Category Archives: Health care

Cataract surgery

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I will relate the entire story. I visited the local Occulista here in Umbertide that I used once before for a checkup. She said I needed surgery because I have cataracts in both eyes. She recommended two doctors. I opted for Dotoressa Ricci who would give me an appointment in Città di Castello north of us a short distance. She gave me the option of getting in the queue for the operation in the National Health system (free), or to pay private. The differences were, for the public system 1) I would have to wait a year or more, and 2) I wouldn’t get a choice of the type of lens they implanted. For going private, 1) I get the operation now and 2) I get the exact lens that will correct my astigmatism and remove the cataract. I opted to pay private. The cost was €2,000 for all. Including follow-ups.

The operation took place this week on Tuesday in a private clinic in a town called Gualdo Tadino. It is a 50 minute drive, but it is a very pretty drive so… The actual procedure was not fun. I don’t know how it is done in the U.S. Maybe someone can tell me. It took maybe 20 minutes. And I went home to do drops for a month. I had to wear dark glasses inside and out.

Today was my “after surgery checkup”. This time in the Gubbio – Gualdo Tadino hospital. All of these facilities are unknown to me. I was surprised that the hospital was quite modern and new. It was also in what I would call the “middle of nowhere”. It is nice they have a good medical facility out there.

I had to wait for an hour for the doc to see me. But it was all good news. I can see well from this eye. I need to get my glasses refitted to have plain glass instead of prescription. I’m cleared to drive and do anything I want. One more post op checkup and I’m done. Second eye we will do in September. Summertime is fun time here. We are all going places and doing things. So no business to be done! I love this summer vacation mindset.
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A little side step. I always loved, and used the Miracle Grow pellets back in the U.S. for my plants. But I just couldn’t find them here. Most things are liquid and you mix with water. I like the time release ones. Finally I managed to enter the right parameters and I found this…

Literally crescita miracolosa. Means … miracle grow!

Chinese store

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Last week was pretty busy. I finished the final medical tests my doctor prescribed. I visited Ely, at Calagrana to pick up a chair a friend had left for me. It was early because I had gotten blood taken for the test at 7:15. The morning was lovely and I don’t think there is a more perfect, calm and beautiful spot than Calagrana’s terrace. Ely made us a couple of cappuccini and we sat on the terrace and had a nice talk. We should do that more often.
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I also needed to pick up a couple of demijohns and a terracotta pot I bought from a lady nearby who is continuing to downsize her home here. They have lived here a long time but moved back to Maryland a few years ago for health reasons. They can’t yet let their home, up above Umbertide, go. I don’t blame them. It is pretty up there. You can see the city in the distance.

She also has cacti which were blooming. I am planning to make my planters, which are not irrigated, into a succulent garden and she is going to give me some of the cactus.

Next I did something I seldom do. I visited the Chinese store. You’re probably scratching your heads aren’t you? But this is a “thing” in Italy. I don’t know why I have never written about this before. Every town of any size in Italy has their version of a Chinese store. Owned by Chinese people (obviously) and full to the brim of all kinds of things. Too many to list but to name a few: office supplies, toys, kitchen tools and supplies, clothing, pool toys, pots for plants, art supplies, etc. To shop here is to get cheap stuff. Don’t look for quality or tasteful things. But for everyday things that people need, you can be pretty sure you can find them here.

What did I buy? Well, I bought a new wooden scraper spoon, some shelf paper, and a bunch of new clothes pins. Boring but necessary things. So there you have it! Another odd thing you’ll find in Italian villages and towns.

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Otherwise, tomorrow I am getting cataract surgery. I’m very excited. I may not have to wear glasses anymore! And today we also did some planning for a short trip over to Sestri Levanti in Liguria for our anniversary. We went one other time, staying at Vis-a-Vis (thanks Matt🙂), just after Covid, and wow, what a difference between then and now. Then we had our pick of any room we wanted. We had two balconies, one sea view, the other town view. This time, I had a very hard time finding a nice room with a terrace and view at all. Back then, no one was traveling. Now, that’s not the case. It is the opposite. Anyway, it is not exactly on our anniversary, but we will celebrate as though it is.

