We woke up on Thursday, August 14 to cloudy skies, but it wasn’t raining and we were finally in Iceland, so we didn’t really care! We were both ready for the first of five days in Iceland, which was the reason we chose the cruise. Little did we know our trip to Iceland was going to end up looking very different than what we had planned.

We met our guide, Helga of Tinna Adventures at the port in Djupivogur and we were off for a day of seeing the hidden valleys and waterfalls of east Iceland.

East Iceland is remote and rugged. We made our way on narrow roads through grassy valleys surrounded by jagged, rocky peaks, stopping occasionally to admire a waterfall or just the amazing scenery.







Our third stop was in an area with a dry riverbed and a hidden waterfall. We walked on a path towards the waterfall, and as we were walking down a slight slope towards the riverbed I decided to step aside to let someone pass when “it” happened. My feet went out from under me on the damp, loose gravel, and I found myself sitting when I didn’t want to be! Even worse, my right leg had cooperated and gone down the slope foot first, but my left leg was awkwardly pinned underneath me. Our fantastic guide Helga tried to help me get up, but when she did we realized my left foot was in a position it shouldn’t have been in and vacation was probably over. That was it…after all the careful planning and preparation my Iceland vacation lasted two hours.😢




That split-second event was the first in what would prove to be a VERY long day. Thankfully Helga is an EMT and part of the local remote rescue team and she knew exactly what to do. I’m not going to give you a blow-by-blow account of the rest of the day, but here are the highlights:
- I fell around 11:00. The ambulance arrived about 45 minutes after I fell. They immobilized my ankle and took me by ATV down the riverbed to the waiting ambulance.
- Jim rode in front and saw amazing sights during the hour and a half ride to hospital #1 in Neskaupstadur. I had a lovely view of the frosted glass and the back doors of the ambulance.
- They took x-rays and the on-duty physician told me my ankle was broken in three places (not true) and I needed surgery. He added that he was a surgeon but only worked on the esophagus😳 so I would need to go elsewhere.
- It was determined that I needed to be transported to the hospital in Akureyri where I could be seen by an orthopedic doctor. Before we left Neskaupstadur they communicated by phone and text with the doctor in Akureyri and managed (with a great deal of difficulty and mess!) to push my dislocated ankle bones back to something resembling normal and put me in a plaster cast.
- While all this was going on Jim was busy on the phone and e-mail with our travel insurance company, our credit card company, and the ship.
- Thankfully they decided to transport me by air ambulance instead of making the 4 and a half hour trip to Akureyri by road ambulance. Again, Jim had spectacular views and I could see some clouds and the ceiling of the plane.🙄
- In Akureyri more x-rays were taken, and the physician on-call came in and told me they would operate in the morning. Alarm bells went off. What do you mean you will operate in the morning? After a discussion with Jim, we decided (well, I decided and he agreed) that our best course of action would be to have the surgery at home. There were several reasons why we made the decision. My primary reason was I hadn’t met the surgeon, I wouldn’t be able to speak to the surgeon until he or she arrived in the morning, and nobody could or would tell me exactly what surgery would be performed. Other considerations were the length of time I would need to stay in Iceland before we could go home, what I would do for follow-up care and rehab if I had surgery in Iceland, and finally what the costs would be since we would have to put the surgery on our credit card and then get reimbursed by our travel insurance company.
- The decision to go home started a whole chain of events. The hospital staff were very unhappy with our decision and really pushed back. Once they realized we had made up our minds their tone changed and they pretty much washed their hands of us. We were told we had to leave and to make sure we paid on the way out! We tried to borrow or purchase a wheelchair but the best they could do was a flimsy pair of crutches which I was incapable of using. I can’t count how many times I almost fell which probably would have resulted in me annihilating the rest of my limbs!
- We managed (with no help from the hospital) to find a hotel. The room was on the 4th floor but thankfully was very close to the elevator and had an accessible bathroom. By this time it was about 11:30. We were hungry, dirty, and utterly exhausted. We spent the next few hours attempting to sleep but it was hard to get comfortable and there were too many ifs, ands, or buts that kept us awake.
- Fortunately our ship was in Akureyri on Friday, and we got cleared to reboard the ship to sail to Reykjavik to disembark and fly home. I was happy to be reunited with my passport, my cash, and my clothes!
- I learned quickly that a cruise ship is a difficult place to be when you can only use one leg and you’re confined to a wheelchair in a non-accessible cabin. I used our bathroom once to shower and it was SCARY getting in and out! For the rest of the time we were on the ship I used accessible public facilities and/or a commode chair.
- We were very naïve about what it would take to get us home. Our first thought was we would call United and change our flight so we could fly home from Reykjavik instead of Amsterdam. Well, it really doesn’t work like that. As we found out, it’s complicated. I had to get a “Fit to Fly” clearance from the ship’s doctor, and once I had that our travel insurance handled all the arrangements. They were not able to use our existing tickets to make acceptable arrangements (more on that later) and booked us on Lufthansa through Frankfurt with a nurse. At first I thought the nurse was overkill, but when presented with the alternative of getting catheterized for the trip I thought the nurse was a great idea! Actually, the nurse was a Godsend. He made all the arrangements and eased the way at every step of the 26 hour trip! He even accompanied us all the way to Bryan before turning around and heading back to his home near Milan.



There are a lot of details I left out because they really aren’t that exciting. The staff on the ship were wonderful, and our fantastic neighbors took great care of us before we got home and in the weeks after surgery. Needless to say I think good travel insurance is one of the most important things to pack for a foreign trip. Even if you don’t mind eating the cost of an interrupted trip or a last minute cancellation, you need the foreign medical and repatriation coverage. Our insurance paid out tens of thousands of dollars, but if we hadn’t been able to fly commercial the number would have been in the hundreds of thousands.
Two days after we got home I had an appointment at Central Texas Sports Medicine and Orthopaedics where they verified I did indeed need surgery to repair the ligaments in my ankle. Notice that I had zero broken bones in my ankle, not three as I was told at hospital #1! My Fibula was broken near my knee which nobody was very concerned about because they said it would heal itself (it has).

I had “Tight Rope” surgery on August 22, during which they drilled through the Fibula and Tibia and anchored 2 “ropes” to the desired tension to pull everything back in place while my ligaments healed. Jim was very enthusiastic when he read this was the surgery Tua Tagliavoa had when he got hurt in the SEC Championship Game in 2019 and managed to come back and play in the National Championship Game. Alas, I am neither in my 20s nor an elite athlete, so it took me much longer to get back to normal than Tua! Recovery time aside, the nice thing about the surgery I had is I don’t have metal that may one day need to come out, and the tight ropes are supposed to have a better long-term outcome with less chance of osteoarthritis. I have one very small metal “button” to reattach an outside ligament to the bone, and I don’t even set off metal detectors!


So that’s it! That’s my Iceland story. I just haven’t felt like writing it until now, 261 days after I slid down a gravelly, damp slope in remote East Iceland. Why today? Well, we’re sitting on a flight waiting to take off from Houston, and we’re headed to Rome for a Mediterranean cruise! I feel like today ends the “ankle injury” chapter of my life story, and so I thought it would be a great time to wrap up my blog that’s been in limbo for the better part of the last eight months.
Later today I’ll start my next blog with a happier post. I’ll even tell you about how this trip came to be. Here’s a sneak peek…it involved United and Travel Vouchers, and what we learned about using airline credit!









































































































































































































































