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.