Medical Tourism… Everything We Learned and Need to Pass Along

Living in the USA, we all feel entitled, if you will, to everything from beautiful groceries at the market, clean water, good healthcare and creature comforts we seem to feel we need. All of this comes with a huge price to pay.

The world is aware that our crazy commander and creep has made it his mission to take as many of the above away as he can. Of course he is “rich” and can afford medical care, medical insurance and the sky high deductibles that we are forced to sign up for in order to bring down astronomical premiums.

Then you look at treatments like dental work. Even if you do have insurance for this, you will still pay hundreds and hundreds of hard earned dollars in order to get a painful tooth handled. It’s not like you can ignore it until it’s more convenient… therein lies the reason for this post.

Chris broke her back molar a year or so ago and went to the dentist who “patched her up”. Temporary fix $400. Last week she was on a trip for work and the “temporary fix” fell off. She was in immediate pain and called the doc. They quoted her $1200 for a permanent crown. OMG! So $400 plus $1200 is way too much and hard to stomach. Enter Mexico…

For years I have been reading about Medical Tourism. Hundreds of thousands of people travel to other countries for life saving treatments, why not travel for dental work? Why not travel for minor procedures that at home would be outrageous?

A few years back I twisted my knee chasing some howler monkeys on a muddy trail in Costa Rica. It swelled up and became too painful to bear weight. I had travel insurance but they required me to go see a doctor in country.  I took a taxi to the doctor’s office.  It looked like a small storefront shop with a shingle hanging outside with the doctor’s name.  I walked in and was warmly greeted by a young man who spoke perfect english. His office was quaint with a few chairs and a coffee table, a small TV and AC.

He took me right into his exam room which was clean and looked like any exam room you’ve ever been in. He asked me a barrage of questions and then proceeded to examine my injured knee.  He called his assistant in to take me to get an x-ray right in the next room.  Twenty minutes later I walked out of his office with a full explanation of what he felt was wrong and a knee brace and pain medicine… all for $50 USD.  At home the x-ray alone would have been more than $50, PLUS the doctor would have buzzed into the room pulled and pushed on my leg and left the room never to be seen again. In a week or two I would receive a bill for $650 for the inst-care.

To wrap this up, if you are afraid and nervous, that’s fine.  Just as in the US or where ever you may be from, do your homework.  There are hacks everywhere.  There are sites you can access that give you step by step instructions.  They have done research and you can reach out to them if you have questions.  The world is a much smaller… and expensive place.  If you are too scared and need to live in your little comfortable box, I get it.  There’s a lot out there… outside of your little box.  LIVE!

This is the dentist we just used:

www.tijuanamexicodentist.com

More reading and links:

www.medicaltourism.com

www.patientsbeyondborders.com/medical-tourism-statistics-facts

www.en.m.wikipedia.org/wiki/Medical_tourism

Oh… Its Just Another Waterfall

When one talks about Iceland and points of interest, one must speak about waterfalls. Iceland has around 120 well known, named waterfalls… and thousands of smaller ones that are located on the river gorges,lava fields and underground springs falling over huge basalt cliffs. Some seem to come right out of the ground, others are the product of meandering streams and huge rivers.

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Throughout creation, water has been one of the biggest natural forces on our little blue ball. Iceland has one of the biggest concentrations of these powerful wonders. In Iceland a waterfall is called a “foss”. They range from small wispy ribbons of water, to raging rock crushing torrents. Some cascade peacefully over the basalt and disappear deep into a crevasse, others thunder over tall cliff faces waging war with boulders and flame colored rock. Every year new waterfalls spring up from glacier melt and highland snowmelt

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The Gullfoss is the best known and most visited falls, located on The Golden Circle Road. Glymur is the tallest named falls (122 meters) and can’t be seen without a pretty strenuous hike. The list goes on and on. Each new waterfall has its own character. Each plays a vital roll in the ever changing landscape of this little island known as Iceland.

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Icelandic Horses: A Breed of Its Own

A small island deserves a small horse! The Icelandic ponies are actually horses. Though short in stature, usually between 13 and 15 hands, they are registered by breeders as a horse. This small horse is a very hardy breed and suffer from far less diseases than a mainland horse. The law does not let these small guys to be exported and no other breeds to be imported. If one ever were to leave the island, they are never allowed to return, ensuring the purity of this majestic breed.

The Icelandic horse has even been a focal point in many Norse Myths. They were thought to be a symbol of fertility so they often were sacrificed by early Norse settlers. The horses were revered by warriors during the Medieval period and were often made to fight each other for breeding rights. A warrior killed in battle would often be sent to Valhalla with his Nobel Steed by his side.

