No water in Marloth Park…Electricity teetering…The insurance challenges…

Due to problems with the electricity supply from the provider, Eskom, the water processing plant in Marloth Park cannot function. They are working on a solution, but it could be days. Also, we may lose electricity as well over the next few hours.

Today is a scorcher, well into the 37C (99F) range, with high humidity, and tonight could be another one of those impossible-to-sleep nights without any relief by taking a shower without the water supply. TIA (this is Africa). It’s the way it goes.

I won’t say, “thank goodness,” we’re leaving here tomorrow at 9:00 am for the hospital for triple bypass surgery. That’s not exactly how we feel. Fortunately, we were able to take quick showers this morning using some of the remaining water in the tank. Thank goodness that yesterday, I’d done all the laundry for items to bring to the hospital along with clothes for Tom for the week or more ahead.

As I was writing the above few paragraphs the power went out and came back on. About an hour later. Subsequently, with no water and most likely no power, we decided to spend the night in Nelspruit instead of heading out tomorrow morning.

Now, back at the lovely Leaves Lodge and Spa, who kindly provided us with a discount for the long-term stay, we have power, water, and good aircon. We’re set for the night. Tomorrow, we have to check into the hospital by noon to begin the prep for Tuesday’s surgery.

Somehow, I feel better being in Nelspruit three minutes from the hospital. Now that I know that three of the four main arteries to my heart are 100% blocked, there’s a smidgen more peace of mind until tomorrow. Plus, I’m on medication to prevent a heart attack and, I have an ample supply of nitroglycerin in case of an emergency. Wow! Who knew?

Now aware of my situation, it makes all the sense in the world to me. In the mornings, when I’d shower and dress for the day, I found myself feeling tired from these simple tasks. At times, merely walking to the laundry room with an armful of dirty laundry made every step feel as if it were a chore. 

When we had dinner parties, I found myself wondering how my energy would hold up with all the cooking, prep, and serving required for such an event. Now I know, and yes, I am grateful but a little terrified. This is a big surgery, and I’m not any stronger, braver, or tougher than the rest of us.

As for the insurance…on the day of the angiogram, at the cost of ZAR 80,000 (US $5871), the insurance company turned us down, claiming I had an undisclosed pre-existing condition which was not the case. 

At the time we applied for the insurance over six years ago, I provided our 20-year family physician’s contact information and copies of our medical records as requested, including the three prescription medications I was taking (Tom takes no medication), one of which is a low dose hypertensive mediation.

The rep at the Nelspruit Mediclinic worked very hard with the insurance company and the doctor to no avail. They wouldn’t approve the claim before the procedure. As per the hospital requirement, payment must be made in advance of treatment with or without insurance company approval. 

We paid out of pocket using our debit card since we wanted to avoid using regular credit cards.  We use credit cards to pay for all living expenses and future travel costs. We didn’t want to put such a hefty charge onto any of our cards.

Once we paid, we began the six-hour wait for our turn for the angiogram. When the doctor discovered the magnitude of the blockages, he knew he couldn’t do any stents. The only option was triple bypass surgery. 

I stayed in the hospital overnight, and in the morning before we left the hospital, we met with the wonderful billing rep Trudy to see how much the bypass surgery would cost and, ultimately, how much money we’d have to come up with.

The estimated cost for the surgery was ZAR 700,000 (US $51,370), including some but not all of the doctor’s fees. (We see how that rolls out).  With the rejection of the angiogram, we certainly didn’t think they considered this added cost, and again, we were declined.

Our only option was to liquidate assets immediately to ensure we’d have the funds in place by Tuesday morning. The financial institution has a three business day turnaround in releasing funds. 

We called and spoke to the rep and, for the first time in our lives, stated, “This is a life-threatening emergency. We need the funds to be available immediately.” By midnight Friday, the money was in our account. Meanwhile, Friday night, Kathy and Don had invited us to dinner at their lovely river view home in Marloth Park with friends Linda and Ken also in attendance. 

