Tag: radiotherapy

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FAVE BIRDS: The Next Blog Series + Health Update

Starting tomorrow I am going to share some of my favorite bird photos out of literally thousands of over 350 species of birds here. It has been very difficult to choose just a few favorites. I started with 40 and whittled it down to 21 and gave up after that, so over the next three weeks I’ll be sharing 21 bird photos of 21 different species of birds found here, introducing the species, including a link to the eBird description, a link to my gallery on that species, and I’m writing a “Backstory” about each particular photo I’m sharing. It seems that there is a story behind every photo! 🙂 I hope you will find it interesting and revealing about Costa Rica for both nature lovers and birders! And oh yes, the two bird photos in this post did not make the cut for a feature, so they decorate this post! 🙂

I’m working ahead on the series and trying to make each blog post a visual work of art as well as a valuable chunk of information about a bird species in Costa Rica, including where I found it and which lodge I stayed it. I trust they will become valuable tools for future visitors and new expat residents of Cost Rica, starting tomorrow with the beautiful Resplendent Quetzal!

Yellow-throated Euphonia & the Feature Photo at Top is a Gray-cowled Woodrail

Update on My Health and Latest Cancer Report

First, I recently had the same CAT Scan (called TAC here) they did to diagnose the cancer and it shows me totally cancer-free after the surgery and 7 weeks of radiation. That is good news!

Now the effects of the radiation still have not all gone away and usually do not for about a year for most patients, meaning I may be “normal” by next July. 🙂 The left side of my face & neck + the left ear are all still swollen or enlarged somewhat. That is normal the first year. My smile is almost “normal” now, not totally lopsided on right side only as after surgery. I will always have to deal with my left eye not blinking or being able to fully close. I use eye drops two or three times a day and wear an eye patch most of the time except for about 3 hours in the morning.

I am still low on energy or tired a lot, wanting to sleep more and that is normal for the first year they say. My taste has partially recovered though not totally and they say that can take as much as 6 months to a year to fully recover, so I’m much closer to normal there! Though my appetite is still not high and my weight is still lower than before. I drink an Ensure protein shake once a day to help keep me healthy and otherwise try to eat healthy.

Mentally/emotionally I am fine and generally have a positive attitude about life regardless what is happening. So in short, I’ve made great improvements and I’m overall feeling very well, just not planning as many activities as before. Plus at 81 I needed to slow down anyway! 🙂 And these new series of blog posts using past photos is one example of how I’m slowing down while remaining creative. But I will be adding new trips and new photos, just not as frequently now! 🙂

¿Cómo estás? – ¡Total bien! 🙂 That’s how most people answer here regardless how they really feel! 🙂 The positive and helpful attitudes of Costa Ricans is also healing to me! I’m so glad I live here now!

¡Pura Vida!

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My CANCER Adventure Book

Mostly my real time journal and blog posts plus photos and other information that is meant to be inspirational for someone else going through cancer, especially my specific Parotid Tumor Cancer with 68 pages and 87 photos, including a few of my nature posts during that time. 🙂

I also emphasize the value of nature in healing for me. And the title “True Grit” is explained in the book and on back cover, kind of funny! 🙂

You can see a free electronic preview at https://www.blurb.com/b/10778284-true-grit Or click the cover image below:

Me in front of Radiation Machine on book cover.

You can also browse through all my nature photo books while in the bookstore or click on Bookstore on the menu bar above.

¡Pura Vida!

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Halfway!

Yep! Today, Wednesday, 19th of May 2021, I am halfway through my cancer radiation therapy and already on the downhill side of the mountain! 🙂 I will get 33 treatments and today was #17, a half treatment over the hill! 🙂

The photo is of the computer screen where I check in each day with my patient electronic card that I swipe over that little black box’s red screen that pulls up my name and appointment time, etc. This info also goes back into the treatment room where the therapists are thus notified that I’m entering the second waiting room for patients only.

Patient check-in station, Twenty-first Century Radiotherapy, San Jose, Costa Rica

For those not knowing Spanish, “Por favor, aguarde a ser llamado. Muchas gracias.” means “Please wait to be called. Much thanks.” They call me in over a PA system when ready. Depending on who calls, they call for “Mister Charles.” or “Señor Charles” or “Don Charles.” These young therapists are very professional, kind, friendly and helpful in every way, making it a much more pleasant experience.

