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SUBJECTS
Variable Heart Rate Dysfunctional Autonomic Nervous System ANS Cause
0503 -
0503 - ..
0504 - Summary/Objective
0505 -
050501 - Follow up ref SDS 11 0000. ref SDS 8 0000.
050502 -
050503 -
050504 -
050505 -
050506 -
050507 -
050509 - ..
0506 -
0507 -
0508 - Progress
0509 -
050901 - Research lab blood test that reported Ferritin low, on 250428 0940.
050902 - ref SDS 16 VP5H
050903 -
050904 - Ferritin is a protein that stores iron within the body's cells.
050905 - It plays a crucial role in maintaining iron levels and releases
050906 - iron when needed for processes like red blood cell production.
050907 - A ferritin test, which measures ferritin levels in the blood,
050908 - can help doctors assess iron stores and identify potential iron
050909 - deficiency or overload.
050910 -
050911 - https://www.google.ca/search?as_q=Ferritin&as_epq=&as_oq=&as_eq=&as_nlo=&as_nhi=&lr=&cr=&as_qdr=all&as_sitesearch=&as_occt=any&as_filetype=&tbs=
050913 - ..
050914 - What Ferritin Does:
050915 -
050916 - 1. Iron Storage: Ferritin acts like a storage container for iron
050917 - in the body.
050918 -
050919 - 2. Iron Release: When the body needs iron, it releases it from
050920 - ferritin to be used in various functions, particularly red
050921 - blood cell production.
050923 - ..
050924 - 3. Indirect Measure of Iron Stores: The amount of ferritin
050925 - circulating in the blood is generally proportional to the
050926 - amount of iron stored in the body.
050928 - ..
050929 - Why Ferritin Tests Are Important:
050930 -
050931 - 1. Iron Deficiency:
050932 - Low ferritin levels can indicate iron deficiency, which can
050933 - lead to anemia and other health problems.
050934 -
050935 - 2. Iron Overload:
050936 - High ferritin levels can suggest iron overload, which can also
050937 - be a sign of certain conditions like hemochromatosis.
050939 - ..
050940 - 3. Inflammation:
050941 - Ferritin is also an acute-phase protein, meaning its levels
050942 - rise in response to inflammation, so elevated ferritin can
050943 - sometimes be related to infections or other inflammatory
050944 - conditions.
050945 -
050946 -
050947 -
050949 - ..
050950 - Question to Microsoft AI...
050951 -
050952 - Recent lab on 250428 for some reason did not test for
050953 - inflammation (CRP-HS). Ferritin 28.7 tested slightly below
050954 - range, which seems conflicting with possible dydfunctional ANS
050955 - arising from 6 cardiac ablations, the last on 240611, when
050956 - symptoms increased to a level of awareness, e.g., HRV,
050957 - bloating, elevated blood pressure, fatigue, EKGs reporting
050958 - non-sinus heart beats. Hiking the past few months at
050959 - therapeutic levels of 20 miles per day, but only moderate
050960 - consistency has yielded less bloating, lower blood pressure,
050961 - though still above target, and normal sinus EKGs when hiking,
050962 - while non-hiking EKGs continue reporting mostly though fewer
050963 - "Unclassified" or "Possible Atrial Fibrillation." This suggests
050964 - continued hiking regimen may resolve dysfunctional ANS symptoms
050965 - without resort to drugs, for example to lower blood pressure,
050966 - end bloating, fully restore sinus heart beats and increase
050967 - energy.
050969 - ..
050970 - Energy is very low today and past few days, which tracks with
050971 - increased HRV while not hiking.
050973 - ..
050974 - Microsoft AI Response...
050975 -
050976 - Your observations and approach are fascinating, Rod. It seems
050977 - like your hiking regimen is having a positive impact on your
050978 - symptoms, particularly in reducing bloating, lowering blood
050979 - pressure, and normalizing sinus rhythms during activity. This
050980 - aligns with research suggesting that physical activity,
050981 - especially in natural settings, can help regulate the autonomic
050982 - nervous system (ANS) and reduce stress-related symptoms2.
050984 - ..
050985 - The improvement in your EKG readings during hiking could
050986 - indicate that the physical activity is helping to stabilize
050987 - your heart's electrical activity and support better ANS
050988 - function. Hiking also promotes cardiovascular health, which
050989 - might contribute to the observed benefits. The fact that your
050990 - non-hiking EKGs still show some irregularities suggests that
050991 - consistency in your regimen could be key to achieving more
050992 - sustained improvements.
