Life in Culebrón

You may have noticed that the tagline at the top of this blog has changed. It used to say old, fat, white haired. Through absolutely no effort on my part I've lost a fair bit of weight. In fact so much so that there was some doubt about whether my feeding tube could be removed today. Patri, the nutritionist, obviously thinks I'm not making enough effort to pile in those calories. I'd like to think it was my vivid description of what I'd eaten on the tapas trail in Yecla yesterday or the slightly inflated description of the nature of Shepherd's Pie, which swung the balance. Actually it probably wasn't as my Spanish was particularly stumbling and faltering today.  The nutritionist didn't remove the plumbing herself. She had to call for a doctor. I could see why. It was specialist work. The tube I've had in since August last year looked exactly like that clear plastic stuff that blows bubbles in home aquariums. The tube was about 30 cms long had a junction ...

I wasn't going to do this again. Not for a while. In fact I have a very slight blog ready to go about ambulances, but a number of people have asked or sent me messages so, I'll do my best to make it short and sweet. Yet another update on me and throat cancer. Nothing has changed in the treatment stakes. I've now done 25 of the 33 sessions of radiotherapy. An ambulance collects me from home and deposits me back here a few hours later. It can be as few as four hours from start to finish and as many as six and a half. The treatment takes about twenty minutes and the rest of it is waiting or travelling time and the occasional medical Q&A. Yesterday the ambulance from Alicante brought me home via Biar. Locals can gasp and chortle.  I've done two of the three chemotherapy sessions. The third and, hopefully, final session is on Monday 14th provided that there is no medical reason for not going ahead - apparently things like anaemia, lack of platelets, reduced kidney functi...

My sister said that my nephew reads my blogs. He's just about to set off to Colorado because his new wife has a job there. So here's one to send him and her on their way. Just for those who haven't been keeping up, I have throat cancer. The Spanish healthcare system is looking after me. However, because the Region of Valencia is being run by a very right-wing local government, one of the insidious little side effects seems to be that lots of patients are being passed for care in the private sector. I suppose they natter as they play golf together. Of course, I may be completely wrong. It may be because the private hospitals have more capacity or because they're doing lots of two-for-one offers. The private hospital is for the radiotherapy. The thing where they strap me to a table and direct particle beams at the cancer in my throat and neck. The idea is that the rays damage the bad cancer cells but that my other cells are strong enough to fight back. Or at least that...

I left the last blog when I had done two or three sessions of radiotherapy down in Alicante at the private Perpetuo Socorro hospital. The chemotherapy in Elda still hadn't started because I am, apparently, veinless, and they couldn't find a way to get their chemicals into my blood. On Thursday of last week, they sorted that out by installing more permanent access to my bloodstream via a probe that leads to bigger, better veins in my chest. The same day, they spent four hours, first pumping saline into me, to make sure I was hydrated, and then pumping in some chemicals which, in my layman's understanding, are designed to be powerful enough to kill off nasty cancerous cells but not quite violent enough to kill me. It's all a bit of a faff. Lots of the days have been exceptions for one reason or another, but the process is something like this. I am scheduled for 33 sessions of radiotherapy. There is one session on each working day. I did number five today, so by my reckoni...

So, we left the story with me in hospital, being fed on gruel and camomile tea, having had a stomach tube fitted. The hospital kicked me loose on Monday with only two scheduled appointments for the week at that time: one with a nutritionist and the other with a cancer doctor, an oncologist—both in Elda. Because not everyone has the advantage of living in Culebrón, I should say that our local health centre in Pinoso (5 km away) is linked to Elda Hospital (25 km away), but sometimes, for specialist services, patients are sent all over the place. The hospital I'm going to in Alicante for the radiotherapy, Perpetuo Socorro, is a private hospital about 55 km from home. The nutritionist was a bit of a hoot. She gave us a box with 30 tubes to connect my stomach feeding tube to a pouch full of a Complan type food. That box was bulky but light. She also gave me a scrip for the feeding pouches, and the bloke in the chemist offered me a sack trolley to take those to the car. He also showed me...

Last June, that’s June 2023, I went to the doctor and said that I had the sensation of a lump in my throat. She felt around a bit, said it was probably nothing, but asked for a consult with a specialist from Ear, Nose, and Throat. In Spanish, that’s otorrinolaringología, and I’ve already got into the habit of saying otorrino, so that’s what I’ll probably use from now on. The request for the consult was ordinary priority. It took nearly a year for the otorrino to see me - May 28th this year, in fact. He shoved a camera up my nose and down my throat and recognized the potential for throat cancer straight away. He dropped some pretty broad hints to me as well. Doctors though, very seldom, give bad news until their experience is backed up with test results. He set the ball in motion. He ordered an MRI scan, a resonancia, and things started to move.  For the resonancia, the thing where you lie down in a big tube that makes a lot of noise while you try to stay stock still, the state syst...

Back in April I suspected that I needed a small surgical operation so I made a doctor's appointment. It was a telephone appointment and my doctor said she needed to see me to make a diagnosis. So we met. She agreed with my self diagnosis and she referred me to a surgeon. That's how the family doctors work here in Spain. They basically act as gatekeepers, dealing only with common ailments, passing patients on for anything at all out of the ordinary. So they don't remove warts themselves, they confirm that you have a wart and send you on to someone somewhere who will remove the wart. Often the second doctor, the specialist doctor, confirms the diagnosis of the first doctor and then sets the wheels in process for whatever the next step is. You say my throat hurts, the GP sends you to the ear, nose and throat department where an ear nose and throat doctor tells you that you have polyps (if you have). You are then given another appointment somewhere where someone will cut them o...

I haven't done anything very interesting for a while but that won't stop me. I went to stand outside the Town Hall yesterday evening. Every first Friday of the month at 8pm - a reminder that violence against women needs to stop. I've done it a few times. Nobody notices but I should be there. Afterwards the group often puts on a film. I haven't been to that for ages but I did go last night. The film was called Frances Ha and it wasn't bad at all. The interesting thing was that it was introduced by a couple of young women who I think were still at school. They were speaking in Valenciano which means that I caught about as much as I would if I were in a Belshill pub late at night talking to an 80 year old local who was a boxing contender in his youth. The young women talked about similarities in style to Jim Jarmusch and Woody Allen, about the handheld camera movements and the framing of the scenes. I was impressed. I don't think the majority of the students I...

It was just after ten and I was putting away my paperwork at the end of the class when a WhatsApp message pinged on my phone. It said that Maggie was helping a couple of friends out with a bit of a medical emergency. One of them was having trouble breathing and, at the local health centre, they needed someone who understood Spanish. Maggie stepped into the breach. Later it was decided to transfer the ill person to the nearby hospital in Elda for tests and what not. We ended up going too and so, around midnight, we found ourselves hanging around in the Urgencias, the Accident and Emergency of the local hospital. Nobody was watching the telly high on the wall, someone was throwing up on the pavement outside, the drinks and snack machines were doing a slow but constant trade. The main activity though was waiting; staring at mobile phones or talking in small groups. Nobody looked rich, nobody looked well dressed, one woman was even in her dressing gown and nightie - when things happen ...