vickygoestravelling

my journey to health and well being via exotic destinations


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in which I complete week 1 of radiotherapy and suffer some immune failings

Miso soup with shitake mushroom, tofu...the best immunity boosters all in one!

Miso soup with shitake mushroom, tofu…the best immunity boosters all in one!

Six sessions down, five and half more weeks to go. It has taken all this time to get the treatment exactly right: after having the whole team round my bedside, we experimented on consecutive days with new stirrup positions, the physicist returned to take measurements, the blue sponges returned…and now we are back to Plan A – the blue sponges, and lining the camera up to get the oblique angle and protect the underside of the knee to prevent fibrosis.

I saw the lovely Dr Miah on Friday: we discussed nutrition (a little of what you fancy, lots of snacks to prevent weight loss). She also told me off gently for wearing narrow, if soft, trousers and my fancy patent boots. She said even if there is no pain, my leg needs air as all materials will rub against the soft underside of my knee. But I can dress up on special occasions! My next scan won’t be until June. So annoyingly longer to wait, but she confirmed Prof Khong’s advice that too early, and you won’t see anything. However, if they do spot a single nodule in the lung (first port of a call) they will chop it out; more than one – chemo. For the record, I did ask!

The tube strike made for a couple of anxious days – late or non-arriving taxis, but the journeys themselves were remarkably quick. The sessions also ran more or less on time; with Friday’s starting a minute early, and I was out in 10. Hope this is promise of things to come.

This week I have had cousin Christine from Geneva to keep me company: as well as some nice lunches, retail therapy, movies (Dallas Buyers Club, Inside Llewyn Davis and August: Osage County – see reviews on www.vickyatthemovies.net), we have been navigating the tube: walking to South Ken, change at Kings Cross and then to Belsize Park, rather liberating. Trying to get back to being normal.

Getting ready for Burma: pork with pineapple, tamarind, bean shoots. Scoffed while watching latest Euro cop thriller Salamander

Getting ready for Burma in November: pork with pineapple, tamarind, bean shoots. Scoffed while watching latest Euro cop thriller Salamander

We bought a Big Issue outside South Ken; as Christine scrabbled in her bag for money, the guy saw her new stripy pyjamas. ‘I used to have a pair just like that, except they were blue. In prison.’ He gave us a big toothless grin.

However, I think I underestimated the physical effects. By Saturday night my leg was very swollen and sore (not red or burned) and stiff. I have also had some immunity failings – thrush and herpes: surgeon Dave says I should be upfront as even doctors don’t really understand how gruelling RT can be. Depressing given my super-healthy diet: juicing every day with beetroot, carrots, ginger, greens and whatever I have from my Riverford box, plus Christine’s home-made granola and our wholly organic diet. Not forgetting my yoga (shoulder-stand, plus lots of contorted poses made more difficult by lack of calf muscle) and my latest discovery, meditation. 10 minutes a day. Judy delivered a freezer-load of Jamaican and traditional chicken soup, and Annita brought a delicious lunch. I am being thoroughly spoiled.

The Ladies rota kicks in next week (thanks Janie), and Ross comes at the weekend…things to look forward to. Carpe Diem.


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in which I get measured up for my cast and try to look on the bright side

Thought we needed to see Pickle again

Thought we needed to see Pickle again – where else but on my lap?

The past 10 days have been rather depressing, waiting for things to happen. I feel like I’m in a waiting room – for death. Morbid I know but limbo land is no fun. Two weeks for radiotherapy to start and another three months until the first scan, which will indicate whether the cancer has spread. And in trying to maintain a brave and smiling outward face while struggling with inner fears, the bigger things can be put in perspective but it’s the little things that get blown out of proportion and are very upsetting. So if I ever explode at something minor, it’s not that thing that is the problem, it’s the wider challenges I am facing.

On the plus side, I have been doing some nutritious cooking (Tom Yam soup, steamed chicken, fish curry, and now about to go Japanese) and have been to the movies twice (12 Years a Slave and The Railway Man –  see what I thought on http://www.vickyatthemovies.net). I also had a moment of inspiration and exchanged my lovely red-hot mini for a slightly newer, automatic mini cooper. But black and not so dashing. Today I drove to the hairdressers at the O2 centre, where I had some good therapy: thank you Joe and Eli! Mani/pedi next week!

The metallic black mini Cooper 1.6

The metallic black mini Cooper 1.6

My friend Cindy in Mumbai has sent me a book on yoga for cancer, and I am determined to learn how to meditate and do some simple poses. I think it will help. My physiotherapy – Pilates – is energising and I now have my own wobble board and special exercises to add to my sit-ups and weights. It’s quite hard work though; Tommy was most amused when he took this picture.

On the wobble board!

On the wobble board!

My mobility is improving daily and the pain is diminishing, so I have almost stopped taking the tramadol and paracetamol, only taking any when I feel pain. But for some reason this week I have been getting exhausted and energy levels are low. My weight seems to be going down and then regaining the 55kgs, whatever I eat. I find this worrying. Of course I am angsting about the impending radiotherapy, and now the little insidious niggle of the histology results and the mental picture of those nasty little cancer cells whizzing round my body. It’s all about keeping my immune system high so I continue with the healthy diet and exercise; I’m sure feeling down doesn’t help though. I am learning it takes (too much?) energy to be upbeat, cheerful and superwoman. My new resolution is not to let anything or anyone annoy me. Challenging!

