Thursday, December 19, 2024

Holiday Shopping - Eldership Style

 While Wife slowly builds back her strength from the blood clot event, we're taking a decidedly low key approach to the holidays. As it is with family so far away, this has turned out to not be a time when we do a whole bunch anyway. 

We did put up our tree, an artificial thing that has gotten so misshapen and whose built in lights only partially work that we've committed to finally dumping it at the end of the season. While I did most of the heavy work, Wife did do the final decorating. I must say it is one of the more tastefully decorated trees we've put out. Probably because I was prevented from putting on the massive amount of tinsel I usually do. 

We were hemming and hawing on getting presents for each other. This is true for so many couples if you've had success in your life. You pretty much have what you want or if you want something, you just get it. So we've opted for version of that pragmatic approach. We each are going out buying things for ourselves. Then we are giving it to our spouse to wrap up and present as if they bought it. 

I'm telling you we will be like kids again as we open package after package getting all the things we had our heart set on for Christmas.

Sunday, December 15, 2024

Transition Of A Different Kind

Daughter #1 is visiting.

After Wife's blood clot event, she wanted to come and spend time. I was thrown back to the 1990's. When we first moved to New Mexico, I suddenly had this strong feeling that I had to be with my parents much more than I had been. For the next 18 years I would go to Connecticut 3 or 4 times a year just to spend time with them. 

It's been lovely having her here though sobering at the same time. She (of course) has been trying to help out. Wife and I being of the independent mindset had a bit of problem letting go. She asked if she could help with the laundry and making the beds (which dominates my Saturdays). I am in the process of giving her instructions on using the washer and dryer. She says,

"Dad. I'm a nearly 50 year old woman with children in college and high school. I've done a bit of laundry.

Point taken. Sigh. Another transition taking place.

Sunday, December 8, 2024

Some Clarity BUT The Ominous Head Of Sisyphus Returns

Following Wife's experiences in the hospital, I was very angry about our frustrations dealing with the medical system and was determined to figure out how to better manage the system. Because as sure as the sun rises and sets, we're going to have more of this kind of thing given our age.

Our first step was to schedule a meeting with our family doctor (Primary Care Physician or PCP in med-care lingo). We've been going to the same physician for decades. We followed her when she left a large group practice and established her own concierge practice. Over the many years when our health has been pretty good, we've questioned the value of spending as much as we do to have that access and availability. Well spoiler alert. The current situation has shown how valuable this is and is very likely to be in the future.

Let's start with the fact that we were able to schedule a consultation that lasted an hour with little waiting. Wife had been extremely upset that the vascular surgery office who did the work at the hospital refused to even let her talk to the Physicians Assistant who cared for her because 'she was not officially a patient of the office yet'. As it turned out we were able to get all our questions answered by our PCP. What a relief. Here is what we found out.

  • Wife is the picture of health with the exception of her blood clots and those are being dealt with. 
  • That was the reason the hospital staff was relatively sanguine while we were there. She wasn't showing any sign of deterioration. Rather all her work was positive. 
  • This has been a great relief to Wife. I didn't realize how much all this has been weighing on her as she hadn't vocalized it. 
  • But we know know that this is just going to take time for it to be worked through. 

Then we got into the hospital and how we might deal with it in the future.

  • According to PCP, hospitals have been so understaffed that they've adopted a behavior pattern that is focused on keeping people alive. 
  • That means, if you are dying when you come in, they will be all over you.
  • Otherwise, they will get to you when they get to you
  • So if you feel you're being ignored, that is probably a good sign!
  • That, however, doesn't do a whole lot for all the pain management, comfort, day-to-day existence issues related to being a hospital patient.
  • We'd figured out, the hospital staff was pretty happy to let me help Wife in all kinds of ways we thought staff should do. 
  • So in the future, we should assume we are going to have to do a lot for ourselves (unplug the patient so he/she can go to the toilet, get water/drinks, move the bed, etc. (almost like being in Ghana).
  • And we're going to have to be way more proactive in trying to get answers to questions. In this regard we will have to take more advantage of PCP.
  • When we go to the emergency room we will pack food, drinks, warm clothes/blankets, computers, anything to maximize comfort. You know you will be there for hours.
  • All this means, whoever is not getting the care should be prepared to be there and be the partner to make sure all gets done that should be done.

At the end, Wife asked the question we had been dreading to ask. "Can I travel?" PCP said, "Sure. Why not? Just be sure to be using your blood thinners and move around." That blew us away. 

Then came our 'Sisyphus Moment'. We were talking about her breathing issues. Wife noted her blood oxygen was higher in the doctors office than at home. PCP said it is all altitude related. Her office is about 700 feet lower than our house. And she said, "YOU MIGHT WANT TO THINK ABOUT MOVING TO SEA LEVEL IF THE PROBLEM CONTINUES."

AGGGGGGGGGGHHHHHHHHH!!!!!!!!!!

Not all the questions about should we stay in Albuquerque, and if not where should we go again? Not should we do the work on the house agaub? It's Groundhog Day all over.

Friday, December 6, 2024

My Diet Feels Like The Lusitania

This time of year is hardly the best for trying to lose weight. But coming back from Europe SO overweight made it mandatory. Wife's blood clot scare and current slow recovery has made it easier for me to cut back on the food. Not even Thanksgiving really dented the progress. 

Then came my birthday yesterday.

Actually, all was going along as planned, just like that ill-fated liner in 1917. It would be a day like any other. Like the passengers on that liner I could see the destination coast, in my case a very low calorie saute shrimp, bok choy, and mushrooms. 

