The Natale group gave me clearance to use ibuprofen for 5 days at 4-6 a day at week 3 post ablation when i hurt my shoulder I decided not to and took collagen and glucosamine and hyra acid instead. But it was deemed safe over the short term. I just went the total safe routby Poppino - AFIBBERS FORUM
How about Chicago. Very close to you. Northwestern Univ??? Tby Poppino - AFIBBERS FORUM
To me incredible you would be prescribed Amioderone! Esp given your few episodes etc. ive always thought of it as last ditch effort med. carey is correct imo Tby Poppino - AFIBBERS FORUM
Over 75 female?? Half dose??? 5mg. But a chads 3 i think warrants it. Carey will knowby Poppino - AFIBBERS FORUM
Joy my 2 cents. Imo it sounds like blood thinners ( even though their not) is a must fot you. Too many sporadic events at high rates and lasting hours. I hate eliquis too I want off but its way down the road for me. LAA Watchman etc etc Just my opinion and am sure your EPs as well. My EP here is pro eliquis. Risking a stroke just not worth it. We re still at some risk even on eliquis. But ourby Poppino - AFIBBERS FORUM
In my limited research with regard to a Natale ablation in Austin outa pocket would be about 28,000 Our country is 30 trillion in debt. The world has debt of 144 trillion so its to me what does a few extra billion matter? When i sold my business in 2016 i put a stash away for this very reason. That someday id have to pay. Im fortunate i realize as many cant do this Ive paid into medicare sinceby Poppino - AFIBBERS FORUM
Ok great thats what i kinda figured!by Poppino - AFIBBERS FORUM
Ok now totally confused. Does all the above apply to LAA isolation then a Watchman which people here have done? And i hope to do Is a Watchman the same as a Lariat. A closure? Thus creating other issues. I cannot imagine it does or the Watchman wouldnt be too popularby Poppino - AFIBBERS FORUM
Hi ken you are sorta in my league. I too had a Natale ablation 8/6 LAA isolated. On eliquis til such time im either arrhythmia free and LAA pumping 60% or im not. So 2 cans of worms only time will tell. Im 5 weeks post ablation tomorrow. Had a virtual with my charlotte EP yesterday. He supported my trip to Natale. Hes i think still in conservative camp on LAA isolation but actually im not. If itby Poppino - AFIBBERS FORUM
And George is right just putting it in its simplest form. I know people on eliquis for years , a guy at our YMCA (all masked again) has been on Warfarin since 1998! So imo if you stay away from the added risks - ibuprofen alcohol aspirin certain herbs blows to the body etc hopefully a bleed is avoided. I sure didnt mean this to scare anyone but education is everything and thus making The Watchmanby Poppino - AFIBBERS FORUM
I would say no Susan based on what i read. I dont see clots as a point. Besides anticoagulated is anti clot but im new at this. I think i was rated a 3 for over 65. Alcohol use which is zero now and high BP which im not imo. My score is 1. Lol but thats still about 2% thus why i want a Watchman so maybe i get to aspirin of at least less eliquis. I wonder if plavix counts I assume it does Tby Poppino - AFIBBERS FORUM
In reviewing my Dr Natale ablation report i just yesterday saw something im not familiar with: HAS BLED score. My bit of research tells me its your risk of a bleed during one year on anti coagulation (eliquis 10 mg) my score was 3. It like a CHADS score i think?? Is based on points awarded (wish it was an award) per particular factors. Age , high BP , previous TIA etc etc. i got a point for highby Poppino - AFIBBERS FORUM
On Fri 8/6 i had a left atrial flutter ablation in Austin by Dr Andrea Natale. It was under 2 hrs as my pvi and right flutter were found to be durable. He did find electrical activity in my LAA and Cornary Sinus so both were ablated. Thus im on eliquis. The protocol is for me to wear a 7 day monitor at 6 months and this determines the next step. Touchup? Or TEE evaluation then perhaps a Watchmanby Poppino - AFIBBERS FORUM
Appreciate that clarification Carey. Im not good at living in the moment anymore. Trying with some therapy to get back to it Im always projecting into the future i knew the Watchman deal took some time before all said and done. Yes the 10% may include lesser volume installers! Tomby Poppino - AFIBBERS FORUM
Enjoy this thread : yes id love to someday in the next year be able to use a natural approach vs potential clots should a future Watchman give me that opportunity I was an afib experiment. Excessive sports for many many yrs. running lifting cycling men’s basketball leagues etc etc. all the while downing 2-3 scotches a night. Then i got pneumonia then i took levaquin then 3 months later my firstby Poppino - AFIBBERS FORUM
Thanks George. I believe ive heard the Natale Group brings you back after a period to TEE the Watchman for this exact reason. Leaks But 90% is still decent but you’d expect a complete seal and yes staying anticoagulated until no leak is confirmed may be the protocol. Gittygirl Genie is on this path so ill look foward to her reports George i got you down as The Professor on Gilligans Islandby Poppino - AFIBBERS FORUM