Two appointments at the Marsden this week to make the cast for the radiotherapy and then to do the scan and make the aligning tattoo marks on my leg. The cast is necessary to keep the leg in place so that the rays can be directed to the exact sites for treatment. I go into the ‘mould room’ and lie on a flat operating table; I feel like a fakir on a bed of nails! Then my leg is elevated but only supported by the ankle, and they heat up a large sheet of plastic in a bain marie, which emerges like a giant gelatine leaf, and which the technicians then press round my leg until it is a snug fit. All sorts of adjustments are made and then a wait for it to harden. Meanwhile my leg is in agony as there is no support for it and of course I have no calf muscles so the quads are in overtime. They make a small spongey cushion to place just above the knee to help, but it’s not terribly effective. Sadly I am not allowed to photograph.

Back the next day for the scan. By the way all these appointments run on time. Another cheery bunch of staff. Back on the bed of nails, but with a large scanning machine and my instrument of torture is fitted. Oh dear, it needs adjusting! I am dreading they may have to re-make it but, no, they can heat it up and stretch it. It is then stuck down by Velcro to the plastic sheet with an outline of my measly leg drawn on it; more Velcro has been attached to hold the mould in place. Simple but clever. But all this fiddling around is taking its toll and my leg feels on fire, and we haven’t even begun the scan. By this time, I am wracking my memory for my yoga breathing (alternate nostrils) and counting and observing my breath to try and make the pain go away. It passes the time at least.

It’s not over yet though, as they have to make a couple of tattoo marks to align the cast. Blob of black ink followed by some scratches – not at all painful, although they have to re-do one of them. At last, it’s all over, 45 minutes later. I’m told that the treatment won’t be as long. I hope not, as I don’t think I could take that pain daily for 6 ½ weeks!

My pin-prick tattoo, with remnants of marking pen

My pin-prick tattoo, with remnants of marking pen

To add insult to my injuries I get ripped off by the cab home; and when I go on the C11 to my physio, no one gives me a seat! Wah!

On a positive note, to counter all this misery, I have booked myself to go to Cyprus for 5 days – air miles in business class – to stay with lovely friends Penny and Mike, who will pamper me and cheer me up. She has been through it all – surgery, radio and chemo – so knows where I’m coming from.


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in which we talk radiotherapy

We have dates! Went to the Marsden yesterday, all by myself, armed with a stick so I look disabled and people steer well clear. Saw the lovely Dr Aisha Miah, who remembered me from the last visit. She is a tiny, but very reassuring, presence; someone you can ask all the nagging questions. Like the one about the hotspot in my groin lymph glands that the PET scan had picked up and I have been angsting about, knowing the cancer cells could have travelled. No need to worry, sarcoma cells do not become lymphatic cancers; if they do spread it is to the chest/lung and liver (not sure quite how reassuring THAT is!). So my next scan will be in April and then three-monthly thereafter.

Next Thursday (16th) I go to have my leg cast made; then Friday a localised CT scan of the leg so they can position the ray machine correctly. Then start properly 30 Jan, though I am hoping she can bring this forward a few days, so I can escape to Singapore for a couple of weeks before coming back for Easter and my first scan. Each session will take 30 mins. For the first 5 weeks they will irradiate the whole leg, and the last week and a half they will notch it up a bit to concentrate on the sarcoma area to zap any remaining tumour cells.

I have signed a consent paper, which is rather grim reading.

Intended benefits: improved survival; prevention of recurrence

Serious or frequently recurring risks:

Acute – skin reaction (redness, tenderness, breakdown…severe discomfort); tiredness, oedema (very likely)

Later – permanent skin discolouration; thickening of skin; impairment of joint/limb function (esp. knee joint) fracture risk; secondary cancers; lymphoedema.

She says I will need wide trousers to prevent irritation – so a visit ot Primark in Oxford Street is called for! Help! and lots of aqueous creams…

So not much to worry about then!

We had a giggle about the Prof’s views on training women doctors: I was interested to gauge her views. She said, ‘I told him he had better wear shin pads in addition to full body armour’.

*                 *                *

Meanwhile, to help me prepare and boost my immunity and general well-being,  I have started doing free weights and sit-ups in addition to the physio. I am also working my way through a lovely Chinese cookery book of recipes especially for cancer patients. Luckily we have a TCM shop (traditional Chinese medicine) just down the road for foxglove root , hyacinth bean seed and the like.

I am also walking unaided: last night went to 12 Years a Slave  – by bus! – and walked up the road to the Chinese restaurant; I can do the half-mile aller/retour to England’s Lane  to do shopping, and I have just traded in my sexy red mini Cooper for a rather less glam second-hand metallic black automatic. Arrives next week. So I intend to live as normal a life as possible during my incarceration in London for treatment.

Pickle loves to  rub her face against my legs. See how form the front my calf looks almost normal!

Pickle loves to rub her face against my legs. See how from the front my calf looks almost normal!

I was reminded of the fragility of life last week (as if I needed reminding). On the way to Geneva airport we saw the most terrible accident; a white van with all windows blown out, children’s toys, bikes and sledges scattering the road and bank, and the family dog – a beautiful red setter – being stroked by a paramedic. It was the only living thing left at the site, but not for long.  It raised its head woefully to look right at us while the vet sent him to sleep.

I am haunted by the image of that family: one minute returning from a lovely Christmas holiday, car packed with presents; the next and their lives are forever blighted.

All the more resolved to make the most of it.


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In which my leg improves slowly but sorely

Champery is as pretty as a picture in the snow!

Champery is as pretty as a picture in the snow!

