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Susan, I don't know what their protocol is exactly, only that requiring one from people who've had prior ablations is common. Nothing he does or doesn't do is random.by Carey - AFIBBERS FORUM
Understood, but the number of people with afib issues who need chest MRIs is still a small number, even if we include breast cancer patients. Oops don't really happen with MRIs these days. All modern implanted devices come with MRI guidance, and that guidance is most are MRI safe. I don't think it's something you need to be concerned with.by Carey - AFIBBERS FORUM
Yeah, they would need a CT after the last ablation, so previous CTs and the TEE don't suffice. Hey, it's a few boring minutes sliding in and out of the machine. They did one on me too and it took maybe all of 30 minutes including waiting time. No big deal with no risk.by Carey - AFIBBERS FORUM
It's good to keep in mind that I am the recipient of 5 failed ablations performed by "top" EPs with impressive credentials, and I'm not alone. Without doubt CC and Mayo are excellent institutions, and the institution matters, but not every EP they have with impressive credentials can necessarily handle a complex case, particularly when it's persistent AF. Most EPs canby Carey - AFIBBERS FORUM
Well, it's a fairly small group of people who ever get a chest MRI, and an even smaller subset of those people have pacemakers, so it's not that surprising. But getting an MRI with a pacemaker is pretty routine these days because virtually all modern pacemakers are MRI-safe.by Carey - AFIBBERS FORUM
The chest CT is pretty standard if you've had a previous ablation.by Carey - AFIBBERS FORUM
QuotePixie Carey,maybe you can still come through with a few names. Working on it. Need to talk to Shannon because he's the Who's Who of the EP world.by Carey - AFIBBERS FORUM
I don't think there's a list, and you certainly didn't upset anyone. I cant imagine why you think you might have. Shannon and I and others know of many excellent EPs, many of whom trained under Natale. Where do you live and how far can you travel? You don't need to be specific, just city/region, and can you deal with a one-hour trip? Two hours? Etc.by Carey - AFIBBERS FORUM
Frankly, as long as you take reasonable precautions you're probably safer flying to Austin, staying in a hotel, and being at St. David's medical center than you are staying in your home town and going out to do routine errands. I've made several long trips I couldn't really avoid by both air and car during the last 12 months, including a trip to FL at the height of the pandemiby Carey - AFIBBERS FORUM
Quotebettylou4488 do you need to go in hosptial to get on Multaq? No.by Carey - AFIBBERS FORUM
Yeah, I'm not a fan of the pharmacist's opinions, so bring it up with the EP. Having to whittle down to 125 because of long QT is exactly what I'm talking about. Tikosyn is effective but it definitely has serious side effects. I didn't have QT issues, but it did knock my heart rate down into the low 30s at random times, including while I was riding my bike (I had to give up thby Carey - AFIBBERS FORUM
All drugs have side effects; I'm not saying otherwise. But it's the severity and frequency of side effects that matters, and Multaq is very low on both, which is why I never people complain about them. Without question I think it has the fewest and least severe side effects of all the antiarrhythmics.by Carey - AFIBBERS FORUM
Natale practices at Los Robles in Thousand Oaks, CA. He's only there once per month, but he does procedures when he's there.by Carey - AFIBBERS FORUM
Quotebettylou4488 She said it doesn't work as well as dofetlide (which I am on) and has a bigger side effect profile. It's true that it's not as effective as dofetilide (Tikosyn), but her comment about the side effects profile is bonkers. Tikosyn requires a 3-day hospital stay just to start it because it's potentially lethal for some people. Many people fail that 3-day triaby Carey - AFIBBERS FORUM
And don't try to trigger yourself into arrhythmia. Just follow their instructions and don't worry about it. If Natale wants you in flutter, he'll put you in flutter during the procedure. EPs can do that.by Carey - AFIBBERS FORUM
