Category Archives: Health care

Busy week

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Mundane things we got done this week. Some good, some not-so-good.
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I forgot to mention that we had a call from our Polizia Municipale on Saturday. They had a citation for us and had to deliver it. We said we were home so he came by to our house with it. (So weird that they do this.) Turns out we were on vacation on our cruise when this infraction occurred so that meant it was our house sitters. They did tell me they went to the Adriatic coast and that is where they got this speeding ticket. Luckily it wasn’t too much over the limit so no need to ask for their drivers license info so we can say who was driving. No points involved. We paid the fine and will wait to see if we get any more to decide whether we will bother with asking them to repay us. Sometimes it’s not worth it.
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Monday we spent 3 hours at the ginormous Perugia hospital waiting — and 15 minutes of that time was for procedures. Ugh. I’m getting an orthoscopia of my sinuses and had to do pre-op tests and an interview with the anesthetist because I will be asleep for the procedure. So that’s done. Now I wait to find out the date for the procedure. I just hope it’s not on Thanksgiving or just before since we are going to Thanksgiving lunch at Calagrana with friends. Here is the waiting room…tick…tick..tick. ⏰

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Tuesday I drove to Sansepolcro in nearby Tuscany for my, much needed, haircut. I love that little city. It’s in the upper Tiber Valley just like we are. They are right up at the end of the valley where the big mountains start. The town has just over 15,000 people so just slightly smaller than Umbertide. It was a gray day and I had a little time so walked a little into town from the gate and took a few pictures. None are very good. The town has all their Christmas lights up already.

V

I may be wrong but it seems like the people in Sansepolcro dress more stylishly than in Umbertide. I think I’m right though. Umbertide is a working class town for the most part and Umbrian to boot. Tuscany is, well, you know, Tuscany, so it is a little more posh. 😁
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Wednesday brought a meeting with my architect, Irma. I think all the details are nailed down now. She and I will go to the Falegname (cabinet maker) Nicoletti here in town who will custom build our cabinets.  I will pick the color then. I’ve already chosen the countertop color and the color for the floor. Still must chose appliances, sink, faucet but that should be it. Today we decided to replace one narrow cabinet with a wine rack. The work won’t start until January which is pretty perfect actually. We will be here. We won’t have any guests. Hopefully it will be done before we go home to the US for the first time in four years in March.  Here’s the plan before. Today we decided on cabinets that lift up rather than open normally. And the narrow cabinet on the left will become a wine rack. 

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Thursday, I worked in the gardens in the morning. I cleaned out and cut back the lavender and a big pink flowering plant that got huge, also the hostas and the ornamental grass I planted. There is still more to do but it’s better now. I also planted all the bulbs that my friend Jill gifted to me. Lots of flowers this spring! Won’t that be something to look forward to?

At a little after eleven I left to meet my bestie, Jen, in Passignano sul Trasimeno for lunch. It’s a pretty lakefront town. I think there are about 8,000 people and it is on the main train line. My friend lives in Foligno and doesn’t like to drive so this worked for us both and I love the lake. Here are some pictures from around town.

Along the lakefront promenade

Pretty park along lake

Along the lakefront promenade

Part of the old castle fortress above the town

Glad these aren’t my stairs

Somebody likes wine

Castle fortress built on a cliff

We ate at Trattoria Pescatore. This place, like most restaurants around the lake, specializes in lake fish. Some of it is regional and specialized like they catch and eat eels, usually made into stew. I’ve had it and it’s actually pretty good. The food is very good. I had risotto with zucca and scamorza. That’s risotto with puréed winter squash and the smoked cheese they make here. Very good and perfect for a one course meal – rich. Jen had the Tuscan soup. It was a bit chilly so the food was quite warming. Here is the restaurant interior, very snug and cozy, and my risotto.

In summer they have a pretty shady garden area. It’s right in the Centro Storico. This photo is the walkway outside covered in vines.

Lago Trasimeno is the fourth largest lake in Italy and the largest on the peninsula. In summer it’s very busy and all along the shores are camp grounds and discos which close in winter. Pretty tacky. In winter the area is quiet and tranquil.

Tomorrow, Friday concludes the week with my Italiano class. It was a productive week!

