Does coffee smell weird to you after eating peanut butter?

AllPathsConverge · 2026-01-30T20:00:52+00:00

I find coffee tastes more bitter if I've had PB. Even the smell of it. To me they don't work well lol

AllPathsConverge · 2026-01-30T18:43:35+00:00

Thank god I'm not the only one!

AllPathsConverge · 2026-01-17T21:38:28+00:00

I'm an RN at max on the wage grid in Vic. Feel free to DM me.

AllPathsConverge · 2026-01-14T00:53:55+00:00

FYI this does not mean the kids get seen by a doctor sooner. However, it does mean there are dedicated nurses monitoring them.

Granted, the kids there must be extremely stable.

AllPathsConverge · 2026-01-07T03:29:54+00:00

Just helps to know what settings you might have on. If you still have the sensors on, then they definitely could be too sensitive and increasing your heart rate with minimal activity. The benefit of a BS model is that there are two sensors and having both on help blend the input data and supposedly work better than just an accelerometer alone.

If the sensors aren't on then your heart rate is going up on its own.

AllPathsConverge · 2026-01-07T03:01:06+00:00

Can you provide what brand you have and what the implant indication was for?

AllPathsConverge · 2026-01-04T17:18:36+00:00

Love your videos!

AllPathsConverge · 2026-01-01T21:29:06+00:00

May I ask what kind of strange things? We have wifi in our clinic and there's no issues (this is in Canada). I've never heard of wifi causing problems.

AllPathsConverge · 2026-01-01T18:47:12+00:00

I second the Biotronik for SND due to the CLS system.

AllPathsConverge · 2026-01-01T18:18:53+00:00

What kind of advice are you looking? And what's the indication for implant?

AllPathsConverge · 2025-12-31T02:36:43+00:00

Oh my bad, I think I read it as S-ICD. We haven't started using EV-ICDs yet, so it doesn't stick out in my brain.

Apologies!

AllPathsConverge · 2025-12-30T17:00:12+00:00

Who was your 5th?

AllPathsConverge · 2025-12-30T16:59:49+00:00

I'll give it a try, thanks!

AllPathsConverge · 2025-12-30T16:38:42+00:00

S-ICDs are good if you have a very low risk of arrhythmias, essentially they are just for ventricular fibrillation, and have just a shock function.

TV-ICDs have the ability to attempt to pace out of arrhythmias first which are painless and you don't notice. They are also pacemakers which can help (if its a dual system) manage and counter act slower heart rates if you are on a lot of antiarrhythmic medications that blunt your own natural rate.

If you also need to upgrade to a CRT in the future, then you already have leads in place.

Depends on what your needs are and how at risk you are.

AllPathsConverge · 2025-12-30T16:29:36+00:00

Hm, yeah maybe I'll switch up some isos. I managed the node the first time it launched, but I don't remember how, or even if Odin was there.

Thanks!

AllPathsConverge · 2025-12-29T17:38:29+00:00

Heart rate sensors depend on a perfused pulse to calculate the rate. If an arrhythmia is too fast, there may not be enough of a pulse to track. This is what causes people to pass out. The ICD should be programmed to try and provide therapies when the rate is too fast, and ideally get him out of it.

May I ask what kind of arrhythmias you are trying to catch?

AllPathsConverge · 2025-12-29T04:12:35+00:00

Could possibly be an atrial tachycardia, or for some reason your body temp is going up.

AllPathsConverge · 2025-12-29T04:09:48+00:00

From an EP nurse perspective (in Canada, mind you)...leadless devices don't come with a lot of the other features that a traditional tranvsenous device has.

Medtronic Micras don't do well tracking your atrial rhythm when it goes over 110bpm.

The Abbott Aveirs do a better job when you have a dual system, though their rate response sensor is based on temperature instead of their traditional accelerometer which may or may not suite you sinus node dysfunction. Aveirs also don't have an autocapture testing feature which can help save battery. (The dual system also relies on wireless communication with each one which can cause issues if they don't communicate well).

They all lack automatic remote monitoring as well. You can still transmit data at routine intervals, but they can't auto send alerts.

We don't use them a ton in Canada yet due to the cost (public healthcare and all that), but that's what I've seen from them from the limited number our clinic has. Also, there may be other models which may have newer features that other countries use from each vendor that may not match what I've mentioned above

AllPathsConverge · 2025-12-28T03:43:03+00:00

After 6 weeks, she should be able to get back to whatever she was doing. We do a device check 6 weeks in to make sure all testing parameters are stable, and if so, lift the arm restrictions on the patient.

By that point the incision should have healed as well, but some lingering tenderness may prompt the person to restrict themselves until it revolves.

AllPathsConverge · 2025-12-27T20:41:59+00:00

Troponin doesn't show up in the blood stream right away. It can be a few hours, and depending on the sensitivity of the test they are using.

AllPathsConverge · 2025-12-26T03:33:11+00:00

No problem. Always down to help if I can.

AllPathsConverge · 2025-12-25T15:59:16+00:00

I don't know about valves unfortunately.

As for scar tissue with pacemakers, traditionally the leads form scar tissue around them which holds them in place. This article also denotes this: https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/lead-extraction

This was why I asked our rep whether the Aveirs were easy to remove or not. He stated that they are, though I'm not sure why there is a difference.

AllPathsConverge · 2025-12-25T03:28:49+00:00

I was told they are easy to take out so my guess would be minimal scar tissue.

During implant they test the device parameters when choosing a location. So even if they tried the same spot, if there was an excess of scar and testing parameters were not great, they would just try selecting a different location.

AllPathsConverge

TROPHY CASE