13-20 October: An extremely busy week

Author: Mrs A

Location: Sydney, Australia

I can hardly believe we have been back in our home a single week, so much has happened!

As well as unpacking the caravan, restoring our bits and pieces into the house and restocking food supplies, we also took seven sacks of donations up the the nearby St Vincent do Paul Charity shop. It’s incredible how living in a space not much larger than your kitchen can refocus the mind, making you realise all the things you don’t need after all. It also helped that many of the clothes and shoes we gave away had been locked up for the past 18 months and we didn’t miss them. It is far better they’re used by someone who will appreciate them.

We managed to fit a few walks down to our local beach for some fresh air and to stretch the legs.This week was also about medical visits. I had a few tests and saw a doctor about my sore foot – he believes my issues are not neuroma after all, but torn ligaments around my toe – something that can take about 18 months to heal, but can be helped with an orthotic insert. Excellent! I had been fearing surgery was my next step (so to say!).

Mr A saw his eye surgeon for extensive field tests to check out his glaucoma and again heard positive news there, with no decline in his vision, fabulous news.

And I was in hospital for an operation on my airway. I’m starting a new procedure with a new surgeon and hope my idiopathic subglottic stenosis can be kept at bay so more unhindered fun can be had in the great outdoors in the coming months.

Recovery from that op has been slowed by both Mr A and I catching colds – not ideal after surgery, but probably inevitable, and only a cold after all. What doesn’t kill you, makes you stronger so they say!

In addition to charity donations this week, we have been sorting out some things to sell. First of all my artwork. You probably have noticed I enjoy putting paint to paper on the odd occasion, and in the past have done a few exhibitions. No time for that right now, so I’m listing everything for sale here and on my Facebook page. If there is anything that interests you, let me know!There will be a few eBay/GumTree sales coming up too – a few household items, plus our packrafts and Mr A’s single kayak. So lots of work ahead.Miss Tassie has been enjoying having a wide choice of sunny spots to stretch out in, and has settled in nicely to being back in the house for the time being.

8 October: Reflections on our trip

Author: Mr A

Location: Atlanta, Georgia & Dallas, Texas, USA

I like to believe a holiday should change you in some way. For Catherine and I, this trip across the US has certainly had an impact on us. We have made some new friends, learnt some new things (like that gravy isn’t always brown, and kettles are not a universally recognised essential item for your kitchen), and decided to review our plans for next year (more mountains less scrubby desert).The America we have met on this trip is one full of kind, respectful people (no..we didn’t meet any politicians). We had so many instances of people (friends and strangers) go out of their way to be thoughtful and courteous. When you read the headlines focusing on the negative headlines from here, as elsewhere, its easy to forget a country is made up of individuals. It’s hard not to generalise about the “behaviour” of groups of people from the same geography, race, religion or sex. As humans, we want the simple truths, but really we will find as much variation as commonality.We have so many highlights it would be unfair to call them out, but I will. Thank you to all the people who went out of their way to help make our trip here go so well. Those who had us stay (may your livers recover), those who helped us settle in (Deborah of the care package extraordinaire), those who gave us tips on specific things to do in their patch, and most importantly to the doctors who provided a “just in case” safety net for Catherine (who can’t get medical travel insurance for her breathing disease).

We saw so much beauty in this country. The mid coast hinterland of California, then the giant sequoia trees and the soaring peaks of the Yosemite. Then over to Chicago’s downtown area along the lake front, then the much smaller scale lakefront community of Cicero, then on to the unique geological area of the Red River Gorge and finally the majesty of the Smoky Mountains.We have eaten some fabulous food, cooked by friends or out and about, the choice of cuisine is almost endless. The option to not have sugar or dairy in it…a little harder. We sampled some amazing wines in California (Dave and SJ, Susan and Joe – you have such great taste!), and mind bending cocktails and bourbon courtesy of the Chases in Cicero.Thank you for your hospitality America. It’s time to return to Sydney, and the life and friends we have there, but we are certain we shall return.

7 October: The iSGS 1000…

Author: Mrs A

Location: Atlanta, Georgia, USA

It was finally time for the grand finale of our USA trip, with two events organised by Vanderbilt University as part of the idiopathic subglottic stenosis research study I am a part of. Our morning commenced with brunch at Ventana’s, a restaurant overlooking Atlanta’s Centennial Olympic Park with great views of the city.

