I had an ablation in 1991 at Stanford University Hospital. I had suffered with arrhythmia and tachycardia that could not be controlled with medication. 30 years of no symptoms :)
I am here to tell you to stop being terrified regarding your ablation! You will be absolutely fine, I promise you! They now do those ablation routinely now days. You'll feel way less problem than anything you ever had. So take a deep breath and just calm down.
I just came upon this video and noticed it was actually produced approximately five years ago. I had an ablation procedure at North Shore University Hospital Manhasset, NY in March 2024. I myself happen to be a licensed x-ray technologist, and fluoroscopy exposure was one of the questions I posed to my electrophysiologist, Dr. Mitra. I was astounded when his response was that I would be exposed to zero fluoroscopy time. He explained to me that he is now able to do the procedure without x-ray/fluoroscopy. Personally, I was elated at hearing this. So it appears that advances in this procedure have come quite a ways in the last five years. As a radiologic technologist, I can confirm what Dr. Kneller is saying. Significant fluoroscopy exposure can be quite harmful to the patient. Ablation procedures can often run long, sometimes up to four hours. Although the doctor is not stepping on the fluoroscopy pedal the entire four hours, he could be exposing you to significant radiation. The effects of this radiation exposure are not immediately seen, so people have a tendency to marginalize this. This is definitely a question that the patient should be asking his/her electrophysiologist prior to the procedure.
2 місяці тому+5
Iv had 3 ablations but my AFIB has returned unfortunately. But it’s nothing like it was. I still work full time and life is good.👍
Thanks a lot Dr. Kneller. I’ve had 3 heart ablations and no one mentioned a word about the risks with fluoroscopy exposure. I’ve had 3 “successful” heart ablations. 1st catheter ablation worked great for 2 1/2 years then my heart suddenly went back into persistent AF. 2nd ablation (mini-maze) worked great for 6 years then my heart went back into persistent AF. 3rd ablation (catheter) worked great for 3 1/2 years then my heart suddenly went back into persistent AF. I’m scheduled to have a 4th ablation (another catheter) in 2 weeks. Again no one (RN’s, MD’s, EP’s have mentioned anything about fluoroscopy exposure.
Thank you Dr. Kneller. You had the courage to admit one of the downsides of having the procedure done. The average patient is not always told the risks that are involved. Who wants to find out afterwards about a risk that should have been discussed upfront?
I happily had 3 ablations. Before all of them I could hardly stand up and goto the toilet. Any drugs slowed my heart and lowered my blood pressure to the extent I ended up in hospital. I think it’s the surgeons who take more risks than I do. I am very grateful they take this risk
My ablation was life changing. It gave me my sleep back and my functional level back. Absolutely wonderful! It does take time after the procedure for it to finish going away, but it gets better every day.
Doctor said AFIB should be gone completely in 3 months after ablation but mine took 5 months. So don’t get discouraged if you’re still getting it after the ablation.
Thank you so much. I had my ablation done yesterday and I did ask about the fluoroscopy time. And it was under 5 minutes. Thank you for educating everyone. You are awesome. Gob bless
This is awesome Dr. Kneller, from a retired cath lab/electrophysiology RN. Finally someone is giving informed consent to patients about prolonged radiation. Patients should be required to sign consents for this but my facility didn't have one. I've had to initiate sentinel event reports for patients who were overexposed. No one would call them post procedure and tell them either to watch for manifestations of radiation burn or future cancers. Repeat accumulated exposures add up the exposure. At least in the cardiac cath lab the camera eye is moving about but not the electrophysiology lab. Thank you for this important public service announcement.
I had an ablation 13 years ago and the surgeon burst my aorta. I nearly bled out, as he decided to go in to my heart using a new method. I was in intensive care for two weeks, and have never forgotten it. This procedure was carried out in St Mary’s London. Hopefully new ways of ablating are now general practice, as I may have to have another one at a top hospital here in London. I am full of trepidation.
Uhh, I didn’t know this was part of the procedure I had done 12/7/2023. I did as my doctor tons of questions, but a few questions I didn’t know I should ask. She probably thoroughly explained everything, but it’s a lot to take in and try to understand. I’ll add this question to the list for my svt ablation follow up appointment next week. Thank You for taking the time to educate and explain! ❤
Hello Dr!! I had an ablation process for Wolff Parkinson White (WPW) about 20 years ago in London at the Wellington Hospital. A Dr Nathan did my ablation which took many hours, I had 9 accessory pathways and one in the coronary sinus. His first words to me as I removed the 6 hour procedure was that he never wanted to see me again, my case the hardest he’d ever encountered. After your video, I’m now wondering how much radiation I was exposed to in a process, 20 years ago, that took 6 hours. The ablation was a total success and the WPW was eliminated and I’ve never had an event since, a few tachycardia events but that all. Previously I’d black out if I suddenly sat down, be t over in the shower, or even stepped off a sidewalk. Once I suddenly raised my arms and that triggered a WPW event. It was terrifying for sure. God Bless you for working in a more modern system and keeping us folks informed and up to date. Adrian in Bermuda 💕❤️💕
Sad to say but I fear that no matter what improvement we have received or corrective surgery we received..our heart defects that we had have been training our hearts for far too long that there will be a few milliseconds where you're going to feel those beats trying to or successfully releasing those funky beats hear and their. Not because your procedure didn't work, by all means it did, but because its going against a muscle that has memorized a new beat for who knows how many years and now that a NEW BEAT is in town...of course its gonna put a fight up here n there. Just remember to breath slowly. Dont get excited or over excited meaning dont panic. This wont hurt you unless you have symptoms of a heart attack or stroke. They can start to or turn into panic attacks if you don't control these. I'm sure you got the best information ever on this from your dr on this.. I have a rare condition to which my heart did actually fight this and procedure was a fail. I was disappointed. The said it was my nerves...because I was young n woull not check in the er..even though i mentioned i just had surgery. Then my next visit I was having psvts...up in the 150s. Definitely not normal. However my bp was crashing. However er said I was having a panic attack n needed to calm down. When I finally got through all that mess. That's when we found out my procedure didn't work for me.
Had an ablation 6 years ago. A life changer for me. However Afib episodes have returned this year with a vengeance. With Covid slowing scheduled appointments, I did some research and have altered my daily regiment with positive results so far. Gave up drinking alcohol (ugh! I live in wine country), drinking more water and monitoring my magnesium, thyroid and other levels. So far I am six weeks episode free and really like it.
