So this happened…

 As part of living here in Spain we have established relationships with new doctors.

Dennis saw his GP last June and after going through his family history, she ordered blood tests. Due to his family history, she ordered a test for lipoprotein a, a genetic marker for people who have a predisposition for heart disease.

The test showed a very high level of lipoprotein a and a mildly elevated LDL (bad cholesterol). Based on this, she recommended that he see a cardiologist.

A consultation was scheduled and after the preliminary questions about family history and a review of the blood tests he did an ultrasound scan of the heart and neck. He didn’t find anything concerning but wanted to follow up with a stress test and a 24-hour heart rhythm and blood pressure monitoring.

Towards the end of the stress test some irregularity of the heart rhythm was noted and the cardiologist arranged for a contrast CT angiogram of the coronary arteries.

The CT scan was scheduled in Torrevieja (about 35 miles but an hour’s bus ride south of Alicante) and was completed in late January. The results indicated that there was a narrowing of some of the arteries with the worst being the left anterior descending artery with a 70-99% blockage. Other narrowings were lesser and not of as much concern.

The heart rhythm/blood pressure monitoring showed nothing unusual.

Based on this the cardiologist referred Dennis for a coronary artery catheterization with likely angioplasty and stenting (again in Torrevieja).

Now comes the fun part. As Dennis’ condition was considered hereditary (remember the lipoprotein a test?) insurance would not cover the procedure. So, we had to pay out of pocket.

Upon learning this, we decided we would charge the bulk of it on credit cards and pay the remainder out of the money we have on hand here in Spain. [In a completely separate issue (when it rains it pours) we had been blocked by our US bank from making money transfers unless we physically came into an office in the US and verified our identity (impossible!). As a result we had recently opened a new online checking account with a different bank but it was not yet fully funded]. We contacted the credit card companies to make sure there would not be any problems with the charges and were assured that they should go through. Then we would simply pay them off from the “blocked” account (only money transfers are blocked, not payments).

As the procedure was scheduled for 7:30 am on a Tuesday (which we found out on the previous Friday), we travelled down to Torrevieja on Monday and went to the hospital to pay for the procedure.

Yes, that’s right, they have you pay prior to the procedure. And they give you a fixed sum somehow without really knowing if there will be any additional expenses.

Our first partial payment was from our bank here in Spain and that went through smoothly. Then we tried the credit card.

Denied.

We tried a different credit card.

Denied.

We tried using our US bank debit card and that worked, but due to daily limits, we could pay only another small portion.

We called one of the credit card companies (Capital One), to see what was going on. They told us that there had not been any charge denied and did not see any activity from the hospital. They insisted that the problem was on the hospital’s end.

We called the other credit card company (CitiBank), and their bot told us the same; no charges denied.

Back to the cashier. They tried the cards again. Denied. Not the kind of stress that Dennis needed at this point. We finally ended up signing an agreement to pay within the next 15 days, but they seemed anxious about that and wanted us to pay as soon as possible.

After leaving the hospital for the night we checked into our hotel and contacted our financial advisor to explain the situation. She is an absolute superstar and had the necessary funds in our new US checking account the next day.

Tuesday morning, we arrived for check-in. Again, they seemed very concerned about us paying as soon as possible. We were taken to a room for Dennis to change into a hospital gown and he was then brought down to the operating room.

The procedure went very well, and the doctor was excellent (and spoke English). After inserting the catheter and injecting the dye he looked at the heart from multiple angles and determined that the blockage was 95% (!). He recommended inserting a stent and Dennis readily agreed.

The before and after images showed much better blood flow after the stent.

Off to the ICU where Dennis was hooked up to monitors and an IV. He had to fast prior to the procedure and was starving but they had to wait a while before he could get food. So, he spent a boring day and night in bed.

The next day they said they could move Dennis to a regular room where he would need to spend one more night. Another boring day, but at least he wasn’t hooked up to the monitor or the IV. And he could walk about in the room.

The next day, after receiving prescriptions for the new meds he needs to take, he was sprung. We took a taxi to the bus station and then boarded the bus back to Alicante.

Even though there was a light rain, Dennis wanted to walk from the bus station to the tram station (about 15 minutes) after being cooped up for two days. So that we did!

Being home felt so good. Hope we don’t have to endure something like that again for a long while. Dennis was simply advised to take it easy for a couple of weeks, and then go about his normal routine with no restrictions.

That said, Dennis showed no symptoms of the heart condition. While we were in Paris in November, we were quite active and climbed the stairs up to the top of the Arc de Triomphe and the bell tower of the Montmartre cathedral. Just goes to show you never know.

Salud.

Paris - Day 3 - Versailles

Statue of Louis XIV in front of the Palace

Long day ahead of us today. Making the trip to Versailles and had pre-booked entry tickets for 9:30 am.

We got up early and headed out to the train station for the 30 minute trip to the city of Versailles. Once we arrived we stopped at a patisserie for pastry and coffee. 

Once fortified with coffee we got our bearings and headed toward the huge estate of Versailles.

The golden gate in front of the Palace

Inside the main courtyard.

