I had my annual echo this past November....but, late getting to see Cardio for follow-up due to Daddy's passing......He is just a wonderful Cardio..the one who found my aneurysm ..He said that my last echo was GREAT..that my valve sounded GREAt..and I was just doing GREAT. he said, I'm amazing that I know so much about coumadin.I told him it was due to Valvereplacement.com. He wrote it down ........the BEST news..he said, come for an echo again next November..meaning NO more 6 months visits. which I have done for 4 years........YEA...Free..from doctor's........He is with the Northeast Georgia Heart Center..in Gainesville, Ga.....located in the Northeast Georgia Hospital..where we have an up to date Heart Operation facility.He told me they are now doing Valve operations. and that my surgeon from Atlanta comes up and performs many of them...Great, staying away from Atlanta...so family will not have to fight that awful traffic....Maybe this can help members living in the North Georgia, S.C.area.......Again, it will be 4 years march 25th....and NO problems .. Bonnie