Natural selection often played a role in these stallions lives. In the early medieval times the horses would starve or succumb to the brutal winter winds and cold. Exposure to the elements, notwithstanding volcanic eruptions, famine and sacrifice, often became the end to whole herds. The breed was once thought descendent from the Shetland, Faroe Pony and the Norwegian Fjord horse. In the early 9th century, the Icelandic Parliament prohibited the inbreeding of outside horses. This act in 992 AD lead eventually to a pure breed. For over 1,000 years the Icelandic horse has been a pure breed.

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The characteristic flowing mane, short legs, well proportioned head, incredible weight bearing capacities, muscular shoulders and slightly sloping long backs, make this an incredibly valuable prized possession. The breed has an average life span of 30 good years, with recorded life spans of over 50 years. They are known for having two distinctive gaits, the Tölt, which is a four beat stride good for comfortably covering great distances at explosive accelerations. The second is called flugskeið or “flying pace”. This is a fast and smooth gait used to pace the horse during a race. This is mostly used for short bursts but not a long distance run. An amazing breed indeed.

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A trip on the back of an Icelandic is a great way to explore the terrain of Iceland. The horse is sure-footed and fearless, yet comfortable to ride, even for the beginner. There are numerous farms that offer guests this pleasurable past time. There is nothing like getting up into the wilds of the highlands on the back of one of these majestic steeds.

When in Iceland, search out a farm offering tours and ride one of these wild and adventurous horses. These are treasured companions and loyal servants. They have earned their place in the past and future of Iceland.

 

Iceland: History, Myths and Fairytales

Back in 1970 a famous band sang a song about Iceland. Got it? Yep LED Zeppelin wrote:
We come from the land of the ice and snow,
From the midnight sun where the hot springs flow.

Hammer of the gods will drive our ships to new land.
To fight the hordes and sing, and cry.
Valhalla, I am coming. LZ

This song congers up visions of volcanoes, geysers , great fields of glaciers etching their way through the lava fields, and great crashing waves. A land that the Vikings called home.

Iceland was named to deter outsiders from coming to this volatile, lush and a very temperate and tectonically active land. It’s counterpart Greenland is actually covered with more ice and snow than is Iceland.

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Considering Iceland’s history began pre 1000 AD, and was a lawless land of Vikings and later Norwegians looking for new lands, it is noted for one of the first parliaments and one of the worlds oldest functioning legislative assemblies. Pretty good for an island of just under 40,000 square miles.

Around the tenth century, the christians came to the island. By the twelfth century its Commonwealth dissolved and it was drawn into the Nordic Union then by the fifteenth century it fell under Danish rule. In the sixteenth and seventeenth century the island fell into a combination of hardships, poverty and natural disasters. By the end of the First World War, Iceland finally gained sovereignty yet remained under Danish Monarchy until, WWII. It was a neutral state in WWII but was peacefully occupied by British forces to stop a Nazi occupation.

In the twentieth century it succumbed to the financial troubles of the European economy even though it stayed out of the European Union. Iceland was a founding member of both the United Nations and the North Atlantic Trade Organization. Its economy grew rapidly largely through fishing, although this was marred by conflicts with other nations.

Ok enough of the history lesson… the island of Iceland is home to the meeting point of the European and North Atlantic tectonic plates. It is home to 130 volcanoes, of which 60-70 are still active. It is a land in progress. It has the ability to wipe out most of its population. On average it records 100 tremors a day. It is home to the worlds youngest island, Surtsey, which took just under three years to form from a series of underwater volcanic eruptions. It has become a Petri dish for scientist to study how life evolves from primordial events.

Another interesting fact is the climate is considered subarctic! Sitting between latitude 63 and 64 degrees N, it sits completely inside the arctic circle. It is warmed by the Gulf Stream and North Atlantic Current which puts its overall climate similar to Alaska and the Aleutian Islands. The “Summer” months are from May thru early September. This is also the time of the Midnight Sun. In late June through early August the sun barely slips out of sight making approximately 17 to 21 hours of daylight at the Summer Solstice. Likewise the “Winter” months of late November through early February sees only 4 to 7 hours of daylight. The winter and summer solstices vary in daylight by 17 hours.

