Merry Christmas From PEI

It’s Christmas Eve, Irving Berlin’s White Christmas is on the TV, snow is gently falling outside (making our own white Christmas), the furnace is piled high with logs, and I am putting the finishing touches on our yearly Christmas greeting. Our Christmas greetings come to you this year from the North Atlantic Island of lobster, potatoes, and ADL. ADL? ADL is the maker of the BEST milk, chocolate milk, butter, and cheese you can possibly imagine. Drinking a glass of their chocolate milk is like drinking a little slice of heaven (I just finished a glass!). Well, our greeting comes to you, as you know, from 83 Lewis Road, Union R.R. 1, Alberton, West Prince, Prince Edward Island, Canada.

We left the U.S. in August, leaving the dog days of summer in Central Texas (the day we left was 107 degrees with 100% humidity), and headed across the U.S. moving up the east coast. So, here we were, Gil and I, accompanied by 2 dogs, 1 cat, and 1 Lucy Bird, pulling our horse trailer filled with things we thought we would need until our household goods arrived, headed for Canada. Gil and I had never driven through the states lining the east coast so we were really looking forward to seeing the land. An added bonus, especially when traveling through the southern states, being in the land of really really good grits! Yummmm. The only part of the trip that truly sucked was going through Atlanta with a horse trailer, and we didn’t even go through at a rush hour time. Thank God Alli and Jesse gave us the wonderful gift of a GPS before leaving or the suck factor of Atlanta would have been significantly worse!

We stayed for a few days with Alli and Jesse in Swanzey, New Hampshire and the rest was greatly welcomed by us and the animals. We had a wonderful time with Alli and Jesse and got to spend some time watching Aaron, their 7 m/o son, being Aaron. He is a truly happy and delightful child. Even though this is their first and they have little parenting experience (7 months to be exact!), I told them they HAVE to be doing it right or he wouldn’t be so happy and well adjusted to life. He is a joy to be around. We had such a wonderful time seeing Keene (Swanzey is just a couple of blocks from there) and Walpole (where their family business is located). We brought sausage from Green’s Sausage House in Zabzkville with us and Gil made a huge pot of his gumbo. We had our usual trio of gumbo, baguette, and wine, accompanied by lots of wonderful conversation.

We crossed into Canada at the border crossing located in Houlton, Maine. We were prepared with a file box full of papers which were required to get us, the animals, and the car across the border and fully expected to spend hours going through papers and getting it all sorted. We were shocked and pleased that it was so quick and painless. Gil got his work visa and I got my Canadian papers and we were across the border in less than an hour (none of the documents we worked so long and hard to get in the U.S were asked for!). As we drove through New Brunswick headed to PEI, we looked at the scenery passing us in a different way than we looked at Canada all the times we had visited. This was our HOME now, and it makes you look at your surroundings quite differently.

The horses made it here about a week after we got here. There was a bit of difficulty getting them across the border. The transporter called me in a panic at midnight saying they weren’t going to let them across. We finally got everything worked out so the border agents understood why we were bringing them here and finally in the wee hours of the morning they made it across into Canada. When they made it to me they had a bit of a deer in the headlights look, but that is to be expected. They were on a transport from Texas to Maine for 3 full days without stopping, stayed over in Maine for 2 days, and then were on another transport for another 12 hours here.

Cowboy and Olivia have settled in and done well. I have been riding Cowboy and although it took him a bit of time to settle in and get back to where we were in Texas, he has been just awesome. In the past, when he traveled, a show was at the end, so he was in full (and I mean full with bigness and glory!) saddle seat mode. We finally got the dressage brain engaged again and he has been spectacular. I have been lunging and long lining Olivia since arriving, but haven’t ridden her yet. She has continued to be sound as can be and I have looked long and hard to find a driving trainer that I could continue lessons with and perhaps start Olivia driving. We attempted it once before with my trainer, Tom O’Carroll, in Texas, but she didn’t stay sound for it. Since then, we have had her on Naproxen, and she has stayed sound. The bad news is I can’t find a trainer. Most people on the island harness race which is, of course, not the same at all. I have, however, made a couple of friends who drive (not competitively) – carriage in the summer and sleigh in winter. So, I am going to get a bit of sleigh experience this winter. I am really excited about getting to sleigh this winter. The two horse experiences topping my list for PEI were riding on the beach and sleighing.