Now before any of that, I walk up to the outside door and wash my hands at an outside sink with a hand soap dispenser. Then I am allowed in where my temperature is taken and of course I am wearing a mask – all part of the national Covid protocols. I will be doing the above electronic check-in just 16 more times now! 🙂

On the walk back to hotel today, two parakeets squawked congratulations to me from a telephone line! 🙂 Too high for good cellphone photos, but here’s a try:

Continue reading “Halfway!”
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More Skilled Technicians

Yesterday’s post presented one team of skilled professionals who are administering my radiation treatments – that was Friday and this team was Monday, yesterday. I haven’t learned their shifts or schedules yet, but both of these pairs have worked on me and there may be others before this is finished! 🙂

Note that both yesterday and today the girls are wearing sweaters. It is pretty cold in that room because of the big computerized radiation machine which has to stay at a certain temperature without any humidity. It is cold for me too but I’m not in there as long as them. 🙂

Radiation therapists with my mask which now has a larger nose-hole because it was scrapping my nose.

It is noteworthy that Costa Rica’s higher education (free) leads all Latin American countries in training their young people for many different professions like this.

¡Pura Vida!

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Skilled Technicians

And I almost added “young” to the headline, but then everyone seems young to me now! 🙂

Every day they help me get on that table and screw this mask over my face to the table. Then they carefully position my body in perfect alignment with the machine’s image of my head, then the computer does the rest of the work in two 30 second scans of the left side of my face and neck targeting certain programmed areas with cancer-killing radiation.

And by the way,

Costa Rica Beats the USA in Soccer (Again!)

🙂

¡Pura Vida!

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Tired and Tasteless

Well, that second adjective is probably not used correctly, but I like alliterations! 🙂

By the end of the third week of radiation I am more tired than ever. And none of my food has a taste or very much of one. Over the weekend a neighbor brought me a spicy soup that had more flavor than most things now. And this is perfectly normal as radiation progresses. But they say in 5 or 6 weeks after completing treatments I will regain my taste. And I’m also sleeping later and later every morning with even nap in the day.

The photo was made by the technicians (their photo coming tomorrow) of me right after I completed the treatment Friday and put my shirt back on but no mask or eye patch! Just the one-sided smile! 🙂

Me in front of the big radiation machine by my treatment mask & table.

And you may have missed the post with me getting the treatment.

¡Pura Vida!

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Not a Mummy – Me in a “Mask”

I promised somebody I would show what my daily process of a few minutes looks like, as pitiful as I look shirtless. One of the young technicians made these three (requested) shots of me screwed to the table for the radiation treatment. I show up each morning by 11:45 and I’m walking back to the hotel by 12 noon usually. Quick and mostly painless (though the mask is really tight on my face). It appears more scientific than human, but believe me, the staff are all so friendly and nice and do their various jobs very proficiently. And they all shift to English when I walk in, though not their native language. Amazing! And I use my elementary Spanish with them as I am able, though not necessary here like at the public clinics and hospitals.

One outside person told me that this clinic is equal to Mayo Clinic in the states for Radiotherapy. I feel like I’m in very good hands. My radio doctor will conference with me every Tuesday until finished and work with me on any side effects, etc. And a nurse is always there plus other doctors always in the building. A very professional place that in fact does remind me a little of being in the Mayo Clinic with my brother Jerry, just not as big! 🙂

Notice the Screws holding me down with the mask.
Feels like being a mummy! 🙂
Everything must be perfectly lined up for radiation in the right places.

Are we having fun yet? Sure!

3 Days Down and 30 More to Go!

🙂

¡Pura Vida!

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My Tribal Mask

My Personal Radiotherapy Mask

Well, tribal in one sense, with only certain ones of us in the Radiotherapy Tribe! 🙂

This first day of radiation treatment took longer because I had to meet with the nurse to explain all the side affects and things I can do to make it go smoother. Then they had to readjust the mask made more than a week ago which is a mold of my head and shoulders. They screw it down to the table over my body and I can’t move my head at all. This is necessary to get the radiation in the right places which afterwards Dr. Bonilla showed me computer graphics of my head & neck and where the radiation is scheduled to go. Amazing how targeted they can be when I am in forced stillness! 🙂

Once I’m set up, the machine scans my head and neck from two angles, 33 seconds each time. This will continue for 33 days which now boosts me up to 6.5 weeks. I am now scheduled for 11:45 AM each day, Monday to Friday.