Versailles, for those who may not know, was the Royal Palace which had grown out from the site of a relatively modest hunting lodge. Louis XIII started the transformation in 1631 and the Palace grew progressively through the reigns of Louis XIV, Louis XV and Louis XVI.

The Palace was largely spared during the French Revolution and upon the accession of Louis-Philippe to the throne the Palace was transformed into a museum in 1833.

The estate covers more than 800 hectares (about 1,975 acres. For comparison, Central Park in New York City is  834 acres) and attracts an astounding 10 to 15 million visitors each year.

The chapel.

One of the galleries.

Painting depicting the surrender after the Battle of Yorktown during the American Revolutionary War with the Continental Army and George Washington aided by the Marquis de Lafayette and French army troops.

Another of the galleries.

Touring the building and estate was an incredible experience. The grandeur and beauty of the building and grounds was quite impressive. We spent the better part of the day there, trying to see as much as we could.

A view of the grounds at the rear of the Palace.

Who dat?

In addition to Versailles, we also visited The Grand Trianon, The Petit Trianon (though nothing petite about it) and the Queen’s Hamlet. The Petit Trianon was a gift from Louis XIV to Marie Antoinette. These palaces were built as refuges from the courtly etiquette of the main palace (i.e. someplace they could let their hair down so to speak).

The grounds around the Trianons also held some interesting things such as...

The Temple of Love

A grotto.

This really gnarly Catalpa tree from the U.S.

And this equally gnarly Juniper tree.  Both survived a torrential storm in 1999.

After a full day, we made our way back to Paris for dinner and a well-deserved night of rest.

Salud

Paris - Day Two - Musée de Arts e Métiers

Our first full day in Paris and after a filling breakfast in a café across the street from our hotel, we headed over to the Musée de Arts et Métiers (the Museum of Arts and Crafts).

Ah yes, a museum dedicated to science and engineering nerds.

Outside the museum is a statue of Zénobe Gramme, the father of the dynamo. A dynamo is an electrical generator that creates direct current.  Dynamos were the first practical electrical generators capable of delivering power for industry, and the foundation upon which many other later electric-power conversion devices were based.

Inside the museum were model displays of various types of technology and engineering. For example…

Spiral staircases:

A device to raise an obelisk:

An excavating machine:

Bridges:

Lady Liberty’s head being constructed:

A flying machine:

And, of course, a dynamo:

Among its collection is an original version of the Foucault pendulum. Due to the height of the pendulum, it wasn’t possible to take a good picture of it.

After leaving the museum, we walked around a bit, ending up at the Louvre Museum. We had entry tickets for later in the trip but took the opportunity to see the museum lit up at dusk.

Eventually we sought out a restaurant for dinner and then turned in for the night. Long day tomorrow as we were making the trip to Versailles.

Bonsoir.

Paris - Day One - Arrival and the Eiffel Tower

In November, we took a trip to Paris, home of arts, shopping, culture, cuisine and really good croissants. We were to spend eight nights in the city and had a full itinerary planned. So let's begin.

Riding in comfort on the train to Paris

We chose to make the trip by train with a stopover in Barcelona for one night. We could have done it all in one day, but that would have ended up being a very long day on the train and we decided against that. Both legs of the trip were comfortable and uneventful.

Arriving in Paris in the mid-afternoon, we took a taxi to our hotel (the Victoria Palace Hotel) and settled in a bit before heading out to explore.

Our first destination was the Eiffel Tower. We had tried to book tickets a few weeks in advance but could not find openings for tickets to the top. We noticed that slots seem to open up a few days prior so we kept checking and were able to book for our first night in Paris.

The tower, of course, was built for the 1889 Paris World’s Fair. Although the tower bears Gustav Eiffel’s name, it was designed by Maurice Koechlin and Émile Nouguier, two senior engineers working for Eiffel’s company, the Compagnie des Établissements Eiffel.

It stands 330 meters (1,083 feet) tall and was once the tallest structure in the world.

As we approached the tower, we were treated to the sparkling light show that occurs hourly. After passing through security, we wandered around the base for a while until it was our scheduled time to ascend.

Kind of hard to see, but this is the elevator ascending the leg of the tower.

The tower is accessible by both elevators and stairs, and we chose the mechanical option. The elevators in the legs rotate as they ascend so that the passengers remain upright during the trip. Once you get to the second level of the tower you then need to proceed to another set of elevators to reach the top.

A view of the plaza we had approached from.

Paris, the city of light.

At the top you are treated to a panoramic view of the city from the enclosed platform. We poked our heads up to the unenclosed platform above it and quickly retreated due to the high winds. We were not really dressed for that kind of weather.

After spending some time on the platform, we descended again to the second level and then decided to walk down the 674 stairway steps to the bottom.

Leaving the tower, we found a place to eat dinner, then headed back to the hotel for our first night’s sleep in Paris.

Bonsoir.

Felines and Other Musings

As I suspect is the case in most cities, the city of Alicante has a feral cat population. These two notices are attached to a fenced-in undeveloped area near us. We have seen cats in this area (see pictures).