Then, like the U-Boat that struck the Lusitania, it struck.

One doesn't think of Wife as a 'U-Boat'. But she comes into my office. Sits in the chair next to my desk. She says,

"de-I, I need to talk to you about something."

Those words rarely are a good thing to hear.

"I've been dreaming about pizza." She looks at me with these round, puppy dog eyes. "I dream about being denied pizza. It's your birthday. We need to do something special for you...well," she admits, "for me." She smiles fetchingly.

I can feel the thud of the torpedoes into the ship of my diet. It is listing. Will there be room in the lifeboats? I doubt it...at least for tonight.

The pizza was delicious.

Tuesday, December 3, 2024

Theodora Update - December 2024

2024 represents the fourth full year of our development of the Theodora Project. Although we officially started our training in April of 2020, it wasn't until 2021 that we had enough initial training to actually start working with clients. And in reality, that was far sooner than we should have. But the effects of the Covid pandemic had made a bootstrapping approach the only way we could stay alive and move forward. Looking back now, the level of capability we had then was truly minimal.

 

Now fast forward to today. Theodora Ghana Virtual Assistants has made massive leaps forward this year. Our level of service to clients has expanded exponentially (see below Sample of Types Work Your TGVA Assistant Can Do For You). Truly, it is amazing to see the level of work these women are doing when you consider the majority of them had never even used a computer when we started just 4 years ago. It shows the potential this program has. Another measure of service quality is the substantial reduction in client turnover. That was a major weakness of ours in 2022 and 2023 as our own errors or lack of attention to client service led to our losing clients as fast as we were adding them. That is no longer the case. 

 

Financially, we also made breakthroughs. We will be breakeven for the year. This means 100% of salaries, rent, & business overhead were covered by the business revenues generated. That business revenue translates into a 20% annual reoccurring benefit on the original donation amount! That’s a statement very few social impact programs can make. Our people make on average three to four times the average salary for a woman in Ghana.

 

Management, leadership, and self-ownership attitude all advanced substantially. Starting this summer, I extracted myself from day-to-day management. The team has taken full responsibility for managing client work, client challenges, staff issues, and all other operational work. They, with minimal oversight, have designed and our implementing our first organized year-end fundraising effort. We expect our Employee Ownership Trust to be in place by January of 2025 fulfilling our promise from the beginning to build a business owned buy.

 

Having proved the viability of our concept, our Boards urged us to get more serious about raising the money necessary to expand our programs foundation and start building for growth. We launched Theodora with the barest amount of capital. But, the small team the started this project understood issues that would need to be addressed long-term to make a viable, sustainable, long-term program once the initial concept was proven. Some of these issues are:

 

  • The need for a quality work space in a location that is reasonably accessible 
  • Top quality IT infrastructure to allow us to work at the level our clients demand
  • Housing assistance to get the women we recruit out of their negative environments and into a positive environment as soon as possible
  • Trauma counseling – this goes hand-in-hand with the nature of our program and the people we serve and recruit 
  • Access to healthcare – for the same reasons as our need for trauma counseling

 

Our own success is bringing challenges. We’re getting closer to potential capacity. But it takes a year to get one of our recruits to the point where they are able to billable. The current fundraising campaign is the first step in what will be an ongoing fundraising function for the operation. If you know people who are supporters of anti-trafficking, women’s rights and empowerment in Africa, or African economic development, we believe the accomplishments and potential of the Theodora Africa program will hold up to any donors scrutiny (our legal entity for donations, Podolny Group International, is a 501.c.3, tax exempt organization with a GuideStar Bronze transparency rating). Donations can be made through our website Donation page.

 

Samples of Work Your Theodora Ghana Virtual Assistant Can Do For You

 

Event Management - CRM Workflow Management

·       Analyze Current Workflow

·       Design Automated Workflow System using the CRM

·       Implement the Workflow System

·       Test and Optimize System

Podcast Marketing Program

·       Profile Setup

·       Potential Host Research and Selection

·       Client Approval

·       Outreach to Podcast Hosts

·       Booking and Scheduling

·       Recording Follow-Up

Entrepreneur’s Office Administration

·       Provide Accounting and Invoicing Support

·       Conduct Website and SEO Checks

·       Write New Business Proposals

·       Draft Google Posts for Clients

·       Provide Meeting Support

·       Research New Software Tools

·       Marketing Support

·       Support Owner’s Remote Work

 

LINKEDIN Campaign Management

·       Provide Profile Optimization

·       Develop Content Strategy

·       Create Content Calendar

·       Research Target Audience

·       Monitor and Enhance Engagement

·       Join Appropriate LinkedIn Groups

·       Develop Networking

·       Analyze and Track Result

·       Evaluate and Report

 

Improving the Productivity of a Busy Non-Profit Executive

·       Organizing and prioritizing her emails

·       Develop and Implement a Consistent Graphic Design System

·       Develop and Implement a Consistent Word Processing System

·       Meeting Recording, Documentation, and Follow up

·       Daily Task Management and Reporting


Sunday, December 1, 2024

Thanksgiving Fried Chicken Extravaganza

Wife doesn't like turkey.

So what does one do on Thanksgiving, THE TURKEY HOLIDAY? Well you don't make turkey. So what then? I was wracking my brain and I settled on Fried Chicken. Wife and I had tried this a number of years ago. It wasn't bad. Fried Chicken is notoriously difficult to make because there are numerous variables one has to deal with from the flavoring of the chicken itself, the battering or breading one chooses, not to mention the actual deep fat frying procedure. None of this was anything where I had any particular expertise or experience.