Yes. i had afib until i had my ablation, but i also found that magnesium is of benefit. Also. sound healing meditation for relaxation, because for sure afib causes anxiety and probably vice versa.
@@TBONE82 Google it. I think only if it causes blood pressure to go too low. I had to discontinue beta blockers because of low blood pressure. That was b4 I was taking magnesium.
I’m 28 having a fib episodes when I have glasses of wine or notice when I wear heels. Having my ablation in May and looking forward to going back to my normal life. I’m also a post transplant recipient so praying that my Procedure goes very well.
I've had 4 ablations. I was honestly the lab rat for my first2 but donated all my medical history to the hospital to hopefully help others with certain conditions. I have a pacemaker..but now I'll be going to get my 5th. Honestly..I wish I was as fortunate like everyone here to say I was back at 100% however..my two natural pacemakers are not working any long..and now this will be on my av node. My last natural pacemaker. I ended up have a heart attack a year after my 4th child. However..my condition is rare...I do hope ablations help you all and your quality of life. I am so grateful for every day I've been given.
Thanks Dr. Kneller for the excellent video and all those who responded in the comments. I will undergo an ablation in 2 weeks and you all helped me calm my fears. I am a colorectal cancer patient just finished my chemo 3.5 months ago
Hi doc my question is I have structured heart dease COPD and had a total of 3 ablations 2 AFib 1 ventricular ablation all failed my electrophysiologists stated he has no clue what me heart problem is
My husband had one two weeks ago and the doctor accidentally put a hole in his heart. He had to have open heart surgery to save his life. The doctor called his procedure-The One Percent, make sure you do your research so this doesn’t happen to you.
I was warned this was a risk by my cardiologist along with possible damage to the oesophagus and lungs. I went ahead with it because being hit by 7 hour long episodes of aggressive afibs with greater frequency was wrecking my life. No regrets. The first ablation only lasted a week. The second, called a redo, has so far lasted about 18 months. I’ve had occasional breakthrough symptoms, but otherwise the procedures gave me normality back, and it’s been wonderful. Would I have an ablation again ? Show me the way to the lab !
@@Chipchase780 That's great news. So did they get to your heart through your thigh? I have persistent afib and cardioversion only last a week. I'm thinking cryoablation may be the best for me after the research I've done myself. How would ones esophagus get damaged 🤔 do they put tubes down there with the way you had it done?
@@PS-en7wn The esophagus is directly behind the left atrium. If the energy delivered to the the LA is too high or if the LA wall is thin, it can heat the esophagus enough to cause an ulcer, which can lead to a deadly condition called a fistula where an opening from the esophagus into the heart develops several weeks after the ablation. This is rare but if it occurs the chances for recovery are not good. It's more likely to happen if the patient has a bad esophagus already due to reflux or other conditions.The main point is that it's rare and usually requires an already weakened esophagus.
@@CT-if2tt Nice to know. I'm hoping to get cryoablation so I believe that's safer and less chance of such complications like that...if I'm reading the right information. Thanks.
Age 73 and tried everything for my Atrial Flutter over 2 years. 150 pulse often. . Cardio-versions too. Doc put me on Flecainide even though WE AGREED it was dangerous. 4 hours later I was in ICU with heart failure. 1 hour later...VENTILATOR ! Doc felt bad and did and an immediate Ablation the next day..took 5 hours ! That was June 2020. Doing great Immediately I woke up, but a few ectopics(PACs) recently... NO AFIB.. Feel great in general and do heavy sawing etc no problem....pulse 69 and my Kardia-mobile ($80 amazon) says no AFIB.... NORMAL !
IM 49 and they put me on Flecainide. Thought I was just feeling crap...luckily was in for an appt when my pule shot up to 197!! Cardioverted twice then in for the ablation....hoping this is all behind me... to your health.
@@blakemoss7305 Flecainide had a homicidal effect on me but it can't be the same for everyone surely ? I usually have mild derision for people who claim weird reactions and allergies etc, and I take much aspirin etc etc with no bad effects. I took Eliquis with zero side effects. I was surprised to be almost killed by flecainide and I would urge a check with Emergency that they have flecainide blocker before taking any... It disrupts and jazzes up the heart rhythms so it goes into heart failure
Flexainide felt like it was killing me!! I stopped it then finally after finding the right heart doctor, he put me on Betapace AF…. Beta blockers helped my Afib!!
Had ablation about year ago, felt great for a while, have hypo thyroid and I have having episodes of fast beats everyday. Going to my cardiologist this month. I just won't go away.
I was on the table at the SF VA twice for Ablation's. Felt better each time , and a tad bit more noticeable energy. Hey...at 76, I am not worried , However, I will address the issues Dr Kneller brought up with my Cardio Dr.
I've had 3 ablations done, and I had no idea radiation was being used. Makes me want to bring this up when I visit my cardiologist on my next visit. Thank you for the information!
I totally agree.. there was another person that was being trained by my cardiologist during my operation. The rookie did the work. I suffered a tear, which cause a bleed, and an night in the CCU
Catheter ablation is not something to undertake lightly. It doesn’t necessarily reduce stroke risk, though many think it does - current thinking is to continue with anticoagulants. What it can do is to give you your life back if your condition is severe enough to restrict your lifestyle unacceptably. I’ve had two catheter ablations, and my surgeon is my hero. Thank you for giving me my life back, Dr Martin Lowe, I am for ever in your debt. Everything else is meaningless.
You don’t know what you are talking about. If you are going into an arrhythmia then you are at high risk of stroke. By having that ablation you take care of the arrhythmi then the stroke risk is gone. Do your homework before you talk non sense.
@@irvincasanueva3423 - I’m not a medical professional, and considering the tone of your response, I’m guessing neither are you. My understanding, gleaned from the homework I have done, is that at best the jury is out on this topic. If you personally have had an ablation (catheter, surgical or hybrid) and have been taken off anticoagulants, you might wish to revisit the issue. One reference is at ua-cam.com/video/3VOq9BL7Y1U/v-deo.html (go straight to 4.45 if you wish to cut to the chase). I don’t think anything further can be achieved by continuing this thread unless a qualified professional would like to contribute.
@@neildesperandum6114 everyone here is a doctor from Google medical school. You are literally giving an statement in your comment that is not accurate. You are misleading people. I am a healthcare worker by the way. I’m happy your procedure went well.
