DeansMimi
Booch007 posted:
Good morning,
A quick note as I am back to work today. With COPD and on O2, you are a perfect candidate to be in Atrial Fib FOREVER.....it is the lungs pressure gradients that have changed ( said to be pulmonary hypertention) with disease in the small air sacks and that is part of the whole.
In saying that, they use Coumadin, Pradaxa now as early Rx,but if you are lifetime AF and no chance of going back into sinus rhythm....a 325 ASA can be used alone. Some add Plavix or it's newer meds to ALWAYS want to protect you. The newer meds have no blood testing or diet needs.
But it is always to prevent stroke and I KNOW YOU DON'T WANT A STROKE.
There is that C H A D score that he will use to figure the need for anticoagulation.
Now, to my shots. I receive Lidocaine in to the *knot in the muscles...you can even reveive dry needling. With RA, OA: it is an inflamatory process in a joint. Different then me. I am trigger point knots in the muscles that disallow them from coming out of tension state and relax.
I did read an orthopedic article in AARP, that talked about using Dextrose or I think Saline to just stimulate a trauma effect to the area to build up the right chemicals to heal yourself.......also mentioned dry needling.
Google dry needling, trigger point njections and I think you will get quite alot. U Tube also has pictures of the sessions I receive.
Only I sit up and use gravity, I don't lay down. It is 9 years of every 2 weeks for this and I am set in my ways. NO fibrosis to the areas....very small needle....and it gets the muscles to listen.
So that is my story. I hope you take care of this AF issue....I don't want to hear you got hurt because you were afraid to start therapy.....
Good luck, always here to chat! nancy B
A quick note as I am back to work today. With COPD and on O2, you are a perfect candidate to be in Atrial Fib FOREVER.....it is the lungs pressure gradients that have changed ( said to be pulmonary hypertention) with disease in the small air sacks and that is part of the whole.
In saying that, they use Coumadin, Pradaxa now as early Rx,but if you are lifetime AF and no chance of going back into sinus rhythm....a 325 ASA can be used alone. Some add Plavix or it's newer meds to ALWAYS want to protect you. The newer meds have no blood testing or diet needs.
But it is always to prevent stroke and I KNOW YOU DON'T WANT A STROKE.
There is that C H A D score that he will use to figure the need for anticoagulation.
Now, to my shots. I receive Lidocaine in to the *knot in the muscles...you can even reveive dry needling. With RA, OA: it is an inflamatory process in a joint. Different then me. I am trigger point knots in the muscles that disallow them from coming out of tension state and relax.
I did read an orthopedic article in AARP, that talked about using Dextrose or I think Saline to just stimulate a trauma effect to the area to build up the right chemicals to heal yourself.......also mentioned dry needling.
Google dry needling, trigger point njections and I think you will get quite alot. U Tube also has pictures of the sessions I receive.
Only I sit up and use gravity, I don't lay down. It is 9 years of every 2 weeks for this and I am set in my ways. NO fibrosis to the areas....very small needle....and it gets the muscles to listen.
So that is my story. I hope you take care of this AF issue....I don't want to hear you got hurt because you were afraid to start therapy.....
Good luck, always here to chat! nancy B
1 Replies |Watch This Discussion | Report This| Share this:DeansMimiGood morning,<br /> <br />A quick note as I am back to work today. With COPD and on O2, you are a perfect candidate to be in Atrial Fib FOREVER.....it is the lungs pressure gradients that have changed ( said to be pulmonary hypertention) with disease in the small air sacks and that is part of the whole.<br /> <br />In saying that, they use Coumadin, Pradaxa now as early Rx,but if you are lifetime AF and no chance of going back into sinus rhythm....a 325 ASA can be used alone. Some add Plavix or it's newer meds to ALWAYS want to protect you. The newer meds have no blood testing or diet needs.<br /> <br />But it is always to prevent stroke and I KNOW YOU DON'T WANT A STROKE.<br /> <br />There is that C H A D score that he will use to figure the need for anticoagulation.<br /> <br />Now, to my shots. I receive Lidocaine in to the *knot in the muscles...you can even reveive dry needling. With RA, OA: it is an inflamatory process in a joint. Different then me. I am trigger point knots in the muscles that disallow them from coming out of tension state and relax.<br /> <br />I did read an orthopedic article in AARP, that talked about using Dextrose or I think Saline to just stimulate a trauma effect to the area to build up the right chemicals to heal yourself.......also mentioned dry needling.<br /> <br />Google dry needling, trigger point njections and I think you will get quite alot. U Tube also has pictures of the sessions I receive.<br />Only I sit up and use gravity, I don't lay down. It is 9 years of every 2 weeks for this and I am set in my ways. NO fibrosis to the areas....very small needle....and it gets the muscles to listen.<br /> <br />So that is my story. I hope you take care of this AF issue....I don't want to hear you got hurt because you were afraid to start therapy.....<br />Good luck, always here to chat! nancy B
Booch007 responded:
Hey, I just want ot share a story with you.
Yesterday at work we had a patient arrive in AF...and he refused to go to the hospital...so he was given to me, I spent 2 hours with him and got him converted back to sinus rhythm...BUT he was started on Pradaxa twice a day.....he didn't want coumadin. He also got hydrated to help the chambers as AF can dehydrate you in the beginning and he admitted to bathroom running like crazy!
