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Quotesusan.d Disappointing review by the doctor with respect to ablation. Basically said that the purpose of ablation isn’t to get rid of paroxysmal AFib, but to prevent its expansion into persistent. Also said that Cryo and RF are much the same. Hardly.by Brian_og - AFIBBERS FORUM
QuoteJoe Here, mains are 240V 50Hz. I wouldn't want having a try while in afib. I've already had unvolontarily, while in NSR, and it was far from funny. Mains are 120V in North America, and I've taken more than one jolt from that, including a prolonged one when I was about 12 years old. Definitely wouldn't want to sample 240V. Nope, no thanks. I've always wonderedby Brian_og - AFIBBERS FORUM
When you sign up for Medicare make sure you get regular Medicare and a Medigap Plan such as G. That way you can use any EP in USA. Don’t get an advantage plan.by Brian_og - AFIBBERS FORUM
As Carey sys if you wait a few years you’ll be in Medicare so it’ll be free. Also by that time Pulse Field Ablation might be fully approved and common. Supposedly much safer so that might help with your worries. I got an ablation last December. My burden was pretty minimal, but the mental burden was larger. I just worried that it might happen when I travel, if I have some wine, if I get dehyby Brian_og - AFIBBERS FORUM
Quotebettylou4488 Read this. So what are your thoughts on not doing the priolosec for the month post ablation? I am going to get that book but I am familiar with the concept. I have done Prilosec in the past but that month after my first ablation I did it 'religiously'. II have another ablation on Thursday... IDK what I might want to do.. EPs prescribe PPIs after ablation tby Brian_og - AFIBBERS FORUM
Dr John Day references the above article regarding PIP. His suggestion is, if you do it, to take the NOAC for 30 days afterwards.by Brian_og - AFIBBERS FORUM
Your Apple Watch sends the 30 second output to your iPhone assuming that’s your setup? You should be able to look at the trace. You can send it to your cardiologist or even post it here. That will help.by Brian_og - AFIBBERS FORUM
QuoteMarkL A more procedural question regarding ablation. During my EP visit last week when it was agreed we would proceed with the procedure, I forgot to ask two questions, so I asked via the patient portal, set up for non-emergency messaging with physicians in the Medical School related practice. The questions and his response are below. I understand he is the physician and I am not a physby Brian_og - AFIBBERS FORUM
QuoteCarey The study is of patients who "underwent ablation between June 2004 and June 2006". That sounds almost prehistoric. It absolutely is prehistoric. The differences between a 2005 ablation and a 2022 ablation are like night and day, especially in the realm of safety. Nobody should be reading anything about 2004-2006 data when modern data is available. And it is. I'mby Brian_og - AFIBBERS FORUM
Yes. I’ve had one cardiologist appointment on video and Medicare paid for it. I’ve had quite a few other video appointments with other doctors. All paid by Medicare.by Brian_og - AFIBBERS FORUM
No..no anti antiarrhythmics for me probably because I had little burden before and so far I haven’t experienced any afib since the ablation, just some minor PVCs. But that’s just my assumption frankly. I really don’t know in what situations they prescribe those after ablations. With regard to taking me off anticoagulant, they don’t make that decision until after 6 months. I’m hoping that iby Brian_og - AFIBBERS FORUM
Great news. You must feel great about it.by Brian_og - AFIBBERS FORUM
Quotesusan.d Did he give you a rx for Lasix (just in case) and potassium in case your ankles swell up or you retain liquid and gain 5 pounds? No. The PA last week told me to weigh myself every day for three lbs in one day or 5 lbs a week. If so to tell them and they would call in a prescription. They tested my potassium this morning and it was slightly low, so they gave me two pills beforby Brian_og - AFIBBERS FORUM
One interesting thing. He prescribes protonix for everyone 40mg twice a day just in case of possible damage to esophagus. I was relieved that he prescribed it for everyone and not just me.by Brian_og - AFIBBERS FORUM
