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Hi Liz, I see the same kind of disconnect all the time in older vegetarians compared to people in the same age group who eat lots of good organic veggies and such as well as high quality animal protein properly prepared as well, and take some well thought out supplements as needed etc. If you go to a vegan or vegetarian fair or frequent a health food store which caters only to vegetarians (by Shannon - AFIBBERS FORUM
Hi Debbie, A wealth of unbiased nutritional research would greatly argue with Dr Furhman's assumption that the 'quality' of protein in plant based sources and animal sources is the same. And for the amount of protein in his comparison he based it on 'per calorie' ... a ham is much more calorie dense than a tomato. You would have to eat a basket full of tomatoes ... noby Shannon - AFIBBERS FORUM
Samuel and Murray, Thanks for your input and experience. There is no question that for many people moving to a largely or even solely vegan-vegetarian diet can prove, 'enlightening' when coming from a more typical SAD diet and life style. Almost invariably you will find there is a proportional increase in benefit tied to the degree of SAD diet they were accustomed too before. Inby Shannon - AFIBBERS FORUM
Totally agree George, high quality saturated and mono fats with a healthy and consistent but not super high level but high quality animal proteins combined with a wide assortment of organic veggies, mostly berries and apples for me as far as fruit goes but not the highly sweet fruits, sprouted nuts and sprouted seeds is the best diet I have tried and for feeling, performing and physically lookingby Shannon - AFIBBERS FORUM
Yes DSENNET and Murray, I can understand why your husband has done pretty well as an LA diameter of 50cm should not be a barrier to an ablation by a skilled ablationist who is also very comfortable and familiar with working on any and all non-PV sources as they are found. Shannonby Shannon - AFIBBERS FORUM
Hi Debbie, There is considerable controversy and very well through-out challenged to the China Study methodology and conclusions. One of the problems was the authors first approached doing the study with a strong belief system in place about being vegan/vegetarian and it was thus very hard to not let structural bias creep into some of their interpretations, even unintentionally. There are uby Shannon - AFIBBERS FORUM
Thanks Jackie and George, You beat me to the punch on this issue and Im glad to see how throughly you covered the real story here. At the medical conference I was working at last week in Boston Dr Jonathan Wright who is a top colleague of Dr Alan Gaby as well along with two highly respected nutritional biochemist were on a panel discussion about this study and they totally and completely diby Shannon - AFIBBERS FORUM
Thank you too Betty, We have been on a similar track here and I look forward to good progress reports from you as well going forward. All the best, Shannonby Shannon - AFIBBERS FORUM
Hi Siri, Some anesthetics and possible some of the supporting meds they gave could have helped trigger a bout, but so could just the physical stresses from the operation itself. Especially if you are low on important nutrients and electrolytes as well as have low adrenal output of cortisol as well. Shannonby Shannon - AFIBBERS FORUM
Hi Murray, are you doing any good walking exercise program these days too? Maintaining some mild to modest aerobic level can help a bit on tightening up the LA, as long as you aren't overdoing it. And have you had your anabolic hormones measured by a competent physician training and certified in BHRT (bio-identical hormone replacement therapy) ? Almost universally people in our age groupby Shannon - AFIBBERS FORUM
Thanks for digging this one up Jackie, I had remembered this report from long ago and it dovetails with more recent studies too. And this is why I had little hesitation to go for the Lariat once it was confirmed my LAA velocity was so low. They are only going to refine and improve these various LAA ligation/occlusion devices and procedures going forward which for me seems the better way toby Shannon - AFIBBERS FORUM
60 is high Murray, but 50cm while far from ideal is not a barrier for success with the right ablationist when you accept the greater likelihood of needing One larger index ablation plus a true touch up to be cooked and well done. What is Dr Verma's first name? Just curious if he is the same Verma who was the lead author of the Cleveland Clinic study in 2005 on fibrosis relationship to siby Shannon - AFIBBERS FORUM
Hi Andey, The worst part is our mind tricks we play on ourselves beforehand, the best advice is to choose a real recognized stud which you have done an A+ job at doing already with Natale in your corner, and then relax! You couldnt possibly have made a better decision. By the neck thing I assume you are referring to using the jugular vein as an access port for the decapolar mapping catheterby Shannon - AFIBBERS FORUM
Gary, Dont even think about it unless your are in long standing persistent AFIB, have documented severe left atrial scarring and LA diameter well above 5.0cm! And/or having failed several catheter ablations with a bonafide top gun ablationist .. not just the average local 'ggod EP' you might have been referred to by your local Cardio or GP. Anything less than that and its crazy toby Shannon - AFIBBERS FORUM
Dear Friends, Ive just returned to Sedona after the trip and just now had a chance to read through this thread! I can't tell you all how very touched I am by all of your kind words and best wishes, I'm truly grateful. It is a wonderful thing that something so difficult and challenging on so many levels as AFIB has brought us all together from many parts of the globe to each shaby Shannon - AFIBBERS FORUM