As most of you know, our Ophelia sustained a devastating injury on a back leg on Thanksgiving Day and the prognosis was extremely poor. It was felt by all that it would have caused her great suffering to attempt to fix it and in the end, we would have been putting off the inevitable. So, the decision was made and Gil was with her until the end. Of course, Ophelia was out of my mare, Olivia, and we were there at Dr. T’s when she was born. Alli took care of the farm while Gil and I spent every evening/night at Dr. T’s watching Olivia on the monitor, playing lots and lots of cards, until finally 3 weeks later, at 2 a.m., Ophelia was born. She would have been 3 years this January. This has been extremely difficult for both Gil and I, but especially Gil. He was bonded to her (and her to him); the way Olivia and I are bonded. It is so tragic and sad and we will miss her so much.

Gil started working on 01 September and is really enjoying small town medicine again. He sees patients at the clinic in O’Leary and also has some on-call time at the O’Leary Hospital. Of course, he has beat the “evidence-based medicine” drum since arriving and is now back to doing some teaching. He has just gotten a medical student who will be doing a one month rotation with him. Since he was a hospitalist at S&W the last 8 months or so before moving here, he wasn’t doing any teaching, so he is really enjoying having a student and teaching again.

There are lots of changes in medicine going on here though. For many reasons, they are consolidating services on the island and toward that end, they closed the ER and hospital (acute care beds) in Community Hospital O’Leary, where Gil works. Alberton’s hospital, which is 15 minutes from O’Leary (and closer to where we live), will serve as the local ER and in-patient hospital for acute care and when Gil is on call, he will work out of Alberton. All that sounds good, but we are not entirely convinced that Alberton’s ER/hospital will remain open either. It seems, what would make the most sense, is to have all ER and acute care in-patient in the 2 largest centers – Summerside and Charlottetown. Eventually the only services left in the small communities would be clinic/urgent care. These decisions and changes are very unpopular with the people of these communities, as all the individual communities want their own fully functional hospital/ER, so I imagine these changes are going to come piece-mill and slowly, but I think they are inevitable. So, this makes it difficult to know how to proceed with the horses.

Aside from helping a great deal with this kind of change, Gil is also doing here what he does everywhere he goes, seeing what needs to be changed to make patient care better and setting to work. Providence seems to have led him here for this reason, above all. There are many huge changes which are occurring here and change is something that is difficult for anyone, but it seems especially difficult for the good people of Prince County. The way they have done things in medicine for the past 50 years is being turned on its head and they are being catapulted into the 21st century of medical practice. In so many ways PEI is like the U.S. was in the 50’s and early 60’s and it is refreshing, but not in medicine. It will take probably a good 5 years to really implement these changes and have them running well. For all of you who really know Gil, that will be the time we will be ready to go on to our next adventure…

Willa and Isobel are very happy here. They love the snow, although it is s a little difficult to see Isobel dashing through it as it usually deeper than she is tall!! Lucy bird is great too. It is somewhat cold for her and we have to keep the house a bit warmer than we would otherwise and I keep an oil heater on next to her cage. She seems very happy there though. She is dangling off toys in her cage and talking smack constantly! We also brought Dory, one of our barn cats from the farm. She is now an inside cat, as she doesn’t care for the snow or the cold much!

Gil and I learned what it is to prepare for winter in a north Atlantic region. Everyone here utilizes two sources for heating – oil and wood. Oil is extremely expensive, so everyone uses it sparingly. So, we ordered our 7 cords of wood for the winter. Wood makes more of a warm/cozy heat than oil does as well. Our wood was dumped on the front lawn, 3.5 cords at a time, by the entrance to our basement and we had to get it down there and stack it. I won’t lie – it sucked. I am used to walking over to a thermostat and putting it to whatever temp I would like the house to be. Well, that really isn’t an option here. As our good fortune would have it, Alli and Jesse came for a visit for U.S. Thanksgiving and helped us with the second 3.5 cords. What a huge help that was. Gil had discovered on the first 3.5 cords that he isn’t 20 anymore!! After helping to get 7 cords down to the basement and stacked, I like the thermostat thing even more. Imagine this though – there are 70 and 80 year old men here who stack 7 cords by themselves every winter. Holy cow!

