Latest Mohs Surgery

basal cell after biopsy

As I posted previously, the biopsy taken on the spot on my left temple back in July came back positive as a basal cell carcinoma. The Mohs surgery could not be scheduled until September 25th. The specialist who performed my previous Mohs procedures is no longer with my dermatology practice, so this was my first experience with their new surgeon. He is fine, but I really liked the gal they had before. 

The surgery was scheduled for 8:45, but the doctor was late and didn't even get to the office until 9:10. Not a great first impression. He took the first cut around 9:30, and I was bandaged up and sent to a small waiting area with all the other walking wounded. Everyone else had bandages on their noses, so it must have been Mohs Nose Day or something. It was an hour before they took me back and said they did not have a clean margin on the piece removed. The surgeon said while the basal cell was not deep, there were still some cells along one of the sides that needed to come out. By the time he got done with me, the small waiting area was full, so I had to go out to the main waiting room.

A gal came out to get me a little after 12:00, and since she took me to a different area of the clinic I assumed they had gotten a clean margin on the second try. That assumption proved correct, as I was led back to the plastic surgeon's procedure room. I have had this plastic surgeon for wound closure every time they have done Mohs on me, so I'm very comfortable with him. He stitched me up, gave me my followup instructions, and the gal put a covering on the site. They are aware that I am allergic to every known adhesive on bandages and tape, so she put on a gauze pad and attached it with paper tape.  

This is my 22nd skin cancer removal, not all of them by Mohs of course. But this one has been pretty painful. When I removed the gauze pad after 24 hours as instructed, I was stunned to see how large the cut was. No wonder it hurts! For the first three days I alternated taking Tylenol and ibuprofen every four hours during the day. By the fourth day I was only taking them every six or seven hours.

Mohs surgery

Hopefully this wound will not get infected like the last two ED&C removals have done. I go in this morning to get the stitches out, and I am praying that the skin smooths out after that since the bottom third of the wound looks really rough.

The Gateway City

St. Louis Arch

Following our Kentucky and Indiana stops, we drove the remaining three hours to St. Louis. Even after all these years, it remains a thrill to catch sight of the Arch as you cross the Mississippi River into Missouri.

The main purpose of our trip was to attend the 30th Anniversary celebration of SWT Design, the company Jim founded with Ted Spaid and Susan Trautman in 1995. What an accomplishment!

But the trip also gave us an opportunity to catch up with friends and family while we were in the area. We were able to see my sister's family, which was great, and Jim got in a bit of motorcycle riding with his friend.

While he was off the first day, I met a girlfriend at the Sophia Sach's Butterfly House. It was a pretty hot day so neither one of us wanted to go on a long walk outside. While the butterfly house is on the warm side, at least you are in the shade. It was great to sit and chat while the butterflies flitted around us. We grabbed lunch after that. 

Butterfly House

The next day while Jim rode, I picked up another friend and she and I went to the Missouri Botanical Garden. I have been to many gardens in my travels around the world, but I have yet to find one that is as wonderful as the one in St. Louis. It is easy to navigate while offering a different visual and sensory experience around every corner. As this particular friend is also a photographer, we were in perfect sync stopping to photograph the flowers and insects around us. When we were finished, we went to the Trainwreck Saloon for lunch. This restaurant is owned by a gal that I worked with at the American Cancer Society from 1980-1982. In all the times I have eaten there, she has never been around. But that Wednesday was my lucky day as Chris was in! We had the best time catching up, and since my lunch friend graduated from the same high school as Chris, they had things to talk about as well.

Missouri Botanical Garden

On Thursday Jim and I spent the day together since the party was later that afternoon. We first went to the St. Louis Zoo. Again, I've gone to a lot of zoos in my lifetime, and none of them compare to this zoo. And it is FREE to get in! SWT Design has done a bit of work in the zoo, so in addition to enjoying the animals it was fun to check up on the progress/maturation of some of their work. The nice, hot day necessitated a stop at Ted Drewes for some frozen custard - always a highlight of a visit to St. Louis.

St. Louis Zoo

That afternoon was the SWT celebration garden party. While it was hot, it was wonderful to catch up with staff members and clients. I don't think Jim and Ted ever anticipated what their dream would one day become. It's a huge milestone to make 30 years in the design field, and to know that their projects have made and are making a lasting impression not only in St. Louis but throughout the country.

