For months, I have delayed visiting an oncologist for a five-year (now almost six) checkup after having treatment for breast cancer. No reason, except that I had no referral or professional recommendation to give me confidence in someone's medical judgment. It turns out that my landlady is a radiologist for the National Police hospital in Managua, and she was kind enough to refer me to Yolanda, an oncologist specializing in gynecological (read "female") cancers. I had a good appointment with her, an exam, and she ordered the usual tests: blood, x-ray, sonogram, and mammogram.
Baptist Hospital is a modern facility, not part of the free national health system. I had the chest x-ray, sonogram, and bloodwork there. In Nicaragua, results do not go automatically to your physician; when the results are in, they give them to you to take to your doctor. A mammogram and an additional CT scan of a pulmonary nodule revealed by the xray were done at a clinic, all for cash, roughly $580 for everything. Imagine a Cat Scan for $300!
That scan is the worrisome part. The breast cancer status looks pretty good, all around. Today, I will go to the clinic to collect the scan results and take them straightaway to Yolanda. Fingers crossed.*
All this two-week period partially explains my lack of blog postage lately, To add to my salutary woes, I slipped in the compost pile and slammed my noggin against a stone wall. I remember very little after that. Fatima, my neighbor, heard me cry out, and she called Maria Jose to come right away, Fatima's husband drove us to the national health hospital in Jinotepe, where I was given an IV sedative and spent a few hours being observed. I remember none of what occurred there. Apparently, we took a taxi home, and I vaguely recall buying dinner for Maria's family, as she had had no time to prepare anything. I suspected a concussion, so I slept for four days.
This past Tuesday, I attended a little chat presentation at Keiser U. with noted Nicaraguan author, FSLN political activist and first post-revolutionary Vice-president Sergio Ramirez. He was born a few miles from the university, in Masatepe. He told a few well-worn stories and took questions about contemporary literature - I could not understand every word, so I missed some things. I met him briefly nearly 30 years ago when I was on my first visit here.
We have been overwhelmed with caterpillars!
Stinging Caterpillars
and
Geometridae, who hang out on my screen door.
* P.S. It turns out that a brief relationship with tuberculosis and a year of treatment are responsible for the nodule that has appeared in my left lung. My 30-year smoking history that ended 15 years ago is invisible in my clear healthy lungs. I am invincible!