Before we left the house, I decided to call the insurance company one more time and write a letter I’d consider one of my better uses of the English language.

At this point, we were on pins and needles waiting for the money to come through in time, but we had a good evening together with our dear friends while they all fussed over me, more than I’d ever imagined possible. 

Toward the end of the evening, I checked my phone as I had several times, and there it was…the insurance company instructed me to log into our account to find a letter waiting for us…they approved the bypass surgery! They included a claim form for which we could file for reimbursement for the angiogram.

Sharing this news with our friends as we sat around a bonfire in their garden only added to our sense of relief. Last night, the six of us went to Jabula Lodge and Restaurant for dinner, and once again, it was a celebratory occasion in support of my upcoming surgery on Tuesday. 

They presented me with gifts, hugs, and kisses, as did Dawn and Leon, owners of our favorite restaurant, who provided a bottle of champagne and Amarula shots. I enjoyed a glass of champagne while the others tossed down the sweet shot.

Again, this morning before we headed to Nelspruit, Kathy, Don, Linda, and Ken stopped by to offer more support and love. How did I ever get so lucky? Coupled with Tom’s love and attention and zillions of comments and email messages from our readers, family members, and friends, I couldn’t feel more loved.

May these warm wishes and prayers result in a positive outcome, and I will be the happiest and most grateful person on the planet. The pain and discomfort afterward will pale in comparison to my joy.

Thank you, everyone… thank you with all of my heart!

Photo from one year ago today, February 10, 2018:

After all the whale watching trips we’d done on tours these past years, to see plenty in Antarctica was a dream come true finally. For more photos, please click here.

Finally a diagnosis and..we don’t like it…Oh, my!..

Ms. Bushbuck always appears to have a smile on her face.  I love her and her offspring!

“Sighting of the Day in the Bush”

The four piglets certainly have grown over the past six months.  They are so fun to watch.

Sorry I didn’t post yesterday. With the news from the doctor on Thursday after the angiogram, I didn’t have it in me to sit down and write on my phone’s small screen. My laptop was in a repair shop in Nelspruit while I stayed overnight in the hospital. There was an issue with the electrical plug-in. Thankfully, they got it working again.

I’ll get to the bad news first to avoid drama and anticipation. I have three 100% blocked coronary arteries, including the “Widow Maker” (in this case, the ‘Widower Maker). Basically, I am a walking time bomb. I need coronary bypass surgery, and I need it fast.

It’s scheduled at the hospital with a thoracic surgeon that works with the cardiologist I’ve been seeing. They both will perform with the surgery. I feel as if I’m in good hands based on the number of positive comments from locals who know them well. I have no choice. At this point, I cannot fly on an airplane or even be active, for that matter…too risky.

We are both shocked. How did this happen? The doctors say there was nothing I could have done to prevent this situation. Heredity is the driving force, and as hard as I’ve tried to stay healthy my entire life, there was no way I could have prevented this outcome.

Of course, we are very grateful a diligent doctor, Dr. Theo Stonkquist, a GP in the tiny town of Komatipoort, had the insight and expertise to insist I have an exercise stress test at his office last Saturday when I complained of intermittent jaw pain, which was later described as angina. 

Although I breezed through the stress test with relative ease, barely out of breath, the printout didn’t look good. Dr. Theo immediately contacted Dr. Fanie in Nelspruit on “Whatsapp” and sent him the report. He was adamant we get to Nelspruit to the Mediclinic first thing Monday morning for more tests.

For the early morning appointment, we booked a hotel near the hospital and stayed two nights. On Tuesday, I had a CAT scan of my arteries and failed that test and others miserably. An angiogram was scheduled for Thursday. 

We returned to Marloth Park, spent one night, and called Dr. Fanie the following morning at 9:00 am. He was short and to the point. I needed an angiogram promptly when the CAT scan showed one artery had a 100% blockage.