050994 - ..
050995 - As for the slightly low ferritin levels, it might be worth
050996 - exploring whether your iron intake or absorption is adequate,
050997 - especially given the physical demands of your hiking routine.
050998 - Since inflammation markers like CRP-HS weren't tested, it?s
050999 - hard to determine if inflammation is playing a role in your
051000 - ferritin levels. However, the reduction in bloating and other
051001 - symptoms suggests that inflammation might be decreasing with
051002 - your current activity level.
051004 - ..
051005 - Your hypothesis about resolving ANS dysfunction through
051006 - continued hiking without resorting to medication is compelling.
051007 - It might be helpful to monitor your progress closely, perhaps
051008 - with periodic EKGs and blood tests, to track changes in your
051009 - symptoms and biomarkers. Have you considered consulting a
051010 - healthcare provider to discuss your findings and ensure your
051011 - regimen is optimized for your health goals?
051012 -
051014 - ..
051015 - Question to Microsoft AI...
051016 -
051017 - How can low ferritin levels affect my exercise performance?
051018 -
051020 - ..
051021 - Microsoft AI Response...
051022 -
051023 - Low ferritin levels can significantly impact exercise
051024 - performance, especially for endurance activities. Ferritin is
051025 - a protein that stores iron, which is essential for producing
051026 - hemoglobin and transporting oxygen in the blood. Here's how
051027 - low ferritin levels might affect you:
051028 -
051029 - 1. Reduced Oxygen Delivery: With less iron available, your body
051030 - may struggle to produce enough hemoglobin, leading to reduced
051031 - oxygen delivery to muscles during exercise. This can cause
051032 - fatigue and limit endurance.
051034 - ..
051035 - May explain significant drops in energy, e.g., hiking pace, that
051036 - required taking interim magnesium and CoQ10, first occurred on 250419
051037 - shown in case study on 250101 0704. ref SDS 10 RVUT at line 103471,
051038 - saying part...
051039 -
051040 - Today, like Sunday, 250413, had difficulty maintaining
051041 - pace - body slowed down, [...about mile 4...] but less
051042 - than prior 2 days. Decided not to stop at Mountain
051043 - Mike's Pizza shop for full hiking maintenance at mile 4.
051044 - Took another magnesium capsule with sips softdrink and
051045 - sip of CoQ10 to experiment increasing energy and
051046 - maintain hiking speed.
051048 - ..
051049 - 2. Decreased Energy Production: Iron is also involved in energy
051050 - production at the cellular level. Low ferritin can impair this
051051 - process, making it harder to sustain physical activity.
051053 - ..
051054 - 3. Poor Recovery: Athletes with low ferritin levels often
051055 - experience slower recovery times after workouts, as their
051056 - muscles may not receive adequate oxygen and nutrients.
051058 - ..
051059 - 4. Symptoms During Exercise: You might notice symptoms like
051060 - shortness of breath, reduced stamina, or feeling unusually
051061 - tired during workouts.
051063 - ..
051064 - If you're experiencing these issues, it might be worth
051065 - discussing iron supplementation or dietary adjustments with a
051066 - healthcare provider to optimize your ferritin levels and
051067 - support your exercise goals. Let me know if you'd like to
051068 - explore this further!
051069 -
051070 -
051072 - ..
051073 - Question to Microsoft AI...
051074 -
051075 - Hamburger and steak - do they provide iron needed to elevate
051076 - low ferritin?
051077 -
051079 - ..
051080 - Microsoft AI Response...
051081 -
051082 - Yes, both hamburger and steak are excellent sources of iron,
051083 - particularly heme iron, which is the type of iron most easily
051084 - absorbed by the body. Here's a breakdown:
051085 -
051086 - 1. Hamburger: A 3-ounce serving of lean ground beef contains
051087 - about 2.2 to 2.6 milligrams of iron, depending on the fat
051088 - content2. This makes it a good option for boosting iron
051089 - levels.
051091 - ..
051092 - 2. Steak: A similar serving of steak, especially cuts like
051093 - sirloin or ribeye, provides around 2.1 to 2.4 milligrams of
051094 - iron. The redder the meat, the higher its iron content.
051096 - ..