I did remember the wonderful fried chicken we had for breakfast numerous times in Krabi, Thailand last spring. At the time, I was perplexed about how they actually produced the end result. I decided to do a bit of research, As fate would have it, I was directed to a cook who I'd seen on YouTube doing a very authentic Pad Thai. As soon as I saw the recipe and the accompanying videos, I knew I'd found the guide I was looking for. Here are the basic elements.

  1. Brining / Flavoring - I find with almost anything related to chicken a brine and flavor bath is key to getting flavor. This is a pretty simple combination by Thai standards with just white peppercorns, cilantro stems, garlic, sugar, fish sauce, soy sauce, and water. And that's it (though having a Thai style massive mortar and pestle helps because you need to pound the shit out of every thing to create a paste).
  2. Rice Flour to Create the Crust - You simply add the rice flour to the chicken and brine just before you cook. No dredging in multiple steps.

And that's it. With the exception of the actual frying (more on that below). On to the action!

 Our mise en place getting ready to prepare our chicken


 Making the batter covered chicken - so simple compared to other fried chicken preparations


Battered chicken ready to be fried!

Now the REAL action. Chicken in the fryer. Will de-I die of third degree burns? Will he burn down the Tower completely?


NO! By all the Cooking Deities, this looks like real fried chicken!


 

We made 'faux' Frites using a recipe I love from the Joy of Cooking (a favorite cookbook)

Wife and My Simple Thanksgiving Spread

Analysis:

This was a very interesting cooking exercise both from using a totally unfamiliar means of preparing the chicken to doing a cooking technique I am mostly unfamiliar with. Will we do it again? Yes. There was enough good that it warrants perfecting it. But it needs a number of modifications. 

  1. The sizes of the chicken pieces - I had too many different sizes that made it difficult to get uniform cooking. And they were too large for the pot I had available. We will only do chicken wings next time and make sure they are not too big!
  2. Limit the volume cooked - i hadn't looked at the volume of chicken the recipe called for and bought 4 TIMES THE WEIGHT! Bad move. This caused all kinds of problems because I had to cook in four batches with all kinds of issues controlling the temperature of the oil
  3. Have a Thermometer that works - I was using a candy thermometer we've had for decades. I found out (as I suspected from he data it was giving me) it was not close to accurate when I used an instant read thermometer to double check. This led to some pieces getting overcooked and others under cooked.
  4. Minor adjustments to the flavoring - It needed a bit more salt and a touch more heat.
I have written all this down. This is something I'm definitely going to do again. I think this flavoring and technique will go well with seafood such as shrimp, scallops, and fish like tilapia or catfish.

Sunday, November 24, 2024

Disconnect

It has been slow going for Wife since she's returned from the hospital. The first few days she was totally exhausted most of the time. The last couple of days (a week since the event initiated) she has been showing noticeable improvement. But in the aftermath of the event (don't know what else to call it), She and I have been doing a lot of reflection on the experience with the medical system.

On Thursday, Wife had her first follow-up appointment with her primary care doctor since the event. Let me ask you. How would you react to these words.

  • You could have died!
  • You had a MASSIVE clot
  • They were very close to going into surgery to pull it out

 Here is how Wife and I reacted.

Wide Eyed Fear and a feeling of being totally shaken up emotionally.

And this is after the event. 

This was immediately followed by questions...a LOT of questions and ruminations..

Why didn't we hear any words like this while we were in the hospital system indicating the severity of the problem? There was one person only, the technician who put Wife on the Heparin drip when he told me to stay the night, who verbalized "this is serious. You need to be here."

Virtually all the rest of the communication was kind of matter of fact or incomplete. 

"We're going to do this. And if that is good, we're going to send you home."  

"Why am I on a liquid diet? We don't know. We'll find out. (Much later). They wanted you to be ready if you had to go to surgery." Oh why didn't anyone tell us that? And why was she going to need surgery?

The hospital doctors saying, "We're sending you home. Take it easy for a week. Then you should be able to start doing your normal things." Versus the primary care doctor, "You just had a major trauma to your body. You need to take it easy. This is going to take a while to recover."

As we reflect upon the experience, we recognize on one hand that many parts of the system didn't seem to know what our situation was. Maybe they are so overwhelmed that they can't know what is going on with each patient. But on another level, there was clearly some kind of communication and discussion going on between the hospital doctor, the vascular surgeon, and maybe others where they were making decisions on the pathway of Wife's care. It seems as if our primary care doctor was aware of this. How come we weren't brought into the loop? Are the patient and their loved ones just extras in this drama?

So in addition to the emotion we've been feeling, there has been a lot of talk about what do we do when the next even takes place. Because at our age another even IS going to take place.

Tuesday, November 19, 2024

Wife Goes Through The Looking Glass (Part Three) - A de-I Family Health Adventure

It is Saturday. I make my way back to the hospital. Things are pretty much status quo. Wife said she actually got some reasonable sleep. She's eating her salt free fried eggs without much gusto. I joke that I should have sneaked in some salt. But she's adamant. Whatever it takes to get out of the hospital she will do. 

I am figuring out that the hospital staff is actually pretty happy if you, the patient's relative, will do a lot of the mundane tasks. Unplug the monitoring device so it is on battery and she can go to the toilet or take a walk? Sure. You do it. Go get tea, coffee, crackers, etc from their 'nutrition' room. Sure. Be the one to walk her around. Sure.

