Category Archives: Health care

Pronto soccorso (emergency room)

Today I visited the Pronto Soccorso for the first time. It is a weekend and I am unable to see my doctor. Yesterday we decided to give our two cats their yearly bath. Simba objected. And at one point he went totally nuts and while struggling with him he bit down on my thumb, right through it and for a moment I wondered how I was going to get him to let go. And it hurt! A lot!

I know a cat bite is one of the dirtiest bites you can get. I’ve also heard horror stories. I asked a friend of mine who used to work with animals and she said a veterinarian she knew lost her thumb due to a cat bite. That kind of lit a fire under me. I am never anxious to go to a doctor or a hospital, or worse, an emergency room. But we live in Umbertide. We have a hospital and we can even walk there. So we walked over to the Pronto Soccorso.

We rang the bell and explained why we were there. I had to fill out a form about how I was feeling today (Covid related) and they took my temperature. Then I got to go in. I had to go alone as they won’t let more than one at a time. I was pleased I understood everything they asked me and could answer all the questions. My Italian has improved quite a lot I’m happy to say.

The doctors were nice, interested because I am American. One even looked up Virginia on his phone and started listing the states all around Virginia. I showed them my Tessera Sanitaria, my health card enrolling me in the system here. They were surprised but I explained I live here and am in the health system.

There was no discussion about the cat bite. It seemed almost a given that one must get treated for a bite from a cat. They examined my thumb and redressed it. Then they gave me a tetanus shot and a prescription for antibiotics and dressed my wound. I have to return in 6 weeks for a booster tetanus shot. The visit cost nothing. I do love the Italian health care system 💕.

Afterwards we walked back and I drove to a farmacia to get my prescription filled. All in all a painless (mostly 🙂) visit. I’m glad I broke down and went. I won’t be so reticent in the future.

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Yesterday and today I made pesto. The Basil is going wild. I harvested these two. They aren’t so pretty and bushy now. If you want to keep your basil producing you must cut it back as it starts to flower down to just above the juncture with two small leaves at the intersection of the stem. These small lives will grow into new, robust basil branches. I have regular basil and violeta.

Here is the jar of regular pesto I made.

This one is an experiment. Thai basil pesto. It has a dark color because of the purple leaves, and it has Thai flavors like fish sauce, sesame oil, etc. I haven’t eaten it yet. I will report back.

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I have more to report as today was a busy day, but I will save it for tomorrow 🙂

It is still ungodly hot but supposed to break on Tuesday I think. Stay safe y’all. 🌈

Corona Virus

Since this all over the news I thought I’d do a quick update. There have been 60 new cases in the past 24 hours in Lombardia. Also two cases in Florence and one in Palermo. These are the first in Tuscany and Sicily.  Total cases nearing 300. Seven people have died, all of them elderly or with compromised immune systems. The provinces affected are closing schools and canceling events. They are advising people with symptoms to not go to the emergency room but call their doctor or the health department.

People here in Umbria seem calm and nothing has changed. We have had no reported cases. But that could change. Some areas are reporting runs on food and water. We went shopping today and it was quiet and the store was fully stocked. So all is well in our region for now.

Permesso di soggiorno UE per soggiornanti di lungo periodo – part 2

So yesterday we went to the polizia here in Umbertide to enquire about how to get the certificates we need. Sadly we have to go to Perugia. We have vague directions. Sigh.

Then we met with our avvocato. Sr. Rossi seems nice and speaks good English which helps some. He explained we should just apply on our own as normal and if we are turned down we will file in the Administrative Court Of Umbria (TAR UMBRIA) to contest the decision. It will cost around €1500 plus court costs and take around 1 1/2 years or so. Sigh.

On the bright side we managed to get our health care renewed. Always problematic as we must wait for the US Embassy to send our stamped social security statements before we can pay the fee to renew. All done. And we chose a new doctor. Dottoressa Lorenza Medici. Good name!
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To catch up with a few things from the last week or two…

Lunch at Calagrana with a bunch of friends. Picture of little Pelegrino, a twin whose mother rejected him. He is being bottle fed and is cute as can be.

And today is February 1! We got past the long cold month of January. Look what I saw on my trip to the grocery store!

Doctors, and wineries, and la cena – Oh my!

Yesterday was a Very Busy day and I want to share it with you.

It started out pretty early. We had an appointment with my knee surgeon at the hospital for X-rays. It was the standard 45 day post op checkup. I’m happy to say I’m fit as a fiddle. I’m now cleared to walk normally up and down the steps, which I did with very little problem. I’m very happy!