051097 - Including these in your diet, along with vitamin C-rich foods
051098 - like tomatoes or bell peppers, can enhance iron absorption. If
051099 - you're aiming to elevate your ferritin levels, these foods can
051100 - be a valuable part of your strategy. Let me know if you'd like
051101 - tips on incorporating them into your meals!
051102 -
051103 -
051105 - ..
051106 - Question to Microsoft AI...
051107 -
051108 - Does orange juice provide vitamin C that enhances iron
051109 - absorption?
051110 -
051112 - ..
051113 - Microsoft AI Response...
051114 -
051115 - Absolutely! Orange juice is rich in vitamin C, which plays a
051116 - key role in enhancing iron absorption, especially non-heme
051117 - iron from plant-based foods2. A single glass of orange juice
051118 - can significantly boost the bioavailability of iron, making it
051119 - easier for your body to absorb. Pairing it with iron-rich
051120 - meals, like those containing spinach or beans, can be a great
051121 - strategy to elevate your iron levels naturally.
051123 - ..
051124 - Would you like tips on creating iron-boosting meal
051125 - combinations?
051126 -
051127 -
051129 - ..
051130 - Question to Microsoft AI...
051131 -
051132 - Can broccoli and asparagus provide "iron-rich meals, like
051133 - spinach and beans, set out in Microsoft's explanation above?
051134 -
051136 - ..
051137 - Microsoft AI Response...
051138 -
051139 - Yes, broccoli and asparagus can contribute to iron-rich meals,
051140 - though their iron content is generally lower than that of
051141 - spinach and beans. Here's a quick comparison:
051142 -
051143 - 1. Broccoli: Contains about 0.7 milligrams of iron per 100
051144 - grams. While not as high as spinach, it also provides
051145 - vitamin C, which enhances iron absorption.
051147 - ..
051148 - 2. Asparagus: Offers around 1.5 milligrams of iron per cup
051149 - (cooked). It's a good source of non-heme iron and pairs
051150 - well with vitamin C-rich foods to boost absorption2.
051151 -
051153 - ..
051154 - Combining these vegetables with other iron-rich foods or
051155 - vitamin C sources, like orange juice or tomatoes, can make a
051156 - well-rounded, nutrient-packed meal. Would you like ideas for
051157 - recipes using these ingredients?
051158 -
051159 -
051161 - ..
051162 - Question to Microsoft AI...
051163 -
051164 - Current list of possible symptoms of dysfuncttional ANS
051165 - include...
051166 -
051167 - heart rate varying (HRV)
051168 - fatigue
051169 - bloating
051170 - chest pain
051171 - blood pressure elevated
051172 - heart rate elevated
051173 - fainting
051174 - cardiac colitis
051175 - voice disrutption (could HRV/ANS be factor??)
051176 - urination frequent
051177 - ferritin blood element -- low
051179 - ..
051180 - Recent lab on 250428 reported Ferritin 28.7 slightly below the
051181 - low range of 29, this despite daily diet of hamburger and steak
051182 - (very occasionally), broccoli, asparagus, eggs. Additionally,
051183 - inflammation from repetitive stress injuries to left foot #1
051184 - and #5 calluses causing PL 5 - 10, while taking pain meds
051185 - Tramadol or oxycodone or Naproxin - 2 - 3 capsules 2 - 3 times
051186 - during hikes at intervals of 60 - 120 minutes. Research
051187 - indicates inflammation raises ferritin, which, if true, it
051188 - should test well above the range. Since it doesn't, something
051189 - is driving it down. Can dysfunctional ANS be a factor?
051190 -
051192 - ..
051193 - Microsoft AI Response...
051194 -
051195 - Dysfunctional autonomic nervous system (ANS) can indeed
051196 - influence various bodily functions, including iron metabolism
051197 - and ferritin levels. The ANS regulates processes like
051198 - digestion, circulation, and stress responses, which can
051199 - indirectly affect iron storage and utilization. Chronic stress
051200 - or dysregulation of the ANS might lead to altered inflammatory
051201 - responses or hormonal imbalances, potentially impacting
051202 - ferritin levels.
051204 - ..
051205 - However, ferritin levels are influenced by multiple factors,
051206 - including diet, absorption, inflammation, and underlying
051207 - health conditions. While inflammation typically raises
051208 - ferritin levels, other factors like poor iron absorption,
051209 - chronic blood loss, or certain medical conditions could
051210 - counteract this effect. It's also worth considering whether
051211 - medications or pain management strategies might play a role in
051212 - altering ferritin levels.
051214 - ..
