Category: Healthcare

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Report on Surgery

It is Wednesday afternoon and I got home about noon today from Hospital La Católica in downtown San Jose, our big, busy congested city and National Capital, about an hour and half drive in reality, though most people say about an hour. 🙂 I have no car and thus use my regular drivers here for the hospital trips.

Total Parotidectomy

A parotidectomy is the surgical excision (removal) of the parotid gland, the major and largest of the salivary glands. The procedure is most typically performed due to neoplasms (tumors), which are growths of rapidly and abnormally dividing cells. Neoplasms can be benign (non-cancerous) or malignant (cancerous). ~Wikipedia

Note that this was the official surgery but the growth extended into the lymph nodes in my neck which were also removed. And I came home with a drainage tube coming out of the left side of my neck.

The best specialists for my problems

I am convinced that I had the best cancer surgeon for this job in Dr. Christian Hernández who specializes in only cancers in the head an neck. He also used a super gerontologist for my pre-op exams and then when we developed a side-affect with the severed nerve he brought in a lady ophthalmologist who may be the best in the country to help with my left eye problem which I will try to explain below.

A Nearly 7-hour Surgery

He said more than 6.5 hours or nearly seven hours and was very tedious going the full length of the left side of my face. He did the kind of thing you might expect from a younger doctor, while explaining it to me he pulls out his cell phone with brilliant blood red photos of what he found in the parotid gland, pointing out a section of the facial nerve that was surrounded by tumor and could not be saved. (No, I don’t have the photo to show.) Then he followed the tumor down to the lymph nodes which he said is a common occurrence. He believes he removed every bit of it but can’t say for positive that it is or isn’t cancer until the biopsy report next week.

A Bad Photo of what I look like right now

Face after removal of salivary gland & lymph nodes.

Cancer? Probably – Know with Biopsy Next Week

He has seen enough of these to believe it is a cancer and one of two types, but will not know for sure until the biopsy report he will explain to me next week. And if what he thinks it is the additional treatment will not be chemo but radiation therapy called radioterapia here. Thus I will know more specifics next week. In the meantime it is what it is.

How do I feel?

Is what everyone asks and it almost seems like a “loaded question” to me, but I will still try to explain. With that long a surgery I was in and out of sleep all day Monday and into the night when I think I became more aware of things and that my left eye would not close. The only pain I’ve had thus far has been what feels like a “sore throat.” Pain medication has kept me from hurting.

Tuesday I slowly got back to “normal” or at least eating soft food and having bodily functions. I felt pretty good when they wheel-chaired me to the adjacent office building to see the ophthalmologist though she did a couple of things to my eyes that hurt a little, she was finding out that the only nerve in my eye that seems to be not functioning is one of those that helps control the eyelid and we may be able to work with other nerves to get it to close naturally again.

The other problem is the facial nerve controls the left side of my mouth and smile, so Dr. Hernández said I now have a “Texas Smile,” with the lips turning up only on the right side, or maybe a one-sided smirk? The surgeon says that some mouth exercises may help left the left side of my smile and help with managing the food in my mouth which I now can’t control on the left side, making it slower and more difficult to eat! Got to fix that! 🙂

And of course the left side of my face is swollen now and for a few more days.

But I’m generally in good spirits and hopeful for a more functional recovery of everything. And I will keep you posted on this blog.

¡Pura Vida!

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Opening Up With Nature

“Like music and art, love of nature is a common language that can transcend political or social boundaries.”

~JIMMY CARTER

Sunrise & Flower Shots from my February

Visit to El Silencio Lodge, Bajos del Toro

¡Pura Vida!

HEALTH UPDATE: Today I visited a geriatrics specialist for the first time in my life at my surgeon’s request “to make sure I’m healthy enough for surgery.” — I AM! — But in the process I’ve come to appreciate a new specialist whom I really liked and appreciated and who can possibly help me manage my lifestyle for my remaining years better than anyone I’ve talked to yet. Already he has helped me! In addition to approving me for surgery! 🙂

Tomorrow I go for a negative Covid Test and then I’m ready for surgery, I think. 🙂

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Staying Positive When Cancer Comes

Since I was a high school boy when Mom gave me that book The Power of Positive Thinking for Young People by Norman Vincent Peale, I have made being positive a part of my life philosophy and really a part of my personal faith in God and the act of following Jesus.

It is kind of like happiness, it is inside you and you actually decide to be happy or not I believe. Then when bad things happen or come to your life, you make the best of them and keep on living. That is what I did for 20 years of a very difficult marriage while she was never happy and I was always happy in spite of the situation. Likewise with those overlapping years of a special needs child with autism and another rebel child. One survives by staying positive and finding the good things and opportunities, even within the bad!

