Hi David, If you wish to stay in the UK, then Dr Schilling is likely your best bet that I know of. He is a competent and caring physician and a very nice man from all reports. However, if you really have the means and choice, I would go to Bordeaux from the UK. They have vast experince there and are incorporating cutting edge technology they are pioneering there and have a well honed systemby Shannon - AFIBBERS FORUM
Hi Nancy, Im not at all surprised you got a blank stare from your Endocrinologist. Their role and entore reason for being as a separate speciality is to try to corral the horse only after it has well left the barn! Whether that by with diabetes, adrenal dysfunction, thyroid dysfunction. Typically most regular Endo's and the tools they are used to using are for instances of either veryby Shannon - AFIBBERS FORUM
As you noted Randy, its rather mild. It will get better just give it a little time. This is way far away from a fistula and nothing to fret about too much. I had some of those symptoms after the initial big ablation. It will settle down soon. Take care Shannonby Shannon - AFIBBERS FORUM
Hi Tsco. The process of progression from a right sided flutter or tachycardia into AFIB is a common one and happens all the time whether or not you had any ablation to address those other arrhythmias located at first in the early stages in the right atrium mostly. So don't worry too much about making it worse. The issue with the LAA, is simple. If you have a demonstrable source of AFIBby Shannon - AFIBBERS FORUM
Hi McHale, Dr Tomasonni who trained with Dr N for a period of time a while back does do a full PVAI ablation right after using the Topera system to try and ferret out focal hot spots like rotors and foci to zap first. He is one of the EPs experimenting with FIRM as a tool to perhaps help improve over simple PVI alone and give some guidance on areas to ablate. Fortunately, Tsco will get aby Shannon - AFIBBERS FORUM
Hi Sally, Far more top US EPs use isoproterenol than, on average, do the more conservative group if EU EPs. In EU there are exceptions such as Bordeaux and a god number of The better known Italian EPs , not surprising with the strong influence of Dr N with his countrymen colleagues. While you really need to compare success rates per number of ablations required from one EP versus another spby Shannon - AFIBBERS FORUM
Hi Ron, I know Atul Verma is very well thought of and Dr Natale told me when I asked him who he would recommend for ablation in Canada if the person could not come see him in the US and he said Dr Verma without a moments hesitation. I also know Verma worked with Natale when Dr N was running the Cleveland Clinic AFIB department as director. And that Dr Verma authored a number of key researchby Shannon - AFIBBERS FORUM
Thanks Paul for the feedback for Sally, The theory of not wanting to stir up the devil again by daring to challenge their ablation work and thus perhaps being misled into ablating a few spots that may not have become direct triggers for AFIB is common in EU circles as they are afraid they might be chasing their tails trying to ablate every little blip they see on the voltage mapping board. Thiby Shannon - AFIBBERS FORUM
Hi Lindsleyir, If your knee surgery can wait at all, I would make that a minimum of four months and six months is much preferred unless there is real urgency for the knee surgery beyond basic pain if that can be marginally well controlled in the meantime. That will allow the ablation to fully heal even on the histological or cellular level and there is much less apt to be any residual degree oby Shannon - AFIBBERS FORUM
Thanks Sally, Your original post is all restored and all the stars are re-aligned again! And a good lesson learned for me to be extra alert around these new editorial tools I have inherited. Bordeaux is around 15,500 Euros all total last I heard, that including not only the consult and ablation but 4 or 5 nights I believe in the hospital with a private room and dedicated nurses who all speaby Shannon - AFIBBERS FORUM
Hi Randy, Keep in mind that not all GI symptoms post ablation are related solely to esophageal irritation or mild to moderate ulceration. While its possible for some mild irritation to be there its unlikely that esophageal irritation from the catheter is responsible for any new symptoms at this point. As researcher said, in the absence of any later onset fevers its extremely unlikely to be anyby Shannon - AFIBBERS FORUM
Oops Sally, My apologies! I just noticed that by mistake I deleted your original post to start this thread when I was writing my reply to your post, and my reply now appears at the top of this thread in place of your now vanished original message. Gulp! This happened because I am still relatively new at having the 'God' buttons that Hans recent'y turned over to me to take cby Shannon - AFIBBERS FORUM
Hi Sally, Sorry the hear of your increasing AFIB woes, its a common story around here so there is plenty of company. The underlying drivers for AFIB tend to increase for many people even when we've been successful for a good long while in putting the lid on the kettle supplementally and diet wise. The struggle with your thyroxine dosing is also a common story though few GPs follow itby Shannon - AFIBBERS FORUM
Why don't you try a good formula containing D-Mannose and Cranberry extract for the UTI. If you hit it hard with D Mannose for the first week or so and then continue with a good maintenance dose and use an excellent quality Herbal UTi formula which any good health food store might suggest, you might find very good results with or without the anti-biotic. I would take the D Mannose for surby Shannon - AFIBBERS FORUM
