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    Mechanical Valve for an Oversized Aortic Annulus

    FWIW, we've had a brief discussion here about the various formulas -- at least THREE of them, IIRC -- used to adjust valve areas to compensate for different body sizes. They all coincide around average sizes, but they produce very different results in the "tails" of the distribution -- i.e., for...
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    What do you think caused your endocarditis?

    Lyn, I think your guess (about how to resolve the paradox I found counter-intuitive) makes sense. OTOH, wouldn't that explain the high rate of survival for those with severe HF, more than for those with mild (class 1 or 2) HF? One of the surprises in this last study is that the surgical group...
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    What do you think caused your endocarditis?

    Lynlw and I had a back-and-forth about the benefits of (and the use of) an aggressive "shoot first and ask questions later" approach to treating Bacterial Endocarditis among tissue-valve recipients. At the end of it, I think we agreed to disagree about (1) how quickly Toronto General Hospital's...
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    Info on Tissue Longjevity

    I happened to mention (by e-mail) to a Rabbi I know that I was likely to get a replacement valve from a pig. She e-mailed me a clipping about (or maybe by?) an Orthodox Rabbi who got a pig valve and explained why it was not an issue at all. Basically, health/illness trumps all the other rules in...
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    Good News - I think. . .

    Excellent -- maybe except for the knees! My legs have been getting tired from my exercycle workouts a bit before I complete the cardiac "prescription" -- though I've taken that more as good news about the heart, than bad news about the legs. At my age, it could certainly be either. . .
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    Info on Tissue Longjevity

    The obvious problem with the sample is that it didn't "interview" the non-survivors. Some of them may have died from (or with) Significant Valve Deterioration. So it's hard to draw any conclusions from that kind of a biased sample. (Maybe that was 335 surviving patients out of an original 345...
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    Heavy legs

    Last several weeks, when I've done my weekly gruelling 45-minute Exercycle workout in Cardio Rehab, pushing my HR up to ~140 then letting it settle to ~125, over and over and over, I've noticed that my legs were starting to get tired before I was finishing the Cardio prescription. My Cardio...
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    Pill boxes

    An OK system I worked out when I was taking Metoprolol 2x/d (no kids involved): I kept the pills in my pocket, always with me. I took a narrow strip of card stock and wrote "AM" on one top edge, and "PM" on another. The card was attached to the pill bottle with a rubber band or two. Every time...
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    Gotta go again

    I think I "went" more often at night post-op than pre-op, but that was mostly because I had trouble sleeping more than 2 or 3 hours at a stretch. "As long as I'm awake". . . Many of us had trouble sleeping 6-8 hours in a row post-op. That wouldn't explain peeing a lot during the daytime, of course.
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    Mechanical or Tissue valve

    LeakyUK, you might want to check out http://m.theheart.org/article/1309811.do?utm_campaign=newsletter&utm_medium=email&utm_source=20111122_AHA_topStories and maybe discuss it with your Doc re #4.
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    First day home...I'm scared!

    Offwego, of all the diagnoses in the WORLD I could apply to you from reading your posts, I think the LAST one would be ADD! You seem remarkably well focused for any recent OHS patient. Way to overcome!
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    First day home...I'm scared!

    Re: "He said I can do rehab if I want but that if I am active, considering I am in pretty good shape, he didn't think I really need it." I'm very active, but I've found C. Rehab very useful. For lots of patients, it' a way to be more active. Fro me, there was some of that, but it was mostly a...
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    Mechanical Valve for an Oversized Aortic Annulus

    The law of diminishing returns is in force here, but the law of the bottleneck -- "a chain is only as strong as its weakest link", or "a fluid's speed through a complex course is largely determined by the primary (tightest) bottleneck, not by the secondary and tertiary bottlenecks" -- is...
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    10 Months Later (good, no make that real good)

    Sounds great, John, and not unlike my experience after my AVR (etc.) last Dec. The main difference is that I've never liked straight running, so I've mostly been doing cycling (road and exer-) and I've just recently returned to competitive volleyball. Another difference is that I've ditched all...
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    Bump on top of my incision

    Mine has kind of reversed in the 11+ months post-op. I started with the big bump at the very top. But now the top ~60% of my incision is the smooth semi-invisible part, and it's the bottom part that's redder and more pronounced. Fortunately, that's the part that's most covered with chest hair...
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    Informed Consent

    I agree with chaconne. We share information among ourselves as if we were talking in private, "entre nous". But this whole forum is wide open to anybody on the Internet, so our secrets aren't secret at all. That openness probably does a lot of good -- by letting researchers and "lurkers" get...
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    Which valve and wear and tear

    Either choice can turn out to be easy or hard. Let me "third" Emu & Lyn's suggestion to compare the downsides, too. If things go smoothly, either way, you'll never be tempted to second-guess your decision. But if you (e.g.) choose mech and need a re-op anyway, or choose tissue and have to be on...
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    Mechanical or Tissue valve

    I went with tissue (at 65), but I was on daily warfarin for the first 3 months post-op. I didn't bother fighting for home testing (which generally makes it easier and better), but it still was no big deal. My cardiologist thought I was crazy to go downhill skiing while I was on ACT, but I did...
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    A newbie being confused (what else is new)

    Welcome to "the family", Gina! FWIW, the normal (majority) Aortic Valve has 3 flaps or cusps, but ~1-2% of us is born with two of them fused together = "bicuspid", or BAV. Those BAVs tend to deteriorate more quickly than the more common TRIcuspid ones, and they deteriorate by calcium formation...
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    Newbie, post surgery survey

    For most of us, the recovery is a sharp rise and a long "tail" -- what the mathematicians call "concave downward". The first few days (and weeks and months) present a lot of progress, barring "bumps in the road". But even after 6 months and even 9 months, I wasn't quite back to 100%. Now, at 11+...
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