my first endoscope

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The endoscope examination is pretty much like the one at the other end, except without the horrendous massive “clean out” prep. For this one all I had to do was not eat or drink for 8 hours before the test. I actually had my last meal more than 12 hours before, but going 8 hours without any water (!!!) was really hard. I’m a 2-litre a day water drinking fiend.

Just like with the colonoscopy I was sedated before the procedure but this time I wasn’t so lucky with my nurse, who could NOT seem to find a vein anywhere. And hand pokes are way more hurty than arm pokes, but anyhow. I was eventually chemically relaxed enough and they did their stuff. It was uncomfortable more than painful, and I got a bit gaggy towards the end, but nothing too awful. And then I was wheeled into the recovery area.

And the best thing of all was that they told me they hadn’t found anything, that I was “all clear”! I have to say that I love this about the Digestivo department, giving patients their results straight away so they don’t have to wonder and worry until they see their doctors again (my next onc appt is March 19th). Though I suspect they only hand out the good news results. But hey, I am happy.

From what I understand, this now means that they have ruled out two of the main possibilities for recurrence – for now. Next up will be another CAT scan three months from now to compare those results to the last one. The main issue being ALL THAT INFLAMMATION that nobody can explain. And so… good, right? At least until I hear otherwise. And so, back to living in denial.  😉

carnaval chiquito

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To be honest, you couldn’t pay me to go to Cádiz during Carnaval, so when Peter and I made a last minute decision to ditch El Puerto for a Sunday afternoon in Cádiz I was relieved that the celebrations had finished the previous weekend. Or so I thought! When we got to Hostel Casa Caracol to drop off the suitcase (a great service, and just a short walk from the train station) the guy at reception informed us that we had arrived just in time for Carnaval Chiquito, a kind of “last hurrah” until next year. Oh boy…

Our plan had been to do a three-stop tapeo at some of our favourite bars, as well as take a walk along the beach, and then stop in at the splendid Cafe Royalty before catching the train home. And well, we did manage all that, but both the streets and the bars were absolutely heaving (though to be honest, the bars are probably that busy on a Sunday anyhow). We totally lucked out with the weather, with the predicted rain holding off until after we got home, and warm enough to walk around in shirtsleeves. So it turned out to be a great afternoon and made me realize that I really have to visit Cádiz more often.

one perfect lacy tortillita de camarones at El Faro

three-bar tapeo: chicharrones de Cádiz at Casa Manteca
chocos & prawns at El Faro
grilled presa and stewed abanico at Cumbres Mayores

fabulous picatostes at Café Royalty

La Caleta beach and the Cádiz Balneario

vinos ricos aquí

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Like the sign says… vinos ricos aguí! And indeed there were. The third Cuatro Gatos Wine Fest took place last Saturday (February 24th) under the big top behind the Hotel Duques de Medinaceli in El Puerto de Santa María. Peter and I arrived by train around noon and made our way to the hotel-apt we had booked for the night.

The courtyard of the Palacio de Luja is much more impressive than the rather tired and slightly sad apartments they offer, so I’m not even going to show photos of the apartment. It was clean, though with an overpowering “air freshener” smell, but everything just looked old and unloved, if you know what I mean. Luckily we were out and about most of the time.

Somehow I didn’t take many photos at the wine tasting, probably because it’s not easy to hold the iphone one-handed. It was great running into Paula and Andrew – two of my favourite sherry gurus – and seeing lots of other people I know, both producers and fellow wine lovers. We mostly hung out around the sherries, and got to taste some pretty spectacular wines. It was also a learning experience for me, tasting the groundbreaking wines by Ramiro Ibáñez and Willy Pérez, and also a new release of three 2014 single pago manzanillas by Viñas Callejuela, clearly showing the importance of terroir. Looking forward to visiting the Pérez and Callejuela bodegas soon.

Around 3 o’clock we took a lunch break and headed over to one of my favourite spots in El Puerto – La Bodeguilla del Bar Jamón. They were offering a stand-up buffet at the event, but sitting down for awhile at this point was a very attractive idea. Paula joined us and, as you can see, we had a delicious time. After lunch Paula had to drive back home to Mijas, and we went back to try a few more wines before calling it a day.

After stopping by the hotel to change shoes we headed out again for a walk around town and ran into another person we know who has recently moved to Cádiz. Jane and her son were looking for somewhere for dinner and so later that evening we once again found ourselves at Bodeguilla, this time with them, for a tapas snack at the bar. Then it was back to the hotel to sleep.

Next morning over breakfast we were trying to work out what to do for the rest of the day (our train home was for 6pm) and we decided there probably wasn’t much doing in El Puerto on a Sunday. So after a quick look at the train schedule, and also a quick google for a place to leave the suitcase, we popped over to Cádiz, which turned out to be an excellent idea. More on that tomorrow!

still in limbo…

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I’ll write something more about my fab weekend away later. As usual, it was great to come home and be welcomed by los gatos (this big lug was especially happy to have his comfy warm human lap back). Though I didn’t sleep so well because today I had my oncology appointment to get the results for the colonoscopy and CAT scan. Bottom line is that I am still in limbo for now.

The colonoscopy results were good, which I already knew because at the time I asked them if they had taken samples to be tested, and they said no because they hadn’t found anything. Phew!

But I had to wait until today for the CAT scan results. In a word, they were inconclusive. There is still that pesky area of inflammation sitting over my stomach that is obscuring any clear scan results, either the PET or CAT. The reason I am getting all these extra tests now is because the last PET scan results showed that the inflammation had grown substantially since the previous one, and I was also in a lot of pain. Though shortly after the last PET the pain suddenly disappeared.

And so, because they don’t actually know what is going on in that murky area of inflammation, I now have to have an endoscopy so they can look inside my stomach. That will happen on Thursday. AND THEN… I have to go through the hell of waiting for results until my next oncology appointment on March 19th.

I like my new oncologist. She is very clear and sympathetic, and answers all my questions. Today she said that because of this “murky area” they simply cannot say with certainty that I am in the clear. And so even if the endoscopy comes back clean, they will still want to do a follow-up CAT scan in three months. She said the only way to be 100% sure that I have no cancer is to operate, which she thinks is too aggressive an approach at this time, especially as the pain has disappeared.

After having undergone four major abdominal operations, the main suspect at the moment is post-op adhesions, when the buildup of fibrous bands of scar tissue wreaks havoc on the surrounding organs. This very same buildup often shows up as inflammation on scans, and can obscure scan results.

So here I am once again in limbo. Of course I am relieved that I wasn’t told today that they’d found cancer and then passed on a death sentence… but I am not out of the woods yet. Because although my doctor told me today it was a positive sign the pain had gone, they wouldn’t be doing these extra tests fer nuthin. So today felt like a “stay of execution”, and now I am waiting (with fingers crossed) for a full pardon. xx

sunday song – both sides now

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Tears and fears and feeling proud, To say ‘I love you’ right out loud. Dreams and schemes and circus crowds, I’ve looked at life that way.

Oh but now old friends they’re acting strange, they shake their heads, they say I’ve changed. Well something’s lost, but something’s gained, in living every day.

I’ve looked at life from both sides now, from win and lose and still somehow… it’s life’s illusions I recall. I really don’t know life at all.