Coumadin User Survey!

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1. 3

2. LIFESTYLE CHANGES: Watching the green leafy veggies

3. What is the SINGLE thing you dislike most about being on Coumadin? Having to get checked all the time.

4. REGULATING THE INR LEVEL: 4 -- difficult

5. SIDE EFFECTS: hair thinning and visual blurring

6. BLEEDING AND BRUISING: on occasion

7. 2ND THOUGHTS: only when my husband and I discussed another pregnancy which never happened

8. MISINFORMATION: I was informed from the start as to the difficulty of taking this medicine

9. TOTAL EXPERIENCE VS. EXPECTATIONS: expected

10. OTHER COMMENTS: visual disturbances have been the most problematic
 
Visual disturbances

Visual disturbances

Sherry:

I had some hair thinning immediately post-op, but it's stopped. When I had oral surgery at age 17, I lost a dime-sized patch of hair. Luckily, I was born with extremely thick hair!
I have not noticed hair coming out when towel-drying my hair in a while, so I believe it's stopped.

On visual disturbances: I have not seen that listed in the PDR as an adverse reaction. I've worn glasses/contacts since age 7-8, so my vision has never been wonderful. 18 months ago I was told I have "baby" cataracts.
I started having visual disturbances -- optical migraines -- while in the hospital after MVR. They continued until about 2 months ago. Don't know if they're gone for good or just vacationing. A retired professor of optometry told me optical migraines can be caused by interrupted blood flow and that many OHS patients experience them. I have not searched the internet to find research that backs up his explanation.
 
Hey, Marsha,
I actually started a thread on this on the other forum just yesterday. Those grey curtain episodes I am absolutely certain are valve related. I never had a single episode until right after surgery. The doc mentioned that the valve can throw tiny emboli. A few times I've actually checked my INR after one happens and it's typically in the ones. The occular migraines I've had since I was in high school -- the jagged lines and such. I guess I just need to keep researching.
 
Hi Mike

Hi Mike

Celebrating my 2nd year VR replacement today.:) Mechanical valve. Taking coumadin.. Take 1 little pill at 5 p.M. everyday. NO bleeding, bruises..Have my own home- Protime. test once a month. ALWAYS in range. Eat, drink and enjoy life..But..am age 63..No more heavy partying for me.:D :D It took me a YEAR to feel my old self again. Would never want to have this operation again..or ask family to help me out first several months.:eek: :eek: And you need help...:eek: the first few months...Getting on with life..:D :D :D And no thoughts of another operation down the road. Thank goodness. :D :D Bonnie
 
1. #4 few changes, nothing drastic

2. Watching my green veggies intake, going to the vampire every month.

3. Going to the vampires every month.

4. 4

5. Just some hair loss, nothing biggie yet.

6. Have a little bruising, bleeding not major problem.

7. Only if there was a guarantee of no more surgery and coumadin, sure would take the chance.

8. The hospital pharmacy persons made sure that I understood all side affects and problems associated with taking coumadin.

9. I am no worse for wear. Just glad to be alive.


Caroline
09-13-01
Aortic valve replacement
St. Jude's valve

10,
 
1.-3 It's a pain in the butt sometimes but it is a small price to pay for being alive.
2. Traveling would be hard if I didn't have my own protime machine.
3. Trying to find someone who knows what they are doing to keep it in the range.
4.2-It has been two years and till testing 1-3 times a week. Had to give myself lovennox shots when it was 0.9.
5. Bruising the bigest problem.
6.Brusing-just looks bad.
7.Yes, but didn't want to have a third surgery.
8.yes, Have did alot of reading.
9.Everthing I do effects the inr level.
10.I just wished I lived close to clinic that knew what they were doing with my inr.
 
Hi Mike,

as far as I'm concerned:
1. 4
2. I've had to give up playing rugby and drinking whisky!
3. After 3 years, it's taking the tablets every day
4. 3
5. None at all
6. No
7. No way
8. The information I received was OK as far as it went, but I ound the internet, especially this site, the greatest source of information
9. Easier than expected
10. As I'm in England, I'm on warfarin rather than Coumadin, but they're essentially the same thing.

