Tuesday, May 23, 2017
some clarity?
Since I last posted I have seen two docs--one in the heart failure unit of IHC and the other from the Heart Rhythm group in the same shop. Neither of them (plus the new heart doc in Logan) seem too concerned. The heart failure doc said I will probably be dealing with this the rest of my life in some form or another. Once a dicky ticker, always a dicky ticker. But there are, as we earlier hypothesized, a couple alternatives left. One is to go back to some heart rhythm medicine--amiodarone in particular, along with a blood thinner. The other is to go back on the table. Chances of going right to a pacemaker: pretty low. Rhythm doc said they probably created this new short circuit with the scar tissue from last year's ablation. He owned it! We had a nice long discussion and with Jan's help, settled on the least invasive procedure, for now, the meds. The discussion included the amiodarone's side effects: it is toxic to lungs, liver, kidneys in the long run. But he thinks that after a full dose for a month I can try a half dose and see whether that keeps the gallops away. There was an alternative drug but one had to spend a couple days in hospital to make sure that it didn't become fatal. Apparently some people don't tolerate it well. But what if the two days weren't enough and one went home and then it was fatal? Didn't bear thinking about that too long. The upside apparently was that if one could tolerate it, in the long run it had fewer side effects than the amiodarone. So, I picked up the drugs on the way home, and had a cold draft with lunch. What me worry?
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