Gift from Pele, Eyeball, Poop, Cow & Turkey

8[Note: This is another blog based on my weekly emails to my family on the mainland. In the last few editions I've related my aging woes to the extent that this might be called The Geezer Gazette.]

12/28/24

 

Aloha Everybody!

Well, I imagine by now you've heard that Pele has given us a Christmas present.  Early in the week the

volcano woke up and started erupting again, this time in the summit caldera. It happened about 2:30 a.m., and anyone staying nearby was treated to a show of fountaining lava that reached 300 feet in the air.  It must have been spectacular! The eruption caught the volcanologists by surprise because none of the monitoring equipment showed the usual signs that something was about to happen.  Once again nature thumbs its nose at Hunan hubris. The show lasted just a couple of hours, then

paused until Christmas Eve, when it spurted up again, this time going for about 24 hours before pausing again around noon on Christmas Day  This pattern may continue for awhile, though there is no way of knowing for sure.  Onr thing is certain, though. Pele's present has produced a fair amount of VOG along our coast, the first we've seen in months.  This is one gift we'd rather not receive.The media coverage has tended to show close-up views of the lava because they are more eye catching than the eruption in context,  To illustrate, here are three photos, the first two are from NBC and NYT, while the third is from the USGS web cam showing the entire Kilauea summit crater.  If you look really hard in the USGS photo you'll see the real extent of the eruption in the upper left corner.

Our Christmas was quiet and pleasant.  On Christmas Eve we cooked a prime rib roast and very much enjoyed its evil goodness.We use the technique of cooking the roast for only about 25 minutes (depending on weight) in a 500 degree oven, then turning off the heat and leaving the roast in the oven undisturbed for the next two hours. It was perfectly medium rare. If you're not the blood thirsty carnivores that we are, you can always nuke it to your own taste before eating it.  On Christmas Day we joined about 15 other people at a neighbor's house for a traditional turkey pot luck dinner.  We've done this for the past several years, and it was quite pleasant sitting on the neighbor's open lanai with a view of the Kona coast.

 

Not much news in the Geezer Gazette this week, My 1-week cataract surgery checkup went ok.  The new lens is staying correctly positioned and the incision is healing nicely.  My acuity increased markedly from earlier in the week, but only to about what it was before the surgery,  I have to keep in mind that this eye is limited in how much it can improve because about 25% of the retina cells are defunct.  In short, I'm mot raving abut how I should have done this sooner because I can see so much better.  By the way, here are a couple of fun facts about cataract surgery you might find interesting.  According to the American Academy of Ophthalmology, about 50% of cataract patients experience "secondary cataracts"within 5 years of their surgery.  This isn't a clouding of the implanted lens, but rather of the eye tissue that holds it in place.  Fortunately there is a quick and effective procedure in which a special kind of laser (Yttrium-Aluminum-Garnet, or YAG for short) is used to punch a small hole in the tissue to allow clear light to reach the new lens.  The second fun fact is that although about 90% of cataract patients have improved acuity after surgery, 30-50% will still need to wear glasses for close vision, distance vision, or both, according to All About Vision.  My take away from these data is that you should make certain you really need cataract surgery before having it, and be realistic in your expectations about the outcome.

In other Geezer news, my poop test results came back and they present something of a puzzle, because they didn't show signs of parasites, bacteria, or any other nasties that could be causing my symptoms.  I haven't talked with my internist yet, and it will be interesting to see what he recommends now.  Fortunately, my symptoms have gotten better and I'm hopeful they will clear up soon.  Finally, I will be sending my heart monitor off for analysis on Monday.  It takes about 2 weeks for the results to come back, and I have an appointment in January to go over them with my cardiologist.  In the meantime, I am pleased to report that I haven't recorded an AFIB episode on my portable ECG device since December 2, nearly 3 1/2 weeks ago.  Of course, brief ones may have occurred between my measurements. If so,the great thing about the monitor is that it will have recorded them.

OK, that's it for this week.  I sincerely wish you all a Happy New Year. But I have to confess that I have a sense of foreboding about 2025 that makes me less than enthusiastic about celebrating its beginning. Not since the Vietnam War have I been this concerned about the direction that the country seems to be taking.  And even at that time I didn't feel that the very nature of our democracy was under threat. I do now. The majority of the electorate just voted into office, by a large margin, a man who is a convicted felon, a documented prolific liar, and a person who openly endorses a form of government that is authoritarian, oligarchic, and fascist. I have traveled all over the world and witnessed first hand this kind of governance and I've always been proud that I lived in a country that was based on more humanitarian and inclusive principles. But I can't be proud of what I fear is coming, and I certainly can't celebrate its arrival.  