Why do ablations take so long? I was on the table for 7.5 hours and when I was put back in the hospital room and was to not move my legs for four hours. Within the first 15 min I felt a terrible stinging in my left leg and I was about to tell the RN but I passed out because my left leg at the point of entry for the ablation blew a massive hematoma. I had no blood pressure for 4.5 min and my heart was slowing down. When I started to come out of this the first thing I heard was, we have a blood pressure, we have him back. I finally came to my senses and I was surrounded by two Dr and four nurses and they were all in tears laughing. The vascular nurse told me she had asked me if I saw a bright light and I answered her, hell I didn’t even get a license number. I was so out of it I didn’t have any memory of any of the conversation. My left leg was black in color from my hip to just past my knee. I had dumped so much blood out of my ruptured leg artery into my leg and out of the incision that the blood loss just about did me in. Fortunately I had two IV’s and they were both fully open giving me fluids. What a ride I took.
Aiyman Khan I am doing ok but I think I must have had a mini stroke or a blood clot go to the brain from that massive amount of blood dumped in my hip and leg. I have had a horrible time remember and I am not very steady on my feet anymore. I have been improving week by week and slowly my memory is coming back. I don’t blame the Dr because I have very bad blood veins and I don’t anticoagulant like normal people do. I spent 6 days in KU Medical on a heparin drip and lovanox being injected into my stomach trying to get my blood from being so thick. Dr Freeman at Mosaic is a very good Dr. and he has a very good reputation with people and his staff. You will like him.
William Johnson 69 years old and 280 lb now. I was 319 lb but I got the shit scared out of me plus I became very compliant with my By Pap. I am feeling so much better and my goal is to be 250 lb at 6’. My weight was 249 lb when I came out of basic training in the Army so I figured 250 lb would be a good goal plus I am so big boned. It takes a 8” watch band for me.
@@moman0166 did you know america is a corperation run by satan have you founfd jesus and repented for being a part of the freemason (jew) military of lucifer?
What kinds of protection is offered to the patients during the procedure? Are they given partial lead covering over parts of their bodies, i.e., leaded thyroid cover, leaded head cover, leaded glasses? Wouldn’t these types of precautions lower heir radiation risks too?
What about me, as a Respiratory Therapist who for 35 years bagged patients in Cat scan right next to the torrid with lead vest only . Only in the last few years of working did I get a neck cover radio opaque goggles and a dosimeter. Since I've retired, I've had cataract surgery.
Even with 60 minutes of fluoroscopy the risk of fatal cancer is less than one percent. Risk of afib causing stroke is 1-20% yearly. I see no good reason to worry about the typical ablation procedure.
Very helpful. I’m seeing an electro cardiologist in two days. Was just diagnosed with a fib last week in the hospital and my first cardiologist appointment was a couple days ago. He discussed my options. There’s a big learning curve for this and these details are helpful. Also the comments are really helpful as I consider whether to go with ablation.
If it bothers you a lot you should consider it. No medication worked for me. Messed up my stomach after awhile. I had to do it twice (ablation) but much better today. I’ve heard of some people having 3 procedures. Everyone is different and every electro physiologist can vary on experience as well. Better then taking meds for the rest of your life. Blood thinners can be dangerous. 💖🙏🏻Wishing you the best. 🌴😎🌈Along 🤙🏼
@@nancybrown3885 Thanks for the advice. I'm doing all except have to get the magnesium taurate. I was taking calcium but my blood test showed high calcium. I stopped and actually I feel much better.
Had an Ablation two years ago. The Afib was stopped, thank God but the problem I had was two weeks later my heart beat dropped from 62 to only 40 beats a minute. I then had to get a Pace Maker.
I think the newer equipment doesn't use fluoroscopy, rather ultrasound, MRIs, and a computerized 3D model reconstruction from an exploring catheter. There's another video here on UA-cam that shows this setup. Older facilities or lower budgets might still use X-Rays, though....
WOW well I will be checking on this as my ablation procedure is going to be scheduled in 7-10 bus days. I'm glad I watched this video. I'm positive my Dr will keep it minimal but will ask for sure. I do have cancer risk on father's side. I sure don't need any of that. AFib has been enough for me.
My husband had an ablation at Barts hospital after years of suffering severe palpitations that went on for hours. Eventually I called an ambulance during one of these spates and it was decided to carry out this procedure in 2007. When he came home it was clear something was wrong. He had suffered a TIA. The hospital told me it was the result of the anaesthetic. I rang the gp who sent him straight to a&e. A year later he had the procedure again and it was successful. A year later he was diagnosed with multiple myeloma, a blood cancer, and after 4 dreadful years of suffering with no quality of life he died. Now I know why.
I too lost my daughter to what I’d call mismanagement at ninewells in Dundee nobody seemed to know what they were doing she was 19 my husband now deceased died of a broken heart
My moms getting this done in a couple days, I'm not sure how to feel or what to expect . This video isn't helping the anxiety..but the info is helpful just a bit.
newer equipment doesn't use fluoroscopy, rather ultrasound, MRIs, and a computerized 3D model reconstruction from an exploring catheter. i hope everything went okay.
William Johnson Thought I would tell you. I had mine done a month ago. I had an icd implant 6 years ago that was shocking me constantly. My doctors did nothing except change the meds which are very very dangerously. Finally had an ablation never felt better. I am 75 years old
William Johnson I'm 75 was born with defective heart. Had open heart in 1994 also a clot in my leg , had a femoral bypass as they couldn't dissolve the clot . No doctor ever picked up on my a fib. No e k g would show it unless the afib happens while getting ekg. Had second heart attack in 2014 helping Mom cut down trees in yard. They installed an I c d but I believe there was so much scarring on my heart an I c d could not work. Must of had thousands of shocks but all the doctors did was to change my meds. I thank God I'm still alive and thank you for asking
Had 2 ablations. Both failed to cure my AFib. On medication now. First one in 2012 lasted over 3 hours, nearly killed me. Second one in 2014 by another doctor was about 30 minutes.
I need this Ablation, but I've had a lot of medical radiation exposure. I've lost count. The future is unknown if I will get Cancer or not. One more thing to throw up on the worry list. I sure hope Kaiser Permanente knows how to keep my exposure down to 5 min or less....