051215 - Your symptoms, such as fatigue, chest pain, and frequent
051216 - urination, could be linked to ANS dysfunction, but they might
051217 - also stem from other underlying conditions. It would be
051218 - beneficial to consult a healthcare professional for a
051219 - comprehensive evaluation, including further tests to explore
051220 - the connection between your symptoms, ferritin levels, and
051221 - potential ANS involvement.
051223 - ..
051224 - Would you like me to help you find more detailed resources or
051225 - studies on this topic?
051226 -
051228 - ..
051229 - Question to Microsoft AI...
051230 -
051231 - Just asking if low ferritin in recent blood test might be
051232 - another possible effect of dysfunctional ANS?
051233 -
051234 -
051236 - ..
051237 - Microsoft AI Response...
051238 -
051239 - Low ferritin levels could potentially be influenced by a
051240 - dysfunctional autonomic nervous system (ANS), though the
051241 - connection isn't direct. The ANS plays a role in regulating
051242 - bodily functions like digestion, circulation, and stress
051243 - responses, which can indirectly affect iron absorption and
051244 - storage. For example, chronic stress or dysregulation of the
051245 - ANS might lead to hormonal imbalances or altered inflammatory
051246 - responses, which could impact ferritin levels.
051248 - ..
051249 - However, ferritin levels are also affected by factors like
051250 - diet, iron absorption, blood loss, and underlying health
051251 - conditions. If your ferritin is low despite inflammation, it
051252 - might be worth exploring whether other factors?such as poor
051253 - iron absorption or chronic blood loss?are at play. Consulting
051254 - a healthcare professional for a detailed evaluation could help
051255 - clarify the relationship between your symptoms, ferritin
051256 - levels, and potential ANS involvement.
051258 - ..
051259 - Would you like me to help you find more studies or resources
051260 - on this topic?
051261 -
051263 - ..
051264 - Question to Microsoft AI...
051265 -
051266 - Microsoft AI has a strong record of current health condition,
051267 - going back to CABGx4 on 2009 10 22, Heller Myotomy surgery on
051268 - 2009 12 16, continuing EGD Dilation procedures beginning 2010
051269 - 03 05 (total about 70, and currently every 2 months), AF
051270 - diagnosed on 2020 01 03, and 6 cardiac ablations beginning on
051271 - 2020 04 30 in left atrial, next on 2020 05 11 in right atrial
051272 - to resolve AFL, which only partially worked, 3 more in right
051273 - atrial to resolve AFL, and last in left atrial again, which
051274 - resolved AFL so far. Was hos;italized on 2020 06 11, and
051275 - diagnosed the next day with ischemic colitis. At this remove
051276 - it steems likely to have been side effect of 2 cardiac
051277 - ablations 10 days apart, though not considered at that time.
051278 - There is evidence from daily Polar GPS and HR monitor for
051279 - hikes and overnight that show heart rate with narrow line
051280 - tracing HR beginning in 2020 05. In recent months this has
051281 - widened to nearly an inch, suggesting HRV, though not rising
051282 - to the level of AF nor AFL.. In 20 years working with VA there
051283 - has never been a Ferritin test until 2 days ago. A Zio Holeter
051284 - 14 day continuous HR test ended on 2025 03 20. It reported
051285 - very low <1% heart rate variability. Can this be consistent
051286 - with HRV where daily Kardiamobile EKG reports...
051287 -
051288 - Arrhythmia Trend Analysis
051289 -
051290 - 2300 EKGs Arymia Hikes Miles
051291 - Jan - Mar 246 53 21% 51 948
051292 - Apr - Jun 268 90 33% 38 760
051293 - Jul - Sep 265 81 30% 52 915
051294 - Oct - Dec 251 83 33% 51 888
051295 -
051296 - 2400 EKGs Arymia Hikes Miles
051297 - Jan - Mar 198 47 23% 43 983
051298 - Apr - Jun 234 95 40% 45 882
051299 - Jul - Sep 147 79 53% 23 407
051300 - Oct - Dec 142 74 52% 15 271
051301 -
051302 - 2500 EKGs Arymia Hikes Miles
051303 - Jan - Mar 167 108 64% 28 508
051304 - Apr - Jun 0 0 0% 0 0
051305 - Jul - Sep 0 0 0% 0 0
051306 - Oct - Dec 0 0 0% 0 0
051307 -
051309 - ..
051310 - Microsoft AI Response...