 

Take care, and as always, Carpe Vitam .

Return From SE Asia: Jet Lag, Eye Surgery, Medical Marathon

 [Note: This is another blog based on my weekly emails to my family on the mainland. In the last few editions I've related my aging woes to the extent that this might be called The Geezer Gazette.]

12/21/24

 

Aloha, Guys!

 

We returned from our trip to Cambodia and Thailand  on Friday, 12/6, and since then I've been too

Nature Wins

discombobulated to write.  It has been a whirlwind of doctor's appointments, my cataract surgery (just a little over one week ago), dealing with the aftermath of having our chest freezer crap out while we were gone, trying to get some Christmas decorations up, whacking back the jungle, etc., etc.  Of course, this was all happening while we were fighting d a vicious case of jet lag.

I'll try to condense this in order to avoid boring you too much.  First, the cataract surgery went well.  This was the first time I've had any kind of surgery since I had my tonsils taken out, so I was a bit anxious.  The operation took place in an outpatient eye surgery center in Hilo.  We drove over the afternoon before, did some shopping, and had a nice dinner at one of our favorite restaurants, Cafe Pesto.  My procedure was scheduled for 8am, which was good because it didn't give me much time to get nervous.  It went smooth as glass. You may remember that I was concerned about my sensitivity to the numbing solution, so the surgeon did a special procedure where he put in just one drop, made an incision, then instilled numbing solution inside the eyeball right at the cataract site.  The whole thing took 10 minutes and after a "recovery" period of about 15 minutes I was having breakfast at McDonald's.  Since then I've been using three kinds of eye drops every day and have had no issues whatever.  I wish I could say that I've had a "Eureka!" moment and experienced tremendous improvement right away, but so far  my vision in that eye isn't much better than it was before. Of course, it's only a week out from the surgery, so there might be more improvement over time. I'll keep you posted.

In "Cardio-Land"  things are going ok at the moment.  I saw my cardiologist a couple of days before my eye surgery and my rhythm was normal.  However, I know from my portable ECG device that I used on the trip  that I slipped into asymptomatic Afib a few times. These episodes didn't last long and my heart rate during them wasn't dangerously high. In fact, for those of you who may have been concerned I'd have a major coronary event while I was in the wilds of Cambodia, the probability of that was very, very low.  This assessment is based on the results of many tests and scans, including the detailed feedback from the heart monitor I wore for 10 days.  It has now been about 6 weeks since I stopped taking Amiodorone, and I feel much, much better.  My cardiologist is still skeptical that my experienced side effects were due to the drug, but I don't agree.  At any rate, if my Afib becomes persistent again he said he'd recommend Ablation therapy rather than a return to drugs.  I'm now wearing a monitor again, and I'll have the results in a few weeks --they should be very informative.

 

One more thing in geezer news is that during the trip I may have picked up some kind of intestinal bug that has given me diarrhea for the past 4 weeks.  I saw my internist on Monday and he ordered a thorough poop test to look for parasites.  Collecting the necessary samples for this has to be one of the most disgusting things I've ever done!  Even worse, the test results came back inconclusive, so my doctor wants me to repeat the test! This means that I may be playing with my poop while waiting for Santa -- fun times.......

Ok, there's lots more but I'm sure I've exceeded your tolerance level for negativity.  Have a great Christmas, and as always, Carpe Vita.

Final Trip Prep, 3 Doctors, Pills Are Pau For Now

[Note: This is another blog based on my weekly emails to my family on the mainland. In the last few editions I've related my aging woes to the extent that this might be called The Geezer Gazette.]

11/2/24

 

Aloha Everybody  -- 

 

The flab index in Kona rose dramatically this week as the triathletes left town. The weather didn't
cooperate entirely for race day as rain moved in during the afternoon.  I'm sure they've endured worse

Jingle Bells

conditions, though. The storm that came through brought the first snow of the season on the summit of Mauna Kea, which is unusually early.  It is now quiet for the next month or so, one of our least touristy times of year.  We'll soon get an influx of migrating snow birds and then lots of tourists during the holiday season until early January.