WOW, I thank you SO much for this!!! I have had A-Fib for quite a while and my cardiologist said the next time he would probably have to do an ablation....and, I am in 'the next time' as of right now. It is of course very erratic but going into the 100s easily if I do much of anything....and I've been like this now for about 10 days. I guess because it is a week until Christmas, the doctors and staff or either off or busy because I am getting nothing from them at all as to what to do, or help. I've been told that someone would call me that day...every time I call but to no avail. I finally heard they had scheduled me for an appointment to see him Jan 7, 2022. By then, If I still am in bad a-Fib, it will have been 2 or three weeks. Never before have my spells been over 5 days at most. Even at complete rest it is in the 80s and 90s. I try not to worry but it is hard not to. So, sorry, I got long winded, but just wanted to say that I feel certain he will suggest ablation and now, thanks to you, I will know what questions to ask!! THANK YOU!!
@@shannonsmith5952 it was a little rough at first but she is doing better but she was afibbing several times every day before the procedure. She still does unfortunately but thankfully not everyday maybe like a few times every once and a while but thankfully not as frequently. But We’re praying that it goes away forever.
Yea you guys over at Kaiser cut my sister heart that bled and she died on the table twice then had to stay in intensive care for 3 weeks got pneumonia And now 3 Months later still has chest pain from getting pounded on the chest. And all she got was a sorry.
Same here I had three 0 results each time. I read in a UK physicians journal that Roger Moore (007) received a pacemaker for a slow heart rate + Afib of which I had. Moore said he felt 70-80% better. The next time I went out of rhythm I told them I wanted a pacemaker not an Ablation they agreed. The main problem I face now is the medications Eliquis and Sotalol. But no A-fib and most days not that bad. The Sotalol being the worst of the two. But good luck and health it seems your doing just fine after receiving the pacemaker.
Thank you, Doctor, for this clear and honest explanation and exposition. I am having a cardiac CT scan next week in preparation for a possible Cyro Ablation. I emailed this question regarding the length of fluoroscopy radiation to my electrophysiologist.
Great! My ablation lasted just 18 months and the afib returned. I had 2 episodes. Was again cardioverted into normal rhythm. I am considering a second ablation but am a little worried since the first did not last? I am glad to know about asking the radiation time exposer!
I had my first ablation in November 2015. The Dr did the minimum he thought I needed. After 5 days I went back into Afib. So he did a second, more extensive one in February 2016 and I have been in Sinus rhythm ever since.
I had 2 procedures. First one pretty much did nothing but agitate my heart. Second one much better. About 3 years. Everyone responds differently and not all electrophysiologist are created equal. Wishing you the best. 🙏🏻💖
I had an ablation in 1991 at Stanford University Hospital. I had suffered with arrhythmia and tachycardia that could not be controlled with medication. 30 years of no symptoms :)
What does it do?
My wife has suffered SVT all her life, she's been offered the ablation option; but she's apprehensive.
She'd rather stay with her meds and suffer.
@@James-bv4nu it’s scary! I have battled tachycardia my whole life. Now I have SVT. I have my ablation on Tuesday & I’m terrified.
I am here to tell you to stop being terrified regarding your ablation! You will be absolutely fine, I promise you! They now do those ablation routinely now days. You'll feel way less problem than anything you ever had. So take a deep breath and just calm down.
68 yr old female had ABLATION
I just came upon this video and noticed it was actually produced approximately five years ago. I had an ablation procedure at North Shore University Hospital Manhasset, NY in March 2024. I myself happen to be a licensed x-ray technologist, and fluoroscopy exposure was one of the questions I posed to my electrophysiologist, Dr. Mitra. I was astounded when his response was that I would be exposed to zero fluoroscopy time. He explained to me that he is now able to do the procedure without x-ray/fluoroscopy. Personally, I was elated at hearing this. So it appears that advances in this procedure have come quite a ways in the last five years. As a radiologic technologist, I can confirm what Dr. Kneller is saying. Significant fluoroscopy exposure can be quite harmful to the patient. Ablation procedures can often run long, sometimes up to four hours. Although the doctor is not stepping on the fluoroscopy pedal the entire four hours, he could be exposing you to significant radiation. The effects of this radiation exposure are not immediately seen, so people have a tendency to marginalize this. This is definitely a question that the patient should be asking his/her electrophysiologist prior to the procedure.
Iv had 3 ablations but my AFIB has returned unfortunately. But it’s nothing like it was. I still work full time and life is good.👍
Thanks so much my mom is in surgery now as i type need all the prayers i could get
How did she do?
Thanks a lot Dr. Kneller.
I’ve had 3 heart ablations and no one mentioned a word about the risks with fluoroscopy exposure.
I’ve had 3 “successful” heart ablations. 1st catheter ablation worked great for 2 1/2 years then my heart suddenly went back into persistent AF. 2nd ablation (mini-maze) worked great for 6 years then my heart went back into persistent AF. 3rd ablation (catheter) worked great for 3 1/2 years then my heart suddenly went back into persistent AF.
I’m scheduled to have a 4th ablation (another catheter) in 2 weeks. Again no one (RN’s, MD’s, EP’s have mentioned anything about fluoroscopy exposure.
Thank you Dr. Kneller. You had the courage to admit one of the downsides of having the procedure done. The average patient is not always told the risks that are involved. Who wants to find out afterwards about a risk that should have been discussed upfront?
I got AFib want ablation
Dr Kneller performed an ablation procedure on my wife on 9/23/20. So far, so good
Im going for one soon but the risks worry me. How did she find the procedure?
Thank you for making us A-Fib patients aware of this!
I happily had 3 ablations. Before all of them I could hardly stand up and goto the toilet. Any drugs slowed my heart and lowered my blood pressure to the extent I ended up in hospital. I think it’s the surgeons who take more risks than I do. I am very grateful they take this risk
My ablation was life changing. It gave me my sleep back and my functional level back. Absolutely wonderful! It does take time after the procedure for it to finish going away, but it gets better every day.
same here brother
Unfortunately it only lasts a few years:/
@@Yash-rv3rp 111111
Doctor said AFIB should be gone completely in 3 months after ablation but mine took 5 months. So don’t get discouraged if you’re still getting it after the ablation.
@@winkstorm It took me several months. More than the cardiologist thought. But it did eventually go completely away.
Your advice is an eye-opener. Thank you. I had no idea that there was a radiation risk to the patient.
Thank you so much. I had my ablation done yesterday and I did ask about the fluoroscopy time. And it was under 5 minutes. Thank you for educating everyone. You are awesome. Gob bless
Did you have cryoablation? I am in the middle of consults for cryoablation for afib.
