Since it's really all I've been doing over the last week or so - around the routine house and yard maintenance - let me do an update to the mid-July post and my puzzles with Afib.
The thing that struck me as most interesting was commenter millerized's talk about Benfotiamine, fat soluble B1. Like him, I started a once a day dose, but instead of 250mg/day, I went with a 300 mg/day thinking it didn't matter and the bottle size of 1x/day for 90 days sounded like a good start. That comment was dated July 14, and I started taking them on the 19th (Saturday) - which means last night was two weeks worth. Has it made a difference?
Possibly but nothing dramatic. My issue has been having afib whenever they tested me for it but I never really knew it. More reading told me a couple of non-dramatic signs that are common include shortness of breath in irregular amounts and timing. I started paying more attention and seemed to notice something like that - several deeper breaths correlated to nothing else that I could tell. Another non-dramatic symptom mentioned was some balance issues. I had noticed (and mentioned to Mrs. SiG) that I was developing a tendency to drift side-to-side a bit while walking. Both of those seem to have improved, but since I haven't been able to get something that could tell me I'm having an Afib episode I don't know if that has gotten less frequent - or changed at all.
ADDED: Another difference that could well explain an improvement besides the Benfotiamine is that my doc increased my dosage of the beta blocker metoprolol. Since 2013, I had been taking 50mg/day and he increased that 75 mg/day.
I was supposed to call the cardiologist's office to tell them if I was more interested in finding more details on the ablation or cardioversion and I told them I was leaning toward ablation. They told me they would call the office of the electrophysiologist they refer to and that office would contact me. That hasn't happened.
A sign of "something's wrong" in my mind is that my pulse has been irregular, with things I can feel taking my pulse the old fashioned way of "put a finger on an artery and count it with your watch." Some years ago, for general entertainment (shits and grins) I bought one of those little pulse oximeters - you stick a finger in it and it counts your pulse. Both the old school and the new tech show some irregularity and my pulse being faster in general than it used to be. I used to have a morning pulse around 55-60, now if it's more regular, it's 80-ish, and if it's less regular, the extra beats put that up to reading 90-100.
I spent some time looking at Smart Watches and was ready to pull the trigger until I realized that there's nothing that can do an EKG while I'm riding the bike. They all require using two hands. We normal people can't take our hands off the handlebars for 30 seconds. If I felt weird, I could pull over at a corner or a 7-11 and take one with a Smart Watch or something like the Kardia Mobile that connects to the phone, but all of the ways to do an EKG-like test effectively eliminate use when you're not sitting quietly (or standing quietly, I suppose). That talked me out of it but that only lasted a week or so. I'm still likely to get one soon.
Since I need something cute to wrap up with and this is at least tangentially related...
Somewhere, when I was talking about the times I spent waiting around in hospitals the people I was talking with asked if I noticed that the hospital staff was looking chunkier than they used to. Thanks to the dieticians following the "My Plate" from the Fed.gov, we assume.
EDIT 8/4/25 at 0825 to add: Commenter Igor at 0739 reminded me of something I forgot to add. It goes in the third paragraph, so I added it there, as a new, short, paragraph.
You would think that all the running around would keep hospital staff relatively fit, but, no, they are all blimpy.
ReplyDeleteSeriously, I'm a fat-a##, and I have better body shape than most hospital staff.
SiG, I had an ablation done in 2020 after my defibrillator went off a few times. Sometimes those "provided therapy" jolts were more like a truck battery. Within a year of the ablation there was a noticeable difference, and at this stage and five full years later, my EKGs are far more in line with someone who has not had such problems.
ReplyDeleteNote: while I have, off and on, such goodies as dizziness, shortness of breath and "walking asymmetry" (the Apple ecosystem term for your above mention), I do not have Afib, therefore my input may have no relevance to you.
However, the ablation procedure was straightforward and minimal problem, and for me at least was a solid payoff.
Best wishes on your decision.