 Woke on Christmas morning to the sound of torrential rain! Not what the doctor ordered in a ski resort…

I had spent the majority of xmas eve chopping veg, preparing stuffing, making the cabbage, prepping the bread and apple sauces, and balefully eyeing our rather small goose. The boys go off skiing and narrowly avoid getting stuck on the French side – brings back memories of that terrible day I was waiting for Louise on her third attempt to leave London [her last xmas, 2010] and they got stuck in France and were not there to calm my nerves…had I known what a narrow squeak Tommy had getting here this year, with the English storms raging, I think I would have been beside myself. Sometimes ignorance is bliss.

Spent a very nice xmas eve chez cousins Christine, Diego and their boys, oysters and empanadas, their Chilean tradition. We did a rather fun Stealing Santa where you can steal someone else’s secret Santa when it is your turn! Tempers got rather frayed at one point…

Tommy on xmas day

Tommy on xmas day

Christmas morning itself is always a big reminder of Louise’s absence: she adored opening her stocking at the end of our bed, just as I adored finding silly things for her. The best present in 2010 was the burka I got in Oman, which she wore at lunch in France, just after they had been banned. We were doubled up with laughter at lunch and, later, when she skied down the mountain wearing it!

Louise in her burka on xmas day

Louise in her burka on xmas day

Tommy is just as big a child and he is thrilled with the contents of his stocking. As ever we gather on our bed and open our stockings in turn. I had some lovely extravagant gifts, Jo Malone, Molton Brown, edibles – felt very spoiled. All the smellies a girl could wish for and perfect for the pampering phase of my life.

The master chef!

The master chef!

After lunch – there was plenty of everything, even the goose – with Tommy playing sous chef to shouted instructions from the sofa, charades were called for and I remembered we had a box game. When I opened it I discovered scoring sheets in Louise’s handwriting, evidence of past fun. The shock of seeing her childish, teenage scrawl brought her absence into a palpable reality and my mood never really recovered.

Ross and me exhausted by xmas; the charade box is in the foreground

Ross and me exhausted by xmas; the charade box is in the foreground

In fact I had spent most of the day feeling queasy – a mixture of grieving and reaction to drugs – and so much food and drink make me feel worse, an unusual situation for me. On top of which my leg is hurting like crazy. In the end I leave the merriment and go to bed, but cannot sleep. Feel very anxious and vulnerable; the unspoken thought which I had been trying to banish all day now creeps into my head: is this my last Christmas? I wonder if others are thinking this as well; I try to gauge the meaning of those kind words and looks.

xmas lunch with brother Sasha, George and Beth, Hannah and Charlie

xmas lunch with brother Sasha, George and Beth, Hannah and Charlie

I have been trying not to think morbidly but what with my leg swollen and throbbing, it is hard not to imagine the worst. And all this terrible tiredness; and no matter how much I eat, I am still getting thinner… Is it just the price of healing or something more sinister? Only time will tell…

*                     *                    *

Wake up at 5 am on Boxing Day to the sound of the snow plough. The rain has turned to snow and there is at least 4-6 inches outside, and it is still snowing. Good news for the skiers and I can thus spend the day in bed writing and reading with my leg up. Which is now back to normal, thank goodness. They always say things are better in the morning.

Tommy enjoying the powder on boxing day

Tommy enjoying the powder on boxing day

I am pleasantly surprised that I do not feel envy as they kit up to go skiing, even on a gorgeous day with deep powder in the offing. Instead I feel a great sense of relief that I can snuggle up at home with a good book (The Luminaries), a jigsaw and Radio 4 for company. It makes me realise how much energy it takes to heal my wounds, both mental and physical. At least six weeks…

My latest worry is whether my leg will be healed enough to start the radiotherapy in January. Despite the sudden improvement in walking – I can now flex my foot with each step rather than advance with a fixed, stiff knee joint – the pain comes winging back, a dull ache combined with a terrible tenderness where my calf used to be. I suppose this is how an amputee feels. But it’s difficult to rest the back of my leg on anything as it is so sore. And by the end of the day, my lower leg is tight and throbbing despite being elevated most of the time.

I took the dressing off yesterday, and Ross removed and replaced some of the steri-strips. Pleased to see the bruising has gone down a lot and the wound is looking good. So good I am showing it to you!

the much improved leg!

the much improved leg!

Last tummy jab administered yesterday too, thank God. Stomach a patchwork of blue, yellow and grey bruises with long lumps marking the needles’ length! Think this is a reflection not so much of my lack of skill but my loss of tummy fat, resulting in the injections going into the muscle rather than subcutaneous fat. Wah! Only wearing the DVT stocking at night now.

Another week of rest before coming back, so I am hoping that these small improvements will gain pace. Meanwhile, fret not, I love being on my own; the day is punctuated with visitors, the evenings alternate with meals in and out, Tommy’s girlfriend Olivia has arrived and the family feels complete again.

Louise, xmas 2010


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in which we finally arrive in Champéry for Christmas

The Dents du Midi on the day we arrive - glorious!

The Dents du Midi on the day we arrive – glorious!

We made it! Here I am with my boys in the mountains, getting ready for Christmas: the goose is collected, we smuggled the chipolatas and bacon through customs, the champagne is chilling, presents wrapped and last-minute instructions for shopping issued! It’s Christmas Eve and Ross and Tommy are off skiing while I am left to some retrospective musings.

The first one is of a practical nature: even if the weather is gorgeous, the snow is terrible so I don’t feel I am missing out. I had been dreading the feeling of unadulterated jealousy, listening to tales of knee-high powder and virgin slopes, instead it’s a litany of overcrowded, muddy pistes and closed runs. Sigh of relief!

