Trekabout Walks for January 2018

TREKABOUT WALKING CLUB-Jan 2018

Walks are graded on a 1-4 scale (with 4 being the most difficult)

Meet Every Tuesday - hikes starting at 9am (subject to change)

HIKING SHOES RECOMMENDED/CARRY WATER/DOGS MUST BE ON LEASH

To join TrekAbout Walking Club, please email at jen.mabery@yavapai.us

Or call: 928-634-6877.

Get up and get moving! And it’s free 

Tuesday January 2^nd: HAPPY 2018 PEOPLE! Do your own thing.

Tuesday, January 9th

“Red Rock Park” – Let’s explore the trail systems! I am thinking we do the Eagles Nest trail (1.9 miles with a 300-foot elevation gain) and maybe tack on a side trail? Thinking we may walk a total of 2.0-3.0 miles.

Level 2.0

Directions: From Cottonwood, drive towards Sedona on 89A then turn right onto Lower Red Rock Loop Road. Follow Along and turn right into Red Rock State Park.

Note: You will need to either pay at entrance or if people have passes let’s find a meet up area just before entrance.

Tuesday, January 16th

Get together with each other! We have a mandatory meeting so we can’t join you 

Tuesday, January 23th

Hike With Jens Parents!! See where all the silly comes from! Haha.

“The Owl Trail” – A really nice stroll along the verde river in combination with some of the jail trail. We call this the Owl trail because of often sightings!

Level 1.5

Directions: From Cottonwood, drive to old town. Turn right into parking lot across from Bocce. Same lot as jailtrail.

Tuesday, January 30^th

“Airport Mesa Loop Trail” – What a beautiful 3.5 mile loop trail! There are views all the way around the loop. There is a short slick rock ledge at the start of the trail. NOTE: Red Rock Pass

Level 2.5-3

Directions: From Cottonwood, Enter Sedona and turn right when get to Airport Rd Traffic light. About half way up road (.2 tenths of a mile) pull out parking on the left.

Remember: Choose the best hike for you! (Call 928-634-6877 or email: jen.mabery@yavapai.us with any questions), Carry plenty of water, Bring a snack, use sun protection, consider walking stick(s), leave what you find, and most importantly...HAVE A GOOD TIME!

Ellis Health Update - 171218

Saturday, 2 December 2017. I finished a day-and-a-half legal deposition this morning and then managed to get in a very slow walk this afternoon. The walk left me completely exhausted and I slept for an hour and a half afterward. This was the first walk I have managed for several days. Thursday was taken up by a visit to the dentist and an attorney's meeting, and Friday and Saturday were consumed by the deposition. I did finally resume walking on Sunday.

It is now Monday, 18 December and we are preparing for the kids arrival for a Christmas visit later this week. I had a few bad days recently but am now back to my regular one-mile walk most days. The weather has been cooperating and it has been sunny most of the time. We haven't actually had any rain for several months now, but sometimes it is cloudy and rather dreary. I do like the sun.

For my regular mile-long walks, I choose between two separate routes. One is a straightforward route to the end of a street, returning the same way. The other utilizes several different streets in a sort of loop and is a bit more interesting. Each route has a resting spot at about the mid-point of the walk, a very welcome fixture. The out-and-back walk resting spot is a conveniently-parked trailer (right) that I have seen moved only once in all the months I have walked this way; it is usually bathed by the sun when I arrive and is thus a nice place to stop on a winter day. 

The loop walk resting spot is an upended rock (left) in the edge of Bill the Boatman's yard. (the owner's name is Bill and I call him the Boatman because he has several boats parked on his property and does repairs for others).

January 2018 Skyliner Hikes

Meet at 0800 in Cottonwood Safeway Parking lot, outer perimeter, across from OfficeMax for all hikes.

January 06: Oak Creek/Verde River Confluence from Cornville Road

Distance: About 8 miles round trip

Difficulty: No significant climbing.  No real bushwhacking

Description: Essentially level hiking along old roads and trails

Meet: 0800 in Cottonwood Safeway Parking Lot, outer perimeter, across from OfficeMax.

Information: Call Dave Beach at 928-593-9466

January 13:  Snoopy Rock in Sedona

Distance: About 6 miles round trip

Difficulty: Maximum elevation: 4869 feet; elevation gain: 785 feet.

Description: Start at Sombart Lane parking lot and hike to Snoopy Rock, return to Marg's Draw Trail, hike to Schnebly Hill Trailhead and return to the parking lot at Sombart Lane

Meet: 0800 in Cottonwood Safeway Parking Lot, outer perimeter, across from OfficeMax.

Information: Call Dave Beach at 928-593-9466

January 20: Lo Lo Mai Indian Ruins off Page Springs Road

Distance: About 5 miles total

Difficulty: Moderate (some climbing in a few spots; trail is indistinct)

Description: Drive north on Hwy 89A, turn on Page Springs Road and park at the intersection with Hidden Valley Road.  Hike up the ridge that runs parallel to Page Springs Road and follow along the crest for about 2.3 miles.