Again, I'm not a doctor, and what works for me might or might NOT work for you....but, it works for me. I'll go to my grave (early or later, entirely in God's hands) hoping that what worked for me worked for someone else. I'll also go to my grave if it doesn't, so take that for what it's worth and what it cost you. ;-)
ReplyDeleteKardia offered a 'FSA Eligible' deal a few weeks ago, so for the first time in 8yrs I used a whopping $99 off my FSA card and got a 6L. Wife took an EKG tech course, and after looking at the '6 lead' reading told me it's pretty good. If there was a problem, what she saw from the readings, it would have let someone else know there was a problem. They'd still do a full 12 lead, but it would alert them something ain't right. No substitute for a 'real doctor' (TM, all rights reserved, objects in mirror and all that)
Is it worth it? Just like you, I bought the pulse oximeter. Many years ago a wrist worn blood pressure cuff. My $40 smart watch reads pulse, pulse-ox, blood pressure, so it's the main diagnosis platform now and pretty close to the individual machines in the readings. The EKG, well, it's a visual tool to tell you what you feel when you feel that doesn't feel right, well, it ain't right. Hope the good stuff continues your way and you'll be back to riding centuries again.
Years ago I was asked by my PCP if I ever had "heart palpitations", and I told him that all my life I've had my heart speed up for a few seconds for no discernable reason, so he put me on Metropolol. Haven't had a problem since...
ReplyDeleteI realized that this is NOT a good thing to have when you are 72, so I ain't complaining!!
(The palpitations, I mean.)
You reminded me of something important that I had forgotten to mention. I added a fourth paragraph to explain that.
DeleteFor what it’s worth, the Apple Watch does an ecg. I don’t know how good it is, but it reassured me when my chest got tight when exercising hard.
ReplyDeleteI've heard that about the Apple and other watches, like the FitBit. I assume you did a 30 second ECG and it didn't give you some sort of warning or "get to your Emergency Room Right Now" message. There's a website I've seen called My Watch Told Me to go to the Hospital that's put up by a cardiologist and talks about various symptoms and things like that. Parts of it are arguably outdated, but it seems good.
DeleteI did not understand where your wrote "there's nothing that can do an EKG while I'm riding the bike". I thought all smart watches did that. Not to the precision of a full hookup but sufficient and with data recorded.
ReplyDeleteAs I understand it (half-assed) the continuous heart monitor will show changes to your pulse but to get the EKG trace you need to press the crown (Apple watches) or grab the body of the watch (FitBits and others without a crown). Changes to your pulse could indicate Afib, but to get the app to show it, I think you need 30 seconds.
DeleteI am neither a physician nor a diagnostician, but has anyone checked you for myasthenia gravis?
ReplyDeleteNot that I know of. The odd coincidence would be that I'd notice that because back around 1978 I met someone that had it, so I know the name and would have immediately recognized it if some doc mentioned it.
DeleteNext oddity is that I had some issues with one of my Gmail setups a couple of weeks ago and while I had kept an email so I could contact you, it's gone. Would you mind sending me an email so I can keep that?
New Cardiologist's receptionist was at least 100 miserable pounds overweight. You could smell she was a smoker 6 feet away. She didn't really buy into that hygiene thingy, wasn't especially bright. That was 15 years ago. Kinda figured going to a heart doc was a waste of time.
ReplyDeleteMight have been moderately interesting to see if she was still alive 15 years later, but not worth wasting time on. If she was still alive but underweight, that could be a positive sign.
DeleteThoroughly enjoy your blog, thank you for sharing. I'm your age, Harry Truman was President when I was born (although I don't remember him, of course ;-) ).
ReplyDeleteI'm also sort-of a SiG, except my beard has been snow-WHITE for many years. Got my first computer log-in in 1970 & used Fortran as my second "foreign language" to satisfy my college's "2 foreign language" requirement (the college president was one of the co-developers of BASIC & changed the roles to allow programming languages in lieu of spoken languages :-D)
I, too, have suffered through bouts of AFib, but I never noticed any symptoms. However, one day my home BP monitor said my pulse was 150 (!!). My better half, g*d bless her, made me go to our doctor, but after waiting there fruitlessly for too long, I went to the nearest Walgreens "Minute Clinic", where after a few "minutes" & measurements (incl. an EKG) they told me "go to the ER *IMMEDIATELY*".
Two ablations later & continued use of several cardio drugs means I haven't noticed any recurrences. The "fingers on the wrist" pulse check is all I use on a regular basis but the BP monitor tells me the drugs are working to regulate both BP & heart rhythm.
Enjoyed your comments on adopting older cats, your wisdom here is appreciated as are your comments on PetSmart (PetsMart?). I might try to talk my wife into adding a 2nd older cat to our household.
Sky**Net**@Robo**(dot)**Email
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