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Second Ablation Recovery

Slidingdoors99 profile image
12 Replies

Hi Everyone!

Am posting an update as promised!

Second ablation to treat Atrial Tachycardia due to first one to address AFib…

I was with the Nuffield as a St Barts NHS patient and live in Somerset.

A few differences to note about this second one as a help to others and a question too, that perhaps only Bob can help me with?!

I was delayed for four hours and my anxiety grew - maybe especially because I was alone in a very nice room (spoilt in that way!)

I was told to drink water at 3:00pm which I didn’t understand and questioned (I was told I’d be going into theatre soon) I did drink a glass because I hadn’t had any water since 9:30am that morning, but I was confused and concerned.

EP came to chat at 4:00pm and advised against a GA in my case (had a GA for ablation one) She said that it could be switched if necessary.

I agreed but before getting on the table I asked the staff to please reassure me re the water one hour before situation. It seems that the ‘water only up until two hours before’ is old hat now?!!

Anyway, even though I’m certainly not a female Rambo I got through the three and a half hour procedure with sedation ok. So hard not to even be able to move a finger, let alone a hand though…

Recovery was different. Very. Lots of groin pain (later told they’d gone in via my artery) don’t know if that’s why?

Trying to wee flat on back, just as tricky as before, but after an hour in the recovery room my whole body felt sore and quite painful. This wasn’t the case after my AFib ablation.

I was given a painkiller via my cannula which really helped,!then back into my room.

More back lying! Have to say that when I pressed that button a nurse came so quickly this time around!

I wasn’t expecting the pain though.

Cannula had been put in at 11:00am after failure in other arm (apparently it ‘popped?!)

It wasn’t like any I’d had before in that it was a bit painful all the time it was in, the pads burnt my skin on my chest more than any time before. (previously had 6 cardioversion s too)

Oh, but it was my groin stitches that had me climbing the walls. Last pain relief at 7:30pm, stitches out at 11pm. Yes, I know it’s only one longer stitch that’s cut first, but anyway, my threshold is pretty high but this brought me to tears.

Was given pain relief afterwards, but WHY oh WHY?

Given really good care there on the whole though ie checks through the night, Ech in the morning etc, however, (here comes my question) the EP was not available for me to talk to before being discharged yesterday afternoon and so all I know is that it went well!

How to find out exactly what was done? Shall I open the letter to my GP?

I did see a doctor and asked that now it was done, was did he predict for my future?

No more AFib, no more atrial tachycardia, might I get another new arrhythmia next?

He said nobody knows, which wasn’t very helpful!

Bob (because you’re only one who posted re this kind of ablation last time I wrote about it) What can I expect during this blanking period? I can find anything online and wasn’t told or given any information in the hospital?

Should I contact my St Barts team to ask?

Thank you to anyone who has stayed all this long time reading this! 😀

PS Excuse any typos, too tired and lazy to do an edit today!

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Slidingdoors99
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12 Replies
Desanthony profile image
Desanthony

Hope things start to get better for you soon. Every single experience will be different not just for different people but for you too. Sometimes it is just because it is a different hospital, different consultant, different members in the team or different health areas. I found this so with my two cataract operations done at the beginning of last year the first experience was totally different from the second just because a different nursing team was working with the consultant. Same consultant, same hospital etc. They even sent me home without some of the medication! Luckily, because it was my second operation I realised that I needed other medication, rang them to make sure that it was there and went back to collect.

Just take things easy for now and try not to get stressed. If you want to open the letter for your GP then do so - I hope you can understand it but it it helps you to stop worrying then why not - it is about you and I always ask to be copied in and get copies of all the letters sent regarding my treatment. It is nothing you shouldn't know and if you have full access to the NHS App it may appear on there for you to read - though I do not know how long that would take (sorry I know very little about the NHS App as I am still trying to sort it out here - our surgery only signed up to it the week before Easter and I am still waiting for confirmation that I can get on) Usually the consultant or one of his team do talk to you before you leave but with the way things are at the moment with the NHS trying to catch up I suppose sometimes this is not always possible. Certainly we have found in this area that waiting lists to get into the private hospitals for procedures and consultations have also lengthened due to the NHS asking staff - it seems especially radiography technicians and interventional radiologists to do over time to help get through the back log of scans - My wife had a CT Scan on the last bank holiday weekend on the Sunday at an NHS Hospital here.

Hope Bob comes along soon and can answer your other questions. Take it easy and enjoy this sunny weather while it lasts.

Slidingdoors99 profile image
Slidingdoors99 in reply toDesanthony

👍😀

BobD profile image
BobDVolunteer

Lots of confusing info there I'm afraid. Re the artery that is confusing as you cant get into the heart via an artery for ablation whatever they are trying to stop. Only route is via veins. They do occasionally use an artery (on the other side) for meauring instantaneous BP and or blood oxygen. Maybe in your sedated state you missheard and they said perhaps that they nicked the artery? I have heard of this happening, creating a fistual which may well tie in with the amount of pain you have suffered.

Regarding recover, just the same as any other arrhythmia ablation. Its not what they are trying to stop you are recovering from its the procedure which is fundamentally the same. In my case the considerable work done inside did upset the apple cart for a while and I needed IV flecainide to stabilise my heart following which I had some odd ECG readings which kept me in an extra two days. Over the following two years I had two occasions when I had to drop to my knees to avoid passing out and subsequently had a pacemaker fitted (2022) since when all is calm .

I feel it important that you speak to the arrhythmia nurse and explain your problems , asking for their take on what happened.

Slidingdoors99 profile image
Slidingdoors99 in reply toBobD

Thank you Bob. I also remember them saying they were putting in Flecainide whilst on the table.

A mystery re the artery! Perhaps it was nicked? They told me that they’d used it the day after- so maybe just their mistake?

Who knows!

Thanks again Bob!

opal11uk profile image
opal11uk in reply toSlidingdoors99

Just to add, when I had mine, they went in through the groin, I had stitches and it was very sore for a few days.

Ppiman profile image
Ppiman in reply toSlidingdoors99

I'm sure that I have read of procedures with catheter access using both the femoral vein and brachial artery, so, I'm confused, too, now. Who knows? It seems your procedure went well, which is what matters. You were brave, though, by the sound of it!

Steve

Slidingdoors99 profile image
Slidingdoors99 in reply toPpiman

Ahh! Thanks Steve! I have done a little chasing up and some research and apparently they used the femoral artery in my case. Maybe it is very unusual? I really don’t know. Main thing is though, like you say, that it did appear to go well and so all I suppose I can do now is hope, pray and wait and see!

Such a shame they there isn’t a testing machine to check!!

I’d be over the moon if I didn’t have any arrhythmias any more!

Ppiman profile image
Ppiman in reply toSlidingdoors99

I bet. When mine were few and far between, I used to think, “This isn’t to bad!”, but this year the palpitations especially and AF have really multiplied. It’s very wearing.

Steve

Slidingdoors99 profile image
Slidingdoors99 in reply toPpiman

Yes, it is! I won’t be offered another ablation you see. This was my second and last shot. Next on the agenda will be a dual unit (pacemaker and ICD) 🤨😬

Ppiman profile image
Ppiman in reply toSlidingdoors99

A road I think that I, too, am a traveller along...!

Steve

KentAndrew profile image
KentAndrew

I have always found the St Bart’s health care professionals to be very thorough and understanding when they reply either by email or telephone.

Slidingdoors99 profile image
Slidingdoors99 in reply toKentAndrew

Yes, I agree. They are really wonderful there, both in person and also with their aftercare.

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