So I was at work today Wednesday the 29th, had a bitch at a Drs office kinda yell at me, and next thing I know I am crying. Back in my younger years as a new nurse I would cry whenever I had a confrontation. I hated that so much I trained myself not to cry. I haven't done that in many years so this was a shock. I think I am just in a fragile state. I have gotten alot done for my WLS here is my checklist

☒ Cardiac clearance redo

❏ Incentive spirometer “bag” from Kathy

❏ IVC filter placement scheduled IAH 9/21 w/CVIR

☒ Labs

☒ Chest xray

☒ Ekg

☒ Sleep study

☒ GI consult: colonoscopy& EGD

☒ Medical clearance

☒ Psychiatric consult

☒ Education program

❏ Nutrition and surgery pre op post op class@IFOH 9/20

☒ Behavior modification/compliance

☒ Nutrition counseling

❏ 1:1 Coaching with RN-IFOH bariatric education

❏ Doctor and Dietician appointment scheduled 9/12

I got some reassurance from my cardiologist. I had an appointment friday morning and I went into Atrial fib the afternoon before (right after my 2 hour nutrition class at my baritric drs office) I was still in FIB when I went to the appointment. I have been very worried that my fib state would postpone my WLS. In discussing it with him we worked through many aspects of my condition. The new medicine has changed the episodes from completely debilitating: I would be dizzy, short of breath with any exertion, and have a raging headache to functional: I do not have the headache, shortness of breath, or dizziness. I just can feel a little fluttery in the chest and I have limited energy. Thus I am able to go to work driving myself where as before I was laid up in bed. The Doc says the main thing is to maintain my anticoagulation and control the rate by doubling one of my meds while I am in FIB. I also will need to be off my anticoagulant prior to my IVC placement and pre op WLS. We will bridge that time with lovenox (a shot that anti coagulates you). So now I have a plan.

Unfortunately it is now saturday and I am still in FIB. YUCK! Just wish I would convert already.