Category: Healthcare

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“I love it when a plan comes together!”

Back when there were some really funny sitcoms on TV, one had a military (I thinks) team with unusual problems to solve in funny ways as a comedy. (May have been “Hogan’s Heroes?”) And after a quick, bizarre and hilarious way of solving their problem, they always ended with the Captain, Colonel or whatever saying “I love it when a plan comes together!”

I earlier told you about the plethora of “little problems” that were driving me crazy, one of which was my CPAP machine breaking down and the problems of ordering from the states and getting “medical equipment” through Customs here. Then I remembered my new favorite doctor, a geriatrics specialit, Dr. Coto. He had already solved a couple of problems that other docs were not helping me with, so why not the CPAP machine? There has to be a way to get one locally here in San Jose where I’m stuck for awhile. So Monday I checked his online appointments schedule and he had one vacant spot Tuesday which I took. Scheduling docs is quick and easy here! 🙂

He asked what brand I preferred and typed it in his computer, then where to get in San Jose, all in Spanish of course! He got to the screen of Anca médica with phone & web address and told me to photograph with my phone. This morning I called them and the receptionist transferred me to the salesman who spoke English (I can do in español but slow and painful for all). Francisco got on the phone and to make a long story short he delivered my new CPAP machine to the hotel by 4, bringing a therapist to adjust everything for me to get back on it tonight. It costs more than in the states because of Customs taxes, but it is them and not me having to deal with Customs! 🙂 And I will sleep better tonight! 🙂

My latest CPAP Machine from a company in San Jose

Dr. Coto also quizzed me about other health issues and he solved another problem because of his knowledge of practical things. He is not close to where I live, but he is now my new GP Doctor. 🙂 Yes! A geriatrics doctor as my main doc! It’s what I get for being old! 🙂

“Sometime things have to go wrong to go right. “

Sherrilyn Kenyon

¡Pura Vida!

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Due Diligence when relocating to Costa Rica

Because I know there are several readers of my blog who are considering relocation to Costa Rica for retirement like me or other reasons, I must link to this article: Due Diligence when relocating to Costa Rica on the Live in Costa Rica Blog and Tour website. It is one of the best summaries I’ve seen yet of some basics which you must consider if you are even thinking about moving to Costa Rica.

Landing in Limon for my annual Caribbean Trip.

And the feature photo at top is my shot of “Whale’s Tail Beach” Uvita from a plane.

My 3 Most Important Things to Do Before Moving to Costa Rica

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My World From Above This Week

When I checked in the hotel yesterday I was kind of hoping they would put me in the same Room 109 again because I really liked it last week. But I was assigned 407 which is 4 floors above and one room left of last week’s room. Wow! I like it better!

I like looking at the world from above and these photos show that difference, but also I am closer to the top of the big tree where more birds hang out, like parrots! And yes, the first afternoon I got some or one, but that will be another post, maybe tomorrow! And look below at how much better the mother bird and babies show up from above! ¡Pura Vida! 🙂

From my room & balcony, 407.

See the mother bird with babies from above in more photos . . .

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Not a Mummy – Me in a “Mask”

I promised somebody I would show what my daily process of a few minutes looks like, as pitiful as I look shirtless. One of the young technicians made these three (requested) shots of me screwed to the table for the radiation treatment. I show up each morning by 11:45 and I’m walking back to the hotel by 12 noon usually. Quick and mostly painless (though the mask is really tight on my face). It appears more scientific than human, but believe me, the staff are all so friendly and nice and do their various jobs very proficiently. And they all shift to English when I walk in, though not their native language. Amazing! And I use my elementary Spanish with them as I am able, though not necessary here like at the public clinics and hospitals.

One outside person told me that this clinic is equal to Mayo Clinic in the states for Radiotherapy. I feel like I’m in very good hands. My radio doctor will conference with me every Tuesday until finished and work with me on any side effects, etc. And a nurse is always there plus other doctors always in the building. A very professional place that in fact does remind me a little of being in the Mayo Clinic with my brother Jerry, just not as big! 🙂

Notice the Screws holding me down with the mask.
Feels like being a mummy! 🙂
Everything must be perfectly lined up for radiation in the right places.

Are we having fun yet? Sure!

3 Days Down and 30 More to Go!

🙂

¡Pura Vida!

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More Hide & Seek Birds

At breakfast the other morning the wind had stopped and these two birds came to my Cecropia Tree, though reluctantly showing themselves, hiding in the glare of morning sun.

Yigüirro or Clay-colored Thrush, My Garden, Atenas, Costa Rica
Red-billed Pigeon, My Garden, Atenas, Costa Rica

“Birds learn how to fly, never knowing where the flight will take them.”

-Mark Nepo

See also my Costa Rica Birds Gallery.

¡Pura Vida!

I will be doing separate posts concerning my radiotherapy, though I hope for more nature to share from my month-plus hotel nearby! 🙂

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My Tribal Mask

My Personal Radiotherapy Mask

Well, tribal in one sense, with only certain ones of us in the Radiotherapy Tribe! 🙂

This first day of radiation treatment took longer because I had to meet with the nurse to explain all the side affects and things I can do to make it go smoother. Then they had to readjust the mask made more than a week ago which is a mold of my head and shoulders. They screw it down to the table over my body and I can’t move my head at all. This is necessary to get the radiation in the right places which afterwards Dr. Bonilla showed me computer graphics of my head & neck and where the radiation is scheduled to go. Amazing how targeted they can be when I am in forced stillness! 🙂

Once I’m set up, the machine scans my head and neck from two angles, 33 seconds each time. This will continue for 33 days which now boosts me up to 6.5 weeks. I am now scheduled for 11:45 AM each day, Monday to Friday.

