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Heart Problems And Questions For Doc

rabrijumo

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My cardiologist stopped my sotolol yesterday and admitted me to the hospital today. I converted to sinus rhythm at 5 pm. So I feel much better. Hope this new medicine stabilizes my heart for surgery. I am ready to take this step and make a new me for the rest of my life. I want to be active and vibrant.

 

Ok that was Friday the 17th it is now the 23rd I got out of the hospital Monday and I went right to work. Started working out yesterday with my resistance bands felt good about that and then went to my first support group meeting. Got home had an unjury shake for dinner and then boom went into fib. It is different slower no head ache but still way wack. So I went to work feel ok can't walk far but I am trying to ignore it til it goes away. Oh and my damn tire has a slow leak so I had to put air in it before work too.

Yesterday I took a whole list of questions and wrote em up and called my cardiologist and bypass docs office . Got some answers still a lot to figure out. Here they are:

 

Ok so I am a nurse(almost 30 years now) I am most likely a PIA(pain in the a$$) to all my doctors because I "guide" my care and treatment, ask a lot of questions, and question their answers with a lot of data and research. The list below is the q&a for my RNY surgery 9/25/12. bluepoint is my gastric bypass doctors group, I have a cardiologist and a PCP or primary care physician, and a cardic surgeon to place my IVC filter.

 

Doctor questions

 

Bluepoint doctor questions

Q: Pain control post op for arthritis Meds that can be liquid or crushed?

***no NSAID's****

A:

Q:Is there a bowel prep diet pre op

A: no

Q: Expected length of stay in hospital

A: 2 days

Cardiology and PCP questions:

Q: What are my needed meds post op?

Tikosyn per cardiologist- can it be opened and added to liquid to take?

Kdur – will be on k added fluids in hospital and monitored

Magnesium

? Actos glipizide will be off these after surgery and on a sliding scale insulin. Recommended sugar control pre op suggested sliding scale insulin now (ask my pcp to write for the insulin)

Q: Lovenox? Since I need to be off 5 days pre IVC placement and 4 days pre RNY surgery are we concerned about stroke risk? I am! Also optifast will it affect my Afib or electrolyte balance ? Bluepoint wants cardiologist to adjust my cardiac meds on optifast if needed.

A

 

IVC filter DOCTOR q's (cardiac surgeon)

Q: Stop Coumadin prior to insertion when?

A: 5 days prior

Q:When and where procedure done A: Fairfax or fairoaks

Q:Anesthesia used propofol?

A:General

Q: IS MAC/PROPOFOL an option

A:

Q: Do they (IVC placement doctor) need clearance from cardiology and PCP prior to IVC placement A:no



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