junior ep doing the ablation ?? - Atrial Fibrillati...

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junior ep doing the ablation ??

Lenlec profile image
17 Replies

hi all. Anyone has this before ? I had my 3rd ablation 6 weeks ago. And thankfully zero af so far.

the senior ep who was due to do my procedure. Didn’t do much of it all. He mainly spoke and advised a younger guy who was the one saying “ablate “ ablate “. I was worried by this at the time.

Anyone else had this ? Cheers

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Lenlec profile image
Lenlec
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17 Replies
Rainfern profile image
Rainfern

I would call my cardio team and request an explanation. It could be that you were drowsy with the pre-med or sedative and mis-read the situation. Or maybe under hugely careful supervision a newly qualified EP was making his first ablation. Either way I’d be very fascinated to know if it was my heart being operated on!

Lenlec profile image
Lenlec in reply toRainfern

Thanks yes I thought the same. But by the time I realised the ablation was taking place. I could hear my ep telling the other younger ep what to do

BobD profile image
BobDVolunteer

How else do younger EPs get to learn? I'm sure this was mentioned in the small print . The senior man was still in charge and fully responsible regardless of who was actually holding the catheter.

Lenlec profile image
Lenlec in reply toBobD

The chap who did most of mine it says cardiology spr after his name

Buzby62 profile image
Buzby62

Mine was done by a Fellow under supervision of the EP but I wasn’t told that beforehand. It was on my discharge letter though.

Best wishes

Jajarunner profile image
Jajarunner

Don't worry, the senior would have been making sure it was done properly. If anything it's better because there are two.opinions feeding in. And the new ones do need to learn. Best wishes

Desanthony profile image
Desanthony in reply toJajarunner

Yea I always think you’ve got the junior guy there being really, really careful and he’s being supervised by another great guy - what could be better?

jeanjeannie50 profile image
jeanjeannie50

When I turned up for my gallbladder removal a few years ago. The surgeon had me in his office and asked if I knew it was a training week, well no I didn't! He explained that the two people training were already surgeons but were now studying the gall bladder. I was so confused said yes it would be ok, then no, then when he said they'd just be looking inside the tubes for stones left behind I said yes. I had no pain whatsoever from the day after that procedure and felt really well, my daughter who came to look after me was amazed at how perky and able I was and she went home. In a way I was glad to have had such thorough testing.

I did wonder during one of my three ablations if someone was being trained as I too heard a lot of instructions. I was under sedation only but there was a screen so that I couldn't see who was doing what. I guess what's done had been done now and nothing will change if they tell you yes a trainee was doing the procedure, or part of it.

Jean

Lenlec profile image
Lenlec in reply tojeanjeannie50

Well I’m 6 weeks afib free so far. So fingers crossed

loobylou777 profile image
loobylou777

My ablation at Hammersmith was carried out by a young doctor under the supervision of a cardiophysiologist initially but when things took a turn for the worse a gentleman appeared who introduced himself as professor someone or other who proceeded to take over. Young doctor was still involved. They have to learn, of course they do and everything thankfully was well under control. Successful ablation too only found out that I had a trainee when I saw it on my d/c letter

Buffafly profile image
Buffafly

My cataract op was done by a trainee under supervision which I didn’t know until it was underway going very very slowly. That was pretty terrifying tbh and painful because I have a deformed spine and was in a bad position but didn’t dare speak or move!

Lenlec profile image
Lenlec in reply toBuffafly

Sorry to hear that

Desanthony profile image
Desanthony in reply toBuffafly

That is awkward. I told my cataract surgeon about my spine and neck problems and they frequently asked me if I needed to move. Best to always tell them about spine and neck problems like I have as I was once given a special mattress in hospital so that I could be more comfortable whilst recovering after an operation. Also tell them when I have scans as they will ask if you need to move at suitable times

Buffafly profile image
Buffafly in reply toDesanthony

I had emphasised my severe spine and neck problems! In the first operation I was laid flat and the surgeon wanted my head lowered and the assistant just dropped the headrest suddenly and I screamed with pain. During the second one I was never asked at any time whether I was comfortable and finally I had to say I was in pain but I wasn’t allowed to move. When it came to getting off the sort of chair I was in my joints and back had seized and I let out a few choice swear words which are not at all my usual style 😔 At least they took notice when I had my ablation.

Desanthony profile image
Desanthony in reply toBuffafly

Oooo! That sounds painful fancy just dropping the headrest - even if you didn’t have any spinal problems that would be at the least uncomfortable! Some people have empathy and some don’t - even when they are health professionals - hard to believe really they should ensure you are comfortable.

JOY2THEWORLD49 profile image
JOY2THEWORLD49

Hi

Some hospitals have a LEARNING side to them.

When that happens you should be told. And always 2 Drs and 2 Anaesthetists.

I feel you have a right to question so ask is so and so doing my procedure.

I guess training is a must. Do they try on us oldies?

cheri JOY. 76. (NZ)

Ersilia2 profile image
Ersilia2

When I saw my EP for an Ablation I asked him if he was going to perform it, he replied I’m a Professor ,an advanced student will do the Ablation under my strict supervision.

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