Quotesusan.d Brian-get the hospital ablation report (differs than the EP report in detail) to see how many burns and length of each burn, length of fluoroscopy, how many cardioversions, joules of each, drugs given, etc. mine are usually 17-21 pages. Can I get that from the EP, or have to ask the hospital? Don’t know who I’d ask at hospital.by Brian_og - AFIBBERS FORUM
Thanks everyone. The urinary catheter was a godsend as suggested by Carey. Stung a little coming out but that’s the only drawback since I was under when it was put in. Also used George’s and Susan’s idea of recording the EP. Although the good part was I had access to the procedure notes about two hours after the ablation ended. The procedure lasted about three hours. Unfortunately, as uby Brian_og - AFIBBERS FORUM
Hi folks Well after finding this site a few years back, and learning from everyone posting here, I’m off for my first ablation tomorrow. The EP is Richard Hongo at CPMC in San Francisco. He trained under Natale way back when Natale performed surgeries there. He’s done 1000s apparently so I feel like I’m in good hands. He uses RF and will try to induce more afib after the PVs are done sby Brian_og - AFIBBERS FORUM
My EP ( Natale trained) said that he will diagnose someone purely on the evidence of a Kardia or Apple Watchby Brian_og - AFIBBERS FORUM
I’ve been interested in this for a while as well as I’m due for an ablation soon and do drink a glass of wine or beer in the evenings. I’ve seen at least two studies that imply that drinking alcohol can result in AFib returning more quickly after an ablation. This study goes into it in depth. Conclusion: Alcohol reduction was associated with lower rate of AF/AT recurrence after cathby Brian_og - AFIBBERS FORUM
Yes. Haven’t felt it in quite a while. I’d love to know what it was.by Brian_og - AFIBBERS FORUM
What is this buzzing sensation that you’re referring to? In the past I would wake up with something that could be described that way, but I wasn’t in AFib or tachy. I just felt like my torso was vibrating gently. Any ideas?by Brian_og - AFIBBERS FORUM
Are you back to feeling normal now after one week?by Brian_og - AFIBBERS FORUM
I talked to my EP a few weeks ago about my upcoming ablation. He mentioned that they found that putting catheters in both side worked out better for the patient. He didn’t elaborate and I didn’t think to ask him why. Would that make any sense to anyone?by Brian_og - AFIBBERS FORUM
What would determine the choice of one I insertion point over 2?by Brian_og - AFIBBERS FORUM
Congratulations! It’s interesting how some hospitals are releasing the same day and some aren’t. I have an ablation scheduled for December with Dr Hongo in San Francisco and they keep people overnight.by Brian_og - AFIBBERS FORUM
Interesting study relating AFib events in paroxysmal individuals to stroke. Pretty much nails down that AFib is a cause of stroke as well as a marker. Also a discussion of pill in the pocket as a method for anticoagulation since the risk seems to attenuate quickly some days after the event.by Brian_og - AFIBBERS FORUM
The strange thing about this statistic is that if we have a 3.5% chance of stroke at age 60 then that translates to almost 100% chance of stroke if we get to the ripe old age of 90. The math makes sense but that part just seems weird.by Brian_og - AFIBBERS FORUM
QuotePompon There are pros and cons for GA as well as for sedation. Many EP dislike having a conscious patient on the table, but some are used to. Many patients fear being conscious during the procedure, but some like it better than having hard times recovering from a GA. IMO, both the patient and the EP have to feel confortable with their choice. I've had two ablations with GA, two withby Brian_og - AFIBBERS FORUM
Lenlec, in your first post post ablation you said “it bloody hurt tbh”. Could you elaborate on that? Thanks.by Brian_og - AFIBBERS FORUM
I’d anyone familiar with Christopher Woods? He’s the lead investigator at one of the Bay Area Hospitals for the Farupulse catheter.by Brian_og - AFIBBERS FORUM