Clinic 2025

Makahiki Clinic

The morning visit to the Makahiki Clinic provided little relief. Blood pressure is back in the Stage 1 hypertension range. The Watch Series 9 EKGs were submitted. A full EKG was performed, but the result did not yield any abnormalities. However, a referral has been made to the same cardiologist of a few years ago. Bloodwork was also performed, and the results should be available in a couple of days.

In retrospect, the three-year hiatus from the health clinic was a bad decision (as mused upon last year subsequent to the medical examination). The only culprit is food. There are no healthy options at any food establishment, unless the latter specifically offers real healthy fare. Most likely, the arteries in the heart are partially clogged. A severe cardiac event is likely to occur soon.

On a less pathetic note, a box of Celestial Seasonings® Sleepytime Extra® tea was purchased at Target® on Sunday. The herbal tea is now an adjunct sleep aid to the melatonin treatments. The free coffee mug from the ABC Store has been deployed to brew the elixir.

Fuck It Friday - 34

Fuck It Friday (FIF)! Sporadic news and commentary of no interest to anyone ... FIF! Dining is the primary focus of this edition. Yes, this is Fuck It Friday!

This Fuck It Friday was a new milestone in the dining out saga. After tolerating the unprofessional conduct of most of the employees at the fast food joint in town, the end has come. The worst of the lot is the young obese Filipina “manager” with the grotesque puffy face. The bitch even got “lippy” while handing over the order of overpriced oatmeal. Incidentally, all of the front counter employees are “managers,” yet only a couple of them actually have customer service skills. And, only a couple of them are not obese. Fuck it!

After spending hundreds of dollars per month over ten or more years at that shitty fast food joint, the time came to mummify the entire situation. The “two for one” coupons were all discarded. The on-line account was immediately closed, forfeiting whatever rewards remained. And, the “app” was deleted. Fuck it!

Next, a stop was made at the Starbucks® in town and an order placed for another bowl of oatmeal. The staff of baristas there, while not blatantly rude, are indifferent to customers. They act as though they are celebrities. The staff at the Ala Moana Center (West) location are much friendlier and courteous. Anyway, the “app” and on-line account are slated for mummification, if no compelling reason arises to not do so. Fuck it!

So, what now for breakfast? A couple of Thomas’® cinnamon raisin bagels and Chobani® Greek yogurt (procured from Target®) will be the breakfast fare. The “bring your own breakfast” (BYOB) events will take place in the Makai Market food court in Ala Moana center or the International Marketplace. Dinner will either be frozen meals from Target® or salads from the ABC Store and consumed in the mausoleum at the “old folks home” in Waikiki. Dining out was not only costly, it was not pleasurable. Only a fool would continue such a malignant activity. Fuck it!

The other fast food joint in town has not been disqualified, although visits there will be few and far between. The staff is friendly, and they actually say, “Thank you.” And, the return to Panda Express has not yet been entertained. Fuck it!

6 Lamat 6 Keh

Another SVT event occurred on Saturday at the end of the weight workout at the gym. To clarify, the SVT events of late are not continuous tachycardia. Rather, the heart rapidly switches from a normal heart rate to a weak high heart rate. Thus, the heart rate ranged from 56bpm to 158bpm. The ordeal continued for 6 hours and 40 minutes. Heart rate returned to normal for a few hours. Then, the skipped (or delayed) heartbeats commenced.

On Monday, upon returning to Waikiki in the afternoon, a quick jaunt was made to the Ohua Clinic to schedule an appointment with any physician to discuss the heart palpitations and to obtain a comprehensive blood screening. The Watch Series 9 EKGs have been printed for submission. Sadly, the earliest appointment available is on Tuesday next week at 9:20am at the Makahiki Clinic. So, be it.

