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  1. T

    Targets ... where do you shoot (and why)?

    How do the two of you decide by how much to vary the dose by? @pellicle I have seen you use a regression model before. Is that how you decide what the right change in dose is? Or does this just come with experience?
  2. T

    Done - Yay

    Great News.
  3. T

    New here, getting Ross procedure

    Hi Thomas, you say: And I guess hopefully I would be able to get tavr for either one in the future. I think that you may want to ask your prospective surgeon about this (if you havent already). From the literature it seems that transcather replacement of their valve after Ross is either not...
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    New here, getting Ross procedure

    Hi Thomas, you may want to consider the Ozaki procedure. It is basically making a new valve from your heart pericardium. This is something that has been developed in Japan, but is now also available in Europe and the US. It is an alternative to the ross procedure in the sense that they are...
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    New cardiologist

    Honestly, I think it is strange that a Cardiologist wouldnt know this basic information. In your shoes I would probably look for someone who is more experienced with Mech valves (though I thought all cardiologists were).
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    What is a good watch/ wearable to measure heart rate and heart rate variability?

    Hi Team, I am looking for something wearable (wrist preferably) that will help me measure heart rate, Heart rate variability while I sleep and how many steps per day. In an ideal world also tells the time. I am interested in a device that does these four things well. I couldnt care less about...
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    Need a Aortic Valve Replacement before year ends

    Hello Dunwanted. I am also a German Citizen. This surgery is much cheaper in Germany than in the US. IT will cost you around 30k Euro (so like a bit less than 30k USD), including everything. There are several world class places for this surgery in Germany. The hospitals are not as fancy as in...
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    Rising dose of warfarin, but INR stays the same - hard to get it above 2.2

    Thank you Chuck. this is incredibly helpful (and also reassuring).
  9. T

    Rising dose of warfarin, but INR stays the same - hard to get it above 2.2

    Hi Team, I just had my On-X valve installed on May 12th. I was on Amiodiorone unti June 18th, and now my only med is warfarin. I have started my dose out of hospital with 4mg a day, but am now up to 10mg a day. Even though the anti-coag clinic keep raising my intake, it seems very hard to get...
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    COVID in house

    Hello, All I can say is that in my own case social distancing and N-95 mask helped. My son tested positive for Covid two days prior to planned surgery. I wore a N-95 mask, socially distanced and then moved out of the house for the night before. It worked. I did three PCE tests in hospital...
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    Need a Aortic Valve Replacement before year ends

    Hello, I was in this boat in 2014. You have four options: 1) Mechanical - you already know the pros and cons ==> high probability of only one operation, but need to take anti-coagulants 2) Tissue - No Anticoagulation, but limited lifespan - I got 8 years when I was close to your age 3) Ozaki...
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    It's my time - Questions to Ask a Surgeon

    Just to be clear, I didnt mean to be rude. All I meant to say is that with a new type of surgery (Ozaki) that not many people have had yet (only a few on this forum had it recently I believe), it is worth asking questions including whether clinical results done elsewhere are applicable to you...
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    It's my time - Questions to Ask a Surgeon

    I am not a doctor. But the reason I suggested asking this question is because if you look at the the following article on mech valves in individuals from East Asia, it says: "Also, it is known that the risk of oral VKA-related intracranial hemorrhage is particularly high in Asians". So at least...
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    Doctor has given me a timeframe for the first time for surgery but it appears I have fallen into severe range..please see echos below and my post

    You should consider Germany or the UK for your surgery. The surgery in Germany costs around 25k Euro and in the UK around 29k pounds. These are quotes for the best doctors and best hospitals in these countries respectively. With the USD so strong at the moment, perhaps it is worth trying? Of...
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    It's my time - Questions to Ask a Surgeon

    Hello there, I can add a few questions: On Ross: Will the Autograft last forever? Dr. Paul Stelzer's article says: "Importantly, stenosis of the autograft has never yet been seen which makes valve-in-valve catheter-based therapy impossible for the failed autograft with current technology."...
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    Advice on minimizing scarring from open heart incision

    Hello, I used the Cicacare product for about 6 weeks and then got a superficial sternal wound infection. Part of my wound started oozing fluid, but it turned out to be superficial only. I followed instruction very carefully and this still happened. Now it was quite a hot summer in the UK this...
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    Anyone had 3 valve replacement surgeries?

    Hello, I frankly think that you are too young for a TAVR for several reasons. TAVR was originally meant for inoperable 80 year olds. TAVR in TAVR pushed this down to people in their 70s. Surgical interventions after TAVR are apparently hard and have higher mortality (although there only a few...
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