Jason, you don't have a simple case so it's not just a bunch of VA docs blowing you off and giving you drugs. Everything they've done so far makes sense. In fact, it sounds like the ablation they did was possibly even life-saving since it stopped the v-tach episodes. I know from others who've been under VA care that you can go outside the VA system if you push hard enoughby Carey - AFIBBERS FORUM
QuoteJasonZ My question is has any been on this dosing before and was it good or bad? Everything I read online says to not mix the too of them so kind of hesitant of taking both together. What you're taking is very common, and whatever you read saying not to combine them is either wrong or you misunderstood it. Those two drugs are combined all the time. That's a tiny does of metoprolby Carey - AFIBBERS FORUM
Sorry your dad's having a rough go of it. I don't think there's anything laymen can offer to treat a urinary tract bleed that isn't already being done.by Carey - GENERAL HEALTH FORUM
No, it's not normal. Unlikely to be COVID, and if he's fully vaccinated then just forget that possibility. Most likely related to the bladder issues.by Carey - AFIBBERS FORUM
Lani's friend most likely experiences few if any symptoms. People with a low ventricular rate usually don't. I know that's hard for people with paroxysmal AF and a RVR to understand, but it's true. Many people with persistent AF experience no symptoms whatsoever. Remodeling isn't really much of an issue over a 30-day period. Remodeling generally takes many months, evenby Carey - AFIBBERS FORUM
Quotevanlith Perfect advice. I agree. The mistake people make with melatonin is thinking that more is better. Studies have shown that's entirely wrong. And yet the manufacturers keep making bigger and bigger dosages because people don't know that and it sells product.by Carey - AFIBBERS FORUM
If it's been over a week then it's persistent AF. Very unlikely flecainide or anything else is going to convert him. Since it's a normal rate I would just wait.by Carey - AFIBBERS FORUM
Tom, since you're on a wait list for cancellations, have you scoped out travel plans? If not, you should do that. Obviously, don't make any reservations yet, but if they call Monday and say they've got a slot for you on Friday, do you already know what flights make sense and where you're going to stay? If you're going by yourself, have you figured out how your luggage isby Carey - AFIBBERS FORUM
I'm curious what doctor is prescribing T injections for someone with normal T levels. Or are we talking illegal steroids here?by Carey - AFIBBERS FORUM
I've never heard a single person report fatigue as a side effect of Eliquis. Not one, ever. So nope, I don't buy it. And then I get to this part: QuotePropananol 10/10 which is lower than ever. HR 60s. BP 135/78 at 4 pm. I use cbd melatonin 15 mg a a few mgs of valium and some Gaba all at 9 pm. Too much sleep inducing stuff?? Are you serious? Propranolol, CBD, melatonin!, VALIUby Carey - AFIBBERS FORUM
Quotelarryh1012 also, the president of the Madagascar was "offed" after refusing to vex his country... go figure The president of Madagascar appears to be alive and well. Please do not post false information here.by Carey - AFIBBERS FORUM
I've always found that mid-afternoon is the least busy time in labs and most medical facilities in general. You miss the early birds, you miss the early birds who thought 10am would be a less busy time, you miss people using their lunch breaks, and you miss the after work crowd. It'll just be you, other retired people, and stay-at-home parents with kids.by Carey - AFIBBERS FORUM
My advice is: 1) keep taking the diltiazem to keep your rate under 100, 2) ignore the stupid flutter, 3) do what you enjoy!by Carey - AFIBBERS FORUM
Honestly, your progression looks pretty typical. You can try all sorts of things, but in my opinion trigger avoidance is almost always a losing strategy and it leaves you constantly depriving yourself of things you like and walking on egg shells. That's a major hit to quality of life that can be as harsh as afib itself.by Carey - AFIBBERS FORUM
Oh, don't get me wrong. I think some of the stuff you do is fascinating, but I agree it's not the thing for most people here. You're an analyst by nature, I think, and you dig doing all these experiments and stuff. But most people aren't willing to go as far, and probably don't have the tech knowledge you do. Hell, even my eyes glaze over sometimes when I'm reading yby Carey - AFIBBERS FORUM