That’s all the news fit to print. Enjoy spring. Our weather has turned glorious! Enjoy yours, and Happy Memorial Day.

It’s Marzo!

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A gray Sunday but it’s my normal laundry day, because the electricity is cheapest on a Sunday, so I’m just enjoying a quiet day. Starting Tuesday the temperatures are really warming up. Daytime from 15 to 18 or about 60 to 65. Not too bad.
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This past week I made progress on the inscrutable Italian health system. It can be hard to get appointments here, especially if you want a location or a doctor specifically. But my doctor wants me to see a Hematologist because she has some concerns about my blood tests. She specified the appointment was urgent and was to be within ten days. Mainly this was to speed it up, not because it was really urgent. I went to the CUP in the Farmacia (they make appointments) who said I would get an SMS with the appointment. Which I did, the next day! So I’ve got an appointment next week. I’m not concerned at this time but it needs to be checked I guess. And I really am only writing about the process, which involves a steep learning curve. I am on the wait list for two other appointments. If it’s not an emergency it can take some time.
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Meanwhile I worked at Books for Dogs/Libri per i Cani yesterday. I’ve written before but this time I took a few pictures so you could get an idea of the shop. The charity supports two canile which are kennels for rescued dogs plus one other which rescues anything that needs help. I love that she, and she does this all alone, does this.

We get a constant stream of people either donating things for us to sell or those who love to browse for a bargain. We keep busy checking people out and also pricing and displaying the goods. There are a lot of regulars too. Some I like. Some are a bit of a pain. Yesterday a woman came in just at closing and spent a lot of time browsing. She had several things but wanted me to throw in a set of measuring cups that were priced at €2.00. Well, I wasn’t in the mood at that time so I looked at her and said “it’s for the animals”. She put them back. 🙄 Here is the shop. You may notice the Italians are dressed like for the Arctic? Stocking caps and puffer coats. Yeah. They wear these until June. They dress for the calendar, not the weather. To each their own, right?! 🤣

You can get some bargains there for sure. People sometimes bring in Armani designer items and other designer things. The goods do tend to turn over pretty quickly. They also sell furniture. They rent a garage for the bigger things and there is a catalog with pictures. This three piece set of antique inlaid dresser and bedside tables is in the shop. They are asking only €240 for the three.

They also sponsor fun things like quiz nights and bingo at a local restaurant. The quizzes are in English but the bingo is very popular with the Italians too.
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Bathroom. Slow but steady progress. It is amazing how much work goes into a small bathroom. Floor with spacers.

Grouted floor.

Grouted wall.

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Italians have something similar to our chicken soup. Not literally but the food that you eat when you’re not feeling great. Called pasta in bianca, pastina in brodo, riso in bianco or maybe straciatella (egg drop soup). All light and comforting. I made my version this week. It is a soup of pasta in a nice home made chicken broth with a bit of greens. Very much a classic and light comfort food. This is mine 😋

Buona domenica a tutti!

My little tree

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I got the little tree planted in a pot and have brought him in to decorate. I just finished that and he is quite pretty, if quite small! But he will grow. I used many of my old ornaments. But many I couldn’t yet since he is small. Here are some pictures.

It is pouring rain today. Horrible weather. A proper day to get a colonoscopy. I don’t want to over-share but I kind of think it is interesting to know. Luther had this procedure scheduled for today. It was necessary to get it fast so we opted to pay private which is always an option here. The medicine that we must all take before this procedure was different this time. Less liquid needed to be imbibed. Luther told me this medicine would cost $200 in the U.S. and here it cost €20.

After the procedure, all was OK. It is always a relief. It cost us €450.00 in total. Not bad at all if only needed every 3-5 years. But to be clear, this would be free on the national health system, if you’re willing to wait. I imagine a colonoscopy in the U.S. is more expensive that this. You can let me know!