We're in the final prep stage for our trip.  This is the time when all the last minute things get done, including gardening of course, but also things like cancelling the mail and newspaper, arranging for house checks with my handyman, last minute shopping, etc., etc.  We've done this so often that I have a check list to make sure it all gets completed.. This year the preparations include doctor visits, which are unwelcome additions to the list.

On Monday I saw my regular doctor to get clearance for my upcoming cataract surgery. I had to do this now because there might not be enough time when we return.  I also needed renewals for my bp and cholesterol prescriptions which would have run out during the trip.  On Tuesday I had a preemptive eyeball shot from my retina doctor to avoid problems while traveling.  I'll see him again right before my cataract surgery in case the eye that is being operated on needs a shot.  Finally, on Thursday I saw my cardiologist for an EKG to see if I was still ok after reducing the arrhythmia drug.  It was.  However, the side effects are still so bad that I told him I wanted to stop it altogether,  He seemed surprised that the side effects were so severe and said he's never had a patient as bad as me.  Of course, the effects I'm experiencing  occur in only about 5% of those taking the drug.  In other words, 95% of his patients wouldn't complain about them.  At any rate, by the time I saw him I had decided that the effects were so debilitating that I'd rather have Afib.  He reluctantly agreed that I should stop taking the drug altogether and see what happens.  The drug has a very long half-life, so the anti-arrhythmia effects should last though most of trip.   If the Afib returns it shouldn't interfere with the trip, and we'll take a different treatment approach when I get back.  I also have quit my heart rate medication, at least for the time being because my rate was way too low. That makes my blood thinner the only heart medication I'm on.  Other than easy bruising it hasn't given me problems. Fun times!

 

This will be my last missive for awhile because of our trip and because of my cataract surgery when we return.  I should have plenty of news to share after that.. In the meantime, Carpe Vitae, VOTE, and try to keep calm for the next few weeks or months.  I'm very glad that I'll be far away after this election.

Race Day, SS Syndrome, Side Effects Suck

[Note: This is another blog based on my weekly emails to my family on the mainland.]

10/26/24

 

Aloha All --

 

Well, today is  race day for the Ironman Triathlon .  It started about 6:30 for the swim portion. This year the ocean is pretty calm, but in the past it has been so rough that some athletes got seasick.  After the swim the athletes jump on their bikes and head on the highway to the north end of the island. The road is closed for part pf the day.  This is one of only two routes  along the west side of the island, so it causes some problems for motorists, who have to find other ways of reaching their destination. In town, where a part of the running course is plotted, the streets are shut down as well.  All of this discombobulation is particularly frustrating and irritating to people who aren't Ironman fans .  We're ok with it and don't mind the inconvenience for just one day a year.  Besides, we know a back way to Costco and this is one day when it isn't crowded.  Another is Super Bowl Sunday. On both days we try to do some nice relaxed shopping .  

 

On Wednesday I saw my cardiologist and went over all the tests I've had since I started going to him.  This included the report from my heart monitor that I wore for about 10 days.  Bottom line is that I'm still alive and likely to stay that way.  For one thing, I have no significant clogging in any of my arteries or veins.

Also, the blood flow to my head and to the lower parts of me is nearly normal. However. the flow to my lungs is problematic because of my emphysema.  The heart monitor results showed that my Afib is being well controlled by the medicine I've been taking (Amlodarone)-- very few episodes were recorded.  This has come at a cost, however, in terms of extreme loss of balance, lethargy, and even more vision problems than I had before. These side effects might be because my heart rate has dropped to the low 40's, even after exercising.  Also, the monitor showed a high number of pauses, times when the heart stops altogether for a few seconds.  This could be due to the drug, but it also could be due to something cardiologists call Sick Sinus Syndrome (SSS)-- a cute way of saying "You need a pacemaker."  In this case the "Sinus" is the node in your heart that initiates the heartbeat -- nothing to do with the sinuses in your head.  The plan is to cut my drug dosage in half and see what happens. If the pauses are still frequent I may have some hardware installed.  I'm hoping that the reduction also lessens my side effects.  BTW, the cardiologist has no qualms about me traveling -- this is because the test results indicate that a sudden and acute problem isn't likely in my case.