We really like it here though. The pace is MUCH slower here than in the U.S. I will say that has taken some getting used to. I tend to approach most everything with a snap, snap, snap, get it done now approach. You can forget that here. No one is in any hurry ever for anything. There is no such thing as running by someone’s house quickly to drop something off. If you go by, you have to come in for at least an hour for hot tea and conversation! Everyone here loves to talk. Even if you go into a store in search of something and have to ask for assistance, you will usually get at least 15 minutes of conversation before you get the answer. We went into a shop in Charlottetown which has woolen knitted clothing to look for a sweater for Gil – one sweater – we came out about 2 hours later! Even in the checkout line at the Farmer’s Co-op (grocery in O’Leary), a bit of conversation occurs within the check out timeframe (and if you don’t conclude it and move on, they will keep talking while folks just stand behind you and wait – and they will just stand there and wait patiently for however long and listen to your conversation!!) and it will almost always include comments about the weather. EVERYONE loves to make a comment on the weather conditions of the day. In fact, the other day I was sitting at the kitchen table working when I noticed the recycle garbage truck coming down our street and realized I hadn’t yet put out or recycle bags. So, I rushed to throw on warm clothing, grabbed the bags, and ran out to the street just in time. The garbage man, took my bags, threw them in the truck, and then proceeded to talk to me for the next 15 minutes about… the weather!!! He told me all about a horrible snow storm they got in the 1982 and how the snow was almost to the top of the telephone poles and how winters here have been really mild in comparison since… and on and on for 15 minutes. The garbage man even loves to talk! He was very pleasant and we had a very nice conversation.

I will have to say though that the folks we have become good friends with the quickest here are also people from “away”. That is was the locals call folks who move here and are not from the Island, even if you have moved from Nova Scotia. They say, oh you are from “away”! When folks say that to me, I say yep, we are from “way away”, 2400 miles, to be exact! Our good “from away” friends Pam and Jim, originally from Ontario, but have lived many, many places, are headed to Nunavut (above the 60th parallel) for the next year for Pam to work. It is only one year and they will be back, but we will miss them so much. We have had so many wonderful dinners with them and, in fact, that is where we will be on Christmas Day.

Being on PEI has been such a wonderful learning experience and we have only been here a short while. We know what it is like to stand in the midst of a blizzard, drive in one (the first snow of the season was pretty close to a blizzard and I had to drive home from the barn – 45 minutes away!), drive in a mixture of snow and then rain (slicker than poo you’d find in microbiology!) the smell of a woolen mill, the taste of exquisite ADL dairy products, the flavor of fresh (out of the ocean less than 2 hours, boiled in ocean water on the boat) lobster, and what it feels like to stack 7 cords of wood.

So, that about wraps up our year. It has been one of learning, joy, and sadness. We are still at the same e-mail addresses and you can always find what is new in our day-to-day lives by visiting Gil’s blog.

Oh, the weather outside is frightful......

The furnace is so delightful..

and since we really can’t go,

best take photos of the very big snow.

(sung to the tune of "Let it snow")

Day: Snow at times heavy and blowing snow ending near noon then cloudy with 60 percent chance of flurries or rain showers. Snowfall amount 10 to 20 cm. Wind northeast 40 km/h gusting to 60 becoming north 60 gusting to 90 early this morning then northwest 30 gusting to 50 this afternoon. High plus 3.
Night: Flurries. Amount 2 to 4 cm. Local blowing snow. Wind northwest 30 km/h gusting to 50 increasing to 50 gusting to 80 this evening. Low minus 6.

It was interesting to listen to the subtle change in the nomenclature used by the weather forecasters in describing the upcoming (now present) storm. As you recall (see prior post) the weather office had mentioned flurries in the forecast that resulted in a snowfall of roughly 5 cm. In the description of this storm, they substituted the word snow in place of flurries. It no longer read a 60% chance of flurries overnight. It now read snow overnight. That makes me wonder…If we got 5 cm when the forecast said flurries, how much would fall when they say ‘snow’.