In the cath lab the next afternoon, after a many-hour wait for my turn, I was told I’d be awake for the angiogram with only a mild sedative placed under my tongue. It was pretty interesting watching all the monitors showing my heart and its arteries. The doctor, anesthesiologist, and about seven support staff were informative and supportive.

Ms. Bushbuck’s baby has sure grown over the past many months as well.

We’d hope he’d insert a stent, and I’d be done. But, not the case. Before my own eyes, the angiogram revealed that three of my coronary arteries are 100% blocked. If I’d had a heart attack, he explained, I wouldn’t survive it. I’m so grateful this was discovered before we left for Kenya, known for not-so-good medical care.

Toward the end of the hour-long angiogram, the doctor explained (and showed me) why stents were impossible to place. The only alternative was a triple coronary bypass scheduled for Tuesday next week, a mere three days from now.

I’m on medication in the interim and was told to avoid anything strenuous or stressful. The strenuous part is a breeze. The stressful? Well, I can’t imagine anyone on the planet not feeling a bit stressed over such a thing as open-heart surgery, including striping arteries from their legs to replace those blocked in the heart. 

However, we are both so grateful this was discovered in time and pray for a safe and good outcome and speedy recovery.  As they say, “we may be down, but we’re not out.”  Hopefully, six weeks from the time of the surgery, we’ll be boarding our ship from San Antonio, Chile.  No pressure, just wishful thinking. 

No doubt, I will be a good patient and do everything I can to recover as prescribed, and we’ll continue with our world travels.

As for the posts??? We will continue tomorrow, Sunday, and again on Monday while staying overnight in the hospital for Tuesday’s surgery. I can’t wait for that day! As of Tuesday, February 12th, the posts will cease for five to seven days until I’m well enough to report.

Tom will be regularly posting updates on my Facebook page, which is open to the public. Please start checking back here by next Sunday.

Tomorrow, we’ll be sharing the news on how this situation has been handled by our annual international health insurance company, which information may be helpful for those traveling the world, ex-pats, and those contemplating traveling.

No words can describe how grateful we are for the outpouring of love and prayers from family, friends, and readers from all over the world. We can’t keep up with the email messages, comments, and texts. We’d love to respond to every one of you, but there aren’t enough hours in the day. We can only be humbled by your love, prayers, and kindness.

A special thanks to friends Kathy, Don, Linda, and Ken for inviting us for dinner last night (which was the initially planned night of our going away party – since canceled) and making the evening so filled with caring conversation, love and laughter. Tonight, we all meet up again at Jabula, our usual Saturday night out.

Thank you…from the bottom of my “heart.”

Photo from one year ago today, February 9, 2018:

A sea of penguins. For more details and final photos, please click here.

Sorry, no regular post today!…

Tom and I are patiently waiting for my turn. Tomorrow will be a new and brighter day, and we’ll post the outcome of today’s findings.

Astounding! We are so lucky to have all of you rooting for us! Again, .thanks for all the prayers and well wishes!
Back to you no later than 24 hours from now.
Be well.

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

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

“Sighting of the Day in the Bush”

Bushbabies

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

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

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

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

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

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

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

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

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

The medical saga continues…One year ago photos today…

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

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

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

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

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

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

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

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

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

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

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

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

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

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

We’ll be back at you soon!

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

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

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

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

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

Sighting of the Day in the Bush”

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

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

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

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

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

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

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

A giraffe we spotted in the bush before the rains.

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

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

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

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

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

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

Be well.

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

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

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

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

“Sighting of the Day in the Bush”

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

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

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

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

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

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

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

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

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

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

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

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

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

A pair of giraffes at the Crocodile River.

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

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

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

Giraffes were wandering down a dirt road in the park.

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


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

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

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

Just couldn’t take the itching anymore…Off to see the doc…

 
A kudu drinking out of the birdbath in the garden.

“Sighting of the Day in the Bush”

Bushy-tailed bushbabies are huge compared to bushbabies in our garden. We took this photo at Jabula a few weeks ago.

After over a month of itching unbearably especially during the night and rarely getting enough sleep, I was becoming frustrated with these awful pepper tick bites, mostly on my arms and neck where my skin was exposed when we wandered through the bush toward the river. 