@@michaelmccormick2890 no, mine was with radio frequency. I’ve read that for afin though. It is not uncommon to use cryo. I had avnrt.
good for you .good luck
Had it done over two years ago and I feel GREAT !
Thank you doctor! Why can't there be more doctors like you!
This is awesome Dr. Kneller, from a retired cath lab/electrophysiology RN. Finally someone is giving informed consent to patients about prolonged radiation. Patients should be required to sign consents for this but my facility didn't have one. I've had to initiate sentinel event reports for patients who were overexposed. No one would call them post procedure and tell them either to watch for manifestations of radiation burn or future cancers. Repeat accumulated exposures add up the exposure. At least in the cardiac cath lab the camera eye is moving about but not the electrophysiology lab. Thank you for this important public service announcement.
I had an ablation 13 years ago and the surgeon burst my aorta.
I nearly bled out, as he decided to go in to my heart using a new method. I was in intensive care for two weeks, and have never forgotten it.
This procedure was carried out in St Mary’s London.
Hopefully new ways of ablating are now general practice, as I may have to have another one at a top hospital here in London.
I am full of trepidation.
That's terrifying I'm surprised you would get another one
I'm scheduled to have mine done in two weeks. I'm so glad that UA-cam recommended this video! Thank you Doc!
Mr williams can you tell me how the procedure have you done it ? what do you feel i am planning to do it too
Really interesting. My question is should I ask for leaded shields on my head, eyes, and thyroid?
Uhh, I didn’t know this was part of the procedure I had done 12/7/2023. I did as my doctor tons of questions, but a few questions I didn’t know I should ask.
She probably thoroughly explained everything, but it’s a lot to take in and try to understand.
I’ll add this question to the list for my svt ablation follow up appointment next week.
Thank You for taking the time to educate and explain! ❤
Hello Dr!! I had an ablation process for Wolff Parkinson White (WPW) about 20 years ago in London at the Wellington Hospital. A Dr Nathan did my ablation which took many hours, I had 9 accessory pathways and one in the coronary sinus. His first words to me as I removed the 6 hour procedure was that he never wanted to see me again, my case the hardest he’d ever encountered. After your video, I’m now wondering how much radiation I was exposed to in a process, 20 years ago, that took 6 hours. The ablation was a total success and the WPW was eliminated and I’ve never had an event since, a few tachycardia events but that all. Previously I’d black out if I suddenly sat down, be t over in the shower, or even stepped off a sidewalk. Once I suddenly raised my arms and that triggered a WPW event. It was terrifying for sure. God Bless you for working in a more modern system and keeping us folks informed and up to date. Adrian in Bermuda 💕❤️💕
Omg. Just got diagnosed w fibrillation after mixing sleeping pills one nite. On meds. Fear of future.
Sad to say but I fear that no matter what improvement we have received or corrective surgery we received..our heart defects that we had have been training our hearts for far too long that there will be a few milliseconds where you're going to feel those beats trying to or successfully releasing those funky beats hear and their. Not because your procedure didn't work, by all means it did, but because its going against a muscle that has memorized a new beat for who knows how many years and now that a NEW BEAT is in town...of course its gonna put a fight up here n there. Just remember to breath slowly. Dont get excited or over excited meaning dont panic. This wont hurt you unless you have symptoms of a heart attack or stroke. They can start to or turn into panic attacks if you don't control these. I'm sure you got the best information ever on this from your dr on this..
I have a rare condition to which my heart did actually fight this and procedure was a fail. I was disappointed. The said it was my nerves...because I was young n woull not check in the er..even though i mentioned i just had surgery. Then my next visit I was having psvts...up in the 150s. Definitely not normal. However my bp was crashing. However er said I was having a panic attack n needed to calm down. When I finally got through all that mess. That's when we found out my procedure didn't work for me.
Anyway..sorry for a boring story lol...that was 16 years ago from now though..see still alive. 😊😁
Worry not. Not a big deal.
I wish I would have seen this video 3 years ago when I had my ablation. Very informative. Thanks.
Had an ablation 6 years ago. A life changer for me. However Afib episodes have returned this year with a vengeance. With Covid slowing scheduled appointments, I did some research and have altered my daily regiment with positive results so far. Gave up drinking alcohol (ugh! I live in wine country), drinking more water and monitoring my magnesium, thyroid and other levels. So far I am six weeks episode free and really like it.
Yes. i had afib until i had my ablation, but i also found that magnesium is of benefit. Also. sound healing meditation for relaxation, because for sure afib causes anxiety and probably vice versa.
@@plantluvr2917 That magnesium is a no no for those who are on beta blockers 😩
@@TBONE82 Google it. I think only if it causes blood pressure to go too low. I had to discontinue beta blockers because of low blood pressure. That was b4 I was taking magnesium.
@@plantluvr2917 You are right!
I found that regular exercise like walking really helps too.
I’m 28 having a fib episodes when I have glasses of wine or notice when I wear heels. Having my ablation in May and looking forward to going back to my normal life. I’m also a post transplant recipient so praying that my Procedure goes very well.
I’m going in next week. How did it go? I hope you’re feeling much better!?
Let us know how it went!
I've had 4 ablations. I was honestly the lab rat for my first2 but donated all my medical history to the hospital to hopefully help others with certain conditions. I have a pacemaker..but now I'll be going to get my 5th. Honestly..I wish I was as fortunate like everyone here to say I was back at 100% however..my two natural pacemakers are not working any long..and now this will be on my av node. My last natural pacemaker. I ended up have a heart attack a year after my 4th child. However..my condition is rare...I do hope ablations help you all and your quality of life. I am so grateful for every day I've been given.
Grrrrl 4 kids congratulations!
@@MrsPaulaTorres thank you 😊😍
Thanks Dr. Kneller for the excellent video and all those who responded in the comments. I will undergo an ablation in 2 weeks and you all helped me calm my fears. I am a colorectal cancer patient just finished my chemo 3.5 months ago
Hi doc my question is I have structured heart dease COPD and had a total of 3 ablations 2 AFib 1 ventricular ablation all failed my electrophysiologists stated he has no clue what me heart problem is
My husband had one two weeks ago and the doctor accidentally put a hole in his heart. He had to have open heart surgery to save his life. The doctor called his procedure-The One Percent, make sure you do your research so this doesn’t happen to you.
Thats horrendous. Hope he's ok? Did it fix it afib though afterwards. Poor guy.
