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  1. realkarl

    INR drops with excercise

    I know theory says exercise activity level does not influence the INR levels as a function of Warfarin dosage. Be that as it may, but when I started ramping up my exercise levels significantly, to bicycling an hour or more every day, I had to increase my Warfarin dosage quite a bit. Then it...
  2. realkarl

    On-X approved for lower INR Range in the U.S. - Stuck with conservative guidelines

    I never expected anything else than what was commented above, and I do agree with most of what was said, except the trivialization of bleeding events. There are significant advantages to lowering the risk of bleeding. I am not talking about "cuts and bruises", but potential brain hemorrhage or...
  3. realkarl

    On-X approved for lower INR Range in the U.S. - Stuck with conservative guidelines

    I am a patient with an On-X aortic valve since 2009, and I have been following the results of the PROACT trial for years. I was very happy to receive a letter from On-X notifying me that they have finally received FDA approval to recommend a lower INR range (1.5 to 2.0 for On-X aortic valves)...
  4. realkarl

    INRatio Monitor -- Right on Target!

    The times I have compared my past INRatio 2 results with either lab or Coaguchek they have been spot on as well. From reading the recall it appears faulty readings can occur with certain medical conditions, e.g. anemia or inflammatory issues...
  5. realkarl

    Alere issues 'Voluntary Urgent Correction' regarding InRatio tests

    @pellicle: yes, I completely misunderstood your post... It was my understanding the INRatio inaccuracy is triggered by certain medical conditions. What is described there though, is that the actual INR could potentially be higher than what the INRatio reports. Not being affected by any of these...
  6. realkarl

    Alere issues 'Voluntary Urgent Correction' regarding InRatio tests

    Of course I know this..! So I gave up explaining common sense rather quickly to the person calling me from my health care provider's anti-coag clinic. And I have tested as usual with my INRatio while away. Now back in the U.S., I had two letters waiting for me from Alere explaining the potential...
  7. realkarl

    Alere issues 'Voluntary Urgent Correction' regarding InRatio tests

    After I had submitted my last inRatio 2 test result, my clinic asked me to call them regarding my result. They asked me which machine I was using, and when I said I had the inRatio 2, then informed me of the recall and that I should stop using the inRatio 2 immediately. I explained I would be...
  8. realkarl

    Alere PT/INR reporting website

    This should work: https://www.mycoagresults.com/
  9. realkarl

    Headaches-Migraines following surgery

    Like I mentioned a while back, after my surgery, I started having frequent auras with no migraine. In the past I had infrequent auras with migraine. Sadly, the migraines eventually returned, as the auras occurred less frequently. However, I found something to help me, advise given by my PCP: a...
  10. realkarl

    Automate Reporting Your INR Test Results to Alere

    Thanks for figuring that out. Somehow IE worked yesterday without specifying the secure site, but not Chrome nor Firefox. This morning it no longer works in IE either. You are right, pretty lame, and so easy to fix by the admins. So the correct link is https://www.mycoagresults.com/ (your...
  11. realkarl

    Automate Reporting Your INR Test Results to Alere

    While waiting for a reply, I called Alere's customer service instead. I asked for email instructions, but she provided me a web page instead. It's at https://www.mycoagresults.com and after entering patient ID and pin you can report new results, as well as view a graph of previous results...
  12. realkarl

    Automate Reporting Your INR Test Results to Alere

    I know I got instructions on how to email my results, but have misplaced/forgotten them. Could you please let us know the format required? Thanks.. -Karl
  13. realkarl

    Low stamina

    Scott: I am happy to read about your improvement without the beta blockers, as this has been my experience as well, initially going against my cardiologist's opinion and advice. I have been on a full dose of Carvedilol (25mg/2x daily) most of the soon 2 years since my surgery, as that has been...
  14. realkarl

    Proactive Management Follow-up -- and reasons for a Case

    What you are explaining sounds perfectly logical, but then I do not understand the following: Over the soon two years since my surgery, with weekly home testing of INR, for my body, there appears to be a clear relationship between activity level and required Coumadin to maintain my range. I...
  15. realkarl

    Effect on INR of Vit. K vs warfarin delay?

    For better or worse, I had my first INR spike and a chance to test the theory. Probably due to a combination of diarrhea (gone now) and a topical Miconazole (due to a rash - cream didn't help, must be something else), I measured 6.0 Sunday, while having been in-range or twice +0.2 over in the...
  16. realkarl

    Effect on INR of Vit. K vs warfarin delay?

    Thanks for confirming what I have experienced myself, but was quite unsure of based on too little data!
  17. realkarl

    Effect on INR of Vit. K vs warfarin delay?

    I have read in several threads how it takes 2-3 days for the effect of a warfarin dosage change to show up in measured INR. So I was wondering if anyone knows if intake of Vit. K in the form of dark greens has a similar delay, or shows up sooner? Karl.
  18. realkarl

    Attachment of the heart to the rib cage

    Well, the pain and discomfort is not by any means severe or a problem. I have to breathe in more than I do even at max exercise exertion levels. I mentioned the discomfort at MAX breathe in, before my latest echo, and my cardio said, let's wait and see for the echo, which was all clear, and an...
  19. realkarl

    Attachment of the heart to the rib cage

    Bill, thanks for a wonderful explanation. I have noticed the same feeling, and have been wondering if it's normal. I tried to ask my cardio about it, but probably phrased my question wrong, and did not get a good answer. Along with the pounding, I also still have some discomfort/pain, and the...
  20. realkarl

    Help and advice wanted about post surgery aches

    I should add that Norwegians have always believed in the good properties of fish oil. So much so that when my mom went to school in the 50's, they were forced to swallow a spoonful every day, and then they heated it on a wood stove, and it was much stronger in odor and taste than today. Now she...
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