Friday was our last day and we began it by playing pickleball in a nearby park with Jim's riding buddy, who has been playing even longer than me. Then the three of us had a late breakfast, and the guys dropped me off at the hotel so they could go pick up the motorcycle trailer. For a few months Jim's motorcycle has been garaged in St. Louis. But it is time for the annual inspection and licensing, so we needed to get it back to Charlotte. It seemed easiest to trailer it back so Jim wouldn't have to make that long bike trip on his own.

Saturday morning we left St. Louis as the sun was rising and made the thirteen hour drive back home. The trailer added time to the trip as we had to stop more often for gas, and be a little more cautious when driving through the mountains. So we saw the sun rise and the sun set, but made it safely back here.

sunrise, sunset

 

Kentucky Whisky

A couple weeks ago we drove up to St. Louis to see friends and family. As it is a long drive, we stopped in Loretto, Kentucky so we could experience the Maker's Mark Distillery tour. There's a bit of a connection between Loretto and Webster Groves, the St. Louis suburb that we lived in before moving to North Carolina.

Loretto is known as the national home of the Sisters of Loretto, which were founded in 1812 to provide education and serve the community. The early nuns enlisted the aid of Father Charles Nerinckx, the Flemish missionary priest who served the area, to help them establish their community. We visited the Loretto campus, and saw the sign for a road named Nerinx. 

Sisters of Loretto

In Webster Groves, very near where we lived, is a girl's Catholic school called Nerinx Hall. It was founded in 1924 following the Loretto values, and the name is a tribute to Reverend Charles Nerinckx of Kentucky. Also nearby is Webster University, which was founded in 1915 by the Sisters of Loretto as Loretto College. It was one of the first women's colleges west of the Mississippi River.

In Loretto we stayed at the Hill House Bed & Breakfast, a home that was built in 1863. We had a lovely stay there, and the hosts recommended that we head to Yellowstone Bourbon for a free flight of whisky. As I am not a whisky fan (and felt bad about only getting a free flight with our coupon) I ordered a gin Old Fashioned. It was tasty!

Yellowstone Bourbon

Following a delicious breakfast at the B & B, we drove the few miles down the road to Maker's Mark. The campus, also known as Star Hill Farms, is approximately 1,100 acres. Our tour began at 11:00 and lasted an hour and a half. The tour guide provided a lot of interesting information about the history of Maker's Mark and the process they use to make, bottle, label, seal and ship their whisky. An added bonus for us was the Chihuly glass exhibit that is taking place this year. After the tour we made our way to Huntingburg, Indiana, where we spent the night at our daughter-in-law's parent's house. They are right on the way to St. Louis, so it was great to be able to catch up with them for a bit. 

Maker's Mark Distillery

Hand Book

Dupuytren's

On Wednesday I saw the hand surgeon regarding the lump on the palm of my right hand. More accurately, I should say that I went to the hand surgeon's office. As it turned out after waiting 40 minutes to be called back, I only saw her physician's assistant. I know that stuff happens and offices start to run behind, but I would have appreciated a heads up on the delay, as well as an apology for making me wait. It was also disappointing to not see the doctor as I had never met her before. Apparently my case was not serious enough to warrant her attention.

Anyway, the PA took one look at my hand and said that it is Dupuytren's disease. Basically it is a build up of collagen that forms tough
tissue under the skin. As it progresses it may form rope-like cords on the palm, which can cause one of more of the fingers to bend toward the palm. Over time, the finger(s) cannot be straightened.

This disease is more common in men than women (!), and people of Northern European descent are more likely to get it. It is hereditary as well, though I don't know of anyone in my extended family who has ever had it. It is also more common in smokers, and I have never smoked. I guess it is just my year for oddball medical conditions.

The PA said there is nothing that can be done for it right now. There are procedures that can be performed when it gets to the point where I can't straighten one or more of my fingers. But because the disease can reoccur, they prefer to wait as long as possible before doing injections or surgery. Since it doesn't hurt or cause problems with my pickleball game or other daily activities, I am fine with doing nothing at this point. He did send me off with a Patient Guide on Dupuytren's Contracture (though I am not at the contracture stage yet.) It kind of lends new meaning to the words "Hand Book", right?

hand book

Grandma Time

 Following our week in Massanutten, I spent a little over a week with the kids to help out with my granddaughter while my daughter-in-law went away for the long holiday weekend. They had her in daycare for the first few days so I took advantage of the beautiful weather and enjoyed a local park and long walks with Monty, their small dog.

Green Springs Gardens

I also visited our nation's capital. I rode the train in with my daughter-in-law, so I arrived pretty early in the morning. A good friend from college lives in Arlington, so she took the metro in and met me on the mall. We had an incredible day together, picking right up as if we had just seen each other last month instead of years ago. We saw many of the iconic structures of DC in addition to stopping at some of the Smithsonian exhibits. I logged over 22,000 steps, and had the time of my life. It never gets old to visit the seat of our democracy.