I was warned this was a risk by my cardiologist along with possible damage to the oesophagus and lungs. I went ahead with it because being hit by 7 hour long episodes of aggressive afibs with greater frequency was wrecking my life.
No regrets. The first ablation only lasted a week. The second, called a redo, has so far lasted about 18 months. I’ve had occasional breakthrough symptoms, but otherwise the procedures gave me normality back, and it’s been wonderful.
Would I have an ablation again ? Show me the way to the lab !
@@Chipchase780 That's great news. So did they get to your heart through your thigh? I have persistent afib and cardioversion only last a week. I'm thinking cryoablation may be the best for me after the research I've done myself. How would ones esophagus get damaged 🤔 do they put tubes down there with the way you had it done?
@@PS-en7wn The esophagus is directly behind the left atrium. If the energy delivered to the the LA is too high or if the LA wall is thin, it can heat the esophagus enough to cause an ulcer, which can lead to a deadly condition called a fistula where an opening from the esophagus into the heart develops several weeks after the ablation. This is rare but if it occurs the chances for recovery are not good. It's more likely to happen if the patient has a bad esophagus already due to reflux or other conditions.The main point is that it's rare and usually requires an already weakened esophagus.
@@CT-if2tt Nice to know. I'm hoping to get cryoablation so I believe that's safer and less chance of such complications like that...if I'm reading the right information. Thanks.
Age 73 and tried everything for my Atrial Flutter over 2 years. 150 pulse often. . Cardio-versions too. Doc put me on Flecainide even though WE AGREED it was dangerous. 4 hours later I was in ICU with heart failure. 1 hour later...VENTILATOR ! Doc felt bad and did and an immediate Ablation the next day..took 5 hours ! That was June 2020. Doing great Immediately I woke up, but a few ectopics(PACs) recently... NO AFIB.. Feel great in general and do heavy sawing etc no problem....pulse 69 and my Kardia-mobile ($80 amazon) says no AFIB.... NORMAL !
IM 49 and they put me on Flecainide. Thought I was just feeling crap...luckily was in for an appt when my pule shot up to 197!! Cardioverted twice then in for the ablation....hoping this is all behind me... to your health.
@@blakemoss7305 Flecainide had a homicidal effect on me but it can't be the same for everyone surely ? I usually have mild derision for people who claim weird reactions and allergies etc, and I take much aspirin etc etc with no bad effects. I took Eliquis with zero side effects. I was surprised to be almost killed by flecainide and I would urge a check with Emergency that they have flecainide blocker before taking any... It disrupts and jazzes up the heart rhythms so it goes into heart failure
Flexainide felt like it was killing me!! I stopped it then finally after finding the right heart doctor, he put me on Betapace AF…. Beta blockers helped my Afib!!
My dad is 67 and has a surgery appointment and i’m so nervous! Hoping for the best🙏🏽
Had ablation about year ago, felt great for a while, have hypo thyroid and I have having episodes of fast beats everyday. Going to my cardiologist this month. I just won't go away.
Thank you Dr. Kneller for this enlightening video.
Dr. Kneller, thank you! Of all the videos I've watched, NOBODY mentioned the radiation hazard.
Skip the cardiology. You should be on Saturday Night Live. I loved the glasses bit
Thanks for your encouragement and information my husband has AFib he is given Elquish for three months and we not know what they will do in future
Eliquist is expensive… I think is fr life, I had a mini stroke cause I have A-fib, I am on 10 mg a day
*
I was on the table at the SF VA twice for Ablation's. Felt better each time , and a tad bit more noticeable energy. Hey...at 76, I am not worried ,
However, I will address the issues Dr Kneller brought up with my Cardio Dr.
I've had 3 ablations done, and I had no idea radiation was being used.
Makes me want to bring this up when I visit my cardiologist on my next visit.
Thank you for the information!
Did any of your past patients who had 60 Minutes of exposure develop cancer?
I'll be getting this done the 28th of this month and I did as you said and asked my doctor and he said 10 min. at the most.
Thank you doctor for this great information.
Thank you for that info- they never talk about there procedures - - leaving out very important for me to say NO OR YES
I suffered from Afib and had an ablation three years ago and no more Afib. Always a danger but sometimes better than nothing.
My ablasion lasted less than a year, but till then I had great energy!
Same here...I had 3 ablations and now 6 years later problems are back. They told me it would eventually come back.
What they never tell you about the procedure.......the level of involvement of trainees during this high risk procedure.
I totally agree.. there was another person that was being trained by my cardiologist during my operation. The rookie did the work. I suffered a tear, which cause a bleed, and an night in the CCU
I have had 3 ablations, the last was 6 years ago. Having issues again...how many ablations can a person have safely?
Excellent video thank you, James. I love your way.
Wonderful information.Thank you so much. Fix 1 problem and inherent another.
Catheter ablation is not something to undertake lightly. It doesn’t necessarily reduce stroke risk, though many think it does - current thinking is to continue with anticoagulants. What it can do is to give you your life back if your condition is severe enough to restrict your lifestyle unacceptably. I’ve had two catheter ablations, and my surgeon is my hero. Thank you for giving me my life back, Dr Martin Lowe, I am for ever in your debt. Everything else is meaningless.
You don’t know what you are talking about. If you are going into an arrhythmia then you are at high risk of stroke. By having that ablation you take care of the arrhythmi then the stroke risk is gone. Do your homework before you talk non sense.
@@irvincasanueva3423 - I’m not a medical professional, and considering the tone of your response, I’m guessing neither are you. My understanding, gleaned from the homework I have done, is that at best the jury is out on this topic. If you personally have had an ablation (catheter, surgical or hybrid) and have been taken off anticoagulants, you might wish to revisit the issue. One reference is at ua-cam.com/video/3VOq9BL7Y1U/v-deo.html (go straight to 4.45 if you wish to cut to the chase). I don’t think anything further can be achieved by continuing this thread unless a qualified professional would like to contribute.
@@neildesperandum6114 everyone here is a doctor from Google medical school. You are literally giving an statement in your comment that is not accurate. You are misleading people. I am a healthcare worker by the way. I’m happy your procedure went well.
@@irvincasanueva3423 Yes thank you..ridiculous
@@irvincasanueva3423 Yes exactly.
if your in an arythmia your at risk..what then is it? When did that fact ever change?
