A Quiet Week of Healing

[Note: This is another blog based on my weekly emails to my family on the mainland. Since much of my news these days relates to trying to age gracefully, this series might be called The Geezer Gazette.]

2/28/26

 

Aloha Guys! 

 

I know February is a short month with only 28 days, but this one seemed to disappear in an eye blink. However, for some of you on the mainland it must have seemed to take forever as you coped with a very severe winter.  I'm sure Spring will come eventually, and not a minute too soon.  We've finally been getting some sunny days, so my pv system is doing well at the moment, and the pool temp is up to 84d, just in time for me to be able to go in after my two-week restriction.  It felt very nice.  

 

I won't burden you with much Geezer Gazette news this week -- I suspect you will appreciate that after last time's oversharing.  It was a very quiet week here, which I spent mostly recovering from my heart's shock therapy two-plus weeks ago.  I'm pleased to say it's going much better.  Hopefully I'll be in decent shape by the time we leave on our trip in a few weeks.. On Monday I saw my regular doctor to have my ER stitch removed.  That went very smoothly.  I then asked him about my breathing issue and he surprised me by diagnosing it as a problem of fluid buildup after the procedure.  I took a heavy-duty diuretic that day and I quickly began breathing much more easily.  Who'd have thought! Yesterday I saw my retina doctor and it went ok, except that I had to report that my ablation hasn't improved my eyesight so far.  I've only been in normal rhythm for 10 days, so there's still a chance it will help.  With luck that will be my last interaction with the medical establishment until we return in April.  I'm definitely ready for a break.

 

We're into cruise ship repositioning time, and this week there were ships in our harbor almost every

day. This makes the merchants along the waterfront in town very happy, I'm sure.  These are ships returning from southern waters to start their Northwest itineraries in the spring and summer. Of course, we still have our weekly visit by the Hawai'i boat, Pride of America. It does a 7-day cruise that starts and ends in Honolulu.  It's a good way to get acquainted with the major islands, but you really need longer on at least one of them to appreciate the culture, history, and geology of this unique place.

 

Pele is taking a snooze until mid-March. The current projection is for another session of spouting between March 6-16. This will be the 43rd episode since December of '24.  A truly remarkable phenomenon.   

 

Ok, that's enough for this week.  Stay well and happy. Carpe Vitam.

Heart Still Ticking Kinda Sorta

[Note: This is another blog based on my weekly emails to my family on the mainland. Since much of my news these days relates to trying to age gracefully, this series might be called The Geezer Gazette.]

2/21/26

 

Aloha Ohana! 

 

[Warning:  Oversharing Ahead] 

 

I told Karen that my Valentine's Day gift this year would be getting home alive after my 2/12 heart ablation

Not Yet

procedure on Oahu.  I delivered on my promise, though not in the most romantic way.  The procedure was Thursday morning a week ago and technically went very well.  According to the procedure notes that I received online, my "shock doc" successfully ablated several areas in the upper two chambers of my heart.  I learned several things from the surgeon's notes that surprised me.  First, I was out for a little over an hour, but the procedure itself took only 40 minutes.  In past years when this was a new treatment an ablation used to take two hours or even more.  Second, this wasn't just a few zaps with the ablator (aka "pulsed field catheter") -- she used a total of 66!  My poor ticker must have looked like a smoldering cinder.  Third, the ablation doesn't just involve one catheter and one vein -- it took several catheters and both femoral veins in my legs.  Despite the mistreatment, my heart came out of the procedure not only still ticking, but also in normal rhythm, something I hadn't seen since early December.  Unfortunately this only lasted a couple of days and was probably due to the fact that as soon as they put me to sleep, they used the paddles to shock my heart into normal rhythm. I guess this was to make guiding the catheters easier and more accurate, or maybe to give my heart a rest after the procedure. As I've mentioned before, ablations are effective because they create scar tissue that doesn't conduct the chaotic electrical signals very well.  It takes a month or two for the scar tissue to develop fully, and during this time afib often recurs, though hopefully less and less often and for shorter periods. I just have to wait and see if this is true in my case.

 

There were a couple of complications that made this more difficult and definitely less romantic.  The first required returning to the hospital's ER Thursday night.  After an ablation the usual process is to lie flat on your back for several hours to make sure the small incisions where the catheters were inserted into your left and right leg veins start to heal. The nurses in the recovery area were very nice, even bringing me my cell phone and providing a tuna salad sandwich while I waited, At last they pronounced me ready to roll and I was discharged late afternoon (total time in the hospital = 9 hours).  So far so good.  When we got back to our hotel room, however, one of the incisions started to bleed and wouldn't stop, even after following the instructions of the surgeon when I called her.  After a few hours of this, we finally decided I needed professional help and we went to the ER about 9 pm.  The ER doc tried a fancy solution involving glue, mesh, and foam.  Didn't work. He finally solved the problem the good old fashioned way -- a stitch, some clotting salve, and a compression bandage.  We got back to our room about 2:30 am, after about 4.5 hours in the ER. 

