Lung Results, Turkey Day, Spring Travel Plans

[Note: This is another blog based on my weekly emails to my family on the mainland.]

11/26/22

Aloha Everybody  --

Thanksgiving Snow

Hope you had a good Thanksgiving.  Ours was quiet but very nice.  We decided to go traditional and have a turkey, though this time it was a fresh one rather than frozen.  Despite the dire predictions of shortages and high prices, turkeys were actually fairly plentiful here and not all that expensive.  Our guests were technically "homeless" -- earlier in the week my old fraternity brother and his wife had closed on the sale of their coffee farm.  They're now looking for a more physically friendly place that will require much less work.  Right now there isn't a lot for sale, so this may take some time.  Fortunately, their deal with the buyer allows them to stay until spring.

I got the results of my chest ct and it is mostly good news.  The nodules that were spotted 5 years ago haven't changed in size, so they are almost certainly not cancerous.  Nor were there any new nodules. That was the information I wanted, a comparison to the earlier results.  All isn't perfect, however. My emphysema has progressed nicely, from "mild-to-moderate" to "moderate-to-severe."  No oxygen tank just yet -- it's a matter of how fast and far it will progress from here on.  When I was trying to quit smoking 28 years ago after being addicted for 40+ years, the main emphasis of the campaign to get people to quit was that your cancer risk will drop.  There were also other points, like the irresponsibility of second hand smoke, and the overall health benefits of stopping.  All correct.  However, not mentioned was that for a large number of smokers (about 15-20%, rising to about 50% after age 45) the non-cancerous damage already done to your lungs would continue to grow over time in the form of emphysema, which is relentlessly progressive. -- it might be slowed by quitting but not stopped or reversed.  Although there's no cure, there are a number of ways of managing the condition, from breathing exercises to inhalers.  Something more to look forward to....

On a more pleasant note, this week I finished making hotel reservations for our spring trip to France and Italy.  They can all be canceled in case our plans change.  In making them I came across a number of hotels that have a new twist on their cancellation deadlines.  The best deal is if you pay in advance, like always, and this isn't refundable for any reason.  For a higher room rate you can maintain flexibility with the ability to cancel up to a few days in advance, that's also been common in the past.  But this time I found that in some cases the cancellation deadline was a week to a month ahead of time, and a few hotels had options of rates for a couple of different deadlines.  I'm sympathetic to smaller hotels that suffer from late cancellations, but in some cases their requirement was a month out to get a refund.  I booked somewhere else.

I'm going to try to get some Christmas decorations up this weekend, but we may wait for the heavy-duty stuff until we get back from California.  It will depend on how much spare time we have. Getting ready for this short trip isn't as demanding as preparing for longer ones, so we'll see how it goes. 

Ok, off to market and beach breakfast.  Take care, keep smiling, and bundle up.

 

Fixing Solar Leaks, Getting Nuked & Shot, Pumping & Putting

[Note: This is another blog based on my weekly emails to my family on the mainland.]

11/19/22

Aloha All  --

This is the week before Thanksgiving and the beginning of the season of my discombobulation.  Actually it started for me before Halloween when the Christmas decorations were first displayed in the big box stores and with the arrival at Lowe's of the first mainland Christmas trees yesterday. The holidays are a mixed bag for me -- I like the warm fuzzies and all, but there's always been something unsettling and a little depressing about this time of year for me, also.  Regardless of my party-pooper attitude, I do hope you have a good Thanksgiving next week.

I started and ended the week with medical procedures, something that seems to be happening more and more these days.  Last Saturday was my visit to the eye doctor, and although I did have an injection, my right retina is doing much better and this was more to head off a relapse.  My doc is really good at jabbing needles in people's eyeballs, and it went very well, with only a brief and moderate discomfort from the injection and little aftereffects later.  This should hold me for at least a couple of months, maybe longer.  Then on Thursday I got a call from the hacked radiology clinic saying they were back online and were able to schedule my chest ct for Friday! Wow, this was much sooner that I expected given the backlog they must have had.  So I was nuked yesterday morning and I will pick up the report later today. I'll let you know the outcome next week.