It was a rare opportunity to meet many of the members of the Facebook support group I founded 9 years ago, all with so many interesting stories and backgrounds. One lady even brought me gifts and the offer of a place to stay 20 minutes from Niagara Falls, should we come back this way! I think Mark and I may well take up that offer one day.After many cups of tea and a proper southern breakfast (Mr A at least tried grits with cheese and maple syrup – an odd combination I thought!), we all went our separate ways.

I returned to the hotel and met with Dr Alexander Gelbard, program coordinator, key researcher and ENT surgeon extraordinaire to discuss and plan my presentation for the evening’s session, as well as talk through what was coming out from their findings.

Time went quickly and no sooner had I freshened up and changed it was time to head to the next venue for the evening’s presentation. This session was attended by a number of ENT surgeons from all over the USA as well as additional patients.

I caught up with Alex and his colleague Dr David Francis before we got started.I presented a few slides first, talking about the group and some thoughts I have for future opportunities with treatment and information, then Dr Gelbard and Dr Francis presented their findings from three years of longitudinal research with patients.

Their findings showed there are clear differences in success rate between different surgery options, with one medical centre in particular having innovated their technique to help patients last longer between surgeries. Sadly at this stage there is no cure for this disease, but this is still a fantastic step towards that.There is much more opportunity for more research and studies ahead. We’ve funded a further two years of data collection from the iSGS 1000, but more funding is required to enable clinical trials in the future. We’re hoping to somehow set up a charitable foundation to help fund this, and I have no doubt Alex and David will be keeping an eye out for any more grants they can apply for.

I hope this is not my last opportunity to come back to the USA and work with these fabulous doctors. I’ll just have to find a sponsor for the next time! Again, it was great to chat to several ladies after the presentations.

Once all this was over, the adrenaline died down and I was exhausted. It was back to our luxurious hotel and to collapse with Mark and some Netflix for the remainder of the evening.

Tomorrow we commence our huge trek back across the world to Australia.

6 August: Arriving in Atlanta

Author: Mr A

Location: Atlanta, Georgia, USA

We had a smooth trip down from the Smoky Mountains right to downtown Atlanta – all freeway bar the last 3km – I couldn’t help but contrast with driving down from the Blue Mountains to Sydney – a similar distance that would have taken 3 or 4 times as long.

We dropped off the luggage at our hotel – and wow – to stay at a “fancy” hotel again with people who carry your luggage – quite a treat. We really appreciated the luxury after all but one of our motel/hotel stays on this trip have been pretty ordinary. A short drive and we dropped off the car – there was some confusion as we had changed the odometer to read kilometres and they thought we had driven thousands of miles…all became clear and we settled into our lovely hotel for two nights.

Lunch was required, we wandered up the road, guided by Trip Advisor, to consume our first burger of the trip. We have resisted so far, but the lure of a “bison burger” was too much. We dived in.Catherine spent the afternoon preparing for her presentation tomorrow. I went for a wander, heading for Centennial Park. A bloke sidled up to me and said “Give me 20 bucks or I’ll cut you!”. Not an ideal situation, to say the least. Doesn’t he realise the shocking exchange rate?

I told him to f@!k off, really without thinking, and he did, which was good. I retired to the hotel…Dinner was a very pleasant affair with two of the people we have met already on our travels who come to Atlanta for the conference Catherine is speaking at (Deborah from Pasadena and Kim from Yosemite), and two people who work for Vanderbilt University (Cheryl and Kate) who are organising the conference and providing support and guidance for the research team.Travel for me is so much about meeting new people and getting a glimpse into their lives. Tonight was a great example of how rewarding that is.

23-25 September: San Francisco – a brief love affair

Author: Mr A

Location: San Fransisco, California, USA

Sunday: From the moment we left the airport after dumping our car, we started to fall in love with this city. Our cab driver was so polite and helpful, our apartment right down at Fishermans Wharf was great (so lucky to get something in this location so reasonable), this city felt good!Our first night was spent at a beautiful Italian seafood restaurant courtesy of another member of Catherine’s sub-glottic stenosis support group and her husband, Lynne and Ron, and what a great vibe down on the wharf. We could get used to this!

Monday: We headed out to explore, with the traditional early morning mist clearing to reveal a sparkling harbour that we walked along for miles before heading off for a power shop. Some browsing around the shops later we headed off on a tram across town to a discount shoe outlet, even the conductor wouldn’t take our money! It was quite an experience travelling up and down San Fransisco’s incredibly steep hills.Lots of shoe bargains later, we walked back to the bay and hit an oyster bar – wow there’s some big fellas here and a very different flavour from what we’re used to in the Southern Hemisphere.