Meet: 0800 in Cottonwood Safeway Parking Lot, outer perimeter, across from Office Max.

Information: Call Jim Manning at 219-508-4158

January 27: Blodgett Basin Trail/loop

Distance: About 5 miles or 14 miles

Difficulty: Moderate (climb 1700 feet) Some will hike the Blodgett Basin trail for about 5 miles and return. The other group will hike the entire loop of 14 miles.

Description: We will drive east on Hwy 260 to Clear Creek, take FR 618 and FR 215 to Bull Pen and park there.

Meet: 0800 in Cottonwood Safeway Parking Lot, outer perimeter, across from Office Max.

Information: Call Dave Beach at 928-593-9466

Trekabout Walks for December 2017

TREKABOUT WALKING CLUB-Dec2017

Walks are graded on a 1-4 scale (with 4 being the most difficult)

Meet Every Tuesday - hikes starting at 9:00am at trail head (subject to change)

HIKING SHOES RECOMMENDED/CARRY WATER/DOGS MUST BE ON LEASH

To join TrekAbout Walking Club, please email at jen.mabery@yavapai.us

Or call: 928-634-6877/928-301-6143

Get up and get moving! And it’s free 

Tuesday December 5^th

“Bell Trail Loop Hike” - The Hike around Bell Rock and Courthouse Butte is an enjoyable easy to moderate 4.5 mile hike with some rock stair stepping.  Great views!

Level 2.5-3.0

Directions: From Cottonwood- Take 89A towards Sedona, turn right at Cornville road. Then follow to Beaver Head Flats Road and turn left. Follow to HWY 179 and turn left. Follow into the Village of Oak Creek and turn right into the Bell Trail parking lot area (shortly after the circle K). Display a red rock pass.

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Tuesday December 12th

“Sycamore Canyon” – Descend into the beautiful Sycamore Canyon! And hike along the creek to a beautiful pool of water at the end! This is a great about 5 mile hike, on the way in is a steep but maintained trail, so remember we will have to hike back up that.

Level 3.0

Directions: From Cottonwood- head through Old town Cottonwood like going to Clarkdale. Turn right at Tuzigoot road. Then turn left on Sycamore Canyon road (right after bridge). NOTE: Let’s all meet at the sycamore canyon road pull out at 8:30 am to do any carpooling and follow each other in. From Sycamore canyon road we will drive another 8-10 miles to trail head at end of road.

Tuesday December 19^th

“Baldwin Trail” –

Another great loop hike about 3 miles long, this hike provides wonderful views of Cathedral Rock. It will take us down towards red rock crossing to enjoy some sounds of the creek.

Level 2.5

Directions: From Cottonwood: Go through Cornville to beaver head flat road to village of Oak creek. Then turn left at the Verde Valley School Rd round about. Follow all the way out till road turns to dirt, then about a mile in look for trail head lot on the left.

Merry Christmas Everyone!!! No hike on the 26th

Ellis Health Update - 171127

I Did a one-mile walk on 18 Nov, about 0.75 plus a visit with Angel on 19 Nov and a mile again on 20 Nov.

I am still getting by almost pain free with three Tylenols per day, bedtime, around mid-morning (when needed) and about 1600. I usually only feel pain when I put significant pressure on my rib cage. I have no pain when I breath deeply and I can raise my arms above my head without any significant amount of pain.

On the 21^st, I worked on the truck, trying to charge the battery with a new charger until I tired myself out and did not walk at all. The next day I walked in the morning and then worked on the truck with George Everman in the afternoon, cleaning a corroded terminal and attempting to jump-start it. We finally called AARP Motoring for assistance. They showed up about 40 minutes later, started the truck and told us part of the problem was a loose gear shift mechanism that interrupted the circuit. While the truck was running we delivered it to the dealer and left it to be serviced next week.

It is now Monday, the 27^th of November and I have walked a mile each day since the 21^st, varying my route part of the time to climb a slightly more difficult hill. The walks leave me exhausted and I always take a long nap afterward. Oh, for the days only last year when I could hike 10 to 15 miles and then rough out my report before retiring.

At least the days have been sunny for my walks and I have paused along the way to enjoy the fall colors, or at least what passes for fall colors in our neighborhood. The below photograph shows local color at about its best.

 Fall colors in the neighborhood

At times the scrub oaks and the maples, nestled in the folds of Mingus Mountain, shown in the background of the above photograph, display some delightful colors. The photograph shown below, taken from the top of Mingus during an October 2013 hike, is an example.

Taken while hiking South Mingus Tadpole Loop (9 miles;2493 foot ascent)

Shortly after today's post-walk nap the repair shop called to tell me that my truck would be ready tomorrow. They had to replace the battery and do some work on the brakes. Since I am still not allowed to drive, they will deliver the truck when it is ready.

