Here is a late update to GCSP 2024. Susan and I had our reservations for the week, and were planning for a good event. In March, however, my cardiologist intervened. At a regular six month checkup, he found worsening calcium blockage of my aortic valve. No problem, 3 months to fix it. Except it took a month to consult with an "Interventional Cardiologist" and get filled in on Transcatheter Aortic Valve Replacement, or TAVR. No chest cracking, just slip a catheter into the femoral artery and move an artificial valve/balloon combination into position over the failing valve, inflate the balloon, and the valve is moved into position in place of the original equipment. About 45 minutes, done, stay overnight and go home. Great, when can we do it? I have a star party at 7,000 feet to attend. Well, first, we have to do three tests to make sure you are "suitable" for this procedure. Earliest we can get you in is May 1, 6, and 10. OK, how about the main event. Well, we can't schedule it until we get all the test results assembled and apply for permission from Medicare. That will take about 14 days, maybe more. So on May 1 we have the Trans Esophageal Echocardiogram; stick an acoustic device down the throat and check out the heart from behind. Result, Pre-TAVR. Go in on May 6 for a thorough left and right heart catheterization and stick a catheter in the femoral artery and get an idea of the structure and plumbing ahead. Result, Moderate Aortic Calcification. Now for CT2, the CAT scan with contrast. Rather short process, and now moderate-severe. Ask Medicare. Yawn. Two weeks later, go for it. NOW we can schedule your procedure. Next open Tuesday, June 11. Wait! I need to be on the Grand Canyon South Rim for my 22nd consecutive GCSP! Not a chance. Roll in on June 11, short comment is this was the easiest surgical-type event I've ever had. Hop up on the table, get some plumbing installed on both arms, and the groin shave, always a thrill. Roll into the OR, say hello, then good night for an hour. Wake up, feel GREAT (OK, maybe the propofol talking), get rolled into a room for the night. In the afternoon, get another echocardiogram. My Interventional Cardiologist stops by. He tells me that first, my condition had changed to severe-critical at the time they started. But first indications were that it was all very successful. A month later, the assessment is that it was better than OK; two other heart features, congestive ventricular failure and an electrical anomaly, have disappeared. Heart seems, for the present, 100%. A new GCSP streak begins.