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L Glutamine powder or capsules at 2 grams to 4 grams max at night time just before bed ... just stir it in a small 6 to 8 ounce glass of water ... and drink it right down before going to bed is the single best way out side of taking Recombinant-DNA Growth Hormone ( which is s tough prescription to get and is very expensive) for boosting your own endogenous GH past 60 years of age. .. Its GH boostby Shannon - GENERAL HEALTH FORUM
Sounds great Doreen, You have set a good foundation of supportive effort to assist in your recovery phase too and with Dr Schweikert, you are in very good hands as well! Keep us all posted and wishing you a quick turn around and speedy return to long term NSR. Shannonby Shannon - AFIBBERS FORUM
Yes the SVC area takes care of that area, Just be aware that Dr Jackman in assuming the 3rd fat pad being addressed in the SVC isolation is the reason for the improved results with OSA afibbers. I have not heard Dr Natale state that before, and it may over may not be an associated finding with his research as well. Dr Jackman has pioneered addressing Ganglionated plexi ablation and GP are often fby Shannon - AFIBBERS FORUM
Thanks for the update John, Sounds great, as does Rudy's! You heart rate will indeed come down but may take a little while ... no big deal and if its a nuisance a low dose beta blocker or calcium channel blocker can keep it lower while it gradually returns more or less close to prior baseline over time. Keep us posted and enjoy the NSR. Shannonby Shannon - AFIBBERS FORUM
Hi Jackie, for the 24 hour urine they ask for a participating physician, MD or ND, to order it as it requires a good deal of added training for proper interpretation. Before the job of keeping this lights on here on our Afibbers forum and website landed in my lap two years ago, I did a good deal of patient coaching for a couple BHRT MDs in the Bay Area ( by phone or Skype) and in AZ to help sby Shannon - AFIBBERS FORUM
Meridian Valley and Rhein Labs I have Medicare pay for some of those tests, Not sure about DUTCH test Jackie as that is a new test. It does get expensive for a full initial comprehensive serum and 24 hour urine full anabolic, adrenal, growth hormone, urinary thyroid and 6-Sulfatoxy-Melatonin hormone profile at around $1,200 to $1,500 max for all of those initial ideal list of baseline labs depby Shannon - AFIBBERS FORUM
The best screening for comprehensive hormone and nutritional status is done with a combination of serum and A complete 24hr urine steroid hormone and metabolite test protocol such as offered by Meridian Valley Labs (Washington) and Rhein Labs (Oregon) that use sophisticated GC/MS/MS (Gas Chromatography/Mass Spectrometry) methods. The new DUTCH (Dried Urine Testing of Circadian Hormone) test is alby Shannon - AFIBBERS FORUM
RonM Wrote: ------------------------------------------------------- > Texas Arrythmia just called and said that my > strips show NSR. > > R There you go Ron ... good to hear and enjoy your weekend! Shannonby Shannon - AFIBBERS FORUM
Hi Ron, Best wishes to you as well on your upcoming touch up. I spoke with John B yesterday and he and his great gal Chris went right from Austin on a business trip and he is doing very well indeed and reported to me that they both are very happy with the whole round two experience in Austin, and he said he would share his thoughts and experience in detail as soon as they get back home and setby Shannon - AFIBBERS FORUM
Thanks Researcher, The Desmukhs data for those who may not be familiar is from the large review of all Medicare cases from 2000 to 2010 that included all 93,801 U.S. Medicare ablation patients durung that period, and the overall significant increase in most complications noted in that study reflect the fact that >81% of all of these patients were ablated by greenhorn EPs doing less than 25 pby Shannon - AFIBBERS FORUM
As George noted Ron you do have to be careful to extract meaningful consistent info from using. These devices using the smartphone camera and often an unproven and not FDA approved algorithm. The Alivecor should help give a bit more consistency though it too can often misinterpret a number of PACs or PVCs as 'probable AFIB' just because of the variability in R to R spacing that such ectby Shannon - AFIBBERS FORUM
Morgan Camp in Mill Valley and Dan Kalish in San Francisco on Fillmore St are very good Functional med docs there as is functional med nutritionist and Licenced practitioner Chris Kresser I believe he is in Oakland. I know both Dr Camp and Kalish and have worked with both Que. Best wishes, Shannonby Shannon - AFIBBERS FORUM
Come on Ted, give me a break you are killing me here... Lighten up a bit man! Using the term 'perfect NSR' in this context simply means Travis has been in unbroken normal sinus rhythm since he left Dr Natale's table. And how many people from your long research here at any period, even many years later, after a Natale ablation have reported being very sorry they ever met theby Shannon - AFIBBERS FORUM
True enough Tsco, There are a good number of very good EPs out there in various parts of the country and ANY EP can, and will have some degree of complications along the way. Though it's very much true too that the odds of higher success rates and much lower risk of complications increase directly in proportion to the increase in hands on experience level of said EPs, though that risk leby Shannon - AFIBBERS FORUM
That was my error, Travis had the external Medi-Linq monitor given to him by Dr Natales NP assigned to Travis for post ablation follow up monitoring which is also very effective in this case for him to confirm no actual arrhythmia has happened. The LINQ I erroneously mentioned, and with similar spelling, is implantable and is not what Travis had installed, though quite a few here have had that inby Shannon - AFIBBERS FORUM
