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MommytoSJEA

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Hi everyone! I'm new here and hoping to get as much info as I possibly can. My doc is of NO help whatsoever. I started having all the "symptoms" back when I was about 15, but never went to a doc until I was 20. I was dx with SVT, had an ablasion (12/04). Seemed better for lack of a better word for about a year. At least in that year I did not faint. Docs changed and a new Electro took over for the old one. Saw him, told him the symptoms were coming back. Dizzy, swimming dots in my eyes, racing heart, "fishy flopping" feeling in my chest and terrible chest pain. He says sounds like Atrial Fib, lets ablate again (11/05)! Goes in finds something else to ablate, and it did not help. Enter next game of finding the right meds for you! Yeah, not fun. Beta Blockers, Calcium channel bloackers, BP meds, and anti-arythmics...nothing helped. If anything everything made it worse. The tiredness, nausea...uggg. EP doc says well, I guess its just innapropriate sinus tach. Great IST. I begged for a pacemaker, he said no. Too young. He sends me to Strong Memorial in Rochester (I live in Buffalo, NY) for a consult and they decided to do a sinus node modification. They deemed that a failure, with a shake of thier heads saying I just don't get it. It should have worked. We "burned" your heart 36 (yes, 36) times! Back to Coreg and Diltiezem (sp?). My EP adds midodrine to that mix. My pharmacist says stupid since one if to raise BP and the other to lower, but what do we know. So I take them, and imediately become stupid. Can't hold a conversation, can't stay awake. And the nausea is so bad that I don't know if the next time I open my mouth I'm going to vomit on the person in front of me. Yeah, that was fun. Called EP, he said and I quote "Suck it up for a bit longer" I went back to the office threw a raging fit, and he send me to Dr Feuod (sp?) at the Cleveland Clinic in Ohio. She dx me with POTS. That was this Sept. Told me my EP could monitor me from Buffalo, and have a nice day. I see him 2 wks ago (yeah he let me go almost 4 months from when I went to Cleveland to have a follow-up with him). He asks me "did you ever go to Cleveland" He never got any paperwork nothing. So I tell him what I remeber from the tests. Tilt, Blood volume, and ANS test of some sort. He says well she knows her stuff, so, if thats what she says it is then thats what it is. I don't know what to do for you other then keep playing the meds game. I was sent off to take Florinef for 6 wks to see if this helps. Oh yes, and when I was crying, yet again, because its not fixing the problem, hes says well im sorry, your life is going to be completely miserable, but your not going to die from it :blink: I think I need a new doc. Oh, and I know now from all the reading I have done, those 3 ablasions I had...not so good.

Ok that was long. I'm sorry. I just have tons of questions seeing as how my doc bites the big one. Im in Buffalo NY, anyone know any docs out this way....besides Cleveland. I dont even know about this Floinef. He did not tell me anything about. I read that im supposed to be uping my intake of water, possibly salt tablets. He told me NOTHING. Wait, no he told me I might bloat around the tiome of the period. Thanks doc.

Any help or advice would be much appreciated. If your still reading this far...thank you

~Kelli

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Welcome ... sounds like you've had an awful time! I've been diagnosed with pots! It's very hard to control the symptoms. It has required a lot of med adjustments and that still doesn't always to the trick. I was taking atenolol at one point to slow the HR which also caused my BP to be too low. I had to take midodrine to counteract the low BP from the atenolol so I could keep taking the atenolol. Then when I get too bradycardic they tell me to hold the atenolol to let my heart speed up again and I end up with a racing heart.

You need to find a doctor who can help safely adjust your meds. I had a hard time finding one and have done a lot of my own research on what meds I should be taking. I called the clinic before I went to see if they treated POTS patients. That doesn't guarantee anything but I figured at least they would have some idea about treatments. I drive 3.5 hours to see an EP doctor who has been helpful. He's not an autonomic specialist but if I have a question or problem he takes the time to figure it out for me. My favorite insensitive doctor quote was "people your age don't die from HR's in the 30's" I take florinef, atenolol, and potassium for my POTS. I have as needed meds for nausea as well that I take. I'm not bed ridden but I still faint occasionally and fatigue is another huge problems for me. I avoid med adjustments like the plague because I worry so much about getting worse and passing out more than I do already. Hope you find some help in treating this!! The cardiology clinic I started at had this no cure / no treatment attitude. I know there is no cure but I won't let my life be miserable and I'll keep trying until I get that right combo!!

