Earlier yesterday, before the rain came, I was sitting on the windy terrace hoping a brave bird might come out. A couple of doves flew by, but this Great Kiskadee was the only one brave enough to land in my Guarumo Tree (Cecropia) with a pretty strong wind bringing that rain cloud we got later. Notice how the feathers are affected by the wind. Not a normal pose, but an interesting commentary on the windy day we had yesterday before the afternoon rain.
Great Kiskadee in the Wind, Atenas, Costa Rica
Read more about the Great Kiskadee on eBird. He is one of the most common birds here and his song or call sounds like his name, “Kiss – ka – deeeeeeee.” He is found almost everywhere in Central and South America, with only a few strays making it into the Southwestern U.S.
Biopsy Report in Tomorrow’s Post
It is intentional that I have been very honest and factual about my new adventure with cancer while living retired in Costa Rica. And I will continue to be. This afternoon at a 2 PM appointment with my surgeon in downtown San Jose, Costa Rica I will receive the biopsy report and his “plan of attack” including possible radiation treatments.
He doesn’t know that some of you have been praying for it to be benign or not a cancer and we might receive that surprise blessing this afternoon, but if it is like all the others he has removed similar to mine, then we will do whatever is necessary and still give God the praise anyway! 🙂 He’s going to see me through this!
I’m wearing an eye patch all the time now because it hurts to have an eye open that can’t blink or close. We will be discussing possible solutions to that also this afternoon and the left side of my mouth. But they are secondary to dealing with cancer.
And because several blog-followers are considering retirement in Costa Rica like I did, I am going to share the costs of this major surgery and what my other options could have been and discuss 3 or more options for radiation, whether needed or not.
A lot of you asked that question, and the answer is sort of a “figure of speech” or a euphemism for an asymmetrical smile or lopsided smile or even a sneer or smirk. 🙂 Possibly the name “Texas smile” came from one of those old cowboy movies my doctor saw, who knows? But that’s what my Costa Rican surgeon called it when, because of the cut nerve, I cannot lift the left side of my lips when I smile. But I’m not sneering! 🙂 Just not functioning normally and hopefully with some exercise we can call up some other nerves to help left that side a little more than now, but no promises. Same hope for blinking and closing my left eye which is burning most of the time now because I cannot blink or close it. In fact that is even more important to me! At night I now use an eye patch and put an ointment in my eye. My two big challenges before we even find out if the tumor was a cancer. Hopefully I will not permanently be “the sneering, one-eyed Charlie!” But if so, I’ll make the best of it! 🙂
The scabs on my lip are where the dermatologist removed growths earlier and they are just slow to heal. And of course I can’t shave on my left side with cheek and neck swollen and sore, so I’m an ugly mess! Like an old house or old car, everything breaking down at once! 🙂
Drainage Tube Removed Tomorrow
At least I have that to look forward to! Tomorrow afternoon the doctor sees me again and says he will remove the drainage tube which is a real bother. Then I think I will have one other post-op visit in another week when I will learn if cancer or not and what else we need to do. So seemingly always something else, but we are getting there – step by step.
Drainage tube from my neck to a little plastic bottle until tomorrow afternoon.
Dinner Delivered to My House Every Afternoon
The ladies of Roca Verde have been wonderful! Delivering a “soft” food dinner each evening that will continue into next week. I’m really getting the “royal treatment” from my neighbors! And its looking like enough leftovers for more extra meals than I will likely need. This is the life of being “Retired in Costa Rica!”
Plus Prayers from Around the World!
I’m so thankful to have so many friends and family around the world who believe in prayer and have assured me they are praying for no cancer and a quick and complete recovery. Wow! I’m a fortunate person in so many ways! 🙂
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.
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. 🙂
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!
Puntarenas is Costa Rica’s Pacific Coast Port and the closest port city & beaches to Atenas where I live. Christopher Howard has a nice little article on his blog/website that tells all about the coming changes:
PUNTARENAS GETTING A MAKEOVER FOR COSTA RICANS, TOURISTS AND EXPATS TO ENJOY THEMSELVES. I’m especially excited about the return of the train from San Jose to Puntarenas which will probably again make a stop in Atenas. Another way to travel to the coast! But there is no way the train tracks will be ready by 2022, especially if they have to rebuild that Rio Grande Bridge in Atenas!
My first experience with Puntarenas was from a 2011 Tampa to San Diego Panama Canal Cruise when the cruise ship stopped for a day in the port of Puntarenas. The Feature Photo at Top and the one below are from that trip as well as the following slide show:
Members of the ARCR (Association of Residents of Costa Rica), an organization formed to help expats get to and live better in Costa Rica get a subscription to the bimonthly magazine El Residente and I hope this link to the March/April 21 issue works for non-members! 🙂
The first main article in this issue is titled “Adventure by Chicken Bus” which is actually one chapter of a book by the same title, this chapter about the Canadian family traveling Central America while homeschooling is specifically about their efforts at helping Costa Rica save the endangered sea turtles on our east coast. A great story for nature lovers and wildlife preservers that will make you want to visit Costa Rica.
At the end of the story is a link to the book by this family’s mother and school teacher, Janet La Sole, Adventures by Chicken Bus, An Unschooling Odyssey Through Central America.Be sure to check out the tab “Chapters Gallery” which summarizes the chapters and where all they traveled through pretty much every country of Central America. Amazing! And they were backpacking with two young girls! That’s her book website. If you want to purchase, go directly to Amazon.com Adventures by Chicken Bus.
And in case you don’t know, “Chicken Bus” is the nickname for the small, rural, cheap buses (Used U.S. school buses painted bright colors) found all over Central America for cheap rural or out of the way places of travel. We do have big, modern buses in Costa Rica between major cities and towns and major tourist attractions, but these are common all over rural Central America and yes, they do carry their chickens on these buses. 🙂
Back in May 2018 I reviewed here and told about the Costa Rica made movie “Güilas” the title of which is the Costa Rican slang word for children like American English “Kids.” The movie is actually seven short stories about seven different kids, each in a different one of the seven provinces of Costa Rica thus visually showing many parts of this beautiful country and its varied cultures by my favorite Costa Rica Photographer, Sergio Pucci (I use one of his CR Calendars every year for his beautiful photography!). This is one of the best movies I’ve ever seen anywhere and is definitely the best one on the culture of Costa Rica! Well worth $10 USD from Vimeo!
One of the 7 Stories:
One of the seven short stories – this in the Caribe, Limon Province.