So I get Wife some tea and I get some coffee. Her room mate is off for dialysis so we are alone in the room. It is a waiting game. I made myself a sandwich so I could eat when she got her meal. Compared to Friday morning when there was so much activity, there is a lack of interaction with the hospital staff at all in the morning. 

Around midday, we see both doctors (not at the same time). Both confirm that Wife is responding well to the anticoagulant. The vascular surgeon says Wife's vital signs are pretty amazing considering what she has gone through . (Go Wife and her regime to take care of herself!). They say they are ready to release her and put her on an oral anticoagulant. All they need is one more blood test to confirm the drugs are working as they should.

Now again we descend into the hospital waiting game. When are the blood people going to come? We kill time by my researching the two likely drugs she will be given, their side effects, and costs. The side effect information is promising. Not many all things considered. The price information? Not so good. This shit is expensive. Fortunately the doctors have told Wife she should only be on them for three to six months.

It is late afternoon. Will these blood people ever come? And if they come really late, will they be letting Wife discharge? And if the discharge time gets past 9pm, is that the best thing for Wife and I? Wife and I go for another of her walks around the floor. It makes a nice loop. We are doing three loops. Wife is getting very good at driving her pole around the various obstacles we encounter.

Wait!

We are coming to a room where it looks like the 'blood sample people' are outside doing their thing. We talk to them. Yes, they are in fact the 'blood sample people' (makes them sound like they are some kind of dark aliens). And they confirm, Wife is on the list. Great. They are on the floor and not all that far from her room. We finish our laps and head back to the room feeling upbeat that this last hurdle will be jumped.

Accept they don't come. Hours go by. It is around 5pm. Wife and I debate. If I stay, I am getting more anxious. And knowing Murphy's Law they will not come. BUT, if I go, they are sure to come and I will have to turn right around and come back. We make the decision for me to go home. I am grabbing something to eat. I won't drink any wine because I might have to run back to the hospital. Sure enough. Within 30 minutes of my leaving the 'blood sample people' show up. Not terribly long after that, the results are given to the doctors and they give the green light to discharge Wife. She tells me to come on and pick her up. She's feeling pretty upbeat.

But there is one last delay (in my hospital experience, this is almost a given). There is no one around who can actually produce (print out) the discharge instructions and give them to Wife. So I have to go back up to her room and we wait another 30 minutes until finally a person arrives, gives us our instructions, and Wife is officially released and wheeled down so I can take her home. 

We get home. She's beat but happy to be in her own house and bed. After she crashes, I have a drink and give a multitude of thanks that we've managed to dodge a real bullet. From the time Wife had her appointment with her primary care physician on Thursday to getting her home has been roughly 56 hours. It seems a lot longer. A business network friend of mine told me today at lunch his wife has a serious form of cancer. I know things could be a lot worse. I am grateful we've been able to get through this as easily (relatively speaking) as we have,

Monday, November 18, 2024

Wife Goes Through The Looking Glass (Part Two) - A de-I Family Health Adventure

 Wife is now fully assimilated in the Other Dimension of Reality that is the Hospital System. It is a world where communication is almost always incomplete and random. It is a world where long periods of inactivity are interrupted by a constant flow of activity. This is a world where facilitating that most important of healing activities - rest - is constantly assaulted by light, sound, and activity. Let's follow Wife's journey through the Hospital Dimension.

I get to the hospital at around 8:30am on Friday. Wife is a bit spacey. She's not had anything to eat. I brought here a cheese sandwich as I had a feeling that her nutritional needs would be lost in the shuffle. She's now been in the hospital for a couple of hours. Nothing has happened. 

At about 9am, the floodgates open. In come people to draw blood. At the ER, they had put in two ports in her arm telling her one was for the anticoagulant drip to go in and the other was for taking blood out for on going testing. However, they tell her they must poke her again in a separate place to draw blood. She tries to explain about the second port but no, the blood people are adamant. They MUST make a new poke. They will do this for the entire stay. (We will finally be told by her hospital doctor almost as she is leaving when we asked why, that it the extra port is to allow easy access to put things in her if a crisis should have occurred. Nice to learn this just before we leave!) There are all kinds of other comings and goings. 

They come in to do an ultrasound of her heart. This takes 30 minutes. The med tech tells us she can't interpret the results. HOWEVER, if she suddenly calls into her intercom for a doctor, that will the signal that something bad is happening. Great. the 30 minutes comes and goes. No call for the doctors.

With all this complete, we are left with a final message that the doctor will be coming and let us know what is going on.

It is a little before 10am. There is this kind of sigh of relief as the intensity of of activity has subsided. Wife tries to get some sleep. We're waiting for the doctor. We will wait a long time. He and his colleague from vascular surgery won't show up until around 4pm. 

We are waiting and waiting, wondering and wondering. We know this is no small matter. But we have not a clue as to what to expect. What kind of treatment will be recommended? What is her prognosis? And she still hasn't been fed! We were able to build a good relationship with her nurse, Anna Kai. She found that Wife had been put on a liquids only diet. Why? Anna didn't know. Those were just the instructions. And it turns out you have to order your food. So Wife finally gets a rather insipid meal of broth, a sugarless popsicle, and juice. 