In every case, I had on tons of repellent but apparently, it doesn’t work for ticks. There are much harsher and toxic chemicals required to keep ticks at bay, including the tiny pepper ticks. They’re called pepper ticks since they are as tiny as a single fleck of finely ground pepper, not visible to the human eye.

Each time we see flowers and plants we now wonder if they are invasive alien plants that are awful for the local ecosystem and wildlife.

Yesterday, when we returned to the eye doctor for Tom to select his new glasses (first replacement lenses in over six years) and for me to pick up my new contact lenses, we first decided to stop at the local pharmacy to see if the pharmacist had any suggestions for the itching.

I’d already tried several creams to no avail and even took sleep-inducing Benedryl during the day, after trying two other antihistamines, in a desperate attempt at some relief for a few hours. Nothing, I mean nothing gave me any relief for more than an hour at most.

It appears pretty but does it belong here?

On a few occasions, I was hopeful the creams would help but they were so greasy and messy I was unable to wear repellent on top of them. I didn’t want to take the risk of getting more bites from mosquitos which have begun increasingly populating the bush with the recent rains and warmer weather.

A few days this week I hid away in the bedroom, wearing my long-john type pajamas with the air-con on, in an attempt to avoid the necessity of wearing any repellent. I still got a few more bites only adding to my discomfort.  

We call this pair of wildebeest, Dad & Son.  They aren’t frequent visitors like Wildebeest Willie but always welcome as are the zebras and warthogs.

Also, I didn’t want to have to spend our last three precious months in Marloth Park hiding in the bedroom. I needed some relief and a long-term solution. At the pharmacy when I showed the pharmacist my arms, she said I must go to the doctor immediately.

She explained I was at risk for tick-bite fever, a dreadful condition, and it appeared many of the bites were inflamed and on the verge of becoming infected. That freaked me out enough to send us to the doctor’s office down the road to ask for their next available appointment. As it turned out, she was right.

Lion lying under a tree, as seen from the fence between Marloth Park and Kruger National Park.

Dr. Theo scolded me a little for suffering for a month. Why hadn’t I come in sooner? I wish I knew the answer. Perhaps I was trying to “tough it out” and no be a whiney tourist running to the doctor with every little complaint. Hadn’t our six years of world travel toughened me up a bit?

In many ways, it has toughened me up but practicality must supersede pride and at 1630 hrs (4:30 pm) we returned to Komatipoort for the appointment with Dr. Theo.

Two male lions checking for possible dinner subjects.

In the interim, we’d planned dinner at Ngwenya with Rita and Gerhard which we had to cancel when we had no idea how long the appointment would take, and the trip to the pharmacy to collect my three prescriptions. Besides, I wasn’t feeling much like going out.

We haven’t seen them since they returned from Germany a few days ago and were disappointed to have to cancel. But, we have plans for dinner reservations at Jabula tomorrow night with Kathy and Don as well for the six of us. They’ve never met. It’s quite wonderful to introduce old friends to new friends.

Two Big Daddies, horns entangled in a little scuffle over pellets.

This morning, after eating as required, I started the big dose of Prednisone to be tapered over a period of 12 days. Hopefully, this will begin to reduce the severe itching which is by far the worst itching I’ve ever experienced in my life. I’m feeling confident this will work.

Since Prednisone can cause insomnia (yikes) the doctor suggested I take it in the morning. This morning, I took six pills as prescribed. If lucky I may experience improvement by tonight since I’m literally exhausted from lack of sleep for over a month due to the worsening of the itching at night.

No harm was done…back to being friendly.

Today is a low-key day. It’s cloudy and cooler and we’ve had tons of amazing visitors we’ll be sharing in tomorrow’s post.

We hope all of our USA friends and family had a wonderful Thanksgiving yesterday. Be well. Be happy.

