Hi researcher, Dr Natale still does ablations at Scripps but only at the Scripps Green Hospital near La Jolla. His Nurse Practitioner at Scripps is Linda Couts and his secretary is named Dorie. The general phone number for Scripps Green Hospital is 858-554-9100 for those who might wish to set up a consult with Dr N during one of his periodic visits there. Since he was hired as Executive Dirby Shannon - AFIBBERS FORUM
Got it Tom, check your email and we can connect from there. Talk to you soon. Shannonby Shannon - AFIBBERS FORUM
Hi Tom, You aren't saying your increase in insurance was an Obamacare policy are you?!? Its my understanding that the government sponsored exchanges just started offering those policies, even though with a poorly executed roll-out, and thus, if I'm not mistaken your issue must be with a pre-exisiting health insurance private or company related policy that you already owned and its pby Shannon - AFIBBERS FORUM
Hi Louise, Tell your friend to tell his brother to run for the hills!! Any EP that would make such a statement in this day and age should be tarred and feathered out behind the barn! To tell a permanent afibber that a single ablation will end his entire affair with AFIB for the rest of his life is being beyond disingenuous! This type of AFIB can be the most challenging to get good long tby Shannon - AFIBBERS FORUM
That is a good one Randy and no doubt safer than having your wife shoot off a shotgun behind your head when you arent looking ...especially if you forgot to wash the dishes and take out the trash that night! :-) Shannonby Shannon - AFIBBERS FORUM
Hi Tom. In most cases where they are clearly past the first 6 weeks healing phase and have had no AFIB activity recorded on post ablation monitoring, the person can likely be just fine on 3 x a day of high quality Nattokinase taken once ever 8 hours at 100mg dose and not be exposed to any extra bleeding risks. Its basically, saying you can go off all anti-coag under that circumstance all toby Shannon - AFIBBERS FORUM
Hi Ron I think McHale was suggesting to literally keep a few Xeralto pills in your pocket or handy so that if you did trigger into Afib or Flutter past the blanking period after an ablation that you could get started right away with an anti-coagulant if you did not convert in the first 24 hours and, as such, would then not have to wait a longer time before getting an ECV conversion. But Xeraltby Shannon - AFIBBERS FORUM
Good points Jackie, This goes along with the Epinephrine warning for dental work as all of these drugs have somewhat similar heart stimulating potential. Shannonby Shannon - AFIBBERS FORUM
You are welcome Laura, Next time you are making your way up to Sedona be sure and PM me well in advance if you can and send my your number and hopefully we can meet up for some tea ... decaf of course :-). Take care, Shannonby Shannon - AFIBBERS FORUM
Hi Carolina Tom-P So sorry to hear of your breakthrough episode! Dental work can be a trigger culprit, but typically shouldn't trigger without a cooperative substrate allowing it to kick start and sustain. A brief run is one thing at this stage 14 months post ablation, but when it sustains like that while you may well still be able to get the genie back in the bottle and it might behave fby Shannon - AFIBBERS FORUM
Hi Laura, Good to hear from you again, of the three NOACs (novel oral anticoagulants) out and available now Eliquis seems the best overall choice with all that is known so far in the still relatively short history of this new class of drugs. So far it seems to have a quite low side effect profile and is superior to warfarin (at least based on the specific criteria they used to compare thesby Shannon - AFIBBERS FORUM
Dean, The question might need some revision and a few qualifiers. Its not appropriate to label AFIB as psychological, though some of the quality of life deterioration often experienced with the onset of AFIB is surely psychological as well as physical. You have to understand too that most of the folks on this board are either relative newbies to AFIB looking for answers and support, or tby Shannon - AFIBBERS FORUM
Welcome LarryB, You found the right place for sure as you likely know by now from lurking here for some time. Jump in any time and tell us a little about your AFIB history whenever you are ready. Cheers! Shannonby Shannon - AFIBBERS FORUM
StephanL. That study has some big question marks as well. First of all it does not address those who came in to an ER for bleeding trauma as noted with in the study, one caveat on their findings is that most people in the study who would have had a major bleed develop suddenly, would not likely have called their study docs for follow up appointment in a few days or weeks, but would have gone sby Shannon - AFIBBERS FORUM
Good reports Rob and George, George, your interesting though unwanted reaction from the cream that disappeared on Ghee ( which I love!) could be a tip that you may well have been reacting to the larger amount of casein found in most creams ... or possibly lactose .... though I suspect the casein of the two is the more likely culprit. If you are using highly purified Ghee at 99% or above puby Shannon - AFIBBERS FORUM
Hi Louise, If the estrogen you are taking says 'Estradiol' then it is bio-identical Estradiol. However, it is not at all a good idea to take ANY estrogens by mouth. Also so many regular pharmaceutical preparations .. ie not compounded just for you ... are oral forms. Careful meta analysis of the large Women's Health Initiative and many years of experience by skilled BHRT MDsby Shannon - AFIBBERS FORUM