This is always a very sad time for our trio: the last Christmas we spent with Louise was here in Champéry, and the memories are still so vivid: the tension and heartache when she nearly didn’t make it due to the British weather – it took four days, three cancelled planes and a £65 taxi before I scooped her up from Aigle station, her presents and possessions spilling out of broken bags (so Louise!); her garish New Look jumper; the delicious goose; the fairy-tale weather; the company of good friends – in other words, a perfect family Christmas.

Louise in her New Look jumper on Christmas Day 2010

Louise in her New Look jumper on Christmas Day 2010

Being on crutches up here evokes the time when I broke my hip three and a half years ago. Despite all the obvious downsides to such an injury (nine weeks no weight bearing followed by a further 12 on crutches), it also brought Louise and I very close. She came to look after me in Geneva while Ross was away and we had a riotous time with her wheeling me round the park and to restaurants, she so little she could barely control the chair! We then went to Barbados together for a fabulous 10 days recuperation with friends Heather and JP in their beachfront villa,  and we had a very bonding and girly time sharing a room, fuelled by fine dining and drinking. I feel so privileged to have these memories. And now Tommy is manfully filling this gap by looking after me, both here and in London, in a similar fashion. It is very special.

Putting on the Ritz in Barbados, summer 2010

Putting on the Ritz in Barbados, summer 2010. I wear Louise’s necklace every day

My lovely GP happily prescribed the forgotten painkillers – don’t know how I’d do without them…tramadol, paracetamol and anti-inflammatories. The pain is constant and aching.

My not-so-lovely leg post clip removal

My not-so-lovely leg post clip removal

I had a pedicure to cheer me up! After all my feet are on constant display!

I had a pedicure to cheer me up! After all my feet are on constant display!

The rest of my clips were painlessly removed by one of my nurses. She took a photo of the wound – not for the squeamish. It has been bleeding a bit behind the knee and it is quite bruised there. But everyday it feels a little better, though I foolishly keep forgetting to ask how long the pain will go on…perhaps not so dumb as it might only add to the vague air of anticlimactic depression that has descended. I apologise to you all, but I’m afraid it is not possible to be superwoman all the time.

A kind friend sent me a link to a book about cancer, obviously meant to give hope. However it only served to send me into deep angst about secondaries. Not knowing the histology yet (I know I said I was going to forget this for two weeks, but…) and the mitotic rate of the various tumour cells that were found, there is this faint niggle which can only be assuaged by quarterly scans for two years, and then six-monthly ones for a further three years. So it’s a long haul. I guess my status remains ‘living with cancer’.

But today I must make the bread and apple sauces, the red cabbage and do my physio. Tonight we will feast on empanadas and oysters with cousins Christine and Diego and tomorrow morning we will open our stockings, have a light but jolly lunch with friends, before tackling the goose with my brother Sasha and more friends. Tommy is donning the head chef cap.

I will enjoy this Christmas and be thankful for being with loving family and friends: three years ago it was Louise’s last, how could we have known?

Pickle enjoying the Simon's Cat video xmas card

Pickle enjoying the Simon’s Cat video xmas card

So Bonne Fête as we say here! I will raise a glass of Christmas bubbly to you all and those less fortunate than ourselves. I will especially be thinking of my friend Brigid, who is trapped in Juba having evacuated her team from Bor, the heartland of Sudan’s civil war. Just a week before this she had told me how much she was enjoying her work there…see how life is constantly balanced on a knife-edge.

Carpe diem!


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in which we make a decision

A phone call yesterday bump starts me out of my holding pattern. ‘Professor Thomas has reviewed your scans and says there are no surprises, but can you come and see him tomorrow morning?’

I can’t help but wonder why (that sick feeling again, I said it would be the first of many last time); my instinct tells me there is a need for further discussion. The rest of the day passes in a blur of friends, a haze of chocolates, flowers and gifts, not to mention several glasses of fizz.

This morning Ross arrives at 6am, from Singapore, and we go together to the appointment.

My sixth sense is right: there is a discussion. The lovely oncologist Dr Miah and the Prof are now recommending that we consider 6 weeks of radiotherapy, followed by 6 weeks recovery, then the surgery to remove the tumour.

On cross-examination it appears the only benefit of this approach is that my leg will receive less radiation and to a smaller area.  If I have the op first, they will have to irradiate the whole area around the incision, probably the length of my calf. (The diagram here shows the soleus and the gastrocnemius muscles.)

The tumour sits across both these muscles

The tumour sits across both these muscles

The purpose is not therefore to shrink the tumour to make it easier to operate: the Prof says it makes little difference to his surgery; and indeed there is no guarantee that radiotherapy works on my kind of tumour.

For me it’s a no brainer: I really don’t think I can take this pain for another three months, nor live with the anxiety of hosting my tumour, which might spread in the interim, especially if the radiotherapy doesn’t work. I also need to capitalise on my current levels of positivity, which might get worn down with such a distant objective. My recovery will, in the end, all be down to this.

The Prof understands my thinking completely, as does Dr Miah. The pain factor cannot be underestimated. It’s a deal! And of course, it may just mean I can escape to Switzerland for Christmas and New Year, although skiing is  along way off (even walking is going to be difficult for a long time). It’s about things to look forward to….

Also my other surgeon, Prof Khong, who has been in touch, favours immediate surgery.  I am still revelling the comparison to Helen Mirren – what do you think? Perhaps it’s more about indomitable spirit rather than physical resemblance. Don’t forget she was in her 40s in this photo and I am now 56! Mind you I think I look pretty grim!

