pellicle
Professional Dingbat
Good morning.
Well finally I've written up the experiences of @Chuck C who was kind enough to share his results with me. Chuck recently had to undergo a procedure which would in the past mean going off warfarin and bridging. He (like me) found that onerous and undesirable and (probably) agrees with my views that the risk benefit analysis does not hold up.
He had read my previous work on this:
cjeastwd.blogspot.com
and felt that it could be improved upon and set about constructing his own version of it, extending and honing it. This is the goal of any science driven endeavour, to have it examined, critically appraised and developed. Personally I think he did a great job and I'm very happy that he's such a networker and sought to include me in this..
Of course this is not for everyone, heck even within this community mech valvers are perhaps a minority of members. Mech valvers who self test even less and those who self test and self dose are smaller again. Yet there are potentially readers who are not members and who do not live in the USA and do not have simple easy access to heparin or simply don't enjoy that process and are looking for an alternative.
So with that disclaimer here is the latest work in exploring self directed perioperative INR management.
cjeastwd.blogspot.com
I believe it also has applications in other areas such as contact sports, for I have over the years met a few valvers who were into martial arts (as I once was) or other contact sports (like soccer).
So, I'm ready for questions if there are any.
Best Wishes
*PS I wavered on publishing this but a few people whom I keep in touch with here have suggested I publish this here for the reasons that I mentioned above. I know I'll no doubt get flak from various arm chair scientists (who don't have science degrees) but I'm ok with that (mostly because I've already put them on my ignore list).
Well finally I've written up the experiences of @Chuck C who was kind enough to share his results with me. Chuck recently had to undergo a procedure which would in the past mean going off warfarin and bridging. He (like me) found that onerous and undesirable and (probably) agrees with my views that the risk benefit analysis does not hold up.
He had read my previous work on this:

Perioperative Management of INR
Eventually one finds that some sort of small surgery is needed, for those of us on warfarin (perhaps after a large surgery such as a heart v...
and felt that it could be improved upon and set about constructing his own version of it, extending and honing it. This is the goal of any science driven endeavour, to have it examined, critically appraised and developed. Personally I think he did a great job and I'm very happy that he's such a networker and sought to include me in this..
Of course this is not for everyone, heck even within this community mech valvers are perhaps a minority of members. Mech valvers who self test even less and those who self test and self dose are smaller again. Yet there are potentially readers who are not members and who do not live in the USA and do not have simple easy access to heparin or simply don't enjoy that process and are looking for an alternative.
So with that disclaimer here is the latest work in exploring self directed perioperative INR management.

rapid dust off INR management
A post on the management of Anti Coagulation Therapy (ACT) by Vitamin K Antagonist (VKA) - Warfarin I've decided to call this the INR Dust...
I believe it also has applications in other areas such as contact sports, for I have over the years met a few valvers who were into martial arts (as I once was) or other contact sports (like soccer).
So, I'm ready for questions if there are any.
Best Wishes
*PS I wavered on publishing this but a few people whom I keep in touch with here have suggested I publish this here for the reasons that I mentioned above. I know I'll no doubt get flak from various arm chair scientists (who don't have science degrees) but I'm ok with that (mostly because I've already put them on my ignore list).
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