Washington, DC

On Friday we took A to the National Zoo. It was another beautiful day, and we were blessed to see the new pandas that have arrived from China. There's nothing like a trip to a zoo to bring out the kid in all of us.

National Zoo

The days passed quickly, and soon it was time for me to fly home. It was such a treat to get to spend so much time with my sweet little gal (and her parents, too, of course!) She is still very much a grandma's girl, so I'm going to eat that up while I can. I know it won't last forever.

Family Trip to Massanutten

our Massanutten lodging

Last month we rented a house in Virginia at the Massanutten Resort for a family vacation. We had not known of the resort before but were looking for some place that would be an easy drive for our son and his family to make, and not too long of a drive for us either. When I asked on our community page if anyone had visited the area, I was amazed at the number of comments I received. Apparently there are a large number of time share units in the development, and some people here still own theirs while others recalled fond memories of traveling to the resort as children. 

With the positive feedback in mind, I booked a four bedroom, single-family home for our small group. The house gave us the privacy we desired without sharing common walls as in the condos. It was perfect as it gave some separation for the adults, and had a nice playroom in the lower level. A bonus for Jim was that it also had a pool table down there.

We found plenty of things to do at the resort with the two recreation centers, multiple pools and playgrounds, pickleball courts, miniature golf, etc. The surrounding area had good restaurants when we didn't want to cook, as well as wineries to visit. Nearby Shenandoah National Park offered a beautiful drive and the opportunity to put a new stamp in our National Park's book. 

infection

The only negative thing that occurred on the trip was the fact that my recent ED&C became infected despite all my efforts to keep it protected with Aquaphor and bandages. I even used waterproof bandages while at the pool, and the doctor had okayed me going into pool water. I reached out to my dermatologist's office, and they sent a prescription to the local Walgreens. A week of using the ointment cleared it up with no additional issues.

While we enjoyed our visit to Massanutten, I think we all agreed that we would like to try someplace new next year. I'll keep looking in Virginia as that makes it easy for the kids while not being too bad of a drive for us.

Surgery Number One Done

Wednesday I saw my dermatologist for an ED&C, the procedure she uses for removal of small basal cell carcinomas. She's done a few on me in the past, including one in March on a basal cell that was near the one she removed this week on my right arm.

The procedure itself is not too bad, once you get over the sting of the lidocaine shot. The whole thing only took about 10 minutes. For me the issue is my allergic reaction to anything with adhesive. They want me to keep this covered for two weeks, and that will definitely be a challenge. I have tried every type of bandage out there, including the so-called sensitive skin ones. They all make me itch and break out. 

Last night I put on a gauze pad and wrapped an elastic bandage around my arm to hold it in place. It held up pretty well, but even the elastic bandage irritated my skin a bit. I'm going to try a different brand tonight and see if that works better.

My Mohs surgery for the basal cell on my left temple is scheduled for September 25th. That one will take several hours as they remove tissue, wait for it to be read by a pathologist, and then take more as needed. I'm definitely not looking forward to that, and pray that the doctor will get it all in one or two tries. It was really unnerving when it took five attempts to get all the cancer on my nose in 2019.

Also on Wednesday I had my annual mammogram. I had to go to a different radiology center as my insurance changed January 1. The office was very efficient, and I was in and out in no time. Now I just have to wait for the pathology report.

Biopsy Results

basal cell

The dermatology office called yesterday with my biopsy results. To no one's surprise, both of them came back positive for basal cell carcinoma. My dermatologist is quite accurate in determining which of my spots requires a biopsy. She only missed once, resulting in a biopsy that was negative. I'd rather her err on the side of caution rather than overlook something bad.

With the latest two biopsies, I have now had 22 basal and/or squamous cell carcinomas. Ugh! For the one on my arm, she can do an ED&C as she has for the last four basal cells. However, the spot on my left temple is too large for that procedure. The two options I was given for removal are Mohs surgery and radiation therapy. This is the first time I have been offered radiation. It is not done in the office closest to me, which makes this option inconvenient. It would require me to come in three times a week for seven weeks. Wow! I just don't see making that work with my schedule. I told the gal on the phone that I would opt for the Mohs procedure. Unfortunately the doctor who did my previous Mohs is no longer with the practice, so I'm not sure who will do the surgery. I will ask that of the scheduler when she calls me back to set my appointments.

