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Afib, anyone?
Last Post 02/17/2021 09:35 AM by 79 pmooney. 28 Replies.
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Dale

Posts:1394

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02/14/2021 08:50 PM
Posted By christopher behrens on 02/14/2021 01:32 PM
Dale -

Are you taking Warfarin for afib?


Nope, blood clots. I've got a genetic predisposition. Had my first 25 years ago but was too ignorant to know what was going on. The second time I made a trip to the doc right away.

Mondonico... yeah if I had your history I'd go a different route too. Since I'm now on Medicare my drug plan would make the new drugs pretty cheap.
I was on a high deductible plan so everything under 10k was on me.

Glad you have an alternative to the old stuff.
zootracer

Posts:755

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02/14/2021 09:20 PM
No, but I have cardiomyopathy (weakening of the heart muscle). Which was caused by a viral infection (myocarditis). I came down with it in 2009. I became weak, dizzy and felt like I was going to faint while riding. I take meds (lisinopril). Which caused osteoporosis (weakening of bones). Which means if I crash I could have major problems with broken bones healing. Something tells me cycling is not so good for your health (:
huckleberry

Posts:655

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02/15/2021 10:20 AM
Zoot - It's a thin line between sanity and reason, and I believe us cyclists are well over onto the wrong side ; )

But it's so damn painful, uh, oops, so darn fun!
zootracer

Posts:755

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02/15/2021 10:26 AM
Huck, I agree.
Cosmic Kid

Posts:3452

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02/15/2021 01:07 PM
Been on warfarin/ Coumadin for almost ten years. Zero issues. My INR is very stable at 1.8 - 2.1
I take basically the same dosage as I did when I first started.
Totally understand that different people react differently and different medicines react together but for me I've seen no benefit to the $300/ month drug as opposed to the $4.00 a month FDA approved rat poison.


Dale and I are in the same boat and for the same reasons...

I ahve tried to get on the next-gen meds a couple of times and they just aren't covered by my health plan. And sicne I have had no issues with warfarin, I can't really complain when they say "sorry, we are only gonna pay for the cheaper stuff". It works, I don't have any real side effects so why pay for the expensive drugs?

Sure, there would be some benefits to the newer drugs (mostly diet related and not having to monitor my INR), but I am super-stable with my readings and take a low-dose of warfarin (2mg / day).

As noted, warfarin is very specific to the individual....Guy I know who took over the LBS could never get his INR high enough and he was taking 10-12mg / day!!
Just say "NO!" to WCP!!!!
Orange Crush

Posts:3335

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02/15/2021 02:33 PM
Holy cow guys.

Has anyone tried the beer option? It works fine as a blood thinner. The only downside is that your insurance may not cover it.
smokey52

Posts:358

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02/15/2021 09:43 PM
I think we discussed this topic a while ago. My wife has MS and peripheral neuropathy which limit her movements. A few years ago she had a pulmonary saddle embolism. After getting stabilized with heparin, the hematologist prescribed Coumadin (aka warfarin) with blood tests to monitor her INR (a measure of blood clotting ability). His first dosage recommendation was too high and she ended up in the ER to administer platelets. She switched hematologists. She tried Eliquis and Xarelto but had an allergic reaction to both, so she stayed on Coumadin. She now has a home test for her INR and does it weekly. If the INR is out of range, we check with her new hematologist for advice via email. He responds quickly, usually within 10 minutes, even when he is on vacation.
CK - The home kit matches well with blood work done in prep for doctor visits.
To stay on topic wrt cycling: She has a hand-pedalled trike but doesn't do hills.
OC -- She's not fond of beer, so that's not a good option.
Cosmic Kid

Posts:3452

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02/16/2021 01:07 PM
CK - The home kit matches well with blood work done in prep for doctor visits.


Yup....my home test is usually within .1 of a lab test when I have cross-referenced them.

And I just realized I never responded to your e-mail awhile ago, smokey....bad form on my part. Will rectify that this week. Hope your wife is doing well.

OC - the problem with beer is that it actually stops acting as a thinner after awhile and wll reverse the effects of coumadin long term.

Plus, it is really hard to use alcohol as "dosages" vary widely between beers.
Just say "NO!" to WCP!!!!
Orange Crush

Posts:3335

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02/16/2021 03:05 PM
Look, you’re not supposed to use Guinness. That’s like a full course meal.

But Miller Light or Bud Light should work just fine.

The rest of us will drink the good beer.
huckleberry

Posts:655

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02/16/2021 04:20 PM
OC -

Seriously, Miller or Bud light? You should have your European heritage stripped, as well as your Canadian citizenship(I'll take it).

Ok, just reread your post. Keep your heritage and your Canadian citizenship. I didn't want it anyway... well, maybe the healthcare.

We'll have to get together for a Guinness. My great-grandfather worked in the factory in Dublin.
Orange Crush

Posts:3335

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02/16/2021 04:37 PM
Ha! Yes that needed to be read with care.

The closest to Dublin I drank a Guinness is Belfast. Indeed it tastes better the closer you get to brewery.
Cosmic Kid

Posts:3452

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02/16/2021 10:04 PM

But Miller Light or Bud Light should work just fine.


Life’s too short to drink that swill.
Just say "NO!" to WCP!!!!
79pmooney

Posts:2625

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02/17/2021 09:33 AM
Guinness. I always thought Guinness (at least "real" Guinness) came from "the" Guinness brewery somewhere in Ireland. In my Ann Arbor college senior year, my housemates would do runs to Windsor to stock up on good brews. Discovered Guinness brewed in Ontario under license. We bought and drank it but I always figured it was a lesser brew, not the real thing. (It was fresher than any "real" Guinness you could buy in the States.)

Fast forward a dozen years. I sailed with my dad the old trans-Atlantic crossing; St Johns Newfoundland to southwest Ireland. Baltimore. We made a bee-line to the town pub as everyone said that was where you went to contact Customs, exchange money, eat or do any other needed business. (No bank in town. The pub was the center of life. On one wall was the exchange rates for the world's currencies.) Later, of course, we ordered Guinness and knew it was the real deal. But then we learned that there wasn't "a" Guinness but many. Every county brewed its own. You couldn't transport brews across county lines. (I believe at the distribution level; I didn't see road stops but then, were were traveling by boat and government interference didn't apply. We landed in Baltimore. Spent two nights there then a night each in two harbors to the east. Pulled into Cork and tied up at the yacht club there. Inquired about Customs at every stop. After a day or two in Cork, the boat received a visit from Customs while most of us were out on the town. Looked at our passports but didn't stamp them. Had mine stamped at the airport.) Each time we ordered Guinness in a different county, it was different. The locals took pride in "their" Guinness and pointed out the differences.

The other fun piece about brews and Ireland - the level of trust! When we landed in Baltimore, we tied up at the town dock. At the end of the dock were several kegs of beer. We learned that they were going to the island that had a pub; that the ferry would take them later that afternoon. So a few hundred American dollars of fine brew sit where anybody could take them most of a day on a regular basis. OK, Baltimore is a trusting resort town. A week later I spent a night at a B & B prior to flying back to Seattle. Went for a walk in downtown Dublin the next morning. Kegs of beer on the sidewalk in front of every pub!

And yes, a full Irish pint of Guinness is a full course meal. We often ordered one to share and sample that county while the rest of us drank lighter brews. (No hardship! Their "lighter" brews stand on their own quite nicely!)
79pmooney

Posts:2625

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02/17/2021 09:35 AM
CK, Coors Lights, aka "the "Silver Bullet". I have to laugh every time I pull out a Prep H! (I think Coors figured out the connection and changed their advertising strategy.)
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