Leslie receiving a chemotherapy infusion. Our daughter Stephanie gave her the neat blanket. Notice that she’s smiling!
For once I can say things are going to plan — the revised plan, that is. Leslie’s first infusion of chemotherapy back in July hit her hard (see last post). So her medical oncologist changed the protocol. She’s now getting a full dose of chemo, but in thirds over a three-week period: one-third this Thursday, one-third next Thursday and the final third in the third week. Then a week off and do it again.
There are some issues with side effects but she’s not debilitated like back in July. We were able to go to church on Sunday, then out for dinner Sunday evening. And she helped me do grocery shopping yesterday. Her hemoglobin (red blood cells) is much better.
Each infusion begins on a Thursday about 7:30 a.m. with a blood test and a visit with Dr. Schwartz, the oncologist. The infusion is generally finished between 12:30 and 1 p.m., and we go to one of our favorite Weston-area restaurants for lunch.
Last Thursday was an off week because Leslie completed Dose Three on September 14. This week she begins Dose Four with 4.1 on Thursday. If all goes according to the new plan, the final infusion will be on December 7. Then we head to Nashville to spend Christmas with Stephanie and her two cats.
The next big decision is whether to have radiation therapy after the chemotherapy is done. Leslie is still gathering information on that option, but right now we both believe radiation could do more harm than good. The decision on that will come later. There’s no rush.
Meanwhile, I was able to go home early this month for a little over two weeks to get the house ready for our next set of house/cat sitters. Many, many thanks to Catya and Dany, now good friends, for their efforts. Long-time friends Susan and Rex are living in our house now and being a great help. Gracias!
Leslie’s sisters Laura and Cathy took turns taking care of Leslie while I was gone, and Stephanie made another long-weekend visit. For a few days, all four of them were together, and I think they had way too much fun!
More later!
Physical therapy is important. Leslie does her exercises in the pool when possible because the resistance of the water helps. And because she really likes the pool!
The Braathen Center in Weston, Florida, home of Cleveland Clinic’s Maroone Cancer Center. Leslie’s infusions take place on the third floor.
I promised to keep everybody informed as Leslie and I begin this journey of chemotherapy. I just thought I would be writing something different.
At this point we expected Leslie would have breezed through the first two infusions of chemotherapy. However, the side effects from the first infusion hit like a speeding train. We anticipated nausea and vomiting, but it was minor. We anticipated exhaustion and loss of feeling in the fingertips, and those came as expected. We anticipated hair loss, and that is continuing.
What we didn’t expect was diarrhea so bad it caused extreme dehydration. Just a few days after the infusion, Leslie was taken to the Cleveland Clinic Emergency Department with dehydration and extremely low blood pressure. Doctors admitted her to the hospital where she stayed six days and came home weak and unable to walk more than a few steps — about what you would expect after being in a hospital bed for almost a week.
Back in our temporary quarters, she seemed to be improving. But after just two days at home, she checked her temperature one night and had a fever of 101.6F. We followed the post-infusion protocols which stipulated going to the ED for a temperature that high, thinking they would give her antibiotics and send her home. Unfortunately, the doctors couldn’t find a source of infection so she was admitted once again and stayed three more days, getting a platelet transfer to help her get through the second infusion.
The third day in the hospital was because Leslie tested positive for COVID-19. Of course, so did I. Neither of us had any of the traditional symptoms, except a bad cough. And this is when we were moving into more long-term quarters.
Because of the side effects from the first infusion, we were afraid of being too far from the hospital. So we opted against going to a friend’s condo in western Florida because it’s a 90-minute drive from the Cleveland Clinic campus in Weston. Instead, we got an AirBnB just 30 minutes from the hospital in a quiet neighborhood north of Fort Lauderdale.
Our temporary home in Fort Lauderdale’s Imperial Point neighborhood.
The second infusion was scheduled for July 27. Based on what happened after the first, her oncologist has revised the plan. Starting today (August 3), she will get one-third of a normal dose once a week for three weeks. Only one hour in the chair as opposed to three. So the schedule now is three weeks of treatment on Thursdays followed by one week off to let her body recover. Then three more weeks for Dose #3 and so on. Her doctor believes that will help prevent a recurrence of the side effects. The downside is we will most likely be here in Florida through Christmas.
Despite all that, Leslie is feeling positive and is focused on finishing the course of treatment to prevent cancer from coming back. She believes God has her in the palm of His hand. She’s getting stronger every day and is delighted to have a nice pool in the back yard of our temporary home to do some water exercises. She’s also getting regular visits from home health nurses and a physical therapist.
We’re looking forward to getting back home to México as soon as possible.
