Wednesday, January 15, 2020

Time flies

Its amazing how fast time goes by. I hadn't realized its been so long since I have posted here. But as they say no news is good news.

The heart has been ticking like clockwork. only the occasional epileptic. I have added D3 to my regiment and continuing to limit my calcium intake to see if that puts an end to those as well. I haven't been on the bike since September 2019. I have been having a hard time finding my way back to cycling since my last ablation. So much has happened along with time since I have been really regular with my cycling. I'm hoping that once the weather breaks the desire will come back.

I have been getting to the gym about 5 days a week though so I am getting good exercise. I am also doing allot of high rep sets and combining 2-3 exercises per muscle group. I'm avoiding any really heavy weights though as that is also tied to afib. The Gym is where my fitness addiction started so this is good.

Here is an example of what I am doing for my exercising. For chest my total reps need to be at least 60 total per exercise. I do 4 sets of 3 exercises. Bench Press-Dumbbell Fly's-Inclined Bench Press all done consecutively without rest in-between.

1st Set:
Bench Press : Olympic bar no weights 50 reps (warm-up) followed by 20 reps @135 lbs.
Dumbbell Fly's : 20 reps @25 lbs
Incline Press: 20 reps just using an Olympic Bar no weights (45 lbs)

I finish up by doing another 50 chest presses with just the Olympic bar. Today my total reps were Bench: 100 w/o weight and 65 @135 lbs. And 80 reps each Dumbbell Fly's and Incline Press.

I'm also dealing with a bad case of Bicep tendinitis. The doctor seams to think it will be ok in about 3 months. Someways I can barely lift my arm and other days it hardly bothers me at all. Surprisingly its not the gym days when it hurts the most. Its when I take a day or two off is when it really flares up. I have done some research and asked Dr. Google for some good ways to speed my recovery along. He suggested hanging from a bar my help and by golly it has.

Turns out Dr. Google has an associate shoulder surgeon that has allot of his patients try this passive exercise befog he will do surgery. You can read about it here. These guys also talk about it. They have allot of good videos covering a plethora of subjects. I'm amazed at  how much better my shoulder is compared to what it was before I started passive hanging. I hang for about 30 seconds between each set of exercises. I also hang at the end of a workout for 3/4 times for 30 seconds each.

All Gyms Aren't Created Equal

So we joined our current Gym a little over a year ago. The manager is a trainer that my wife used when we belonged to the local YMCA. It's in the basement of of a large office building. Its not fancy like the "Y". The equipment isn't new. But its a bona fide Gym. Those that know will know what I'm talking about.

I've belonged to several gyms in my lifetime as that is where my fitness addiction started. But non compare to RAT's Fitness Center that was located in the upstairs of a small office building in Vandergrift PA. The only other Gyms that even compare were  KFC (Kiski Fitness Center) and Robby Robs Gym which was formerly RAT's. The one thing these 3 all had in common was people that came to do one thing. And that one thing was to work out. They were all social to a point but only after the sweat started rolling. If you didn't get motivated in these places it was your own fault because the people working there and those who worked out there wanted to see you reach your goals and potential.

Our current Gym has that potential but its missing the key ingredient and that's Sammy Alberts and Robby Rob Robinson. Those 2 guys were motivators and allot of fun to be around as well. They could be serious but new when to lighten up.
 


Ablation Summary from July 2019

Back at the hotel after a fairly restful night.

Yesterday was a long day. Checked into St David's @ 0530. Was in the EP Lab @0600. As always the EP crew was upbeat and fun right up until the point I was out and woke to pleasant nurse in recovery. I really thought I would be able to get to sleep early last night but as usual that wasn't the case. I finally requested a sleep aid and was out shortly after.

My wait for a room was going to be a while so once I was fully awake she ordered me lunch and brought my family back to visit while I was waiting.
I can't say enough about the atmosphere at both TC&A or St. David's as the staffing is fabulous.

Dr Natale was very pleased with how things turned out. He confirmed all pulmonary veins were isolated from previous procedures. And successful isolation of posterior wall of the left atrium using roof and inferior posterior lines. He also ablated along the left atrial septum, floor of the left atrium, left atrial lateral wall and interior roof of the left atrium. He also isolated the coronary sinus and left atrial appendage.

For those that have been following along since last year you will remember that Dr Natale did work on my coronary sinus and LAA at that time as well. I also had an organic afib episode that originated in my LAA while he was working his craft on my coronary sinus. This was after he had already done some work on the LAA.

