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  1. J

    Traveling to a different time zone, when to take warfarin

    I use the Medisafe app to remind and track medications and stay on the original timezone in the app when traveling. I never had any trouble bringing my medications to other countries. However now with Covid I do take at least another week of medications with me - just in case.
  2. J

    Gotta Do the PRE- Colonoscopy Diet...how do you get any Vitamin K anyways?

    I had two colonoscopies this year. bridging worked well - followed the instructions and used Lovonox only for a few days. I measured my INR every day - but be aware that the measured INR only reflects the Warfarin response, not the Lovonox. Right after the procedure and the following day I took...
  3. J

    Dec 13- MechAVR at Duke

    I think you made the right choice this time with a mechanical valve. Requires to pay some attention to coagulation managment but absolutely doable - you can read a lot about this in the forum. Good luck!
  4. J

    Colonoscopy

    I wanted to report back to the forum how my bridging for the Colonoscopy worked out. After doing a lot of reading I came across the following study ("Loading dose vs. maintenance dose...") that did make a lot of sense to me: https://pubmed.ncbi.nlm.nih.gov/24837794/ So I did follow the...
  5. J

    Seizure meds and regulating blood thinners

    I am on seizure meds now for three years (Keppra) and have a mechanical valve for five. I do not recall any change in my Warfarin dosage and if there was I would be able to measure and adjust.
  6. J

    Colonoscopy

    Thank you all - that is very helpful information. I got some extra test strips and will also record daily measurements and dosage. I am at 10 mg (4x/week) and 9 mg (3x/week) - so will follow the idea to "kick start" the dosage the first 2 days or so. Looking at the graphs it clearly shows...
  7. J

    Colonoscopy

    Thanks for all the great information - pellice - yes I am not worried about the higher INR that I need to be in. The 6 or so days to get back into range are a concern. You mentioned that you consider to increase the initial dosage - I had the same thought - maybe a 10% increase for day 1 or 2...
  8. J

    Colonoscopy

    pellice - thanks for all this very usefull information. I am now also facing my first colonoscopy after AVR in 2016 and are advised by my doctors to bridge with Heparin. Reading your posting it sounds that your are not in favor to bridge with Heparin (my textbook regime: stop Warfarin 5 days...
  9. J

    After 13 years in the "waiting room", surgery date is set for June. Let me know if agree with my plans...

    Unfortunately yes. First year post OP followed ON-X „recommended“ range and stayed around INR 2-2.2. After the devastating incident now 3.5 years at INR 2.5-3 and no problems. Conclusion: Do not follow the ON-X marketing BS and read the entries in the MAUDE database from the FDA.
  10. J

    After 13 years in the "waiting room", surgery date is set for June. Let me know if agree with my plans...

    I want to emphasize what is stated in this post. Please don‘t fall for the marketing ploy of an INR of 1.5-2 for the ON-X valve (don‘t ask me how I know...) and stay at the safe 2.5-3.
  11. J

    Coaguchek xs test strips.recall

    Unfortunately I can 100% confirm your statement. Roche - after two communications with them - is refusing to follow through with the FDA mandated recall actions and is is NOT replacing my test strips since I am a home tester. If you read the cases in the MAUDE database then you see that...
  12. J

    Coaguchek xs machine

    I buy my own strips and typically order them through eBay. About $250 for 48 strips. Never had a bad experience.
  13. J

    OHS v. TAVR

    Matt - reading your post and your very well thought out analysis I would conclude that you should not opt for TAVR. I have a mechanical valve (23mm) and I would not like to have any additional pressure drop or restriction. I am now 60 years old and can still do 50 mile mountainbike rides with...
  14. J

    Complications post surgery, what should I be asking my doctors?

    I also had complications with an On-X valve and had to increase my INR to 2.5-3. I would discuss this with your doctor as the lower INR might not work for everyone and the consequences are severe.
  15. J

    28 hours until I head to the hospital.

    Been in the same spot 1.5 years ago. Looks like you are in for a great "tune-up" I hope you will be able to enjoy very soon the improved performance. Greetings from Portland Oregon!
  16. J

    On-x aortic valve initial INR range

    Yes - came out of it without permanent damage. Was scary beyond believe - had no idea what was happening to me.
  17. J

    On-x aortic valve initial INR range

    I ran into the same dilemma after my AVR in August 2016. There was also a lot of confusion about the INR range and I - as soon I was able to manage it myself - aimed for 2.0 and higher, However, I had an incident this August and are now set to a range of 2.5-3. There are at least two other forum...
  18. J

    Not Sure How To Feel - But Mostly Fear, Shame, Selfishness And Guilt Right Now

    Tubaman - I think I know how you feel - were at the same spot one year ago at the age of 58. I don't think I was in bad shape prior to surgery but can say that I only realized afterwards how much my heart function was affected by my defective aortic valve. I experienced quite a bit of sleep...
  19. J

    Strange Sleeping Issues

    I went through a very similar experience. My wife was concerned about my apparent sleep apnea in the months before my OHS. I did not feel a thing but she obviously observed it and was worried. After my OHS this was gone immediately and never returned. Regarding heart-rate monitoring: I have the...
  20. J

    A week after surgery, my story

    I only took Oxy for one day and ghen switvhed to Tylenol - maximum dose. Tylenol is very powerfull and obviously does not come with the risks of Oxy. I also think moving around - as much as you can is a good idea and worked for me well. My biggest problem with sleeping was the noise and the...
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