Well , my TEE yesterday at CPMC in San Fran was easy and event less. Luckily I rarely if ever get any throat issues or sore throat after a TEE, and this one was no different with just an hour or so with a slightly raspy voice afterward and then back to normal. The better news I got from Dr Natale a short while ago when he told me I can now toss my Coumadin for good!! :-) Am dancing an Irishby Shannon - AFIBBERS FORUM
Hi Andey, I just left my meeting with Dr Natale here in San Francisco with good news for me That I'll post in a separate thread shortly, but absolutely Natale is the only one who will do ablation work inside your heart... No one esle. It's his rep on the line and others he is teaching learn through observation and instruction by Dr N but then reinforce what they learned in ablatioby Shannon - AFIBBERS FORUM
Great news TomB That you can feel the difference in stability, even after only a few days is a good sign he likely nailed a key trigger that was still acting up after the first one . I'm heading in right this minute at CPMC to get my post Lariat TEE and then the verdict on it tomorrow with Dr N. Take it easy and no hard core training until you are well healed up! Cheers! Shannonby Shannon - AFIBBERS FORUM
This is an important topic Jackie and glad you posted it. Interestingly, at the large BHRT ( BioIdentical Hormone replacement therapy) conference I was working at here in Boston the last four days and just finished up several hours ago, there was a lot of discussion in the two key factors of insuring proper methylation of vital nutrients and hormones via functional enzymatic action and full assimby Shannon - AFIBBERS FORUM
Hi Barb, As McHale , Ken and Iatrogenia all reassured, it is not uncommon for a little minor throat/esophageal irritation to be there for a bit post ablation. Most everyone has a little bit of that for a couple days and some with more narrow windpipes or that are constricted a bit near the downward turn of the pipe can get a little more that lingers off and on for a few weeks. As everyoneby Shannon - AFIBBERS FORUM
The one theme you will hear alot here Petunia, is to spare no effort and expense to align with the most experienced ablationist you possibly can. Especially now that you are technically in persistent AFIB ... from waiting a bit to long just like I did over 5 years ago before Dr Natale erased my 24/7 AFIB as well. With regard to Xeralto, it certainly is more convenient than Warfarin and not liby Shannon - AFIBBERS FORUM
Good post Iatrogenia, I agree , docs who make statements like that are, unfortunately, too many still out there. They read the reports often from a large percentage of work and related stats done many years ago and with no obsolete tools, catheters and technique... Still looking in the rearview mirror. It takes years being mentored by a truly great Ablationist to yourself develop the kindby Shannon - AFIBBERS FORUM
Hi researcher, Without question, earlier is better all around when it comes to a first ablation.. And yes, I fully agree too that halving or more the complication risks is a good target for sure. The issues I have with DECAAF where not so much with the earlier first two stages, but rather the more pessimistic definitions of Utah Stages III and particularly IV with respect that those of usby Shannon - AFIBBERS FORUM
You're welcome Jackie, I realize its a rather technical topic with various nuances that take some time to digest. When I first heard of the DECAAF trials I was pretty excited about the possibilities, if DE-MRI proved consistently resolving enough and could be proven to be on par with CARTO in fibrosis detection, that it might become a useful tool for emphasizing the need for more EPs to eby Shannon - AFIBBERS FORUM
Hi Diane, researcher and Jackie, I've started a new thread to carry on this original thread started by Diane which was drifting toward the bottom of the page and I felt it an important topic to explore some. Thanks again Diane for posting the original as you beat me to the punch. Shannonby Shannon - AFIBBERS FORUM
Hi Diane and Researcher, The story around the DECAAF trials is an interesting and useful one to examine in more depth, as such I started this new thread to explore it more fully with the attention it deserves. The original thread titled 'Groundbreaking Ablation Study' by Diane96883 was drifting toward to bottom of the front page so perhaps we can keep it going a bit longer with a reby Shannon - AFIBBERS FORUM
Hi Sam, There are several good study's by Natale's group showing no measurable decline in mechanical function from more comprehensive ablations done in the proper sequence and layout. Just as I and many others have discovered first hand after extensive work done that was needed to put the cork firmly in the bottle again. And you are right, having a doc who is not too timid and hby Shannon - AFIBBERS FORUM
Hi Karen, No need to go all the way to France ... except for the beauty, charm, culture and great food ... not if you have US insurance and with Dr Pinski so close then you are in luck as that is a very good option for you .. Dr P was mentored and worked along-side Dr Natale when they both were at Cleveland Clinic with Natale as the Director of AFIB, and Pinski is still close colleague and frby Shannon - AFIBBERS FORUM
Thanks Jackie, just started working on a thorough reply to Diane's post and the worthwhile topic to examine more closely. Alas Im also packing up for a trip to Boston this weekend and the straight to San Fran to get my Lariat follow up TEE a week from this coming Monday and meet with Dr N the next day for the verdict. As such, I hope to squeeze in the time to finish up the post Id like toby Shannon - AFIBBERS FORUM
Hi Sam, Good to hear things are going well at the three month mark.. I had the pleasure of meeting Dr Nadamenee years ago in Honolulu when he would occasionally go to Queens Med Center to do ablations and worked with my local EP back then Dr Hong and we met there. He's a very nice man. No doubt he has been progressing with his CAFE approach these years. It was all the rage some 7 to 8by Shannon - AFIBBERS FORUM