 

The second problem wasn't as acute but still very problematic.  The next day I had a lot of difficulty breathing, and this got steadily worse on Saturday (the day we got home) and Sunday.  Something must have really irritated my lungs during my marathon in the hospital and the ER.  It might have been the anesthesia intubation, but I didn't have any problem last summer when I was knocked out the same way and same length of time for my hernia surgery.  Whatever it was, the symptoms for several days were akin to having a cracked rib and at the same time having a reaction to a vaccination -- out of breath. achy joints and muscles, and a little feverish. Thankfully this started to go away by Monday, but it has taken most of the week to get back to almost normal breathing.  Also encouraging is that since Thursday (one full week out from Zap Day) I've been having episodes of normal sinus rhythm. So overall, I guess I'm moving in the right direction.  I'll keep you posted.

 

There isn't much non-Geezer Gazette news this week because I've been following my shock doc's instructions to "take it easy."  I've been following the Olympics, of course, including the riveting Curling controversy.  Also, Pele gave everybody a Sunday Valentine's present of episode 42

Coffee Blooms

fountaining, which lasted about 10 hours and shot lava as high as 1300 feet. Oh yes, and this week many of our Kona Coffee trees have been blooming -- an impressive sight in a large orchard.  Coffee is related to the gardenia, and the flowers of both are white.  Unlike the gardenia, however, coffee flowers don't have much fragrance.  We make due, however, with the many other fragrant bushes and trees that are always in bloom.

 

Ok, that's it for now.  Stay warm and stay the moral course. Some of us still know what that is.

Thrombus? Fish in the Pool, Bird Meds

[Note: This is another blog based on my weekly emails to my family on the mainland. Since much of my news these days relates to trying to age gracefully, this series might be called The Geezer Gazette.]

2/7/26

 

Aloha Guys! 

 

Our guests from Ohio left on Tuesday to spend a week on Oahu before returning home.  We had a good time, did some local sight-seeing, and had lots of good conversation.  They had mostly dry weather for the couple of days they spent on the Hilo side of the island.  This was fortunate, because the windward side of Hawai'i averages 130 inches of rain per year, whereas our side averages about 40 or less, depending on your exact location. The overall trip for them was well-timed to escape the cold and snowy mainland conditions.  They won't return to weather as bad as when they left, but they'll likely encounter a 40-degree drop in daytime highs.  As you know, this is well below my wimp threshold.

 

There's some important Geezer Gazette news this week. On Monday I had blood drawn to look for problems that might complicate next week's ablation procedure.  A few things were slightly out of normal range, but my kidney function was ok, an important indicator of whether my system can clear the medications and drugs that will be administered.  Of course, the test of how long it takes for my blood to clot was higher than the normal range, which shows my blood thinner is definitely working. My interpretation of the actual value was that it wasn't something that was a major problem for the ablation, but the surgeon would certainly want to know about it.  On Wednesday we drove up to the hospital in Waimea for my special heart CT.  We went up there because the scan required specific readings that the CT services in Kona can't do. The focus was on the dimensions and conditions of the chambers, veins, arteries, and valves, all of which were ok.  The very important part of the scan is looking for the presence of any blood clots (fancy word = "thrombus") that might be jarred loose during the ablation, leading to a stroke. If there were any clots, I suspect this would have stopped everything in its tracks until they could be dissolved by medications.  Anyway, I got a clean result so everything is on track for next Thursday at 7 am on Oahu. A positive feature of the trip to Waimea was that we had lunch with more Ohio friends -- the couple who visit their daughter each winter, who teaches at a private school in Waimea.

 

Speaking of Oahu and heart ablations (!), my neighbor was there this week for his second zap (not that uncommon) and I took care of his parrots while he and his wife were gone.  He makes this pretty easy by preparing their special diet foods in advance, so it's mainly a matter of changing their cage liners and giving them fresh food and water.  However, one of the birds needs special medication which makes it a bit more challenging. I mixed the liquid medication with a special fruit puree which the bird really likes, then spoon fed it to her.  Fortunately she falls for it every time and seems to enjoy the attention.  Good thing, because this is an African Grey Parrot with a beak that could easily take off my finger if it had cause to do so.  

 

The ablationist for my neighbor's procedure is the same one I will have.  This is good, except that both of his ablations had some complications, which I sure hope I can avoid,  I really don't want to come out of this worse than when I went in, which so far is what has happened in his case. I'm eager to get it done but a teense anxious. Wish me luck.  By the way, next week's blog may be delayed until after I return.

 

Finally, in the "these-people-are-definitely-losing-it" department, my wife and I have discovered a

Swim Buddy

new use for our swimming pool -- food defroster.  The other night we decided to have salmon for dinner, which we had previously frozen.  This decision came pretty close to dinner time, so we wanted to defrost the package quickly.  Microwave ovens can do this, of course, but if you're not careful you can easily overdo it and start cooking the fish.  My wife came up with the brilliant idea of tossing the (sealed) package into the pool for a while.  Worked like a charm!

 

Ok, that's it for this week.  As I mentioned above, I may skip next week's missive or possibly make it a day late.  I'll see.  In the meantime, here's a homework assignment. Identify the author of the following quote. Hint: although it sounds recent, it isn't: “Propaganda must not investigate the truth objectively... it must present only that aspect of the truth which is favorable to its own side.”

 

Carpe Vitam.