What a superb market down on the wharf, you could spend some serious coin in the delis here. We just brought some soft cream sheep cheese and headed back to taste test the wine we had been given made by the talented Joe – a Duke’s Folly Pinot – so smooth and just set off the tart cheese wonderfully.Dinner was an early affair (Catherine is feeling pretty beat with her airway so closed at the moment, and we had clocked up just under 12km (7.5 miles) on foot!). We had booked a Korean restaurant just down the road from our apartment and once again had some awesome food. California really has not disappointed.

Tuesday: Another misty start but we headed out to walk up to the Golden Gate Bridge, which was almost completely hidden until we reached it and magically the fog lifted and there it (mostly) was! This city is being so kind to us. I think she knows we have fallen in love.The dog walkers were out in force, although this guy seemed to have his own pack very well trained.A big walk back along the bayside and a lunch in the sun – I had been hanging for a crab chowder in a bread roll – and I got it! Sadly no dairy free version of that creamy number for Mrs A.Off we marched again and caught the ferry over to Alcatraz for a superbly produced audio tour. Thanks to our Napa friends, Susan and Joe, who encouraged us to book the trip – it is not usually our thing to hang out in the crowds but this was great. I wonder how many of the 1 million visitors a year have sworn off a life of crime after seeing this place?Now I have to admit we then committed a major faux pas for travellers and went back to the same Korean for dinner. Please forgive us, but we had seen another dish on the menu we both wanted and just couldn’t resist. We were home by 6.30pm (16km (10 miles) of walking under our belts today) and packed up ready for our early getaway tomorrow to Chicago. Wild things no longer.

San Fran – it was a brief dalliance, but we loved your vibe.

3-4 September: Heading south & back into NSW

Author: Mrs A

Monday – Location: Noosa to Coolum Beach, then to Brisbane

We were all sad to say farewell to our friends Ray and Wendy in Noosa, particularly Tassie, who had become accustomed to her choice of laps and enjoyed her days relaxing on the daybed watching the activity on the river. But it was time to collect our Zone from its couple of days of pampering and head on our way.

We called into Belmondo’s on the way out of Noosa, finding ourselves spending a ridiculous amount of money on a handful of items, before heading south to Coolum, the home of Zone.

Before long, we were pulling away, and heading on the highway south to stay the night with our fellow Zoners, Libby and Phil.We had a brief whirlwind of time to transfer our cases and food back into the caravan, dig out the smart clothes and get changed, before the four of us drove into Brisbane for the evening.

The weather has been tumultuous – really cold for Brisbane (about 15 degrees centigrade!) and wet – but as we arrived at South Bank the clouds lifted to give us a fabulous display across the river into the city.After this, we parted ways, Phil and Libby ending up at a pub helping celebrate a nephew’s birthday, while Mr A and I joined three lovely ladies for dinner in a French restaurant beside the water.

I’ve been invited to talk at the Australian Society of Otolaryngology and Head and Neck Surgery here in Brisbane next March regarding my work with the rare disease I have, idiopathic subglottic stenosis. Two of the ladies we met were paediatric ENT surgeons here in Brisbane, and the third worked at a pharmaceutical company, supplying equipment for the surgeons, and a sponsor for the event.

We had a lovely evening, delicious food, and I got to talk about a cause very close to my heart (and airway!). I’m looking forward to next year’s event already and all the good it can potentially do.

Our very generous hosts collected us at the end of our meal, and whisked us back to their home for warm drinks and conversation. Such incredible kindness from friends we only met for the first time in March this year!

Tuesday – location: Brisbane, Samford – Queensland and Woombah, New South Wales

Breakfast was our first port of call, the four of us heading down into the nearby village of Samford to Phil and Libby’s favourite café, Black Sheep. Delicious Eggs Benedict for three, and a breakfast wrap for me, and we were all happy campers, definitely not in need of lunch today!

We had a chance to admire the five plus acre property we’re staying on, full of birds, rolling hills and bushland – just beautiful – before our hosts escorted us on our way via their secret route to the main road south.

There followed a stressful few hours on the M1 motorway, packed full of tailgating semitrailers and road trains going much too fast for the wet conditions.

We finally pulled off the road at the little settlement of Woombah, breathing a sigh of relief as we left behind the noise and the traffic and set up camp in a site with a fabulous view.We have probably driven past this area a dozen times without any awareness of what’s here, but it’s a lovely rural settlement sat on the banks of the Clarence River close to the estuary. There are over 100 islands in the wide river here, the nearest to us being Goodwood Island.