It was a pretty day (mostly) with a lot of fall colors and watery blue skies. Not too cold. To go from our house to the hospital in the city of Perugia we can take the SuperStrada around the city (faster but busier), the road that goes through the middle of town (tiny one way streets) or the pretty 2 lane road through the mountains. So, on the way to the hospital Luther took us through the city. On the way home I chose the mountains.

The road goes by a winery and agriturismo we like so we stopped to buy some wine. They also raise pigs which become prosciutto. Here’s the big ole sow. The piglets had run inside. The pens are super clean, and have inside and outside parts.

We also stopped at a place we’ve been passing all the years we’ve been here. It is an enormous castle and a beautiful golf course. We were looking for the restaurant that was supposed to be there. We drove up to the castle which is shuttered. Word has been it was supposed to be an upscale hotel, they also advertise condos for sale. For a long time it was covered with scaffolding but it had been removed a year or so ago. Yet still it is not open. Somebody put a lot of money into this property with the 18 hole Trent Jones golf course.

Castle

Old olive groves surround the castle

The golf course. We don’t have many golf courses in Umbria, or Italy, for that matter. It had a number of people playing. The sign at the entrance says welcome in Italian, English, German, and…Russian. Tells you who they are hoping to attract.

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We had been invited to la cena (dinner) by our friend Vera. She is such a gem. Her suocera (mother-in-law) was having a big dinner for friends and family. No special occasion that I could discern. I was a little reticent but decided I need to mix more so we said we’d come. Vera said not to expect much. It was a down-home feast with the contadini (contadino means farmer) so local folks – working people, farmers.

I will tell about it in pictures 🙂 Here is Vera and her suocera.

The meal was going to be in the garage. As garages go, it was a nice one. Here is the cinghiale who watches over the scene.

I asked what the wires across the ceiling were for. I was told they were to hang the grapes that they dry to make Vin Santo. It is for personal consumption. The grapes are allowed to raisin to get sweet before they make it. They don’t make it every year so no grapes were hanging.

What garage do you know that has a crackling fire? It was for warmth but also for roasting chestnuts at the end of the meal.

Beside the fireplace inside sat Silvester, the ancient Tom Cat. He’s 13 years old and never been to the vet. Not castrated…Italian men don’t allow “cutting”… he didn’t want to be bothered or touched. When he moved it was the slowest I’ve ever seen a cat move. He must be hurting 🙁 But he did seem to be enjoying the fire’s warmth.

Just outside is their big forno (wood oven). And the outside fireplace. Both were roaring hot.

Here is the pork liver (I am fairly certain I’ve never had pork liver before) that had been cooked for both the crostini and the secondo, much to Luthers dismay. Not really, there was plenty of food and he tasted it. We were surprised Italians love liver so much!

The meal begins with crostini. One, liberally dosed with the new olive oil, the other, fegato (liver). Very, very rich!

Beginning the polenta. Two kinds of corn meal…Add to the boiling water,  bring to a boil again and continuing adding hot water,  “til it is right”, cook, stir.

Takes a LOT of stirring to make polenta

The polenta is pronounced ready.

To go on top, a luscious ragu. It had simmered for hours and hours in the biggest pot I’ve seen in a home kitchen! It was pork bits. All sorts with bones and all. Plus lots of sausage. By now the meat was off the bones. They scooped the meats out and put them on a separate plate.  Then they took the tomatoes, which the meat had simmered in and scooped it into a separate dish. Rich and mouthwatering.

To serve, the polenta goes in a plate, add meat and sausages, and top with rich tomato sauce.

Two long tables. All men at one, all women at the other – hah! (Kids were upstairs) Very typical. After a while Vera and I moved over to the men’s table. There is no rule or prohibition to sit together. But the men and women prefer to talk of men’s and women’s things so why sit together?

I had fun. It had been a long day and I was pretty tired so we had the dolce (dessert) and headed home before the chestnuts were roasted. A very traditional, home cooked meal that couldn’t be beat! And a unique experience.

First Prosperious therapy session and…

So, Monday was my first scheduled PT session at our nearby rehab facility, Prosperious. Super highly thought of here in Italy, with both in-patient and out-patient facilities. I can walk there from our house but this is, in and of itself, a workout. First I descend 56 steps…piano, piano. Then I walk about 10-15 minutes. This is all good IMO. Walking is good. Steps, maybe not so much but once I can use both legs then good. Repeat…

Once I reached my destination I was directed to Lorenzo for my therapy. The facility is nice. Big and spacious with lots of folks, of varying ages, in various stages of therapy for various joints. Oh, we fragile humans!