Carpe diem does mean seize the day after all, so that day is now Friday, and after that the only way is up…

LOOKALIKE (apologies to Private Eye)

Helen Mirren............Vicky Unwin (shurely shome mishtake)

Helen Mirren………………………………………………….Vicky Unwin (shurely shome mishtake?)

Administrative notes: I will be in the Royal LISTER Hopsital on Chelsea bridge Road at least until Monday; please don’t just pop in unannounced but contact Ross on 07831361190 as he will be my gatekeeper


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in which I get the low-down on my biopsy

I hope it doesn't get to this....thanks Annie for sending me your cartoon!

I hope it doesn’t get to this….thanks Annie for sending me your cartoon!

It’s been a tough couple of days since I received the biopsy report. The phrase that keeps on leaping out at me is ‘high grade’, scattered liberally amongst all sort of nasty-sounding long words  – hypochromatic, eosinophilic cytoplasm, karyorrhectic, even the cancer type, myxofibrosarcoma – which all mean absolutely nothing to me. As I am avoiding the internet, I will have to wait until I see Prof Khong again for enlightenment. But there’s a couple of days to kill…

My conversation with Prof Meirion Thomas (my surgeon from the Marsden) has left me feeling extremely anxious, not least the demand I hot-foot it back to London. Not to mention his cross examination of the Singaporean methodology…I tell myself that surgeons are well-known to be a bit gruff; later Prof Khong laughs when I tell him this.

Now come the questions: should I have gone back to London straight away? Would it have saved time? would it have stopped the cancer spreading to teh lungs and other soft issues (the biggest worry)? Deep breaths, Vic, calm down. I have to remind myself that it was not clear until AFTER the biopsy and PET scan that the tumour was malignant, so these thoughts are counter-productive. All the same, once JP has left and I am on my own, these anxieties niggle away and I envisage the little spindle cells  wriggling their way through my blood stream like a sperm seeking an egg.

 A couple of stiff drinks and some Nordic Noir are pretty successful distractions. However sleeping is becoming increasingly difficult and the pain-killers seem to do no good at all. The stocking seems to be growing increasingly tight as I  imagine the tumour growing within its confines.

In the meantime my phone rings constantly and emails ping around, lots of good advice and loving thoughts alleviate the underlying fears which, along with the pain, interrupt my sleep. No Ross to reach out for…he is in Korea.

So time for a bit of pampering: spend an hour topping up the tan by the pool, but as I can’t get my leg wet it’s too hot to stay for long! Then off to see a friend, who I have been helping with various articles on fans, so we escape into a world of Chinoiserie and the French court while we sip home-made barley water. Can’t do a pedicure as one foot is bandaged and they will only remove all varnish as soon as I step into hospital; anyway its too far to walk and too near for a cab. So as I settle for a cut and colour, I can’t help wondering if this is the last time I will have hair to indulge in such a way. I’m thinking of asking Louise’s friend Robyn Coles to design a special post-chemo hat for me; if she can make the princesses Beatrice and Eugenie look nice I’m sure she can sort me out.

‘Oh, what you done to your leg?’ asks Alvin the androgynous hairdresser. ‘Don’t ask,’ say I, ‘cancer but I don’t want to talk about it’.

‘OK, la, we talk about nice things…’. And utters not another word the whole two and a half hours. The word cancer has that effect on people.

Conversely taxi drivers here are delightful, full of concern and ‘God Bless’.

Which brings me on to the God question. I am delighted that so many people believe and are praying for me; even if I don’t share that belief I am sure that every positive thought helps me. Please keep all your prayers, positive vibes, messages, comments  and love flowing my way…

Finally we get to the debrief appointment. For the first time in my week of private medicine in Singapore we are running on time. As ever, Prof Khong is straightforward and honest, and explains everything to me in great depth.

To summarise: it is a high grade tumour and very fast growing. I don’t ask the stage number as I don’t want to scare myself and know that everyone is different so it is meaningless. More significant is the replication rate of the mitosis, which is ‘bad’ at 26. Anything over 10 is a cause for concern. He thinks it has not been there for very long, less than the 6 months he originally guessed.

I ask him what he would do if I was his patient. Operate immediately he says, and then do radiotherapy. These tumours – there are several ‘extremely rare’ present, one of which he has not seen before – do not normally respond to chemo, so he would not automatically do it since the tumour is contained. But other doctors may decide to zap any rogue cells on a ‘just in case ‘basis. He reassures me that it is possible that some cells might have already ‘spawned’ but they are so tiny that they wouldn’t show up for at least 3 months, the time it takes for them to reach 1mm when they can be picked up on a scan. ‘And in those early stages, its very treatable.’ The delays I have been angsting about are put into perspective.

He further explains that the big challenge facing the surgeons is the proximity of the tumour to the main vein, and how they remove it without damaging the main flow and losing it: there are three veins forming the vascular tree in the lower leg, can they damage one and survive on the other two is the question? He draws me a lovely diagram. Skilled stuff. In order to do this effectively he thinks that the English surgeons may want to do a CT Angiogram as it would help them be precise. They cannot rely on an MRI taken two weeks ago as the tumour is growing so fast.

I had taken the precaution of checking out my anticoagulation injection kit: imagine my horror when I remove the protective sheath to discover a needle one and a half inches long! The last ones I had were like an insulin pen. This is in fact my major concern today: it’s funny how anxiety can channel itself into something so seemingly irrelevant in the scheme of things. Hmm, they don’t do those in Singapore…so I am trying to work out if I have enough courage to jab myself inflight, as well as before and after… WAH! Am making contingency plans never fear…my bravery has its limits!

