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Sounds like you are doing real good Don, Let it all settle down the next two months and odds are high you will be home free and hopefully wont need what would be no more than a very small touch up of the LAA isolation circuit, if you should. That particular structure is a challenging anatomy with the many pectinate muscles and relative thin LAA tissue in some spots, so he has to go at it withby Shannon - AFIBBERS FORUM
Hi Stef, I would advise if and when you decide its time to look for an ablation to find another source beside Kaiser. They are not known as an major ablation center with stellar results and your hunch they might not be your best choice is well considered. Shannonby Shannon - AFIBBERS FORUM
Hi gmperf, First off, the ocular migraines do happen on occasion four some people from the transeptal puncture but as you noted in your first ablation when you experienced that it was self-limiting and so too will this occurrence resolve on its own before long. The coronary sinus (CS) runs along the bottom border of the left atrium and upper border of the left ventricle passes close to theby Shannon - AFIBBERS FORUM
Barry, when you are ready to venture a bit beyond the 800mcg a day of kelp based iodine which is generally a weaker source, I know you can get Ioderol tablets via Iherb.com from our vitamin store link above. It is made by Optimox Iodoral tablets It comes in both 12.5mg and 50mg tablets which can be broken in half. The formula is exactly the same as liquid Lugols formula with each 12.5mg taby Shannon - AFIBBERS FORUM
Wait a minute John21, I fully understand that docs are not always right about their prescriptions, and there are many cases where EPs and Cardios put people on blood thinners prematurely just to cover their behinds even when their own guidelines say such a drug is contraindicated, but in the case of needing a blood thinner after an LAA isolation ablation or even without such an ablation shouldby Shannon - AFIBBERS FORUM
Hi Stef, You're intuition is right about Pradaxa and being hesitant to take it. Absoluteky do not feel a moments hesitation about asking your EP to fully justify why you should start an OAC drug and tell him flat out you prefer Eliquis of Xeralto but do not want Pradaxa period, if he gives you any lip about it and don't wish to engage in a debate with him just tell him the very nameby Shannon - AFIBBERS FORUM
Anti -AFIB, It late here again as I have little time during the day to post much for the next couple weeks while I finish the Oct-Nov AFIB Report, so no time to pull out the link to the Desmukh study (spelling?) which is a 10 year study of complication rates from every single ablation done via Medicare in the US from 2000 to 2010... all 93,800 of them for the largest such complication yetby Shannon - AFIBBERS FORUM
You are welcome Kittymama. Best of luck on sorting it all out, the key is hiking up with a good integrative or functional medicine doc who is fellowship trained in BHRT ( bio-indentical hormone replacement therapy) to help you in sorting this all out. I know the sad story with TSH-only or TSH + Total T4-only testing all too well. The thing is, if you can just get most thinking docs to listby Shannon - AFIBBERS FORUM
Many thanks for sharing your very interesting story Lesley, I'm so sorry you had to endure 5 previous ablations before being able to make it to Bordeaux, but that does happen and as you know one thing can lead to another when in the middle of such a process and before you know it they start to add up. That is why we so urge people to shot for the top tier such as Bordeaux and a handfulby Shannon - AFIBBERS FORUM
Hi Kittymama. If you are getting hypotensive directly from 1 teaspoon of K Gluconate and 100mg of magnesium glycinate it could be you have very low sodium and potentially low aldosterone. DO you feel dizzy or lightheaded often after standing up quickly or do you notice that when stanind or sitting upright ( like at a a computer for hours) that your mind thens to go a little blank and you getby Shannon - AFIBBERS FORUM
Hi Mark, No one in his right mind would give a beta blocker dose to a person with 1st degree block and bradycardia. That is probably why you were given Diltiazem as a calcium channel blocker. While also potentially an issue for folks with the same kind of Heart block and Brady, a calcium channel blocker is usually (but not always) a bit less likely to cause problems with extreme bradycardia thby Shannon - AFIBBERS FORUM
Kittymama, Im sorry to hear of your challenges finding and affording good care, that is a tough situation for sure. Don't give up looking for a good doc as in time you will likely find one who can help you even if just in better management of your AFIB. Keep a positive outlook and take it one step at a time and you just never know when the door opens to something unexpected. That has beenby Shannon - AFIBBERS FORUM
Its probably Okay Barb at this point, but why not wait until you are through blanking period officially. I doubt it would necessarily hurt, but just imagining how you might second guess yourself if you take it now and did get a breakthrough and then would wonder if had you waited longer it might not have. Like I said I doubt its a big risk at this point and you are pretty much past the real blby Shannon - AFIBBERS FORUM
GeorgeN Wrote: ------------------------------------------------------- > The EP blogger, Dr. John M, got afib from his > bicycle riding activity. He took flecainide and > commented that being prone and settled after > taking the flec reduced the probability of the > flec being pro-arrhythmic . I'm sure pretreating > with the beta or calcium channel blocker is a >by Shannon - AFIBBERS FORUM
You are welcome Duke, And regarding your fears that you are going to be some extreme odd ball that kicks the bucket with Dr Natale or has some diasterous outcome because of some unique physiology or body type not reacting as expect ... that kind of thinking belongs in Texas, where I grew up, to an unhandy and counterproductive practice we euphemistically call 'mind - ****ing' (excuseby Shannon - AFIBBERS FORUM