Badbadbad

My big house project this week was repairing a couple of leaks that I discovered in our solar system that produces hot water for our pool.  As is often the case when you do your own house repairs, you discover that the original installation was -- to put it charitably -- not exactly the best job.  I've already had to work on this system to replace pipe and fittings that were the wrong kind and failed prematurely.  The panels themselves are ok, it's the stuff the installers added that was the problem.  I think it was either a matter of trying to save money, or that the right materials weren't available.  Anyway,  fixing the latest problems required cutting out two

Much mo' betta!

sections and replacing them with more durable parts that should have been used in the first place.  There are several more spots where this might have to been done also, but I'll wait.  The job required getting up on the roof several times, and re-learning how to glue ABS pipe and fittings.  So far it looks like I succeeded, kind of a Geezer macho high.

I mentioned last week my recent tendency to either play golf once a week or go to the gym, but not both.  Well, on Sunday Karen wanted to go the the gym and then on Thursday I also played golf with her.  Whew!  Note, this is in the context of my physical exertion of fixing the solar system.  I'm paying for this wanton exhibition of the geezer syndrome "brain-is-willing-but-the-body-says-WTF?!" with sore muscles, stiff joints, and extra naps.

Ok.  Off to market and beach.  Note -- no snow shoveling. Stay well.

The "C" Word, Spring Travel Plans, Long Johns

[Note: This is another blog based on my weekly emails to my family on the mainland.]

11/12/22

Aloha Guys  --

Neighbor's Tree Bling

Well, I see the mainland is getting a teensy preview of winter and that four letter word that begins with "s" and ends with "w.'  Here it got down to a frigid 65 degrees on Thursday night.  To avoid frostbite, I got out my sweatpants and a long-sleeved shirt for the first few hours after I got up Friday morning.  How about you?   

On Wednesday I got the results of the biopsies on the skin growths I had cut off.  The one on my arm is just some kind of pre-cancer, but the one on my leg is a squamous cell carcinoma.  Fortunately we caught it early and the initial treatment is exactly what we did -- removal plus cauterization and scraping. If it comes back again I'll have Mohs surgery to get all the nasty cancer cells.  Gee, this getting older is such fun!  On a more positive medical note, today I'll see my retina doctor, and even if I have to have a shot, this has been a long time (3 months!) since the last one.  I don't think my vision in the bad eye has changed all that much, but the real indicator is the laser scan and it will be interesting to find out what it shows in the way of oozing.  Maybe I can go one more month, another new record!

I mentioned last week that we have made plans for a short trip to LA in early December.  This week we also made flight arrangements for a trip next spring to southern France and northern/central Italy.  These are two of our favorite countries and we've visited both of them a number of times over the years.  But it has been a long time since we were in either one and we're eager to return. Our plan is to fly into Marseilles and return from Rome.  Most of the time will be in northern and central Italy, but the first week will be in Provence and the area of France known as the Haut Var. We have spent a fair amount of time there, as well as along the French Riviera, but it is such a fabulous place we don't mind seeing (and tasting) it again.  Also, we know an expat living in Nimes that we may be able to get together with, and another in Menton, near Monte Carlo.  In Italy we'll start in the northwest area called Piemonte, around Turin and to the west where the Alps separate France and Italy.  We'll spend a few days  in Genoa,  then return to Tuscany and Umbria, staying in the towns of Voltara, Assisi, and Orvieto.  One goal near the end of the trip is to visit the festival of  Le Infiorate in the village of Spello, where each year the main street is carpeted with flowers arranged by local artists.  This is a trip entirely on our own and our plan is to travel mostly by car.  I'm making the reservations at hotels and mapping out the exact itinerary, and Karen has researched and made the flight arrangements and the car rental.  Both of us spend a lot of time doing this, but as I've said before, the effort is very educational and enjoyable.  In my case, I read guidebooks and research the internet to find out where we might want to go and what the attractions are, and within a specific town, what the accommodations are like, where they are located, and what other people have thought of them, including guidebook authors.  These days important issues have become things like parking, nearby transportation, and whether the hotel has an elevator.  By the time I'm done, I have really learned a lot, not only about the places on our itinerary, but also about the places I've rejected. You'll note I haven't mentioned destinations like Milan, Florence, Venice, Siena, Cinque Terre, etc.  This is because we've stayed in all of them on previous trips, so we've opted to focus on other places this time.

The radiology clinic that I mentioned last week is still closed down.  They've now admitted they were hacked but still haven't given any details about the nature of the problems nor when they might be resolved.  Seriously frustrating.  I suspect a ransomware attack, but if the clinic had been following best-practices regarding security and back-up, they would be recovered by now.  Given that ransom attacks aren't new, and that measures exist to both prevent them and mitigate their damage, it is simply no excuse to just blame the bad guys. 