That is usually how it goes Nancy, the first couple of times you have a longer duration episode is the period it is most likely to convert on its own, if it is going to after a full week or more in AFIB. But typically as those longer episodes become more frequent they tend to drag out even longer until the person usually slips into truly persistent 24/7/365 AFIB. All the more reason to do allby Shannon - AFIBBERS FORUM
Hi Mary, Request for sure a Philips 'In-Ratio-2' home INR meter. They are highly accurate and easy to use. What you want to do is get an ongoing Lab slip on file at your local blood lab, so that each time you get a new box of test strips from Philips you can calibrate each box of new strips by going to the Blood lab ( about once every 3 months when testing once a week as is adviseby Shannon - AFIBBERS FORUM
No Iatrogenia, in most cases of optimal to high ferritin there is no need to take iron. There are some exceptions when ferritin is being driven high not by excess iron stores but by other biochemical imbalance and in that case you can still have low functional iron with an artificially high ferritin reading, but for a good rule of thumb, 70 to 100 is plenty Ferritin for women while anything belowby Shannon - AFIBBERS FORUM
As Janet noted Nancy, it does happen converting back to NSR after a few weeks in AFIB from time to time but usually doesn't last and typically over time at do a point when it dies return the episodes get longer in duration until true persistent AFIB sets in. Nevertheless keep up with all the supplements and do t worry too much about why it is happening, it would very hard to know for sure inby Shannon - AFIBBERS FORUM
Welcome Kittymama, We all know and empathize with this initial discovery period and the kind of anxiety Your first visit to an ER for AFIB can bring. You definitely found the right place and you are very fortunate to have done so this quickly in the AFIB journey ... which gives you a better chance of getting that genie back in the bottle before it becomes too comfortable and familiar in causinby Shannon - AFIBBERS FORUM
Iatrogenia, the Reacted 'Ferrocel' Iron Bisglycinate us a very good form for many people and tends to be a lot easier in the stomach and not so constipating.. Be sure and take it with Vitamin C and just after the evening meal, instead if in the morning, which also tends to lessen constipation side effects. Shannonby Shannon - AFIBBERS FORUM
Hi Michael, RonBs excellent advice that you will find much support from many of us long timers here for is a fundamental piece of the puzzle and is something you should dive into head first while simultaneously continuing to sort out your best options within what is possible financially and practically for you with regard to an ablation. The gluten insensitivity issue including up to full bby Shannon - AFIBBERS FORUM
Hi Liz and Theresa, Coumadin alone is not likely to cause one to go into permanent AFIB. It maybe that some of the side effects of Coumadin that Theresa was experiencing ( I know them well too) coincided with the underlying progression of her atrial structural remodeling that was the likely core driving agent for conversion to persistent AFIB such that the flip to persistent AFIB (another thinby Shannon - AFIBBERS FORUM
Nice find Jackie! Its nice to see what we have known for years making it more into the mainstream. Hope more EPs will pick it up and begin to understand how to incorporate Magnesium/Potassium repletion into their practices. Shannonby Shannon - AFIBBERS FORUM
Michael, LarryG brings up a good point in that everyone will be motivated by the degree of life impact their AFIB is causing. Obviously the symptomatic or not very symptomatic issue is what inspires most people to either seek out ablation help or not make it a priority at this time. That's as it should be in most cases, although there is the valid caveat too that the longer AFIB persiby Shannon - AFIBBERS FORUM
Hi Michael, Don't even dare consider getting an ablation with Dr Sterns if he recommends in one breath that he would not get an ablation if he was in your shoes, and then in the next breath he says you have fully qualified for an ablation in the Canadian system now and he can schedule you within the month!! The first rule of thumb to honor at all cost is that if your EP isn't confideby Shannon - AFIBBERS FORUM
Right on the money George! And Dennis this brings up avery good example of how the wrong subject is assumed the culprit and thus by not having a complete picture of the real influence of each element, very wrong conclusions have been accepted for many years with hardly a critical challenge until the last 10 years or so. Its not fats or animal protein, per se, that is the problem, its the wrby Shannon - AFIBBERS FORUM
Hi Andey, That is an oddball situation for sure and a tough decision no doubt. However, it sounds like both you and your sister have family support and are not exclusively depending on one another to be there physically for the other. You will only be out of action in the hospital for a little over 24 hours and then will begin your healing process. That could include a short visit with yourby Shannon - AFIBBERS FORUM
Thanks Jackie, I saw that yesterday and wrote my representative about it as well! Shannonby Shannon - AFIBBERS FORUM