We don't really encourage posting full ablation reports on the forum Ted, so that's why you don't see too many. A summary of key points is fine, but a lot of EPs frown on that as it is mostly rather cryptic EP jargon meant for other EPs and Cardios to use after the fact for any follow up cardiac care needed and as a document of what happened in the ablation. Docs are always concby Shannon - AFIBBERS FORUM
It's always preferable to start with the very best and most experienced EP you can to minimize the total amount of work needed to complete a fully successful expert ablation process. Dr Natale often has to do repair work, so to speak when another EP had been in there first, it doesn't help either if, and when, the index EP didn't have a very steady consistent hand that bounced oby Shannon - AFIBBERS FORUM
Ted, I answered your question here in Alangsfords five week ablation update thread this morning. Shannonby Shannon - AFIBBERS FORUM
Que, If you told Dr Natale about the sleep apnea potential prior to your ablation he would had added a few extra lesions in a region known to help reduce later OSA triggering of AFIB by a good degree. For Vitamin D , I also take 10,000iU a day to keep in the 75ng/ml region of 25(OH)D3 blood testing. You can maximize the efficiency of the dosing on all fat soluble vitamins (A, D, E and K) byby Shannon - AFIBBERS FORUM
Regarding Travis Ablation report, Nice report and you must call me to tell me how you posted the photo inside the forum post alangford :-) Those were not 'red flags' in Travis ablation reports you pointed to Ted, simply variations in how their AFIB had manifested. And Travis has been in perfect NSR ever since his ablation going on 6 months now. While it's nice to finish upby Shannon - AFIBBERS FORUM
Pasquale Santangeli is a Natale protege working out of St Davids and another institution as well, and is commonly listed as one of quite a few authors in many of the studies emanating from St Davids and TCAI. Frank Marchlinski runs the very well known the AFIB program at University of Penn and is a close friend of Natale's as well and comes to all the EP Live conferences sponsored by St Daviby Shannon - AFIBBERS FORUM
I was misdiagnosed as having endogenous sick sinus syndrome, when in fact is was largely drug induced, but during the EP study I wisely was advised to have the day before my pacer install and which was my very first introduction to the world of electrophysiology, the EP discovered I had the rate dependant infrahisian left bundle branch block whis totally unrelated to AFIB, but may have been causeby Shannon - AFIBBERS FORUM
University of Penn, Harvard Brigham and Womens ... Univ. of Michigan, Kansas University, UCSF, UCLA, USC, University of Utah, University of Oklahoma, Johns Hopkins' .. to name a few universities that have and are doing some AFIB related research. University of Montreal in Canada has a fundamental AFIB science effort headed by Stanley Nattel as well. Shannonby Shannon - AFIBBERS FORUM
Outside of fitness induced bradycardia, which is Brady with an asterisk meaning not typically a problem, a person who is not highly training with strong CV endurance, a resting HR of 50 is defined as clinical bradycardia... Whether or not a doc will choose to treat the Brady at just 50bpm level will depend on if there are any definable symptoms I curing due to that low a HR... Some folks likeby Shannon - AFIBBERS FORUM
Anti AFIB like Jackie alluded to I found I never had a triggering event when my serum K ( by cardymeter and by venous blood draw) was between a low of 4.2 and a high of 4.9 4.4 to 4.9 seemed to be the sweet spot for me where the heart felt very stable and calm. Shannonby Shannon - AFIBBERS FORUM
I had a pacer installed in 2002 for SSS that was a drug-induced version of SSS (sick sinus syndrome) in that I already had an infrahisian rate dependent left bundle branch block that when taking beta blockers or Sotalol, which at the time my cardio wanted to give me for AFIB, my Heart rate would crash into severe bradycardia with very long 3 to 5 second pauses while still in AFIB so it varied a lby Shannon - AFIBBERS FORUM
Abbott paid a bundle for Topera on the marketing hype and they will likely get their money back even though the Topera system appears to have some real issues to say the least. But Topera set a new standard for hyping up a system and creating a huge demand before the bulk of real independent confirmation had even begun to come in and Im afraid other gear makers and their investors are followiby Shannon - AFIBBERS FORUM
I could have sworn we covered this in another thread either yesterday or the day before?? Anyway, as noted in that other thread and looking at St Davids as a good example as the largest volume ablation center anywhere ... they get from Medicare, by far the largest insurance carrier for the majority of ablations ... anywhere from $12,000 to $19,000 total dollars per ablation which, is billing aby Shannon - AFIBBERS FORUM
Hi Anti AFIB, We will definitely check into that very thing, although when we have had this discussion before while some of those who replied here on this issue favored bumping replies to the top I believe in the last time a couple years ago I think it was that the idea was posited a majority voice a preference for keeping it like it is.. though I would have to go back to see the tally and theby Shannon - AFIBBERS FORUM
Also Anti AFIB this effect of Increased SCI burden is not unique to catheter ablation as far as primary causes, it is also found in CABG operations , PCI coronary artery stenting valve replacement operations and a number of other medical procedures. Again, the good news is great strides have been made to significantly lessen these peri-procedural causes of added SCI burden during AFIB/Flutterby Shannon - AFIBBERS FORUM