The snow is definitely blowing, but I can still see the house across the street, as well as the plow that comes down the street. What I can no longer see is the individual wood stacked in the pile out in front of the house. Likewise, when the dogs go outdoors, I can no longer see Isobel (our Cavalier King Charles Spaniel) when she hits the drift coming back inside.

Since we have no place to go, we will sit and enjoy the snow. This naturally brings up the question of what do you do with your time on ‘snow days’. In order to understand the answer there are a few things that are worth remembering about how we spend our days in general. First and foremost is that we do not have access to broadcast television. That’s right, we do not have “TV” in our house. That is not to say that we do not have a television, after all, we love to watch movies and Harry Potter or Lord of the Rings is especially good on the big screen. What we lack is a connection to the broadcast television world. We do not own cable (it does not come down our road anyway), we did not purchase a Direct Way dish, and we do not have rabbit ears (that would be external television antennas to the under 30 crowd). Now I realize that the thought of being without television is an anathema to some, but it suits us well, and it frees up our time to do other things that we enjoy. Needless to say, we listen to more radio than I would wager many folks do, and we certainly read. As well, since we cannot find the kind of bread we really like we make it ourselves (roughly two loaves a week). Nancy spends many of her days at the stables so there is not a lot of time on those days for around the house sort of stuff, and that tends to get put off until the weather prevents us from going outside. As for me, since I am new to the Canadian health care system, I have a significant amount of reading to plow through as I get accustom to the different recommendations from the Canadian Preventative Task Force. So, all in all our days are far too full to be spent watching television.

As for today, the most important activity is to capture some video of the storm as well as some photos for all our friends in warm places so you can have a little bit of Canada in your lives.

The snow blows hard here

Tonight
Periods of snow and local blowing snow ending this evening then cloudy with 60 percent chance of flurries. Amount 5 to 10 cm. Wind north 40 km/h gusting to 60 except gusting to 80 along the coast early this evening. Wind becoming northwest 30 gusting to 50 this evening. Low zero.

Tomorrow
Day: Cloudy with 60 percent chance of flurries. Wind northwest 30 km/h gusting to 50. High plus 1.
Night: Cloudy with 40 percent chance of flurries. Wind west 20 km/h. Low minus 4.


Well, they mean every bit of that forecast. The snow was blowing hard from the northwest making travel from the southeast a pretty tough slog. Nancy had a sudden re-introduction to the driving skill set that she developed while in Utah. The highway from Summerside in the southeast to O’Leary in the northwest was a bit of a nasty run tonight. There were several accidents along the road and the RCMP (Royal Canadian Mounted Police) warned islanders to stay off the road tonight because it was treacherous. Mind you that is Canadian Highway Patrol telling the Canadians to stay home.

Well, the problem for Nancy is much like that of the pilot. You do not have to take off, but you have to land, and so she had to get back home once she started down the road (since the road is essentially deserted). She traveled cautiously and what normally takes 45 minutes took 1.5 hours as she headed home. It is amazing how quickly the driving in snow thing returns to you, and how quickly you remember that you dislike blowing snow, and that is the biggest problem we have had today. The blowing snow is being fueled by the 40 km/h winds and it making some beautiful drifts in the yard around the house. It also makes vision difficult when you are driving into it, and memory of the road becomes your most important asset. In fact, the snow was blowing hard enough that I drove past our house and had to double back to find the driveway.

So, we officially have our first real storm. It is an interesting time, the wind is howling around the edges of the house, and the snow drifts are mounting in the front yard. Pictures will follow soon. If you want to have a look at the roads in the area, follow these links to see the Elmsdale road camera which is 10 minutes from the house.

In Flander's Fields the poppies grow.......

