I went to get a second opinion about my condition (and actually a third) and the consensus is that I should get a pacemaker. I got the results of my ultrasound and the structure and plumbing are fine. It's just the darned electrical system that's messed up. And that's the bad news. It's not anything that can be fixed with diet, exercise, or pills. I trust all of these smart people telling me this, but as a scientist myself, I still have a lot of doubts. I tried using an analogy with one of the docs using the New Madrid Fault. It produced one the country's largest earthquakes in the US back in 1811. It was only until the mid 20th century before geologists realized how dangerous it was. They studied it extensively and warned that it could produce another massive quake at any time. Well...200 years later and there still hasn't been a "big one." So do you evacuate everyone between St Louis and Memphis? No. You take some precautions and go on with your life. The doc didn't like that analogy. I guess a pacemaker would be considered retrofitting up to earthquake codes. I also tried to use statistics. I have been alive for over 19,000 days and only on 1 of those days have I been impacted by this. The big concern is not that I will just keel over and die. The big concern is that I will black out again, possibly behind the wheel. Once again, I have only blacked out once. I'm behind the wheel 4% of my day. As Homer Simpson would say, "I like those odds!" Of course all of this is being dumped on me a few days before I get behind the wheel for hours on my drive to FC. So I have come to the conclusion that I will continue to roll the dice. If I have another episode, I will get the pacemaker. Until then, I will just keep on living the way I have been and just be aware of the signs and signals if another event seems imminent.