Ellis Health Update - 171116

It is Tuesday, 14 November and I am beginning to think I was too sanguine about the speed of recovery from surgery. I basically stopped taking my pain medications on a regular basis about three weeks ago and for several days I did just fine. However, I am now having trouble sleeping at night. Although I have no significant pain while sitting still, my right rib cage is very tender and it is quite painful when I turn the wrong way in bed, I cannot find a comfortable sleeping position and have slept little for the last several nights. I haven't been for a walk since last Saturday and don't feel up to doing one today.

It is now Thursday 16 November and I am feeling better. I restarted taking Gabapentin for nerve pain and, for the last two nights, Rosemary has rubbed my back and chest with Aspercreme at bedtime. I am also taking a Tylenol before going to bed. I saw Doctor Howland today and she said that I am still recovering nicely. I don't know whether it was because of the changes in medication or the encouraging words from the doctor, but I am now feeling much better; I even went for a one-mile walk this afternoon.

Ellis Health Update - 171028

I did another one-mile walk on Saturday, 21 October. I then rested up on Sunday in preparation for Monday's tiring trip to Houston. I think I will be able to navigate the airport without assistance on this trip. I will have only my laptop computer, medications, a book and a few other light items in my carry-on bag.

Rosemary reminded me last night that there are possible side effects associated with taking Acetaminophen for an extended period of time and the single Tramadol pill I have been taking contains an opioid, so I decided to do a test run to see what my pain level might be without taking either. It is now almost noon the next day, Saturday and I have not taken any pain medication since a Tramadol at 2000 yesterday. So far my pain level has not increased significantly, to about level 4 at most and that only sporadically and associated with certain movements or body positions. For the most part I am unaware of any pain at all.

We traveled to Houston on 23 October. The shuttle trip to Phoenix was difficult. The shuttle's shock absorbers were long since worn out and we felt every bump in the road. The Ace Express shuttle is convenient in that they will pick you up and deliver you to your door; however, some of their vans are in pretty bad shape when it comes to comfort. They apparently do give adequate attention to repairs necessary to keeping vehicles running but comfort is not on their check list.

As already noted I planned to make the trip without resorting to the use of a wheelchair in the airport. I did manage to get through the Phoenix Airport without assistance; however, that was my limit: we asked for a wheelchair on arrival at Hobby Airport in Houston.

I saw Doctor Sugarbaker on 24 October. My visits to Doctor Sugarbaker are always preceded by an X-ray and a blood test. After being called to the examining room I undergo breathing tests administered by the nurse along with a six-minute walk, including a climb up and down a staircase, during which time my oxygen level is monitored and recorded. The PA who works with the doctor then examines me and gathers the X-ray reports, blood test results and other tests performed and reviews them with the doctor.

While this is taking place I am usually visited by the chaplain, the social worker and the dietitian. We have used the services of all of these individuals and found them to be very helpful. Teri, the social worker, provided guidance when we needed a place to stay and when we needed to purchase a walker for my release from the hospital; Cheryl, the Dietitian, spent a lot of time making sure we understood the options for making sure my special dietary requirements for a speedy recovery were met; Tony, the chaplain, patiently listened to our myriad complaints about such things as the tiring trip, the weather and other frustrations before offering sympathy and a word of cheer.

By the time Doctor Sugarbaker arrived for the 24 October appointment, all test results had been collected and reviewed so his questions and comments were brief and to the point. Basically, things still look good. My recovery from surgery is better than expected. When I remarked that my daily one-mile walk left me exhausted, I was told that a one-mile walk was more than had been expected at this point.

The bottom line is that I am to return to the clinic for a CAT Scan, more blood work and another visit with Doctor Sugarbaker on 9 January. Eventually he will discuss my progress with Doctor Lindquist, the Arizona Oncologist, and decide on additional chemotherapy to be performed in Arizona, likely four or five sessions.

We returned home as scheduled on 27 October. This time we made sure to arrange in advance for wheelchair transportation at the airport and I also took a Tramadol while waiting to board the plane in Houston. The pilot had to return to the gate to unload an unruly passenger, so we were about an hour late taking off. However, the Ace Express shuttle was waiting for us when we landed in Phoenix and we were home by mid afternoon. I guess the wheelchair transportation and the Tramadol must have done the trick because I was in much better shape when we arrived home than after the flight to Houston.

Ellis Health Update - 201020

Finding that the 0ne-mile walk was wearing me out and leaving me listless the next day, I did just half a mile on 13 October. I also found that using the yucca pole for support was causing some residual pain in my right. On the 14^th I walked eight-tenths of a mile and carried my pole mostly in my left hand.

Apparently prompted by the description of my first post-operation walk in my last update, daughter Julia sent me some pictures she took of the event. The photograph shown here (right) was taken on 23 August, just two days after surgery.

The rat's nest of tubing seen at lower left are the drain tubes from my chest to the four receptacles now mounted just out of sight on the walker. In the photograph, I have located the brakes and am now ready to go. With the monstrous walking machine, the rolling stalk that carried my feeding and medication tubes and measuring instruments and three attendants who accompanied us we pretty much took up the entire hallway.