Hi Iatrogenia, Yes it would seem from Taylor's description of the clear impact of going on and off his NAC that it is helping quell his PACs and ectopics. I'm not at all surprised that it can have this effect, but that doesn't at all mean it will for everyone. Depends a lot on the stage, duration and progression of one's AFIB and structural remodeling/fibrosis etc. But iby Shannon - AFIBBERS FORUM
Portifcall, Amioderone certainly is the gold standard for quieting down the beast for a while, but it does have a definite double-edged sword as you know. While Relaxin would be nice to try to help long term With the substrate reverse remodeling, it is a long way from being available for use in the US. Your doc could not prescribe it even in the off chance he has even heard about it yet foby Shannon - AFIBBERS FORUM
erika101 Wrote: ------------------------------------------------------- > Roger Penski typo?? Dr. Sergio Pinski > Please let me know > Erika Ha, thanks Erica yes its Sergio Penski at CC Florida, not Roger Penski the famous race car driver and automobile dealership tycoon who is my Audi dealer here in Arizona :-). My wife and I enjoy Audis and have our eye out for a new one foby Shannon - AFIBBERS FORUM
Don't worry about it Smackman, You'll be fine, at worst case you slip into AFIB for a while longer making one less step for Dr N to trigger during the early phase of the ablation. Stopping Toprol from only 25mg a day total won't be rough at all. You may not notice hardly anything. You can do that 5 days before the ablation anyway, since you are on the ER form of Toprol. Hadby Shannon - AFIBBERS FORUM
Hans forwarded me this email from Alivecor announcing their new over the counter offer and though it may be construed as advertising, I felt it was worthwhile posting it here on our board in light of the keen interest and potential usefulness of this device for some members of our community and because they are offering now a 25% discount during this roll out of the new OTC product. The followby Shannon - AFIBBERS FORUM
Congrats and thanks for the wonderful update Thor! Looking forward to a 15 year report before long, Shannonby Shannon - AFIBBERS FORUM
Louise, That was my thought too that George noted, I'm glad you didn't recognize any flutter or PVCs as perhaps you have mostly been in NSR when testing..? Shannonby Shannon - AFIBBERS FORUM
LIsa mac, Just take it with good food typically as some find it mildly irritating on an empty stomach but most folks don't mind either way. If you ever need to take Tylenol then taking a half tablet of 600mg NAC will help counter any possible liver impact from the Tylenol, though that danger from Tylenol is mostly an issue only with either prolonged use of a much too large single doseby Shannon - AFIBBERS FORUM
Thanks usually fine Phil, Depends on the job, if you can afford to take a few more half days beyond a week after ablation then all the better, but that is optional in most cases. Technically if you really had too you could probably start back at a low physical stress job after the 4 day out if the hospital but why push it. Better to ease back in, if you have the luxury of being able to take aby Shannon - AFIBBERS FORUM
Great answers George and Randy, And welcome Jim Bob Also,in Jackies reference to ginger as a possible help where she quoted as Hans recall that AFIB tends to switch to sinus tachycardia or even atrial tachycardia just prior to conversion to NSR is very true to. Typically during an ablation the EP will notice AFIB convert first to tackycardia or flutter as an intermediary point on the way to tby Shannon - AFIBBERS FORUM
researcher Wrote: ------------------------------------------------------- > Answered my own question. Below is a review > article by a 3rd year cardiology resident. Lots > of comments after the article to discuss all sides > of the pros and cons. > > > ew-iphone-alivecor-ecg-heart-monitor/ Hi researcher, That discussion was interesting from a broader scocby Shannon - AFIBBERS FORUM
My wife and I both start the RS experiment with BobsRed a Mill Potato Starch at 4 teaspoons a day ... Tomorrow is day four and will keep you posted ... So far so good. Shannonby Shannon - AFIBBERS FORUM
Hi Taylor, There is a very good reason why NAC might be helping with ectopics and possibly AFIB. NAC is a major booster of endogenous glutathione (GSH) production. GSH is our most powerful endogenous antioxidant and detoxifying agent in the body. It is massively important to maintain optimal cellular function and metabolism and yet, alas, like so many of our critical bio-chemicals, very strongby Shannon - AFIBBERS FORUM
Windstar Wrote: ------------------------------------------------------- > Shannon, > > Regarding, "The key is taking the pills only after > getting some meat, fish or chicken along with > other food in the stomach. Never take the Betaine > HCL even a few minutes before starting the main > protein part of your meal. ", I take 2 Betaine HCl > capsules (50by Shannon - AFIBBERS FORUM
http://www.alivecor.com/home]Alivecor now available without prescription Just wanted to announce the good news that the very handy AliveCor Iphone and Android ECG monitor is now available for purchase directly online without first needing a doc's prescription. This makes it a snap for anyone who wants one to order it right now, if you wish. I do highly recommend one for anyone who migby Shannon - AFIBBERS FORUM
You are welcome Debbie, but please contact your Cardiologist ASAP and ask to see her quickly or do a phone consult. Its possible you do have a real need to take The OAC drug and I don't want you to go a day longer than need be if you could be at heightened risk. If you have Nattokinase then in the meantime before you get the answer from your Cardio, consider taking Nattokinase at 100mg evby Shannon - AFIBBERS FORUM