A visit to the hospital

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I had a routine checkup today. I normally I see this doctor here in Umbertide but I could only go private to choose her as my doctor at the bigger, newer hospital in Città di Castello. I am never happy going to doctor appointments here. Especially if I am not familiar with the hospital. I wanted to see only her so I bit the bullet and made the appointment.

So, first thing one must do is pay for the appointment. You go to the CUP counter there. You pay and they give you a receipt. I paid €132.00. For an appointment and an ultrasound. Then you must find the department and doctor. Never easy.

It was a bit of a wait but it was also kind of sweet. This waiting room was just outside of the obstetric ward. While we were there a new dad and a very worn out looking mom slowly, slowly came down the hall with the new bambina in a rolling crib. A little girl. Waiting for them were both of the mom’s parents and one of the dads’s parents. Oh my. The emotion. It was pretty incredible. The pride that the parents had in their daughter for giving them this grandchild was just — wow.

Finally I saw my doc and she gave me double kisses when I arrived. It is the Italian way.
She said they had had three babies born that day, and that that was a big day. All was fine with my checkup and we headed back out. All doctors offices and hospitals have a lot of religious icons. This office has this.

Just another day in the life.

Back from Ospidale

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This past week we were invited to a birthday party for a young woman turning 18. Her parents threw a big party with a full five course dinner for seventy of her friends. They are our adopted Italian family. Vera and Graziano. I really enjoyed watching the young people. Beautiful in the flush of youth. Wearing all kinds of things… much flesh exposed! The meal was good, a lot of food but fortunately you could turn down a course if you wanted, and I did! Pictures with captions next.

Birthday girl. She has the most amazing red hair. Really sets her apart. She is pretty, AND super smart.
Vera and Graziano, mom and dad.
The adult table
The kids
Kids

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Then the dread intervento happened on Thursday. I went to the hospital early, around eight. They immediately rushed me in and I changed into the hospital clothes. They covered me with a shiny blanket and I was wheeled to the surgery floor.

I gotta say, all the people (nurses, anesthesiologist, medics) were so nice and friendly. Happy to talk about where I was from, to tell me about their families who lived in the U.S. One, a nurse with raccoon eyes she had on so much makeup, told me, upon learning I was from near Washington DC, that her daughter lived in Walla Walla and did I know it. The explanation that it was Washington State and not DC which were on different coasts was hilarious. So I was well entertained while I waited. I will add, no one spoke any English. The norm for hospitals here.

All went well and when I woke I had a real scare because my throat closed up and I couldn’t breath. Probably because of the removal of the tubes. It subsided with oxygen. Whew. Back in my room I slept. The doctor came later to explain the findings. I had two different infections. One fungal in my cheek area and one bacterial behind my eye. The issue in my lower sinus in the cheek was a “fungal ball”. Like it has colonized and rearranged the furniture in there to make itself at home… but this also enabled a bacterial infection to get in the cavity which is right behind my left eye. He said that was more dangerous because it could have affected my eye or gone into my brain. So I am glad I got it done.

I have some pictures of my room. It was for two but it was all mine. It also had another whole room with a sofa. The nurse who brought me in said it was my “suite”. After procedures which was painless I wasn’t allowed to eat or drink anything hot. Nor was I allowed a hot shower on my head. So dinner came and it was puréed vegetable soup. They told me I couldn’t eat anything hot but this soup was piping hot. I asked if it was a mistake. No. I just needed to let it get cold. 🙄 OK then. It wasn’t very good cold. But I was famished so I ate it. Next morning breakfast. I had a choice of tea or milk. I decided on tea. But of course it was very hot. Another wait for it to cool. Sigh.

My room
The “suite”
Cold, but meant to be hot, soup. Horrible.

Back home on Friday and return Sunday then again next Thursday to find out the lab results and future treatments if any. Following instructions. Still not eating anything warm. I miss my coffee.
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Saturday we went to a celebration of life for a friend here in Umbertide. John Littlewood. An artist and illustrator with a rich and full life. He was British and his wife is American. They started their own businesses and lived all over the world. In the end Umbertide welcomed him. He was an old world gentleman. Friends with all. My memory of him in the piazza always walking to Bar Mary for his caffè will endure. The celebration was in his small gallery in town. It was packed. He was well loved and will be missed. I plan to buy some of his art as I never have and I do like it a lot.

