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  1. Q

    Transportation to doc appts?

    Here in Florida I volunteer with a company by the name of Elder Care Services that administers our Meals on Wheels program and also provides transportation to doctor's offices and grocery stores to anyone who can't drive. At least once a week I take someone to an appointment, sit in the waiting...
  2. Q

    Had mitral valve replaced 8 weeks ago. Curious and tempted to break some rules..

    I would guess that my scar turned white after about two years and since then it has been getting fainter and fainter, except for the abdominal scars which have remained more noticeable. I will also say that I have exposed it to lots of sun here in Florida, swimming and running shirtless not to...
  3. Q

    Joint Injections while on Warfarin

    I have had cortisone shots without any problem and just last year I had a couple of PRP (Platelet Rich Plasma) injections into a torn meniscus (knee) without any concerns or bleeding as a result of Warfarin. It was never suggested that I bridge and I didn't even lower my INR beforehand. By the...
  4. Q

    Had mitral valve replaced 8 weeks ago. Curious and tempted to break some rules..

    Kkch.i I too had bacterial endocarditis of the mitral valve which was not diagnosed correctly until it was almost too late. Dental cleaning was the culprit. I did give up my motorcycling in the aftermath but only because I occasionally get light headed due to an irregular heartbeat as an after...
  5. Q

    Question about warfarin dosage and your INR's reaction time

    Sharky7 - Thank you for the kind words. It pleases me to know that something I said is of benefit to someone else. My salads are also a complete meal, most often with either grilled chicken or salmon on top. BTW, we share the same valve in the same position, making us a minority on this...
  6. Q

    Question about warfarin dosage and your INR's reaction time

    Pellicle - As an example (and I have done it so many times that I don't even document it anymore), if I have a cup of cooked broccoli on Sunday evening after recording an INR over 3.5, I can expect my INR to drop about .3 by the time I check it again the next day. I continue my normal warfarin...
  7. Q

    Question about warfarin dosage and your INR's reaction time

    Pellicle - my daily dosage of warfarin is 7.5 mgs.
  8. Q

    Question about warfarin dosage and your INR's reaction time

    My experience with self-testing and experimentation, although not nearly as extensive as Pellicle's, has clearly shown that my food intake, in particular foods containing Vitamin K, have a rather quick effect on my INR, definitely within 12 hours. The effect of Warfarin intake, on the other...
  9. Q

    Minimally invasive mitral valve replacement

    Speaking of reading, the U.S. Dept. of Education just reported that 54% of American adults read below the 6th grade level. I hate to think what the comprehension rate is. (And don’t tell the Chinese).
  10. Q

    How often you take Echocardiogram ultrasound test

    I support what Timmay said about what Chuck said about what someone else said. 🙂
  11. Q

    Blood Thinners (and why they aren't)

    In my experience the use of the term blood thinner or anticoagulant is not used in isolation and I often have the opportunity, and the responsibility, to inform others as to the difference and to the importance of being accurate. Besides that, isn't this site primarily for the purpose of...
  12. Q

    Exercise & Heart Rate

    Unicusp - It is a mystery to me that with exercise that pushes your HR to your max of 159 and past that you are not feeling great discomfort. Feeling comfortable without excessive breathing or fast heart rate is indicative of easy aerobic exercise such as walking and some of the other things you...
  13. Q

    Newby

    Hi Y-von, I too had bacterial endocarditis involving the mitral valve but in my case it was not discovered until I was close to death so they performed an emergency OHS first and then afterwards worried about treating the infection which took another six weeks to overcome. But like you I feel...
  14. Q

    5k in under 30 minutes!

    After my OHS in 2011 my 5K times decreased from the high teens to between 22 and 25 minutes, mainly I think because I cut my weekly mileage way down and stopped doing interval (speed) work. Then last November I tore my left meniscus and did not run again until late August after I was confident...
  15. Q

    Change in Echocardiogram Guidelines for Mechanical Valves

    I agree with Thomas and I don't understand the hoopla surrounding the changing of echocardiogram guidelines. I actually think the more frequent the better. They are simple and quick, and any status report on the condition of my mechanical mitral valve is welcomed and looked forward to...
  16. Q

    New to Warfarin

    Was that a typo Goffrey or have your really had 7 (SEVEN) open-heart surgeries?
  17. Q

    What happens after two missed doses of Warfarin? Not much.

    Last Sunday I decided to skip two doses of Warfarin to see how fast my INR dropped and how fast I could get it back up to therapeutic range (as a test in anticipation of non-cardiac surgery). My range is 2.5-3.5 (mitral valve) and I have historically been stable in that range with a daily...
  18. Q

    Anti-coagulating with torn meniscus

    Pellicle - Well I didn't exactly follow your suggested plan but I did learn that my INR drops faster than I expected, and faster than yours did as charted in your preoperative management of INR blog in which your INR dropped from around 2.3 to around 1.2 after 4 days of missed doses. I started...
  19. Q

    Anti-coagulating with torn meniscus

    Starrman - thank you for that information. It gives me hope that I can go through my surgery without any major adjustments to my warfarin regimen. Pellicle - well, in order to "know myself" as you suggested, I skipped my dose last night (Sunday) after testing with a 3.2 INR. I will skip...
  20. Q

    key points in warfarin management

    A good example of this is my considerably higher INR over the last 4 weeks since I stopped running due to a torn meniscus. I was running 5 miles a day, 4 days a week prior to that and my INR was very stable. I have had to reduce my normal warfarin dose twice since then just to get back in...
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