June 30, 2022 It's been awhile since I've sat here and typed my thoughts and musings. Mainly I've been struggling with atrial fibrillation turning into atrial flutter. In a few words my pulse falls sometimes in the upper 30s so at night I'm aroused enough to know I need more blood flow so I get up and read, get water, take a pee, and then flop down on the downstairs couch or during the day feel very tired and lethargic so I may go to the gym, drink coffee, or take a nap. Well after being on a heart monitor after Ecg diagnosis of atrial flutter I have a more permanent problem requiring a pacemaker. Tomorrow I'll get my heart conduction to revert to sinus rhythm through external electric shock paddles timed to induce this rhythm and then surgery to implant the pacemaker with electric wired leads to the heart. I should be home tomorrow evening. Yesterday we (Rebecca, Miya my grandaughter, and Gary a friend) hiked Aiea Loop Trail with a diversion to H3 overlook 5.4 mi