so i went to see dr james barry today an ep from morriston in swansea, i have to say as first visits go this man is a credit to his trade, his demeanour and willingness to listen to all my questions and also answer them in a way my wife and i could understand were second to none, he also never once made me feel rushed even calling me back from the door on my way out to sit back down and discuss a question i asked on the way out.
as for the appointment itself, i wont lie i left feeling a bit dissapointed, ill say why in a bit,
he explained to me that my af would in all fairness always present itself, however he said it may be years until another episode or weeks, so treatment wise at the moment he wants to play it by ear, ive a 2 week supply of bisoprolol and he said if i have an episode to take one and give it an hour or so, if no change then go to ER, he touched on the subject or blood thinners, but his feeling was thhat at my age and risk factor the need wasnt worth the risk, however he does want me to wear a 24 hour blood pressure monitor and if this showed me as having high blood pressure then he would put me on them asap, he also said without any mention of it by me that warfarin isnt the only option, i could try something else, which i thought good of him considering i know the price and financial restraints upon the nhs.
onto my other problem of the right branch bundle block, this he thought was another potentially nothing matter, however due to this and also my af he wants to investigate to make sure there isnt a pathological reason for the block, so to his credit hes arranged me to have the 24 hour blood pressure monitos, an echocardiogram, stress test and also a sleep study test to make sure im not suffering from sleep apnoea which could trigger the af, very thorough i thought,
he also said that he could see i was worrying and that if he was to have any heart irregularities, then mine were the best to have, also said out of all his paitents hes seen this week, i wouldnt be anywhere near the top of his list of ones he was worried about
one final note he mentioned ablation however he said at this moment he didnt think i was a good candidate as ive only had the one episode, however he did then say that he would rather perform it on someone with paroxysmal than persistent as he can more easily identify the rogue signals and would be far more confident of stopping them, so i could be a candidate if i keep having episodes before i go into persistent
now if your still with me after all that the reason i left dissapointed is because im just gutted that at this age ive developed a heart complaint....however i do now feel im in the hands of someone who on the outside really looks like he cares.....thanks for reading