Wow! See im totally vagal. I drink coffee every am dark rich. My HR goes down then this morning my BP was 116/64! But a couple scotch and waters or 2 beers its over And most nearly every episode in my 15 yr history is 9 pm to 4 ameby Poppino - AFIBBERS FORUM
Alcohol huge trigger for me. Back in my afib days and more recently in my atypical flutter days. Perhaps more so. Being on eliquis after my 8/6 Natale ablation thus no alcohol. Ok George, please put in laymans terms that Watchman study. 10 % leaks does that mean enough for clot dislodge? If your own tissue grows over it where is the leak? My ultimate hope as for many is to get a Watchman thus elby Poppino - AFIBBERS FORUM
Ice back in my afib days prior to a 2012 successful ablation i used Propafanone aka Rythmol. I used a loading dose at onset of an afib episode. I think it was 4 150 mg tabs. Many here use Flecanide in the same manner. They are used to convert after a period of time 1-6 hrs maybe longer. They are used on demand not an everyday med as metropolol is. M is just a beta blocker that will lower HR andby Poppino - AFIBBERS FORUM
Ok great that helps alot. I have a 9/8 virtual with Dr Holshouser so ill get his take. He and i have a good open relationship He conquered my afib just not left flutter thus Nataleby Poppino - AFIBBERS FORUM
Hey Mel. Sorry your here. Ok wow. Afib is not always fast but almost always irregular. Usually fast Mine would be 135-155 prior to 2012 ablation. What beta blocker? Metropolol? How many mgs? It will not keep you outa afib but can keep rate down during an episode. PVCs are not afib but come sometimes with this condition. My pvc s ive always linked to anxiety and emotions. Take magnesium throughoby Poppino - AFIBBERS FORUM
I think thats a fair estimate as i was guessing 15-25 k. What complicates it is: would they require a TEE velocity test first even done elsewhere? Am sure In my case im to wear a 7 day monitor at 6 months. Im told that determines their next move. So lets say zero arrhythmias then ill assume a TEE is next then a Watchman if im in the 60% but not sure if thats all one visit or 2? Thanks Careyby Poppino - AFIBBERS FORUM
Ok here s an off the wall question: if paid outa pocket whats the approx cost? Ill assume youd or id get a lower number as they would not have to deal with insurance So anesthesiologist procedure the Watchman itself one night all in???by Poppino - AFIBBERS FORUM
I think mag oxide is more of a laxative type magnesium. Magnesium glycinate which i think is magnesium bonded to glycine is better absorbed thus better for hearth rythm. The oxide form might actually create a negative. As stated above do not take calcium not mag cal combined just magnesium. George s formula of potassium in water used thru the day sounds vg too. Also simply staying hydrated (waby Poppino - AFIBBERS FORUM
I think its 40% can get off and 60 cant approx percentages. Some type of calculation of emptying velocity. Then I believe a Watchman for the 60% is an option. After its in im not clear on protocol. Ive read Plavix? And aspirin for a period. Or if no Watchman then 1/2 dose of Eliquis for life??? Its in my future. I hope! Even after watchman an 81 aspirin is protocol? The Natale Group will adviseby Poppino - AFIBBERS FORUM
👍by Poppino - AFIBBERS FORUM
Eliquis is usually mandatory 3 months min. 10 mg 5/5 unless your EP has a reason? We would all love to use a natural substitute. Dont Even in rythm. Back in 2012 my first afib ablation i was warfarin resistant! 15 mg took me to like 1.8 not 2-3. My ep said: just take aspirin. Times have changed A stroke can be devastatingby Poppino - AFIBBERS FORUM
My own research seems inconclusive so i thought id ask here. Have a Solgar formula id like to use for a shoulder but am being ultra cautious. The Natale group gave me the ok to use ibuprofen 6-8 a day for 3 days but i havent. Just wanna be totally safe. Im on 5/5 ea day til at least January and probably beyond with hopes of Watchman Flex Tby Poppino - AFIBBERS FORUM
When i was first diagnosed with atypical flutter Dr Holshouser said its left not right. So i assumed he could tell. Now maybe he just knew that right was ablated years earlier and the only flutter left was left sided. Idk. I always was under assumption the ekg could tell but i guess not. Anyway i indeed did have left flutter that Natale also mapped to my LAA and isolated it 13 days ago. So far onby Poppino - AFIBBERS FORUM
My ep knows immediately wether its right or left (atypical). I had right flutter ablated 2012. Its a near lock 95% cure rate. Outpatient usually. Left or atypical another animal. When i first developed it and it was caught on an ekg about 2017 my ep called it problematic. He ablated it 3/29. Didnt work thus i went to Austin and Dr Natale 8/6. LAA and Cornary Sinus isolated. I could be mistaken bby Poppino - AFIBBERS FORUM