Now don’t jump to conclusions – I’m not announcing my imminent death by cancer! 🙂

What has been for several years little skin cancers all over my body may have grown deeper roots or a separate and totally different cancer may have come that is more complicated.

New Adventure Started February 11

Not sure what to expect, I kept a journal of what was happening on one of the “static pages” or non-blog-post pages of my website and called it FIRST RAMPANT FEELINGS ON POSSIBLE CANCER. Kind of long.

The Latest Diagnosis

All those appointments and diagnostic tests lead to this current summary diagnosis with more detail in the online journal:

  • I have a tumor inside the salivary gland between my left ear and left eye that has grown fairly rapidly to around 3 X 4 cm now.
  • Though the needle biopsy indicates it is almost certainly a type of cancer only removing it will tell us for positive. Outside chance of no cancer. Prayers appreciated! 🙂
  • Surgery is scheduled for 15 March at Hospital La Católica in San Jose, Costa Rica
  • Dr. Christian Hernández Mena is my oncologist and surgeon – terrific in every way!
  • After surgery, a full biopsy is done, and the exact type of cancer determined, I could be receiving radiation and yes going bald! 🙂 More reports after surgery!

My Blog and Travel Plans Continue

I had to postpone my March trip to Tambor Bay, but hopefully by the time of my planned May return to Arenal, I will be able to travel just like always if radiation schedules don’t interfere! 🙂

For any readers who are also facing cancer, I want to recommend the following website and encourage you to stay positive and continue life as I will with the same kind of travel and nature blog posts right here at Retired in Costa Rica!

How to Keep a Positive Attitude With Cancer

“Choose to be optimistic, it feels better.”

—Dalai Lama

¡Pura Vida!

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Sunrise Behind the Mountain

Sometimes a beautiful hill or mountain hides the sunrise as it did yesterday for my early morning bird walk, making photos of birds in the shadows difficult – but patience! The sun eventually comes over the hill! 🙂

El Silencio Lodge & Reserve, Bajos del Toro, Alajuela, Costa Rica

And today I slowed down my activities by necessity.

Continue reading “Sunrise Behind the Mountain”
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Almost Harmattan in Costa Rica

A Dakar, Senegal Mosque Overlooking the Atlantic Ocean — Photographed while in The Gambia & Senegal, 1999-2002.

A few readers know or remember that I once live in The Gambia, West Africa for three years with many experiences recorded on this same website found by following my AFRICA Travel Page links or going directly to pages for The Gambia and Senegal. I made both of the above photos in Dakar, Senegal.

I got one of my first shocks the first month there when I told the guards that it looked like a rain storm was coming from the north, even though it was “The Dry Season.” They laughed at me and explained that the first month of dry season was called Harmattan and was when the sand and dust from the Sahara Desert blew south and west and that we would soon be covered in dust and sand, thus close your windows. I closed them and it did not help much with everything in the little apartment covered in dust or sand. Incidentally, some years that same Harmattan blows part of the Sahara Desert all the way across the Atlantic to Costa Rica. Really! 🙂

In Costa Rica it is not called “Harmattan,” but we have a similar experience any time from late December to mid-March when the wind blows almost constantly and everything is dusty. It is not as heavy as West Africa, but it is for a longer period of time with just dust, not desert sand (usually)! It is worse if one of the volcanoes is erupting and we get the gray to black volcano soot like I’ve had a few times from Volcán Turrialba. 🙂

Thus when another WordPress Blogger posted this Poem by Danusha Lameris, I saved it to share right now during our “mini-harmattan” or windy weather or dusty season, none of which are titles Costa Rica brags about for our “Dry Season” (most popular tourist time). And incidentally, this years winds seem to be stronger and at night much cooler than the previous 6 Dry Seasons for me here. Now North Americans wouldn’t consider the low 60’s Fahrenheit cold, but that’s a “two-blanket night” here! 🙂

Continue reading “Almost Harmattan in Costa Rica”
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Costa Rica Returns to In-person School

Today, February 8, 2021, is the first time students will be in the physical school buildings in almost a year, having closed last March because of the Covid-19 Pandemic.

Primary School – Los Angeles

Some schools will offer the option of a “hybrid plan” mixing in-person with online school, fewer days in-person. And the many students who have no internet access for online school will be prioritized for in-person classes and parents who are not comfortable with in-person school for their kids can continue online schooling.

Those in the physical school buildings must wear masks and desks will be 1.8 meters apart, with hand-washing and other precautions in place. Read more details in the English-language Tico Times article. Or readers here in Costa Rica can get questions answered on the Spanish language Education Ministry’s Coronavirus Website.

High School – Colegio Liceo

All photos are my older file photos from earlier years. The feature photo as header of page is of Escuela Central, the largest and main primary school, K-6. The kids in costumes are at Los Angeles Primary School and the teens at bottom are at Colegio Liceo, the university-prep public high school.

