Short update on latest visit to VA. Paul saw cardiologist NP and he says Paul is "stable" as far as CHF is concerned. Pacemaker is now working great. All vitals good.
He saw vascular doctor who operated on his aorta aneursym 4 years ago. Doctor said all is ok and no signs of a new aneursym which sometimes happens about 4 years out.
So - for now - STABLE and under control.