{"id":1511,"date":"2020-02-03T18:08:07","date_gmt":"2020-02-04T01:08:07","guid":{"rendered":"http:\/\/www.angieandjim.com\/blog\/?p=1511"},"modified":"2020-02-03T18:08:07","modified_gmt":"2020-02-04T01:08:07","slug":"a-trip-in-the-emergency-room","status":"publish","type":"post","link":"https:\/\/www.angieandjim.com\/blog\/2020\/02\/03\/a-trip-in-the-emergency-room\/","title":{"rendered":"A Trip in the Emergency Room"},"content":{"rendered":"<p>Well, using her pacemaker to get her out of arrhythmia didn&#8217;t work, so they&#8217;re going to do the cardioversion tomorrow. We saw both Dr. Dubin and Dr. Lui and they are concerned about the recent developments. Angie&#8217;s heart function has decreased even more since her visit last week, which worries them. They didn&#8217;t have a bed available on the cardiovascular floor, but they wanted to observe her for the night, so they asked that we head to the emergency room and &#8220;check-in&#8221; that way. They have a brand new emergency room in the new building and I guess we came at just the right time because there was practically no wait. Fastest emergency room admission ever.<\/p>\n<p>The plan now is that they will observe her tonight and do the cardioversion tomorrow. There is concern that the amiodarone (her new supposedly more powerful anti-arrhythmia drug) isn&#8217;t enough to\u00a0<em>keep<\/em> her out of arrhythmia after they cardiovert her. The problem is they have no way to know. She&#8217;s gotten stuck in bad rhythms like this before on other medications and had to cardiovert out, so the amiodarone may still be good enough, but the initial signs don&#8217;t look promising. If she goes back into arrhythmia after the cardioversion, they&#8217;ll need to transition her back to her previous medicine (dofetilide), which means she&#8217;ll have to wait for a few days for the amiodarone to clear out of her system before putting her back on dofetilide. Once the dofetilide is in her system (it takes a few days: it has a longer half-life than amiodarone), they&#8217;ll do another cardioversion to get her out of arrhythmia and keep her out. So that&#8217;s our plan for the week.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Well, using her pacemaker to get her out of arrhythmia didn&#8217;t work, so they&#8217;re going to do the cardioversion tomorrow. We saw both Dr. Dubin and Dr. Lui and they are concerned about the recent developments. Angie&#8217;s heart function has decreased even more since her visit last week, which worries them. They didn&#8217;t have a [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"jetpack_publicize_message":"","jetpack_is_tweetstorm":false,"jetpack_publicize_feature_enabled":true,"jetpack_social_options":[]},"categories":[21,8,13],"tags":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p8WrW-on","jetpack_sharing_enabled":true,"jetpack_likes_enabled":false,"_links":{"self":[{"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/posts\/1511"}],"collection":[{"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/comments?post=1511"}],"version-history":[{"count":1,"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/posts\/1511\/revisions"}],"predecessor-version":[{"id":1512,"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/posts\/1511\/revisions\/1512"}],"wp:attachment":[{"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/media?parent=1511"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/categories?post=1511"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.angieandjim.com\/blog\/wp-json\/wp\/v2\/tags?post=1511"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}