Recent content by zelic

For sure, also good to remember for bacterial endocarditis prevention to use chlohexidine mouth wash starting several days before and for several days after each dental appt. You can get a script from your dentist.

Carol, Sorry to hear about your news. Tough decision but I also decided on a tissue valve at 58 yo. ( I made this decision as I have a rare sensitivity to ACT which made a mechanical much riskier for me). For what it is worth, I do agree with the above comments on going with a MV at 65 after a...

Good article just came out on value of Vit K rich diet and INR levels. Thought I would share with the group. Green Vegetables, Herbs, and Oils May Help Stabilize Patients Taking Warfarin Rebecca Voelker, MSJ JAMA. Published online September 4, 2019. doi:10.1001/jama.2019.13060 With its narrow...

Great tips on the threads here. I had my AVR 2/18 some things that helped me: 1) Get and advocate if you can - I am a doc but had a friend of mine, another doc, with me for the first two days after surgery as an advocate. He made sure I had a morphine pump after surgery - as said above BIG help...

Nice article on the tri-leaflet mechanical valve that is mentioned in the video. Should be interesting to follow...

Great review. Dr Schaff did my surgery. Out of the 12 cardiac surgeons I talked to before my surgery ( i was 57 at the time of my procedure 2/18) He was the only one that recommended a mechanical one. I agreed with him at my age. However, with the newer Good point - In fact Dr Schaff was my...

I think the INR testing is a very crude way to manage the bleeding risk due to multiple factors inherent in how coumadin works and what the INR test is testing. For most people this is not an issue but for anyone who has one of these variants it can be more of an issue than we know. I will...

I agree with the above. Had to make my choice last year at 57 with BAV. Was going with mechanical to lessen any risk of another surgery. Figured at my age tissue valve could last 8-13 years and hoping to live into my 80s might be a total of three procedures. Downside is being on coumadin as I am...

I had the Inspiris Resilia valve put in by Dr Schaff at Mayo in Rochester last Year. Best to call Edwards Scientific and ask them who is using it in the US _ https://www.edwards.com/aboutus/patientvoice.