Photo from one year ago today, November 23, 2017:

We stopped to take this photo on the way to the airport in San Jose, Costa Rica.  This is a Northern Crested Caracara: “The northern crested caracara, also called the northern caracara and crested caracara, is a bird of prey in the family Falconidae.”  For more, please click here.

Itching impossible…Searching for relief!…After all, it’s Africa!…

Our resident monitor lizard makes an appearance from time to time.

“Sighting of the Day in the Bush”

Big Daddy in the bush.

It started a few weeks after we arrived in Marloth Park, the itching on my forearms. At first, based on the fact I suffer from hay fever and asthma on occasion and am highly allergic to grasses, we assumed it was due to my arms frequently reaching into the pellet bin which is made from grass and vegetation.

An evening view of the Crocodile River from the veranda at Ngwenya Lodge and Restaurant.
For a week or so, Tom did all the reaching into the container to see if my situation improved. When it didn’t I continued to reach into the bin for pellets, not observing any difference whatsoever in doing so.
From there, the itching and red spots were easy to attribute to mosquito bites. I reloaded the Tabard repellent cream several times a day, aware that I was using DEET, the only product I found to work here in the bush. I’d already tried several non-DEET products with no success.
A waterbuck and Egyptian geese.

Imagine my dismay when after three good applications a day, I was still covered in bites, itching out of my mind, especially at night. I tried wearing long sleeve shirts even in the hot weather which didn’t provide much added protection. But as summer approaches the idea of wearing long sleeve shirts in 40C (102F) weather doesn’t hold much appeal.

In the past few months, I noticed that my neck and chest started itching like crazy whenever I went to bed within minutes. This reminded me of the same scenario I experienced when we stayed at the hotel in Minneapolis in June 2017 while visiting family for six weeks, assuming it was due to the harsh laundry soap.  They started doing our bedding in Dreft gentle laundry soap to no avail.
Kudus in the garden.
Then, at the hotel in Buenos Aires last December, I suffered the same lot, this time thinking it was due to the mattress, not the laundry soap. After considerable research, I came to the conclusion that I’m allergic to bed dust mites, common among allergy sufferers.  
 
The hotel changed the old mattress to a new mattress, which made all the difference in the world. At that point, I was convinced it was bed dust mites. All beds have dust mites.  Information on this may be found here.  
Elephants and storks.
Allergy-prone individuals and the elderly (yuck, I dislike being in this category) tend to react to the dust mites while others may not. I hesitated to mention this to Louise after they’ve already done so much for us. So I started with requesting the bed and bedding be sprayed weekly with a safe non-toxic product intended for dust mites.
 
I so much wanted this to work. Alas, weeks later, the itching continued to get worse. I was at a loss. We needed a new mattress. After thoroughly spraying the bedroom after48 hours of mentioning this to Louise, the boys installed the new mattress with all new bedding and pillows. 
An elephant and hippos.
Since dust mite bites can itch for weeks, I didn’t expect total relief for some time. But immediately, I noticed the redness and itching on my chest stopped entirely which was a huge relief.
 
However, I continued to notice more and more bites on my body even under my clothing. Every moment of every day, I have been itching like crazy. When we were preparing the big Thanksgiving meal in the horrible heat, the itching was even more intense.  
This mom appears very lean after giving birth to this young calf.
My arms have been covered in red inflamed spots. So, in part, it was the bed dust mites but something else has been going on. Saturday evening during our Thanksgiving meal, Honorary Rangers and experts in invasive alien plants, insects, and animal species, Ushie and Evan sat to my right.  
 
On a whim, I asked if they knew what these red pus-like welts on my arms may be. They both replied simultaneously…pepper ticks. They were certain in their assessment.
Hippos basking in the sun at dusk at the Crocodile River in Kruger National Park.
Yesterday, Sunday, I spent hours researching pepper ticks for which there is very little information on these tiny, unseen to the naked eye, ticks that live in the bush, beds, furniture, clothing and will literally crawl up a pant leg to gain access to meaty flesh where they’ll attach themselves, leaving toxic larvae behind. This is what has been itching so badly.
 