More Biopsies

more skin cancer

Last week I had my six month checkup with my dermatologist, and as expected needed a couple more biopsies. At my last visit she was going to biopsy the spot at my left temple, but because I was going somewhere tropical where I would be snorkeling, she said I could wait until this visit for the procedure to be done. I also had another spot on the back of my right arm that I wanted her to look at as well. It is very near the location of my last basal cell removal.

She did both of the biopsies, and also used liquid nitrogen on a few spots both on my face and my right neck. At this visit, she brought up the option of using blue light therapy on my face in the future. Apparently at the office they apply a photosensitizing agent to your face, and then you wait an hour before placing your face in a light box. Supposedly the blue light only has an effect on sun damaged areas of the face, such as precancerous cells. The reaction is like a sunburn, and you must stay totally out of the sun for a couple of days. Healing can take 1-2 weeks, and my doctor suggested a series of three sessions spaced at a month or so apart. 

This is definitely something I will need to think about. First of all, I need to see if my insurance will cover the procedure. I suspect with my skin cancer history they will likely approve the procedure, especially if it will prevent some future skin cancer removals. But also, when would be a good time to start this process? We have a lot of activities coming up, so this may be something I put off until 2026.

Another thing that I have going on is a lump on the palm of my right hand. I have had it for quite a while, and believed that it was just a callous from my pickleball paddle. But it has been changing, and now has some lines coming off the top of the lump. So I asked the dermatologist to take a look as I wanted to make sure it was not a tumor. She immediately said, "You need to see a hand surgeon." I know I looked at her in surprise, and she added that I have trigger finger. She gave me a referral for a hand surgeon.

Dupuytren Contracture?

Monday I will call for an appointment, but I have shown my palm to multiple nurses in my community. They all said the same thing - that's Dupuytren Contracture. In looking at photos of this condition online, I have to think that my ladies are correct. We'll see what the expert has to say about it. Hopefully this will not require surgery.

In the meantime I have to wait on my biopsy results. It has taken as long as two weeks for this lab work to come back. My dermatologist has been very accurate in predicting which things on my skin are cancerous. I have no doubt she was correct on these two as well.

North Myrtle Beach Part 3

The last part of our North Myrtle Beach vacation was just the two of us. We played quite a bit of pickleball, finding the people and level of play to be quite good at Central Park. The four courts are located on an old ice skating rink, which was interesting. It brought back memories of early days in Webster Groves when our outdoor courts were also on the old ice/roller hockey rink. It was a little tight, but doable.

One day we took a drive to Conway, SC as I had read there was a pretty walk along the Waccamaw River there. The drive wasn't too bad until we got near Conway, and then the traffic crawled along. We never did see what the issue was. We did have a nice hike there, and the boardwalk was lovely.

Conway, SC

Probably our favorite part of the whole trip was going to see Brookgreen Gardens. The sculpture park, preserve and low country zoo are located on 9,100 acres. It took us about 45 minutes to get there, and we arrived just as the gates opened at 9:30. The day was pretty hot, which was unfortunate, but we so enjoyed exploring the gardens, seeing all the phenomenal sculptures, and visiting the zoo (which was comprised of animals native to the area who are being rehabilitated). We miss the Missouri Botanical Gardens so much, and these gardens brought a little bit of home back to us.

Brookgreen Gardens

We wrapped up the rest of time in North Myrtle Beach by visiting another preserve, going to the Cherry Grove Pier and taking in one last concert the night before we were heading back to Charlotte. Overall the trip was great, but I would avoid going back there during the summer due to the crowds and the heat.

North Myrtle Beach scenes 

 

North Myrtle Beach Part 2

Tropical Storm Chantal arrived the day after our neighbors went back to Charlotte. It hit in the early hours of July 6th, and I will say the wind and rain blasting the front of the condo were pretty impressive. As our bedroom was ocean front, we definitely were awakened by the storm. By mid-morning Chantal had been downgraded to a tropical depression, leaving only high winds. The rainbow almost made up for the lack of sleep we had gotten the night before.

rainbow

Mid-week some friends from Charlotte came to stay with us for a few days. They are also not ones to just sit on the beach all day, every day, so we filled our time with other activities. They are avid pickleball players, so we got on the courts a few times with them. They enjoyed learning the Shag with us on Tuesday night, and also the Thursday night concert near the condo.

Back at the condo we got caught up while playing card games and Mexican Train. It's so nice to have friends who enjoy the same activities as us, while also being on the same schedules of waking up and going to bed. That is pretty rare!