Medical stuff

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I don’t think I posted about my recurrent sinus infection? I think not. I had an infection back in June. I started at the dentist because I thought the pain was from a tooth. She said I needed to see an Otorinolaringoiatra, or in plain terms a ENT doc. In June he gave me an antibiotic and it made it go away. It came back just before our cruise. It made that a bit difficult and when I came back I started to try to find treatment. I got more antibiotics and a prescription for a CT scan. The antibiotics didn’t work this time. I made an appointment at a diagnostic center in Città di Castello north of us. I got the CT scan (€120). Back to the doc yesterday. He wants yet ANOTHER scan. So tomorrow I go back for a different scan. Then he thinks I need an endoscopy of my nose. Ugh. But I feel really crummy. I want this fixed, if possible.

For those interested in how this works here, all this has been private pay until yesterday. The ENT doc charges €100 for a consult. Fine. That’s not bad. The scans are not expensive. But yesterday, the appointment when I returned with the scan was free. And the endoscopy will also be free under the Italian health system. The way Luther and I do it is pay for the first appointment then normally we get into the system so the treatment is free. This isn’t true for tests like an MRI, radiograph or CT scan. Those you do at a private diagnostic center. But they are cheap compared to US costs.
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One pet peeve I have is the ridiculous waste they have here for medicines. These, in the picture below, are for one month of blood pressure meds for me. I take 2 pills a day. Unlike in the US, where they come in a plastic bottle, here they come in bubble packs and boxes. This seems like an inordinate amount of waste. I don’t know why it is this way.

We had a nice lunch on the weekend. Here are a couple of pictures. First one is on the way. I tried to lighten it but if I did I lost that dramatic sky. So, it is what it is!

It was a nice lunch.

Lemon tree, very pretty…

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Today is a good day. I am finished with my procedure and I am fine! A relief. I seem to think the worst will happen and at the worst possible time! Like now. In the middle of the big move. I went to the hospital in Città di Castello. They have a very nice new hospital with all modern facilities. People around here call the town just Castello. It is about 20 kilometers and takes around 25 minutes using the good, old E45 super strada that runs north and south through our valley. Once it was part of the Via Flammina. An old Roman road. But I digress. They were super efficient and fast. Even mindful of my modesty…many are not here. And the doctor and nurse were friendly. So, now I am done with that…I am dusting myself off and going back to the business of living here.

You all must know of my little lemon tree. I had always wanted to be able to have a lemon tree. One of the first things I bought was a small one from a local vivaio or nursery. I wrote a post about this little tree way back in 2020 when we were in the strictest lockdown because of Covid. It was titled Day 46 Covid 19 and I had a bit of fun with my lemon tree. At that time I was trying to keep myself entertained while being locked down. This post was just one day…I blogged for 83 straight days. You, my reader friends, helped me keep sane. This blog helped keep me sane. What a time it was. Anyway. If you’d like to read that post, here is a link — Day 46 Covid 19.

My tree is still flourishing. I am still pinching off all the leaves on the one side. And this year I got 19 —yes! — 19 lemons. She is doing very well and she is coming on our move. I will take off all the lemons to make her easier to move and take the weight off. She will love our new terrazzo and she will be getting a bigger pot. 🙂


As for news of the move, we are making forward progress. I’m making copious lists. Lists of things to leave here for Jane and Christie, things I need to keep away from the packers that I many need first at the new place, cat stuff (of which there is a lot), some clothes, our computers, wires, chargers, remote controls…on and on. We are using up all the food in our freezer. Sadly I’m going to have to throw away most of my frozen peppers. But I’ll just grow more! And we have a meeting with our sellers this coming Friday. We are bringing our agent friend Jim along. We have many questions and much measuring to do.

Ciao for now! 🌈

Off and running…

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We got the new year off with a bang! We are only five days in, four of those were working days, and already I have received my renewed drivers license and our new Tessere di Sanitaria, health care cards. I think getting the later this fast must be a record!

I also have an upcoming unpleasant test to prepare for. I think most can figure out what it is 😏. For this I had to get blood work done and buy meds which my doctor said were over the counter. Got both of those things done yesterday.

We did a pleasant task today as well. Thank goodness sometimes we get to do fun things! We ordered two beds for our new house. We have only one mattress that we are bringing so we also bought a new mattress. We visited our old friend Sr. Tiziano. We bought a lot of things from him back when we moved into this apartment. He has a showroom with some furniture. But he also has books full of products to order. I leafed through the copious pages and chose two pretty iron beds. I really like their look. Clean and spare. We asked if he could deliver the same day as we move into our new place and he can. That’s good because I want to move in as soon as we can. A bed to sleep in is essential.

