Back at the Ranch

“The sun is riz, the sun is set, and we ain’t outta Texas yet!”

It takes a full day to waltz across Texas.  I’ve been reminded of this twice in the last four years—once in July of 2009 when I drove my daughter from California out to Houston to start medical school, and the second time eighteen months ago when we drove my mother’s barely used Subaru from Colorado to Houston to replace the now ancient Volvo we had bought my daughter for her sixteenth birthday.  A girl’s got to have wheels, you know. Both of these trips reminded me of the long charter bus rides that I used to take as a child competing for the Dad’s Club YMCA swim team at out-of-town meets all across the state.  My favorite ride was through the Hill Country between Austin and San Antonio in the spring, when thousands of bluebonnets carpeted the roadsides, punctuated by red dots of Indian paintbrush.  Back in those days, I would gaze out the window at the Herefords and Black Angus and I would imagine that one day, some day, I would have my own ranch.  Others would complain about the endless stretch of highway between San Antonio and El Paso, but not me.  I could easily imagine myself owning a thousand barren acres in west Texas, where I would have all of the dogs and horses I could ever want, and not have to talk to anybody, nope, never.   How I would make a living out of that ranch never crossed my mind.

That fantasy came to an abrupt end a few years ago as both of my parents faced major health crises.  Twenty five years back, they had retired from Houston to live out their dream in the Aspen/Snowmass area of Colorado. Well, perhaps “retired” is not quite the right word, since my mother never worked outside the home and my father never stopped working—he  likes to call himself “the oldest practicing plastic surgeon in the United States”, to which I rejoin, “Perhaps you shouldn’t brag about that, Dad.” But I am digressing.  They became avid skiers in the winter, and enthusiastic hikers in the summer, and they played golf and tennis and rode horses on the mountain trails.  They did that until my mother became ill in the spring of 2005, gradually losing her ability to walk, and to think clearly, and I discovered that while Aspen is a glorious place to have a cruciate ligament repaired, or to fix a compound fracture fresh off the slopes, it is no place to come down with a lymphoma of the central nervous system requiring chemotherapy to be instilled directly into the ventricles of the brain.  They don’t do that at Aspen Valley Hospital, or likely anywhere in the middle of that stretch of Interstate 10 between El Paso or San Antonio.  My father’s recent bout with pneumonia and a touch of heart failure confirmed my suspicions that, cowardly as it sounds, I want to be near good doctors and good hospitals as I age.

I never did get that ranch in Texas, but fifteen years ago we bought three level acres smartly outfitted with a four stall portable barn and a couple of grass paddocks here in San Diego County, on a street which was originally named Caballo Rojo.  My first Quarter Horse, and the first tenant here was a little red gelding named Lucky, so with a sly smile and tongue firmly in cheek we called our new place Rancho del Caballo Rojo and the name has stuck. And when I fall off my horse, as I have on occasion, I am deeply grateful that some of the best hospitals in the country are less than twenty five minutes away.  Dad, for the meantime, is living with us.  But he held on to a hundred acres or so that he bought years ago in Pleat, Texas, southwest of Houston, with its own working oil well on the property.  On a good day, that old well pumps out five barrels of oil a day.  Sometimes I dream about retiring there, so last time I was in Houston we went out to see the old farmstead.  Say what you will but I was very glad to see that a large and very modern appearing hospital has been built very, very nearby!


  1. I totally agree!

    One of the reasons I decided years ago to “age in place” was the combination of a support system of local friends and the good quality medical care available. Grand Rapids is the 2nd largest city in Michigan and has the advantages of a large metropolitan area combined with few traffic jams and easy access to surrounding farm country and Lake Michigan.

  2. Also agree. Perhaps those of us who have had some connection with medical systems understand this better than most? As per Margaret, for me, being single (and an only child) means my friends of decades are a major support group for me, as we all are for each other. My grown kids are wonderful but they do have families to tend to.
    A note re what injuries to sustain or not in snow country – when my daughter was 16 an an exchange student in Austria, she had a ski accident and needed a scope – talked to the orthos locally and they were like, “Heck, if she lives in the Alps, let THEM do the surgery, for sure, they know what they are doing!” True enough. :>)

  3. Hmmmm–as you know, we have good (& youngish & female & well connected) docs here , and I think we do well for a rural state. Nor am I likely to leave, given age, poverty, attachments; but…

    How do you rate NM? Better than it MIGHT be I’m sure, he said with a hollow grin…

    1. Actually I was very impressed with the care my friend Catherine got at Lovelace Medical Center during the last year of her life. Given her medical conditions I was amazed that the doctors were able to stabilize her and get her through major surgery not once, but twice. The ICU teams and the surgeons were superb. The doctors from the U of NM that I have met are top rate. Of course there is a shortage of doctors there, but as a result, they have become pioneers in telemedicine. You are lucky that NM is so beautiful that a lot of well trained specialty physicians (including Radiation Oncologists, may you never need one!) want to live there. M

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