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Many thanks Tom, I just got your reply after returning home from San Diego where we were for the last week, and will reply on my computer today (Tuesday) where I can type on a real keyboard. All the best, Shannonby Shannon - AFIBBERS FORUM
It's not an issue to be concerned about at all Barb. All the top EPs with at least several thousand ablations under their belt have all ablated large numbers of women successfully. Dr. N has successfully ablated more women than most other high skilled EPs have ablated in total both men and women, so you are in the right place in any event. Shannonby Shannon - AFIBBERS FORUM
tobherd Wrote: ------------------------------------------------------- > Ater wrestling with Afib for 10 years, and being > on Flecainide for 5 years, I decided it was TIME. > Having Dr. Natale now working just an hour away, > and a little more Afib "kickups" lately, I finally > did what I've been so afraid to do...make an appt. > to talk about getting thiby Shannon - AFIBBERS FORUM
Great to hear Ron! Congrats and just take it easy, there is nothing left to do but not push things and make sure you keep up with the magnesium/ potassium and plenty of anti-inflammatories going forward. go easy on the exercise hte first month .. walking is okay and stretching and light resistance after about two weeks, but save any heaver stuff for a month to 6 weeks later. Also .. stay away froby Shannon - AFIBBERS FORUM
Hi Dirk, First of all, 41cm LA diameter is perfectly fine for an ablation. Underscore the word 'mildly' dilated. They start to get more concerned when you are over 50cm to 55cm as making a successful ablation on one go around more problematic with dilation around that level and bigger. Flec can help mainly if it is successful in preventing or minimizing breakthroughs such that revby Shannon - AFIBBERS FORUM
You are welcome Elena, Larry is very fortunate that you are handy with a computer and found this place . Good too that Larry was able to connect with and speak to Hans who is always such a great resource. You have definitely helped Larry make the right choices in this often daunting field that can be so confusing without some solid guidance from people who have had to navigate all the twists aby Shannon - AFIBBERS FORUM
Hi Elena, start with Jackie's 'The Strategy' and immediately after the ablation you can start with Han's Post ablation protocol, both of these resources and many more good tips and guidance can be found in the AFIB Resources link button on the top left of this Message Board as well. Best of luck for you Husband .. you are definitely making the right choice of where and whoby Shannon - AFIBBERS FORUM
Hi Barb.. to reach Dr Natale's scheduling nurse, Michele, at Al Sabah in NYC call: 212-523-2400. I think it was in another thread that you asked me for his NYC number. Best wishes, Shannonby Shannon - AFIBBERS FORUM
Good to hear all is progressing along as expected McHale, as we discussed on the phone just chill the next week and go easy with the exercise the first month or so. Avoid drinking or eating cold liquids or ice cream while the inflammation in the LA is healing. Avoid laying on your left side as much as possible, don't forget the daily anti-inflammatory helpers we discussed, stock up on the Sby Shannon - AFIBBERS FORUM
Thanks George My mistake was starting to type on my I-phone to begin with last night. By the time I realized this was going to take some explaining it was too late to shift to the computer and start all over again so I slugged through it. I don't claim to have good manual dexterity with these tiny virtual keyboards and I'm still working out the finger cramps today! Anyway, gladby Shannon - AFIBBERS FORUM
Hi Barb, Your biggest fear that an ablation could possibly make things worse is extremely unlikely when you choose a true top tier highly experienced operator. That's why I continue to harp on that issue so strongly. It can take two, to even three on occasion, procedures to get everything addressed for the long haul, but the less persistent your AFIB is the better your chances for a onby Shannon - AFIBBERS FORUM
Hi Steve, I have warfarin resistance, a genetic issue, and currently must take 12.5mg of brand name Coumadin a day (generic Wafarin has too much variability in INR and creates even faster INR swings in me than does Coumadin ... A common finding for many with a sliding variable INR range. I definitely have significant GI issue on Coumadin, don't like taking it at all, but not switchingby Shannon - AFIBBERS FORUM
Just heard from McHale, he is home now and grateful to have it all over with. His I-phone ran out of charge at the hospital and since it was a surprise that he got the ablation yesterday instead of today in any event, he hadn't had the time to plan out such details like phone chargers etc. Anyway, he said his is taking a good rest now while the phone charges. Had a bit of a residual headaby Shannon - AFIBBERS FORUM
Hi Stephen, So sorry to hear of your continued GI issues! The bloating I experienced after my first long procedure was strictly from the added water from the then new Thermocool catheter 5 years ago, and the large amount of burning required to end the AFIB such that for a few days I lacked enough ANP hormone production from the cells lining the left atrium to control my water balance properlyby Shannon - AFIBBERS FORUM
Hi Mike, You're welcome, and reviewing your situation I can best answer by sharing what happened with me. I was one that wanted to postpone an ablation at all cost and did a a very effective job of doing so for many years, though as it turns out at some real additional cost to me in the long run. Every person has to find their own comfort zone with navigating what is a complex decisionby Shannon - AFIBBERS FORUM