North Myrtle Beach

The next post will wrap up our visit to North Myrtle Beach.

Visiting North Myrtle Beach

view from the condo

A lady in our community offered her condo in North Myrtle Beach to residents here, and our next door neighbor asked us if we would like to go in with them and rent the condo for the month of July. It is right on the beach, and has three bedrooms and two bathrooms. The downside is that the unit is on the third floor, and there is no elevator. Despite that and the fact that July is the hottest month in Myrtle Beach, we agreed to the rental.

fireworks on North Myrtle Beach

The four of us spent the first week of July together. Our neighbors then headed home and we stayed there until July 17th. There were pluses and minuses to being at the beach for the 4th of July week. It was incredibly crowded, and the heat was a factor. But it was really amazing to see the Patriotic Flyover, and to be able to put our chairs on the beach for the fireworks was great. We didn't have to drive anywhere, and there were fireworks displays all up and down the beach. As fireworks are legal in South Carolina, that meant lots of amateurs were setting them off all around us. That was somewhat disconcerting, especially when a display fell over and began shooting rockets off into the crowd!

The condo is located in a great area, and you could literally park your car and never have to drive anywhere. Restaurants, bars, shops, and groceries are all within walking distance. We even found a park with pickleball courts that was within walking distance. Also, this beach is the birthplace of Carolina Shag, the official dance of South Carolina. Fat Harold's Beach Club was right around the corner from us, and they off free Shag lessons on Tuesday nights. It was fun to go and watch the dancers there.

Every Thursday night there is a free concert at North MyrtleBeach. We were able to set our chairs up mid afternoon, and head back to the condo. Then we went to Buoys for happy hour, timing it so we could then head to our chairs for the concert. The bands were great, and what a turnout!

We had decided the four of us would go on a dolphin watching cruise, but unfortunately the ocean was too rough as tropical storm Chantal was heading towards the coast. Instead we took a ride on the intracoastal waterway, which was fun as well.

intracoastal waterway

After our friends headed back to Charlotte, we ended our first week at North Myrtle Beach by driving a little north to do some hiking at a preserve. We had the Heritage Shores Preserve to ourselves, and it was nice to enjoy the peace and quiet after all the crowds on the beach and in town.

Heritage Shores Nature Preserve

My next post will cover part 2 of our North Myrtle Beach trip.

one of the beautiful sunsets

 

Everything's Peachy

It is peach season in South Carolina, which means that those of us in Charlotte so close to the South Carolina state line can enjoy the bounty. My friend and I went to the Charlotte Regional Farmers Market on Saturday. Because we are in a heat wave, we got there at 8:00 a.m. Despite the earliness of our arrival, the place was already swarming with cars and people. 

It has been a few years since I visited this particular farmers market, so I was eager to see what was new. The market is huge, with two long pole barns and two additional long open-air but covered structures. Pretty much everything is sold there.

My particular interest was local honey and peaches. I was able to find plenty of both, along with a booth that specializes in coffee and tea. As a big tea drinker, I'm always looking for something new and different. I purchased a small bag of black tea flavored with cherries and chocolate. You can't go wrong with that combo!

Sunday I spent most of the day making peach jam. It is always hard for me to estimate how many jars of jam I will get out of the purchased peaches, so I tend to overbuy. The bucket I purchased Saturday ended up making nine jars of jam, with a few peaches left over just to eat. The peaches are delicious, and I can't wait to eat the jam!

peach jam

Picture Perfect

gorgeous sunrise

Our son, daughter-in-law, granddaughter and granddog came for a visit last weekend. It had been over a year since they have come here, so it was very exciting to see them. Not that we haven't gone to their home, but it is always fun to be able to show off the grandbaby in our neighborhood.

So many people were generous in lending us the items we would need, like a crib, booster seat, extra toys, etc. That is one of the things I love most about living in Imagery - ask and you shall receive.

Despite a dismal forecast, the weather cooperated while they were here. We were able to visit parks, take her to the community pool, play outside and go on walks. We had a fabulous time, and can't wait to see them again in August. I'm not allowed to share photos of A on any social media, but trust me when I say she is so cute and at a lovable age.

Imagery cornhole tournament

In other news, we played in the community cornhole tournament in the same sex divisions as well as the couples division. Suffice it to say we did not win any medals. The last time Imagery held a big tournament, we took first place in couples. We probably haven't tossed a bean bag since then, so there you go. 

