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  1. W

    Confused about advice

    I broke a leg playing soccer in a coed league at age 30. I had a daughter break a leg playing highschool soccer. I had another daughter (temporarily) blinded in one eye after taking a hard shot to the head in a competitive youth soccer league. In the aforementioned coed league, I recall a...
  2. W

    Replacement on thursday, can I have some information/support

    Hello Brachikaa. A couple quick thoughts for you. I have a mechanical mitral valve. Overall, I'll suggest that what you want is a very good surgeon who will do what is best for you. Now, that was very easy for me to say (or write) so please allow an explanation: My understanding is...
  3. W

    How often you take Echocardiogram ultrasound test

    fyi - from the 2020 ACC Guidelines for the Management of Patients with Valvular Heart Disease "In asymptomatic patients with any type of valve intervention, a baseline postprocedural TTE followed by periodic monitoring with TTE is recommended, depending on type of intervention, length of time...
  4. W

    Replacement in 2 weeks

    Preciosa: I'm a life long runner. Been on warfarin for about 15 years and got a mechanical mitral valve (St. Judes) almost a decade ago. I've run plenty of marathons on warfarin (though none recently!) Ran a 25K and a half-marathon last month. Warfarin has never had any impact on my...
  5. W

    Lovenox tips and tricks?

    Watching the video reminds me of a tip that will not pertain to all, but if it does can save some pain. When I bridged about a year ago, I gave myself the first injection as shown (per the included instructions) . .. . and it was quite painful (and ultimately left a bruise > 1 sq in). I then...
  6. W

    Can doctors insert a larger Mechanical valve on later surgery? My first AVR was a Porcine 27mm, Current is a Bovine 23mm.

    My experience was the mitral position. First a repair that solved a valve leakage problem but made the valve too small, then 6 mos later a mechanical valve was installed. I've always been a distance runner so, like you, from the time I had the valve work done I have always clearly noticed...
  7. W

    AV Node Ablation

    My first ablation for AFIB was done at the University of Michigan by Dr. Morady ~15 years ago. Something you are likely aware of, is that is very common for AFIB to return. Ablations often/usually? are not getting to the root cause of the arrythmia .. . i.e. what is causing the abherent...
  8. W

    AV Node Ablation

    Yes. In my case, cardioversions nor medications had any impact. My recollection is about a dozen shocks and 4 or 5 drugs over about a 4 month period when I first had afib. Nothing had any impact. Once it turned on, it was on . . . . until the ablation. When the flutters showed up a decade...
  9. W

    AV Node Ablation

    I have a mechanical mitral valve (at age 50) and had AFIB a few years prior to that. When my AFIB developed, it never 'turned off' until I had an ablation. Ablations are generally done through the veins so there is no comparison (surgically) to open heart work. AV node ablation essentially...
  10. W

    Severe Aortic Regurgitation Leading to Second Surgery

    My experience is with the mitral valve. There are some major differences between the valve positions that are less frequently discussed. For simplicity, I like to think of the mitral valve as the pump inlet and the aortic as the pump outlet. In my case I first had a leaky mitral valve...
  11. W

    Decision made....nearly

    I'll share a couple thoughts on #1 as I had both. Just over 9 years ago I had a minimally invasive mitral valve repair and that was followed ~ 6 months later with a full sternotomy mitral valve replacement. [note: I was/am an endurance runner. The repair was to address a deteriorating...
  12. W

    My 15 yo daugther - soccer dreams on warfarin

    Here's a Bosch article that I thought was "relatively" rational. I recall paying attention to this over the couple of years he was fighting with his employer (NBA) because my personal experience was also with a DVT that moved to the lungs. My recollection is that he played for Toronto before...
  13. W

    My 15 yo daugther - soccer dreams on warfarin

    Henkac: I agree with you about being a crazy dad . . . and I mean that as the highest of compliments! I'd also say your English is better than my American! If you have not already, you may want to investigate general antiacoagulation in athletes [e.g. Athletes and Anticoagulation: Return...
  14. W

    My 15 yo daugther - soccer dreams on warfarin

    Hi. I'll share a couple anecdotes as food for thought. As an intro, I've been on warfarin for almost 20 years . . . about a decade before my mechanical mitral valve went in. It was initially for a pulmonary embolism. I recall the hematologist who first prescribed home monitoring for me...
  15. W

    Dosing after colonoscopy

    As I had a colonoscopy last week and literally have my anticoagulation instructions in front of me, I will share in case they are helpful . . . . - Last day of Coumadin: 10/13/21 in the evening [note: I am quoting the instructions but I am actually on the generic at 3 mg/day] - Start...
  16. W

    any one with this scar !!!

    I've got a scar like that but it's on my left. This was from my first surgery which was minimally invasive (mitral repair). For minimally invasive, the groin area is a good access for the bypass as MdaPA notes. I also had a good sized hematoma afterwards. About the size of a tennis ball...
  17. W

    Post Surgery Timeline

    Good advice above; however, I will share my tractor specific individual experience. Key of course is that everyone is different and it is absolutely best to err on the side of conservatism if there is any doubt. My first surgery was in May and I know I was on my tractor moving logs in week...
  18. W

    COVID Long Hauler Looking for Help

    I'll offer an opinion on EP's as I have worked with several over the years and have had ablations at 2 different centers. I would not be terribly bothered by an EP not using a stethoscope. They are working on the heart electrical pathways which often are not going to yield a useful audible...
  19. W

    How soon will work & driving resume after AVR

    I was ok'd to drive at 3 weeks. Something my surgeon said that I had not considered was "just make certain you do not have an air bag deployment into your sternum". I did drive without incident. Well, I did make one mistake at a gas station. It was on the way for an errand so I filled up...
  20. W

    Dosing Question

    Agree completely. I have never used anything but 2 mg tablets for a 3 mg daily dose so I have a split 100% of the time over many years. Never considered the ingredient distribution within the pill. However, I just split by hand and it is not unusual to be able to visually see that my two...
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