As you who are veterans to this process here will already know how difficult the LAA is to ablated due to its consistency and proximity to other vital organs. This limits the the time that he can spend there. So even though he had twice visited my LAA there was still a little work to be done.

Also, most benefit greatly from a single LAA procedure which may or may not completely isolate the LAA. The plus side to that is that not only does this eliminated Afib in some patients. It also increases the possibility that the LAA will still function properly eliminating the need for long term anticoagulants.

He did have some issues ablating my LAA as he normally uses a 15 mm lasso but it could not be engaged because the entrance to my laa is too small. So he just used the regular catheter and went into the left atrial appendage and isolated it that way by moving the the catheter around the interior.

When we talked this morning we went over everything that he did as well as possibilities for the future. Chances are at this point I will either be on long-term anticoagulants or we need to have the laa isolated with either of watchmen or a lariot sutcher approach. His concern at this point with a watchman would be sizing as there only two sizes and the fact that my laa entry is so small could be an issue. But that's all down the road.

He sent me home only on 25 mg metoprolol and 5mg Elequis twice a day. He does not want me taking the Flecainide unless I need it.

Back From Austin

WOW!!! I didn't realize I hadn't finished this post........ My Bad

Had another great trip to Austin and as usual TCA and St. David’s did not disappoint. My procedure last Thursday went off without a hitch and we had som good quality time in the city.

We left for the airport the night before our flight. The flight was early so we got a hotel with long term parking so we could get a good nights sleep and be able to do some site seeing the first day there. Unfortunately things didn’t work out quite as planned not a single one of us slept the entire night and our flight was at six, and the bus to the airport was at 4:30 AM.  So that was a complete bust.

We however did catch our flight without a hitch. Of course TSA had to give me a pat down obviously they don’t like cargo shorts. They also gave my wife a hassle for the sweater she had draped over her shoulders she had to go back and take it off and put it through the x-ray. My son had zero issues walked right through no questions asked. It was a far cry better from last year‘s fiasco so I’ll take it.  One thing I will say about the TSA on our flight home the TSA in Texas were much friendlier folk and what we experienced in Pittsburgh.

Our flight to Atlanta was good but of course Delta overbooked our flight from Atlanta to Texas and were asking for people to volunteer for a later flight. At this point we were still going to get to Austin before noon so the three of us decided that we would take the bump and the $200 per person comp. However, as time progressed and the need for more people to get off the plane we ended up with $400 a person so that was a pretty good payday.

We arrived in Austin around 11:30 AM and caught a Lyft to our hotel. I will say the hotel is pretty nice. It was located within walking distance of Saint Davids it would’ve been a nice launching point for some sightseeing if that was our only reason for being there. Whatever I have in my family with me I need to somewhere for them to be entertained and I thought they could use the pool. Unfortunately the pool in the photo didn’t quite match the pool in the  pool on the premises. It actually looked Olympic size in the pictures but more like a kiddy pool in person.  I explained the situation to the hotel clerk and she seemed fine with the fact that we did not want to stay there but we had a heckuva time finding an alternative.

After about an hour and several phone calls we did finally find a place that was only marginally more expensive but had a larger pool and a nicer room. So we caught a lift to that place and we all crashed. We all finally woke up around 10 o’clock which was too late to head to the city so we just decided to order in that night.

I had an appoint with Dr. Natale  the following morning so we got up early and headed to Saint Davids so I will be on time and had breakfast. But a half hour for my appointment We headed for Dr Natale’s office. I signed in and before I could get sat down they called me back to the room. I met with one of Dr Natale’s nurses and we went over all the issues I’ve been having this year lead me to be back to their office. Dr Natale soon showed up And we went over what he Expected to find the next day during the procedure and what he would be doing.

After the appointment we headed downtown and spent the rest the day there starting on SOCO and ending up at the bat bridge.

SOCO, otherwise known as South Congress is a very nice part of town. Lots of eclectic shops with good restaurants and music venues mixed in. You could easily spend the entire day just in this area.  One of my favorite stores on the street was Big Top candy.  They had every kind of candy that you could imagine.  Every variety of gummy you could think of and bins of chocolate covered everything by the scoop. Along with bottled sodas, hand dipped ice cream and milkshakes. Veritable sweet tooth heaven. For those of you into motorcycles I highly recommend revival cycles right across street from the candy store. Definitely another kind of candy for sure. Custom bikes clothing and parts galore.