The thought of larvae feeding off of my flesh makes me cringe. There were only a few articles on pepper ticks but this one caught my eye.  This morning as soon as we were up we headed to Daisy’s Den here in Marloth Park to make two purchases; one a tiny tin of Zambuk, a natural translucent paste, and a spray bottle of No-Tick Body Spray, safe for body and clothing (doesn’t contain DEET which doesn’t work against ticks).
A female lion we spotted from Marloth Park’s fence.
We’ll see how it goes. Tonight will be the big test when last night I was awake itching most of the night. At 3:00 am I was in the living room using an ice pack to get some relief.
 
This is Africa. We’re living in the bush. And with it comes some challenges and inconveniences, some of which are physically uncomfortable. Tom is not affected by any of this, nor does he get many mosquito bites. He uses repellent only at dusk which keeps him bite-free.
We were thrilled to see the huge herd of cape buffalos.
I’ll layer the mosquito repellent, the Zambuk salve, the anti-tick body, and clothing spray in the future. We’ll see how it goes. I’ll keep you posted.
 

Happy day!

Photo from one year ago today, November 19, 2017:

Tom captured this Sierra Birdbum in Costa Rica after being stunned from hitting the window, dropping to the top landing of the steps leading to the ground level. He called out to me to come to see her which I did, but he stayed in place, taking photos of her eventual recovery. For more photos, please click here.

Preparing for the upcoming Thanksgiving dinner…A black mamba story unfolds…

 Here’s our previously shown video from the snake-handling school 
we attended last March.
“Sighting of the Day in the Bush”
Our resident monitor lizard came out of his hovel for a drink from the cement pond.

Today is a hectic day. I started making the eight pumpkin pies early this morning, and as I write, we’re just about ready to put the first few in the oven. The oven only has one rack, so I won’t be able to bake more than two or three pies at a time.

I made one low-carb pie for Danie and Louise, who generally follow the banting (low-carb) way of eating, as do many South Africans for various health reasons.  I didn’t make a low-carb pie for me. This time I will pass on a pie for myself based on the fact I’m still trying to lose the last few pounds on my diet and pumpkin pie. Oh my, I could eat an entire pie in a day. But, not these days.
 
There are many other items to prepare today, with the balance to be completed tomorrow. Although easy to prepare with recipes in my head, Thanksgiving dinner requires a tremendous amount of time to prepare.  

Also, Dawn and Leon (owners of Jabula Lodge & Restaurant) are coming for dinner and bringing “take-away” containers to provide all of our guests with containers of leftovers for the next day along with their own pumpkin pie, another one of our traditions.  Everyone always enjoys leftover Thanksgiving dishes!

Unfortunately, we couldn’t find a turkey anywhere in this area.  Instead, we’re making one roasted stuffed chicken for each couple to enjoy as they’d like during the meal, taking home the remainder along with side dishes and their full-sized pumpkin pie.

Although there will only be 10 of us dining tomorrow evening, I’m making enough for the equivalent of 20 people. Then again, many of us Americans have made the festive meal for 20 or more people.

It would be a lot easier cooking today and tomorrow if it weren’t so hot.  Temperatures are expected to be a high of 38C (101F) or more, including tomorrow.  With no AC in the kitchen area and having the oven on most of the day, it will surely be one hot, sweaty day.
In March, Chris, the snake-handling trainer, held this black mamba while Tom looked o at the snake-handling school.  For that post, please click here.

But I’m not complaining. This is a great group of people, and we’re delighted to make this special traditional US meal which is actually celebrated in the US next Thursday, November 22.

We’d planned this date quite a while ago when we anticipated it might actually be the traditional “good-bye” party. One way or another, we’re hoping to stay until our scheduled flight to Kenya on February 20th if all goes well. No word so far.

OK, enough about cooking. On to our story about a black mamba that Louise shared with us a few days ago. As for today’s photos (except for the “Sighting of the Day in the Bush” photo, we’d previously posted them in March.