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Myths and Folklore of Iceland are just as cool as the landscape. Rooted deep in Nordic Viking traditions and lore. Of course I own a “fairy’s steed”. It is believed that the Corgi was used by Fairies to ride into battle. Descendants of the Swedish Valhound they played a big part in folklore. Even though the original inhabitants of Iceland were thought to be thugs and barbarians, Icelanders are considered one of the most civilized peoples on the planet. Their culture is steeped in folklore, Elves, Fairies, Trolls and other interesting sorts. They are strong believers in all things Supernatural. Those include the ones that go bump in the night… the Huldufolk.

The Huldufolk are believed to be the protectors of the land. They comprise mainly of Elves and Fairies. They also can bring misfortune to any household that angers or displeases them.

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Next are the Trolls or Giants. If this sounds like the land of Lord of the Rings… you’re not far from the truth. The Trolls are brought to life in the town of Vik were I have read that three Trolls stand frozen in the Ocean. Actually they are wind and sea carved basalt formations. Trolls are believed to live in the dark grottoes and caves formed in the earth. They are also not too friendly. There is an entire set of books read to Icelandic children growing up. Most Icelanders, if asked, will take you to see a Troll on their property. It is said if they get caught in sunlight, they turn to stone.

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What culture would be complete without SANTA Claus. The Yule Lads, or Yulemen are liken to SANTA and his Elves. Yule Lads are thirteen in number and are responsible for putting you on the naughty or nice list. They put rewards or punishments in the shoes of children who leave them on their window sills during the thirteen days of Christmas. These punishments are normally in the form of rotten potatoes.

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One of the most sustained myths is that of the Alfhol. These are small houses that Icelanders build to house their Elves. These small houses are built with love and great care so their Elves will be happy and not bring any mis-adventures to them. There is even an entire street call Elf Street/Hill. The story goes a street was being built across a lava field and the crews were plagued with constant mishaps.  Equipment failure, accidents and such.  The road was moved a few feet and all the happenings stopped.

Witches, Mermen, Sea Monsters and such are also steeped deep in lore. Kings, Princes, and great Vikings also round out the great tales of Iceland.

 

The Land of the Midnight Sun… Planning a trip to Iceland

Planning our next big adventure… Iceland! Part of travel is the planning. Chris and I were talking one day and she asked, “where do you want to go for your birthday this year?” We of course kicked around several local destinations. Folk and Blues Festivals. Beaches and rivers. Wild, white water rafting trips in the West. Nothing was tickling my fancy until… Chris spouted out “lets go to Iceland!” I was a bit taken back since it was so far from our normal travel parameters. “Sure… why not?”

In the next weeks the planning began. We found that the costs involved with traveling to Iceland were daunting. The airfare is not that bad if you can be a bit flexible. We spent hours on the phone over two days with Delta trying to find flights we could use our medallion upgrades on. We searched the end of August through the end of September until… finally 10 days that worked out!

Next we explored tours and hotels. JEEZ! Three thousand per person was just too rich for our blood! We continued to do our research over the next few weeks. Blog after blog, travel site after travel site. No matter who we checked out it was still looking like this was a destination we were gonna have to forget about. Finally we found it… CAMPING!

This time of year there is about 20 hours of sun. That really opened up the island to camping. There were many choices but again, we found out that this is a very popular way to explore this prime-evil island. We went with http://www.kukucampers.is/ . For a mere $2,000 we rented a VW Camper van, equipped with all you need to sleep 5 people, has a stove for cooking… important when the cost of eating out could bankrupt most people… a sink and small fridge. Who needs more?

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Now for the unknowns… how much is gas? It is 835 miles around the Ring Road. That will be somewhere about 35 to 40 gallons of gas, OK not too bad… we hope. I guess if gas is $4.00 a gallon that’s a small chunk of change. There are 170 campsites around the island. Note: if you are camping with a tent, you can pitch the tent just about anywhere not in site of a home. If you are in a camper though, you must utilize one of the campgrounds.

Campsites are open May through the end of September. Most all have hot thermal pools or a regular pool, bathrooms or VIP toilets, and drinking water. This free guide was invaluable, https://cdn.shopify.com/s/files/1/0652/1613/files/Iceland_List_of_Campsites_2017_-_Aning_Guide.pdf?4780695065381767861.

OK, handled… next is what to see? Tourism is huge on Iceland. That being said, we expect to run into hundreds of tourists. Well actually in the land of fire, ice and water, there are plenty of wild spaces if you dare to venture a bit off the beaten path. Listen, there have been many who have gone before us. We don’t have to recreate the wheel, just pick and choose what you really want to see.