Wife and I kill time by figuring out how to unplug her monitoring device so it runs on battery and she can get up by herself and go to the toilet. She has lucked out big time in the room. These are converted former one patient suites. They now hold two people because the hospital is desperate for space (lots of old sick people these days...I'm looking at YOU de-I...OLD). There are no proper curtains separating the spaces, just some flimsy portable screens that are in danger of falling over at any moment. The front 'room' has virtually nothing in it. But the back room by the window is grand with a big couch and a separate chair for Wife to get up out of the bed (which is killing her back). I make use of the couch to lie down frequently. Even though I'm hardly going through the trauma of Wife, I'm feeling pretty beat.

Finally, at about 4pm a doctor shows up. This is our 'hospitalist' or our hospital based caregiver. He is of South Asian descent. He is type A+++. It is exhausting to go through a session with him. BUT he cares. You can tell. And he gives you information. He answers all your questions. Shortly after him, we meet the representative of Vascular Surgery. She is equally energetic, though in a bubbly, friendly kind of way. You are not exhausted after being with her. 

We FINALLY now understand the majority of the picture. The short of it was they needed to see if the anticoagulant was working. If it wasn't, they would need to do some kind of surgery to remove the clot. Hence the liquid diet. But no, Wife was responding well. In fact they were lauding all her vital signs (Go Wife and your long efforts to keep exercising and eat right!). So no surgery. And they could move her to a solid diet, the 'heart friendly' (aka tasteless, bland) diet.

Now we finally have the picture. If Wife's blood work (which evidently provides markers that the anticoagulants are working and dissolving the clot) keeps going in the right direction, they could let her out on Saturday.

We decide it doesn't make sense for me to stay any longer. At 5:30pm, I head home. I do a bunch of laundry so Wife can have clean sheets and towels when she gets back. I eat some leftovers. I text Wife to make sure all is still calm at the hospital. Fairly early, I conk out. Hopefully, tomorrow, Saturday, she will be released.

Sunday, November 17, 2024

Wife Goes Through The Looking Glass (Part One) - A de-I Family Health Adventure

Wife and I are back at the Tower after a 56 hour whirlwind experience in that alternative reality known as the U.S. hospital system. Shortly after our return to the United States from Europe Fall 2024, Wife noticed she was having extreme fatigue. Then she started having pain in her left arm. And it began to swell. Thursday morning she noticed odd black and blue marks on her arm. She already had an appointment to see our doctor. I was off for some client meetings. At 3pm just as one of the client meetings was starting, my phone rings. It is Wife. 

Wife NEVER calls me during business meetings. She would leave a text if there was something she needed so I would contact her after the meeting. This was not normal. I answered. She was short and to the point.

"de-I, I have a blood clot. Doctor says you need to come home ASAP and take me to the Emergency Room."

Right. I made my apologies to my client and headed home. Once there, I got Wife and off we went to the Urgent Care/Emergency Room facility indicated by Doctor. As we were driving, I knew we were about to Go Through the Looking Glass again. For those who might not have been following me back in 2008, I wrote quite a long, long post about my experiences with the hospital system from my kidney donation. So I had a pretty good idea of what we were in for. I will say it wasn't quite as bad as that one. Presbyterian Hospital and Healthcare System in Albuquerque is a far better organization than Hartford Hospital in Hartford Connecticut was back in 2008.

(I am sure once Wife gets her energy back will write her own post about the experience.)

Let's go Through the Looking Glass

The Urgent Care/Emergency Room facility is a huge standalone not part of a hospital. Despite its size, it has a tiny waiting room. I was actually familiar with the facility as I had been there in March of last year. So I had some idea of what to expect. 

Enter the facility. Go to registration. In our case, our doctor had already sent in the preliminary diagnosis with the tests being requested.

Look around the tiny waiting room with coughing people and the screaming child.

Find the only place to sit which faces the large windows that have the setting sun glaring right in your face.

Watch one of the people at the reception desk go lower shades so 'She' doesn't have the sun in her eyes. The patients? Not her problem.

After a long wait, Wife is called in for 'Triage' to get a handle on what the issue is. Back into the waiting room with the coughing and screaming child.

Another long wait.

Wife is called in for two of the three tests she needs. 

Back into the waiting room with the coughing people and screaming child.

Another long wait.

Wife is called back for the last of the tests, a CT scan. They tell her she should now be given a room in the facility but the rooms are all full. So go back to the waiting room with the coughing people and the screaming child.

We are two hours into our visit. 

Finally, Wife is given a room. We are really lucky. During our night at the facility, we will see many people who are in their hospital beds in the hallway. 

About three hours into our stay, a doctor comes in and tells Wife her clot goes all the way from her elbow through her chest and is approaching her heart.

!!!!!!!!!!!!!!!!!! 😳

We are both in full on fear mode.

We are told she will be put on an anticoagulant medicine that is delivered by drip. This means she will need to be in the hospital for a few days until they are convinced the clot is under control and starting to dissolve. They will transfer Wife to the main hospital via an ambulance as they have to maintain the drip going. 

One problem. There are no beds available at the hospital. We will have to wait in the UC/ER facility until a room is available. The technician who has been hooking Wife up to her drip, tells me in no uncertain terms, I need to stay with Wife until they get her to the hospital because, "Who knows what will happen! You need to be available." I am not looking forward to spending the night in the ice cold meat locker in a small, hard chair. 

Fortunately for me they have these recliner type chairs for just such a situation. They bring one in, It almost goes completely flat. It's like a poor quality business class airline seat. As I'm used to those, I manage to get some sleep, Wife, of course, is going through much worse. They are continuing to poke and draw blood, doing EKG's meaning she's got those patches all over her chest. 

