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UK diy (uk.d-i-y) For the discussion of all topics related to diy (do-it-yourself) in the UK. All levels of experience and proficency are welcome to join in to ask questions or offer solutions. |
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![]() Thank you to everyone who contributed and to those who offered good wishes. It also surprised me how many people I know who know someone on Warfarin. For those who asked, this is the latest situation. There was a strong consensus that Warfarin is a serious intrusion upon your lifestyle. As my GP put it, it is OK if all you are doing is sitting around, not doing much, and taking your Warfarin, but not if you want to lead any sort of active life. He also said he would have concerns about my liver, given my previous history, if I were put on Warfarin. That was this morning and only served to confirm the impression I had been getting from all other sources. He also reinforced my view that there were likely to be significant advances in cardiac medicine in the next 10-20 years, while Warfarin has not been improved upon in the past 50 years. So, the result is that the artificial valve is not an option I am prepared to consider. Now I am waiting for an appointment with the surgeon, to see whether he would be prepared to consider me for the Ross procedure, in which one of my heart valves is used to replace the damaged aortic valve and the other valve has the tissue replacement. It has the advantages that the aortic valve, which is the most highly stressed, is a living valve that ought not to deteriorate, the replacement valve should last longer in the alternative position and replacing it is an easier operation. The downside is that it adds about an hour to the operation, which increases the morbidity risk, and I am borderline for the age at which it is usually carried out. I hope to find out whether that is down to the accountants at NICE, because there are good clinical reasons not to, or whether the concern is about older patient survival rate. At least I am fairly fit and have excellent lung function, which should help with the last. One advantage of swine flu; heart operations are being moved to an adjacent private hospital, still on the NHS and with the same surgical team. That should both free up ITU beds in the main hospital and avoid the possibility of exposing recovering heart patients to the disease, which I had been wondering about. They are currently looking at booking me in around mid to late August, subject to what the surgeon says. I'll post an update when I know that. Thanks to all Colin Bignell |
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