Simon
 
Coumadin Survey

Coumadin Survey

I have been on Coumadin since 1971: Survey and Comments

1. 4. The issues of the test are minor except that it does require planning. I have had serious bruising due to the coumadin, but since I do not race motorcycles or sky dive, it is not a major issue.

2. The issues of other medical procedures. i.e. valve replacement the 2nd time, and other surgery procedures has been a problem.

3. Worry about a blood clot, etc. Not having another child

4. 5

5. All of the above in some form or other, but it is still better than additional surgery. I really can not remember much life before coumadin. I am alive and linving a very active lifestyle. Old age is not for the weak. 65 with Coumadin is better than 31 and fatal heart failure.

God has a plan for me and I am still searching for his direction.
 
Not really sure I should answer this survey or not.... but here goes.

Not really sure I should answer this survey or not.... but here goes.

Whoa!!

I hadn?t seen this thread before....... no wonder Karlyn grilled me!! :eek: lol I guess I better respond....

1. EFFECT ON YOUR LIFE: Other than giving up a few things like snow and water skiing ... I still lead my life pretty much as I always have. But I also live with the consequences... bruises, fluctuating INR, etc. Soooo I guess that?s about a 3.

2. CHANGED HOW I LIVE MY LIFE: Oh come on... didn?t we cover this in question number one?!! lol I suppose it would be that I have tried to become a much more ?consistent? person.

3. WHAT IS THE SINGLE THING YOU DISLIKE MOST ABOUT TAKING COUMADIN? The single thing I dislike most about coumadin is that my life depends on it and I have such little control over it.

4. REGULATING THE INR LEVEL: I suppose this would be about a 2 ½. I think maybe because I take such a small dose.. it doesn?t take much to throw me out of whack. You add to that the fact that I am basically a vegetarian and eat salad daily. And probably the couple drinks I have with my husband each evening doesn?t help. Then there?s the dog. BUT... I can say after taking that *stuff* for over four years... I have come to a point of staying pretty consistent for long periods of time... it still fluctuates, but within range. Seems I have to adjust my dose pretty much with the seasons... probably because of what I eat and how much I?m outdoors, exercising, the dog... all that stuff.

5. SIDE EFFECTS: lol Bouts of temporary insanity after reading my INR results.

6. BLEEDING AND BRUISING: I don?t have cause to bleed very often... other than the intentional finger slice.... but it doesn?t seem to be a problem getting it to stop bleeding. Bruises however!! That?s another deal. I bruise very easy now and they last forever. Which is a major pain, because I am an active person. My legs are constantly bruised.

7. 2ND THOUGHTS: No. Not for me. Because I would have had to take coumadin anyway. I have chronic a-fib. However... I do have a twenty year old son with heart problems. I can?t honestly tell you what valve I would choose for him. It?s a very difficult and personal decision. I really do believe that anyone can learn to live with coumadin.

8. MISINFORMATION: I was well informed.

9. TOTAL EXPERIENCE VS. EXPECTATIONS: Even tho I was well informed... I thought I could get a grip on it and ?just do it?. It wasn?t that easy. No matter how hard I tried to do everything right... it STILL fluctuated. .. and still does.

10. OTHER COMMENTS: I wouldn?t normally respond to a survey of this nature... because I don?t want people like yourself to make a decision on my experiences. It seems I?m in the minority for having so many problems with it. I want you to understand that I think you can lead a very normal, productive, active life while taking coumadin. But it does have a grip on your life... if for no other reason... just because you dang sure better remember to take it every day and hope somebody doesn?t bomb the plant that makes the stuff. I wish you all the best.
 
1. EFFECT OF YOUR LIFE: On a scale from 1 to 5, rate how the use of Coumadin has changed how you go about living your life (doing everyday things) with:

4 = Changed how I live my life a in just a few small ways (a few minor changes were necessary) Now I am running back and forth for blood tests..that isn't so bad right now, but when I go back to work, it will cause some problems. I want to get a personal monitor to check my own..