After spending several hours on South Congress we ventured towards this city center. We started out this part of the journey with lunch at a Cuban restaurant. CUBA512 was the name of the restaurant and the service and food were outstanding.Once we finish lunch we walked up to the capital building and spent some time there. Following that we headed further into the city to what is known as the dirty six.  The dirty six is the oldest part of six street where lots of older restaurants and establishments are. This is also where the college students spend a lot of their time. Lots of bars and restaurants with live music. They also shut the street down traffic after 9 o’clock. I would also recommend this area for an evening Outing. We popped into a blues bar and listen to music for a while while we are waiting for a final destinations open. The Museum of the weird.

The museum of the weird is another one of those oddities in Austin. It’s a quirky little place with quirky employees but it was fun and worth the $36 tour. Lots of old movie wax figures and a little performance put on by the tour guide. After the museum tour we headed for the Bat Bridge.

The Bat bridge was a bust for us so I'll post this link to what we expected to see.
https://www.youtube.com/watch?v=YwWGvf38TVM

The Ablation the next day went off without a hitch. More work on my LAA and coronary sinus and that wrapped things up. We spent a couple more days hanging at the hotel then flew back to Pittsburgh.

We had a late flight out of Austin on Sunday so we headed back to SOCO for some Mexican food and some great Blues music. Guero's Taco Bar did not disappoint. I highly recommend if you are ever in town. https://gueros.com/#about





Saturday, June 29, 2019

Nothing New

Noting new to report lately. I did have a short run of eptopics a day last week that I thought were surely going to lead to an event. Fortunately they were short lived and did not progress.

Tickets and reservations are made for my July trip back to Austin for my 4th and hopefully last ablation. I'm excited and ready to put this chapter of my life behind me. Hopefully forever.

I'm also excited as I will be able to see and have my ablation done @ TCAI's new Electrophysiology Center.

Tuesday, May 7, 2019

Outpacing Myself

Had another break through the other day. Came home from work and was helping with dinner when it happened. this one was the worst thus far. My heart rate reached 204 bpm which is by no means a record for me but its been a while since I have seen numbers that high. Ended up taking 200 mg of Flecanide and 7mg of Metoprolol and converted about 3 hours later.

This event really sapped it out of me. I was completely wiped out through the following day into the evening. So much so I took the elevator at work and did nothing when I got home from work. This is the issue with afib. It almost always gets worse instead of better. You may plateau but it will eventually take a stronger hold.

The Date Is Set

I took some recordings with my KARDIA and sent the best one to DR. Natale's nurse. She got back to me right away and we discussed when I was coming back for a touch-up ablation. I told her I was just waiting to hear back from his scheduler to set a date since I had passed on the last date that was offered to me. Things at that time did not seem that bad but after the other night I feel its time. His scheduler got in touch with me yesterday and I scheduled an appointment for July 18. That's 2 months away but that time will go quickly. It will also give me time to continue to regain some fitness before hand.

Friday, April 19, 2019

Afib Break Throughts

I have had a total of 3 Break Through events this year.Feb 15, April 1 and April 14. Two of them happened wile relaxed and the other at the gym. Non of these happened under any conditions I am used to. My events were always just after or during sustained cardio exercise whereas 2 of these happened in relaxed states. The latest being after being called out to work and not getting any rest.
The event happened @ the 18 hour mark of being awake and lasted for an hour. I took a Flecanide since I had so little sleep and didn't want to chance not converting on my own. This event lasted 1 hour as the other 2 about 1/2 hour.

I was able to have the April 1 event captured on a 12 lead EKG. I was at the gym when I went out of rhythm so I Gathered up my son and headed to the local ambulance service. They have 2 centers in town and I just happened on the one that only schedules transportation. After spending a few minutes trying to tell them that I didn't need an ER just a 12 lead EKG they said I should try their other office.

So back to the truck and across town the their other facility. I walk in and they are having a paramedic class. One of the instructors came out into the hall and I again start explaining my needs. Their first response was to ask if I wanted to go to the hospital. After a few minutes of explaining that all I needed was a 12 lead EKG before I convert back to NSR. That I did not need a hospital that was going to charge me $1000, maybe or maybe not get to me before I converted, then try to admit me the finally got the comfort level that I was aware of what I was doing.

They took me over to the Paramedic side of the building and they briefly explained my situation and what I needed and the manager grabbed their Portable EKG and lead me to their lounge. They hooked me up and got a recording. I thanked them and made my way back to the truck and converted back to NSR without meds, so I was out of rhythm for about 30 minutes same as last time There was allot of other conversation and banter in between, mostly them trying to tell me I should go to ER. They were also confused why the doctor would not want me to go to the ER. I tried to explain the situation but they didn't seam to understand. I did appreciate their concern though.

