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Unusual & Isolated Cases?

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Please tell me these are unusual and isolated cases ~~~~~ can we hear

from the Ablation members who were completely under and didn't feel

pain.

Ellen

*********************

-- In AFIBsupport , anderson1135@c... wrote:

I can relate with being partially awake during ablation and feeling

the pain of the burning of the heart!!! (nip) SMAIndy age 51

**********************

Marsha previously wrote:

(snip) I am scared of the procedure now also because several times

during the procedure I came out of the anesthesia enough to feel pain

and I also was at least partially awake when they shoved a tube in my

nose. (snip) Marsha - age 58

**********************

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> (snip) I am scared of the procedure now also because several times

> during the procedure I came out of the anesthesia enough to feel

pain

> and I also was at least partially awake when they shoved a tube in

my

> nose. (snip) Marsha - age 58

> **********************

>

Ella: I had my ablation with Dr. Natale at Marin General and the

last thing I remember is them trying to feed the temperature probe

down my esophageus which was difficult as I have a somewhat deviated

septum, but it was ok as I was far enough gone that I didn't care.

The next thing I remember is being awake in the recovery room with

Dr. Natale telling my wife that all went well.

They do stock enough drugs to get one through the procedure. You

have to talk to them about what you want. Years ago I had a flutter

ablation and was awake for part of that, unfortunately. When I told

the Natale staff about that I believe they became very attentive to

my level of conciousness in his procedure.

Gordon

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> (snip) I am scared of the procedure now also because several times

> during the procedure I came out of the anesthesia enough to feel

pain

> and I also was at least partially awake when they shoved a tube in

my

> nose. (snip) Marsha - age 58

> **********************

>

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I think anesthesia is an art and since each physical body is different, the

different anesthesias react differently, but an anesthesiologist should be on

hand to determine the level of unconsiousness and give a little more juice at

signs of being awake. They don't want to give too much, however, since

anesthesia can cause it's own set of problems.... a very fine line...

Stef

" Ellen G. " failteg@...> wrote:

Please tell me these are unusual and isolated cases ~~~~~ can we hear

from the Ablation members who were completely under and didn't feel

pain.

Ellen

*********************

-- In AFIBsupport , anderson1135@c... wrote:

I can relate with being partially awake during ablation and feeling

the pain of the burning of the heart!!! (nip) SMAIndy age 51

**********************

Marsha previously wrote:

(snip) I am scared of the procedure now also because several times

during the procedure I came out of the anesthesia enough to feel pain

and I also was at least partially awake when they shoved a tube in my

nose. (snip) Marsha - age 58

**********************

Web Page - http://www.afibsupport.com

List owner: AFIBsupport-owner

For help on how to use the group, including how to drive it via email,

send a blank email to AFIBsupport-help

Nothing in this message should be considered as medical advice, or should be

acted upon without consultation with one's physician.

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---------- Forwarded Message ----------

The EP who did me (and 5000 others each year - with his partner) told me that it

is important for the patient to be awake during ablations.

Because, according to him, they need to know whether the person is responding in

certain fashions.

Versaid and Fentanyl were administered IV as standard practice.

One is to create a twilight consciousness

the other is to encourage forgetting what occurred

according to the cardiac surgeons.

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>

>

>

> ---------- Forwarded Message ----------

> 5000???

The EP who did me (and 5000 others each year - with his partner) told

me that it is important for the patient to be awake during ablations.

>

> Because, according to him, they need to know whether the person is

responding in certain fashions.

>

> Versaid and Fentanyl were administered IV as standard practice.

>

> One is to create a twilight consciousness

>

> the other is to encourage forgetting what occurred

>

> according to the cardiac surgeons.

>

>

>

>

>

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> >

> >

> >

> > ---------- Forwarded Message ----------

> > 5000???

>

> The EP who did me (and 5000 others each year - with his partner)

told

> me that it is important for the patient to be awake during

ablations.

> >

> > Because, according to him, they need to know whether the person

is

> responding in certain fashions.

> >

> > Versaid and Fentanyl were administered IV as standard

practice.

> >

> > One is to create a twilight consciousness

> >

> > the other is to encourage forgetting what occurred

> >

> > according to the cardiac surgeons.

I was told that when one loses conciousness that their breathing

gets slower and deeper and the docs don't want that during an

ablation so they try to keep you right on the edge.

I had both of the above. Fentanyl is for pain and Versed is for

pain and short term memory, I think but I can't remember for sure.

Hmmm! Maybe if affects long term memory as well.

(I'd sign my name if I could remember it.)

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>

> Earl,

> You expressed surprise at a couple of EPs doing 5,000 per year.

>

> I was so stunned at that #, that I keep the brochure under my

computer.

>

> It is hard to believe, but it is in print.

Let's do the math here. 2 EP's with 5000 ablations/year between

them is 2,500 each per year. There are approximately 250 working

days per year which means that each of them do 10 ablations per

working day. Each ablation takes about 3 hours for most docs so

there aren't enough hours in the day for them to do that many.

Where is this ablation factory?

Dr. Natale says he can do 3 per day and may do 400+ per year, and I

believe he's one of the busier EP's around.

What am I missing here?

Gordon

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>

>

I read an article that quoted one of the docs at CC and he said that

they do about 1000 proceduers a year there. Some maze, some mini-

maze, and some ablations. I think that about 400 to 500 would be the

max. I just can't see how anyone location could do 5000.

Earl,

> You expressed surprise at a couple of EPs doing 5,000 per year.

>

> I was so stunned at that #, that I keep the brochure under my

computer.

>

> It is hard to believe, but it is in print.

>

> Additionally, they are being built a $33 million dollar EP

operating rooms addition at the hospital where they ablate. And

it's all cash, no fund raising, no debt. The new addition has 5 EP

operating rooms.

>

> Geez.

>

>

>

>

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