In need of fresh air and exercise, we set up camp, donned our rain coats and headed off for a walk.The sun was starting to set so we only went a couple of kilometres, crossing over the bridge to Goodwood Island and checking out the wet sugar cane fields before returning for the evening.More rain and thunder entertained us, a novelty after the dry and drought of the inland areas. Sadly, it seems the rain is sticking to the coast, not helping out the farmers this time.

We’ll continue our journey south tomorrow, and with a continued forecast of rain, have not made any plans for where we might end up…all part of the adventure!

Sunday & Monday 25-26 Feb: Rain slows down outdoor play

Author: Mr A

Location: Wallaga Lake and Tathra Beach, NSW

Yesterday was a real washout, it absolutely poured all day, so it was bunker down and zone out in the Zone. Never a problem given the comforts we have! With weather like that it reaffirms our decision to leave behind the canvas of our camper trailer and go caravanning. This morning though I had the dubious pleasure of packing up camp in the continuing drizzly rain, while Mrs A does the indoor stuff. Our division of labour to remind readers is as follows: Mrs A: chief cook and head of travel research. Mr A: dirty, tall and unskilled labouring. It seems to work for us.

We were very early at our next camp – Tathra Beachside Holiday Park. What a disappointment. The park is right on the road and our van is as close to the tarmac as you can get without actually getting a parking ticket. Small sites jammed next to one another and no almost no green in sight. I negotiated an early exit strategy and got a refund – we will only stay tonight and tomorrow. Its certainly not going to be one of Tassie’s favourites either given the density of people, dogs and cars.

Things perked up when we headed out on the bikes. We stumbled upon a lovely ride along the foreshore, spotting an Eastern Great Egret and White Faced herons fishing, then a pair of white bellied sea eagles put in brief star appearance high overhead in the increasingly blue skies.We climbed up into a forest of spotted gums, the smell after the rain was just amazing. A very quick run back down the hill and we had made a great little loop ride (15km). I’m absolutely loving the new gears on my bike. A twist grip rather than levers which were so painful to use with my dodgy hand (touch of osteo). Mrs A struggled to breathe a bit on the hills but with her usual can do attitude just got on with it. She’s determined to not let this illness hold her back if she can overcome with the power of her mind.

Day 125: 1 October – A two BBQ day is a good day

Author: Mr A

Distance cycled (by Mr A only!): 22 km

Distance walked: 4km

I snuck out early for a quick ride in the woods. It’s a magnificent morning, and I forgot my camera, so use your imagination. The trail undulates through the tall stands of jarrah and marri trees, the sun is piercing through the canopy and sending shafts of light down onto the  trail. No one else is around – you can only hear the sounds of the birds and in the distance the river washing over the rocks. I decide I better head back to check if Mrs A is awake and ready for me to charge up the Weber.


I take the view that a cooking a BBQ breakfast of eggs, sausage, mushrooms, beans and toast, washed down with two pots of tea, is the best road I can help Mrs A get back to full strength. I cant cook much but I can do a mean brekky. Tassie comes out to observe proceedings. It’s what we always used to dream about when we were on the first part of the trip without her. Just chilling out with her enjoying the sun outside the caravan. 


I got up to get something from the Zone and immediately my chair was commandeered by the small furry one. Hadn’t got the heart to shift her, so decided it was time for another ride. This time I did take the camera….



It’s such a beautiful trail I could keep going and going…but worry about Mrs A, so head back and find she is ready for a walk. Yippee! First milestone to recovery. Off we potter into the woods. It was wonderful to see her up and around again, snapping away at the birds and smiling through the effort of getting enough air down her swollen throat. We saw a few birds which only live in this part of Australia, like this red capped parrot:

And this Scarlet Robin:



Back at the Zone I decided I would try my hand at dinner, after being swept along on the wave of success of brekky. My limited imagination and culinary repotoire meant the BBQ was fired up again, some veg were roasted and some pre-cooked salmon taken out of the fridge…I know….but Mrs A was happy to not have to cook all day for a change. 

 Another good day on the road to recovery…

Day 123: 29 September: Escaping from Perth for a recovery weekend

Author: Mr A

From: Perth

To: Lane Poole Reserve

Distance: 98km

Catherine had a rough night, awake for hours with a mix of jet lag and pain from the operation. I made her a nice pot of herbal tea and got us packed up to head south for the weekend. I wanted to show her the Lane Poole Reserve where I had been while she was away, as I was confident she would like being in the forest with all the birds. Normally she takes 2/3 days to recover from these dilation surgeries, so some nice gentle walks and perhaps an easy paddle might be OK, lets see. 

