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Oh and its good to see that I get the offiical approval from the Sherrif here on the site Its always good to get feedback that I'm on point with my posts

Hi personally I wouldn't be "very nervous" because Tom has suggested the risk of thrombosis is not so great with modern bileaflet valves such as the St Jude There are some great examples of just how long you can go without ACT (warfarin) but I don't suggest you enter this competition...

Hi yep ... the requirement for reoperation of a mechanical valve is not because of the valve wearing out. It is mainly extensive history of patient non compliance with warfarin leading to obstructive thrombosis (basically scabs building up on the inside of the mechanism). AFAIK this is in the...

I didn't crib ;-) good point above too, worth repeating

I see that Tommy has had a go, but I'll have a go without reading what he wrote (I'd call that cribbing). As it happens as you age you have a different chance for something to occur. This is expressed as "likelyhood" or "chance" or even "risk" ... such things are often expressed in "odds" given...

Well. Managed INR brings that back to about aged related general population risk levels

ironically I'd also venture "its effect measurability" is #2, because we just don't know what the effect of the novel ACT is because AFAIK its not measurable

especially given the suggestions of non-invasive magic measurement of "coagulation time" in the body where the body has evolved (from almost every mammal before us) to NOT have potentially fatal clots form while the coagulation machinery waits like a set trap to spring into action when actually...

Hi I'm sure they took into account all the factors, but as I said its not standard for an Aortic valve (which would be 2.0 ~ 3.0 ) and so I asked (I thought politely) why it wasn't the standard. good for you and good for him ... which as you recall I asked: which you haven't seemed to...

again, this is a lancing issue and not a device issue. People (including me) can and do get 8µL from the standard supplied lance, its just that depending on variables (like it being cold, performance anxiety, extremity circulation) the chances of getting this error are higher. Its only those of...

No, what I'm saying is that sample size is actually important for how the process of determining coagulation time is undertaken. Have you ever seen how much blood is drawn by a phlebotomist for uses at a lab? The process is nothing like that of blood sugar analysis (where a smear is...

Hi totally welcome correct ... its actually quite a helpful approach. As I understand it many here have found the benefits of the rubber band approach in getting sufficient blood for a sample I'm a bit lost, do you mean "am I still using the rubber band" ... yep, you becha add a rubber...

Hi good luck with that. Roche has set a high bar and the Coag Sense before it started good and turned poor due to long term management issues. I can answer your form in a sentence: the Coagcheck and my personal spreadsheet is the best there is. Best Wishes

yep ... because I'm curious: what was your INR are you taking aspirin (if yes in what dose and frequency) one day you shall awake with no pain, you won't feel any hurt and you won't be able to hurt your self. This is the first morning of the after life (or so I'm told by an Indian fella).

I suspect that the key guys have been in that for 20+ years pushing that specific idea (as well as perhaps others). Personally aside from having three leaflets (instead of two) I'm not sure how it'll be better than two. However the good old tilting disc design had thrombosis issues (perhaps...

Hi you're welcome, take your time, don't rush it; you've got years ;-) it varies because: some people just get managed some people don't even self test (or manage) those of us who do fully self manage (aka self test and self administer) are fewer I'm the latter group not least because I'm a...

Keefo reach out and I can give you a method to simplify warfarin and remove the pain from your arse. also, just wondering how this happens: without you missing at least 3 days of dose. Best Wishes from Sunny Queensland

Hi and welcome sure what Tommy said is about spot on. Further rather than write a ton and as, I've already written a ton on my blog I'll point you there. First and foremost I'll suggest that you don't just read this post once, but due to its scope consider it a reference...

Hey there did you find this thread? https://www.valvereplacement.org/threads/a-fib-after-aortic-valve-replacement.889079/#post-927316

oh, and @tommyboy14 I'm kinda proud of this comment especially back in 2014 I had no idea who he was, it was perhaps the nicest compliment I've ever had on my blog.