So we honker down for the night. I actually get some sleep. But I'm up at around 4:30am. I am thinking, "My experience was hospital discharges are usually done in the morning after the attending physicians see their patients and give the okay. So it might be late morning or midday before they move Wife. I'm still wearing my business clothes. I go to the nurse attending us and ask if it would be okay for me to go home and get a shower and return as it most likely will be many hours before Wife can get a room. She tells me they now do admissions and discharges on a continuous basis. Wife could get a room at any time. But she doesn't know why I've even waited all night. Her attitude is completely different from the guy you set Wife up on the drip. 

We decide I should go home, shower and get something to eat. I do this as quickly as possible. Before I leave, I check with the facility. She is now at the hospital. I pack up some things like my computer, chargers, Kindle, and head to the hospital

End Part One

Wednesday, November 13, 2024

Acceptance On The Home Front

In my end of trip, 'navel gazing' post, I wrote about the power of Acceptance as a critical component of the trip's success. I also alluded to bringing that attitude to our life here in Albuquerque. 

Regular readers know Wife and I have struggled mightily with our life at home. Do we keep the house? Do we move? Where? What do we want? If we can't get what we want, what do we do? And more of the like. This has led to a round of frustration for almost two years. The circular logic went like this...

  • We didn't want to take care of the big house and yard any longer
  • We wanted the high-rise, apartment, live in city where you could walk everywhere lifestyle (see our loving of El Campello)
  • But I need to keep working some to pay for our travel
  • If I need to keep working, we have to stay in Albuquerque because that is where my network and reputation are. Not going to go somewhere else at this late date and put in all the work to build a new network and reputation).
  • Can we find the high-rise, walking lifestyle in Albuquerque? No!
  • So we have to stay in the house

Hence we set out to get the house fixed up so we can stay here long-term. But that became its own 'Groundhog's Day' of trying to achieve a perfect outcome.

Coming back from our trip, with our new acceptance attitude, we have focused on 'What is reasonable and can actually get done'. With that mind shift, suddenly an number of logjams have broken. We are hoping in a few weeks to have some commitments for getting the work scheduled and done. 

In the meantime, I have been immersed at getting my business practice up to an acceptable level. It hasn't been that hard. I know what I'm doing. I know how to connect people. I do good work. And the fact that my women in Ghana have stepped up and been able to take responsibility for the day-to-day of their business means I don't need to be up at early hours doing that work so I have better work/life balance.

How's this for the 'Acceptance' contemplation?

I get to travel the world in style. I spend months enjoying the pleasures of other cultures and leading a completely different lifestyle than I did in my 'work-a-day' career days. I live in a lovely house that many would die to have. I get to use my experience and mind to help others to achieve their personal dreams AND I get paid to do it. I have been given the opportunity to change the trajectory of women's lives in a part of the world where hope is a scarce commodity. And that has given me yet another experience of another completely different culture. And I am doing all this at an age when the vast majority of my peers are checking out on life.

I think I can ACCEPT this.

Monday, November 11, 2024

Cooking

As usual, upon coming home, it is hard to get back into the blog posting routine. Often times this is because I have a hard time coming up with topics to write about given the intense posting done while traveling. But it also, I am often tired at the end of the day from working and don't have the energy to write something. However, this time I have quite a bit of things to write about so I need to find a way to build it into my schedule. 

This weekend I had the urge to cook. Wife had requested chili con carne. I wanted chicken fricassee. And I wanted to make two condiments (green chile sauce and harissa) that I much prefer making myself.

 Chicken Fricassee

This is a long-time staple of my family. It's one of those foundational dishes that one associates with one's culture and family. I actually made this with 2.2 in Valencia and told her she was now officially in the lineage of Jewish Mothers and Grandmothers who have made this from time uncounted. It's incredibly simple to make.(I'm sure in some post in the past I've shown this before.) I like the Hungarian version which adds a ton of paprika to it.

 Step One - Get a chicken. Cut it up (You could buy pieces. But be sure they have the bones and skin which are important for providing flavor


Onions and Garlic - Lots



Throw those in with the chicken and add a healthy amount of salt, black pepper and paprika, preferably Hungarian (like those precise measurements - 'a healthy amount' ? That's grandparent cooking technique...designed to drive younger generations crazy!)


You then work the onions, garlic, and flavorings into the chicken by hand. The technical term for this is 'smushing it together'.

 Fully Smushed

Add about a cup to two cups of water, just enough so it is maybe a half inch above the bottom of the pan. Bring to a boil. Lower the heat and cover. Cook for about two hours until the chicken is tender. You will be amazed by the amount of liquid that the onions and chicken generate.

 

Also made were the Chili con Carne


And the Green Chile Sauce


 However our experiment with making Harissa from chile powder was less successful

 It came out too grainy and the chile flavor overpowered the other flavorings. And despite a lot of additional fluid added, it was too thick.

I tried to 'fix' it today but was not terribly pleased with the results. Sadly I have a ton of it so it will be a while before I try again with chile pods.

Sunday, November 3, 2024

Europe Fall 2024 - Finale, Great Navel Gazing Post

We are back home after a relatively uneventful trip back home. Actually with the exception of the chaos of our getting out of Alicante to Amsterdam, the rest of the trip was smooth. We were even able to get our bags in Albuquerque and secure an Uber home in record time. Both Wife and I have done a good job at managing the jet lag and have been very productive despite having only been home for a couple of days. The transition from the travel life state to the home base state has been relatively smooth. I will discuss that in the next post. But, as I have done ever since we started our significant travel life a decade ago, I will conclude with my analysis of our experience or as #3 has called it the 'deep navel gazing'. 

