Amazon Alexa and expressed excitement about selling through Amazon.

“As the first travel experiences marketplace to offer an Amazon Prime Day deal in the [United States], we’re excited to bring our more than 300,000 activities, tours, and experiences directly to the millions of travelers who shop on Amazon every day,” said Laurel Greatrix, vice president of brand and communications for Viator.

Greatrix said the partnership is one of “thousands” of ways Viator is seeking to reach travelers where they are already shopping as it continues to expand distribution for its operators.

Amazon said it offers discounted flights, experiences, and rides with Amazon Travel. Prime members are eligible to receive deals such as 30% off base fares with Southwest Airlines or 20% off experiences with Viator, for example.

It’s unclear whether Amazon will continue offering travel products after Prime Day closes.

While this marks the first time Amazon has offered a full page of travel deals, the company provided a Prime Day deal with Priceline last year. While Amazon did not immediately reply to a request for comment, there has long been chatter about its potential to enter the online travel marketplace. And in 2021, the company also announced it partnered with MakeMyTrip to offer travel in India.”

We hope this information is helpful and those of you considering travel can take advantage of some of these special travel prices.

Be well.

Photo from ten years ago today, July 13, 2014:

The geese seemed to enjoy hanging out by this unusual palm tree in Madeira. For more photos, please click here.

Tom’s railroad guys get together…Worldwide traveler stats and lifestyle for those living without a home…

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From left to right: Dale, Tom, and Jon.
Today’s photos are from a get-together of retired guys who worked with Tom at BNSF during his 42½-year tenure. Thus, the images are not related to today’s post. 

The life of a world traveler, especially one living without a permanent home, is a unique blend of freedom, adventure, and, often, unpredictability. These individuals, usually called digital nomads, perpetual travelers, or global wanderers, embrace a lifestyle that allows them to explore the world while remotely maintaining their work or personal projects. This essay delves into the statistics surrounding world travelers who live without a home, exploring their demographics, motivations, challenges, and the impact of this lifestyle on their well-being and the global economy.

The number of digital nomads and perpetual travelers has steadily increased over the past decade. According to a 2020 report by MBO Partners, there were approximately 10.9 million digital nomads in the United States alone, reflecting a significant rise from previous years. Globally, the figure is estimated to be much higher, with millions more embracing this lifestyle in Europe, Asia, and other regions. This growth can be attributed to several factors, including technological advancements, increased remote work opportunities, and a growing desire for a more flexible and fulfilling lifestyle.

Digital nomads tend to be younger, with the majority falling within the 25-44 age range. A survey conducted by FlexJobs in 2021 found that 42% of digital nomads were millennials (ages 25-40), while 19% were Generation X (ages 41-56). However, this lifestyle is not limited to younger generations; there is a notable presence of older travelers, including retirees, who also take advantage of the freedom and opportunities of a mobile lifestyle.

The guys got together for a group photo as Tom drove up to the restaurant.

The motivations behind choosing a nomadic lifestyle vary widely among individuals. For many, the primary driver is the desire for freedom and adventure. The ability to explore new cultures, learn new languages, and experience diverse environments is a significant allure. Additionally, the flexibility to work from anywhere allows individuals to craft a lifestyle that prioritizes personal well-being and work-life balance.

Economic factors also play a crucial role. The cost of living can be significantly lower in certain parts of the world compared to major urban centers in developed countries. For instance, living in Southeast Asia, Latin America, or Eastern Europe can provide a high quality of life at a fraction of the cost. This financial advantage enables travelers to save money, invest in their passions, or extend their travels indefinitely. For us, living in the bush in South Africa for extended periods has been so affordable that it has enabled us to spend more in other, more costly countries.

Despite the many benefits, living without a permanent home presents unique challenges. One of the most significant hurdles is maintaining a stable income. While remote work opportunities have increased, not all digital nomads have steady employment or freelance work, leading to financial instability. According to the same FlexJobs survey, 34% of digital nomads cited finding remote work opportunities as a primary challenge. Fortunately, we don’t require additional employment to support our world travels.

Another significant issue is the lack of a stable support network. Moving from one place to another can make building and maintaining meaningful relationships challenging. This transient lifestyle can lead to feelings of loneliness and isolation, which can impact mental health. Again, we have been fortunate to make friends worldwide, and with our close relationship, we never feel loneliness becomes an issue.

Most had the buffet, but Tom waited to eat homemade pizza when he returned to the hotel.

Additionally, navigating different healthcare systems in various countries can be complex and expensive, adding another layer of stress. We’ve covered this topic in many posts. The most imperative things are a quality travel insurance plan and easy access to quality medical care, especially for those with medical conditions that may need intervention.

Logistics can also be challenging. Visas and legal regulations for long-term stays vary significantly between countries, requiring travelers to manage and plan their movements continuously. Access to reliable internet is another critical factor, as it directly impacts the ability to work remotely. While many countries offer good connectivity, there are still areas where internet access is unreliable or expensive.

The impact of a nomadic lifestyle on well-being is multifaceted. On one hand, the freedom to explore new places and cultures can lead to greater life satisfaction and personal growth. Many digital nomads report higher levels of happiness and fulfillment than their previous lifestyles. The ability to escape the confines of a traditional office and live in inspiring environments can boost creativity and productivity.

On the other hand, the lack of stability and the challenges associated with constant travel can negatively impact mental and physical health. The stress of financial uncertainty, difficulty forming lasting relationships, and the logistical challenges of travel can lead to burnout and exhaustion. Digital nomads must find a balance and establish routines supporting their well-being.

Economically, digital nomads contribute to the global economy by spending money in various countries, supporting local businesses, and often investing in local real estate. Some countries, recognizing the economic benefits, have started offering special visas and incentives to attract digital nomads, not necessarily to retired travelers.

World travelers living without a home represent a growing and dynamic demographic reshaping traditional notions of work and lifestyle. While the freedom and adventure associated with this lifestyle are appealing, it also comes with challenges. Understanding the statistics and trends surrounding digital nomads helps to illuminate the motivations and hurdles they face, as well as their impact on the global economy and their well-being. As the world continues to evolve, the lifestyle of nomads is likely to become increasingly mainstream, offering valuable insights into the future of work and travel.

Be well.

Photo from ten years ago today, July 12, 2014:

Tom was getting a haircut in Ribeira Brava, Madeira, Portugal. For more photos, please click here.