Dear Dana,

Thank you so much for taking the time to reply to me. I appreciate what you shared about your own experience and your thoughts about what could be causing the reflux and how to address it. It seems to be getting better now, so I'm hopeful that it was just an initial reaction to a few days in the ER, hospital and the surgery or perhaps the tylenol which I stopped. I received a standard pacemaker without defibrillator and it's working well so far. I still have some chest pain and can only sleep on my back so far, but I hear that will ease over time.

I'm encouraged to hear that the pacemaker was so helpful for you and so impressed that you've had a transplant. I hope everything is working out well with your new heart. Thank you again for your welcome. The Mayo site is such a wonderful resource. I send you all the best.