Next big thing is the kitchen comes on Monday and will be installed Monday and Tuesday, All the players will be here, electrician, plumber, carpenters, work crew. It should be finished and usable this week. Exciting.

The weather is summery. Highs about 80. Really nice. There is a street food fest in town on Friday, Saturday, and Sunday. Looks good. And here is a picture of a park near the Rocca.

Stay tuned for the KITCHEN!!

Pasquetta – little Easter !

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We are home in time for the Easter festivities. We have the misfortune to have a cyclone that is carrying Saharan dust high into the atmosphere and the sky is a murky mess. Cars and surfaces are coated with sand. The weak sun tries but it’s too much for it. This dust is spreading all over Europe even up into Germany.


Today was Pasquetta. It is traditional that the Italians make a picnic and enjoy the outdoors. It was horrible and murky to start with. You couldn’t see any distance really. Then we had a good steady rain all afternoon. It washed all the murk away! We enjoyed a fine lunch at Calagrana with good friends. Four courses plus a cocktail and snack. Many dishes had spring veggies like sweet fresh peas and fava beans. Delicious. This photo is after the storm but it doesn’t do justice to the brilliant red we had.

I went to the Otorino last week (ENT doctor) for a private consult. I have a bad infection, no doubt. He gave me antibiotics and nose spray and scheduled the operation. He is at a private hospital. Private hospitals are required to take some public patients so we checked availability and it would be September (!) before I could go in on the public system. So Luther and I opted to pay for it. TBH it isn’t that expensive. €2,500 all tolled. Includes one overnight and the operation and follow up if needed. I am pretty miserable and would love to feel better after over six months of this. I will report on the experience.

Ciao! 🌸🌸🌸

Long term health cards!

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Today we went to our health department to see about the new Tessere Sanitaria we need to get every January. The new fees are quite a lot higher. €2,000 flat fee per person plus an income based extra amount. It is quite a lot more than we were paying in all the previous years. But we had read that we’re eligible for the health care for free now that we have our PdS Lungo Periodo – or permanent residence. Thing is not many of us immigrants have gotten this long term card yet. You’ve got to jump through a lot of hoops to get it and only after 5 years continuous residence. Also, we were on the early edge of retirees moving here. So, that meant our health department had never seen one before. As you can imagine, many phone calls were made. Much ass covering was done. But in the end we walked out with cards good for five years, AND for FREE! It is a very good day. This card will also give us coverage in all of the EU. Very handy.

Last night I decided to make risotto in the instant pot. I had read it was a great and labor saving way to do it. I had some left over shrimp stock and some shrimp so I adapted the recipe for that. The recipe is here – instant pot risotto. I cut the recipe in half and used shrimp stock instead of chicken. Pretend you see shrimp on top of this…we ate them before I could take a photo! 😋

i went for a little walk today. The weather is pretty nice, the cold is gone and highs are in the 50s in the daytime. Here are a couple pictures. One is the park near us called le pinette. And the other is a cute preschool they built last year. I love the little buildings with big windows and high ceilings and bright colors! Really attractive.

Finally, here is my wonky lemon tree. She’s inside for the winter, or until construction starts. She gave us lots of lemons as always.

I heard about the deep freeze dipping far south — state al caldo!

I’m back!

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Hi everyone! I know it has been a while. Once we got back from England and got through the Christmas activities things slowed down — and so did I!

The week after Christmas was quiet. The 26th is a holiday here so that was a four day weekend. Our neighbors across the hall brought us some delicious brownies. Hand decorated by Celeste and Chiara. Really sweet of them and sweet to taste too! My birthday is the 28th but I never really do anything. Having a birthday in the week after Christmas is stinky. No one feels like doing anything…including me! So that day passed quietly.