But back to the present. On the 15^th, 16^th and 17^th I walked a mile each day, although I must admit that I was very tired at the end of the walks. On the 18^th I stopped taking Gabapentin, a pill that is supposed to help with nerve pain. It comes with the warning that it may cause dizziness and I had been feeling pretty dizzy. In any case, I really don't know how to distinguish nerve pain from other sorts of pain and the present regimen of one Tramadol at night followed by three Acetaminophen (taken six hours apart) works well to control the pain.

Most of the pain I feel is concentrated in my right chest around the rib cage and just below my right shoulder blade. It comes after I sleep in a position that puts a strain on that area or forget and use my walking pole in my right hand for a prolonged period. I estimate the level of pain using a scale (below) provided by a nurse at the Baylor Clinic. Usually I am pain free or the level does not exceed level 2; occasionally it reaches level three but never for long.

Wong-Baker Pain Scale

I didn't walk on the 18^th because I felt too dizzy and didn't want to chance falling in front of a car.

On the 19^th, I was preparing for the normal one-mile walk when I found that Rosemary was leaving for a book sale at the Clarkdale Library. She asked that I take an easier walk as she would not be at home to come to the rescue should I fall. I could hardly argue as the main reason for the trip to the book sale was to buy books for me to read during the forthcoming trip to Houston. However, the “easier” walk I chose actually turned out to be 1.4 miles long when I later measured it.

I am still watching the slow march of fall colors as they spread through the neighborhood. The predominant color is the bright yellow of turning cottonwood foliage. There are only a few houses that have fall flowers planted. The most striking of these are a house along Brook Hollow with an assortment a Chrysanthemums, our own dwelling with the still-blooming yellow and red Lantana beds and a gorgeous Pyracantha (left) growing at the intersection of Brook Hollow and Arroya Vista Drive.

We are off to Houston for my follow-up appointment with Doctor Sugarbaker next week. Depending on what he finds we hope to return home by Friday.

Ellis Health Update – 171012

After my Wednesday, 4 October visit with Dr Lindquist, we stopped to eat at the Black Bear Restaurant on the way home. The trip wore me out and I barely managed to keep my eyes open until 2100, my now normal bedtime. I still felt very tired the next day and took two long naps, one in the morning and one in the afternoon. However, on Friday I was well-enough recovered to resume my half-mile stroll around the neighborhood.

Because there is still some scab on a small part of my surgical incision, I have not yet been cleared to soak in the bathtub, a luxury that is especially alluring when forbidden. I am making do by having Rosemary wash my back gently with a soapy washcloth. The rest I can handle myself, using the same washcloth. Recently, while undergoing this routine, Rosemary snapped a photograph of my surgical scar (right). The three brown spots near the upper end of the scar are globs of adhesive which are supposed to wear off naturally. More adhesive can be seen at the lower end of the scar, specifically a brown line at the very end of the scar and running perpendicularly to it. The short scar located just below the bottom end of the major incision is where the four separate drain tubes inserted into my chest exited.

Each of the four drain tubes led to a separate container which had to be loaded onto a walker when an attendant took me for a walk around the corridor. Of course these four tubes were in addition to the normal feeding and medication tubes and measuring instruments associated with any major surgery. These were attached to my body and mounted on a rolling stalk. The first walk I did while still in the ICU included me pushing a walker on which the chest-drain containers were mounted, a physical therapist holding my arm in case I stumbled, a trainee pushing the rolling stalk and a second trainee going ahead to clear the way. We were quite a sight I am sure.

But that is reminiscing in the past. I did my now-normal half-mile stroll with the rolling walker on 8 October and then the next day, today, left the training wheels at home in favor of my trusty yucca-pole stick (left). Walking without having to push the walker along was a lot easier and, upon measuring my track when I returned home, I found that I had walked a full mile.

After today's walk I felt better than I have any day since surgery. Also, I am now feeling better about the follow-up visit to Houston. We plan to leave home around 1000 on the 23^rd and arrive at our hotel in Houston at about 2145. It will feel good to fly without having to be pushed through the airport in a wheelchair.

On the afternoon of my one-mile yucca-pole walk I was very tired and slept for almost three hours. As a result I didn't sleep quite as well as normal that night and didn't feel like another mile-long walk the next day. I did, however, manage to do a half-mile, again without the training wheels. I was still very weak the next day and didn't walk at all except around the house and to eat lunch at a local restaurant. However, by the following day, 12 October, I felt up to another one-mile hike, although I must admit to taking a short break along the way.

I am beginning to see some fall color now, just a few small, scattered cottonwoods that have turned yellow and, strangely, one large cottonwood that is showing scattered clumps of yellow leaves. We have not had a frost yet and the yellow leaves seem to be associated with particular branches. Perhaps those branches have been infested by some insect.

I have corresponded with the Baylor Clinic concerning my upcoming followup visit asking them to make that visit as short as possible because of Rosemary's asthma problem. The high humidity in the Houston area is particularly difficult for her. So far, the only tests scheduled are routine blood tests and an x-ray planned to immediately precede a visit with Doctor Sugarbaker. Depending on the results of those tests and the office visit, the doctor might call for additional procedures. We are hopeful that will not be the case.