Translation of the signs:

Cats are territorial animals with a lot of attachment to the place where they live. Although the ideal would be that there were no cats on the street, many municipalities maintain cat colonies. The urban environment is considered hostile to an animal that has been domesticated for almost ten thousand years. Cat colonies are managed using the CER method: capture, sterilization, and return. In this way, both the felines and the rest of the urban biodiversity benefit.

The main objective of the management of feline colonies using the CER method is to prevent animals from reproducing and to gradually reduce the number of cats on the streets.

Cats are expert hunters. To prevent them from harming other animals in their environment and to reduce the number of cats on the street, it is essential not to abandon them. Only in this way, the management protocols that are being carried out in the colonies can bear fruit in the near future. In addition, it should be borne in mind that the best option for social cats, mainly those who live in animal protectors, is to find them a home where they are adopted.

And …

Registered feline colony

Fed and controlled by responsible persons registered in the municipal database.

Feeding by unregistered outsiders is not allowed, and this action may be punishable.

If you have any questions, please contact the animal protection department.

In general, I do not like graffiti. Most of it looks pretty ugly and messy but I liked the one in this picture.  I think Kepacha is the name of a local band.

A while back we had a post about the bureaucracy involved here. We had a tough time getting an appointment to get our TIE’s (tarjeta de identidad de extranjero = foreigner identity card) until we figured out the secret. I’m happy to report that we both have our cards now.  This is a picture of Dennis waiting in line outside the office of the National Police in Alicante to get his fingerprints done and submit his paperwork.  The sad part is that our cards expire when our visas expire (one year from arrival, so January 16^th 2026) and soon we need to apply for a renewal of our visas and then go through the process of renewing the TIEs.

 

Another item on our current radar is getting Spanish driver’s licenses.  It is a 2-part process. First, you have to take a written driving theory test (30 multiple choice questions). We have a book and an on-line study guide for that. Once you pass the written test then you sign up with a driving school for practical driving lessons. I’ve seen different information on this but I think that you have to take at least 5 lessons even if you are an experienced driver. The driving school arranges your driving test with the DGT (equivalent of the DMV) and you use their car for the test (because it has controls on the front passenger side that the instructor can use if necessary).  An interesting thing I noticed when walking around is that the “STOP” signs are the same as in the US, and are in English. This is another effect of being in the EU – the signage is supposed to be uniform throughout the EU and the agreed upon language for stop signs is English. There aren’t many (any?) other signs that use words other than place names.

 

I include this picture just because I like that the word for retirement in Spanish is jubilación.

 

Finally, there seems to be a fall season for some of the flowering trees.  I learned that my favorite Jacaranda trees (the purple flowers) bloom in the spring, and again in the fall. I don’t know what the pink or yellow ones are, but the close up of the yellow one is very pretty.

A Day Trip to Segovia

Somehow we neglected to write about our day trip to Segovia in June as part of our trip to the north of Spain. While we were staying in Valladolid we took a train to the Segovia station and then boarded a bus for a short trip into the town.

The bus is basically a tourist transport from the station to the ancient Roman aqueduct. This magnificent structure is still standing since its erection in the first century A.D. and was still in use until 1973. It is one of the best-preserved Roman aqueducts in the world and has been declared a UNESCO World Heritage Site.

Amazingly, the aqueduct is constructed of unmortared granite blocks. At one time it transported water from the Rio Frio some 17 km from the city.

After spending some time admiring the engineering that allowed the construction of this marvel, we walked up into the city through winding streets surrounded by old stone buildings. As would be expected, the tourist industry is the focus of most of the shops along the main road.

A view of the cathedral from the town square.

At the top of the hill you arrive at a large square dominated by the Catedral de Segovia. We knew we wanted to visit the cathedral, but decided to move past it to the Alcazar de Segovia, a medieval castle.

The Alcazar de Segovia

The castle has existed since at least the 12th century, and is one of the most renowned medieval castles globally and one of the most visited landmarks in Spain.

The Throne Room.

The Hall of Kings. Statues of the past rulers of Castile line the four walls of the room.

Stained glass depicting King Alfonso VI

Originally built as a military camp, it has served many purposes over the years including as a royal residence, an artillery stations, a military academy, a prison and now a museum and military archive. An audioguide tour provided us descriptions and histories of the rooms as we moved through them.

Leaving the castle, we found a place for lunch, then headed to the cathedral.

The altar of the cathedral.

The very large organ in the cathedral.

Construction of the cathedral was begun in 1525. After three building campaigns, it was finally consecrated in 1768. It is the last to be built in the Gothic style in Spain. It covers 14,025 square meters (almost 151,000 sf) and has 22 chapels.

One of the ornate chapels.

Depiction of Jesus. We debated whether or not the modesty cloth was original.

Some art work in one of the chapels.

We find cathedrals fascinating for both their architecture and their art. Each one is unique and we find the chapels especially interesting as some are quite ornate. An added bonus is that the buildings are a cool refuge from the heat outside.

This cathedral also has an exhibition gallery housing various religious works of art. The collection is small, but the art is quite beautiful.

Having had our fill of history, we head back to the area of the aqueduct to board the bus taking us back to the train station. A long, but very interesting day of exploration.

Salud.