Dr. Natale November 14, 2018 10:26PM |
Registered: 5 years ago Posts: 131 |
Re: Dr. Natale November 14, 2018 11:04PM |
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Re: Dr. Natale November 15, 2018 01:36AM |
Admin Registered: 6 years ago Posts: 5,341 |
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Kleinkp
I feel alittle bad telling my local EP I'm going to another EP for the procedure.
Re: Dr. Natale November 15, 2018 04:21AM |
Registered: 11 years ago Posts: 615 |
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Joe
It's your body and you pick the best you can afford especially at your age.
Mentioned to my EP the success rate of Bordeaux ablation experts. He was aware of their work but said that it could not be replicated (their success rate) in other centers.
I brought up the idea that it is the operator (and not the method/technique)who makes the biggest difference and he agreed.
Best of luck!
Re: Dr. Natale November 15, 2018 07:18AM |
Registered: 5 years ago Posts: 131 |
Re: Dr. Natale November 15, 2018 09:14AM |
Registered: 6 years ago Posts: 706 |
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Kleinkp
Dr. Natale in network and I'm blessed with $1600 max out of pocket annually then covered at 100%.
Is there any info/articles that explain his techniques that make him such an allstar.
Sure my local EP will understand and if not I'll have to go elsewhere to find local care.
Thanks,
Kevin
Re: Dr. Natale November 15, 2018 09:21AM |
Registered: 5 years ago Posts: 131 |
Re: Dr. Natale November 15, 2018 11:59AM |
Registered: 11 years ago Posts: 615 |
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Kleinkp
Haven't mentioned Dr. Natale, but he has said make sure if not him a high volume clinic.
I here of many stories of Dr. Natale treating patients that have failed ablations and tough cases. Will Paroxysmal AF with no failed ablation fall under his expertise?
Thanks,
Kevin
Re: Dr. Natale November 15, 2018 02:48PM |
Admin Registered: 6 years ago Posts: 5,341 |
Re: Dr. Natale November 15, 2018 03:19PM |
Registered: 8 years ago Posts: 1,102 |
Re: Dr. Natale November 15, 2018 04:41PM |
Registered: 5 years ago Posts: 131 |
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Carey
I here of many stories of Dr. Natale treating patients that have failed ablations and tough cases. Will Paroxysmal AF with no failed ablation fall under his expertise?
Of course. He takes routine cases right along with the hard cases.
Re: Dr. Natale November 15, 2018 09:20PM |
Registered: 11 years ago Posts: 4,222 |
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Kleinkp
Norma precautioned me depending on where and the aggressive nature of the ablation. The possibility of being on blood thinners for long term after procedure. She said unlikely in my case but non the less she put that out there, which I appreciated the candidness.
Re: Dr. Natale November 16, 2018 09:28AM |
Registered: 5 years ago Posts: 131 |
Re: Dr. Natale November 16, 2018 02:06PM |
Registered: 11 years ago Posts: 4,222 |
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Shannon
Always good to hear and it’s true some LAA Isolation patients who are borderline during their initial 6 month post LAA-Isolation TEE scan, but miss the passing grade that is now 45cm/sec or greater, will go on to pass a future exam that shows all 3 metrics are passed:
1. LAA Emptying Velocity of: >/=45cm/sec
2. A consistently robust Doppler A-Wave into the Mitral Valve Inflow area measurement.
3. Complete absence of any ‘Smoke’ or SEC (Spontaneous Echo Contrast) in both the LA and within the LAA.
These three metrics much all earn a passing grade to earn the right to stop OAC for folks with LAA isolation ... and ONLY if the person’s systemic stroke risk score (CHADS-VASc score) is </=2.0.
If stroke risk score is greater than 2.0 most EPs will insist on either continued Eliquis and/or to go for LAA Closure and sometimes even then an OAC drug (possibly at half dose) might still be required for those with higher systemic (non-LAA/AFIB related) stroke risks.
About 58% of LAA isolation patient do not pass the initial post 6 month LAA-iso TEE test and thus need to stay with either OAC or LAA Closure. But that leaves ~42% of LAA-ISO patients who stand a great chance of stopping all blood thinners plus have all atrial arrhythmia out of your life long-term. The ultimate ‘win-win’!
That is WAY better odds of getting off a blood thinner than just avoiding LAA Isolation for those with LAA triggering their AFIB/AFlutter/ATachy. And which only insures 100% need for life long blood thinner for this class of patients who will also morph into Persistent/LSPAF, if they have not already!!
Re: Dr. Natale November 18, 2018 11:40PM |
Registered: 8 years ago Posts: 68 |
Re: Dr. Natale November 20, 2018 11:45AM |
Registered: 8 years ago Posts: 1,102 |
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JakeL
I would suspect that when you request your local records to be sent to Dr Natale your local EP/Cardiologist will know of the request but should not challenge you as the patient making the request.
Re: Dr. Natale November 20, 2018 12:07PM |
Registered: 6 years ago Posts: 706 |
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wolfpack
I would suspect that when you request your local records to be sent to Dr Natale your local EP/Cardiologist will know of the request but should not challenge you as the patient making the request.
Unlikely he or she would even know of the request. It'll be handled by front office folks. Also, it'd be illegal for them (or any doctor in this country) to not honor the request. They are your records, by law, and you decide what happens to them in all cases and at all times.
Re: Dr. Natale November 22, 2018 03:27PM |
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Re: Dr. Natale December 09, 2018 03:57PM |
Admin Registered: 11 years ago Posts: 2,779 |
Re: Dr. Natale December 24, 2018 03:17AM |
Registered: 12 years ago Posts: 241 |
Re: Dr. Natale February 20, 2019 12:51PM |
Registered: 5 years ago Posts: 48 |