Hi, mrsD:

Thanks for giving me the link to the free medical dictionary and thanks for the medical words definitions. I thought the definitions of these words could be found in a medical dictionary, but I did not have access to such a dictionary, in a paper version or in an online version.

Quote: "Hemodynamic means blood flow. Drugs that reduce contraction of the heart, or slow the beats result in slower blood flow over all." I hope I will not get a blood clot because of slower blood flow.

In the past, my father had a blood clot in one of his legs; this clot moved to his brain and caused him to have a stroke, which affected his talking. Now, another blod clot has just returned in one of his legs again.

I hope the same thing will not happen to me. I am thinking of what would become of my two-year-old baby boy if I had a blood clot that moved to my brain and killed or disabled me enough so that I could not take care of a child. I do not want CPS stealing him.

When you say that propranolol is not a cardio-selective beta-blocker and that it "affects larger areas of the body as well as the heart", what could propranolol do to these areas of the body other than the heart?

I thought about notifying my cardiologist that I am taking propranolol besides taking flecaïnide, but I am so afraid my cardiologist will call my primary care doctor to tell him not to prescribe the propranolol for me anymore. I already had such a hard time convincing my primary care physician to prescribe a beta-blocker for my RSD pain.

What would happen with my RSD pain without either the flecaïnide or the propranolol? Like I said, my Duragesic and MSIR do not seem to be as effective as they used to be (due to tolerance?), so I am relying on the flecaïnide and the propranolol to boost and potentiate the pain killing effects of Duragesic and MSIR. I am already taking my Duragesic at a dosage of 125 mcg (one 100 mcg patch and one 25 mcg patch every 72 hours), so I do not think my primary care doctor will be willing to increase the dosage of my Duragesic to 150 mcg, especially considering the fact that this doctor has already been, in the past, harassed several times by the public health insurance company, which was complaining about the Duragesic costing them too much money.

So I do not know what to do. If you are a RSD pain patient or if you have seen the McGill Pain Scale, you will understand how painful of a syndrome RSD is. If my Duragesic and MSIR continue losing some effect, they will end up becoming totally ineffective, which would be a catastrophe for me. I cannot live with a pain of 10+ 24 hours a day, 365 days a year.

I wish there would be a medication that could protect my heart while I am taking the flecaïnide and the propranolol. This medication only exists in my dreams!

Thanks for caring so much because you took the time to give me all this information. I really appreciate your caring.