Prosperious from outside

Mostly it is non-weight bearing exercise now with some massage. And afterward, electron therapy. Luther and I laughed at my auto-correct which changed electrode to electron. So they place electrons (-trodes) on my thigh to stimulate the muscles. Luther said it up-ended his quantum physics learning!

And afterwards I walked home. I didn’t pay, I didn’t get my patient card back. I’m sure they will inform the idiot American of her error eventually.😑
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It is not all about medical issues, thankfully! Last night we decided to walk over to FOXX, our new pizzeria just across the river. Short walk for us. We wanted to try their Apericena. This is an interesting mash-up of two Italian words by the way. Aperi is short for Aperitivo, or pre-dinner drink, and Cena is the word for dinner. So you get a drink and bar food. It’s like a happy hour thing. It starts at 6PM. Here are some pictures of the posh new space and the looooonnnggg buffet of food. Order a drink and it’s all you can eat…cost? 8 Euro. Not bad.

My plate

Outside space – it is still nicely warm so many people were outside.

Spiffy bar

Since it was on our way we stopped to check out the 3 pomegranate trees I found earlier this year. I picked a few to see if they are ripe. I know NOTHING about pomegranates. I had to look up how to know if they are ripe, whether they will ripen more once picked, and how to open them up. The one I opened is one of the bigger ones and the seeds are yummy but a little sour. Maybe a bit too early. Pictures…

I’m home!!!

Well, I am home. Up in my casa in the sky. Happy happy.

This past week went as I imagined. The routine is fixed. And I just went with it. The worst was the afternoon and evening which stretched on forEVER. I did my PT everyday. I worked hard and made the most of it. I’m doing very well. I saw my doctor this morning and he said I had to come back in a week to have my punti removed. (Staples)

Time is weird. Although the days stretched on and on, when I looked back it didn’t really feel like two weeks. Of course it was an alternate reality so maybe that was it. And I thank my visitors for helping break up the monotony. My husband, who went above and beyond, Jen, mia amica in Perugia who came many evenings, my Italian teacher Marilena, and our friend Vera.

I arrived home about noon today, Friday. I managed the 56 steps to our apartment. It wasn’t hard per se but I need to be careful of my “good” knee, which is not so good really. It has to do all the heavy lifting for a while. So I’ll limit myself to one up and down a day, allowing myself to go places and do thing without a lot of stress.

Sabato

Today is Saturday. There is only a half day of therapy today, and none tomorrow. I have NO idea how I’ll amuse myself for a whole day here.
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This morning after raising all sorts of ruckus yesterday, I had il Capo Dottore, his name is Berrettini. I finally put my glasses on so I could see his name tag. And also both of the Dottore Del Citernas father and son. Turns out there is no way I can transfer between facilities within the same Region. I wish I had just known that at first. Che casino as they say here, which means, what a mess! I can check myself out at anytime though. And if I want I can go to Prosperious as an out patient, walking over for daily sessions. I think I’ll have to pay for them if I don’t want to wait for the system to find a place. That’s OK. I told il Capo I would like to be released on Friday. Just a week, which I can handle. So, the saga ends. Italia – 1 Hamptons – 0
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This morning I was a bad girl. I went to ginastico and they put us in the room with 7 beds. And instructed us to point our toes up and down. Well I did that for a long time. Quit and waited. Finally someone came back and put a big rubber roll under our knees and we were instructed to do leg lifts. So I did about a bazillion of those. Finally I quit. I sat and waited maybe 15 minutes and then I got disgusted. It was such a waste of time. So I left. On the way down the hall I met an employee on the phone. He got excited I was going on my own. But I told him I was perfectly capable of going down an elevator on my own. They insist on escorting us for some reason. He asked me to wait and I did. Then our PT guy, that I had waited so long for, came out of the elevator. I said finito, and he asked if I wanted to go down on my own. I said si. And went back to my room. I wonder if there will be any repercussions from me doing this. I hate to wait and hate to waste my time. Bad l’Americana!!
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Today’s lunch was good enough. Bow tie pasta with ragu, chicken cutlet and peas. Pear for dessert. I put hot sauce on the chicken 😋

This next week will be more of the same so you won’t hear much from me til I’m sprung outa this joint. Except for any interesting observations or decent or interesting meals. Thanks for following along so far. Ciao!