2. LIFESTYLE CHANGES: What was the biggest and toughest lifestyle change you had to make, i.e., giving something up (playing sports, travel, eating particular foods, etc.), changing the way you used to do something, etc?
None so far, but I am still in the recovery stage as well, I don't plan on letting it run my life..life is there to live :D

3. What is the SINGLE thing you dislike most about being on Coumadin?
Just the thought of it is more than the actual problem I think..


4. REGULATING THE INR LEVEL: Rate the ease of effectively regulating your INR level on a scale of 1-5 ( 3 = OK, but a few minor problems every now and then).




5. SIDE EFFECTS: Have you experienced any bad side effects such as hair loss, new health problems, loss of sexual function, appetite changes, headaches, more bruising than you expected, bad interactions with other medications, etc? None

6. BLEEDING AND BRUISING: How you experienced any bleeding or bruising problems that you would consider annoying, disconcerting, a hindrance, etc? None a slight bit of blood when I blow my nose, but nothing big.

7. 2ND THOUGHTS: Have you had enough significant problems with the use of Coumadin that you wish you elected to go with a non-mechanical valve instead to probably avoid the need for this drug?
Not at all....would rather take a pill than know very well for sure that my timer was started for the next surgery.

8. MISINFORMATION: Were you greatly (and unfortunately) surprised about a particular downside of taking Coumadin? No!!
Do you feel you were adequately informed about the side effects, testing requirements, etc. of taking Coumadin? YES

9. TOTAL EXPERIENCE VS. EXPECTATIONS: All in all, has your total experience with Coumadin been better then expected, as expected, or worse than expected? Better than expected actually by a long shot.

10. OTHER COMMENTS: Please list any other comments not covered.

I was dead set against having a mechanical valve installed because of having to go on Warafin...but once I got the stigma out of my head, it only made sense for me to go that route. The docs warn you about the effects of Coumadin, but I think they are giving you the worst case scenario, just so you really are prepared. When I have blood drawn for my tests, the puncture wound stops bleeding just as fast as it did before I was on the drug as well as any bruising (from IV's and tape) that I have from going through the surgery is clearing up more or less as fast as it would have before
 
1. EFFECT OF YOUR LIFE: On a scale from 1 to 5, rate how the use of Coumadin has changed how you go about living your life (doing everyday things) with:
4 = Changed how I live my life a in just a few small ways (a few minor changes were necessary)

I have to be honest, there are a FEW little itty bitty things that have changed. I take cuts and scrapes a little more seriously than before. The other night I caught my little toe on a sharp edge of the bed frame while getting into it and right away went into the bathroom ot check on the toe, bandage it up and then go to bed and for the next few days I kept a close eye on it. Before I might have just rinsed my tow under cold water, dried off my foot then gone back to bed. About twice a month I trek out ot a local hospital to have my blood drawn for an INR check. And I pay a little more attention to the foods I'm eating, try not to "over-indulge" in things like spinach... Beyond that, it hasn't changed much.


2. LIFESTYLE CHANGES: What was the biggest and toughest lifestyle change you had to make, i.e., giving something up (playing sports, travel, eating particular foods, etc.), changing the way you used to do something, etc?

Ummmm.... Maybe I'm missing something here, but nothing's really changed in my lifestyle. =) Not because of the coumadin anyways. I'm taking kung-fu now, does that count? :D

3. What is the SINGLE thing you dislike most about being on Coumadin?

Buying more pills every month.

4. REGULATING THE INR LEVEL: Rate the ease of effectively regulating your INR level on a scale of 1-5 (5 = Very easy, 4 = Easy, 3 = OK, but a few minor problems every now and then, 2 = Difficult, 1 = Very difficult).

5. SIDE EFFECTS: Have you experienced any bad side effects such as hair loss, new health problems, loss of sexual function, appetite changes, headaches, more bruising than you expected, bad interactions with other medications, etc?

I bruise a little more easily now, no other adverse side-effects that I've seen.

6. BLEEDING AND BRUISING: How you experienced any bleeding or bruising problems that you would consider annoying, disconcerting, a hindrance, etc?

