Another early day. Alexa went off at 6:15 am, giving us slightly over an hour to get ready again! In Mary’s case, it is easy; Paul requires a lot of work to look presentable. We visited Dr. Cobb’s building, located adjacent to St. Joseph’s Hospital in Orange, specifically the Cardiac Center, where we met with Dr. Tyson Cobb, who was present “in case?” It’s only a pharmacological stress test!
Did You Know? A chemically induced heart stress test is also known as a pharmacological stress test or a pharmacologic nuclear stress test. It’s used when a patient cannot exercise on a treadmill, and involves using medications to simulate the effects of exercise on the heart.
Here’s a more detailed explanation:
Purpose: This test helps diagnose coronary artery disease, determine the risk of heart attack, and assess heart function under stress.
How it works: Medications like Lexiscan (regadenoson) or Adenoscan (adenosine) are injected to dilate the coronary arteries, mimicking the effect of exercise on the heart. (I suggested they use Chardonnay, but Dr. Cobb nixed that plan)
Procedure: A radioactive tracer is injected, and images of the heart are taken at rest and after the medication is administered to visualize blood flow.
Monitoring: Patients are closely monitored during the test, with vital signs checked and potential symptoms reported to medical staff.
Medication and Imaging: Depending on the type of test (nuclear or echocardiogram), either a radioactive tracer or a contrast agent is used for imaging
Thank goodness St. Joseph’s Pavilion is so close. Without traffic, we can get there in a matter of minutes.

The freeway is the easiest method!
Did You Know? Since its founding by the Sisters of St. Joseph of Orange in 1929, St. Joseph Hospital has welcomed generations of babies, treated serious injuries and illnesses, performed unprecedented procedures, and invested in cutting-edge facilities, technology, research, and clinical trials to ensure our patients receive superior care.
Their nationally recognized programs in cancer treatment, kidney transplant, heart and vascular care, women’s services, spine and neurology, orthopedics, and more, paired with our four-time Magnet Designation as a Nursing Center of Excellence, make St. Joseph Hospital one of the most-trusted hospitals in the region.
The test went well, and the doctor didn’t seem worried. He did agree that cancelling the trip to the Antarctic was a good idea. They brought my heart rate to 140 for a couple of minutes so they could get some ultrasound views of what is going on.
Mary loves this building because she gets to visit the gift shop!

The stockroom boy will bring the eight boxes to the car for her.
On the way home, we stopped by the Original Pancake House for an excellent breakfast before going home.
At 3:00 pm, we again visited St. Joseph’s, this time to see the urologist. My PSA blood test came back indicating approximately 0.02, which is considered insignificant. I do not have to go back for a year! Good news!
We returned home via the Orange Traffic Circle and found the “new” Italian restaurant, which we have been looking to try out. Now we can go there next week without getting lost.
We visited our friend and neighbor, Jeff. We try to see each other every day. We shared stories and made sure he was ready for the evening. We often laugh and giggle.

Visiting Jeff and swapping stories is always a fun experience!
Today, the high temperature was 91, but we always have a slight breeze coming through the hills on either side of us, so it was pleasant. The pool was inviting, as it was 92 degrees, so we could stay in it for a long time without getting cold.

The pool was inviting.
We entered the pool with a plastic glass of vino, and Scout, the Wonder Dog, came to check in on us! He heard the splashing and wanted to make sure we were OK!

Scout was eyeballing the pool!
Scout is such a happy baby. The poor thing is losing his hearing, and his hind legs are getting weak. He is 105 in dog years, but he never complains and is always smiling. I hope I age as gracefully as Scout.

He decided it was too wet.
We spent almost two hours in the pool, talking to Bob Z, Bill C., Mike A., and Vicky, and made calls to Becky and Hans (neither was at home). We extended an invitation to several to join us tomorrow around 7:00 pm for a dip in the warm waters of Casa Valencia.
Mary saw she was becoming a prune and decided it was time to get out of the water and sit by the fire and howl at the full Moon!

Mary gets out of the pool!
Once the water settled down, the reflections were great, and the Moon was slowly moving across the nighttime sky!

We had a full moon!
We went inside around 9:00 pm and attempted to watch a movie, but we both fell asleep in the TV room. Finally, at 10:30 pm, we crashed. Tomorrow we’re going to see another doctor, this time the vascular surgeon. We will get her recommendation on whether or not I need a carotid endarterectomy.
A carotid endarterectomy is the most common surgical procedure to clear a blocked carotid artery, which is often caused by plaque buildup (atherosclerosis). This procedure involves opening the artery and removing the plaque to restore blood flow to the brain, reducing the risk of stroke.