Now I have visions of being arrested and executed as a drug trafficker before I even get off the ground. I will be boarding the flight with a fully primed sharp and a load of the painkiller oxycontin, a highly addictive prescription drug which kills thousands of people each year in the US. Phof Khong is highly amused when I verbalise this fear. ‘You’ll be OK – no white powder,’ he reassures me.

After much hanging around (Singapore loses out to Switzerland on efficiency I’m afraid), I now have my MRI scan on disc and the biopsy slides, so I am all set for the next stage of my journey. There’s thunder and lightening outside,the oxy is kicking in and I feel mellow and relaxed as I write this…bring it on!

This darling sunbird, sometimes joined by its mate, comes to sing to me every morning on the balcony. Its yellowness reminds me of Louise...

This darling sunbird, sometimes joined by its mate, comes to sing to me every morning on the balcony. Its yellowness reminds me of Louise…


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in which I rub shoulders with Prince Charles and go back to school in Mumbai’s red light district

The birthday boy at Mumbai Gateway

The birthday boy at Mumbai Gateway

Arriving back in Mumbai this time feels like the welcome embrace of a dear friend. To start with, there’s Mehtab to meet us at the airport, despite the late hour, and we’re staying with Cindy and Guy, whose flat in Bandra is now more like a museum filled with objets from the Chor Bazaar.

Diwali flowers at Cindy and Guy's flat

Diwali flowers at Cindy and Guy’s flat

First things first, though: its Ross’s birthday on Saturday, so we take him on a whirlwind tour of Mumbai. First stop the Gateway to India, where we are mobbed by kids all dying to be photographed. We take Guy and Cindy’s Christmas card shot for them (here’s a sneak preview).

Christmas card for Mr and Mrs THomas

Christmas card for Mr and Mrs Thomas

Posing rather against her will...

Posing rather against her will…

While brandishing my iPhone, an annoying German man quips, ‘Ach, I see you don’t like your phone’. Seeing me looking very puzzled, he continues, ‘It will be stolen if you don’t put it away’.  Stunned by Mr Busybody all I can muster is Smartass, as loudly as I can. For the record, I have had absolutely no trouble on the streets of Mumbai, despite wandering around the Chor (Thieves) Bazaar with £250 of Rupees in my handbag!

Fresh fruit stall at the Bombay Gateway

Fresh fruit stall at the Bombay Gateway

Bustling crowds at the Gateway

Bustling crowds at the Gateway

It’s a holiday atmosphere, the weekend sandwiched between Diwali and Muhurram (Hindu and Muslim New Year respectively). The crowds are vibrant and surging, massive balloons pepper the maidan, all manner of children’s toys and trinkets are laid out on the ground, and food stalls are doing a roaring trade. Overcome with all this busy-ness, we repair to the cool bar of the Taj, showing Ross the memorial to the terrorist attack on the way.

Cindy with her British High Commission deep throat in the Taj foyer

Cindy with her British High Commission deep throat in the Taj foyer

But what is this? Big excitement, Prince Charles is also in town and staying right here! Cindy bumps into a mate who’s on the consular staff and he tips us off to a photo opportunity in 20 minutes when HRH leaves the hotel…we are the only people here apart from security, but my photos unfortunately are not that good (the downside of only using an iPhone for this blog!).

Aha - here is HRH at last

Aha – here is HRH at last

This is as close as we get - but its pretty close although he dashes past us on the wrong side of the flower arrangement!

This is as close as we get – but its pretty close although he dashes past us on the wrong side of the flower arrangement!

No visit is complete without scouring the Chor Bazaar. Our haul includes two heads: a 3-headed Vishnu from Karnataka, ‘600 years old’ – yeah right, Ifram; a serene Buddha from Uttar Pradesh and a lovely bronze bull, cast using the lost-wax technique.

Our new three-headed Vishnu

Our new three-headed Vishnu

Cindy and her new billy goat freind

Cindy and her new billy goat friend

Stripping a car down to its component parts in Chor Bazaar

Stripping a car down to its component parts in Chor Bazaar

Sunday we become wannabee watchers at the Four Seasons brunch – the Veuve flows freely and we certainly get our money’s worth. Delicious assorted Asian cuisine too.

Cindy before we had several bottles of Veuve Cliquot...

Cindy before we had several bottles of Veuve Cliquot…

The highlight of the trip is, undoubtedly, becoming Cindy’s teaching assistant for her weekly session at a charity in the red light district, providing a safe haven and educational stimulus to the daughters of prostitutes. We spend all morning preparing our two sets of activities, one for little ones 6-12; and the other, the over 13s. Cindy has come up with a basic mobile for the younger group, so we cut, colour, stick and decorate our prototypes; and a much more elaborate photo frame, made out of ice lolly sticks, for the older girls.

Doing our prep...

Doing our prep…

We arrive in the heart of the brothel area, passing several ladies getting ready for their evening. A woman will be kidnapped or trafficked, held in a half-way house,  gang-raped and taught in her job until subservient, and then sold to a brothel in Mumbai, owned by a man but run by a former prostitute. For two years she will not be allowed out, but kept in a cage; later she gets some freedom, by which time she has nowhere to go.

