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  1. pellicle

    Problems at Night

    not sure, but definately sleeping in hospital in my post op recovery wasn't my best "sleeping times" ... sounds like you're having a bumpy landing ... it varies. I personally felt like my heart beat rocked me while lying in bed (even sitting). Best Wishes
  2. pellicle

    Emergency Information on phone

    I have no problems with any of that ... my post didn't mention any of that. I simply said that its not available on my phone (were it, I'd use it) but that I don't think its prudent to rely on it. Also, when giving technical detailed instructions OS matters it; matters what phone they have. I...
  3. pellicle

    Emergency Information on phone

    I don't have an iPhone ... nor as I understand it do most of the worlds phone users (although I understand that in the USA its different, and indeed in Australia its also around 57%), but: globally its a different picture: Android leads with 70.87% market share, and Apple's iOS has 28.39% I...
  4. pellicle

    Hair color changed after surgery?

    fascinating No significant changes to report here ...
  5. pellicle

    5 year ON-X low INR results

    @Nesphito This
  6. pellicle

    Different strokes...

    indeed I would suggest you listen through this (I've posted it before, can't recall where or how many times or to who) https://www.medscape.com/viewarticle/838221 its got good points about the inevitable (for something over 40% of tissue valvers) move over to needing warfarin. What's...
  7. pellicle

    5 year ON-X low INR results

    No, they don't. Read that post I linked carefully.
  8. pellicle

    5 year ON-X low INR results

    how low? Ask them why they follow that, tell them its for your cardiologist ... ask for it in writing. again, this is why I prefer to DIY PS I suggest you send them this letter too: https://www.valvereplacement.org/threads/on-x-and-lower-inr-protocol.863445/page-4#post-932581
  9. pellicle

    How to Choose

    frankly this is a prefect approach. Its widely understood that there is no perfect solution to this, and so everything is a tradeoff. What is important is to understand those tradeoffs and which you prefer (better yet, projecting 10 or 20 years past surgery). I frequently say to people that if...
  10. pellicle

    Different strokes...

    Does this mean that you are going to be dodging OHS for a while? Good news if so.
  11. pellicle

    The best bleeding stoppers in emergency situations

    Endo risk is mostly through filthy wound sites that are close to the heart; nasal and oral mucosa. Afaik the extremities is an unusual entry. PS https://www.ncbi.nlm.nih.gov/books/NBK557641/#:~:text=The vast majority of infectious,cases in the developed world. The vast majority of infectious...
  12. pellicle

    3 potential choices

    Just the ones that the researcher obviously tortured until confession was obtained
  13. pellicle

    How to Choose

    Just fished back at 4cm it may never need it ... which is why they would be hesitant to change it. Further, there is some evidence that after a surgery it may be further stabilised by the additional scar tissue ... sorry, no crystal ball here, only some stats and fewer studies.
  14. pellicle

    How to Choose

    well, that's a matter for a surgeon, and I'd also seek a second opinion ... but my primary view is that if you ask a surgeon "do I need a surgery" they'll probably be inclined to say "yes" ... I mean its what they do. Equally they must accept some responsibility for outcomes (even if its just...
  15. pellicle

    How to Choose

    having had an OHS driven by aneurysm (and I'm not the lone ranger there) I can understand how you feel there. Best Wishes
  16. pellicle

    5 year ON-X low INR results

    Thanks for posting ... an interesting read @Timmay looks good @Jeff Lebowski take a read, note this point: Central Message Interim registry results support the safety of the On-X aortic mechanical valve with warfarin targeted at an INR of 1.8 (range 1.5-2.0) plus aspirin I note they still...
  17. pellicle

    Different strokes...

    I would move to that first, as its actually what is required (for instance) during the On-X protocol. I would also move your INR target to 2.5 and when below that make minor adjustments to move up, when above 3 make minor adjustments to move back. There is no benefit to being below 2.3 I take...
  18. pellicle

    Different strokes...

    sadly its because "it just happens" ... some people would suggest that such an incident would be cause to justify a higher INR ... to me 2.3 (which in itself should be properly understood as ±0.1 anyway) is the lower end of safe, and if it happens a 3rd time I'd move to range of 2.5 ~ 3.5 are...
  19. pellicle

    How to Choose

    one of my (occasional) riding buddies had to avoid a car on corner apex, ran out of road on exit. No warfarin but wouldn't have made it much different I'd suspect
  20. pellicle

    How to Choose

    I just hope I die before the feral pigs eat me alive...
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