Ellis Health Update - 171005

I kept an appointment with Dr Howland (my primary physician) on 28 September. The appointment was made for me by the Baylor Clinic. The purpose was to insure that I was seen by a medical professional soon after flying home to Arizona and to coordinate care. My favorite walker is too heavy for Rosemary to load into the trunk of her car, so I took the lightweight aluminum walker that she had used when she had knee surgery. My walker has wheels while the lightweight one does not and thus must be lifted for each step. I find that “lift and move the walker forward and step to it” very, very awkward. After a few steps I wind up just lifting the walker and carrying it clear of the floor. That way it is readily available in case I need it and walking is unencumbered. That is the way I left the doctor's waiting room when called me to the examining room. I noted that the nurse was doing her best to suppress a laugh and couldn't imagine what that was about. As it turned out she thought it hilarious that I was striding down the hall to the examining room carrying a walker that never touched the floor.

After the visit to Dr Howland I did my 0.5-mile stroll with the wheeled walker (left). But that night I had trouble sleeping and was dizzy the next day. This lack of sufficient sleep at night and dizziness during the day continued for a couple of days. I even resorted to using the walker again around the house for a day. However, I did get a good nights sleep last night and feel better today, 1 October 2017. In fact I did a 0.04-mile walk at noon. I changed the route a bit because I was not sure that I was ready to resume the half-mile marathon yet. However, as about half of the new route was uphill, it would actually have been easier to just do the standard half-mile walk. By the 2^nd of October, although still a bit dizzy, I felt well enough for a trip to the barbershop. The next day I again did the 0.5-mile walk.

I saw Dr Lindquist, the local Oncologist, again on 4 October. This was a visit recommended by Baylor Clinic for the purpose of coordinating treatment. Dr Lindquist prescribed another B12 injection and another infusion of Zometa, the bone-building medication (called bone cement by one doctor) I have been receiving. periodically since the start of chemotherapy.

My next scheduled appointment is with Dr Sugarbaker in Houston on 24 October.

Ellis Health Update - 170929

At the time of the doctor's visit on 12 September I was very weak, prone to collapse whenever I tried to stand. In fact I had to resort to a wheelchair for the trip from the hotel van to the doctor's office. We at first thought that my weakness was caused by the increased pain medication and reduced it accordingly, alternating between Tramadol and Tylenol on a three-to five-hour frequency. That did not significantly affect my pain level which, by the way was now quite tolerable. However, further investigation indicated that the weakness was caused by a drop in blood pressure when I stood and I was given a new prescription for my low blood pressure.

I returned for another doctor visit today (14 September) and found that things seemed to be working well. I had a new chest x-ray, a blood test and walking test (apparently standard tests for doctor visits at Baylor Clinic) The doctor made a few further adjustments to my medication, mainly stopping one of my blood pressure medications (Amlodipine) and scheduled me for a return visit on 19 September. I was also told that I may be allowed to return home to Arizona late next week. However, I will need to fly back to Houston after about a month for further testing.

After today's visit to the clinic, I slept deeply for almost two hours and then went to the Olive Garden for an “eat one, take one home” special. We now have several days worth of food tucked away in the refrigerator.

On 19 September, Doctor Sugarbaker was detained out of town with a family emergency and I saw his PA. She found things to be looking good but asked that I return on 21 September to meet with Dr Sugarbaker before being released.

The 21 September doctor visit was scheduled for late in the morning and we would need to take the 1000 shuttle to the Clinic. We informed the motel that we would need to stay another day or two. Rosemary had informed them earlier that we might need to extend our stay. However, despite verbal assurances that an extension would not be a problem, we now found that they had already booked our room and were full up; so we were required to move to another motel. We thus had to pack all of our gear and place it in a locker before catching the shuttle. We barely made it. I was given the tentative OK to travel back home; however I was referred to a cardiac specialist to make sure my weakness was not related to a heart problem and the release was contingent on his findings. After an EKG and an examination, the doctor declared my heart to be “absolutely normal.” He did suggest that I wear support hose, especially during the flight back to Phoenix, to alleviate the sudden changes in blood pressure I have experienced when standing up. Luckily, they were able to schedule for later that same day. The down side of this is that we were on the go from early in the morning until about 1700.

We spent the night at the Holiday Inn and caught the airport shuttle, took a morning flight to Phoenix on Southwest and then the Ace Express to Cottonwood. The flight to Phoenix followed by a 2.5-hour shuttle trip to Cottonwood was exhausting and left me feeling very lethargic for the next couple of days. However, I am now steadily improving: My appetite is better (meals are no longer just a duty to be performed), I walked about 0.4 miles along neighborhood streets yesterday (I used the walker on the street but have managed to do without its assistance within the house)and I have no significant pain so long as I hold to my pain medication regimen (0200: 1 Tylenol, 0800: 1 Tylenol, 1400: 1 Tylenol, 2000: 1 Tramadol).