I am currently waiting to hear back from Dr. Natale's scheduler to set a date for a touch-up ablation. I was offered a May date but decided to wait for something a little later. Hopefully June or July at the latest. She is waiting for him to release his dates for those months.My family wants to come along so I think we will make it a road trip. My son and wife can both drive so I can relax coming home. This ablation should be a walk in the park as the main focus will be on the LAA and the completion of its isolation. I have never felt to bad following any of my ablations so all should be good. We will just meander home from Texas and pass through Nashville and Memphis. Probably catch the Blue Ridge Parkway as well.

Still Riding

I've still been doing some riding to try to find the fitness I lost somewhere along the way. My rides have been averaging a minimum of 30 miles and I have had both the Pinarello and the Jari out. I took the Jari the other day out of necessity.I broke a spoke on the last outing on the Pinarello and am waiting on MAVIC to send me the spokes to repair it. I ordered them a week ago and after speaking to them yesterday it looks like they may ship out tomorrow.

I really enjoy the Jari but it is a different animal from the Pinarello. Allot more relaxed and in by no measure a speed machine. At least it isn't with the tires it has on it now anyway. It does allow for me to get off of the beaten path which I did again the other day. I had hoped for a 40 mile day but time wasn't going to allow for that on the Jari so I opted for something a little shorter. I still ended up with 34 miles but was able to finish up on one of the local Rail To Trails in the area. It was nice as I was able to ride a portion of the trail I had never ridden before. Here is a link to the ride. I didn't set the world on fire so far as speed goes. And I didn't get the mileage I was looking for. But I did get close to 3 hours in the saddle and that is what I am looking for more than anything right now. Time in the saddle will translate to fitness soon enough.



Such a Disappointment

The shop where I bought my last bike sold out to another. I really liked Glens shop. Lots of eye candy and great customer service. Glen understood what it was to be a cyclist and also what it took to connect with the customer. I judge all bike shops on how I ran mine in another life time. Not to toot my own horn but I was good at it. Not only the mechanical side of things but also the sales side. The connecting with people and helping them find what they needed to make cycling enjoyable and hopefully become a passion for them as it is for me.

I never prejudged anyone that came though my doors. Not even the guy that came in to my store to purchase a bike to ride across the country that had only ridden some rails to trails up until that very day. That's a story in and of itself. Weather they wanted me to fix their Walmart special, purchase a comfort bike or something super high end for those that already had the passion. It didn't matter to me. I love cycling and love to share that with others and get excited to see someone interested. I got to know so many interesting people on my cycling journey and continue to to this very day.

So my wife and I ventured to the shop that had bought out Glens place. I've been three before as they sponsor a cycling team that I used to sponsor. I have never been real impressed and this time was no different. Not only did they not have the parts I needed which has happened before their customer service also sucks. 

My wife was window shopping as her interest in cycling has returned. She was unfamiliar with the store and happened in a part where they sell electric bikes which she has zero interest in. A sales person approached her and started to try to sell her on the electric bike. Her response was why would I ever want something to help me i would rather exercise. Instead of helping her he just walked away. She would have never been neglected like that at Glens place or mine for that matter. this is a woman that cycled almost 3000 miles, completing several centuries the summer leading up to the birth of our son. She actually cycled up until she was into her eighth month of pregnancy.

As we were leaving, both disgusted, she eyed a Pinarello with pink graphics hanging on the wall. She inquired about it and the salesman blurted out a price and walked away. We left even more disgusted after that. She was really interested and would have like to take a look at it but after that decided to look elsewhere.

Saturday, March 23, 2019

Lots Going On

Not much new on the heart front. Only a few eptopics hear and there but nothing sustained. I've been getting to the gym, Zwifting, riding my bike and working on the falcon.

I got out on the bike 3 days last week. First day was cool, the second day in the 70's and the third day back to the 50's with wind gusts in the 30's. That third day wasn't a whole lot of fun. I ended up with almost 80 miles over the three days. I hit the road the first 2 days and took my gravel bike on the third. Ended up in whites woods for the tail end of Fridays ride.

Tanoma Road
 
Five Points





















Coal is alive and well in Pennsylvania. They have been talking about putting this coal loading facility in for a long time now. They finally got it up and running last year. Since I was unable to ride last year this is the first time I have been past it. They bring coal out of the mine on the right side of the road the convey it across the road to load trains.