On Thursday I went to Planet Fitness and Karen played golf.  Note that I'm on the alternate-week plan as far as the gym and golf are concerned.  No reason to overdo it, I figure.

I won't say anything about the election results, other than the observation that the overall outcome was mixed enough to make it a Rorschach test -- you can pretty much spin the outcome any way you want.  I have my preferred spin, of course, as I'm sure you do.

Off to market, beach breakfast, then to my eyeball exam.  Take care, stay safe, well, and warm.

Coffee Festival, A Golf Par"ish," Travel Plans, Clinic Problems

 [Note: This is another blog based on my weekly emails to my family on the mainland.]

11/5/22

Aloha Everyone  --

Hope all is well in your corner of the world.

No big house projects this week, just the usual whacking, trimming, and pest control chores.  Living in a sub-tropical climate is very pleasant for humans, but it also is ideal for other critters, too.  Co-existence requires routine control measures to keep the less desirable ones in check.  For instance, once a month or so I use an insecticide around the outside perimeter of the house to reduce the ant/cockroach/centipede/termite/mosquito problem that would otherwise develop.  We try to be reasonably environmentally conscious about this, but doing nothing would be a very bad idea.

This week is the annual Kona Coffee festival, which goes back to 1970.  It's a pretty big deal, with parades, a beauty contest, and a coffee cupping competition.  One event we've gone to in the past is held in the little artist's village near us named Holualoa.  Different coffee growers pair up with art shops and you can walk the main street tasting coffee and admiring the art.  We haven't gone for a few years, so we may stop by.  I've learned to go easy on the coffee, though.

Karen and I dropped off our ballots this week.  For us this a pretty easy task -- Hawai'i allows mail-in voting, as well as a few secure drop-boxes.  One of the boxes is at the Civic Center, right on the way to Costco, so it was a quick stop.  There aren't any big controversial issues this time, and the integrity of the voting procedure is very tight.  One of the candidates for governor, Josh Green, is a physician from our island and did a good job during the pandemic as Lieutenant Governor, so he's our favorite. He's also a rarity these days -- someone near the center. Otherwise the races are very local and thankfully focus more on competence and values that on identity politics.

I played golf this week with Karen and her usual golf buddy.  After my stellar performance on my last outing I was concerned I'd really blow it this time.  Actually, all three of us did pretty well, though my main moment of glory was a par on one hole -- actually it was par"ish" because I redid one stroke, which is legal under our group's rules.  I also got a couple of bogies, and most of the time played reasonably well.  The weather was gorgeous until the very end -- sunny and clear, pleasantly cool at that elevation.  Karen got a real par, and her friend got a birdie.  We finished all 18 holes and that effort made my usual afternoon beer taste extra good.

This week we finalized arrangements for a short trip to Los Angeles in December.  We're going to stay most of the time in downtown LA, something we've never done before.  It has a lot to offer there in terms of art deco architecture, museums, and some highly rated restaurants.  We'll then spend a couple of days visiting an old grad school friend who lives in Santa Barbara before returning home.  This is a whirlwind trip for us -- only about 10 days.  Besides being fun, we're going in part to kick up our airline miles to put us into a higher perk category for next year.  And these days you need all the perks you can get to make flying tolerable.

Finally, an illustration of the somewhat iffy state of our health care here is the sudden shutdown of one of the major clinics that does CTs, X-Rays, etc. About two weeks ago their computer systems that hold patient records and coordinate appointments crashed and still hasn't been restored.  I was supposed to have a chest CT as you may recall, but that is on hold for now.  I could go to the local hospital for the scan, but one of the main reasons for doing it is to compare the current results to the past scans I've had to track any changes, like the progression of my emphysema.  All those past records are with the closed clinic.  The organization has been suspiciously tight-lipped about what exactly happened and why it is taking so long to get the system restored.  Surely a medical facility with health information about thousands of people would have had a backup that would allow them to get back online almost immediately.  My geeky background leads me to suspect the organization was negligent either in securing the information or safeguarding it and they're scrambling to cover their asses from the legal fallout.  I'll keep you posted on this one.

Ok, off to market and the beach for breakfast.  Take care, vote while it still counts.