We're only two weeks away from our SE Asia trip.  This is when I usually kick up the gardening preparations, but at the moment I don't have the energy nor the balance to do this.  Hopefully I'll be better in a few days.

Ok, that's if for the week.  As the cartoonist Wiley Miller said in his strip Non Sequitur: “It’s much easier to fool people than it is to convince them that they’ve been fooled"  (3/24/19). Carpe Vita!

Tow Truck, Travel Prep, Tight Buns

[Note: This is another blog based on my weekly emails to my family on the mainland.]

10/19/24

 

Aloha Everybody --

 

One thing I neglected to mention last week was that a clutch problem developed with Karen's Miata.  This was the same thing that happened a couple of years ago, where suddenly the clutch pedal went nearly to

The Car Ambulance

the floor without engaging the clutch.  Naturally this makes it hard to change gears.  The last time I was able to drive in 2nd gear to the garage, where the  mechanic   diagnosed  the problem as a bad clutch slave cylinder  -- part of the car's hydraulic system that controls the operation pf the clutch.  However, this time the loss of pressure made it impossible to drive,  Fortunately Karen made it home before the cylinder failed completely.  I made an appointment to take the car to my mechanic, and I scheduled a tow truck to get it there last Wednesday.  This was a novel experience for both me and the car -- I've never had to call for a tow truck before in my life. and the Mazda has never needed one.  Anyway, it went very smoothly.  The truck arrived on time and the driver expertly and carefully loaded the car onto a flat-bed truck.  The analogy to an ambulance seemed apt.  The clutch problem was fixed that same day. but I had asked my mechanic to also look at the driver's side window, which had a problem going down without sticking about six inches from the top.  We've lived with this for several months by applying pressure to the window as it goes down.  Since the car was already in the shop, it seemed like a good idea to have this fixed at the same time as the clutch.  However, Mazda no longer makes the needed parts  -- it's 21 years old, after all. But the mechanic managed to locate another source for them. He placed the order but they won't arrive before next week  So we're driving without a window in the meantime, looking carefully at the rain forecast.

 

It's only a few weeks until we leave for SE Asia, so we've begun getting the garden and the house ready.  Yesterday we got our flu shots but held off on the latest Covid boosters because it hasn't been  4 months since we had Covid while on my ill-fated birthday trip to Canada.  The renewal point will be about halfway through the trip, so we've decided to wing it and get our boosters when we return. That's going to be a busy time -- besides re-opening the house and whacking back the garden, I'll have my first cataract surgery the following week.  Should be "interesting."

 

The Iron Man athletes are arriving in force now.  This past week dozens were zipping along on their high-end bikes or loping along like antelopes at the side of the street.  As I said last time, they're easy to spot  -- no body fat and buns like bagels.   Yogurt has become very hard to come by in the stores, as has anything else containing protein.  Our usual mix of languages has been supplemented by several more, making for a very cosmopolitan  atmosphere.  Also, the average age of Kailua has dropped by 10-15 years, I'm sure.

Ok, I'll skip the medical carping this week..  Next week I'll see my cardiologist to go over all my test results (including data from the heart monitor, which I sent in for analysis on Tuesday), and talk about an appropriate treatment plan. I'll regale you with that next time.

Off to market and breakfast on the beach.  Fasten your mental and emotional seat belts  -- we're in for a bumpy ride for the next couple of months.

Repositioning Ships, Fall in Hawai'i, Eye Surgery Ahead

[Note: This is another blog based on my weekly emails to my family on the mainland.]

10/12/24

 

Aloha Everyone --

 

Poor Florida and other parts of the East!  Two whammies almost back to back.  My condolences and sympathies for whatever losses you might have incurred, and best wishes for recovering.

 

Here our fall has continued with much less drama.  This is repositioning time, when the cruise ships have sailings to Hawai'i as they get ships from the northern summer routes to more southerly ones.  They

Time to Snooze

usually run a couple of trips from the mainland to the islands, and we've had several in our port in addition to our usual Wednesday visit from the one based permanently in Honolulu.  One even stayed overnight, something that is very rare.  Another sign of fall is that the flowering foliage shifts. For instance our various varieties of plumeria, nearly stop flowering altogether and even lose their leaves.  Many others, of course, bloom more or less year around. It's hardly barren here in the late fall and winter, though --there's always something blooming.  Another sign of fall is the annual Iron Man World Championship  Triathlon that occurs near the end of October.  This year is the men's final, whereas last year it was women's.  This brings in thousands of hard bodies from all over the world, some of which have already arrived to train for the grueling  event.  They are easy to spot -- absolutely no body fat, broad shoulders and narrow hips.  There are usually about 50 professionals who compete, but the ones I admire the most are the 2200 or so amateurs in various age categories who somehow have managed to train in addition to holding jobs.  