  
Coal loading facility
 
Coal pile waiting to be loaded






















Third days ride ended up in whites woods. Was supposed to be a recovery ride but the high winds put a quick end to that. The woods weren't much better since the trails are still soft from the spring thaw.

 
Soft ground
 
WHAHOO


Me and a tree in Whites Woods

Steady As She Goes

Not a whole lot of new news to report. I did get the results of my Zio Patch and there wasn't allot to report from that. There were 17 or so recordable events, the longest lasting 17 beats. Other than that there was not much to tell. The events didn't last long enough and the Zio patch is limited in the amount of information that can be gleaned from it. In order to get any real information I will need to capture an event on a  lead EKG. and for that to happen the events are going to have to last a whole lot longer than that.

I did have a half hour long event that I converted using Flecanide. This was after I had sent the Zio back and had not yet heard from my doctor. I did get a recording of it on my Kardia but again it is indeterminable what exactly what the rhythm was. I'n not in the lease worried though as the worst case scenario is  I go back to Austin and have Dr. Natale sort it out. We discussed this possibility following my procedure and as anyone that has dealt with this knows this is not uncommon. I also talked to Shannon shortly after all of this came about and we had a nice conversation.

All of this of course has pushed back my visit to Austin to have another TEE done to ascertain the function of my LAA and see if I will be able to come off of the Elequis. So until then it will be life normal and being able to capture any oddities along the way.

Back On The Bike

I started back on the trainer a couple weeks ago and I have been back to the gym now for a couple of months. I have been pretty faithful at getting to the gym but wasn't real regular on the bike at first but I am getting to be more frequent. I always thought it was amazing how fast you lost fitness over just a few months but over a year off of the bike has really left it's mark. But I'm thankful that I can do either considering where I was this time last year.

Sunday, February 10, 2019

Monitoring My Every Move

My heart rate monitor arrived last week and its unlike any I have ever had in the past. Its called the ZIO Patch. It is the smallest monitor I have ever been prescribed by a doctor. It's pretty simple in design and has no wires. The only issue I have encountered is the adhesive does not tolerate showers and exercise real well. So I had to come up with and alternative to help hold it in place that has worked out real well. I have been using Kinesio Tape in addition to the manufactures adhesive and it is working out real well. The other issue with the patch is there is no way of knowing if it is actually working. It will flash orange if it come unattached, which it did when I removed it. I should have taken a photo of that as well as it is very noticeable when this occurs.

I have thought of some other design changes I would make as well that are geared to those wearing it who are more active. These ideas would also benefit those with skin sensitivity as it would allow for re-positioning of the device every couple days. I may send them a suggestion or two as this is what I used to do for a living at one point in my life. I also verified that my addition of the Kinesio tape was successful as when I removed the tape it basically fell off and started blinking orange. The Kinesio tape was also less irritating to my skin.


The time frame for me to wear it ended Wednesday. I will then send it back and the results will be sent to Dr. Natale for review. If all is well I will come off of the metoprolol and be scheduled for a return trip to Austin for a TEE (Trans-Esophageal Electrocardiography) to check the function of my left atrial appendage. If that is ok then I will be able to come off of the Elequis.

Cycling In Place

I finally got the trainer set up the other day. I also purchased a Smart TV and a Lightning HDMI adapter for my I-pad so I can mirror the screen to the TV. It makes Zwifting allot more entertaining. I'm not a huge Apple fan but I got the I-pad for free last year so I'll use it for now.

I' been sick now for the past several days so really haven't had much chance to use the new setup but I'm feeling better and should get back to it this week. I also start my seven day break this coming Wednesday so I'll have lots of time to focus on this as well as some other outstanding projects I have been neglecting lately. 

Tuesday, February 5, 2019

Monitor On Its Way

Heard from Dr. Natale's office the other day. They are sending a 7 day monitor for me to wear. This is the next step leading up to another trip to Texas Cardiac and Arrhythmia for a TEE. This test will let them know if the function of my LAA is good enough to come off of the Elequis. I'm hoping as well that I will also be coming off of the beta blockers as well.

The past year of life has had allot of ups and downs but in the end it has all seemed to work out. I haven't noticed any arrhythmia's and my back, though it still hurts some times, is no where near where it was.I have yet to start using the indoor trainer but I have been doing allot of walking and climbing the stairs at work. I think I may try to get on either the trainer tomorrow or the spin bike. I have been getting to the gym regularly though and that feels good.

Thursday, December 27, 2018

Feeling Great Heading Into Month #6

Merry Belated Christmas!!!!