Leslie is doing physical therapy exercises in our pool.
This is just a quick post to let you know Leslie and I are just fine. We think we’re very safe here in México, and we’re actually worried about our friends in the U.S. and Europe because of the coronavirus.
As of this writing, there are 316 cases of the virus in all of México and only 27 in the state of Jalisco, which includes Guadalajara with nearly 1.5 million people and Puerto Vallarta with over 200,000. It also includes the Lake Chapala area where we have made our home with hundreds of other ex-pats. Of those 27 Jalisco cases, 10 were in a group of people who went on a ski trip to Vail, Colorado, and contracted the virus there. So far, only two people have died from the coronavirus in México.
We’re hoping for the best but preparing for the worst. We know those low numbers will go up, and maybe soon. In Jalisco, schools are closed, concerts and plays have been cancelled, and churches have suspended all activities. Even our bank will only allow five people in at one time. The governor has asked non-essential businesses to close for a week. Even the weekly outdoor market, the tianguis, has shut down. My Spanish class is now being conducted via Skype. Many restaurants are offering take-out orders, and one of our favorite places will even bring your order right to your car.
Our community, Riviera Alta, has suspended weekly social hours and closed all common facilities (pool, library, gym, tennis court) for a week. We have a number of high-risk folks here. Some are merely among the “elderly” group and a few have compromised immune systems. Some of our Canadian friends have already gone back north
My old buddy Jerry — back in our Army Reserve days — used to remind me of the ancient curse that goes, “May you live in interesting times.” Now I have a better understanding of that line.
Leslie and I wish you continued good health — now and when we are once again living in uninteresting times. We’ll keep in touch!
It’s been smooth sailing (relatively) as Leslie and I head for Europe the old-fashioned way — by ship. One of those random thoughts I’ve had on this trip is about people like my ancestor John Rogers who left his home in Laugharne, Wales, in 1635 and sailed west to find his fortune in Surrey County, Virginia.
He sailed on a ship called George. I’m sure it was quite small, probably less than one-quarter the size of Celebrity’s Reflection, and I’ll bet the North Atlantic waves bounced that little ship around fairly well. We started out in five- to eight-foot waves, but for the last two days and nights it’s been more like 11- to 18-foot waves. The captain promises that will change tomorrow. This is a huge ship, but there are some big waves out there that sometimes make passengers (crew, too) walk like drunken sailors. So far, my motion-sickness patch is working perfectly.
I doubt my ancestor’s ship had a huge international crew, as this one does, to serve the passengers and meet all their needs. I’m willing to bet the facilities were quite limited: No pool, no library, no fitness center or jogging track, no shore excursion options, and likely no restaurants. In some cases, passengers on 17th century ships sailing to and from the New World had to bring their own food for the journey, which could take a month or longer. Our ship has 15 different restaurants, and we’ll be in Europe in less than two weeks. Plus, we have all the amenities mentioned — and then some.
Our stateroom on Deck 9.
It’s quite possible John Rogers didn’t have a private stateroom with his own bath, and he most certainly didn’t get room service for any meals. We not only have a nice stateroom, we opted for one with a king-size bed and a private veranda, from which we can see the Atlantic Ocean — and nothing else. A few days ago we had breakfast on our veranda, which seemed decadent. But we’ll just ignore that and do it again soon.
There’s a pool and a solarium, with deck chairs and lounges on all the upper decks. Leslie and I have both gotten haircuts, and she’s made use of something called “The Persian Garden” several times. They have a room full of tiled chaise-like loungers that are heated. Great place to meditate or nap. Crew members are from many different countries. We’ve been served by crew from Mexico, Jamaica, Honduras, Philippines, Serbia, Ukraine, Macedonia, Malaysia, St. Lucia and South Africa. They all smile and say “good morning,” and they do a great job.
Great view from our veranda. We’ve only seen two or three other ships on the horizon, and those were very far away. This is our normal view. Look at the color of that water. No, it doesn’t get boring.
If we had a complaint it would be that we are required to reset our watches one hour ahead almost every night during the passage. That means we lose an hour of sleep, but it also means we gradually adjust to European time. I think we have one more “spring forward” to put us seven hours ahead of Chicago time. We’ll be in that time zone until we head back to the U.S. in mid-July.
Celebrity tries to keep the passengers entertained. There’s a show every night in Reflection Theater and musicians perform at various spots around the ship, mostly near the bars. There are games, lectures and special sales in the many shops that line Decks 3 and 4. Leslie and I enjoyed a wine tasting a few days ago. We tried reds and whites from the U.S., Austria, Spain, South Africa, Argentina, Chile, Australia and New Zealand. A few were just okay, but two or three of them are now on our list of, “buy this wine whenever you can find it.”