After today’s treatment I walked the 6 blocks back to my hotel which I love and will tell you about later. I looked in the mirror and was surprised that the left side of my face and head was a little pink, even on the first treatment! I have an expensive “Radiocare” lotion I will use on my face to help avoid the “sunburn effect” and sure enough, the pinkness went away with the first usage of the lotion. I also must wear a wide-brimmed hat and avoid all sunshine on my face and neck. I jokingly told the nurse that I would just make a larger “Covid mask” to cover my whole head! 🙂

Another “new normal” being developed here! 🙂 ¡Hasta mañana!

¡Pura Vida!

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Earth Day Hope

“Wherever there are birds, there is hope.”

~Mehmet Murat ildan

And of course this is just one of the many birds who have brought hope to my terrace here in Atenas, Costa Rica – A Keel-billed Toucan in my Cecropia Tree (link to my Keel-billed Gallery). There is hope that the big rich nations are waking up to global warming and their long-time destruction of our planet. And there’s hope in the battle against my destructive cancer. Below is my update of activities that finally make it possible to begin Radiotherapy Monday.

Second Covid Shot this Morning

Quick and painless. I walk into the temporary vaccination clinic ahead of my 8 AM appointment, paperwork done quickly with shot even quicker and I was out of there before my appointment time. 🙂 I walked home, having taken a taxi to the clinic. With my knee no longer hurting I’m back into walking more and hopefully every day during radiation, though I will have to wear the big wide-brimmed hat they tell me! I must avoid sun during radiation.

Tomorrow Morning Stitches Removed

Tomorrow (Friday) morning at 9 AM I see my Ophthalmologist in San Jose who will remove the two stitches from my left eyelid and supposedly this is going too help me use my left eye for longer periods of time without an eye patch. So far I’ve gone up to 6 to 8 hours at a time without covering it. Reading tires it out more than general activities like kitchen work or even a little TV. I seldom watch more than an hour a day, if that much. For Earth Day I found a special on the internet streaming channel Curiosity Stream for wonderful nature documentaries and signed up for a year at just $10 or $2 more than one month of Netflix here. I will probably drop Netflix again. Seen all their documentaries I care about and the rest is mostly junk.

Got off subject there! 🙂 I assume the eyelid will stay partly closed now when the stitches are removed since she did something to make the top and bottom grow together at one corner. But, FYI, my left eyelid will never blink again or fully close.

UPDATE: 23 April – She did not remove the stitches today. She first said she would remove just 2 of the 3, leaving one to help protect from radiation. But because she used nothing for pain, I flinched and she said she would not remove them at all for now, saying I have a “low tolerance for pain” and I think she has a low sympathy level! 🙂 She was also very painful to me at beginning of surgery. So now she will wait until after radiotherapy and try again in June. Hmmm. 🙂 Permanent stitches? — But the Good News: both eyes are doing very well and she is pleased with the surgery results. I’m already using my left eye more than 6 to 8 hours a day, so progress even if I have a low pain tolerance! 🙂

Radiation Starts Monday

This coming Monday, 26 April, I get my first radiotherapy in San Jose and daily Monday to Friday for six weeks or through June 4. They were not comfortable with all these other overlapping medical appointments plus needed the time this week to prepare for my targeted treatments. She is studying all the reports on both of my left cheek surgeries, the earlier “skin cancer” one and the big one March 15 including biopsies, etc. to help her target all remaining bits of possible cancer. My future is sort of in her skilled hands. 🙂 Dr. Bonilla is both an oncologist and radiologist and my surgeon says the best here.

I’m still bargaining with hotels near the radiation center but hoping for the Best Western with four nearby restaurants and hope to schedule that today. I plan to spend Monday to Thursday nights there and back in Atenas Friday-Sunday nights. I will be giving regular updates from San Jose starting next week which I hope will be interlaced with some nature reports also! 🙂

¡Pura Vida!

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The Healing of Nature

“Nature itself is the best physician.”

~Hippocrates

I missed getting photos of the beautiful Squirrel Cuckoo, Brown Jay, Chachalacas I saw, and the Toucan my neighbor saw in my tree, but here’s 3 snaps from this morning that bring me back to my reason for retiring in Costa Rica – NATURE! 🙂

Rufous-naped Wren
Nance Tree blooms rapidly fading.
Variegated Squirrel

“Come to the woods for here is rest.“

– John Muir

¡Pura Vida!

And my radiotherapy MRI & CT Scan have been postponed to later in the week. Dr. Bonilla called and said she felt I needed to rest after the eye surgery. 🙂 Amazing sensitivity!