Had a wonderful day with the family over the past week. Christmas this year fell on my seven day break from work and I tried to make the best of it. Spent several days insulating my garage and started to hang the drywall. It's made a huge difference in how warm it is out there and will make it a more inviting environment for working on the Falcon or any other project that might come my way.
I guess I never posted about my  CBG building frenzy. I would like to make some more one of these days.

We also spent part of Christmas Eve in the city. We originally planned to spend the entire day and go to midnight mass. There was a church we used to go to years ago there that has the Pittsburgh symphony orchestra playing but we not only could not remember the church but were ready to go home at 5pm since there really wasn't anything left to do.

We visited Phipps Conservatory The Cathedral Of Learning. And the Creche in Downtown. Then we headed for Ross Park Mall for some shopping and a photo with the fat man.

Phipps Conservatory























Cathedral Of Learning

























Cathedral Of Learning




















Creche
















There is much to be thankful for this year. A steady beating heart and my back issues continue to improve. It was at this time last year that things started going south for me. 

Saturday, December 1, 2018

Heading Into Month #5


Working on month number 5 now. It seems just like yesterday I was in Austin having my ablation done. I'm still sending weekly reports to Dr. Natales office and everything continues to look good.

I've been keeping up with my Mg and K supplements and that appears to be keeping the eptopic beats at bay. I hope that things continue on that path. I suspect that one of these days soon that they will be having me stop the Metoprolol. Truth be told I have missed a dose or two lately with no ill effects.



Not much else has been happening these days. I'm going to hit the woods this morning as it is deer season in my neck of the woods. I have one more night shift so I wont spend more than a couple hours on stand today. Maybe I'll catch a woods nap if I'm lucky.

Friday, November 9, 2018

Waiting With Bated Breath



That's how I picture the 2 or 3 of you that visit this blog randomly.

Anyway, things are going well right now. I am completely off of the anti-rhythmic drugs and my heart continues to stay in rhythm. Its really nice to be off of the Flecanide, though I have never had any issues with it. I can't say the same for the Metoprolol but I'm stuck with that for a while I guess. I am assuming that Dr. Natale will have me stop that as well within the next month.

So far as the spinal issues those are on the mend as well and had my last visit to therapy last week. I would still like to keep going for a while but my script ran out. She was sending a letter to the doc so we will see what he says. I also got a bike ride in last week as well so things are looking up. Its been just a little over a month since I was unable to walk from one end of the house without stopping to take a break. The bodies ability to heal itself is truly amazing, though I am completely aware that the slightest wrong move could set me back to where I was. That right now is my biggest fear.

I also made my first visit back to the gym last night. In the same way I am in awe of the bodies ability to heal itself I am also frustrated in the way that it loses its fitness so quickly. The upside to that fitness and healing are pretty much the same so I know that in a relatively short period of time I'll be back on top of it.

Saturday, October 20, 2018

3 Months

Today marks the 3 month anniversary (blanking period) of my ablation with Dr. Natale in Texas. It has also been over a month since I have had any Arrhythmia issues so all is good. Dr. Natales office contacted me on Thursday and and said that he wants me to stop the anti-arrythmic drugs (Flecanide) to see if I my heart will maintain NSR without it.

This is the point where apprehension sets in. Of course I don't want to be on these drugs anymore, but I also don't want to have another procedure if I can help it. They said that I could just stop the Flecanide but I am going to taper off of it over the next week. I, as well as many other afibbers are firm believers in not stopping the drugs that promote NSR cold turkey as many have experienced rebound for doing so. Of course they usually convert back to NSR in a short time, but if that can be avoided, why not. Besides that, we all know that Afib begets Afib so why chance it. I've been on them since January so what is a few more days in the grand scheme of things.

The taper I will do will be to reduce my intake a little bit every 3rd day. I am currently taking 200 mg a day so I will start with 175mg for 2 days, then 150 mg for 2 days, 125 mg for 2 days....etc.

During this time and for an unknown period of time afterwards I will remain on the metoprolol and elequis.

Tuesday, October 2, 2018

NSR

That is where I have been now for a couple weeks now. Feels so good. My back pain is better too especially on days I don’t work and days after therapy. Actually spent an hour or so doing yard work today. It hurts a little but no pain pills today so that’s a good thing. 

I spoke with Shannon yesterday afternoon. It’s alway great to hear from him. He is so knowledgeable on everything afib. He is also welll versed in other subjects as well so conversation is never boring. Also had a quick trip to the shore over the weekend so I got a solid day of R&R. 