There is a hormone (naturetic hormone) that comes from the chamber to unload the body in AF....a miraculous organ it is.
We used Metoprolol to convert him. With 3 injections and oral as well he responded.
NOW, it was dangerous to convert him in the office but we echoed him to be sure there was not already a clot sitting in the chambers...and then I* would stroke him when the chamber squeezed appropriately in sinus rhythm...but he WAS NOT going to an ER. A friday..he kept saying!
He talked with me for 2 hours and I was able to TEACH him the process he is in.....so he listened and heard for the first time I think......He in the long run probably has Sick sinus syndrome where you go from slow heart rates the Af rhythms..
A small (size of a silver dollar) pacemaker will probably help in the future.
Talked of looking into where the spark that started this came from in the cath lab was talked about as that can be microwaved quiet.......and then there should be peace.
He does not have COPD though. But he is on MULTAQ to help with this bouncing around of rhythms he has......it is not a perfect science as any stress can give you an increase in chemistry that irritates a cell that is prone to sparking and if "just right" it sparks in the cycle at the wrong time.....you take off in the chaotic rhythm AF....
So again, the risk of stroke is there and that is why we go over this so much. The risk of bleeding is there and you have to look at the whole. You should keep having echoes to see if there are clots and if the chambers are so big, and there is no hope to convert you...get on mads that control the rate and help you feel better if it bothers you.
It always tells me alot about the heart to know if you have symptoms of it or not.
OK, off the soap box! Take care of yourself!, Nancy B
Yesterday at work we had a patient arrive in AF...and he refused to go to the hospital...so he was given to me, I spent 2 hours with him and got him converted back to sinus rhythm...BUT he was started on Pradaxa twice a day.....he didn't want coumadin. He also got hydrated to help the chambers as AF can dehydrate you in the beginning and he admitted to bathroom running like crazy!
There is a hormone (naturetic hormone) that comes from the chamber to unload the body in AF....a miraculous organ it is.
We used Metoprolol to convert him. With 3 injections and oral as well he responded.
NOW, it was dangerous to convert him in the office but we echoed him to be sure there was not already a clot sitting in the chambers...and then I* would stroke him when the chamber squeezed appropriately in sinus rhythm...but he WAS NOT going to an ER. A friday..he kept saying!
He talked with me for 2 hours and I was able to TEACH him the process he is in.....so he listened and heard for the first time I think......He in the long run probably has Sick sinus syndrome where you go from slow heart rates the Af rhythms..
A small (size of a silver dollar) pacemaker will probably help in the future.
Talked of looking into where the spark that started this came from in the cath lab was talked about as that can be microwaved quiet.......and then there should be peace.
He does not have COPD though. But he is on MULTAQ to help with this bouncing around of rhythms he has......it is not a perfect science as any stress can give you an increase in chemistry that irritates a cell that is prone to sparking and if "just right" it sparks in the cycle at the wrong time.....you take off in the chaotic rhythm AF....
So again, the risk of stroke is there and that is why we go over this so much. The risk of bleeding is there and you have to look at the whole. You should keep having echoes to see if there are clots and if the chambers are so big, and there is no hope to convert you...get on mads that control the rate and help you feel better if it bothers you.
It always tells me alot about the heart to know if you have symptoms of it or not.
OK, off the soap box! Take care of yourself!, Nancy B
Report This| Share this:DeansMimiHey, I just want ot share a story with you.<br /> <br />Yesterday at work we had a patient arrive in AF...and he refused to go to the hospital...so he was given to me, I spent 2 hours with him and got him converted back to sinus rhythm...BUT he was started on Pradaxa twice a day.....he didn't want coumadin. He also got hydrated to help the chambers as AF can dehydrate you in the beginning and he admitted to bathroom running like crazy! <br /> <br />There is a hormone (naturetic hormone) that comes from the chamber to unload the body in AF....a miraculous organ it is. <br /> <br /> We used Metoprolol to convert him. With 3 injections and oral as well he responded.<br /> <br />NOW, it was dangerous to convert him in the office but we echoed him to be sure there was not already a clot sitting in the chambers...and then I* would stroke him when the chamber squeezed appropriately in sinus rhythm...but he WAS NOT going to an ER. A friday..he kept saying!<br /> <br />He talked with me for 2 hours and I was able to TEACH him the process he is in.....so he listened and heard for the first time I think......He in the long run probably has Sick sinus syndrome where you go from slow heart rates the Af rhythms..<br />A small (size of a silver dollar) pacemaker will probably help in the future.<br /> <br />Talked of looking into where the spark that started this came from in the cath lab was talked about as that can be microwaved quiet.......and then there should be peace.<br /> <br />He does not have COPD though. But he is on MULTAQ to help with this bouncing around of rhythms he has......it is not a perfect science as any stress can give you an increase in chemistry that irritates a cell that is prone to sparking and if "just right" it sparks in the cycle at the wrong time.....you take off in the chaotic rhythm AF....<br /> <br />So again, the risk of stroke is there and that is why we go over this so much. The risk of bleeding is there and you have to look at the whole. You should keep having echoes to see if there are clots and if the chambers are so big, and there is no hope to convert you...get on mads that control the rate and help you feel better if it bothers you.<br /> <br />It always tells me alot about the heart to know if you have symptoms of it or not.<br /> <br />OK, off the soap box! Take care of yourself!, Nancy B
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