Ironically, the begning of November is the first time that you can get studs put on your tires here on Prince Edward Island. As fate would have it, November 2nd saw the first snow for the island. The snow itself was more of the sleet variety with a few choice flakes thrown in for good measure. It was not the glorious dry fluffy snows that we saw at Dugway Proving Ground in Utah, and it did not come as heavy as the October snow we had in Denver in 1995 where 6 inches fell in 4 hours onto trees that still possessed an abundance of green leaves. However, it was the first snowfall we have seen since April of 2008 when a freak snowstorm hit Texas and covered our farm with just about as much snow as we have received overnight. The neat things about this snow, compared to all others, is that we know it will be the first of many, and that soon, all that we survey will be covered, and snow will reign for the season.

The last week in Canada has been very interesting on a number of fronts. First, the election coverage of the coming US election has been a hot topic in the Canadian news. The Canadian press, much like the press in the US, is very enamored with Mr Obama. In fact, today when Nancy and I were driving home from O’Leary we were listening to a CBC interview of three reports from various places (Canada, Germany, England) discussing their views about who would win, and what it would mean. I have found the coverage of the election to be fairly interesting, as have been the questions from my patients. The press seem to take it as a foregone conclusion that Mr Obama will win the election handily, as the polls predict. My patients all ask me the same question, will he win? I have to answer that I do not know who will win, since the polls may very well be wrong. I remind them that it was not all that long ago that the United States was integrated, and that many people who are alive, and of voting age, still harbor very strong emotions surrounding race, integration, and the election of a black man. In fact, to put things in perspective, Nancy was in high school in Ft Worth when the school was integrated via forced busing. She remembers very clearly the effect that this had on the kids in the school from both races. I know that people who harbor these feelings will tell a pollster one thing, yet believe very differently, and I do not know how big that difference will be until the votes are counted. Either way, this election will say something about the United States, and on Wednesday we will all find out.

Nancy got her Prince Edward Island driver’s license this week. I can hear the collective yawn from all of you, but this marks a very significant point in her life. You see she has been driving since the age of 15, and has had a Texas license for all those years. The license changed only once (outside of the obvious photo and address changes), it earned a leading zero when Texas increased the numbers for all licenses. For all of our travels across the United States, she has held a Texas license with the same number on it for all those years. This number has been one of those things you remember and recite when needed to complete all sorts of forms, checks, and such. Well, this week she had to surrender her license when she received her new Prince Edward Island driving license. It was a big moment for her, taking her by surprise, and signaling that the change was real, and the move permanent. Neither of us posses a Texas driver’s license, and the only tie to the US remains our passport, in all other respects for legal purposes we are Canadian. It is a strange not unwelcome feeling.

Finally and most importantly, it is the week leading up to Remembrance Day (Armistice Day in some countries and Veteran’s Day in others). It has been interesting to see how another country remembers and honors their veterans and as such a very interesting memorial to those who have died in combat during WWI will play across Canada this week (http://www.1914-1918.ca/). Something that may not be very well known, it was not to me, was that those soldiers who died during WWI were not brought home. The soldiers’ remains were left in Europe in the theater of battle and buried in place. Take a moment and remember those who have come before that made all that you cherish possible. To those who have served and still serve, I cannot thank you enough for all you have done.

Dick Scheese MGSgt USMC Retired
Kent Brewer MSG USSOCOM HG
Jason Staub MSG currently in Iraq
“Chuck” Rush MAJ currently in Iraq
Michael Dean MAJ US Army Reserve still serving
Jim Talley SGT
Raul Gonzales, MD, MAJ still serving
Billy Ligon , MD, MAJ
Robert A Henry , DO, CPT USNR still serving
John Manning, MD, LTC
Blair Valentine, MD rank unknown
Ed Fasolina, MD, LCDR
Tim Pfanner, MD, COL US Army Reserve
Michael Kirkpatrick, MD, LCDR
Doug McNeese, COL US Army Retired
Jessie Lewis, SPC
John Hancock SSGT US Army Retired
Darrell Johns, MSG US Army Retired
Charles Grimes, USN Rank unkown
Chip Lewis, US Army Vietnam, Rank unkown
Louis Ortiz, RN, CPT
Mathew Connely, SPC

Don Parker, MD, MAJ

Gene Hooker, CPL US Army (deceased) Nancy's Father
And so many more, lest we forget.