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  1. Bill B

    Almost a 4 mile brisk walk today

    Speedwalking! Keep it up!
  2. Bill B

    Flutter after new med?

    Metoclopramide (Reglan is the most common brand) affects a lot of neurotransmitters and neurotransmitter receptors throughout the body (dopmaine, acetylcholine, serotonin). Its primary use is to increase gastric motility (improve stomach emptying), in which case it works like acetylcholine to...
  3. Bill B

    Why is it bad to be in flutter?

    Actually, for what it's worth, I think it's called the left atrial appendage if anybody is trying to look this up. The right atrium has one as well, but it is not involved in clot formation during AF, like the left is, as Laurie mentioned.
  4. Bill B

    Need Advice I am Confused and fusterated :(

    Oral iron has no significant effect on INR or warfarin. You are anemic. Normal Hgb and HCT for women is 12-16 and 36-46. So, you are moderately anemic. Iron deficiency occasionally develops after mechanical valve replacement due to hemolysis, but your anemia could be from other causes (blood...
  5. Bill B

    Clinic strangeness?

    I understand the convenience and other benefits of home/self testing, but I haven't been motivated enough to get into that. I go to a local lab once a month, get a quick draw, and my cardiologist's nurse practitioner reports the result to me the next day and makes a recommendation if needed. I...
  6. Bill B

    Mini Thoracotomy v. Mini Sternotomy

    From many reports, it seems the minis are often just as painful post-op as the full. For what it is worth, I never had an ounce of pain after my full sternotomy. In my case, with my aortic arch work, a mini was not a good option. Even the Cleveland Clinic agrees with that (they said it could...
  7. Bill B

    Better Late Than Never - surgery 4/26 - Thanks for all the great INFO

    I didn't decide until 8 PM on the night before surgery. It's now a little after 9 PM. I hope you decided. :)
  8. Bill B

    Question about generic drug...

    I missed this thread earlier. My basic conclusion as a pharmacist who looked at this issue a while back is that the approved generics in the US are equivalent and there is no reason to expect different results from Coumadin or any of the other approved generics. Yes, there have been some "case...
  9. Bill B

    Two years tomorrow

    Oh, thanks! 2.5 is good. 3 is coming up later this year. I still need to post some pics from that Lemons race last October. It was pure lunacy - 165 cars on the track at the same time. I had a blast and we survived the race with only a few superficial scars on the car (a 94 BMW 325i). My...
  10. Bill B

    Itching of the incision.

    Try some skin lotion/cream. Any kind.
  11. Bill B

    Why is it bad to be in flutter?

    Ah, your case seems complicated, but it looks like that, other than some failures to communicate, your doctors are on top of things. Keep us posted on how things work out.
  12. Bill B

    MANY Random Questions for AV'ers... Sorry :-/

    -Is it possible to become unsymptomatic after becoming symptomatic? - Although there are some reports of stenosis and regurgitation improving, it's very, very unlikely. -After valve replacement (mechanical), if I get a sudden impact hit to my chest, can the valve be knocked loose? Will I die...
  13. Bill B

    Made my first year!

    Excellent!
  14. Bill B

    I think I made a decision...

    There's no particular reason to expect Tabitha will be put on metoprolol. Warfarin is a given, but not metoprolol. And just to defend metoprolol from the beating it is being given, I've been on 100mg a day for almost 3 years to control blood pressure and can't identify any adverse effects. It...
  15. Bill B

    Why is it bad to be in flutter?

    You're tolerating the flutter better than others, perhaps due to the pacemaker and/or some pre-existing degree of heart block that prevents the ventricular rate from following the atrial rate 1:1. Although you are not feeling it, the longer the atrial flutter goes on, the more damage it is...
  16. Bill B

    Post Surgery can be pretty good

    For "pretty good" I'd say you had a pretty rough time. I wonder if the "man up" nurse ever learned how wrong s/he was. You did a nice job of taking care of yourself and doing something by calling the cardiologist and not just trying to "man up". And I like the way you told the cardiologist...
  17. Bill B

    3 week update

    Well, that is a general statement. It's a very small dose. Sure, you could be quite sensitive to it, but, in general, that dose is not enough to do much of anything give once a day. If you were given that without experiencing a larger dose having too much effect, then I'm not sure why you...
  18. Bill B

    Beta Blockers and romance

    No, other than your personal experience, there is not much to suggest one is better than the others in this regard.
  19. Bill B

    I think I made a decision...

    I decided this issue at 8PM the night before surgery when my surgeon called me. I had a needle phobia, but I should have also had a surgery phobia if I had been thinking properly. I was close enough to the traditional age cut-off for tissue versus mechanical and heard so much about many...
  20. Bill B

    Beta Blockers and romance

    I'm not sure any BB is better than the others in this regard. It is an individual thing. I see no reason you couldn't be switched back to atenolol, unless that caused some other problem.
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