Why do ablations take so long? I was on the table for 7.5 hours and when I was put back in the hospital room and was to not move my legs for four hours. Within the first 15 min I felt a terrible stinging in my left leg and I was about to tell the RN but I passed out because my left leg at the point of entry for the ablation blew a massive hematoma. I had no blood pressure for 4.5 min and my heart was slowing down. When I started to come out of this the first thing I heard was, we have a blood pressure, we have him back. I finally came to my senses and I was surrounded by two Dr and four nurses and they were all in tears laughing. The vascular nurse told me she had asked me if I saw a bright light and I answered her, hell I didn’t even get a license number. I was so out of it I didn’t have any memory of any of the conversation. My left leg was black in color from my hip to just past my knee. I had dumped so much blood out of my ruptured leg artery into my leg and out of the incision that the blood loss just about did me in. Fortunately I had two IV’s and they were both fully open giving me fluids. What a ride I took.
OMG? How you doing now are you feeling better that what you were? Would you recommend someone doing this procedure?
Aiyman Khan I am doing ok but I think I must have had a mini stroke or a blood clot go to the brain from that massive amount of blood dumped in my hip and leg. I have had a horrible time remember and I am not very steady on my feet anymore. I have been improving week by week and slowly my memory is coming back. I don’t blame the Dr because I have very bad blood veins and I don’t anticoagulant like normal people do. I spent 6 days in KU Medical on a heparin drip and lovanox being injected into my stomach trying to get my blood from being so thick. Dr Freeman at Mosaic is a very good Dr. and he has a very good reputation with people and his staff. You will like him.
@@moman0166 how old are you and how much do you weigh
William Johnson 69 years old and 280 lb now. I was 319 lb but I got the shit scared out of me plus I became very compliant with my By Pap. I am feeling so much better and my goal is to be 250 lb at 6’. My weight was 249 lb when I came out of basic training in the Army so I figured 250 lb would be a good goal plus I am so big boned. It takes a 8” watch band for me.
@@moman0166 did you know america is a corperation run by satan have you founfd jesus and repented for being a part of the freemason (jew) military of lucifer?
What a wonderful human being..
What kinds of protection is offered to the patients during the procedure? Are they given partial lead covering over parts of their bodies, i.e., leaded thyroid cover, leaded head cover, leaded glasses? Wouldn’t these types of precautions lower heir radiation risks too?
Brilliant & explicit presentation
condensed I a few mnts, a gift of wisdom knowledge & life♥️
What about me, as a Respiratory Therapist who for 35 years bagged patients in Cat scan right next to the torrid with lead vest only . Only in the last few years of working did I get a neck cover radio opaque goggles and a dosimeter. Since I've retired, I've had cataract surgery.
Had mine done at Texas Clinic for Cardiac Arrhythmia by Dr. Natale. Great result. Life changing.
Late to the party but me too, 5 years ago. Excellent experience.
Great advice that I didn't know about!
That’s for that important information . I will ask him that question. Very informative . Thanks
Since when did Thomas Dolby qualify as a cardiologist ?
Even with 60 minutes of fluoroscopy the risk of fatal cancer is less than one percent. Risk of afib causing stroke is 1-20% yearly. I see no good reason to worry about the typical ablation procedure.
Had three ablations and we never discussed radiation exposure...
YIKES ..... that is scary ....
Me either
Very helpful. I’m seeing an electro cardiologist in two days. Was just diagnosed with a fib last week in the hospital and my first cardiologist appointment was a couple days ago. He discussed my options. There’s a big learning curve for this and these details are helpful. Also the comments are really helpful as I consider whether to go with ablation.
If it bothers you a lot you should consider it. No medication worked for me. Messed up my stomach after awhile. I had to do it twice (ablation) but much better today. I’ve heard of some people having 3 procedures. Everyone is different and every electro physiologist can vary on experience as well. Better then taking meds for the rest of your life. Blood thinners can be dangerous. 💖🙏🏻Wishing you the best. 🌴😎🌈Along 🤙🏼
@@youtubeguy1 thank you for sharing. It sounds like you could quit the blood thinners. Thinners are a big concern for me.
Fix it yourself. Stop all alcohol, take magnesium taurine, eat lots of fruit, do a sleep apnea study and limit stress.
Magnesium Taurate
@@nancybrown3885 Thanks for the advice. I'm doing all except have to get the magnesium taurate. I was taking calcium but my blood test showed high calcium. I stopped and actually I feel much better.
Had an Ablation two years ago. The Afib was stopped, thank God but the problem I had was two weeks later my heart beat dropped from 62 to only 40 beats a minute. I then had to get a Pace Maker.
Thank you fro the heads up on flouro time!!!
Im currently scheduling and ablation at Froedert and the medical college of wisconsin
Thanks so much for the tip. About to have this procedure in a few weeks.
Thank you for the very serious information...this is why I like youtube people helping people...beautiful!
I've had 3 ablations and a watchman over 4 yrs. That explains why my thyroid stopped working.
Wow!!! 😮
Hello Doctor James, I will have an atrial fibrillation ablation procedure on Friday, December 10/2021. (next week). Thanks a lot for your Video!
Thank you! I kept looking and found a doctor that does fluoroless ablation. I don't even get mammograms so this was important information to take in.
Great information. Thank You.
I think the newer equipment doesn't use fluoroscopy, rather ultrasound, MRIs, and a computerized 3D model reconstruction from an exploring catheter. There's another video here on UA-cam that shows this setup. Older facilities or lower budgets might still use X-Rays, though....
Thank you for your information!! God Bless you!!
The use of fluoroscopy is user dependent, I work in this field and have some MDs that use none at all and some that are still dependent on it
Thank you! This was a great concern of mine and I am thankful for your explanation.
WOW well I will be checking on this as my ablation procedure is going to be scheduled in 7-10 bus days. I'm glad I watched this video. I'm positive my Dr will keep it minimal but will ask for sure. I do have cancer risk on father's side. I sure don't need any of that. AFib has been enough for me.
My husband had an ablation at Barts hospital after years of suffering severe palpitations that went on for hours. Eventually I called an ambulance during one of these spates and it was decided to carry out this procedure in 2007. When he came home it was clear something was wrong. He had suffered a TIA. The hospital told me it was the result of the anaesthetic. I rang the gp who sent him straight to a&e. A year later he had the procedure again and it was successful. A year later he was diagnosed with multiple myeloma, a blood cancer, and after 4 dreadful years of suffering with no quality of life he died. Now I know why.