OK again this was difficult. This is why we didn’t take a tour but will take what those tours hit on to plan our travel. First we thought we’d travel the North, but then we wanted to see the Glacier Lagoon… oops that’s way in the southwest. So we may resign ourselves to attempting the entire Ring Road. Iceland is just too cool to pick and choose one area over another.

So for now that’s where we stand. We will post more information as it becomes available. The investigation continues. Two weeks to go!

Gandaulf The Traveling Corgi

Gandaulf is a Welch Pembrook Corgi. He came into our lives as a small little squirt that would high center himself on the daily newspapers as we went for our walks in the morning.  He had a room full of chew toys which soon became “chewed toys”.

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As he grew we were inseparable. He traveled to more places than most human beings. He had his own climbing harness, life jacket, and back pack. Everything we bought for him had to be adjusted for his long body and short legs.

He came with us to social events where most people would take pictures of him instead of the event…

He was trained and certified as a service dog, which opened up even more travel opportunities.  He became a honorary “corn dog” on Little Corn Island, Nicaragua. Traveled to Costa Rica for my 50th birthday, and has been all over the USA.

He is a compulsive “player”. Whether it’s chasing a ball, Frisbee, stick or anything you are willing to throw, he will play for hours!  Every trip we take is for one reason only… to play ball with Gandaulf… just ask him.

Every year he has his own calendar because he’s so photogenic.  He thrives on being adorable, posing and being the center of it all.

Of all the things in the world… next to chasing a ball… he enjoys belly rubs and getting dirty!

We do have to draw the line when he wants to be dirty , AND get belly rubs tho.

Corgis even have their own terminology among their owners.

The Sploot… 084

A Nubbins… they have no tails…189

The interesting way they sleep…

This is my best pal… my always there for ya buddy… and a big part of our little family.

Two Miles High: A Rocky Mountain Tail: Chapter Eight

Chapter Eight: Home Sweet Home
I woke up several days later in a much starker environment than when I last was awake. The smell of sterile bed sheets, freshly sweated on pillows and a voice echoing in my brain, “Dr. Granger code blue.” I was in the hospital. No idea how I got here. In a panic I sat straight up and yelled out, “Breeze!” A nurse came rushing in. I was sobbing uncontrollably. “Where’s my dog? He saved my life!” The nurse tried to console me but another came in with a syringe and poked it into my IV and said, “that should work soon.”
I was awakened by a kind soft hand stroking my hair. It was my girlfriend. She was holding my hand and talking softly to me. I opened my eyes and looked at her. Her eyes opened wide and she said, “welcome back traveler.” The doctor came in and also welcome me back and explained I had really done a number to myself and it was a damn good thing I brought my dog along or I might not have made it.
Turns out the gash on my head was very deep and I had cracked my scull and caused a bruise on my brain. He told me I was lucky to be alive. Just then a 70 lbs beast appeared on the bottom of my bed and laid down beside me. He nudged my hand until I pet him. “Good boy” I whispered. The doc said I could go home as soon as I was able to stand on my own. He told me I had been in a coma like state for four days after the medi-vac arrived. He told me I was a lucky woman and that maybe I should not hike alone in conditions like this. I informed him I wasn’t alone and perhaps if I had been with another human there may have been two casualties. He concurred, signed my chart and welcomed me back home.

Two Miles High: A Rocky Mountain Tail: Chapter Seven

Chapter Seven: We’re Going Home

Breeze and I sat down on the side of the trail enjoying some scratches and reciprocating licks. My head pounded in the blazing morning sun. My mouth was getting that Velcro feeling again. Every time I stood up I felt faint and nauseous. I searched for two saplings or strong downed branches I could use to steady myself as I hiked the last few miles. Of course there was no guarantee we would find anybody at the lake, but it was a favorite camp spot for many hikers.

I played songs in my head as I hiked on. Breeze would come run circles around me and run off ahead. Each step corresponded with the pounding in my head. My mouth was a desert and I envisioned the lake just a few steps ahead. The sun was blazing and I just wanted to drop my pack and lie down in the cool shady areas just off the trail. I came upon another stream and I had a literal panic attack. Although it was not rushing as fast and was not nearly as wide I froze in my tracks.

I am not sure what happened. When I came to, breeze was lying beside me. I could hear the stream. I opened my eyes and the shadows had grown long and shaded the trail. I was lying on my side in a crumpled up lump of human and backpack with my dog curled up beside me. I sat up and was reminded of my head again. I focused on the stream and knew there was no going back. Breeze ran a circle around me and bounded across the stream with ease. I struggled to get to my feet without passing out and moved forward one slow step at a time until I was on the other side of the stream.