Thank you John21, I'm glad you found it useful. We can all relate to how the mind tends to work overtime with all the 'what If's' once our ablation draws near, it's often good to step back and get a more handy perspective to save ourselves from a lot of unproductive worry and gnashing of teeth over concerns that will almost never really occur. Especially when you'veby Shannon - AFIBBERS FORUM
Hi Duke, Betty's ablation was very little like yours will be, as she will no doubt share. Most of us were a lot older than you and had more advanced cases than do you when we had our initial procedures. The odds are at your age that you'll have very little SOB, perhaps a little but nothing to worry about or try to imagine or calculate exactly what it's going to be like for you.by Shannon - AFIBBERS FORUM
Hi Tsco, Please do not overly worry about 'extreme fibrosis' as a long term consequence of skilled AFIB ablation itself. There have been quite a few very solid studies on this question showing an overall net improvement in atrial function as a result of ablation even at 5 years later, and there in NO good evidence to the contrary longer term, in spite of what some speculative alarmistby Shannon - AFIBBERS FORUM
Hi Kolasal There is a good rationale for PIP NOAC anticoagulants but Paradax would be far and away the last choice I as well as many EPs I know would ever make for an OAC drug. Its notoriously hard to control serious bleeds with Pradaxa, and which might land you in the ER such as after an accident or a serious GI bleed, there is as yet no antidote for bleeding and unlike with Eliquis and Xeby Shannon - AFIBBERS FORUM
Sounds good George, I would only add to the LAA portion, that most of the time Dr Natale will not ablate the LAA in the first procedure unless it is found to be the major, or perhaps only, remaining active trigger after he finishes the PVAI and other Non-PV trigger phase of the ablation. Only then, after all other possible trigger areas are rendered quiet and the LAA is the only or main remby Shannon - AFIBBERS FORUM
Don't worry about it short term Slim, Take with food in any event to help the possible GI Irritation issues to a degree but generally the AFIB related effects will not happen until after long term continuous use of good size doses. Be well, Shannonby Shannon - AFIBBERS FORUM
Hi Anti-AFIB, Thanks for clarifying what you were intending to convey in a couple of your posts above. And certainly OAC status at the time of ECV is a paramount question and concern of every EP doc and rightly so. I've had 16 ECVs total before my periodic left atrial flutter was put to sleep with an LAA isolation ablation. Those ECVS were done at hospitals from Holland to Hawaii as wellby Shannon - AFIBBERS FORUM
Dee, most people with low adrenal function require at least 1.5 grams of high quality salt, such as Celtic salt and a few others. Sometimes up to 2grams just make sure you maintain that 4 to 1potassium intake advantage over sodium. Also, for low adrenals insure at least 3grams through the day of high quality Vitamin C such as the best LivOn Lypospheric Vitamin C packets which are 1gram C embedby Shannon - AFIBBERS FORUM
The Anti-Fib Wrote: ------------------------------------------------------- > That is what I meant to say, only way to know for > sure that Atrial stunning is not occuring is via > getting a TEE. I meant to imply that their was > uncertainty or the possibility of stunning, I > never meant to imply that Atrial Stunning would > always occur for days. > > Anticoaby Shannon - AFIBBERS FORUM
Hi Lynn, Dr Tchou is at CC and has been there a while. Seems to be a pretty experienced ablationist, though recently we did have a fellow here who had Pulmonary vein stenosis after an otherwise initially successful PVAI ablation with him. I'm hoping that was just an extremely rare 'one off', as you almost never see that anymore for years in docs properly trained and experiencedby Shannon - AFIBBERS FORUM
Adequate salt is essential for good health and with too low levels it will really hammer your adrenal glands ... the dizziness you feel when dehydrated and sodium levels are too low is a good indicator of that. The issue is now gorging on salt. And particularly refined salt, but any salt in excess is overkill and us not great for the cardiovascular system and overall health. The key us maintaiby Shannon - AFIBBERS FORUM
Good Idea Liz, I've met Dr Brownstein, though only briefly so doubt he'll recall, at one of the BHRT conferences I periodically work at and have followed his work for some time as well. He may well be familiar with Dr Wrights stroke prevention protocol, but if not, he can easily give him a call and get the scoop straight from him as they are long term friends and colleagues. Iby Shannon - AFIBBERS FORUM
Thanks for the clarification LeeLocy, it certainly makes far more sense that your benefit has come with combined magnesium and potassium rather than through extra calcium onto the fire. :-). And thanks for the report! Best wishes, Shannonby Shannon - AFIBBERS FORUM
Thanks George, Gordon, Jackie and John and Julian from GeneGuru, A very timely and worthwhile exploration even though we are likely at the very frontier of this promising new vector for bettering health. medicine and optimizing our biology and physiology ( ideally when most of the 'T" are crossed and 'I's are dotted which will obviously be an ongoing evolutionary process foby Shannon - AFIBBERS FORUM
Yes Liz, there are limitations if you truly can't take blood thinners ... That's one if the big advantages of a successful ablation process if you have frequent episodes in that consistently continuous NSR is your number one protection from an AFIB related stroke. If you don't wan,t or need, an ablation then a Watcman or Lariat is also an option for those who truly can't toleby Shannon - AFIBBERS FORUM