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Hi Chuck, Make sure Dr. Natale's office has all your pertinent records, of course. You will first see his nurse who will likely do an EKG, unless you have a very recent one, take all your vitals and review your records, then the nurse leaves the room typically and when she returns will have Dr N with her for a normal consult appointment. Dr N is a soft spoken, very bright and warm, frby Shannon - AFIBBERS FORUM
STTM is an excellent resource or thyroid care and has some good insights into addressing adrenal malfunction and its common role in effecting thyroid function, and vice versa. Thyroid and adrenal function are the two closely related hormonal processes that most control our overall metabolic energy status. Shannonby Shannon - AFIBBERS FORUM
Sleep apnea, is one of the strongest contributors to AFIB, quite a lot of research has confirmed what most EPs have recognized for years from clinical observation that anyone with confirmed asleep apnea is at risk not only for AFIB, but are more likely to need follow up ablation(s), particular if they are not consistent in their use of CPAP machine when sleeping. Shannonby Shannon - AFIBBERS FORUM
Hi Jackie, Regarding GH its rarely given just by itself as a well implemented BHRT protocol includes replenishing a number of major hormones that are found deficient and need to address, often first in steps toward eebalancing ones overall hormonal symphony paying attention toward addressing those that compliment and cross balance with one another. GH is typically added after some months or evby Shannon - AFIBBERS FORUM
The form I like the most is called Magnesium Infusion and it is a special form of Magnesium Chloride Hexahydrate and it is claimed to be around 30+ % absorbable and each spray = 20mg of Magnesium. I spray 25 sprays on my chest and torso after showering in the AM and after a quick shower before bed. Rub it in good for 30 seconds and it absorbs much faster than Ancient Minerals topical Magnesiumby Shannon - AFIBBERS FORUM
hi Louise, The gold standard for detecting and measuring left atrial fibrosis or scarring as a result of long term structural remodeling ( as distinguished from electrical remodeling which is typically found as well in parallel with structural remodeling but that is not the same thing) is by Electrophysiological Voltage Mapping during and ablation or EP study. ICE imaging is not able to accby Shannon - AFIBBERS FORUM
Good find researcher,, another good indicator that solid animal protein and saturated fat is not the culprit so mistakenly assumed over the last 30 years as promoted by the powers that be in big pharma and the unside down dietary pyramid extolling the low fat, high carb craze disaster. Shannonby Shannon - AFIBBERS FORUM
Robert Ive been off line the last few days and just now saw your post. Sorry, to hear of your communication difficulties and that St Luke's didnt return your calls and you are having issues now as well getting a response back from TCA heart in Austin which is not at all the norm there. Who did you speak with in Austin? After Dr Natale parted ways with St Luke's after the hospitaby Shannon - AFIBBERS FORUM
Hi ronbn49, Longitudinal ridges are a prime physical sign of Growth Hormone deficiency and is close to diagnostic for adult GH deficiency by itself. These vertical ridges or lines almost invariably correlates with too low of a functional GH and/or IGF-1/IGFBP-3 ratio levels. Of course, they also correlate with select nutritional deficiencies that are up stream as Jackie noted above, but thoby Shannon - AFIBBERS FORUM
WW stands for 'Waller Water' named after the gentleman that shack ir mentioned above, Erling Waller, who used to post here frequently ... Just so you know what WW means. you can do advanced searches under 'Waller Water' and under 'Magnesium Bicarbonate', and you'll find more info than you could read in a month of Sundays. Shannonby Shannon - AFIBBERS FORUM
Hi Smackman, Good to here you heard from Barbara , I felt sure the referral thing wouldn't be a problem. McHale got very lucky in getting his ablation the very same day as his first consult with Dr Natale because it was the very first week Dr N was working out of St Luke's in NYC back last May and McHale was smart and jumped quickly on an early tip that Dr N was going to be doingby Shannon - AFIBBERS FORUM
Hi Smackman, Barbara Thomas has been with DR N for many years and followed him to Austin from Cleveland Clinic. While she isn't the normal person to set up appointments, he often suggest I have people I mention to him who are interested in seeing him from out of the area to call her. She is head of the AFIB center there at St Davids and Texas Cardiac Arrhythmia and is a busy lady hersby Shannon - AFIBBERS FORUM
I heard from Dennis' wife again today and all the docs are very pleased with his progress and say he is ahead of the healing curve and all is well, even though he isnt yet feeling so great. Understandably after what he went through jsut two days ago but by end of the weekend he will start to make big strides in feeling better. Soon they will get him on his feet and walking a little after thby Shannon - AFIBBERS FORUM
Joe, How much Vitamin D were you taking, if any, when you had only 24ng/ml of 25(OH)D3 which is the name of the proper Vitamin D3 blood test? You should shoot for maintaining a level of 60ng/mll to 80ng/ml as the best optimal range. Certainly no lower than 50ng/ml at a minimum. If you are taking none now then start with a minimum of 5,000IUs to 6,000IUs a day of a fat soluble Vitamin Dby Shannon - AFIBBERS FORUM
What kind of Doc are you Randy, if you'd rather not say publically you can PM me. Shannonby Shannon - AFIBBERS FORUM