Tomorrow is Epifania, Epiphany. It is a holiday here. The end of the Advent-Christmas season. I wrote a post about this and the beloved witch Befana who comes the eve of Epifania. It is an interesting story — check this link for the legend. All the Italian children wait for her to come and bring them gifts. Much like Santa. Anyway. I heard the town band playing and went to the window to see. They were coming down the street all dressed as witches! And one of them was dressed as Befana herself. She is the one in the scarf and checked apron.

We are nearing our move. I am doing some packing of things that I would rather not have the movers packing for me. Our guest room is piled with boxes. I have been purchasing some odds and ends that I think will come in handy. Like a hand truck. I love hand trucks. I used to manage all of the trade shows for my employer, back when I worked. I accompanied our big display booth, making sure it got to the show and back safely. I used a hand truck all the time. I decided it was just what I need now to move boxes around. I think Amazon knows how much I love hand trucks because they sent me two!

Ciao for now!

Trip preparation

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I want to explain the mystery of the inexplicable fine from my last post. Turns out, it was taxes due. Plus a fine. I could ask my Commercialista why, but it’s not that much money and I’m not going to bother. Anyway, mystery solved.

We have been very busy getting ready for our trip. We got our health cards extended so we would have coverage on our trip. We have had several people come and look at the apartment. I got my hair cut. We have met some good friends for some nice lunches. Yesterday we finally received our taxes from our Commercialista for the first part of the year. This payment is for half of last year, and we also pay ”in anticipo” for estimated tax for the first half of this year. This is the second document required by the Questura for our application for the EU long term Permesso di Soggiorno. Unfortunately we got it yesterday. Too late for us to get it in to them before we leave. So it will be first on our to-do list when we return.

We attended an art exhibit featuring three Umbrian artists last evening in a small village called Lugnano. Very nice show in Palazzo Luna and our friend was one of the artists. The town is miniscule.

Vicola in Lugnano

I am madly packing and getting ready for our House/cat sitters arrival tomorrow. We will pick them up at the train station. I want to make them some special pasta dishes. I went to the local Saturday Mercato this morning. We are drowning in cherries now! Look at the varied colors. I didn’t realize there were so many. From almost black, to deep red, to cherry red!

My next post will most likely be about our trip. Travel is so fraught with uncertainty nowadays. I just hope all is uneventful. Ciao for now!

Up early today

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Since I retired I never get up early if I can help it. I normally rise at a respectable 8 am. But I needed to take a sample to be tested at the hospital. They require you to drop it off between 7:30 am and 8. It is inhuman! I had been putting it off for two weeks. Finally I told myself, today is the day, and I roused myself by 7:15. The hospital is about 10 minutes on foot from our house. I looked at the temperature…-1C…ouch! I almost jumped back into bed. Dressed warmly, I headed out. Just outside of our door across the road, is a little tunnel that goes through to a small piazzetta. We use it a lot as it leads to some bins for recycling cardboard. Today, at that hour, the rising sun was aligned to shine right down the tunnel.

I arrived at the hospital drop off place which is the same place as you go to get blood drawn for testing. The way it works here, people get a prescription from their primary doctor. Then they take it to the pharmacy and get an appointment. This particular test doesn’t require an appointment. But most of the people there are getting blood drawn and that *does* require an appointment. So I queued up with all the other early risers. We all are required to fill out a form for future contact tracing in case someone has Covid. I dropped off the sample and he gave me a paper with a PIN. In a week when the results are ready, I can download my results. Works well. Some people go to private clinics for this but I see no reason.

When I got back the weekly market was slowly opening, so I did a little shopping and headed home.
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Last Sunday we had lunch at Calagrana. They have just reopened after a month and a half. There has been some new decorating and it looks really nice. I love the chocolate accent wall. Very dramatic.

My antipasto was a new dish. Called Cipolla al forno, melanzana arrosto, formaggio di capra, salsa verde e pinoli. Which translates as baked onions with goat cheese fondue on top of roasted eggplant with pine nuts and green sauce. It was brilliant!

Ho hum

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Beginning of the year. After Epifania in January 6 all festivities stop. Then we all hunker down for the doldrums of winter. And we have to do some mandatory chores of everyday life.

