Does this make sense?

[DeltaDawn23]

Last night I slept poorly, and not enough.  I went an 8 hour stretch with no meds (usually take them no longer than 6 hours apart), woke up, took my meds, and around 10:30 got dizzy and went into an irregular rhythm and tachycardia.  Upped my dose, sat down in a quiet corner and finally got my hr down some by taking Xanax and doubling my usual dose of Atenolol.  I called the cardiologists office and he was out, his nurse was out and the nurse I got knew NOTHING about my case.  The next time this happened, the plan was to go in, put me on a monitor and try 600 mg. of Rhythmol.  The nurse I got told me I could come in for an ekg, knew nothing about the plan, then called me back and said the physician's assistant said I didn't need to come in.  If it didn't convert tonight, I should come in and they would shock me in the morning.

Apparently my dr. is working in a different office, different town tomorrow and maybe his nurse (who knows the plan), will be in and the dr. can direct from the other office, or "they do have other EP drs."  Also, my dr. won't be in all week.  

I am so annoyed, and I know it is not helping me calm down.  I went to my family dr. he did an ekg, confirmed I was in afib with a 145 hr and told me to increase my Atenolol and go for the appt. tomorrow if I hadn't converted.  I don't  WANT to be shocked!  Shouldn't they try meds first?  Shouldn't somebody there be looking at my file and considering my wishes?

I guess I'll go if I haven't converted and see if I can get someone to hear me.  Anyone else have this kind of nonsense going on?  What's the point of having a cardologist if you can't see him when you need him?

Any thoughts on what I should do?  
    

[DeltaDawn23]

I am now "on the list" to get into a short-term bed at the hospital for tomorrow -- Thursday.  It took the nurse all day to determine that.  It will be 48 hours tomorrow a.m. since this started.  I am on coumadin, so that should be okay, but if I don't get in tomorrow, I will lose my mind!

Yeah, both offices primary and cardiology told me I could up my dose of Atentolol to try to convert.  I also do have the Rhythmol strategy written down and carry it in my purse.  

If the Rhythmol does convert me, they will use electroconversion after that.  I am very tired, hr running in 130's and 140's and hr irregular most of the time.  At this point, I just want to get it done, but I'm going to the U of Michigan Afib clinic after this episode is over to see what they suggest.  Apparently the EP dr. only sees one once a year, then everything else goes through his assistants.
Thank you all for your comments and advice.  I'll post when it's done.

[Mom2four85]

Oh my; I feel so bad you're going through this when you need something done right now.

In case this happens again, you need to get the dr who told you all of this to write it on a script or his letterhead so when/if this happens again you're not left without an emergency plan, which is ridiculous in my opinion, but I'm just a patient what do I know :P

at the very least, they should have gotten your doctor to call you back

[Jerry_NJ]

Wow, "come in tomorrow" and get a Electrocardioversion???  That would be a record for anything short of ER.

I don't understand you changing dose level and timing, I've never been told to adjust my dose level or frequency.  I assume you cardiologist has discussed you management of medications with you and agrees with your method...hope so.