interesting perspective, and in societies where medical systems are publically funded I believe that there is less "informed patient choice" and more mechanical valve + Anti Coagulation Therapy.Heart surgery is $200‐300k having it twice in your lifetime because of clicking and some dirt cheap rat poison?
mech (all makers)
total all valves
cost per valve tissue valve
So while I know (because its in the guidelines and the subject of many studies) that in specific a age groups picking a tissue prosthesis is a reasonable choice, it does not mean that for a younger cohort its statistically a good idea. Further its well established that something like 60% of patients on a tissue prosthesis require ACT by the time they are 15 years into having that valve.
...I wonder when the music will stop on the funding merry-go-round of the US health care "industry".
myself "... dunno", but I wouldn't be comfortable with relying on the status quo as the economics go forward...
Since you are Australian, why not tell us about your country instead of criticizing the US; a place you know little about outside of movies, TV and biased media. For example, are patients in Australia denied tissue valves if under your personal metric of 55yo?
Really ?, ooooppppsss , so cnn is not true then hmmm, no wonder evereything else is .... true or not true ?
Further its well established that something like 60% of patients on a tissue prosthesis require ACT by the time they are 15 years into having that valve.
Let's hope the new polymeric valves will end this agonizing choice younger people have to make.
I'm no fan of hope, it gets in the way of planning.Let's hope the new polymeric valves will end this agonizing choice younger people have to make.
Thanks for welcome and good wishes.I'm no fan of hope, it gets in the way of planning.
Personally I doubt the polymers will have no downsides (and may even thrombose in later operations). People go on about the "ticking" as if its a detached phenomenon like a clock in the room. I've always been aware of my heart beat (as indeed it seems are the writers of many songs) but what I find the hardest to work with is tinnitus (probably caused by years of construction sites, motorcycles and bands).
Yet even with that symphony of cicadas I still find that I can hear small things in the bush before my friends (and usually around the same time as the dogs).
People who haven't experienced it just can't imagine it ... (at least that's what it seems to be).
Best Wishes with your personal choices ... oh and welcome aboard
Which is great. Its trials that make clear if a conjecture into the unknown will actually work and identify the unforseen in the great testing lab that is real life.Not to derail the thread, but apparently the oldest implanted Foldax valve is already at 3 years mark,
I wonder, how long will the Indian trials last before the valve is cleared for use.
At the moment I loathe the mechanical perspective so much
Can't see why the thrombosis of the whole valve couldn't be avoided, if the valve doesn't throw small clots to the bloodstream.
There's even a case describing a man having a St. Jude with no ACT for more then a decade and still being fine.
I worry about structural integrity more.
compared to the potenial troubles Daniel758 mentioned, apart from the overall ACT hassle.
There are reasons to pick either valve type, you should know them well and correctly understand the parameters and trade offs
hang brutha ...I’m adjusting for a 5.2 INR this morning due to steroids needed for my back. Done with that course of meds, now getting my INR back in line. In the meantime, I won’t be skateboarding on the half-pipe until I’m in range again.
I think some read this forum and get defensive or even hostile when the trade offs are pointed out. As though it’s an attack on one choice or the other.