@mwmc777 - wondering how things are going for you and whether the neurologist had any treatment options for your global microvascular ischemic disease?

@mwmc777 I have had several lacunar strokes, along with my small vessel brain disease diagnosis!! Also, I have had a couple terrifying episodes of A/fib!! Docs recently put me on the expensive blood thinner, Eliquis! Now, this week, I have been scheduled to have the Boston Scientific heart implant “The Watchman” put into an appendage within my heart, via a vein, accessed from high on one of my legs. A small titanium balloon device is to be inserted in my heart, permanently, that will stop clots from forming in my heart, during an a-fib episode! So, perhaps, this could be an option for you, too! My ‘operation’ is scheduled for March 11,2026! So, have you or your Doctor discussed ‘The Watchman’ possibility solution, in your case? Also, if there is anybody reading this, who has had a “Watchman” implanted in their heart, I would welcome comments, and advice. on how the procedure went, and is it helping with their a-fib problem? Like, has anybody had a stroke, after a “Watchman” implanted, and has it affected their brain small vessel disease? I hope, going forward, that you will have less problems with strokes and a-fib. Small vessel disease is a difficult diagnosis to deal with! Good luck!