Cindy getting down to work, kids looking on with rapt attention

Cindy getting down to work, kids looking on with rapt attention

The average age of a working girl in Mumbai is 14; she earns R20 (20p) per John and probably sees 20 a day. She has to pay for everything – bed, food, laundry, water, using the loo…not to mention her purchase fee, so she can never repay and be free. HIV is rife, as is glue sniffing and drug taking. Many have children: birth control would seem an obvious ‘investment’ for the owners of the girls, but it seems that unprotected sex, despite the unwanted results, adds a premium…Interesting that Ifram, the Chor Bazaar shop owner said, ‘You should tell those girls to have safe sex…all this disease is no good’. To which we replied: ‘But it’s the guys who want the unsafe sex….’. He just waggled his head in that very Indian way.

Concentration....

Concentration….

The charity is a tiny two-story room, filled with the sound of piping voices and girlish laughter. Namaste Teeecher! greets us as we arrive. Upstairs we squat on the floor in a room where you can’t even stand up, and the girls crowd around, eagerly grabbing the ‘ones we made earlier,’ while we try and explain what to do. English is rudimentary, but the gist is communicated through other helpers.

I never knew I could still cut and colour...

I never knew I could still cut and colour…

Cindy has warned me that all the glitter and sparkles will be in hot demand, and indeed it’s fascinating to see little strips of diamanté bobbles being secreted under toes! Nothing has prepared me for these delightful girls, all clean and brightly dressed, polite until their enthusiasm erupts into avaricious hoarding of crayons and sparkles – a little fight breaks out in one corner, scissors are banned so we have a lot of work to do!

Photo frames made by the older girls

Photo frames made by the older girls

But the overriding take-away is of enthusiasm and attention to detail: the concentration of the colouring in, the precision of choosing the sticker that’s just right, applying the flowers and glitter to the frames, all punctuated by the high-pitched screeching of Teeecher! Teeecher! to get our attention. Every finished item has to be admired and photographed, until honour and pride are satisfied.

Very proud little girl

Very proud little girl

As we leave we are accosted by a Nepalese prostitute, with a small Buddha-like baby, shaven-head with a big red bhindi. The Nepalese are at the bottom of the pecking order, and she is off her head: staggering about, exhorting us to take her baby, while smiling beatifically. It’s a sad reminder of the reality of the streets.

The red light area as we leave our teaching session

The red light area as we leave our teaching session

Taking photos is frowned on and mine are checked…this is in case the girls can be identified in the schools they attend. The stigma of their origins would put an end to any hopes of betterment. So the majority of the shots make it impossible to identify individual girls and I have kept the charity’s name secret. If anyone wants to donate or volunteer, contact me privately and I will put you in touch.

Chorty Billie almost too grown up to play with mice..

Chorty Billie almost too grown up to play with mice..

 

Master Dizzy Rascal Thomas, check those eyes....

Master Dizzy Rascal Thomas, check those eyes….

So the four days pass quickly; Cindy’s street cat – you might remember her from the last blog – Chorty Billie (meaning little cat) has now become a sleek madam; she has been joined by another little chap, Dizzy ‘Rascal’ Thomas, who is equally naughty and has one blue and one green eye!

Mumbai remains an enigma of a city: so much poverty, but so much energy, activity and striving for betterment, even if only to survive the life on the streets. And humour. Where else can you drive past a street vendor twice in 15 minutes and have a conversation in sign language, explaining why you’re going round in circles? It’s a complete juxtaposition to Singapore and a reminder, as we watch the devastation of the Philippines (the island we dived on in August, Malapasqua has been devastated), that SE Asia is a continent of many cultures, faces and diversity.tempmumbai43

Off to the mosque in Chor Bazaar

Off to the mosque in Chor Bazaar


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in which I morph from domestic goddess into hostess with the mostest

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Delicious cake – fir for a goddess

In this post we welcome old friends to stay in our new apartment and celebrate my birthday…

TempJBCLARE10After almost 9 months here on and off, we feel we can show people round, and at least know where to go to eat! Ross was away in Basel for the first few days, so we enjoyed the vibrancy of the Naitonal Orchid Garden in sunshine; followed by a delicious lunch in the nearby restaurant, only to be interrupted by massive thunderstorm. Poor old Mr and Mrs B had forgotten their umbrellas so got very wet indeed!

Mr and Mrs B enjoying the Orchid Garden

Mr and Mrs B enjoying the Orchid Garden

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Mrs B and Mrs C trying to merge with the flora…

 TempJBCLARE07 TempJBCLARE05 TempJBCLARE04 Dodging showers and trying to find taxis seemed to be the biggest challenges of this visit; nevertheless we areyet again stunned by the Gardens on the Bay; lunch in one of the Supertrees affords a sumptuous view. Not as good as the viewing platform at Marina Bay Sands which had to be done despite black clouds all around.

on the walkway between the Supertrees

on the walkway between the Supertrees

Economics grads posing for a team photo

Economics grads posing for a team photo

Chinatown is also a must-see in SIngapore, poking round the tat stalls nevertheless affords good bargains while, at the higher end, the intricacies of a specialist tea shop delight.  Here Clare bought a dead ringer for the Hare with the Amber Eyes teapot…My more prosaic larger elephant teapot is perfect for more than two people! Thanks Clare!

These are Chinese zodiac teapots

These are Chinese zodiac teapots

My birthday teapot!

My birthday teapot!

It has to be done, that famous Singapore Sling. So off to Raffles with some of Mr B’s visiting friends – far too sweet for me and, I gather, all pre-made so a bit of a production line. But the Long Bar is a fun place, even if rather full or tourists, like us! Afterwards to a real find, specialist Peranakan/Straits Malay restaurant, Blue Ginger, where we let the waiter do the ordering and we eat greedily and with gusto.