The flowers at our house have been loving all the rain we have had this spring. The front in particular looks gorgeous. The heat is coming in this week, so hopefully the natural beauty will hold up to it. We had a drip irrigation system installed last fall, so we are counting on it to do its job.

front yard

 

Hoofing It

Last week I had my last (hopefully) appointment with the podiatrist regarding the issue I've been having with the second toe on my left foot. As I explained to him, from a pain standpoint it no longer feels as though I am walking on a marble. However, I do still have a burning sensation on the bottom of that foot at times. He performed his normal examination of feeling the toes and pressing on the bottom of my foot right beneath the toes.

orthotics

He is very pleased with the progress that has been made. He said it is nice and tight under the toe now, whereas before it was very loose due to the ligament being stretched out. In terms of the pain, he explained that it was to be expected as the healing continues. He does not want me to wear the toe splint at all, but wants me to continue to use the orthotic that they sold me on my first visit. In fact he said I will always need to wear them because I do not have any padding at all on the bottom of my feet. That is due to age and the bunions I have had forever on both feet. Because of that, I am never to go barefoot.

I actually had purchased a second orthotic from them at my last visit so that I always have a clean pair. I asked if I could trim a little off the front of them so that they would fit in all of my shoes, and he said that was fine.

So, overall very good news. I hope that eventually the burning sensation will disappear, but if not it is not the end of the world. The pain is very tolerable, and the fact that I did not need to have surgery is quite awesome.

Tianyu Lights Festival

Tianyu Lights Festival

Tuesday night several of us who are working on the lanterns for the Mount Holly Lantern Parade attended the Tianyu Lights Festival in Charlotte. Tianyu strives to bring authentic Chinese lanterns traditions to the US and Europe. We thought it would be fun to see how their lanterns are constructed, and also get inspiration for building our own lanterns. We arrived early enough that we could see the lanterns in the daylight, but stayed until it got dark out.

The theme for this year's Mount Holly parade is "Into the Deep Blue Sea", and we already know that we our entry will be based on the incredibly successful Baby Shark YouTube video. We will obviously build the main characters, but are looking for ideas for other items to add. The Tianyu show had quite a few lanterns that were water-related, and that gave us some good ideas.

While the Tianyu lanterns are constructed of wire, lights and fabric, our lanterns are wire, lights and colored paper. But still the ideas are somewhat transferable. The festival was very well done, and included some live performances as well. They had quite a few lanterns that were interactive for the attendees, as well as many that were mechanized. We were all happy that we attended the show, and it was fun to get together in a manner that didn't involve sitting and working on our own lanterns! 

Chinese lanterns

Welcome June

It is so hard to believe that it is the first of June! Sometimes it seems like the months drag, and others they just fly by. That seems to be the case with May. The weather has been quite nice, though we have had periods of heavy rain. That is okay, though, as we are trying to recover from drought conditions. Hopefully all this moisture will alleviate the forest fires we have been experiencing.

The birds have been very active out back. For the first time since we have lived here, we actually had two ducks under our bird feeder. That's unusual since we are about 100 feet above the lake. I guess they like good birdseed, too. 

backyard birds

This week will be quite busy with pickleball, making lanterns for the Mount Holly Lantern Parade, a followup visit with my podiatrist, and company coming for the weekend. I am hoping this will be the last appointment with the foot doctor, though I am not 100% pain-free yet. I'm optimistic that he will say things are still healing and that is why I still have some pain. Fingers crossed!

Passport Renewal

US Passport

With many countries requiring that your passport have at least six months of validity beyond the dates of your trip, I decided to go ahead and renew my current passport. It expires in about twelve months. The last time I renewed a passport, it all had to be done through the mail. How nice and easy it is to renew online now! You can even have someone take your picture with a phone and upload it, following the photo instructions on the government website.

As soon as I hit the submit button, I received an email confirmation that my application had been received, and that my payment was being processed. Once the payment went through, another email arrived stating they had accepted the payment. A third email advised me that my application is being processed. All of this occurred within a three day time period.

In light of the turmoil going on at federal government agencies in the United States, I wasn't quite sure what to expect in terms of service for passports. But so far, so good!

Reflecting on Mother's Day

my brother Joe, mom & me

Mother's Day has always been more about my mom and my mother-in-law than me, even after I had children. I guess it is natural to think about the one who gave birth to you. I haven't been able to celebrate my mom in person since 1989, when she died in a car accident as she and my dad were driving back to Cincinnati from visiting my brother in Colorado.