 

This was a pretty light week for physical exertion.  We did manage to work out at Planet Fitness, but we didn't play golf.  Our usual partner was out of comission because she fell off her horse and was too sore to play.  We could have gone alone, but she's an excellent ball spotter, and right now both of us need help. Speaking of eyesight, on Tuesday I had an appointment with my eye surgeon and I've decided to definitely go ahead and have him do my cataracts.  The first one is scheduled for the week after we return from southeast Asia in early December.  The other is scheduled for late January.  I'm doing my worst eye first, though it is doubtful a new lens will help much because that eye has considerable retina damage from my vein occlusion 12 years or so ago.  If it does help that will be a terrific Christmas present! My other eye has a better chance of improvement because the retina is in better shape, even though I've had a vein occlusion in it as well.  

OK, that's it for this week.  We're off to market and breakfast at the beach.  Take care and keep reminding yourself that morality does matter.

Cataract Culprits, Cardio Consult, Magic Golf Balls

[Note: This is another blog based on my weekly emails to my family on the mainland.]

10/5/24

 

Aloha All --

 

Although it was a challenge, this week we managed somewhat to overcome our laziness since we returned from the mainland.  First, on Sunday we did a mild workout at Planet Fitness, the first in many weeks. Then on Thursday we played golf at Makalei for the first time in months.  For me the golf was largely "aspirational." I'd hit a tee shot, then skip the approach shots and just putt out.  On a few par 3 holes, though,  I played for real, and even got one bogie! I had to rely heavily on Karen and our partner because if I hit the ball any distance at all, it would magically disappear because of my lousy vision.  All things considered, I did pretty good given how long it had been since we played last.  Oh, and we saw about 8 Nenes who have arrived for their winter visit.

Speaking of vision, I saw my retina doctor on Tuesday and as expected, got a shot it my right eye.  We also talked seriously about cataracts and whether I should have them removed.  The conclusion is to have the surgery because it will eliminate one possible cause of my recent sudden vision downturn.  At first I asked him for a referral to the same surgeon on Oahu that did Karen's eyes because the only surgeon on our island has a somewhat iffy reputation.  Then I learned that a new surgeon has recently joined the eye clinic I go to, and my retinologist thinks very highly of him.  It turned out the new guy was in the clinic and I was able to have a quick consult,  I was very impressed with his credentials and experience, and I may have him do the surgery.  This would be in an out-patient clinic in Hilo, which is a100-mile drive each way, but much easier and less expensive that flying over to Honolulu.  I have an appointment next week to talk some more and take measurements  I'm thinking of going with tried-and-true plain vanilla lenses tuned to distance vision -- anything more than an outstretched arm's length. I may still need reading glasses but that's ok.  I want my vision for every day activities (like driving) to be as good as possible.

In still more geezer health news, on Wednesday I saw my cardiologist for the 2nd time.  This was a quick visit to redo my ECG, with which my cardiologist said he was "very pleased."  Naturally, I am very

Only 5"

pleased he's pleased.  He recommended that now I'm mostly in normal rhythm that I wear a portable monitor for a couple of weeks that will record any Afib events.  Since I don't feel a thing when they happen, this seems like a good idea.  These devices have become marvels of hi-tech.  The model I am using is remarkably small and tapes to my chest,  There are no wires -- the electrodes are embedded in the tape that holds it on.  I can get it wet but I have to make sure the electrodes remain taped down.  The device records continuously for two weeks, then I send it to a lab which analyses the data and generates a report. This is better than my own ECG device because it measures even when I'm asleep. 

 

I know I'm writing a lot about my health issues lately, but unfortunately this is a major component of my life these days. My advice is don't turn 80!

Ok, off to market and the beach.  As you are bombarded with election rhetoric, keep in mind a Finnish saying:  "you have a right to your own opinion, but not to your own facts."'

Carpe vita.