I stayed up until midnight watching the new year come in all over the world on CNN, every hour. There were some pretty amazing displays. I also wanted to see the crazy fireworks in Umbertide from our roof. I can see the town fireworks from here easily down by La Rocca, which I couldn’t see from our old apartment. And then all the Italians are mad for their own shows and boy did they ever. Our next door neighbor, with a roof terrace too, shot off some pretty big and sophisticated fireworks. I took a video which I tried to edit but it didn’t work – sorry. The fireworks farther away are the city fireworks. The ones right above me are from our next door neighbor.

New Year’s Day we went to the New Year brunch (yes a brunch!!) at Calagrana. Brunch isn’t a “thing” here. I haven’t been to one since being in the US. Great menu. It was very hard to choose. We both decided to have the Acciughe which is anchovies. Not just any anchovies but Cantabrico from Spain. With toasted bread and butter. Mmmm. Then I had the Mac and cheese 😁 But Wait! Not just your run-of-the-mill Mac n cheese…it was truffled Mac n cheese! It was good!

We had dinner at C’Era una Volta with the folks who bought Joseph and Paul’s house. Their daughter who lives in Rome came as well. It was nice to meet her. And we had dinner with Susan and Gary.

Susan was an important part of why we moved to a Umbertide in particular. She had a blog about her little vacation apartment on the piazza and I found it. Back in 2013 there weren’t as many blogs about Italy as now. I reached out to her a bit before we came. We also found another tiny blog by a (now) friend in Montone and he put us in touch with Jim our real estate agent. Jim found us a little apartment to rent for three weeks. So we came on a house hunting trip. We looked all over Umbria but by then, we found we quite liked this little town, so we bought our first apartment and flew back home to move permanently here. Thanks to Susan and Gary. The bittersweet is that they moved to Florence a couple years ago and we saw them less frequently but they still had their pretty place here. This dinner last week was our last super together here. They had come to move their belongings because they had sold their house. The end of an era. We will stay friends. I am sure.

Saturday was Epifania, Epiphany. The twelfth day of Christmas. The day the Magi came with gifts for the baby Jesus. The day before was when Befana, the Christmas witch came to visit all the children and leave gifts (or coal if you were bad) in their stockings. Remember the all Santa Claus band recently? Well this night we had an all Witch band!

Waaaay back before Christmas, you may remember the trip report of our short trip to England. Remember the lost backpack that Luther left in the rental car? Well ever since then Luther has been working to get the thing shipped back. We had the help of one of the nicest people ever to work for a rental car company, Victoria. She kindly packed the backpack in a box and affixed the label. It was ready for shipping. The first courier he chose used another company to pick things up and twice they claimed they couldn’t find the Enterprise Rent-a-car desk at the airport. Now seriously…who among us has not been able to find a rental car place in a strange airport? None of us of course! But these dolts couldn’t. So Luther regrouped and tried UPS. He got a message the package had been picked up! Yay! Then nothing. So Luther contacted UPS and they said the package had never arrived to them. They said he should check the shipper. Luther reminded them that THEY are the shipper! Hmmm. So they said they could try to track it but Luther couldn’t ask for that since he didn’t send it. He would have to ask Victoria to do it, which he did. Even though she was on vacation she said she would. Yesterday a courier dropped off a package for us and I went down to get it. It was a small box but it was from the UK! And it was from Victoria! And delivered by UPS. So the long lost backpack is back. The important item was Luther’s hearing aids. €3,500 that we didn’t want to lose. The champagne flowed last night. So relieved!

The cold weather is upon us. I find myself staying in mostly, but I am getting much done. I’m packing our smaller things, books, pottery, etc in preparation for the kitchen to try to keep the dust off. We also are trying to renew our health coverage which expires each year in December 31st. The problem. Italy passed a new budget and they changed the amount that we stranieri have to pay. But no one knows how to implement it since it just was passed December 29th but went into affect on January 1. They are just telling people here in Umbria to come back. It could put us all in limbo for a long time. But I’m hoping we will get resolution soon.