Accept and Enjoy

The backdrop of this trip was Wife and my desire to transition from travel oriented on going to many places to a more single location oriented model in line with our decreasing capabilities as we age. However, finding the 'place', that locale where one would be happy going back again and again had proven to be a mighty challenge. 

Thus a major goal of the first part of our trip was trying to find this elusive 'El Dorado', the place that would have all the features we wanted. As you know, that turned into an exercise of extreme frustration. We even carried this attitude of looking for the 'perfect place' into Spain when we first arrived in El Campello and started to visit the other coast side towns of the Alicante area along with the accompanying frustration.

It was at this point that Wife had a powerful realization. Something she had read talked about the importance of accepting, meaning accepting where you are at and taking joy in that as it is. She said she was ready to make that leap. And if she was, I sure was too.

From that point, we just immersed ourselves into our lifestyle in Campello. I wrote four posts on the specifics of why this small city resonated with us and why the specific apartment we were in was such a big part of it.

The Transition Bullet Train Keeps Chugging On!

In July, I wrote about the growing realization that my 'transitioned lifestyle' was not an even but an on-going process with (it seems) no end in sight. I took this to heart for this trip. 

First, had to do with letting go of managing Theodora day-to-day. My Board members (aka #2 & #3) had beat me up with this at our annual meeting in July. When I was in Ghana in August, I worked with the team to let them know they would have to take responsibility for their day-to-day work. And with my departure to Italy in September, I did just that. And, low and behold, the team stepped up and have taken care of just about all of the regular execution of their business. I will write a separate post about this as it is actually a fairly major accomplishment.

Second was now filling in the time that we'd created by not running around all the time, and, for me, the time I was using to manage Theodora. We did this by renewing projects we'd both put on hold. Wife threw herself into her photography. She essentially created her own 'course' by going to multiple online resources. I found my 'new' passion going back to an old one, the writing of my 'Story'. This had been essentially been on hold/stuck (depending on your point of view) the whole time I'd been creating Theodora from scratch. Suddenly, I found breakthroughs in the story line. There followed an out flow of ideas that have led to an outlining of the end of the current book in the series, along with the first parts of a next book. I will write more about this in a future post.

Pluses and Minuses on the Physical Capabilities Front 

One of the most amazing things of this trip was a rebound of sorts by both Wife and I in our physical capability. Please! Don't get me wrong. We are not suddenly back in our early 50's. But over the course of our trip, particularly while we were in Campello, we found ourselves doing more and more walking, and particularly climbing. Issues we've both had for quite some time, seemed to mellow out.

Be assured, we felt it. I think there is another whole post I can write on dealing with pain as you age. But the point is we were doing things we couldn't do just last year. We still had to be very circumspect and not do too much, stop when we recognized the signs that we were going over the limit. 

But it was a joyous realization. It made us much more upbeat about what we will be able to do going forward. 

Now the negative. It is so clear that there is only so much stress I can handle. And if you combine stress with significant load bearing physical effort (i.e. moving luggage around), I am going to go into an exhaustion mode pretty quickly. This was fully brought to light during the Italy part of trip with our having to find and move into many different lodgings. I would find myself completely drained and barely capable of doing anything. Scary. Fortunately, it would only take 2 to 3 hours of rest for me to bounce back. Nonetheless, this yet another motivator to make the transition to staying at one place for longer periods of time.

The Miracle of Our Being European Drivers 

A key to our ability to do as much as we have done traveling in Europe during the decade of the transitioned state has been our ability to drive. I discussed this right after we arrived in Italy. As we continued our trip, especially during our time in Spain, I continued to be amazed at how much we've learned and incorporated. I am very proud to say during this trip we managed to not have ourselves inserted into narrow, dead end mountain village roads. We only went the wrong way in parking garages when there was little to no traffic. And for the most part, our guests seemed to not have their hair turn white while they were driving with us. I know this is a bit egotistical ("but hey, you're de-I? Isn't egotistical a synonym for you?") but I take a lot of pride in Wife and I (for we are a total team in this) in our late 70's being able navigate and get around in Europe.

Sharing the Experience 

One of the joys of our stay in Spain was our ability to share what we were enjoying with others. We had our niece, RMG, visit us. We went to see our granddaughter, 2.2, in Valencia twice. We had the VEFS mercenaries 3.1 and 3.2 visit us from Sweden. Seriously. This was such a joy. 

How Good Was This Transition? We're Going Back 

Yes, even before we had completed our trip, Wife and I talked and decided we wanted to come back to Campello, to this same apartment in 2025. And we have so committed. We booked the apartment again for October 2025. All our guests from this year have already expressed interest a desire to repeat. This is so exciting.

Conclusion

So there you have it. Two months of European travel with a lot of beauty and enjoyment. Some great personal growth and I believe the laying of a foundation for the next stage in our personal travel adventures.

Age: The Final Frontier. These are the voyages of de-I Sandia Outfitters' Eldership. Its mission to keep going and not stop. To go boldly go where few elderly have gone before.

Thursday, October 31, 2024

Europe Fall 2024 - Last Foodie Post

The enjoyment of our apartment in El Campello with its great outfitted kitchen, beautiful views when we ate, and access to the markets, meant we did way more cooking and eating at home than going out. Still, this is a de-I travel adventure and food will always be a major component of the tapestry of our trips.