In January every year we have to renew our Tessera Sanitaria. Our access to the Italian Health care system. We have to visit our ASL – Azienda Sanitaria Locale. We are required to bring copies of our “certified by the American Embassy in Rome”, Social Security statements. Only Umbria requires this, as far as we know. Then we pay 7.5% of that amount at the post and return to the ASL for our new cards. But first, we needed appointments, which we have for next week. An annual ritual.

Now is also the time to pay our auto Bollo, or our tax on the Volkswagen. And also, this year, the inspection which is bi-annual. The Bollo can be paid online but only after you get a SPID which is a secure email address. It took Luther a good deal of time to get that all worked out. The inspection will be week after next.

The poor old Volkswagen gets very little love. She hardly ever gets washed, and gets the minimum of maintenance. She is our workhorse, a really a decent, everyday car. So anyway, we took her to Happy Car for a much needed bath.

It was our first time here. There were maybe six workers? All hustling like their lives depended on it. Maybe they did? First, you park outside and they vacuum the car. Then, they drive into the building for the wash, two guys. High powered spray but wash all by hand. Then outside for drying and interior washing, floor mats are returned, wheels are cleaned, tires blacked. I don’t know how the money is split. The rent on the building and the water etc must be paid. Maybe the rest is split? Or maybe they are just hired by some Fat Cat who runs the show? Don’t know. The workers aren’t Italians, but they hustle like they get a piece of the action. Bottom line. This hand wash, interior vac and cleaning cost €10 or about $11. A bargain.

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Covid cases are up here, like everywhere. I read a tip about the self tests. The instructions say swab inside your nose. But i heard Omacron starts in the throat so it doesn’t show up in just a nasal swab. So, do your throat first, then your nose. Because it doesn’t show up in nasal swabs, a person is contagious for around 3 days even if testing negative (in the nose). Stay safe everyone. Andrà tutto bene 🌈

Boring things. We all have to do them…

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Like everyone on this earth, we all have errands to run to keep our lives ticking along on track. We are happy all the shops are still open and, although we have to stay in our Comune, we have everything we need here.

Our list for today was extensive. First stop. As everyone does, we are preparing for winter. We have a heated mattress pad for our bed. And we have a summer one. So that summer one went to the dry cleaner to be cleaned for next summer…SUMMER ☀️ which I see as a shining light ahead of us! Maybe a new beginning after this pandemic. Spero di si.

Second issue we had been dealing with. Our old printer had died and we ordered a new one from Amazon, after trying to find one locally. We got that on Friday and have semi-set it up. (Don’t get me going on how hard it was!) Of course, as these things go, I had JUST ordered new toner for our previous printer when it died. €80 worth. So I needed to return it. But, without a printer, I was unable to print the mailing labels to do so. So I waited. Today we took the toner to the DHL pickup location to return. Check.

Last week we also had to go to the ASL (Azienda Sanitaria Locale – Local Health Unit) because our E01 had expired. Our Dottoressa had noticed when we visited her. This is the code that is used here to determine how much you must pay for prescriptions and some tests…according to your income. If it expires, you automatically pay the most. So we got that updated but we didn’t have all of the copies of our cards they needed (of COURSE they need copies!!). At home, we had no copier…so we waited and once we got the new printer – we made the copies and we took them there to drop off. Check.

A trip to the EuroSpin supermarket to order a turkey for thanksgiving was next. This part I liked best. This year I decided to do Thanksgiving dinner, even if it is just for us. Our friend Susan offered to make a pie and I think Gary is making a vegetable. No matter. I will take a pan of turkey, maybe dressing, gravy, and of course, mashed potatoes to them. We will eat alone, alas, but at least we will share the bounty with some friends.

After that we visited the Coop supermercato. I had not been since we went to Code Orange and they are again taking things seriously. We had our temperatures taken before we could go into the mall, of course masks are mandatory everywhere now, both inside and outside, and the spacing between people is being enforced. We bought a bunch of the staples we needed. And also some cat food for our friend who is in isolation. She feeds a mamma cat and her litter from this year and was running low on food. I dropped it by her house so she should be good for a while. She told me they are coming to her house to give her the Covid test rather than making her go to Citta di Castello. One of the few benefits of age 🙂.
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I took a walk Sunday evening. By the time I got back to the Centro the sun was just setting and the sky was pretty. Here are two pictures.

The Rocca, our fortress.
The entrance to the Centro Storico. We have a pedestrian bridge which crosses over from the road.

Stay safe all….andrà tutto bene 🌈

Pronto soccorso (emergency room)

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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

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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.