Rehab – day five.

Short post since not much has changed. No word about my transfer.

It is a brilliantly sunny day. Cool and crisp. Very autumnal. It’s my favorite time of year so I am hating that I’m missing it. We DO have a door to a balcony in our room. It allows lots of sunshine to come in. Cheery.

Today’s lunch was fish. Well, it IS after all, Friday in Italy where they hang onto Fish Friday religiously. 😋 It was pretty good.


I’ve joked while here that this is my Italian lesson for the day along with my ginastico or PT exercise. I’m speaking more than I’ve ever spoken before. I’m definitely getting better and no one laughs at my attempts. If I could just stay here another month or so I’d be fluent! Just kidding!!  But seriously, I think it will help me be less self conscious about speaking when I get back home. This is an unexpected extra. This morning a patient came up to me speaking German. So I responded in German. THAT surprised him 😅. Anyway, that’s it from Casa di Cura for today!

Rehab – Day four

Il Capo Dottore came by as usual this morning. He speaks good English. He’s married to an American woman from San Diego. He confessed he was unhappy that she is a die hard trump supporter. I’ll say no more. I relayed that Luther went to Prosperious and they told him they would call the hospital here and arrange for my discharge. One guy said it probably wouldn’t happen until Saturday. I guess it doesn’t matter since I’m getting PT here. And I’ve told Luther to stay home until I’m discharged since I don’t need anything. No sense in making him drive all the way down here.
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PT today was a hoot. The PT therapist had about 11 of us there. The lady next to me began to give him (he looks to be late 30s) her recipe for a chicken dish. I was thinking, only in Italy. He was noting it down while we were warming up. So he asked l’Americana for a recipe. I had just been talking about cooking Mexican, Thai, Indian so I decided to give him my Chicken Fajitas recipe. It is simple enough and doesn’t require a lot of strange ingredients. He was happy.
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My roommate, Francesca was slated to leave after PT today. But just before she was coming they realized they had never removed the staples in her incision. So she stayed and I went up to PT. I was afraid she’d be gone and I wouldn’t be able to say goodbye…and I was right. She was gone when I came back. So sorry. She and her family were lovely. Her son would cut her meat, open the bags with the utensils and the Grana Padano bag for her soup or pasta, and peel her fruit. Sweet, taking care of la mamma. I’ll miss Francesca, we were truly the odd couple!


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Lunch was good today. Risotto with asparagus, and turkey polpette or turkey meatballs with tomato sauce and peas. Kiwi for dolce.

Once I do the second PT, which is after lunch sometime, then it is mighty boring. I’m sure it’s why they do the passaggiata everyday, get themselves out of their rooms! The evening stretches on endlessly. Sigh.

Another day

Ginastica today was much better. Good workout. Felt good to do it. There’s one lady there who had both knees done! I’d couldn’t do that. Of course I didn’t understand all the directions but once everyone had started I imitated them. One funny part is at one point I gave the thumbs up to Francesca (my roomie) for her good work. The instructor said the odd couple me and Francesca, she is from Bari Puglia and doesn’t understand Italian any better than l’Americana! I guess we are the odd couple. 😀

If you didn’t know, all regions have their own, very different dialect. They don’t necessarily resemble actual Italian at all. After the formation of Italy they mandated one language as “Italian” and they picked the dialect of Florence as the official lingua. Places like Puglia, Calabria, Sicily, Campagna (actually every region) all speak totally different languages. My roommate speaks Bariese dialect. I’m sure all her family does, as well as her friends and the people where she lives. She’s never needed Italian. I’ve listened to her on the phone with her friends and wow! Really strange language.
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Yesterday I washed my hair! It made me very happy. I had to figure out the bathroom. It is commodious and very green. Sink at one end, shower in the middle, which drains into the drain on the floor, and toilet with bidet on the wall opposite. I like this bidet thingy. It eliminates the need for the separate appliance. It allows you to clean yourself better and easier than the bidet. Quite well thought out.

Since I couldn’t get my bandages wet I couldn’t actually shower so I did it piecemeal. Start with the bidet. Go to sink and wash face and bits. Then wash hair with shower attachment. Easy peasy.
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Other news
The administrator brought a form, helped me fill it out and Luther has to take it to Prosperious. Then we will see what they say.
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Life goes on outside the hospital. Luther and I had our appointments to pick up our long awaited Permessi di Soggiorno. He went and got his and told them I was unable to come. This time it took 7 months 🙁