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Post Ablation Observations......

Jan 31, 2011 - 4 comments

Jan.31, 2011
I'm now 10 weeks post ablation.  For the past couple of weeks, I have experienced a great deal of jumpiness with my heart.  I was getting frequent clusters of PVC's a short little runs of svt almost daily. These happened all at rest an not during sleep or while under physical exertion.  I'd get them while working at my desk, or watching TV in the evening.  Then yesterday, they disappeared!  I've been free of PVCs now for over 24 hours.  This is great news, but ever the pessimist, I need to wait before I get happy. I pushed the envelope yesterday drinking well over a quart of iced tea throughout the day.  I was wired beyond description last night. 8-)

So this will be my last journal entry, unless something significant occurs.  I hope that writing down my experiences will help those who are facing this procedure get a better understanding of what to expect, or what they will go through from planning to long term recovery.  If by chance you read this, and have a question on the procedure, please feel free to contact me by email.  I will answer as quickly as possible.

Tom

Post Ablation Observations.......

Jan 04, 2011 - 4 comments
Tags:

Ablation

,

svt

,

CMT

,

PSVT/SVT



Jan. 4, 2011

Happy New Year to everyone!  My recovery from ablation continues to be fairly typical.  I continue to have a few PVCs each day along with 1 or 2 brief runs of tachycardia.  They may last 5-10 beats and ten drop out.  I'm getting use to them and it doesn't bother me like it did when I first felt them.

THE BILL IS IN....and WOW, what a bill it is!!!  
Total charges: $76,798..and...thirteen cents.
I'll spare you the details unless you want to see anything specific.  It was all neatly broken out for each procedure performed.  Here's one that make you want to be an anesthesiologist.  I was charged  over $5,300.00 for 15 minutes of anesthesia including the supplies.  Here's a few of the essential charges:

COMP EPS W/ATTEMPT INDUCTION  $10,914.00
EPS W/LT ATRIAL RECORD  $13,949.00
CATHETER ABLATION SVT  $18,540.00
TACHYCARDIA MAPPING  $2,187.00
CATHETER SUPPLIES  $21,699.00

The smallest charge on the bill was a 50mg tablet of Metoprolol at (only).........$0.28.  That's right folks, twenty-eight cents!  There's a lot more blah..blah..blah on the bill but we'll save it.

Ok, so what was my financial responsibility, you ask?  Well, it  was my HMO copay of $250.00  That was a bill I happily paid after seeing the nearly $77,000 total.  How much of that bill is actually paid by my HMO and employer I guess will remain a mystery.  But you can bet your life if you walked in there as an individual, that bill would be your responsibility.  So ablation is a short but expensive little procedure and thank goodness for insurance, an employer with deep pockets, and an excellent health insurance plan.  You've heard the last of my complaining over my weekly co-pay deduction to cover it!

Post Ablation Observations.......

Dec 20, 2010 - 3 comments
Tags:

svt

,

CMT

,

AVRT

,

concealed accessory pathway



Dec.20, 2010
I saw my EP today for a follow-up to my ablation that he did a little over a month ago.  He said he was please with my current EKG, and released me from his care.  He informed me that I DID NOT in fact have Wolff Parkinson White Syndrome as was first diagnosed, but rather another form of AVRT referred to as a "concealed accessory pathway" sometimes referred to as "Circus Motion Tachycardia".  The final determination wasn't known until the results of the EP were closely studied.  He reaffirmed that I was his "dream patient" due mostly to a little opening in the ventricular septum.  About 2% of the population has this little anomoly which allowed him to pass the catheter thru the opening into the left atria thus avoiding a transeptal puncture.  This avoided an injury that takes some time to heal.  WHile I was there today I was administered another EKG.  The results are as follows:

Vent. Rate: 82bpm
PR interval: 142ms
QRS Duration: 84ms
QT/QTc: 370/432ms
P-R-T axes: 40 28 23

"Normal ECG"

Although normal I'm still feeling some PVCs, and today has been a very active day.  It bothers me as I associate them with an uncoming bout of SVT.

I was given a clean bill of health and told to "Celebrate with a double cappacino".  I think I'll hold off on that for now!

Post Ablation Observations.....

Dec 16, 2010 - 1 comments
Tags:

WPW

,

Ablation

,

svt



Today marks 1 month since my ablation.  It's also the first month I've been free of any SVT episodes in a long, long time!  I'm still experiencing a small number of PVC's per day, as well as an occasional short, feeble run of SVT which lasts for a handful of beats before dropping out and going back to NSR.  Leg pain is almost gone as is the lump that has been there.  The most pain I've had has been in my mouth of all places!  I was intubated during the procedure.  I'm guessing that when they inserted the tube, and badly skined my gum on one side back by my last molar.  The gum ulcerated badly, and wouldn't heal.  Then for the past couple of days, it felt like I had a hard scab over the ulcer.  Well, the scab turned out to be a very thin piece of bone called "sequestra".  I don't know how it worked it's way to the surface of my gum, but the trauma must have made it migrate thru the gum to the surface.  Once the piece of bone was disloged, the gum healed very quickly, and it's almost pain free now.

Next big event is on December 20th when I visit my EP for my first follow up.