Fellow wine lovers sample a Spanish red blend and a terrific Austrian riesling. This event was quite popular.
It’s interesting that many of our fellow passengers are from Europe. We met a lovely British couple at dinner a few nights ago, and we’ve encountered people from Canada, France and Italy. That gave me a second weird thought: I wonder how many of these folks are just going home from a long vacation and they’re afraid of flying? Hmmm.
Not much else to relate. I’ll try to post again after we’ve visited our first port, which is Tenerife in Spain’s Canary Islands.
If you’ve been following us since the beginning of this sojourn, almost eight months ago, you know Leslie and I are looking for a place to live in retirement where we will “never be cold again.” So imagine my surprise when my lovely wife said to me: “I’ve learned one thing living in Mérida. It is possible to be too hot.” Yep. And, I might add, too humid.
It is incredibly hot here. Oppressive heat. Excessive sweating heat. Two showers a day heat. And we’ve been asked to use the air conditioners in the house sparingly because they use a ton of electricity and it’s supposedly quite expensive. If a house uses too much electricity, the state government can charge a higher rate. But what prompted Leslie’s comment is the amount of fun we had on Tuesday (May 23).
We had finished breakfast and were planning our day when the power went out. AC was not on in any room at the time, but we checked to make sure no breakers had been tripped. They had not. We contacted the rental agent for this house and she said it was a city-wide power failure. Later in the day, we learned that the entire Yucatan Peninsula was affected, from Cancún to Campeche. We heard that even parts of Mexico City were affected. This, on a day when the high in Mérida was forecast to be over 100° F. and the heat index around 105°. We spent most of the day in the pool.
We’re smiling because this was our refuge from the heat during the power outage. Somehow, the pool water stays fairly cool even when it’s 100 degrees or more every day.
So even though we have about two weeks left here, Mérida is officially off our list. I still want to tell you about the cost of living here, because it seems to cost less to live here than in the other two Mexican cities we have tried. That makes it hard to eliminate this city, but there are reasons other than the heat and I’ll explain them in the final post from here.
This is strictly anecdotal, but taxis seem to charge less here than in Puerto Vallarta, for example. A ride I would have expected to pay $70 to $80 pesos for in PV was only $50 pesos here. Leslie bought two new pair of shoes a few days ago for about half what the same shoes would have cost in the U.S. There’s a small farmacia (drug store) right off Santiago Park where I bought some Advil, 24 tablets, for $2.70 USD.
Restaurant prices seem generally lower here — even lower than in other Mexican cities. I took Leslie out for dinner on Mother’s Day (even though she’s not my mother) at Apoala, a nice place that features food from the Mexican state of Oaxaca (wah-HAH-kah). Leslie had sea bass and I had a roast pork dish with black beans. Dinner for two, with wine, was about $60 USD. We would easily have paid over $100 in the U.S. for that meal. And we enjoyed breakfast this morning at Maize, Canela (cinnamon) y Cilantro. I had Mexican-style eggs (scrambled with tomatoes, onions, serrano peppers and chorizo) and refried black beans while Leslie had an omelet stuffed with chaya (a Yucatan green, similar to spinach). With one hibiscus tea and one cup of coffee, the total bill was $170 pesos — less than $10 USD.
Grocery store prices vary somewhat, as usual, depending on the store. Here’s a brief list of purchases at the three supermercados we’ve been to so far — Mega, Soriana and Wal-Mart:
premium OJ, 1L, $1.14
oatmeal, 800g, $1.62
rice, 900g, $.85
medium red onion, $.33
gluten-free bread, $5.17
almond milk, 946ml, $2.49
bacon, 227g, $4.18
1 dozen eggs, $1.07
boneless, skinless chicken breasts, 1K, $4.73
paper towel roll, $1.41
coffee, 340g, $5.00
cilantro bunch, $.36
Contrast that with the mercado near Santiago Park, where lots of locals shop. A bag of limes — 13 of them — cost five pesos. Five. That’s only 27 cents USD at today’s exchange rate. At Nature’s Best in Westmont, where we used to shop regularly, you might get five-for-a-dollar on special. We also bought two nice Mexican squash and two large zucchini, all for 38 pesos, or two dollars.
At the other end of the market spectrum is the weekly Slow Food Market, where prices are higher but so is the quality. We pay roughly $30 pesos ($1.62 USD) for a bundle of lettuce — several different kinds — that usually lasts all week. Another vendor sells homemade hummus for $50 pesos, which is $2.71 USD. Closer to prices in U.S. stores, but frankly some of the best hummus we’ve tasted. Then there’s the sausage lady, the tamale guy, the gringo couple selling smoked meats, and the woman who sells various cuts of lamb. All high quality but on the pricey side — relatively.