We also are doing jigsaw puzzles. We have always done this in the winter, since I was small. Luther loves them. This one is coming along. Only the really hard-to-do part is left.

I have many wishes for this year. I won’t list them all but I hope we can work together more and there will be more kindness and caring for our fellow humans.

Rocky and I wish you all a Buon anno!

I’m back!

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Hi everyone! I guess I have some catching up to do. It has been a busy couple of weeks. I have had a spot of trouble with my website so I held off posting until I could do some cleanup and fix a few problems with the help of a friend (thanks Roger!)

We had a very cold snap which pretty much killed off the remaining plants on the terrace. I built the first fire in the upstairs fireplace and after about four hours it finally warmed up that floor which at present has no heat. I also grilled a whole branzino for our dinner so as not to waste the heat in any way.

Speaking of upstairs things are moving along with the kitchen. I met with Irma, our architect, and we have nailed down all the colors. We also went and met with Nicoletti who will make the cabinets, order the appliances and install everything once the preparation is done. The builder who will do the demolition came to see how we could move the heavy flooring upstairs and the countertops. I have insisted that the counters not have any seams. Both the kitchens I’ve put in here have had seams and this time I was determined they be in one piece. There are two and they will be heavy. So they will use an elevator truck to bring these things up.

We had a lovely pre-season lunch with three of our friends in Spello. We each brought something and it was great fun. We all get along well and the conversation flows. Here is one of the arches in Spello. It is a lovely hill town.

The Christmas tree was delivered to the piazza but this year I didn’t see it delivered as I have done in every other year. So I decided I would put up my own tree which at least brings some festiveness to our house.

We had some company for a couple nights and we did a bit of sightseeing. We picked them up in Foligno and we went so DiFilipo a bio winery near Bevagna. This is our first visit to them since pre-Covid. They have upped their game. They have many more wines now and they have created a nice outside space with tables and chairs — not that we could use it in this weather but they did build a nice fire for us to enjoy inside.

This winery does not use any pesticides. It also doesn’t use any machinery in the vineyards. They use horses to plow and cut the grass between the vines. And they use geese to control the insects. Before going in we went to visit the animals.



We had reserved a tasting and they brought us goodies to enjoy along with 7 wines.

After the tasting we didn’t want lunch so we paid a short visit to Bevagna. They had a small Christmas market. This was L’Immacolata. The immaculate conception. It is a national holiday and the official beginning of the Christmas season. After we returned home we walked into town. It was very cold. We had a drink in Bar Mary and waited for them to light the tree. Right on time – there it was!

Next day was Saturday and we did have a tough time doing anything I had planned. We headed to Assisi. We got there around 10:30 and were turned away by the police as there was no parking left. I had to cancel our lunch reservation. So we decided to visit Perugia. Our guests had not been to either city. Well, we headed to the MiniMetro and found the big Saturday market was there. But we still went to the metro station where we found the place a mob scene. So we decided to just walk through the market and go over to Lago Trasimeno for a walk and lunch.

It was one of the prettiest days ever. Not as cold, in fact it got into the 60s, and it was crystal clear with bright blue skies. Perfect to visit the lake.

We chose Ristorante Il Molo. Known for creative food and a good wine selection. The food was quite creative for sure.

My starter of pasta in brodo with mushrooms
My secondo — fish filet fried crisp with cabbage and mayonnaise

These next are my table mates food and I cannot remember what they all were but everyone like theirs.

Here we are and we had a nice view.

Afterwards we went for a walk around the town. There were quite a few people there but not crowded. Just folks out enjoying a rare warmish sunny day.

Upcoming for us. We planned a trip to England. First one since before Covid. We are glad we got our boosters (first in two years) last week. We leave on Friday and will spend five nights in a National Trust Cottage in a town called Corfe Castle in Devon. We look forward to pub lunches, touring the towns within reach and maybe a walk on the cliffs for which the area is known. We hope there will be some Christmas merry olde England style too! Of course there will be a trip report. 🙂