I looked at my watch… 4:55pm. I had been out for hours. I dropped my pack and dug out my pot. I chugged down seven or eight pots of water until I thought I would puke. I doused my aching head with pots full of water. It was icy cold and I could feel my swollen eyes and hair matted with blood as I wiped my face and wrung out my hair. I stood up and pointed my body in the direction it needed to go and demanded it to move forward. Everything took so much effort.

I walked in a trancelike state for what seemed like hours. In my blurry gaze I saw a sliver of blue. I opened my eyes wider and stopped. As things came into focus I could see the lake. I had made it. I sat on a rock that was just the right height as to not make me bend over or sit too far down and listened. I could hear the birds, the stream entering the lake, and the rustling of the wind in the trees. I scanned the horizon and followed the outline of the lake for a wisp of smoke. I unhooked my pack and let it fall to the ground. I hadn’t the energy to move another inch.

As the sun dropped below the ridge, I could hear the sound of the brookies jumping out of the water scooping up the larve of the night insects. I opened my eyes again and a quarter the way around the lake I saw two figures come out of the woods and enter the water, fishing poles in hand. I attempted to yell, nothing but a grunt came out. I attempted to stand up but my legs failed to support my weight. Breeze came over as if to sense my urgency. I told him to “go get the men” and pointed at the figures in the water. He cocked his head as I said it again, looked over his shoulder, then took off. I closed my eyes and listened intently. I could hear Breeze barking crazy and splashing around in the water. I could hear the voices of the men calling to him. I blacked out again.

I heard a commotion in my brain. I was in some other realm of consciousness. The roar in my ears grew silent and I heard voices. I felt the wet licks in my ear and on my face. I felt a cold splash of water and I opened my eyes. There were men standing all around me. I found Breeze sitting beside me and stroked his fur, “good boy I muttered”, and passed out again as I heard a voice say, “we’re gonna get you out of here.”

Two Miles High: A Rocky Mountain Tail: Chapter Six

Chapter Six: The Final Miles

After a good nights sleep, I woke to the pink glow of the morning’s dawn on a few high clouds. I daydreamed of eggs and bacon frying in a pan. The smell of fresh biscuits and sweet creamy butter. The feel of a soft tongue kissing my ear… Breeze you little shit! I stretched and sat up and evaluated my head wound. It was beginning to scab up some and still felt quite deep and painful. I retired the towel and crawled out of my tent. On the outside of the vestibule was something I couldn’t quiet make out. It was a pheasant hen. Breeze had provided again.

I pulled on my long johns and fleece shirt and went about stoking the fire back up. Breeze sat and watched I as prepared the hen as best as I could to be breakfast. Again Breeze got the parts I couldn’t quite stomach including a lot of internal stuff I couldn’t quite identify. I gave him the last of his canned food. I was down to two bags of food. Everything else had been washed out of the pack when it tore open. I was glad I separated the freeze dried food from the fresh and canned food. At least I had something and with Breeze being my provider, I doubt we would starve.

I pulled out my Garmin to see what kind of signal I might get… if it worked at all. The screen had been shattered and one button pushed inside. I knew it was waterproof but with a busted screen I didn’t want to take the chance of powering it up till I was sure it was good and dry. I had separated the batteries and left the back cover off. Wrapped it in my wool sock, yes I only had one left, and hooked it to the top of my pack where it might get some sun. It was the moment of truth. This was the biggest clearing I had come across in two days. Would it power up and triangulate? If it did would I be able to see anything on the busted screen?

I put it back in the sock and broke down camp. I figured I would need to get to the lake by noon and I might catch another hiker passing through. I still felt like the Trail should be north. Breeze was excited to hit the trail again. I pulled out the Garmin and flicked the switch. At first there was a sorta white glow on the busted screen, then a flash or two of color. I watched with my fingers and toes crossed. My heart sunk as the screen went black. Damn boy, we are on our own…

I could see the mountains in the distance, snow capped and silent. I could see a familiar landmark that I remembered reading about in the guide book. I pulled out my phone that had been saved by days in a bag of freeze dried chicken and rice, and opened up the picture I had taken. I guessed the trail shouldn’t be too far off and with the trees thinning out I might actually find it today and soon. I set off towards the north keeping the land mark always at 11:00. At 9:36am we stumbled upon the trail. I dropped my pack and scrambled up a tree and could see the lake I had seen from the top of the last pass! We had found the right trail. Only a few miles to go…