Had a little dental work a while ago and my mouth bled for quite a while which was a real pain, but it passed within a day.

7. 2ND THOUGHTS: Have you had enough significant problems with the use of Coumadin that you wish you elected to go with a non-mechanical valve instead to probably avoid the need for this drug?

NOPE! Mechanical valve was the ONLY way to go for me and if I didn't take that option, I would be dead right now.

8. MISINFORMATION: Were you greatly (and unfortunately) surprised about a particular downside of taking Coumadin? Do you feel you were adequately informed about the side effects, testing requirements, etc. of taking Coumadin?

The only real "misinformation" that I've had is the diet changes. From what I've seen here at VR it looks more like instead of altering your diet to cut out Vitamin K rich foods, you should work mroe to keep your diet consistent. Cutting out stuff like spinach will affect your INR as much as eating more of it.
If you're eating mroe vitamin K rich foods, you'll just have a higher dose of coumadin, in a VERY small nutshell...

9. TOTAL EXPERIENCE VS. EXPECTATIONS: All in all, has your total experience with Coumadin been better then expected, as expected, or worse than expected?

Better.

10. OTHER COMMENTS: Please list any other comments not covered.[/QUOTE]

Everyone has different reactions to coumadin. SOme people don't have any problems with it at all, some people are constantly having to get tested and change meds and such. It seems to depend on an individual's body chemistry, their diet, and their physical activity. When you add or go off certain medications, it can change your INR and your coumadin might need to be adjusted to compensate for that. Same with if you pick up a cold or some other infection. There are other medications, like lasix, that have more of an impact on my day to day life than coumadin does.
 
SURVEY

1 4

2. I say I'm more careful when I'm cooking and using a knife! I don't eat a lot of greens unless my INR is high. Hasn't effected travel per say! I try to be more careful when I'm doing yard work or cleaning cause I do bruise so easy now and they don't go away for quite a while!

3. The only time I dislike it is when I go for my INR and for some reason its gone too high or too low and I've been doing the same things I've always done. Oh, also remembering to take it on weekends.

4. 3 - OK, but a few minor problems every now and then

5. I say just the brusing.

6. Again, bruising because it's looks like Iv'e been battered in the summertime when I have short sleeve blouses and shorts on!

7. No second thoughts. Without the Coumadin I wouldn't be here. With a non-mechanical valve it would be more likely I'd face surgery again down the road! No thanks!

8. I was well informed and knew there were possible side effects but no surprises!

9. As expected!

10. For comments I have to agree with Rain. The worst part being, if we couldn't get the Coumadin! Then what we all do?
 
No problems....

No problems....

Mike, see my responses below. They should be bold.


Mike From Michigan said:
Dear all users of Coumadin:

Have a few minutes to take a survey?

I am facing the prospect of AVR surgery in the coming year and probably like all of you were/are, I am concerned about having to take Coumadin. I've read most of the posts and learned a lot, but what I'd like to do is to try to encapsulate the major points through the use of a survey (I am a very analytical guy!). Please answer the following questions, elaborating where necessary.

Thanks a lot!!

Mike


SURVEY

1. EFFECT OF YOUR LIFE: On a scale from 1 to 5, rate how the use of Coumadin has changed how you go about living your life (doing everyday things) with:
5 = No effect on my life (I do everything I used to do prior to having to use it)
4 = Changed how I live my life a in just a few small ways (a few minor changes were necessary)
3 = Changed how I live my life to a moderate degree (a few larger changes were necessary)
2 = Changed how I live my life to a large degree (many changes were necessary)
1 = Completely changed how I live me life by 180 degrees (I am not the same person by far)

4 to 4.5--I think I am just more careful. But shouldn't we all be?

2. LIFESTYLE CHANGES: What was the biggest and toughest lifestyle change you had to make, i.e., giving something up (playing sports, travel, eating particular foods, etc.), changing the way you used to do something, etc?

Can't say there have been any--again just more careful, especially of the head.

3. What is the SINGLE thing you dislike most about being on Coumadin?

The monthly testing. I am a professional, and it is hard to always schedule.