Hi GianFranco and RonB, Good news GianFranco, but do take this episode as your bodies strong suggestion to not get complacent with maintaining a steady supple of heart calming nutrients. An ablation does not 'cure' the underlying metabolic disorder we all have. It is clear too that whatever the ultimate metabolic cause turns out to be, it is strongly mediated by proper intracellularby Shannon - AFIBBERS FORUM
BruceS Wrote: ------------------------------------------------------- > Hi Shannon, > > I guess there are two NASPE's - Dr Cannom was the > President of the North American Society of Pacing > and Electrophysiology so I believe he is up to > date with what is happening in the field. I think > he felt bad for me and hence the recommendation to > Narayan. Heby Shannon - AFIBBERS FORUM
You are Welcome Bruce, Will try to reply more to your last post tomorrow. Its late here and am closing the computer. I'm surprised none of your prior EPs checked your hyperaldosteronism for a possible adrenal tumor and urged you to get that fixed! Doing so would have at least given a better chance for any half way decent ablation to work more effectively. With active hyperaldosteronism thaby Shannon - AFIBBERS FORUM
Good news! Just heard everything went well with Mchales ablation. Surely he will fill us in tomorrow with the details when he is up to it and back online. Shannonby Shannon - AFIBBERS FORUM
Hi Bruce, Sorry to hear of your long ablation history without success as yet! Nope, I don't work for Dr. Natale, I'm just a very satisfied and grateful long-time customer and have gotten to know him well over the years spent in the trenches as he has greatly helped dig me out of a couple of deep holes. I had a pretty extreme case, and thus working through all that, coupled with my owby Shannon - AFIBBERS FORUM
Hi Dennis, not necessarily a deal breaker, depending on the degree of AFIB. If it looks like a simple PVI it may not be as big a deal.. It also helps give very accurate coordinates to coorelate your actual Left and right atrial anatomy with the Carto 3 real time imagining for even more precise location and burns for real time and anatomical triggers.. But not everyone that has a Natale ablatioby Shannon - AFIBBERS FORUM
Are you still on Warfarin GF? I would go get an ECV pronto at this point after 24 hrs. No sense letting any more remodeling getting started. Could be another touch up is in order before long, but you may still get by with only one. A good number of people do need more than one, even with a top EP so, do what Dr Natale suggested to me before my first ablation. He said always assume it is a twoby Shannon - AFIBBERS FORUM
Just got a call from McHale while he was in the room with Dr Natale and since Dr N's schedule is particularly full tomorrow when McHale was scheduled for his ablation, and since he was there for his first meeting with Dr Natale and had been fasting for the CT Scan in any event, Dr N was able to fit him in right now so he is being prepped now as we speak, roughly 10am PST - 1pm EST for his 2pby Shannon - AFIBBERS FORUM
Hi Cathy, The relatively small dose of Curcumin in Zyflamend is very unlikely to effect anti-coag with Xeralto negatively. I've taken 500mg of Curcumin with Coumadin with little to no change in INR attributable to Curcumin at larger doses than found in Zyflamend, nor did I notice any increase in brusing etc, Shannonby Shannon - AFIBBERS FORUM
For extensive ablation that is well done it usually takes aminumum of 9 months up to as long as two years to return to very close to your preablation normal rate. It is not an issue for the vast majority of patients long term and usually a minor nuisance at most for that first year. It should not be a barrier to any ablation if you need one. Shannonby Shannon - AFIBBERS FORUM
Depends on which anti-coagulant and how soon after the flip back into NSR they stopped Anti-coagulation. There is a heightened risk with Xeralto and Eliquis if one abruptly stops these drug without switching back to Coumadin or Lovenox for some time, regardless if you are in NSR or not. With Coumadin, if you had been in AFIB and also been in a therapeutic INR range for less than a month leadinby Shannon - AFIBBERS FORUM
Hi Dan, I trust no one here thinks you are trying to scare people away from ablations. Your poignant story of Pam's experience at John's Hopkins, as well as several of my own close calls in the hands of otherwise well-meaning but not top level doctors over the years is what made me insist for myself to set a strict standard on who I would consider for my ablation work and interviewed wby Shannon - AFIBBERS FORUM
No worries Ron, Pam's story is a sad reminder that when it comes to the heart, in particular, choosing the best possible ablationist you can when an ablation has become your best option for a better quality life, is only in your own best interest. In Pam's case, it was a relatively early example that indicates how tough it can be to make the right choice in the beginning days or yearby Shannon - AFIBBERS FORUM
All those supplements are fine with Xeralto Ken. Shannonby Shannon - AFIBBERS FORUM
Hi Ken, You are welcome, there is a lot to learn and digest with this business for sure. Keep in mind too that in the event your AFIB is advanced enough to require a second touch up procedure at some point down the line, and he does find then that your LAA is the last remaining culprit, there is still a roughly 50% chance that even after an LAA isolation your emptying velocity may well be aboby Shannon - AFIBBERS FORUM