After today’s treatment I walked the 6 blocks back to my hotel which I love and will tell you about later. I looked in the mirror and was surprised that the left side of my face and head was a little pink, even on the first treatment! I have an expensive “Radiocare” lotion I will use on my face to help avoid the “sunburn effect” and sure enough, the pinkness went away with the first usage of the lotion. I also must wear a wide-brimmed hat and avoid all sunshine on my face and neck. I jokingly told the nurse that I would just make a larger “Covid mask” to cover my whole head! 🙂

Another “new normal” being developed here! 🙂 ¡Hasta mañana!

¡Pura Vida!

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Earth Day Hope

“Wherever there are birds, there is hope.”

~Mehmet Murat ildan

And of course this is just one of the many birds who have brought hope to my terrace here in Atenas, Costa Rica – A Keel-billed Toucan in my Cecropia Tree (link to my Keel-billed Gallery). There is hope that the big rich nations are waking up to global warming and their long-time destruction of our planet. And there’s hope in the battle against my destructive cancer. Below is my update of activities that finally make it possible to begin Radiotherapy Monday.

Second Covid Shot this Morning

Quick and painless. I walk into the temporary vaccination clinic ahead of my 8 AM appointment, paperwork done quickly with shot even quicker and I was out of there before my appointment time. 🙂 I walked home, having taken a taxi to the clinic. With my knee no longer hurting I’m back into walking more and hopefully every day during radiation, though I will have to wear the big wide-brimmed hat they tell me! I must avoid sun during radiation.

Tomorrow Morning Stitches Removed

Tomorrow (Friday) morning at 9 AM I see my Ophthalmologist in San Jose who will remove the two stitches from my left eyelid and supposedly this is going too help me use my left eye for longer periods of time without an eye patch. So far I’ve gone up to 6 to 8 hours at a time without covering it. Reading tires it out more than general activities like kitchen work or even a little TV. I seldom watch more than an hour a day, if that much. For Earth Day I found a special on the internet streaming channel Curiosity Stream for wonderful nature documentaries and signed up for a year at just $10 or $2 more than one month of Netflix here. I will probably drop Netflix again. Seen all their documentaries I care about and the rest is mostly junk.

Got off subject there! 🙂 I assume the eyelid will stay partly closed now when the stitches are removed since she did something to make the top and bottom grow together at one corner. But, FYI, my left eyelid will never blink again or fully close.

UPDATE: 23 April – She did not remove the stitches today. She first said she would remove just 2 of the 3, leaving one to help protect from radiation. But because she used nothing for pain, I flinched and she said she would not remove them at all for now, saying I have a “low tolerance for pain” and I think she has a low sympathy level! 🙂 She was also very painful to me at beginning of surgery. So now she will wait until after radiotherapy and try again in June. Hmmm. 🙂 Permanent stitches? — But the Good News: both eyes are doing very well and she is pleased with the surgery results. I’m already using my left eye more than 6 to 8 hours a day, so progress even if I have a low pain tolerance! 🙂

Radiation Starts Monday

This coming Monday, 26 April, I get my first radiotherapy in San Jose and daily Monday to Friday for six weeks or through June 4. They were not comfortable with all these other overlapping medical appointments plus needed the time this week to prepare for my targeted treatments. She is studying all the reports on both of my left cheek surgeries, the earlier “skin cancer” one and the big one March 15 including biopsies, etc. to help her target all remaining bits of possible cancer. My future is sort of in her skilled hands. 🙂 Dr. Bonilla is both an oncologist and radiologist and my surgeon says the best here.

I’m still bargaining with hotels near the radiation center but hoping for the Best Western with four nearby restaurants and hope to schedule that today. I plan to spend Monday to Thursday nights there and back in Atenas Friday-Sunday nights. I will be giving regular updates from San Jose starting next week which I hope will be interlaced with some nature reports also! 🙂

¡Pura Vida!

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Costa Rica’s Vaccine Priority List

Unlike rich countries with unlimited resources to buy vaccine as fast as the rich pharmaceuticals can make them, our government is buying about 200,000 shots at a time with the following priority list of who gets their shot when through public clinics.

Costa Rica’s Vaccine Priority List:

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More Raintrees

Looking out of my living room front window during a hard rain today (so glad rainy season is here!), the big tree is a Strangler Fig Tree with an unknown smaller one beside it plus a strangled one and then on this side is the tall, skinny Ylang-ylang Tree still growing up through the canopy of the larger trees. And all much wetter than the photo shows! 🙂 See also my May 11 “Rain Trees” post for a different look at wet trees! 🙂

My Front Window View in the Rain with the street a temporary river! 🙂

Plus I’m “A Marked Man” for Radiation

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The Healing of Nature

“Nature itself is the best physician.”

~Hippocrates

I missed getting photos of the beautiful Squirrel Cuckoo, Brown Jay, Chachalacas I saw, and the Toucan my neighbor saw in my tree, but here’s 3 snaps from this morning that bring me back to my reason for retiring in Costa Rica – NATURE! 🙂

Rufous-naped Wren
Nance Tree blooms rapidly fading.
Variegated Squirrel

“Come to the woods for here is rest.“

– John Muir

¡Pura Vida!

And my radiotherapy MRI & CT Scan have been postponed to later in the week. Dr. Bonilla called and said she felt I needed to rest after the eye surgery. 🙂 Amazing sensitivity!