Like that I just asked the cardiologist who suggested that he's thinking about bringing you into hospital and that also did it I was worried if you could have a we'd have a little chat with you in advance and we can work out with you is that alright sure I'll back to you in the next 1 here you are hi there hello what's now yes it was me I'm seeing a little bit a rash I'm just reading I'm mention some things with you you have this down to getting right and think probably reasonably well do you gotta be careful what this is about yeah it's a bit about discussing about actually coming into hospital to manage it yeah your your heart rhythm atrial flutter as we've found on your ecg which has been troubling you for well over a month or more now mhmm is fast and it's running quite fast to the. Where it's clearly giving you bit of heart failure to fight your heart it's the swelling of your ankles and things because your heart just can't pump things around and the problem is is the medication we're giving you to control it it doesn't really can you I don't actually know I mean before I came to the doctors it was over a course of 3 weeks where I'd noticed it I'd noticed it and had gradually more frequently been noticing it it got to the. Where I was actually when I was laying down I was noticing it more that's what prompted my visit to the doctors but since I started treatment I haven't really felt it the actual flutter I mean now and then and then every now and then I felt my my heart sort of beating faster but like when I'm when I went to my gp surgery today to get my my check done just to see what how I was responding to the medication I was actually quite surprised running at 01:46 because I didn't feel like I could you know but depending on how I had felt previously where I could really feel it I was thought that it was kind of you know manage managing quite well yeah but I I wondered if my because my legs only really seem to really swell when they increase the bisoprolol to the 5 mg yeah sometimes that happens when we give you the beta blockers it makes things yeah did you get an x-ray you had an x-ray yeah exactly just got back from 1 sorry so sarcoidosis in the background oh right I have to get around that okay you're on steroids or oh that was years ago I had that's like crescent now is it basically yeah okay light fullness in the hilum but I didn't see anything seen anyone recently about the sarcoidosis or anything like that no I did it's the only real symptoms I had when I had it is I had hard lumps on my lower legs and I went and got some I had some treatment for it and it it went away but they did say you know it's something that will always be there mhmm but obviously if you get flare ups then you can pulmonary congestion in there but you're not flopping in but in the main yeah yeah okay so I think as we said earlier it's just bringing you in to try and get on top of the yeah bit of electricity sometimes that does the trick to get you on it isn't often last because of the little mapping out of your heart the electrophysiology of your heart and then finding a pathway that's quite effective so that is kind of promising it's and then it's a bit further down the line that we get to the ablation bit mhmm so that will be the advantage the other thing is your blood pressure things have been a bit low I don't think I can see now any more recent blood pressure but your blood pressure with your gp was quite low yeah yeah that that's what prompted them because of my low blood pressure and my high heart rate yes could mix with the that I was on that I'm on treatment no and ordinarily to be honest with you in that context I often just did you last have anything to eat or drink I had like a sandwich I mean you are also reasonably well with it like you said in italy and oxford I've gotten it it doesn't bother me you know coming in and getting it done sooner yes yeah so you know I've never been alright well see that's the thing so we're gonna bring you in I think the question is just about what we give you in the interim because they said I think we need to check the blood yeah they said to give a stat we need to check the blood pressure it's not that's 1 we're entirely like I'm not yeah I'm not sure if ixim is reasonable or amiodarone conversion if we're not gonna get on and do something different with it yeah shock you out a bit and then you might stick we'll just have that yep that's that's champ okay sounds good anything else you want to ask no no any family history of this at all was it not with this no I mean know my on my grandfather's side he for a pastime it's stimulants caffeinated drinks all that kind of stuff really don't it's it's I don't I I don't I've stopped smoking 15 years ago I rarely drink I don't I it's not like I drink on a regular basis yeah it's now and then yeah and as far as I don't touch coffee and I try to stay away from well not just because they're full of crap on your teeth side of things as well but working nights doesn't help all of that does it no no no okay alright fine that's where we are okay great great nice to meet you no problem thank you so much that's alright can I just pop this 1 in there do cranberry and stuff correct this is the thing that you're do yeah so right it'll be more successful