Recent content by Woodcutter

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  1. W

    COVID Long Hauler Looking for Help

    I'll offer an opinion on EP's as I have worked with several over the years and have had ablations at 2 different centers. I would not be terribly bothered by an EP not using a stethoscope. They are working on the heart electrical pathways which often are not going to yield a useful audible...
  2. W

    How soon will work & driving resume after AVR

    I was ok'd to drive at 3 weeks. Something my surgeon said that I had not considered was "just make certain you do not have an air bag deployment into your sternum". I did drive without incident. Well, I did make one mistake at a gas station. It was on the way for an errand so I filled up...
  3. W

    Dosing Question

    Agree completely. I have never used anything but 2 mg tablets for a 3 mg daily dose so I have a split 100% of the time over many years. Never considered the ingredient distribution within the pill. However, I just split by hand and it is not unusual to be able to visually see that my two...
  4. W

    Dosing Question

    As a fellow 3 mg/day user, I'll offer/second a couple comments. I was started on warfarin about 20 years ago after throwing some blood clots. The hematologist told me to expect to be on warfarin for life and prescribed me a meter. I subsequently had some AFIB and then 8 years ago received...
  5. W

    Longevity and quality of life

    Regarding Flying: My path to anti-coagulation was a bit different because I was on warfarin long before my mechanical valve. It was first for blood clots (one went to my lungs) and later on it was for AFIB. But until I retired a couple years ago, I was regularly flying 100k miles/year. If...
  6. W

    Deciding whether to have Mitral Valve Repair/Replacement Surgery

    A little bit of a challenge to answer how I "feel" because I was asymptomatic. So a couple of thoughts: - As a lifetime runner, I could tell that my race performance was deteriorating. Trouble is, I was almost 50 . . . times had been deteriorating for 20 years! I believe running was...
  7. W

    Deciding whether to have Mitral Valve Repair/Replacement Surgery

    Been thinking about sharing on this as I too was asymptomatic at 49 when my cardiologist (and subsequently also the surgeon recommended repair of my mitral valve (for regurgitation). But looking back and 'what iff'ing' . . . . I still always come back to confirming that proceeding was the...
  8. W

    Ross procedure or mechanical aortic valve for reoperation

    The warfarin "issue" is my understanding as well. A recent (11/20) from Marey & Said (U of Minnesota) concluded "Ross Procedure After Previous Aortic Valve Repair in an Adult" with this sentence : "Finally, the Ross procedure remains the best procedure for young patients with active...
  9. W

    Trans-septal ablation

    I'll add that cardioversion (electrical restarting of the heart) is a very common initial treatment. Might be done before trying various drugs, after drugs, or in concert with a new drug. If I recall correctly, I had a total of eleven of them in 3 or 4 sessions when I came down with AFIB...
  10. W

    Trans-septal ablation

    Protimenow: I have had this and concur with vitdoc's summary. I had an ablation for afib years before I received mechanical mitral valve. It was trans-septal because, as explained afib is in the left atrium and that is how you get there. I had another ablation last year (well after the...
  11. W

    90% event free survival rates with mechanical valves. 30 years period!

    For those interested, a relatively recent ( a year ago) investigation of the hydraulics of SJM vs. On-X was published in the Journal of Thoracic and Cardiovascular Surgery Vol 159 #1 by Hatoum, Maureira, and Dasi. "A turbulence in vitro assessment of On-X and St Jude Medical prostheses"...
  12. W

    90% event free survival rates with mechanical valves. 30 years period!

    By training, I am an engineer specializing in hydraulics, so when my mitral valve repair worsened my situation; I went at the problem from a hydraulics standpoint. I went in to a different cardiologist with the pressure/flow curve of a mitral valve and said this is what is going on. This...
  13. W

    56 and asymptomatic and in shock!

    I can share a couple of my experiences as I had a mitral repair done between the ribs followed by a replacement 6 months later with the full opening. I was 50 at the time ( 8 years ago). Relatively fit . . an avid runner. Firstly I'll share that if your picture is your friend, my wife has...
  14. W

    On- X valve is superior to outdated one like st jude and ATS

    I rather liked this picture . . .. found it attention getting! Don't know what specific valve it is but it shows the fundamental turbulent flow issue with bileaflet valves that plenty of researchers and engineers continue to work to minimize . . .ideally eliminate. This was in a...
  15. W

    On- X valve is superior to outdated one like st jude and ATS

    I do not have any opinion on On-X vs SJM. (My mitral valve is an SJM.) My technical experience is with fluid mechanics/hydraulics and as with most engineers have dealt with a myriad of materials. I have no concern with the silica content and do not believe it an appreciable factor in...
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