Wednesday, September 19, 2018

Like a roller coaster

That’s how my life has been the past couple of weeks. I finally got the nerve block done. Even though I only got a couple days of moderate relief, it was a turning point. Every day since has gotten a little better. I had to go off the elequis for 3 days and got to get injections in my abdomen twice. Pa day for 3 days. Good times.  I also got clarification as to what I have going on. I have a T12-L1 bulged disc and a L5-S1 herniation. Super fun times. Oh and the pain finally ended up throwing me out of rhythm the same week that I was getting abdominal injections. That particular day the pain was so bad that my chest actually hurt.

So for two weeks I literally felt like a ticking time bomb between my heart and pain. On the bright side, yes there is one, I converted back to sinus rhythm on my own after about two weeks. So I was able to cancel the cardioversion that I had scheduled for tomorrow. I have also been going to physical therapy 3 days a week which also seems to be helping with the pain.

Sunday, August 26, 2018

5 Weeks In

Its been 5 weeks since my ablation with Dr.Natale in Austin. And my heart has been quite since my Cardioversion 2 weeks ago. No PAC's, PVC's, Eptopics or any other type of arrhythmia. To say I am happy about that is an understatement and I hope that it continues. There are still a couple months to go in the blanking period.

Of course I am still dealing with the Sciatic Nerve pain from my L4-L5 disc bulge. I've been to the ER twice over the past couple weeks with it as doctors have seemed to just leave me hanging with no way to alleviate pain. However, I have had the bulged disc confirmed by an MRI ordered by the ER doc. I also spoke with a Surgeon about it who wants to wait to see if the disc heals itself. So in the mean time he has ordered a nerve block for me. But as per usual that was Wednesday and today is Saturday and as of right now I wont be getting a nerve block until September 5th.

So here I sit in pain with no immediate relief in sight. I really thought that when I left his office on Wednesday he had a full understanding of my situation. Lots of pain and recent heart surgery that I am still recovering from that requires me to have little stress. So much for that I guess. Between me and the surgeons office we have contacted every pain clinic there is and nobody can beat the September 5th date as of yet.

I did have a glitter of hope Friday though. My wife actually knows someone that works in a pain clinic not to awful far away. Its actually one that I had already contacted that said they really could not help me. But is seams that maybe they can. The do what they call direct inject. this means that my doctor refers me and I go get the shot that day or within a day or two. So I called the surgeons office again and implored them to contact this particular clinic and get the ball rolling. Which they did. I also asked if they could give me something for the pain to bridge me to the time of the injection which they also offered to do. She said that they would get me some percoset. So i was a little be more optimistic at this point.

After talking with them I headed to the Chiropractor for some traction therapy. I do have the conversion table but it didn't seem to be helping and the traction uses intermittent pressure an actually seems to help. After my time on the Rack I started heading for the surgeons office to retrieve what I thought was going to be a pain med that might help me. Unfortunately it isn't. Just more of what they gave me at the ER that doesn't even take the edge off.

The Bright side, or at least I thought, was I got a call from the pain clinic. They had received the referral from my surgeon and only needed some paperwork from my Dr. in Texas which I had already started the ball rolling on a couple days before. She got all my information and what she needed from Texas and promised she would touch base with me before the end of the day.Which she didn't.

Tuesday, August 14, 2018

PAC's, PVC's & a Cardioversion

Last week was a cluster healthwise. Of course my sciatic nerve pain is through the roof right now and I was running allot of PAC's and PVC's. I went out of rhythm Tuesday morning for a bit but converted back. Then I went to the hospital Tuesday evening to see if they could do some tests to figure out if my sciatica was being caused by a disc or some other ailment. They did some exray's and a CTA scan to rule out any clots in my leg. Everything came back normal so I still don't know 100% what's going on. Pretty sure its a bulged disc though so I'll have to wait it out.

I had sent Dr Natales office some recordings on Wednesday morning as I had gone back out of rhythm and they called and asked if I could arrange to get cardioverted within next week. I called my local EP and they scheduled me for last Friday morning. I worked Thursday night so  headed for the hospital straight from work Friday morning.

Cardioversion

If you have been keeping up you already know that my I have
already had one cardioversion done this year back in April. You will also know that the worst part of any EP experience for me has been the TEE. I was however curious as to how this one would go. My Cardiologist retired last month so I knew that he would not be doing the procedure. Which,, even though I hold the man in high regard his TEE skills pretty much suck.