The girls enjoying the Slings

The girls enjoying the Slings

Clare and me in the ancient hallway of Raffles

Clare and me in the ancient hallway of Raffles

Yummy crab

Yummy crab

Mr and Mrs B tucking in...

Mr and Mrs B tucking in…

And so the the birthday: preceding night dinner we feast on chilli crab at Jumbo Seafoods in Boat Quay;  then Sunday lunch at one of our favourites, Din Tai Fung, the Taiwanese dumpling house (not as good as the original one in Taipei, but still yummy); and then 20 or so new-found friends, plus one or two older ones from university days, for drinks. As it was Diwali, I ordered samosas, bhajis and pakoras, promptly delivered by Omar Shariff (I wish it was really he, that would have been the best birthday present ever!), and Mr and Mrs B made a few blinis, while Lucie G brought a delicious cake! (see picture up top)

But not all play, dear readers: Mr B had lots of meetings and went out clad in a suit, much to our amusement; while Mrs B, aka Clare Cooper of Art First, and I had a Board meeting and strategy summit on my sofa while I rested my leg on a hot water bottle.

Mr and MRs B posing in front of the canapes they expertly assembled!

Mr and Mrs B posing in front of the canapes they expertly assembled!

Don’t laugh, you hear me right – I have a large haemotoma on my calf which means I can’t walk or stand for long. A challenge for Monday’s induction meeting at the Tanglin Club which involved a lot of standing about…and even more of a challenge for next weekend’s visit to Mumbai, for our diving in Sulawesi the following week…and the ski season. Painful physio and ultrasound on the menu to try and get my leg back…

I will keep you updated!


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in which I resume my duties as a domestic goddess

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My return to Singapore was somewhat eventful after two months away. First of all my bag got lost, to reappear several hours later, but what a pain! (Now possessor of several thousand airmails to add to my new Malaysian Airlines Enrich loyalty account.)

Secondly, a nagging calf pain over the preceding two weeks had morphed itself in my mind into DVT, and my first day back was spent at the docs and at the hospital having ultrasound scans. Good news: not DVT; bad news: a haemotoma (bleeding clot in muscle) which would require 4-6 weeks rest. Good news: let off gym antics; bad news: swimming not so good either. Oi vey.

So what to do as accompanying spouse than to cook husband delicious meals, especially as he was due to desert me for a couple of weeks?

We started with crispy skin cod with hot, sour and sweet sauce (Thailand), served with stir friend garlic and ginger greens,

Roasted hot, sweet, and sour fish

Roasted hot, sweet, and sour fish

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

then went on to slow cooked pork with ginger, chilli and sweet soy sauce (kecap manis) from Indonesia, again with more yummy greens, this time my favourite kailan, a local kind of broccoli but much sweeter.

slow cooked pork

slow cooked pork

 

 

 

 

 

 

 

 

 

 

 

Another night we had spicy grilled chicken with lemon grass, but the finest achievement was my tofu and mushroom miso soup (home-made stock OF COURSE) that I made for myself to keep me company while watching an episode of an Arne Dahl Swedish thriller. Who needs a husband with the complete first season to chomp through?

Mmmm-miso

Mmmm-miso

Before husband left, we headed for a local garden centre, in brilliant sunshine. By the time the bus stopped we were in the midst of a minor tropical storm with no umbrella. Queen Victoria was not amused. Choosing plants in the pouring rain is hard, but we are pleased with the result. The garden centre chaps came yesterday and planted everything up in situ; an hour later our irrigation system arrived, orderd online, cash on delivery. Singapore is wonderful!

Bougainvillea, hibiscus, heliconium, ginger, orchid and lantana - oh and a little chilli plant

Bougainvillea, hibiscus, heliconium, ginger, orchid and lantan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I also managed to persuade him to part with more money – this time for a reclining chair (to rest my leg obvs) and a heavy teak carved pole from Indonesia to drape a luxurious piece of cloth, as a wall hanging for the bedroom. Latter yet to be acquired (more money to be spent!). No pics as they arrive on Thursday!

In between all this joint expenditure I have been a busy little bee on my own, arranging for more fabric to be mounted and framed for the guest room, and testing the efficacy of the Singapore bus system.

Talking of framing, just before we left London, the wife of a dear friend, Clare Morton, presented us with this mind-blowing collage of Louise, which includes ephemera from her life, for instance photos from the funeral sheet, the words to Cabaret, little in-jokes on being a vegetarian, fashion and all her foibles, plus cut-outs from the Marathon Kebab House menu and so on. It is simply stunning (all on the back of an old door) and this photo does not do it justice.

Clare's stunning tribute to Louise

Clare’s stunning tribute to Louise

Where was I? Oh yes: in hot pursuit of an Indian visa – yes again,dear reader, our patience is being sorely tried by bureaucracy – the system has changed since three months ago, necessitating a huge bus trip to Little India, where appropriately enough the recently outsourced visa service resides, but not before I had schlepped down to the High Commission, where apart form anything else, I got chatted up by another despairing Brit!

But the upshot is that I have nailed these buses and am merrily riding round Singapore for $1 or less per trip. Very satisfying as I try to convince husband that I am not a spendthrift. (note to Janet: some hope!)

Now we eagerly await our first visitors: Mr Tubby who comes on Monday and then the Mr & Mrs JBs, who arrive on Wednesday for 6 days. Many culinary and artistic pleasures await…

Mirror image - bougainvillea, lantana, hibiscus, heliconium, ginger, orchid and also a little chilli plant

Mirror image – bougainvillea, lantana, hibiscus, heliconium, ginger, orchid and also a little chilli plant