Day before yesterday, I did feel some nerve pain and resumed taking Gabapentin (presently taking one a day which seems to work well). Although essentially pain free with the medication I am taking, I am still very weak and need a lot of rest. I usually go to bed about 2100 and sleep for around 10 hours, interrupted by a few bathroom breaks. After breakfast, I normally do a little clerical work, catching up on the six-week stack that piled up while we were in Houston. If I still have enough energy after that, I add a few words to this document. Otherwise I take a 1.5- to 2-hour nap, eat lunch and do my daily walk around the neighborhood. Yesterday (27 September) I stretched the walk a bit to make it an even half-mile. Today I saw Doctor Howland, my primary care physician, in the morning and reviewed the medications I am taking.

Keeping up with medications has become quite a chore while being treated by Doctor Sugarbaker at the Baylor Clinic, Doctor Howland at Northern Arizona Healthcare and Doctor Lindquist at Arizona Oncology. Daughter Diana got me organized initially with a spreadsheet before she left Houston. Even with that it was taxing my abilities to make sure I took everything I was supposed to and at the proper time. Just when it all started to make sense, I would be overtaken by fatigue and have to stop for a nap. Luckily Rosemary was there with her orderly mind. She took Diana's spreadsheet and all of my pill bottles and soon had everything organized. I do keep track of my pain medications; otherwise, I just take he pills placed in front of me.

Ellis Health Update - 170909

My operation was performed on 21 August 2017. When I awakened after the operation, the doctor informed me that he was able to remove “all of the cancer visible to the naked eye without removing the lung.” The actual surgery was followed by a heated chemotherapy treatment. When I first became aware enough of my surroundings to remember anything, a nurse was explaining that the breathing tube in my throat would likely be removed the next day. The tube of course made talking impossible. But then I don't remember having anything to say. Likewise, it was not possible to swallow anything; however, I was being fed intravenously so didn't need to swallow.

The nurses and doctors in the Intensive Care Unit were without exception terrific in their attention to patient welfare. Considering that Hurricane Harvey chose my period of residency in ICU to wreak its wrath on Houston and that the staff that could even get to the hospital were working on a near around-the-clock basis with only infrequent sleep breaks, I was amazed at the never-failing friendly, courteous care they provided. For instance, I noted that my night nurse often used a flashlight at night when she needed to check a machine. She thus avoided turning on those blinding overhead lights seeming designed to wake the dead.

My night-shift nurse in ICU for all but one night of my stay was a friendly, efficient bundle of energy named Rina. She came on shift one night with the breezy announcement that we were taking a trip through time and space for tests the doctor had ordered. She then, in a reverse Cinderella's coach move, declared my hospital bed to be a spaceship, appointed herself Captain, recruited two additional staff members (I think they were called called Oz and Laughing Man) as crew, hung all of the assorted machines and devices I was hooked up to on an instrument tree and and/or my bed itself and guided us out of the room and into the passageway. There she entered zoom mode (spaceship lingo for warp speed I assume) by uttering the command “Enter Zoom.” The ships computer then acknowledged her command by saying “Entering Zoom Mode” and we were off down the passageway to the elevators. (Note. I was never sure whether the spaceship's tinny sounding command response was coming from a speaker or a crewmember.)

Traveling at warp speed, we arrived at the elevators in short order, shifted out of zoom mode for the elevator ride and then back into zoom for another short trip to the back entrance to the Emergency Room where a technician was waiting to perform a PET scan. Somehow the crew managed to transfer me along with all of my attached tubing and sensors to the movable bed of the PET machine. After the scan was completed, I was moved, along with all of my attached paraphernalia, was moved back to the “spaceship” and we returned to the ICU Unit.

I really do not remember for sure just when I was moved from the Intensive Care Unit. By then Julia had returned home to resume her duties as a teacher at Diamond High School in Diamond, MO. Diana had managed to take a few more days off work in order to stay with her mother until I was out of the hospital. Julia and husband Rick Allison who had driven from their home in Joplin, MO managed to get back home before the hurricane struck. Diana and Rosemary hunkered down at the hotel to wait Hurricane Harvey out. I was safely ensconced at the hospital and they were snug enough at the Staybridge Hotel. Although hospital visitation was impossible we could console ourselves with the knowledge that we were all safe and comfortable in our isolated domiciles.

I spent a very short time in the Intermediate Care Unit before having the last of my four chest drain tubes removed and being cleared for release on 30 August. The photograph shown here (right), although it may look like the first awakening of Frankenstein's Monster, actually shows me on the day I left the hospital.

However, I had steadfastly answered the social worker's questions as to what equipment we had at home based on what was located at our home in Cottonwood, never considering the fact that I would need to remain in Houston for an extended time for post surgical care. As a result, procuring a walker, something absolutely essential before being released from the hospital, turned out to be a mad scramble. With the help of the social worker we finally located one with a seat in case I suddenly needed to sit down and easily-applied brakes to hold the unit in place while I did so.

