Re: Eight months 12 days no afib till tonight...

[Guest guest]

In a message dated 11/17/2004 9:18:19 PM Central Standard Time,

pal22222@... writes:

I

have tickets to go to Mohegan Sun and see the Professional Bull Riding on

Sunday. I felt good enough to say OK buy the ticket I want to go. Now I

have a

100.00 ticket and IM fibbing away.

If you feel good enough, go anyway. It might help get your mind off of it.

Guy

[Guest guest]

In a message dated 11/17/2004 7:18:25 PM Pacific Standard Time,

pal22222@... writes:

> I took my meds early tonight hoping it will help me convert but

> no idea as I have never had afib with the Sotalol. IM not sure but I had a

> skin tag removed today and I did get novocain. The shot was given on my left

> side

> as that is where it is and ya right on top of my heart. I should have

> passed but I told the doctor what I can't have and I thought I would be all

>

Hi, a,

I'm so sorry for you because I know exactly how you feel. It is so

disappointing to stay in sinus for a long time and then find yourself in afib

after you

allowed your hopes to build up about staying always in sinus. I think the

clue to your afib episode may be found in your statement that you had Novocaine

today. I have mentioned this here before so here I go with more redundancy,

but I must say that since Novocaine contains Epinephrine, a form of adrenaline,

it has a high capacity for causing afib. Although I have felt like fainting

from afib many times in my 20+ year afib career, the only time I actually did

faint was right after a shot of Novocaine. Since that fainting episode, I

have never had Novocaine. When I had a root canal, my cardiologist specified

that the endodontist should use Carbocaine, with no Epinephrine, and Marcaine,

with just a minute amount of Epinephrine. Last year when I had a growth removed

surgically from my face, my doctor agreed in advance to use Lidocaine without

epinephrine. Then just before he was about to inject me, I asked if the

syringe contained Lidocaine without Epinephrine. His response was, " Oops! This

is Lidocaine with Epinephrine. " I learned from this that just asking for

anesthetic without Epinephrine is not a guarantee of getting it. One must offer

reminders because doctors are human and can have memory slips as any of us can.

My reminder served a good purpose because I never did have afib after that

surgery, but afib might have happened if I had not been checking on the

injection and asking questions.

You will probably return to sinus soon since the effects of the Epinephrine

won't last long. If you must have surgery again, it might be a good idea to

discuss the anesthetic with your cardiologist and have him/her tell the surgeon

about anesthetics to be avoided, such as those containing Epinephrine.

Best wishes,

in sinus in Seattle

[Guest guest]

a, how are you doing this morning? Sorry to hear you went in. I know

it's a bummer, esp. after getting your hopes up. But the more than eight months

of being afib free could very possibly return, and perhaps this is just a

slight blip in the road. It sounds like you have made lots of strides in terms

of getting your life back to the way you want it, and hang on to that. It

won't go away just because of one episode. I would like to think the episode

was

brought on by the Novacaine for the simple reason that once the anesthetic

leaves your system you will return to normal sinus rhythm and stay there for

another eight months or longer. I had two back-to-back episodes (on Tikosyn)

last

week following a dental procedure using anesthetic with epinephrine. Live

and learn. Let us know how you're doing, please. Thinking of you...Sandy

pal22222@... writes:

>

> Eight months 12 days afib free till 8:31pm tonight.....ugggggggggggg

> It was a wonderful eight months afib free but reality has slapped me in the

> face and IM fibbing away now. It took me six months to start to feel human

> again and the past two months I have been feeling almost my old self.

> a in Massachusetts In Afib Sotalol 80mg x 2 Warfarin 4mg daily

>

[Guest guest]

In a message dated 11/17/04 10:18:15 PM Eastern Standard Time,

pal22222@... writes:

> Eight months 12 days afib free till 8:31pm tonight.....ugggggggggggg

>

a,

I'm so sorry to hear the AF returned. When you convert, I hope it's gone for

ever!

You know the routine. Stay calm and relaxed.

I'll say a prayer.

Rich O

[Guest guest]

> Eight months 12 days afib free till 8:31pm

tonight.....ugggggggggggg

>

Hi a,

Oh the unpredictability of the blasted nuisance. Just when you

think you may finally have it fixed or at least under control.

Around these parts, under challenging circunstances (of any origin)

we say " proceed as if you were normal " . If you are in AFIB anyway

you might as well get out and do something you wanted to do. Who

knows maybe the excitement will jog you back into sinus!

Take Care,

Germaine

[Guest guest]

> In a message dated 11/17/2004 7:18:25 PM Pacific Standard Time,

> pal22222@a... writes:

>

a, I too know how you're feeling. I also went 7 months between

attacks and then, at the worst time....on vacation, it hit. It sure

takes the confidence away.

And , thanks for being redundant. I will in the future refuse

any novacaine when at the dentist and insist on the alternatives you

posted.

P <amiodarone>

[Guest guest]

In a message dated 11/19/04 3:49:33 PM Eastern Standard Time,

indiaink99@... writes:

Whenever you take anesthetics you should ask that they give you one that

does not include epinephrine, a known trigger of arrythmias.

Snip***********

Toni, I was told the next day when I called the office that xylacaine

had none. She also said she only gave me 1/10 of a cc so even if it had it in it

that would not make a difference? I think it would but I believed the

secretary there was none in the dose they gave me. It was the first time I saw

this

doctor and just as she was about to give me the shot I said I need the one

without epinephrine. The doctor said oh OK but I did not see them get anything

else but I assume they did give me what I asked for?

a in Massachusetts NSR Sotalol 80mg Warfarin 4mg daily

[Guest guest]

Whenever you take anesthetics you should ask that they give you one that

does not include epinephrine, a known trigger of arrythmias. Epi is often

added to constrict blood vessels and thereby let the anesthesia last

longer, but there are special preps without epi. You may be interested in

asking whether the prep you received had epi. Also surgical procedures can

be triggers themselves.

--On Wednesday, November 17, 2004 11:51 PM -0500 guygooch@... wrote:

>

> In a message dated 11/17/2004 9:18:19 PM Central Standard Time,

> pal22222@... writes:

> I

> have tickets to go to Mohegan Sun and see the Professional Bull Riding on

> Sunday. I felt good enough to say OK buy the ticket I want to go. Now I

> have a

> 100.00 ticket and IM fibbing away.

> If you feel good enough, go anyway. It might help get your mind off of it.

> Guy

>

>

>

[Guest guest]

Whenever you take anesthetics you should ask that they give you one that

does not include epinephrine, a known trigger of arrythmias. Epi is often

added to constrict blood vessels and thereby let the anesthesia last

longer, but there are special preps without epi. You may be interested in

asking whether the prep you received had epi. Also surgical procedures can

be triggers themselves.

This is interesting to me since I'm about to have my spleen removed ... because

of my a-fib, it's been delayed while they seek a cardiac clearance. And gee

golly gosh, the only EP in my healthplan is the barracuda bitch and I still

wouldn't let her lance a boil on my butt, so they're in a pickle on who is gonna

give me a release. But what questions should I ask the anesthesiologist? I'm

already terrified of anesthesia, and I didn't realize there were other things I

should know and/or ask. Any ideas anyone? Thanks.

Toni

CA