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  1. L

    Blood Thinners (and why they aren't)

    I know I shouldn't be distracted by them, but does somebody make up these doctors' names? Gregory Sloop, who the medical paper he co-authored says you can contact at bigdaddypathologist at gmail dot com Gheorghe Pop :)
  2. L

    INR

    I realise we can't advocate for others to do this, but I completely agree, and it is what I do too. In my case, with a therapeutic range of 2.5 to 3.5, I aim to be 3.0 to 3.4. This is because experience has shown: Having a cold can cause quite a dramatic drop in my INR, even before I know I...
  3. L

    Need Help Choosing! 14 Questions For Those With Mechanical Valve + Warfarin

    No. But I now have a BEV! (Battery Electric Vehicle!) :ROFLMAO:. Sometimes struggle to keep up with all the acronyms we use!
  4. L

    Need Help Choosing! 14 Questions For Those With Mechanical Valve + Warfarin

    I don't know if it is helpful to mention my experience of calcification. We have a long family history of high cholesterol, with male relations dying quite young, especially in the 1980s and early 1990s. As a result, I have been on a statin since my early 20s (I am now 57), and I was diagnosed...
  5. L

    Need Help Choosing! 14 Questions For Those With Mechanical Valve + Warfarin

    Yes. The pacemaker was inserted a week after my valve operation in 2014, as a result of "surgical complication" - ie they accidentally damaged my heart's electrics. It means I am 100% paced, but to be honest I don't think it has caused me any restrictions. I have read it is less than a 3% risk...
  6. L

    Need Help Choosing! 14 Questions For Those With Mechanical Valve + Warfarin

    48 8 years so far Still ticking Self manage 9 No Limit on pain killers, but that hasn't been an issue I had a pacemaker replaced last month. No bridging or particular arrangement was needed, other than being towards the lower end of my therapeutic range. Although my INR is pretty stable...
  7. L

    New member! Aortic root replacement with mechanical valve

    That's good to hear, Tom, and different to what I had understood.
  8. L

    New member: 56 yo facing unexpected AVR before the end of the year

    Welcome, Mrs John! It sounds like he has great support, which will be particularly important during his recovery after the operation. At that time, it is important to avoid risks of infection, and to let him rest a lot as he listens to his body's needs. Things like: don't share towels. wash his...
  9. L

    New member! Aortic root replacement with mechanical valve

    Welcome to the forum, ChuckM. Outside the US, a lot of the world takes a different view of self monitoring and self-managing Warfarin, and encourages it. This report by the UK's National Institute of Clinical Excellence, which advises our NHS service, explains why - better life expectancy and...
  10. L

    AVR on Nov 21, 2022

    Good advice @Superman, which I generally fully agree with. However, @Dunwanted's range appears to be 2.0 to 3.0, and he has taken a dose after the "high" result, so may be continuing on an upward path at the moment. The Cardiologist will want to understand what is going on. One possibility is...
  11. L

    AVR on Nov 21, 2022

    You're welcome. Not sure if you have come across this graph that @pellicle often posts, to help understand INR risks. You will see 3.5 isn't generally a problem, though of course I should have said I am not a doctor and my comments have been based on my 8 years of taking Warfarin. Others have a...
  12. L

    AVR on Nov 21, 2022

    That is a rapid change, but don't panic. I would be interested to hear what others say, but I would say don't take tomorrow's dose. Consider eating some foods high in vitamin K with dinner, eg leafy green vegetables. You will bruise more easily, so continue to stay at home or at least not do...
  13. L

    AVR on Nov 21, 2022

    Firstly, 3.5 is not exceptional. What is the therapeutic range they have set? Mine is 2.5 to 3.5, so 3.5 for me would be fine, and a bit over would not worry me either. When was your last test, and what was the result then? Speed of change is relevant. Secondly, how did they check your INR? My...
  14. L

    Greetings from Virginia - aortic valve replacement in my future

    I'm glad I read to the end of that sentence, and discovered it was not your wife who was the source of the white noise .... ;)
  15. L

    AVR on Nov 21, 2022

    I can't say anything useful about the dental problem, but just wanted to mention something that my doctor told me many years ago. I had a sudden onset of diabetes, and was initially diagnosed as a "type 1" - injecting insulin every day etc. Not long after, I was back in his office with another...
  16. L

    AVR on Nov 21, 2022

    Sounds great, Dunwanted. Yes, INR can take a while to stabilise. Don't fret about it - things will improve. Also, I am not sure what briefing you were given before the operation, but at my hospital in 2014 the Cardiac Nurse session said that the body is amazing at diverting energy from other...
  17. L

    AVR on Nov 21, 2022

    Another tip: take pen and paper with you, in case you need to leave messages. I presume it is the same in the US, and surgeons or doctors do ward rounds daily after surgery? Well, it seemed like almost every time they came around I was not in my bed, having been taken off for an x-ray or some...
  18. L

    AVR on Nov 21, 2022

    In the UK the advice is 10 to 14 days after surgery, because of the risk of clots. Definitely use airport assistance services, as you won't want to be standing in a queue for long! https://www.nhs.uk/common-health-questions/accidents-first-aid-and-treatments/when-can-i-fly-after-surgery/
  19. L

    Eliquis and prosthetic heart valves

    My mother was on Apixaban, another novel anticoagulant like Eliquis, for some years with her tissue valve, as she had a-fib.
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