Atrial Fibrillation (AFib) Support Group
Atrial fibrillation (AF or afib) is an abnormal heart rhythm (cardiac arrhythmia) which involves the two small, upper heart chambers (the atria). Heart beats in a normal heart begin after electricity generated in the atria by the sinoatrial node spread through the heart and cause contraction of the heart muscle and pumping of blood.
If the Dr said take the bloodthinner and the rate control drug, it would be very boring. I don't think they would dare say Pradaxa with the advertising going on.
Did anyone watch the show before he was diagnosed? What was his lifestyle like?
He's on Warfarin. I thought 4 Rx's-that's a lot. Your guesses are probably right. He didn't even bother to pick them up for a week. Obviously he's not eager to try to control this. He hasn't accepted it yet.
"You have a condition with your heart (that get their attention), it is not immediately life threatening and is not a emergency like a heart attack... BUT, we have to put you on an anticoagulant right away because you will have a stroke if we don't... btw, you may have an intercranial bleed if you take one of the anticoagulants and we will have trouble adjusting it and you can't eat foods that are good for your heart and it will increase calcification of your heart and arteries OR you can take an anticoagulant that is more likely to give you a stomach bleed and we have no antidote for it... also you will have to be on a rate control medicine that will leave you tired and breathless and probably a rhythm drug that is toxic to your body, could cause a fatal arrythmia, and will probably only work for awhile at which time we will switch you to another toxic drug, then we will electrocardiovert you, which could cause a stroke immediately after, probably won't keep you in normal sinus rhythm for long unless we up your dose of the toxic drug, and if 2 or 3 of these toxic drugs don't work, we can try to perform an ablation that must be done precisely right by the doctor, could cause you some serious side effects and we don't know the long term effects of the procedure, plus you might need 2 or 3 ablations to catch all the spots, but the normal sinus rhythm might not last more than a year to 6, and we are not sure you will be in silent afib, so you will still have to take an anticoagulant and in many cases a toxic rhythm drug to keep you in normal sinus rhythm... OR... we can keep you in afib on rate control, but you might get heart failure and more heart remodeling that after a year, you will no longer be a good candidate for an ablation because the success rate drops off, plus your atria might enlarge... so what will it be? What do you want to do? Huh? Huh? Huh?"
Cut to an advertisement...
"If you have atrial fibrillation, or afib, not caused by a heart valve problem, Pradaxa cuts your risk by 35% over Warfarin..."
Cut to next advertisement...
"If you took Pradaxa and had a near fatal bleed, call the lawyers at BadDrug.com..."
"Honey, get my rat poison!"
I think it can work.
When I feel like chucking in the towel I come to this site.
Your scenerio is right on!! It would be hilarious if it weren't right on the money. It would be too much of a downer for any network to pick up!! The character would just decide, well, just kill me now!!
Ablations are so counterintuitive. You think about surgery as fixing things, not burning and CAUSING scars. Just think how the public would receive that kind of surgery!!