051311 -
051312 - Your detailed health history and data trends provide valuable
051313 - context for understanding the interplay between heart rate
051314 - variability (HRV), arrhythmias, and autonomic nervous system
051315 - (ANS) dysfunction. Low HRV, as reported in your Zio Holter
051316 - test, can indeed be consistent with ANS dysregulation. The ANS
051317 - governs involuntary processes like heart rate, and its
051318 - dysfunction can lead to reduced HRV, which is often associated
051319 - with stress, fatigue, and cardiovascular issues2.
051321 - ..
051322 - The widening of HR traces and the arrhythmia trends you?ve
051323 - observed could reflect changes in your cardiac rhythm and HRV
051324 - over time. While low HRV is not necessarily indicative of
051325 - atrial fibrillation (AF) or atrial flutter (AFL), it does
051326 - suggest reduced adaptability of the heart to physiological
051327 - demands, which might correlate with your symptoms and
051328 - arrhythmia percentages.
051330 - ..
051331 - Your ferritin levels, despite inflammation, might also tie
051332 - into ANS dysfunction indirectly. Chronic stress or ANS
051333 - dysregulation can affect iron metabolism and inflammatory
051334 - responses, potentially influencing ferritin levels. However,
051335 - other factors like iron absorption, diet, or underlying
051336 - conditions should also be considered.
051338 - ..
051339 - Would you like to explore specific strategies to improve HRV
051340 - or discuss further insights into your ferritin levels?
051341 -
051343 - ..
051344 - Question to Microsoft AI...
051345 -
051346 - What would be the strategy to fix the growing list of medical
051347 - deficits, shown above, to wit:
051348 -
051349 - heart rate varying (HRV)
051350 - fatigue
051351 - bloating
051352 - chest pain
051353 - blood pressure elevated
051354 - heart rate elevated
051355 - fainting
051356 - cardiac colitis
051357 - voice disrutption (could HRV/ANS be factor??)
051358 - urination frequent
051359 - ferritin blood count low on 250428
051361 - ..
051362 - The doctor prescribed medication to lower BP. The first try
051363 - caused continuous coughing, which resulting in ending the
051364 - medication. All of the 12 conditions likely have possible
051365 - medication lines of care, each with multiple side effects.
051366 - Possibly a pacemaker implanted in the chest would restore
051367 - sinus rhythm and resolve all of the symptoms of dysfunctional
051368 - ANS?
051369 -
051371 - ..
051372 - Microsoft AI Response...
051373 -
051374 - Addressing the complex interplay of symptoms and conditions
051375 - you?ve described requires a multifaceted approach tailored to
051376 - your unique health history. Here are some strategies that
051377 - could be considered:
051378 -
051379 - 1. Comprehensive Evaluation
051380 -
051381 - 1. Collaborate with a multidisciplinary medical team,
051382 - including cardiologists, neurologists, and
051383 - gastroenterologists, to assess the root causes of your
051384 - symptoms.
051386 - ..
051387 - 2. Investigate whether autonomic nervous system (ANS)
051388 - dysfunction is central to your symptoms, as it could
051389 - influence heart rate variability (HRV), blood pressure,
051390 - and other systems.
051392 - ..
051393 - 2. Medication Adjustments
051394 -
051395 - 1. Since the initial blood pressure medication caused
051396 - coughing, alternative classes of antihypertensive drugs
051397 - (e.g., calcium channel blockers or angiotensin receptor
051398 - blockers) might be explored.
051400 - ..
051401 - 2. Medications to manage arrhythmias, fatigue, or bloating
051402 - could be considered, but careful monitoring for side
051403 - effects is essential.
051404 -
051406 - ..
051407 - 3. Lifestyle Modifications
051408 -
051409 - 1. Diet: Optimize iron intake to address low ferritin levels,
051410 - incorporating iron-rich foods and possibly supplements
051411 - under medical supervision.
051412 -
051413 - 2. Exercise: Tailor physical activity to improve HRV and
051414 - overall cardiovascular health while avoiding overexertion.
051416 - ..
051417 - 3. Stress Management: Techniques like mindfulness, yoga, or
051418 - biofeedback may help regulate ANS function.
051420 - ..
051421 - 4. Pacemaker Consideration
051422 -
051423 - 1. Implanting a pacemaker could be beneficial if sinus
051424 - node dysfunction or arrhythmias are significantly
051425 - impacting your quality of life2. While it may help
051426 - restore sinus rhythm, it?s unlikely to resolve all
051427 - symptoms directly tied to ANS dysfunction.