However, based on today’s black mamba story and my shortage of time, we thought we’d repost these few previously shown photos and the links for these specific posts.

We’ve frequently mentioned our new friends, Rita and Gerhard, with whom we’ve been spending a lot of quality time. World travelers themselves, we find we have so much in common, and we continually share our varied and interesting travel stories and more.

On Monday, this week, they left for a two-week visit to Germany to attend Gerhard’s brother’s 60th birthday party. They’ll be returning before the end of this month.

Tom was handling a black mamba and did an excellent job, although he’s not certain he’d want to do this in a real-life situation.

As mentioned in an earlier post, they’ve been living in the same house we rented when we first came to Marloth Park in December 2013, the house on Hornbill St., the house where a Mozambique spitting cobra fell from the ceiling of the veranda and landed within a few feet of Tom.  

He’s always classified that experience as the scariest of his life. If you’d like to read that post, please click here for the photos of the venomous snake and the story of what transpired on that fateful and memorable day.  

On Sunday, the day before their departure, Rita and Gerhard heard a plop on the floor of the veranda as we had on that fateful day in January 2014,  when they were sitting outside, as they do all day too, like us, waiting for wildlife to stop by. This time the “plop” was a mouse perhaps being caught by the snake.

Although a black mamba doesn’t look scary, a single bite can result in death within an hour if not treated.

Rita and Gerhard were sitting on the veranda at that same Hornbill house where we’d lived, quietly enjoying the bush while reading, sipping cold beverages, without a care in the world.

Suddenly, they saw the snake, a black mamba. Louise had given them a sheet with photos of various snakes in the event they’d have to identify one. Here was their opportunity. They grabbed the sheet and were certain it was the outrageously venomous black mamba.


Rita couldn’t resist taking photos until the snake disappeared near the chimney as I had done years ago. What would be the point of calling the rangers if the snake was nowhere to be found? They went about their day with a watchful eye, knowing they were leaving the next morning for Germany.  

A video that Rita and Gerhard took of black mamba on the veranda.


On Tuesday, determined to get the darned thing out of that house, Louise contacted snake handler, Jaun (20 something), who’d attended snake school with us. He’s very active in the park, conducting many services as an Honorary Ranger and all-around caring and good guy.

On Tuesday, he and Louise sat on the veranda waiting for the snake to appear so Jaun would capture it to return it to the wild. By a stroke of luck, after only a 10-minute wait, the black mamba made an appearance.

It was only 15 minutes later than Juan had captured the snake with his trusty snake grabber and expert skill and placed it safely in a bucket with a lid. The intent in capturing snakes is always to return them to the wild where they belong. Mission accomplished, thanks to Louise‘s boundless determination and Juan’s excellent skills.

It sounded as if Rita and Gerhard stayed calm and under control when they spotted the snake, which is vital to avoid agitating it, resulting in an attack. Black mambas can be very aggressive if provoked.

For residents of Marloth Park, here is Juan’s contact information.

So, there’s the snake story. Most likely, we won’t see too many snakes in this house.  Snakes generally don’t care to climb stairs up to a veranda when there’s plenty of fodder for them on ground level. But, we always keep an eye out now that snake season has arrived with the warmer weather, especially at night when out and about.

We’d mentioned in yesterday’s post that we’d share the costs for the dentist and eye doctor appointments, but we don’t have the final figures yet since Tom will choose his new eyeglasses next Thursday. The optometrist didn’t have the style Tom prefer, but he’ll be bringing several pairs from his other distant location for Tom to try. Next Friday, we’ll update this information.

Tonight, hot as it is and as busy as we’ve been, we’re heading to Jabula Lodge & Restaurant for dinner and relaxation. Tomorrow will be another busy day, but we’ll still be back with more.


Photo from one year ago today, November 16, 2017:

Once again, Tom captured another fabulous bird from the veranda in Costa Rica while I was busy indoors making dinner. This Yellow-tailed Oriole, although at quite a distance, was a treasure to behold. For more photos, please click here.