The supplier would deliver the walker that day but could not provide a specific delivery time. We finally decided to change the delivery location from the hospital to our hotel, take a hospital wheelchair to the shuttle van and use a hotel wheelchair from the van to our room. As luck would have it we met the walker delivery man just as I was wheeled out of my room, so we took delivery and Rosemary rolled the walker along with us.

I had a lot of pain and trouble sleeping for a few days after leaving thr hospital. We returned on Tuesday, 5 September for a follow-up office visit and a couple of tests. The doctor adjusted my medications, doubling my bedtime dosage of tramadol (two pills instead of one), doubled the amount of Tylenol I was taking, added Advil and adjusted my schedule to make sure I was taking something for pain once every three hours. Hr also had us buy a pain patch to apply to my back. Rosemary then took charge of all my medications, a chore that had proved too much for me. The next few days went much better: the change in medications took care of the pain and I slept much better, getting my normal nine hours on 7 September.

Other than having frequent fainting spells (thank goodness for the seat in my walker), I was normal but feeble by 7 September and we went to the Olive Garden for dinner.

My next followup visit is scheduled for 12 September and I hope to get a better feel for when we can leave Houston then.

The Neighborhood Walk – Update 170810

While awaiting my return to Houston for the surgery which is intended to “remove all visible cancer from my lungs.” the doctor prescribed a brisk daily walk. The walk was to be “10 minutes out and 10 minutes back.” After a bit of experimentation, I fell into an every-other-day routine using the 2.5 mile Neighborhood Walk previously described in a 14 June posting on my blog:

https://ellisfprice.blogspot.com/search?q=neighborhood+walk

Having already described this walk in some detail in the aforementioned posting, I will only note the changes, mostly seasonal, that I have noted in recent walks.

The wildlife still includes a plethora of young rabbits, perhaps indicating a diminished coyote population. On the other hand, a few days ago I encountered a herd (is three a herd?) of javalenas crossing Acoma Drive. They looked especially fit and healthy, sporting what appeared to be new winter coats. It would seem to be a bit early for that, so perhaps the shiny new growth was due to the abundant vegetation caused by the relatively heavy monsoon rains we have received.

The century plant located on Brook Hollow Drive has now shed all of its gorgeous yellow flowers; however, the nearby Mexican bird of paradise shrubs are still in bloom, although not as profusely as before.

Angel, the owner of the house with all the old farm implements located along Christina Draw Wash, has been working diligently to keep the water from undermining the bank at his house.

The prickly poppies I saw earlier along the wash, and occasionally along the roadways, are all past the blooming stage now. Without their large white blossoms they are just another nondescript desert plant. The poppies have largely been replaced by silver leaf nightshade.

The short trail I built at the start of the monsoon season to ease the descent into Christina Draw Wash has held up well, requiring no repairs to date. I also took my clippers along with me on one walk down the wash and clipped a few branches that were overhanging the path. The walk down the wash from the end of Meadowlark Drive to at Brook Hollow Drive, always easy, now doesn't even require bending to avoid the occasional overhanging branch.

The large sunflowers that grew at the end of Acoma Circle are now past the blooming stage; however, another patch of smaller sunflowers are still in bloom in a yard along Brook Hollow Drive, between Elk Circle and Arrowhead Lane.

The most pleasing change during this time has been the removal of the old sedan that was slowly deteriorating alongside the street on Elk Circle. Thankfully, someone chose a tow truck instead of cinder blocks.

Back at our house the Texas sage is sometimes in bloom and sometimes not. The bushes are quite attractive when in full bloom, appearing as solid light purple masses. Unfortunately, they bloom only sporadically during the season and the blooms are very fragile, never lasting long. On the other hand, our two beds of lantana, one yellow and one red (or orange-red) bloom continuously from spring to late fall. The lantana is planted in beds with irises and starts blooming about the time the irises finish, soon taking over the entire beds and providing color all summer. We just cut the irises back in the spring and then cut the lantana down after it dies in the fall. It all comes back again the next year.

Ellis Health Update - 170728

On 20 July, I visited Doctor Brenda Howland, my primary physician, as recommended by Baylor clinic for a followup to the “staging” surgery performed there on 10 July. This was because of the bleeding caused by insertion of a urinary catheter during the surgery. Meanwhile the bleeding has long since stopped and I am feeling no ill effects from the catheterization. She suggested that I remind them of the problem when I return for the next round of surgery so that they can perhaps use a smaller tube.

The next day, Friday, 21 July 2017, I saw Doctor Lindquist at the Arizona Oncology Center in Sedona. She had a fresh blood test drawn and, after checking the results, called for another B12 shot and a Zoledronic acid Q28D infusion (a bone strengthener or, as one doctor termed it, “bone cement”). Immediately on returning home, I went online and attached the blood test results along with the report of the shot and infusion to my file at the Baylor Clinic. They responded shortly saying that Doctor Sugarbaker had reviewed my biopsy results (from the 10 July procedures) and that he “recommends to proceed with scheduling the bigger surgery - pleurectomy and possible extrapleural pneumonectomy.”