You are on the right track Smackman, Try not to get too discouraged or overly anxious over all this , though I'm well aware that is easier said than done, Many of us here been through the gauntlet and come out the other side to report there really is a light at the end of the tunnel, particularly is you follow all the great guidelines on this wonderful site and partner with a truly eliteby Shannon - AFIBBERS FORUM
Peggy, the main issue that make people typically dismiss any anecdotal evidence as not worthy of considering, and not so often wrongly so, is by using the likelihood of a non-causal or even random association that increases with the smaller the number of samples evaluated or compared. Especially when there is not enough samples to conduct a valid randomized controlled double blinded clinical triaby Shannon - AFIBBERS FORUM
The 24 hour steroid urine profile by Meridian Valley Labs is an excellent test to start with. Im reviewing one right now that came in today for another patient ( not AFIB related) I work with in conjunction with his functional medicine MD. It's very comprehensive and covers all anabolic hormones and metabolites as well as all adrenal hormones and metabolites and includes urinary free T3 andby Shannon - AFIBBERS FORUM
Can someone post a link for Smackman showing success rates for ablations done by the top people compared with the average success rates? Gill Hi Gill, I will try to finish that up tomorrow if I have time after the furnace guys finish installing a new furnace at our house in Sedona, its freezing out now and our's went kaput last week and am looking forward to shedding the polarby Shannon - AFIBBERS FORUM
Hi Randy, really too bad no Free T3 but that is par for the course for most conventional docs who tend to be more or less clueless when it comes to proper thryoid treatment and how to interpret labs in conjunction with paramount clinical signs and symptoms. Your Free T4 is lousy, and along with the mild to moderately elevated TSH ( you need at least three or four TSH reading to derive a decentby Shannon - AFIBBERS FORUM
Smackman, Please let your wife read this too and don't worry too much about the referral. Just call Austin ask for Barbra Thomas at 512-415-7830 and tell her you need to make a consult with Dr Natale and were referred by a small army of grateful patients of Dr Natale. Since you are from out of town ...as are 98% of Natale's patients and most travel considerable distances to have onlby Shannon - AFIBBERS FORUM
Great news Ken! Many thanks for the update. Ive heard some good reports about Dr Wheelen as well. And no doubt your paying good attention to your health and fitness as well as hydration and the heart friending nutritional protocol has certainly helped support a solid ablation through the years. Looking forward to reading your 10th anniversary and 15th and so on! Cheers! Shannonby Shannon - AFIBBERS FORUM
Good News Randy, You made the right choice, and Smackman, dont worry too much about the referral, tell them you were referred by an army of his patients from this site ... Just call and set up a consult. If you must, use your Cardios name and then tell him about it too of course .. at some point when you see him next... he should be thrilled and pleased to have thought of it himself! Just iby Shannon - AFIBBERS FORUM
Welcome Smackman, With your persistent AFIB, your first order of business is being very discriminating about which EP does your ablation, once you've made the decision to go for an ablation. Do not go ahead with the EP you mention 'only' or even mostly based on the recommendation of a local Cardiologist, no matter how well meaning and friendly they are and no matter how great aby Shannon - AFIBBERS FORUM
A quick note to let everyone know Dennis C, Our NYC friend who had his PVAI ablation with Dr Natale last June at St. Luke's and has been doing well on the AFIB front, is just out from his big surgery today at Mt Sinai to have an Aortic root Aneurysm repair by Dr Allan Stewart who is Director of Aortic Surgery there as well. Dennis' wife, Deborah, just called me to give me the updaby Shannon - AFIBBERS FORUM
Hi Phil, So far there is little to no real data proving that GP ablation consistently show that does a much of anything. Apparently, the real world experience of those who incorporate GP ablation as part of their overall approach ( Natale's group for one) have not been able to identify a consistent benefit from addressing GP. In other words, even after addressing GPs as part of a first abby Shannon - AFIBBERS FORUM
Ah Barb, I'm so sorry to hear of Doug's passing! You have been a real trooper through all of this and while that is a difficult prognosis, there was some hope he might have more time. Its a blessing he could be at home and pass away in his sleep and most of all that you could be with him. Can certainly empathize with you Barb and sure its hard to digest regardless of knowing itby Shannon - AFIBBERS FORUM
Hi Iatrogenia, The reason for the beta-blocker prior to the Flec is not only to help slow a high HR to help the Flec kick in a little easier, but also the thinking goes to help minimize Flec's potential to turn pro-arrhythmic from kicking into gear. I've experienced that side of the coin too after taking 200mg of Flec PIP along with 80mg of Verapamil and about two hours later theby Shannon - AFIBBERS FORUM
Hi Roberts, Congrats on smooth sailing at three months ...sounds like a winner! Will be nice to get off the blood thinner soon. As far as questions for your EP ... 1. If you haven't already, ask him for a full copy of your official 'Ablation Report' he will have compiled soon after the ablation. You should always secure a copy of that report as soon as its available, notby Shannon - AFIBBERS FORUM
researcher Wrote: ------------------------------------------------------- > Gill, I don't know that there is a distinction > between frequency of occurrence and risks. A > recent article I read (don't recall the journal) > stated that AF patients that have been ABLATED > successfully has the same risk profile as non-AF > patients. The difference I recall is thby Shannon - AFIBBERS FORUM