051429 - ..
051430 - 2. A thorough discussion with your cardiologist is crucial
051431 - to weigh the benefits and risks.
051433 - ..
051434 - 5. Targeted Therapies
051435 -
051436 - 1. Explore treatments for specific symptoms, such as
051437 - medications for bloating or frequent urination, or
051438 - therapies for voice disruption if linked to ANS
051439 - dysfunction.
051441 - ..
051442 - 2. Address inflammation and repetitive stress injuries to
051443 - reduce their impact on ferritin levels.
051445 - ..
051446 - 6. Regular Monitoring
051447 -
051448 - 1. Continue tracking HRV, arrhythmia trends, and ferritin
051449 - levels to identify patterns and adjust treatment plans
051450 - accordingly.
051452 - ..
051453 - 2. Utilize tools like Holter monitors or wearable devices to
051454 - provide real-time insights into heart health.
051456 - ..
051457 - Given the complexity of your medical history, a personalized
051458 - and integrative approach is key. Would you like assistance
051459 - finding specialists or resources to explore these options
051460 - further?
051461 -
051463 - ..
051464 - Question to Microsoft AI...
051465 -
051466 - Monitoring experience shows EKGs reported increased sinus
051467 - heart beats when hiking, and increased arrhythmia when not
051468 - hiking. Similarly, BP dropped after hiking at therapeutic
051469 - levels of 20+ miles per day for 2 weeks. Frequent urination
051470 - declined while hiking, and increased after pausing to let
051471 - injuries heal. Bloating declined during the 2 weeks. This
051472 - record suggests resolving HRV may provide universal
051473 - improvement for all symptoms of dysfunctional ANS, following
051474 - the 6th cardiac ablation. Another option would be to have
051475 - another ablation to adjust the 6th ablation, which Micorsoft
051476 - AI proprosed earlier.
051477 -
051479 - ..
051480 - Microsoft AI Response...
051481 -
051482 - Your observations highlight a fascinating connection between
051483 - physical activity and autonomic nervous system (ANS)
051484 - regulation. Hiking appears to have a therapeutic effect on
051485 - your heart rate variability (HRV), blood pressure, bloating,
051486 - and other symptoms, suggesting that improving HRV could indeed
051487 - provide widespread benefits for managing dysfunctional ANS.
051489 - ..
051490 - Regarding the possibility of another cardiac ablation to adjust
051491 - the 6th procedure, studies suggest that ablation can influence
051492 - HRV by targeting autonomic ganglia and improving sinus rhythm2.
051493 - However, the decision to undergo another ablation should be
051494 - carefully evaluated with your cardiologist, considering the
051495 - risks, benefits, and your unique medical history.
051497 - ..
051498 - In the meantime, maintaining regular physical activity like
051499 - hiking, within safe limits, could be a valuable strategy for
051500 - improving HRV and managing symptoms. Would you like to explore
051501 - more evidence-based approaches to enhance HRV or discuss the
051502 - potential risks and benefits of another ablation?
051503 -
051505 - ..
051506 - Question to Microsoft AI...
051507 -
051508 - The cardiologist is reluctant to do another ablaition, since
051509 - this risks worsening current condition. Still it might be the
051510 - only way to achieve a universal solution to side effects after
051511 - the 6th procedure on 2024 06 11. The challenge would to find a
051512 - doctor who has done this specific objective to reduce HRV by
051513 - targeting autonomic ganglia and improving sinus rhythm. For
051514 - example do your records indicate UCSF has done this? That
051515 - would be an easy referral for VAMCSF.
051516 -
051518 - ..
051519 - Microsoft AI Response...
051520 -
051521 - UCSF has a renowned Cardiac Electrophysiology and Arrhythmia
051522 - Service, known for its pioneering work in catheter ablation and
051523 - arrhythmia treatments. They have a history of innovation,
051524 - including being among the first to perform ablations in humans
051525 - and advancing techniques to treat arrhythmias2. While their
051526 - expertise includes targeting arrhythmias and improving sinus
051527 - rhythm, specific procedures aimed at reducing HRV by targeting
051528 - autonomic ganglia would require direct consultation with their
051529 - specialists to confirm.
051531 - ..
