Superman
Well-known member
His next questions caught me off guard a bit, he asked "do you eat spinach for every meal?" Of course my answer was no and he said "then you probably won't notice a difference."
Even if you did eat spinach with every meal, you wouldn't notice a difference. Typically, a consistent diet would lead to a consistent dose. Your dose might be higher than if you didn't eat spinach - but you wouldn't notice any symptoms simply from a higher dose.
Everyone is different and maintenance doses are all over the board. If you ask 20 board members, there would be 20 different dosing levels to maintain their acceptable INR.
As far as valve choice. Don't even know if I had a choice in 1990. Even so - I didn't avoid a re-op as I developed an aneurysm 19 years later. But, had I gone tissue the first time, that likely would've been my 2nd re-op. I'd be three years now into my 3rd tissue valve and still just 40. If lucky, I'd be looking at two more OHS's - maybe more if not so lucky. Five seems like a lot of times to be opened up. I'm happy with mechanical - both times.
All that said - still doesn't mean mechanical is right for the OP. Doesn't mean it's wrong either. At 57, it's possible you'd be facing one if not two more OHS's. Depends how your body treats the valve and how long you live otherwise.
The only thing I disagree with my surgeon on is basing a valve decision on the likelyhood of a potential replacement with a catheter years down the road. The only way I'd do tissue is if I can get comfortable with the idea of a re-op and absolutely don't want to deal with coumadin. We don't know the durability of these valves long term. We don't know how they'd hold up to the pressures in the aorta in an active person. We don't know how many of these they can stack on top of eachother (assuming they don't last forever and they can't pull the hard ring that a tissue valve is built on out through a vein).