4. REGULATING THE INR LEVEL: Rate the ease of effectively regulating your INR level on a scale of 1-5 (5 = Very easy, 4 = Easy, 3 = OK, but a few minor problems every now and then, 2 = Difficult, 1 = Very difficult).

5--little in the way of out of range experience in over 5 years now

5. SIDE EFFECTS: Have you experienced any bad side effects such as hair loss, new health problems, loss of sexual function, appetite changes, headaches, more bruising than you expected, bad interactions with other medications, etc?

Probably bruise a little easier, but nothing drastic. I take few medications and no interaction problems.

6. BLEEDING AND BRUISING: How you experienced any bleeding or bruising problems that you would consider annoying, disconcerting, a hindrance, etc?

Have had a few broken blood vessels in the eye, but then I did before as well so....

7. 2ND THOUGHTS: Have you had enough significant problems with the use of Coumadin that you wish you elected to go with a non-mechanical valve instead to probably avoid the need for this drug?

No, I far prefer to deal with the coumadin than have another surgery to replace a tissue valve. At 5 years hence, I would now be marking time to the next surgery had I had a tissue valve. No thanks!

8. MISINFORMATION: Were you greatly (and unfortunately) surprised about a particular downside of taking Coumadin? Do you feel you were adequately informed about the side effects, testing requirements, etc. of taking Coumadin?

I can't say how much attention I paid to it at the time, but I think I was adequately advised but not with a lot of specificity of the ramifications. but then I did my own research at the time (& there were fewer tools to do so) and made my own choice.

9. TOTAL EXPERIENCE VS. EXPECTATIONS: All in all, has your total experience with Coumadin been better then expected, as expected, or worse than expected?

I can't really say what expectations I had, but I far prefer any issues with Coumadin than facing another surgery. Nature always sides with the hidden flaw so you really have to be there to appreciate it thus the doctors/nurses, etc., really don't know what to tell someone beyond the textbook.

10. OTHER COMMENTS: Please list any other comments not covered.

Again, I far prefer coumadin to a repeat surgery. At 5 years hence, I would now be marking time to the next surgery had I chosen a tissue valve although advances have been made since then. While nothing is failsafe, I have no problem overall with the coumadin. At the end of the day, the continuous testing is the only pain--whether you do it yourself or go to a clinic.

Hope this helps! Susan
 
1. 4
2. No real changes to my lifestyle
3. Two things.. having someone stick you with a needle, and the fact that I can't have certain medical procedures done until they get life threatening(that's not how I like to do these things)
4. as long as you are tested as often as you should be and follow what your doctor says, it should be within range pretty much all the time...consistancy is key....remember that.
5. Just a few female problems...that's all
6. I bruise a lot! I also bleed alot easier, I passed out once(not from coumadin,) and my INR was VERY low. I hit my head on a sharp rock(went clear down to my skull) and I was actually GLAD my INR was low that particular day! Just be careful(I am hypokalemik.)
7. I have a bovine pericardial mitral valve, but am on coumadin because of my history with TIA's and A-fib. I still would have chosen the bovine because I am young and have small children. That is also what my cardio and surgeon STRONGLY reccommended for my particular situation.
8. I really didn't have a choice whether or not I was going to take coumadin...but when I decided to go with the tissue valve, yes, that is why I wanted to go tissue.
9-10. The coumadin wasn't a question for me, I had no choice. I wish I didn't have to take it, being 26 with two small kids, and having to take THEM with me to get my INR tested is a pain. It really isn't that big of a deal when you think of it...take a pill once a day and get tested once a month...stroke out and not watch my kids grow up...I chose to take the coumadin. I am extremely pumpheaded and my husband has to remind me to take them though.
 
I forgot to add that the younger you are, the more likely you are to have another OHS...even with a mechanical valve. Both my cardio and my surgeon told me that no matter which valve I chose I have a 90% chance of have a 2nd surgery down the road. I would just rather have it while I am younger rather than older. I have more of a fighting chance when I am younger...Than I will choose a mechanical valve(or whatever they have in 10 years) I was 23 when I had my first surgery, and am 26 now. Just thought I would add that little tid bit.
 