I too lost my daughter to what I’d call mismanagement at ninewells in Dundee nobody seemed to know what they were doing she was 19 my husband now deceased died of a broken heart
Multiple Myeloma is a beast. I'm sorry you both went thru it.
I had an ablation this week and my doctor said he used 0 fluoroscopy. I guess the new technology is really getting good.
Thank for this info, very much appreciate knowledge of fluoro exposure and cancer & other complications.
My moms getting this done in a couple days, I'm not sure how to feel or what to expect . This video isn't helping the anxiety..but the info is helpful just a bit.
newer equipment doesn't use fluoroscopy, rather ultrasound, MRIs, and a computerized 3D model reconstruction from an exploring catheter. i hope everything went okay.
She has a little more energy now that it's been a while. Not at full speed but an improvement, for now, only time will tell of course.
@@Heartrok any update m hernandez
My mom is getting it tomorrow. Update how did it go for your mom
No you for this information.
Thanks for telling me about this, I wasn't aware.
Thank you for the great explanation and education! 🤔😊🤗
Thanks for this invaluable information! You rock!!!
I’m glad I s saw this.
Thank you! I will ask these questions!
How can we trust that they will tell us the truth if they don't want to upgrade to the new ways, but still want to stay in business?
I did not know it was an issue. Anyway, I feel so much better since my ablation.
how old are you? whatwere your symptoms before
Ross Marvin I had mine at Duke, never felt better . Thanks to the Staff and Dr Sun
William Johnson Thought I would tell you. I had mine done a month ago. I had an icd implant 6 years ago that was shocking me constantly. My doctors did nothing except change the meds which are very very dangerously. Finally had an ablation never felt better. I am 75 years old
@@silentstorm2239 praise JESUS
William Johnson I'm 75 was born with defective heart. Had open heart in 1994 also a clot in my leg , had a femoral bypass as they couldn't dissolve the clot . No doctor ever picked up on my a fib. No e k g would show it unless the afib happens while getting ekg. Had second heart attack in 2014 helping Mom cut down trees in yard. They installed an I c d but I believe there was so much scarring on my heart an I c d could not work. Must of had thousands of shocks but all the doctors did was to change my meds. I thank God I'm still alive and thank you for asking
Had 2 ablations. Both failed to cure my AFib. On medication now. First one in 2012 lasted over 3 hours, nearly killed me. Second one in 2014 by another doctor was about 30 minutes.
Thanks for that information doctor as I am looking into ablation for myself
I need this Ablation, but I've had a lot of medical radiation exposure. I've lost count. The future is unknown if I will get Cancer or not. One more thing to throw up on the worry list. I sure hope Kaiser Permanente knows how to keep my exposure down to 5 min or less....
WOW, I thank you SO much for this!!! I have had A-Fib for quite a while and my cardiologist said the next time he would probably have to do an ablation....and, I am in 'the next time' as of right now. It is of course very erratic but going into the 100s easily if I do much of anything....and I've been like this now for about 10 days. I guess because it is a week until Christmas, the doctors and staff or either off or busy because I am getting nothing from them at all as to what to do, or help. I've been told that someone would call me that day...every time I call but to no avail. I finally heard they had scheduled me for an appointment to see him Jan 7, 2022. By then, If I still am in bad a-Fib, it will have been 2 or three weeks. Never before have my spells been over 5 days at most. Even at complete rest it is in the 80s and 90s. I try not to worry but it is hard not to. So, sorry, I got long winded, but just wanted to say that I feel certain he will suggest ablation and now, thanks to you, I will know what questions to ask!! THANK YOU!!
My mom is having her ablation tomorrow!!!! I’m real anxious and hoping and praying it all goes well!!!!
How to do you feel?? Are you dizzy , shortness of breath., early get tired . I had afib too. I was diagnosed 3 weeks ago
@@JuanDaDonRealTV how did it go. I’m get my ablation on may 25 2022
@@shannonsmith5952 it was a little rough at first but she is doing better but she was afibbing several times every day before the procedure. She still does unfortunately but thankfully not everyday maybe like a few times every once and a while but thankfully not as frequently. But We’re praying that it goes away forever.
@@shannonsmith5952 blessings to you and I hope and pray it all goes well for you.
What are you doing to protect the patient.?.
Very useful info! thanks
I am going for ablation. Thank you Doc.
Thanks Doc! Didn’t know about this!
Thank you doctor, EPS coder
Yea you guys over at Kaiser cut my sister heart that bled and she died on the table twice then had to stay in intensive care for 3 weeks got pneumonia And now 3 Months later still has chest pain from getting pounded on the chest. And all she got was a sorry.
I’ve had four oblations over a ten-year. None of them worked I have a pacemaker now I would’ve did it 10 years ago if I know what I know now!
Same here I had three 0 results each time. I read in a UK physicians journal that Roger Moore (007) received a pacemaker for a slow heart rate + Afib of which I had. Moore said he felt 70-80% better. The next time I went out of rhythm I told them I wanted a pacemaker not an Ablation they agreed. The main problem I face now is the medications Eliquis and Sotalol. But no A-fib and most days not that bad. The Sotalol being the worst of the two. But good luck and health it seems your doing just fine after receiving the pacemaker.
Thank you so much!!! This is great information
Thank you, Doctor, for this clear and honest explanation and exposition. I am having a cardiac CT scan next week in preparation for a possible Cyro Ablation. I emailed this question regarding the length of fluoroscopy radiation to my electrophysiologist.
What was the response
Thank you I will be asking about flouroscopy time
Thanks so much for this info...I had no idea..I will be asking about this for my procedure in 2 weeks..🙏🙏
Great! My ablation lasted just 18 months and the afib returned. I had 2 episodes. Was again cardioverted into normal rhythm. I am considering a second ablation but am a little worried since the first did not last? I am glad to know about asking the radiation time exposer!
I had my first ablation in November 2015. The Dr did the minimum he thought I needed. After 5 days I went back into Afib. So he did a second, more extensive one in February 2016 and I have been in Sinus rhythm ever since.
I had 2 procedures. First one pretty much did nothing but agitate my heart. Second one much better. About 3 years. Everyone responds differently and not all electrophysiologist are created equal. Wishing you the best. 🙏🏻💖
try magnesium taurate and meditation.
Thank you for sharing that information!
Have you heard anything about "Med-Beds" and if so, what will the impact be on modern medicine practices?
Many thanks Dr. Most useful.
So, why don't you cover the patients eyes, head and shield them as well? This is Mrs. Ace X, in Florida.
Thank you for information