My mom was only 69 when she died, which is my age now. I have thought about that a lot, so I decided to calculate exactly how old she was on the day of her death. AI informed me that she was 69 years, 193 days old. Then I entered my own date of birth to see exactly how old I am currently. At that point, I was 3 days older than my mom on the day she died. Let me tell you, that gives you a lot to think about. Even at my age, I don't give a lot of thought to dying. I doubt my mom did either. When they left for their trip to Colorado, I'm sure she didn't even consider that it would be the last time she would ever see her home.

I'm forever grateful that they stopped to see us in St. Louis on their way to my brother's house. It was the last time I saw her, laughed with her, hugged her. Not a day goes by that I don't miss her and think of things I'd like to share with her. But it hits home particularly on Mother's Day, especially since my mother-in-law died in 2020.

Love and miss both of my "moms", who were such incredibly loving women and exceptional role models for me and all their children and grandchildren. Hopefully I still make you both proud. 

Relatives in Reno

American Airlines

Last week we flew to Reno to see Jim's aunt, uncle (M & L) and cousins. Jim's dad was one of 11 children, and only two are still alive. It has been many years since we have seen them, and I had never visited Reno. I had a conference at Lake Tahoe over 40 years ago, but I did not have time to really see the area, so this trip was an opportunity to see not only family, but also do some sight-seeing.

Jim's cousin and his wife (J & C), whom we had visited in Phoenix in March, also flew in. The four of us stayed at the Peppermill Resort Hotel, which is also a big casino. None of us are gamblers, but the hotel was recommended by the local cousins. It was beautiful, and the location was good for what we wanted to do and see.

We saw Jim's aunt and uncle along with one of their daughters the first night we arrived, and had a lovely meal with them. It is always great when you get together with people you haven't seen in years, but can pick up right where you left off.

The next morning we picked up donuts and went to M & L's house for a bit before heading out to tour the area. Jim's cousin had prepared a great map for us, and we visited Truckee (a charming town) before driving around Lake Tahoe. We picked up sandwiches and ate them along the lake as it was such a pretty day. What a gorgeous area! Back at M & L's we were treated to another delicious dinner.

Truckee and Lake Tahoe

We began Friday morning with pickleball at a wonderful indoor facility called 3rd Shot Pickleball. We are so fortunate that J & C love to play as well! Surprisingly, we were the only ones playing. It's hard to pay the rent with that kind of revenue (or lack thereof). After stopping to have coffee with M & L, we drove to Virginia City and had lunch in an old saloon. We went back to M & L's for dinner and met up with some more of the cousins. On the way back to the hotel, we drove to see some of Reno's iconic sights lit up at night.

Reno signs at night

Saturday morning we hit the pickleball courts again, only to find that we were once again the only people in the building. After a half hour or so, a lady came in and met with a coach. It was so surprising to see a lack of players on a Saturday, especially as the weather wasn't great. Following play we went back to the hotel to clean up, and then did a driving tour of Reno. I always research ahead of time to see what oddities exist in or on the way to our destination, and I found no lack of choices in Reno. The cousins got a kick out of trying to find them. We went out to dinner with a few of the cousins.

Reno oddities

J & C were flying out on Sunday afternoon, so we all met for a lovely brunch at M & L's house. Many of the local relatives were able to come, so it was great to be able to catch up and meet the newest members of the family. We were loaned a car in the afternoon, and went to Donner's Pass to the museum. We learned of the sad tale of a settlers group who had tried to take a wagon train to California, only to get trapped by a freak blizzard. The weather Sunday was cool and rainy, with the wind chill making it feel like 35 degrees. We opted not to do any hiking or walk along the lake. We grabbed lunch a a cute barbecue restaurant (which seemed a little ironic considering the information we had just learned at the museum), and then headed back to our hotel.

We returned the car to L the next morning, and had a last good-bye with M & L before going to the airport. Our flight left Reno pretty much on time, and we had a layover in Dallas. The flight out of Dallas was delayed, and instead of getting home at 9:50 at night we didn't get in until 11:20. But despite all the hassles, it was so good to be able to see all the relatives, especially since family reunions are probably a thing of the past.

In the Garden

One of the things I miss most about St. Louis is the opportunity to go to the Missouri Botanical Garden, widely considered one of the best botanical gardens in the world. We had a membership there for many years, and visited frequently as the gardens were always showing off different blooms. 

Here in our area we have the Daniel Stowe Botanical Garden, which has just been renamed the Daniel Stowe Conservancy. There is no comparison between the gardens, though that is not surprising as the Missouri Botanical Garden was opened in 1859. Stowe, while much larger at 320 acres, only opened in 1999. It has not had a lot of time to mature, nor does it have the funding of the garden in St. Louis. Much of the property has been left to its native state and is not planted in gardens at all.

