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  1. pellicle

    New here-1 month post mitral valve replacement

    welcome have a good holiday, and practice walking and good deep cyclic breathing. Don't over do it and look for anything "weird" or "out of the ordinary" Wishing you an uneventful recovery
  2. pellicle

    Invasive procedure perioperative management of INR (extended)

    so, you seem to assume that INR was set for reasons based on science and evidence ;-) For whatever reason we seem to live in a world where the patients are verging on hysterical about the number yet actually have no idea what they even mean. This is not surprising to me because (for instance)...
  3. pellicle

    Highest INR you have heard of or experienced?

    I think this is perhaps not the right way to look at it. Yes there is an interaction BUT for as long as you're on it you just need to think one way: the intention to treat with warfarin is INR nothing more and nothing less ... the dose is only the bus number you take to get to that...
  4. pellicle

    Good results lowering Lp(a)

    whoops, I left the takoyaki too close to the Turkey anyway, my point is I don't know what KRAKEN means (I mean I do know what Kraken means) and they didn't bother to explain it. Like SCUBA is Self Contained Underwater Breathing Apparatus and LOWERING IT trial could be Lowering Inr Therapy ...
  5. pellicle

    New here-1 month post mitral valve replacement

    Hi Colo and welcome to the forum Just to be clear: what I said above was to answer this specific question: so when I said I was answering her specific question of postponement, not "never going". To my mind yes it can be, especially if doing the walking and paying attention to your...
  6. pellicle

    Good results lowering Lp(a)

    I was hoping they'd enumerate that ... but no
  7. pellicle

    Bovine Aortic Valve Turns 17

    perfect ... here's to more years of chugging
  8. pellicle

    New here-1 month post mitral valve replacement

    Hi Joya and welcome yeah, I think there is far too much "sales pitch" on stuff over there (that whole continent right down to the lowest tip of Chile there was no such thing as Cardiac rehab on the 3 OHS's I've had ('74, '92, '11) and I just followed through with exersize myself and used...
  9. pellicle

    50 decibel aortic valve :-|

    Sorry to hear about the sound. Setting aside calibration, measuring sound intensity needs distance to make sense. This is typically at 1meter from the source of bit stated...
  10. pellicle

    Keloid Scarring Post-Surgery

    Hi mine was pretty vivid on OHS 1, and was generally described as a giant red earthworm in the middle of my chest. However by a few years it was much flatter. the two are AFRAIK unrelated, keloid is only the skin, the scar tissue that is "what makes repeat surgery hard" is every where all the...
  11. pellicle

    Highest INR you have heard of or experienced?

    HA I knew I should have read this earlier ;-) 🫂
  12. pellicle

    The (not so) unexpected benefits of AntiCoagulation Therapy

    2009 study https://pubmed.ncbi.nlm.nih.gov/19721017/ The net clinical benefit of warfarin anticoagulation in atrial fibrillation Background: Guidelines recommend warfarin use in patients with atrial fibrillation solely on the basis of risk for ischemic stroke without antithrombotic therapy...
  13. pellicle

    Resting heart rate after surgery

    I believe yes, and I recall those days of my doing slow shuffles around the block. Keep at it ... also, you're older now too ... small steps forward no slides back from over stepping Best Wishes
  14. pellicle

    Resting heart rate after surgery

    Hi for whatever reason I did not gather and document my HR data, but I can say that even a few months after my #3OHS (but equally, the "when I got a mech" valve) I had elevated HR above where I felt was my prior level. I would have bouts of 'over 100' which I would try to control with breathing...
  15. pellicle

    Invasive procedure perioperative management of INR (extended)

    I know almost nothing about this subject, so take what follows as being just what I looked up out of interest the other day. I looked it up here and found a chemist shop sells Cyklokapron 500mg Tablets 100 - (Tranexamic Acid) for $40 obviously this isn't for topical. So I looked around and...
  16. pellicle

    another aortic vale replacement!

    love the good news stories ... 17 years. Thank you. https://pmc.ncbi.nlm.nih.gov/articles/PMC8894170/ This single-center prospective study enrolled patients aged > 70 years who underwent isolated SAVR for severe AVS. Data were collected on each participant’s clinical status, physical...
  17. pellicle

    Invasive procedure perioperative management of INR (extended)

    Hi you may find this 'experiment' informative as someone I work with to "teach the ropes" of self management to has recently "missed a dose" (error) and decided to go with making data lemonade out of that The lag and recovery are interesting yes, their daily dose is 9.5 (right hand axis) and...
  18. pellicle

    32 years since my first!

    hoping that you go on to get many more...
  19. pellicle

    another aortic vale replacement!

    Not far away, that's great!! To me this is a ghastly failure of duty of care to you. I mean its serious enough to require someone at 69 to require a surgery but that this was your second surgery in such a short time should have sent alarm bells clanging. I hope you get resolutions and if I was...
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