Grey Outs

Grey Outs

Sherry said:
Hey, Marsha,
I actually started a thread on this on the other forum just yesterday. Those grey curtain episodes I am absolutely certain are valve related. I never had a single episode until right after surgery. The doc mentioned that the valve can throw tiny emboli. A few times I've actually checked my INR after one happens and it's typically in the ones. The occular migraines I've had since I was in high school -- the jagged lines and such. I guess I just need to keep researching.

I suffered from the jagged lines and visual grey screens in my left eye for 5 years. MRI's, MRA's and EEG's could find nothing. When they did an echocardiogram, they found aortic stenosis, but could not produce a cure. In '98 I had a minor heart attack and subsequently was put on a daily dose of aspirin. The vusual disturbances disappeared in two days and didn't come back until 2 years ago when I went off aspirin prior to rotator cuff surgery. After 6 days off aspirin, the visual disturbances returned. As a result I went back on aspirin and bled like a stuck pig during arthroscopic surgery. But I haven't had an incident since. I swear it's the aspirin that prevents it. Must be something to do with the platelets sticking together in the small capillaries of the eye. Hope this anecdote helps.

Randy'38
 
Joe's been on it for 26 and a half years. He's never had any side effects from Coumadin. He's had many side effects from other medications. Since he's on 14 medications or so, it's just another pill he has to take. For him, it's no big deal.

Yes, he has to get tested, but he also has to get tested for some other things as well, so that's just one more test.

His lifestyle has never changed because of Coumadin. It has changed because of his heart and lung problems.

He does bruise easier than a normal person.

As far as eating, he eats a well-rounded diet including green stuff, just does everything in moderation.

Probably the most difficult thing is the process of bridge therapy for surgical procedures.
 
Hi Randy - Thanks for the post. I'm just guessing, but I think your hypothosis may be on track. I had a bunch of grey curtains presurgery, and only one post surgery and the other factor was that I started an aspirin reginmin somewhere in there. The blood vessels that feed your optic centers are really small so it doesn't take much to plug them up for a little bit. The aspirin regimen can keep those platelets slippery. Thanks for some insight. Chris :)
 
This post made me remember that I had a grey curtain after my prostate surgery. I do not think that it was from a clot because the way the veins are connected a clot from the prostate area would get stuck in the lungs before it had a chance to go to the brain. I concluded that it was an after effect of the anesthesia even though it was days after the surgery.
 
Survey Says..

Survey Says..

Hi Mike -
I have been on the ol coumadin for almost 3 years now. Unless I missed it, noone has mentioned that there is a new drug coming out that will be better for a lot of folks then Coumadin. The name is like 20 letters long so go to google and ask for blood thinners and you will see it. It's made by AstraZenca (sp?) and is do out in the fall. It works on a different clotting factor then what coumadin does and it will not require blood testing. (so they say)
Anyway here is my expierence with coumadin
1, Nr 5 - No change (I did end my pro-football career though...just kidding)
2, None - You just always have to remember to take it and, somewhere in the back of your mind, you always wonder about your INR level.
3. Shaving
4. 3 1/2 - every now and then the INR gets a tad high.
5. None really however if you have to pay attention if you get brusied. Last Sept I was out walking my dog and on a hill. Suddenly the dog went one way and my feet went the other and I went down hard on this soft Georgia concrete..oops I meant to say clay. My bride and I never connected the dots on what could happen. Anyways in two days I had the mother of all bruises from my right deriere down to my kneee. My Doc said he has hospitalized people for less then what happened to me and if it happened again go to the hospital.
6. See 5 above
7. No second toughts at all. Would you want to have this surgery again?
8. No problems at all other then I never thought of the bruises.
9. No problems at all. Better then expected.
10. Read all of the posts and write ALL OF YOUR QUESTIONS down so you and your Doc can talk about it until you are satisfied.
I hope this helps and let all of us know how your status is. We are here to help.
Chip :D
 
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