Nevertheless, we have been to Stowe numerous times, including three years in a row to see the holiday lights. In March we purchased a membership to help support the garden. An added benefit is that the membership entitles us to entry into 300 other reciprocal gardens throughout North America. We recently were able to gain admission to the Desert Botanical Garden in Phoenix, which has already paid for the membership.

We went to the Stowe garden last week for the first time this year. We had barely made it through the door when we heard our names being called. One of the gals that works at a pickleball center that we go to was there with her family, and saw us come in. It always surprises me when someone knows us in Charlotte, even though we have been here over five years now.

It was a beautiful day, and a nice time to enjoy the spring flowers and get out in nature.

Daniel Stowe Conservancy

 

Foot Followup

Wednesday I saw the podiatrist for a followup on my foot issue. When he asked how things are going, I told him that honestly I don't see much improvement in the pain despite the toe splint, orthotics, or Voltaren and ice treatments twice a day. He pressed his fingers underneath the second toe a bit, which was not pleasant. 

But surprisingly he said he could tell that my ligament has begun to heal itself. He said the pain is to be expected and is a good thing as it will keep me from doing things I should not be doing yet. I am to continue as before for the next four weeks. Then for the next four weeks he only wants me to wear the toe splint when I am going to be excessively active, such as walking for a long period of time or hiking. I presume that includes pickleball, thought I forgot to specifically ask that. I'll wear it then just to be on the safe side. I return to see him at the end of the eight weeks.

When I last saw him he asked me to bring my pickleball shoes in so he could take a look at them. I had told him that I wear Skechers, and he seemed surprised that they made a court shoe. I explained they are dedicated pickleball shoes. The problem is that I cannot wear the toe splint and the orthotic as there is not enough room in the shoe for both. I have been wearing my Acacias instead, as they can accommodate the inserts and the splint. So I brought in one of the Acacias and one of the Skechers to show him.

Skechers pickleball shoes

He performed a three part flexibility test on each shoe, and the Skechers passed with flying colors. The Acacias failed all three, and he said I shouldn't be wearing them. Visually we could see that the Acacias have more height in the toe box than the Skechers, which is why the added items work in the Acacias. 

My compromise for the moment is that I will wear the splint and the orthotics anytime I am not playing pickleball. For pickleball, I will wear the splint only in my Skechers as that will fit with the regular insert provided by Skechers. I may try taping my toe and not wearing the splint, which is acceptable to the doctor, and see if I can then make the orthotic work in my Skechers.

Overall, I am pleased with what the doctor had to say. I picked up a second splint from the office so I have a clean one to put on instead of always having to wait for the one to dry after washing. I also got a second orthotic so don't have to keep pulling the one set out of one pair of shoes to put in another.

Cousin Time

Last month we flew to Phoenix to see some of Jim's cousins. Relatives from both sides of his family have winter places in the area, and we had never been to visit. One set of cousins put us up for the week, which was incredibly generous of them. They even had a car that we could borrow!

We spent time with them doing some hiking and eating at some really good restaurants. We got a few games of pickleball in as well, which is always a bonus for us. The community they live in has some very nice courts in addition to golf, swimming pools and various amenity buildings for different activities. I also try to compile a list of unusual/cool sites when we travel, so we picked a few of those off my list as well.

Phoenix Sites

The Desert Botanical Garden was definitely on our must-see list. We were lucky with the timing as there was a special show going on. Light Bloom was an exhibit involving geometric light installations. We arrived at the garden late enough in the afternoon to be able to see the plant material, and then stayed through the early evening to catch the lights. It was pretty stunning.

Desert Botanical Garden

We took a couple days by ourselves and drove up to Sedona. Neither one of us had been there before. We didn't think to reserve a room ahead of time, and did not take into account that spring break would be such a big deal there. We got the last studio at the Bell Rock Inn, which is a Hilton property. It was very nice and had a small kitchen area and nice patio. I think they just had one two-bedroom suite available besides our room. We very much enjoyed our time in Sedona, and the weather about 15 degrees cooler than Phoenix. It is certainly a beautiful area.

Sedona

We got back to Phoenix in time to have dinner with another of Jim's cousins, a sister to the cousin we were staying with, at a great Italian restaurant. They were not super busy, so they did not mind us chatting for a couple of hours.

Our time in Arizona was busy and fun, and we enjoyed catching up with family. Now that semi-annual family reunions are no longer taking place, we don't get a chance to see extended family very often. Hopefully we can keep in touch more often in the future.