In a new twist, another possible adjunct cause of the heart palpitations is hypoglycemia (a symptom of diabetes). The latter finding was made manifest at the fast food joint in town. After the usual breakfast of two Egg McMuffins, the skipped (or delayed) heartbeats increased. Then, a free small vanilla shake was ordered and consumed. Surprisingly, heartbeats returned to normal. By the way, the vanilla shake was one of many food prizes accumulated during the recent Monopoly® contest promotion.

On Tuesday, an overpriced oatmeal breakfast was ordered at the fast food joint in town. Then, a free greasy apple pie was ordered. The carbohydrates and sugar made the workouts (weight and cardio) easier to accomplish. The skipped (or delayed) heartbeats were reduced in frequency. The cardio workout was much more productive with no hint of triggering an SVT event.

In conclusion, the steep reduction in carbohydrates and sugar did more than induce a weight loss of four pounds. Workouts became more fatiguing with a sense of “no energy.” SVT events may have been easier to trigger, too. Sleep, by the way, has not improved. The melatonin treatment appears to be fruitless.

On a side note, the collective “West” led by empire is accelerating in decline (read: controlled demolition). Even with the health issues, all of the approved news sources are perused several times daily. If the personal health crisis improves, there may be some commentary in Notes. However, the approved news sources and Web sites provide vastly better coverage.

Addendum: The quality of apples at Target® have improved significantly. So, an apple is once again being procured for lunch. In addition, a Clif® energy bar is an optional supplement to lunch. Unfortunately, Clif® bars only lists a fraction of the vitamins and minerals that it had a few years ago.

Postscript: There is most likely some heart damage that has accumulated over the last several months. Whether the latter proves fatal in the near future remains an open question.

Wing It Wednesday - 6

Wing It Wednesday (WIW)! Sporadic news and commentary of no particular interest to anyone ... WIW! The same ol’ shit is the primary focus of this edition.

The skipped (or delayed) heartbeats increased in frequency steadily through Saturday. The situation was approaching critical mass. So, a “test” of the Vienna Sausage was instituted in the evening. The palpitations ceased almost immediately.

Normal sinus rhythm (confirmed by EKG) continued until Tuesday. The palpitations commenced in the morning, but the frequency was only a fraction of what it was last week. Another “test” of the Vienna Sausage was instituted as a last resort. Again, the palpitations ceased. Sleep was,once again, of poor quality. Yet, Wednesday was essentially devoid of palpitations until the late afternoon. Currently, the only coping strategy is to just wing it.

Gym workouts continue in reduced mode. The weight workout has remained discretionary. However, no SVT event or palpitations occur during the weight workout, even without reductions. The cardio workout is still significantly reduced as a precaution since SVT events have been triggered previously during cardio sessions.

The melatonin treatment commenced on Friday night. So far, it has been ineffective. No drowsiness is induced. Quality of sleep remains unchanged (i.e., poor). The real problem is the awakening circa 4am. There are several awakening, but the one around 4am is the worst. Subsequently, sleep is impossible. The sleep monitoring on the Watch Series 9 confirms the latter. The only solution is to procure the alternative OTC sleep aid (with antihistaminic ingredient) and take it at upon wakening at 4am.

On a side note, a recent study of melatonin made the news on Monday. The headlines stated that long-term use of melatonin has been linked with higher heart failure rate. The headlines are misleading. The study does not implicate supplemental melatonin as directly causing heart failure. Instead, melatonin as a sleep aid tends to mask one of the primary symptoms of heart problems (insomnia). Thus, heart problems could remain undetected until the worst occurs.

A notice was received on Tuesday stating that the rent at the “old folks home” in Waikiki is going up. For the mausoleum, the rent will increase by $90 (less than what was stated by the new resident manager). However, the increase is effective at the start of the year, about four months earlier than the original disclosure.

Addendum: Melatonin will continue to be administered for 30 days as recommended by several on-line medical sources. Resumption of melatonin may or may not occur upon evaluation after an unspecified break.

Miscellany: The Subway® on-line account has been mummified. The establishment has been phased out permanently.