It’s an easy drive south and inland, with the road climbing upo into the jarrah forests that surround the little village of Dwellingup. We stocked up on some firewood, and headed into the Lane Poole Reserve to our camp at a place called Nanga Brook. Yes there is…a lovely little stream there. 

It was a bit noisy with it being school holidays, two children particularly who only had one setting on their voice box…a scream. So we just turned up the music…easy. I’m so glad I ripped all of our music CDs before we left!

Mrs A had a little snooze nad was woken with another pot of tea. She has to keep that throat lubricated. I encouraged her out for a gentle walk around the camp. 


There’s a stunning walk through the forest that we ambled up, spotting birds hopping around in the trees.


 Back at camp Mr and Mrs Fairy Wren were hopping around. The iridescent blue of his plummmage just took my breath away. It was the first moment we had had together where we weren’t thinking about Catherine’s looming health issues. It did us both good to be transported back into the natural world.

We got back to the Zone and guess what, another pot of tea was made, no shortage of lubrication of the throat for madam today. Even young Tassie caught the mood and was enticed out into the afternoon sun for a little sniff about. Big, brave girl. 


To be amongst the trees again is just so rejuvenating and relaxing. You can smell the oxygen they are giving off, and the good vibes. 

Day 122: 28 September – Escape from the ICU

Author: Mrs A

Location: Perth – St John of God Subiaco Hospital to Forrestfield

Distance walked: 500 metres (ha ha!)

Well, to be honest I had hoped that all this airway dilation malarkey was behind me, but apparently my body has other ideas, and once again scarring has appeared in my trachea (I suffer from rare disease Idiopathic Subglottic Stenosis*). So frustrating, but what can you do? I am so fortunate to have forged good relationships with the expert doctors in this field, and was able to call on one here in Perth to help me. I have to admit yesterday was a bit of a whirlwind, with a post breakfast text message from Dr Shyan Vijayasekaran (Dr Vijay for ease!) letting me know the disappointing result from Tuesday’s CT scan (for those who missed it – my trachea a healthy 1.5cm wide most the way, narrowing to 6mm – think drinking straw – with scar tissue in one area. Explains my breathing issues), and followed by a call letting me know he could pull some strings to get me into surgery that evening. Just incredible. My head was spinning all morning, questions about how the scar tissue could be back, anxiety about more surgery on my airway, what this means for my long term future, and what it means for our trip.

I was wheeled down to theatre around 6pm and was next aware of being in recovery about 8.30pm. I was told I was allowed water, but no food due to the drugs they had given me during the surgery. I didn’t mind though, my throat was so swollen I could barely sip water, let alone imagine anything else.

I was moved into the intensive care unit for the night. The nurses were absolutely lovely. I could speak no louder than a whisper and they were extremely patient and caring with me. On the flip side, the ICU means no sleep. I managed a couple of broken hours, but the inflatable leg warmers which massaged my calves to negate blood clots inflated and deflated every ten seconds and the half hourly blood pressure test also kept waking me up. But I was kept safe and well all night.

The very patient Mr A arrived around 10am this morning to break me out, and brought me back to nurse Tassie. Soup was duly heated up for lunch, and multiple cups of tea provided. He also rushed around Perth picking up the CDs of my CT scan to send to the UK, back to the hospital to pick up the before and after photos of my airway that I had forgotten (doh! – don’t worry, won’t share them here – if you want to see, please message me!), and organising a take out dinner from a local highly rated Chinese restaurant.

Miss Tassie of course was a fabulous hot water cat, snuggling up with me and keeping me warm as I caught up on sleep.

Breathing is not great yet due to the swelling, however I anticipate it will improve over the weekend. Both Mr A and I have our fingers crossed this is just a one off blip in the scheme of things, and we can go back to our adventuring with a nice big airway and no more breathing worries.

*Definition of Idiopathic Subglottic Stenosis – Idiopathic – ‘We don’t know the cause’, Subglottic – ‘Below the vocal chords’, Stenosis – ‘Narrowing’. It’s a rare disease impacting mostly adult women over the age of 25 – in Australia it is estimated around 40 women per year are diagnosed. For more information see here: Beginners Guide to iSGS