some beautiful scenery there.
all good points ... I guess that I'm right there with you on active lifestyle
and the results of failure here are perhaps as stern
well if you're not showing signs of the issues (including the heart adapting to the additional loads caused by back pressures) then you should take your time. I don't know if you read that answer I made earlier about risks, but table 1 shows some pretty funny stuff about how many people should be on warfarin and aren't managing it at all. So many people live in all sorts of denial of reality. I personally have no respect for "faith" and believe only in what I see, what can be measured and putting effort in to achieve that. I'm sure you know you don't get to be a upper level athlete by prayer, it comes from effort (and genetics).
As to the amount of effort for my charts, its this:
- about 5 min per week (Saturday morning in my case) to measure, write up, the next dose is usually pretty self evident in most cases
- about 20 min once a year to roll that sheet over into a new sheet in my workbook and re-do the columns
the benefits for this are not just good outcomes, but peace of mind through certainty and knowledge.
This is a segment of the Grand Cardio rounds video which focuses on proper INR management
PS: at about half way you'll see he makes the implication that surgeons and cardiologists are focused on which valve more so than how to manage it (as he has to rename it to make it clear to these bozos).
Best Wishes