Basically, as I understand the terms, that means they will first try to address the problem by removing the diseased lining of my lung along with any other tumors in my chest. This is called a pleurectomy.

If it turns out that a pleurectomy will not adequately address the issue, they will then proceed to remove my diseased lung, part of my pericardium, (membrane covering the heart), part of my diaphragm (muscle between the lungs and the abdomen), and part of my parietal pleura (membrane lining the chest). This is called an extrapleural pneumonectomy. Diana sent me a narrated step-by-step video demonstration of this procedure. Watch it if you have the guts:

http://www.annalscts.com/article/view/1067/1595.

Doctor Sugarbaker said that, based on what he had seen so far, he thought he would be able to avoid removing the lung.

On 24 July I received a date for the “bigger” surgery. I am to be in Houston three days before the date of the surgery for a Nuclear Lung Scan, an Ultrasound of my lower extremities and an office visit with Doctor Sugarbaker. I don't know how long I will be in hospital following the surgery, but I am told that I can expect to spend about a week in ICU. We are tentatively planning to be in Houston for a full 30 days.

Part of the prescribed pre-surgery regimen is a 20 minute walk,”preferably outdoors, each day. I am satisfying this requirement with a short daily walk around the neighborhood; yesterday I did one mile, today, 24 July, I walked about 1.4 miles. By August 26 I was up to 2.5 miles. I had walked 2.5 miles at the recreation center a few days ago, but that was in an air-conditioned space. Outdoor walks are much more difficult in this hot, muggy (for Arizona at least) weather.

Rosemary snapped a photograph of me (right) all decked out for my daily walk. Note the GPS (in case I decide to deviate from my normal route) in my pocket and the dog whistle (for retaliation against the occasional dog who insists on raising the alarm while I am walking past of the street) strung around my neck. Most of the dogs on my normal walk have long since learned about the whistle and now let me pass in peace.

This will likely be my last health update posting until I am sufficiently recovered from surgery to care about such things: expect to hear from me again from the other side of the surgical gulf sometime in late August.

TREKABOUT WALKS - August 2017

Walks are graded on a 1-4 scale (with 4 being the most difficult)

Meet Every Tuesday - hikes starting at 7:00AM (subject to change)

HIKING SHOES RECOMMENDED/CARRY WATER/DOGS MUST BE ON LEASH

To join TrekAbout Walking Club, please email at jen.mabery@yavapai.us

Or call: 928-634-6877.

Get up and get moving! And it’s free 

Tuesday, August 1st

“Airport Mesa Loop Trail” – What a beautiful 3.5 mile loop trail! There are views all the way around the loop. There is a short slick rock ledge at the start of the trail. NOTE: Red Rock Pass

Level 2.5-3

Directions: From Cottonwood, Enter Sedona and turn right when get to Airport Rd Traffic light. About half way up road (.2 tenths of a mile) pull out parking on the left.

Tuesday, August 8th

“Mingus Mountain” (Don’t know the real name) – I would say about 3-4 miles out and back. Go through some pines along the way to a very nice outlook view. Nothing too strenuous.

Level 2.5

Directions: From Cottonwood, Head up to Jerome, continue 4.2 miles beyond Jerome. You will then see a large pull out on the right that also has a big brown Prescott National Forest sign.

Tuesday, August 15th

“Baldwin Trail” –

Another great loop hike about 3 miles long, this hike provides wonderful views of Cathedral Rock. It will take us down towards red rock crossing to enjoy some sounds of the creek.

Level 2.5

Directions: From Cottonwood: Go through Cornville to beaver head flat road to village of Oak creek. Then turn left at the Verde Valley School Rd round about. Follow all the way out till road turns to dirt, then about a mile in look for trail head lot on the left.

Tuesday, August 22

“Wilson Canyon Trail” -The going is very easy and there'is quite a bit of shade. This route goes into a box canyon alongside a wooded stream, then, if you choose, a scramble up to a big viewpoint. P.S. we can also combine a nice water feature after this main hike that goes underneath the bridge! Splash around a bit.

Level 2.0-2.5

Directions: From Cottonwood: Drive to Sedona, stay on 89A like you are going up Oak Creek Canyon. Park in the Midgely Bridge Parking Area.

Tuesday, August 29^th

“Arizona Cypress” – 3.0 mile loop trail. I admit, I haven’t done this one yet but it looks great on the map. Intersects with Girdner, snake, and anaconda trails.

I’ll call it a level 3 because I’m not sure (Adventure Time!)

Directions: From Cottonwood: Head to Sedona via 89A, Turn left on Dry Creek Road. Just before the first “T” there is a left hand dirt road turn (right before the little bridge) left. Follow to trail head.

Remember: Choose the best hike for you! (Call 928-301-6143 or email: jen.mabery@yavapai.us with any questions), Carry plenty of water, Bring a snack, use sun protection, consider walking stick(s), leave what you find, and most importantly...HAVE A GOOD TIME!