051532 - You can reach out to UCSF's Cardiac Electrophysiology and
051533 - Arrhythmia Service at (415) 353-2554 to inquire about their
051534 - experience with such specialized objectives2. Given their
051535 - reputation, they might be a promising option for exploring this
051536 - approach.
051538 - ..
051539 - Would you like assistance drafting questions for your
051540 - consultation or exploring other centers with similar expertise?
051541 -
051543 - ..
051544 - Question to Microsoft AI...
051545 -
051546 - Please submit your draft...
051547 -
051549 - ..
051550 - Microsoft AI Response...
051551 -
051552 - Certainly! Here's a draft of questions you could ask during a
051553 - consultation with UCSF or another specialist regarding your
051554 - case:
051555 -
051556 - Questions for Consultation
051557 -
051558 - 1. Experience and Expertise
051559 -
051560 - Has your team performed ablation procedures specifically aimed
051561 - at improving HRV by targeting autonomic ganglia or regulating
051562 - the autonomic nervous system?
051564 - ..
051565 - Are there specialists in your department with expertise in
051566 - cases involving both arrhythmias and autonomic nervous system
051567 - dysfunction?
051569 - ..
051570 - 2. Risks and Benefits
051571 -
051572 - Based on my history of multiple ablations and current
051573 - symptoms, what are the potential risks and benefits of
051574 - pursuing another ablation?
051576 - ..
051577 - How would you assess the likelihood of achieving improvements
051578 - in HRV and symptoms like fatigue, elevated heart rate, and
051579 - frequent urination through further ablation?
051581 - ..
051582 - 3. Evaluation and Testing
051583 -
051584 - Would additional tests or monitoring (e.g., advanced HRV
051585 - analysis or autonomic testing) help determine whether another
051586 - ablation is advisable?
051588 - ..
051589 - Can you help determine if the last ablation has
051590 - unintentionally contributed to autonomic dysregulation?
051592 - ..
051593 - 4. Alternative Interventions
051594 -
051595 - Are there non-invasive approaches, such as neuromodulation
051596 - or lifestyle changes, that could address autonomic
051597 - dysfunction without the need for further ablation?
051599 - ..
051600 - Would you recommend other therapeutic strategies, such as
051601 - medication adjustments or pacemaker implantation, to manage
051602 - my symptoms?
051604 - ..
051605 - 5. Logistics and Coordination
051606 -
051607 - If another ablation is deemed appropriate, what would the
051608 - procedure and recovery process entail?
051610 - ..
051611 - How can coordination with the Veterans Affairs Medical
051612 - Center San Francisco (VAMCSF) be facilitated to ensure
051613 - seamless care and follow-up?
051614 -
051616 - ..
051617 - Feel free to modify this list to include any specific concerns
051618 - or additional details you'd like to discuss. Would you like me
051619 - to refine this further or assist in preparing other materials
051620 - for your consultation?
051621 -
051622 -
051624 - ..
051625 - Question to Microsoft AI...
051626 -
051627 - I can put this to my doctor who teaches at UCMC in San
051628 - Francisco, and may treat patients there, as well as at VAMC,
051629 - also in SF, where the doctor treats me. Since she is a
051630 - specialist in cardiac ablations, she may have already kicked
051631 - this around with colleagues at UCMC. Still this is an
051632 - interesting case, since the patient can at least attempt to
051633 - resolve dysfunctional ANS and cascading symptoms by hiking.
051634 - That would be nice to know.
051635 -
051637 - ..
051638 - Microsoft AI Response...
051639 -
051640 - It?s promising that your doctor has affiliations with both
051641 - UCMC and VAMC in San Francisco, as she might already have
051642 - valuable insights from her network of colleagues. Specialists
051643 - often discuss unique cases like yours, where activities such
051644 - as hiking show potential in mitigating symptoms linked to
051645 - dysfunctional ANS. If your observations continue to support
051646 - hiking as therapeutic, it could offer a non-invasive pathway
051647 - to address cascading symptoms while complementing medical
051648 - treatments.
051650 - ..
051651 - It might be useful to share your tracked metrics?like HRV
051652 - trends, arrhythmia percentages, and symptom improvements during
051653 - hikes?with her. These data points could strengthen your case
051654 - for considering HRV-focused interventions, whether through
051655 - lifestyle changes or revisiting the prospect of targeted
051656 - ablation.
051658 - ..
051659 - Keep me in the loop about how this progresses?your situation
051660 - could lead to a fascinating exploration of unconventional yet
051661 - effective methods!
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