And tonight we’re going to a performance by the Yucatan Symphony Orchestra at Teatro José Peón Contrearas. I paid $400 pesos for two main-floor seats. That’s about $22 USD for two tickets. The cheapest orchestra-level seats at Symphony Center for a Chicago Symphony Orchestra concert are $56 a pop. Okay, that’s like comparing a nice Honda Accord to a BMW 7-series, I know. But you get the idea.
As for real estate, it’s a mixed bag. We’ve walked past a lot of really nice updated homes in the Santiago neighborhood sitting right next to a run-down rat hole. Sometimes between two run-down rat holes or empty shells. And we haven’t seen much outside our neighborhood. I’ll do a little more research and report on real estate prices next post.
Just wanted to leave you with a shot of our pool. It’s small but deep, so we can cool off.
We have arrived in Puerto Vallarta, Mexico, and the difference between this city and San Miguel de Allende – where we lived for the past six weeks – is amazing. It’s bigger. More than 300,000 in the metropolitan area, with lots more traffic. It’s a beach town at sea level, with high temps and moderate-to-high humidities. Even more Americans and Canadians.
Leslie and I were able to rent a modern three-bedroom condo in Marina Vallarta that backs up to a golf course. We have a small pool in a huge outdoor space with lots of tables and chairs. We’ve already had one visitor (see photo below)! And we’re seeing (and hearing) a number of birds I can’t easily identify. A sparrow-sized cutie with a reddish-pink head and chest, a larger bird with yellow on its chest and a streak from its eye backward along its head, and a woodpecker. And what I think may have been a goldfinch – not sure.
Saw this small iguana joining us on our first day in the sun! I didn’t have a snack to offer, so he left!
Hal, our Canadian landlord for the next two months, has a local administrator for his property. Rosanna picked us up at the airport on Wednesday and gave us some pointers on the marina area.
“It’s very safe here,” she said. “You can walk all around the area any time of day or night and you’ll be safe. Just one thing that you must never do: Never, ever, walk across the golf course at night.”
I was having a difficult time figuring out why. Would we be attacked by banditos lurking the links after hours? Bopped on the head by golf balls from blind golfers playing in the dark to avoid crowds? No and no.
“Crocodiles,” she said. “In the dark, you might step on one, and they don’t like it when you step on them.”
Right. What’s now a huge marina with lots of boats and tons of shops and restaurants, not to mention a plethora of condos, was once a swamp. There are still crocs here. It’s their habitat. So the danger is from wildlife, not from a wild life.
In English: Danger. Crocodiles. No Swimming.
Rosanna has been very helpful. On Friday, she took us on a tour of Vallarta, showing us a bit of the old city and pointing out areas we will need to explore in depth over the next two months. She also took us to a local mercado for fresh fruits and vegetables, as well as seafood and meat.
There’s also a Wal-Mart and a Costco, in addition to Mexican grocery stores very much like the one we patronized in San Miguel. More on cost of living next time, but at first glance it appears prices are slightly higher here than in San Miguel.
We attended our first Vallarta ex-pats dinner on our second day in town. A number of them live here in the marina area, including Mike and Sara, the group leaders. There’s a social event almost every week.
We also attended Sunday morning services at Iglesia Cristo del Mar, or Christ Church by the Sea. But…it’s not really by the sea, more like on a really busy street close to the airport! I dressed as I would for any summer Sunday at Grace United Methodist Church in Naperville. Boy, was I overdressed! Shorts and t-shirts are not out of place here. It’s another outpost of the Anglican Church in Mexico, like the one we attended in SMA, and we enjoyed the service in what is essentially a big open-air palapa. Nice people. We will be back.
We’re really excited that John and Anne Mixen, friends from Grace UMC, are right here in Vallarta this week for a well-deserved vacation. We’re meeting them this evening to watch the sunset and enjoy dinner and conversation.
I’ll leave you with the view from our patio toward the golf course. We planned to do things today but we’re still on the patio because of a comment I made during lunch, “This is just about perfect, and you don’t often get perfect.” Maybe more often here in Vallarta. We’ll let you know.
Hasta luego!
Looks great, doesn’t it? Behind these lounge chairs is a round table with four chairs where we’ve been having lunch almost every day. The only down side to this space is watching the golfers on what appears to be the 18th fairway. I don’t play golf, but know a lousy swing when I see one. Have to keep myself from yelling, “follow through, dude!” or “Hey, your stance is too wide!”
Ex-pats in Mexico 