Good luck! Hopefully you'll get a good doctor recommendation as well!

Brye

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Here's the list of physicians in NY who treat dysautonomia. Hopefully you can find someone close by, but often we have to travel to find the physician who is truly able to help us. I had to fly from Oregon to Mayo in Minnesota as there were no local docs who knew what to make of my symptoms. And now that I've followed all of Mayo's advice and still need help, I'm now with a new cardiologist again. When one doctor says they can't help you, it's time to ask for a referral or do some searching on your own. Best of luck to you!

Julian M. Stewart

Dept. of Pediatrics

Munger Pavilion

New York Medical College

Valhalla, NY 10595

914-594-4370

Treats Children

Information on Dr. Stewart's current research study is available on our website at: http://www.dinet.org/studies.htm

Svetlana Blitshteyn, MD

835 Hopkins Road

Williamsville, NY 14221

716-531-4598

Dr. Blitshteyn specializes in autonomic disorders, headache medicine and general neurology. She is highly recommended.

Mount Sinai School of Medicine

Autonomic Disorders Research and Treatment Program

Department of Neurology, Box 1052

Mount Sinai Medical Center

One Gustave L. Levy Place

New York, NY 10029

212-241-7315

Autonomic Laboratory

Treats adults

Dr. Kiril Kiprovski

Department of Neurosciences

Hospital for Joint Diseases

301 E. 17th Street

New York, NY 10003

212-598-2375

POTS, NCS, PAF/Secondary Autonomic Failure, MSA, Orthostatic Hypotension

Autonomic Laboratory

Treats adults

Dr. Ludmilla Bronfin

650 First Avenue., 7th Floor

New York, New York 10016

212-532-6298

POTS & NCS

Treats adults

Dr. Max Hilz

New York University

Department of Neurology

550 First Ave.

New York, NY 10016

212-686-7500 ext. 7755

POTS, NCS, PAF/Secondary Autonomic Failure, MSA, Familial Dysautonomia, Diabetic Autonomic Neuropathy

Autonomic Laboratory

Will treat children

Lindsey Lee Lair, MD

35 East 35 St. Suite 202

New York, NY 10016

917-991-1992

Comments:

Dr. Lindsey Lee Lair completed her fellowship in autonomic and peripheral nervous system disorders.

The Syncope Center at Columbia Presbyterian Medical Center

Harkness Pavilion, Room 342

180 Fort Washington Avenue

New York, NY 10032

212-305-9940

Treats adults

Louis H. Weimer

Neurological Institute of New York

710 W. 168th Street

New York, NY 10032

212-305-1330

Orthostatic Intolerance (POTS), PAF/ Secondary Autonomic Failure, Multiple System Atrophy

Autonomic Laboratory

Treats adults

Dr. Weimer primarily performs testing. The Neurological Institute of New York has a large movement disorders group experienced with MSA, and there is also a syncope center that treats NCS (See: The Syncope Center at Columbia Presbyterian Medical Center). POTS/OI patients are considered on a case to case basis.

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Svetlana Blitshteyn, MD

835 Hopkins Road

Williamsville, NY 14221

716-531-4598

Dr. Blitshteyn specializes in autonomic disorders, headache medicine and general neurology. She is highly recommended.

OMG! This one is about 20 minutes from me! My searches have all turned up all the other ones you posted, but not this one. Thank you. I will be checking this out.

~Kelli

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Svetlana Blitshteyn, MD

835 Hopkins Road

Williamsville, NY 14221

716-531-4598

Dr. Blitshteyn specializes in autonomic disorders, headache medicine and general neurology. She is highly recommended.

OMG! This one is about 20 minutes from me! My searches have all turned up all the other ones you posted, but not this one. Thank you. I will be checking this out.

~Kelli

Great! Dr. Blitshteyn actually helped make the recent DINET DVD on POTS. She seems to be very knowledgeable and compassionate.

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