I feel better this time. The V Tach ablation, done 5-16-2012, was not as bad as the Afib ablation. They tell me the procedure for closing my Atrial Septal Defect will not be bad. There is a significant left to right blood flow so it should be closed. I just hope I can have it done soon because my stroke risk is higher now.
So I have the echo. I get a call from Dr.G. and he said that he wants me to have a TEE transesophageal (pronounced trans-esoff-a-gee-ul) echo, done by Dr.M.”in this echo the echo transducer is placed in the esophagus (pronounced esoff-a-gus) or food pipe that connects the mouth to the stomach. Since the esophagus sits behind the heart, the echo beam does not have to travel through the front of the chest, it offers a much clearer image of the heart, particularly, the back structures, such as the left atrium, which may not be seen as well by a standard echo taken from the front of the heart.”
He says that the echo that was done in his office shows a hole in my atrium, an atrial septal defect (ASD) is a form of congenital heart defect that enables blood flow between the left and right atria via the interatrial septum.
You might wonder why the other echoes did not show this. I am sure they did. The real question is why did the technician doing the test and the doctor looking at it not notice what it took last technician a few minutes to see.
So I go in the hospital and have the TEE. It is an outpatient test and yes I have a hole, it has always been there, it is the reason I have AFib. It is reason I would faint if I tried to do a lot, never feel good, never have a lot of energy. It explains a lot. The TEE was done on November 15, 2011.
Of course that does not help the AFib or the years of no energy. At least I did not have a stroke which is the way some people find out about their ASD.
This doctor wants to fix the hole, but the ablation needs to be done first. Ablations do not always work the first time, but it is the best/only treatment there is for AFib
After being told that I could not have a cardioversion and I could never take any of the heart medicines that control rhythm. Dr. I know nothing that has happen in the last 25 years, said all I could do was take the medicine that controlled my heart rate a little, take the medicine that might keep me from having a stroke and later get a pacemaker.
I left the cardiologist’s office with names of doctors that I hoped have learned something new after they left medical school and that maybe had not been out of it so long, but maybe long enough to have experience.
I found several doctors and called one. I had a hard time getting my records to him. The cardiologist’s (the one I had wasted 2 months with.) office did not know how to send the records to the electrocardiologist. Several days after calling the cardiologist’s office I called the record department of the doctor’s practice and got a person that did know what to do. I got a call from the electrocardiologist’s office several days later and got an appointment about 1 month later. I had wasted 2 months with Dr. I know nothing that has happen in the last 25 years, then had another month of waiting to see the electrocardiologist.
Now it is August. I go to the electrocardiologist, Dr. G., and he says lets do a cardioversion using an electrical shock. One of the things I was told I could never have. So I said sure. The doctor thought I looked very unhappy. He wanted to know if I was sure I wanted to do that. I told him I was just confused because what he was saying was so different from what I had been told.
The cardioversion was not bad, It happen on September 1. 2011. I only had to be shocked one time. I have to take Multaq which I hope I can stop before too long. What I do not understand is why they did not do this in the hospital when I went in when I first found out I had AFib but there are many things the first doctors messed up on.
I have been going and having EKGs and everything has been fine. The doctor wanted an echo because he needed to see if there was any improvement in my heart because he thought I would be a good candidate for an ablation, so I can have one right that day, which is great because it saves me a trip and more time off work.
The echo was just to take a few minutes. After about 10 minutes the technician ask me if I had ever had an echo. I told her I had two of them, one in the hospital and one later at the other doctor’s office. She then asked if I had ever had a bubble test. I had not. So I had had a bubble test and then went home.
There’s a hole and it ain’t in the bottom of the sea.
I had not heard of Atrial Fibrillation on the first of May 2011. By the middle of May I had gotten sick and did not get better as fast as everyone else that got sick at the same time. Just about everyone I knew was sick around the end of April/the first of May. By the time I went to the doctor he told me to go to the hospital and I heard of Atrial Fibrillation
“In Atrial Fibrillation (A-Fib) the upper part of your heart beats (quivers) faster than the rest of your heart. If you could look inside your chest, the top part of your heart would be shaking like Jell-O or beating more rapidly than the lower section of your heart. You feel an uncomfortable flutter in your chest or like your heart is going to jump out of your ribs or that your heart is “flip-flopping around.” Your pulse is irregular and/or more rapid than normal. Someone described their A-Fib as “…like a motor idling too fast in my chest.” Or “like I had a maniacal bass drummer hidden away in my chest.” You may feel lightheaded (fainting), very tired, have shortness of breath, sweating and chest pain, swelling in your legs.
Somewhere in your heart extra electrical signals are being generated which cause the top part of your heart (the atria) to contract and quiver rapidly and irregularly (fibrillate) like a bag of worms. The atria can contract as many as 300-600 times a minute.” http://www.a-fib.com/Overview.htm
This is AFib. This started a long winding trail of screw-ups. I did not see the cardiologist in the hospital that my family practice doctor called when he told me to drive myself to the hospital. I was assigned to a group of doctors that was there one day and then the whole group took the weekend off. One of the test I had on Friday the 13th did not show any blockages. The other test, an echo, did not show anything that the hospital could see but a heart that had the beginning of damage caused by AFib. By the time I left the hospital I was so bad off I could hardly walk. Another group of cardiologists that was on call and looked in on me over the weekend would not tell me anything or do anything for me because I was not their patient. I was dumb enough to switch for a little while to this second group of doctors. I did get a little better at home, luckly I got away from that hospital. I will never go back there as a patient if I know where I am going.
I then waited for an appointment with the doctor. I went and was asking a lot of questions that he just did not want to answer. He kept saying the AFib was under control and that was good. It was not good, I could not sleep with my heart beating like a drummer on crack. It never stopped. The first group of doctors had put me on a new drug for blood clots called pradaxa because I asked if I could take relafen with it. He said that was okay. NO it was not. I stopped the relafen as soon as I was out of the hospital and could read information about pradaxa. The second group of doctors said it was okay to take celebrex with the pradaxa. I did continue that. I am not sure it is safe, but I must have something for pain. I was also taking carvedilol (Coreg) I was to come back in a month and have a limited echo and talk about electrical cardioversion and medicines. I go back and the doctor tells me I can not have a cardioversion because of a heart attack. (I did not have a heart attack.) I can never take any of the medicines to keep my heart in rhythm, I can stay like I am and get slowly worse and then get a pace maker. The doctor did tell me he had been out of school for 25 years and he did not know anything about the new treatments for AFib. I did have the limited echo. It showed improvement in my heart function and it did not show anything else that this doctor or this technician could see
I have not posted in forever and a day. May 13, 2011 I went to hospital with Afib. I had never heard of it. I am going to try an ablation on January 10, 2012. I now know that I have an atrial septal defect. “Swiss cheese like holes” between left and right side of the atrium. I also know to never go to Cardiology Associates PC or Lakeview Medical Center Cardiologists. Cardiology Associates because they all went away and left me in the hospital in the “wonderful” care of Lakeview Cardiologists who have not learned anything new in years. I now go to a super group of doctors, Cardiology Consultants, LTD, that are treating the Afib and found the ASD that has always been there, but the first 2 groups of doctors did not find it.
It would be super if the ablation works the first time, but that is unlikely. If it does work and knock out the Afib then I get the opening closed up.