Chocolate and Churros

This is one of the Spanish classics. Their hot chocolate (when made properly) is like a hot chocolate mousse. The churros are salty crispy fried dough served with granulated sugar. What's not to like? The Valor chocolate company (a really high quality brand in our opinion) has branded restaurants all over Spain offering it. 

Whoa! That's a lot of fried dough


Well it turns out the whole thing was mostly too rich for our taste. Oh well. (BTW we did finish every last churro!)

 Home Cooking

I had a bunch of things left in the fridge and this is what I came up with

The sausage was a chorizo. I did a take on deep frying it to get a really crispy skin (something I'd not tried before). The green beans are a broad type you find all over Europe but almost never in the U.S. They were done in olive oil and garlic. The potatoes were a not quite mashed potato cooked in fat until there was a lot of crispy parts. When your grandchildren eat every last morsel of what you've cooked, you can be happy indeed.

Success Eating in Tourist Land

After our successful assault on Santa Barbara Castle in Alicante, it was time to feed the mercenaries (and their employers). The central part of Alicante along the water is 'tourist central'. You can find a lot of mediocre, over priced food. However, with us being so tired, I was not going to totally fight the realities. However, I did stay off the waterfront itself. We ate a place that was on a Plaza. The menu was pretty standard for the area. However, here is where we had a very pleasant surprise.

We purchased a number of Tapas. There is a lot...A LOT...written that these tourist restaurant dishes are not 'authentic' tapas which are small plates that go along with the long drinks process the Spanish enjoy. Nonetheless, a lot are based on things found in real tapas places. One of the major complaints is you pay way more for these in the tourist restaurant than you do in a real bar serving tapas. However, we did a bit of post eating research by looking at the cost of things on site at various places. What we found was, yes the tourist places charged much more. BUT they also were serving full servings, not small bites. For example, in the meal I will describe below, each portion was the equivalent size of 4 'real tapas' servings. Analyzing the prices accordingly, there was not that big a difference in price.

The VEFS (Viking Expeditionary Force from Sweden) relaxing, eating Spanish tapas in the conquered city of Alicante.

 

 Tempura Shrimp - Hardly a classic of Spanish cuisine but raved on by the three women of our party.

 Fried Brie, also not a classic, but again the women loved it. This place did deep frying exceptionally well.

Well Fries are Fries and the mercenaries loved them


 Now. On to what de-I loved.

Croquettas. These are so often insipid. But this version, you could really taste the ham.

Abondigas/Meatballs - these too are often tasteless. But no, here they were really flavorful

 

 And could a meal like this be complete without Ensalada Rusa? No!

 Honestly, I keep being amazed at the variations on this seemingly simple theme.

Nothing says conquest like a good Helado!

 Hasta Luego Espana

A big part of Spanish culture is taking a drink and just sitting and contemplating the world whether through conversation or just by one's self. We didn't do enough of that. But on our last day in El Campello, I did just that with a coffee as Wife did a last photo shoot.

 

 Unexpected Treat in Amsterdam

Flying back, we overnighted in Amsterdam so as to not totally kill ourselves. Airport hotels are an iffy lot at best. We were not excited at all about eating at the hotel. Fortunately there was a town only 15 minutes walk from the hotel where we found,

A sort of bar/gastropub/restaurant

The menu so intrigued us that we each had a first course while sharing the main. That turned out to be a very good idea.

Wife's whiskey and my dark beer


My first course, a selection of cold fish including tiny shrimp, smoked eel, and cured salmon. For those of us who enjoy such things, it was very delicious. The shrimp in particular were thumbs up because often they are tasteless.

 

 Wife had a French Onion Soup. She said it was a bit more tomato flavored than she usually saw. But she ate every drop. 

 

(An Observation: Wife hates, HATES, wet bread. Any moisture touching her bread product and it becomes taboo. So no dipping bread in sauces, or bread puddings, or anything like that. With ONE exception, the cheese covered bread on French Onion Soup. She scarfs this down like it is the ambrosia of the Gods. I asked for a bite to try it and was told in no uncertain terms, "No Way". Evidently cheese covered soggy bread in French Onion Soup is its own unique food group.)

It was accompanied by a very lovely dark bread.

 The main course we split was a huge wienerschnitzel with bernaise sauce, frites, and salad. We were very glad to have split it.


 UNBELIEVABLE! A really good U.S. Airline Business Class Meal!

If one flies international business class a lot (which I have over the last 15 year), you find there the quality of catering can vary substantially depending on the airline and the city from which it is flying. In general, while the food and service is miles better than in Economy, it is not usually anything to write a blog post about. This is especially true of the major American carriers (United, Delta, & American). So you can imagine how SHOCKED I was when the meal we were served on our flight from Amsterdam to was not just okay, it was excellent. I mean blog worthy.

Let's start with...

 This was one of the wine's offered. How many times before have I seen a Chateauneuf du Pape on an airline? 

0

This particular wine retails for about $50 a bottle.

The first course was a very nice cured salmon (hats off the Netherlands catering?

 Accompanied by nice Dutch dark bread and butter

 The main course was a braised Pork with white beans. It was good enough that I ate very bit.

 All in all a perfectly fine ending to our trip

A Final

SIGNS OF THE WORLD

Badhoevedorp, Netherlands, Capital of Formula One Tow Truck Racing.