So I arrived at the hospital early and got all the pre cardioversion stuff done which basically consist of a chest x-ray and getting an IV so they can inject the propofol for sedation. They hooked me up to a monitor then decided to wait on my EP to some in and verify that I really needed a cardioversion. He came in not too long after to talk to me about what was currently going on and to also catch up on the festivities in Texas. I handed him a copy of the ablation report and he quickly took it out and looked it over. He was very pleased to find all his work was solid, as I was always confident that it was. We then talked about the cardioversion and some small talk. He said that I was in a controlled flutter and that they would be doing a TEE then cardioverting me.



It was a while before they came to get me so I was just laying there trying to catch a nap but I kept hearing this music, Kool and The Gang to be specific. I originally thought that one of the other patients in the holding areas family members was playing music but I would eventually find out it wasn't them and where the music was actually coming from.

Eventually a couple of transport girls came to get me to take me to the EP lab. I stepped from my bed to the transport table then they wheeled me out into the hall. As we approached the hall the music got louder and the girls started to dance. There was a doctor sitting right outside the room and Celebrate must have been the music his computer played when he opened his computer. What a light hearted fun moment that was. Always a great experience at UPMC.

I eventually ended up at the EP lab where I met Karl. A very animated prep guy. He made me laugh several times. Then the nurse anesthetist came on and we started talking. Now if you have never had a cardioversion before there are allot of folks involved. You have of course the EP, a cardiologist, nurse anesthetist and of course and anesthesiologist. So rangeling them all together can be a task as stated by the cardiologist that soon entered the room.

She was very friendly and animated. She introduced herself and we talked for a while. I had told her about my many experiences with TEE's, good and bad and we laughed. Finally everyone showed up, I signed a couple more forms, then off to lala land/ I never even knew that she dd the TEE. The cardioversion went well. it only took one jolt to convert me back into rhythm and I have been there ever since. Hopefully that will be it for forever. So far as weather or not I am concerned about the success of my ablation, I'm not. I am just over 3 weeks in at this point so the heart is still healing. The fact that I went into flutter does not concern me either as it was probably all the PAC's and PVC's that put me there. I also realise that I may need a touchup procedure as Dr. Natale addressed some issues that hadn't been addressed before.

Monday, August 6, 2018

Alls well

Received my KARDIA device last week. I really like new gadgets especially useful ones. The Kardia actually give me real time ECG monitoring that I can carry in my pocket. And for those of you that are Apple sheep there is the band for the apple watch that the same thing





After reviewing the strips I have taken I am pretty sure the low heart rate I thought I was experiencing in an earlier post were PAC's and PVC's instead of some low rate arrhythmia.

Tuesday, July 31, 2018

Hit And Miss


I have a great appreciation for these old machines. Its rare to actually see one of these in action but every once in a while, while out on a ride, I will here one being used for plowing or bailing.

Anyway this is just how my heart was on Sunday. Hit and miss. Mostly miss.

The weekend started out the same as its been since my ablation, nice calm NSR. I did some shopping with the family in the afternoon followed by church . Then home for a quiet evening. Sunday morning I awoke to find myself out of rhythm. This was the day I planned to start weaning myself off of the Ticosyn because the nerve pain has been creeping back. So I decided to wait until I had the opportunity to speak with my Afib nurse at TCA. Meanwhile I took some recordings throughout the day with the HEARTRAK (Kardia on its way).

The other odd thing that happened was Monday morning very early. I had woken up around 3am still out of rhythm. I got out of bed to get a drink and came back to bed, At some point shortly after I converted back to what felt like sinus rhythm. However, my heart rate was very low, 37 bpm. It stayed this way for a while then jumped back to around 70bpm. Then after a while back to 37. Now I was using a pulse oximeter to record these rates so the accuracy and interpretation of what was actually going on is up for debate. Though the rate was steady with no fluctuation at both rates. I did run back out to the kitchen to grab the recorder to try and capture the event but what I was feeling and what was recorded were two different things. This continued for the entire morning; until my heart decided to just go completely haywire for the remainder of the afternoon into the evening. I converted back to NSR early evening and have remained there ever since.

This is the first time I have ever experienced such a low hear rate. My normal resting heart rate now is 62 bpm. And has been as low as 52 bpm when I was more active. One thing I think that may have contributed to this was that I had taken 75mg of Metoprolol the previous evening to try to keep my heart rate down as the 50mg I had taken in the morning was not enough. This is only speculation though. I had been taking 75 mg of Metoprolol with the Ticosyn prior to my ablation for the same reasons when the Ticosyn was not sustaining NSR without any issues.