This past school year will have a major impact on several generations of students around the world with so many poorer students unable to participate in online education. Much work and prayer needs to go into helping these students around the world to “catch up” or fit in with the more affluent. And Costa Rica will do it well, always being a leader in education.

“Education is the most powerful weapon which you can use to change the world”

– Nelson Mandela

¡Pura Vida!

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Loving All Trees!

Tree in parking lot of Super La Coope, Atenas, Alajuela, Costa Rica.

Yes! I even love this tree in my supermarket parking lot which adds beauty and oxygen to my simple life here in Atenas! 🙂

“Trees exhale for us so that we can inhale them to stay alive. Can we ever forget that? Let us love trees with every breath we take until we perish.”

― Munia Khan

OneTreePlanted.org

¡Pura Vida!

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I Registered for a Coronavirus Vaccine Today!

On my round of errands this morning, one stop was at the public clinic to sign up for my Coronavirus Vaccine as one of an expected. 3.7 million to be vaccinated in Costa Rica this year, basically the whole population. It has begun all over the country as a free vaccination provided by the government with millions of doses already in country. As an older adult I should be called in before younger people and within the month the technician told me. I just wait for the phone call, in Spanish, and hope they speak slow enough for me to understand! 🙂

Though millions of doses are already here, more have been ordered says this Tico Times article: Costa Rica to purchase coronavirus vaccines for 648,000 more people

I also saw my female private practice GP doctor this week and already my hurting knee is much better and less swollen. Medical services here are really good! Both public and private and cheap or free!

¡Pura Vida!

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Costa Rica Schools Restart in 2021 February

Well . . . a “blended” model of every other day in person and every other day online beginning February 8 for public schools and in January for some private schools with masks and social distancing required for everyone! Read about it in Tico Times online: Costa Rica will resume in-person learning in 2021.

Today I walked past Colegio Liceo during their “graduation” of seniors with everyone outside waiting to go in for diplomas, one family at a time. Unfortunately 2020 has not been the best year to be a graduating senior! But it is what it is and will certainly be memorable! 🙂

Costa Rica has had hardly any children with the virus and the country as a whole low in cases compared to the United States, though we are still dealing with cases, mainly in the big city of San Jose and some along the Nicaragua border with Nicaragua being hit hard and their 3rd world country government doing little to prevent cases, kind of like the USA :-). Costa Rica still has a national requirement of masks in public and 1.8 meter (6ft) distancing anywhere in public with restaurants, hotels, supermarkets and other businesses limited to 50% capacity and automobiles only allowed on road every other day based on tag number with big fines for cheating. These kinds of precautions help! 🙂

The featured photo is one of my old ones of Escuela Central Atenas, the public elementary school here. During the down time workers have repainted it from this institutional beige color to a little brighter institutional gray and white now. Sorry I haven’t photographed it yet.

KLM names airplane after Costa Rican national park

Read about it in Tico Times article. The Boeing 777-300 was baptized “Cocos Island National Park” in honor of the Costa Rican Pacific island that’s an important conservation area for terrestrial and marine wildlife (and that was the inspiration for the fictional Isla Nublar in “Jurassic Park”).

Cocos Island National Park Airliner

¡Pura Vida!

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Central Park Open to COVID Quiet

Last week they took down all that yellow plastic crime-scene tape that surrounded the Atenas Central Park, but it is still mostly empty with no concerts or fiestas scheduled. There were a few old men on the opposite corner where they usually “hang out,” but that was all. And the colorful Marigolds that were planted on this corner that I shared earlier have been removed. Hmmm. And there has been no continued work on the park remodeling, probably because of a lack of tax money.

Atenas is still in the Pandemic Shutdown Mode with few people in Central Atenas on the above cloudy day and many shops closed, some permanently. A difficult year for many here and worldwide!

I feel safe walking to and through town with my mask (required by law here) and anyone else who is out is also wearing a mask and maintaining a 1.8 meter distance, also required by law here. It is a bit of trouble but at least we are not having the daily increases of cases and deaths like the USA! It is still beyond my understanding how so many people still support that stupid, lying, self-centered, racist Donald Trump who clearly is responsible for thousands of deaths he could have prevented and the equally evil Republican Party supporting him. God help America! At least one Republican expressed a little bit of common sense today on Trump’s refusal to concede the election:

“It’s just simply madness,” Sen. Mitt Romney (R-Utah) said. “The idea of supplanting the vote of the people with partisan legislators, is, is so completely out of our national character that it’s simply mad. Of course the president has the right to challenge results in court, to have recounts. But this effort to subvert the vote of the people is dangerous and destructive of the cause of democracy.”

~Washington Post, 10 December 2020

Thank God I live in Costa Rica!

¡Pura Vida!