Guest guest Posted March 17, 2006 Report Share Posted March 17, 2006 Hi.. I am a female, widow, overweight, high bloodpressure. 66 year old artist with AF. Diagnosed 15 months ago after many years of holter monitors, " maybe panic attacks " emergency rooms, every med under the sun .. an a myriad of other health problems. Hospitalized DEc2005 pulse rate 189 and up for about 13 hours.. stayed in Cardiac CCU for 5 days.. started on Lovenox shot,.coumadin , Pacerone, digitalis added to my already Toprol and Cardizem.. had cardioversion Jan 5 2006.. Stayed in nsr ( i think) (Took Pacerone one more month, took myself off, continued coumadin till June and stopped ) until theHurricane Katrina and I guess the stress kicked me back into AF.. added lorazepam as needed, increased Cardizem to 240 mg daily.. . back in hospital in Dec pulse rate 150. same routine.. Jan 2006 stress test ws " fine( next day I couldnt even get out of bed, fatigued, short of breath. Went backto cardiologist who said " You are a puzzle!) Cardiologistprescribed Pacerone again, had immediant unbearable hedaches and digeastive problems , sweats, fatigue.. change to Rythmol( $386.00.. I live on SS of 1020.00 month, just got prescription coverage,, had no insurance since 1987) Thought i was going to die. explosive diahrrea, extreme fatigue, woke first night and could not close my fist, joints all painful. foot neuropathy, nauseated, pain behind eyes.. so, I called and said,. Nomore.. had Ekg yesterday,and will have cardioversion this Tuesday again. I live in a rural area, takes me 3 hours of driving in baton Rouge traffic since Katrina to go toCoumadin clinic, park, wait, drive home.. and that make me a wreck, sitting bumper to bumper in traffic on the interstate..so I have said I will not come to the coumadin clinic more than once a month //I am eligible forHome Health care to do coumadin level for 60 more days.. I have applied for a home machine(5,000) and have letters from my Doctors requesting it. doubt it will be okayed so my question is.. If I dont stay in NSR after cardioversion and ablation isnt an option for me( many reasons) .. can I expect any quality of life if I just take coumadin and live with AF ? I have no other heart problems,everything is " structurally okay " I cant take beta blockers .. do okay with Cardizem and digitalis. I also am bi-polar, in a remission .. staying level now with only occassional lorazepam for mild panic attacks( some claustrophobia, now due to a closed MRI. that I didnt do well with July 2005) sorry for such a long post! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 18, 2006 Report Share Posted March 18, 2006 I am sorry, I forgot to sign it! one more question, what do y'all do to substitute for not drinking coffee.. I was drinking herb and green tea, no know they arent allowed either?? Judi in Denham Springs, Louisiana( just East of Baton Rouge) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 18, 2006 Report Share Posted March 18, 2006 Try decaff both coffee a tea, not too much of it though. I cannot tell the difference. Hmm one of my favourite films with Wayne entitled Horse solders in centred around Baton Rouge. C In cold Hornchurch UK I am sorry, I forgot to sign it! one more question, what do y'all do to substitute for not drinking coffee.. I was drinking herb and green tea, no know they arent allowed either?? Judi in Denham Springs, Louisiana( just East of Baton Rouge) Web Page - http://www.afibsupport.com List owner: AFIBsupport-owner For help on how to use the group, including how to drive it via email, send a blank email to AFIBsupport-help Nothing in this message should be considered as medical advice, or should be acted upon without consultation with one's physician. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 18, 2006 Report Share Posted March 18, 2006 You can get decaf green tea. I decaf green tea with min every day. > > I am sorry, I forgot to sign it! > > one more question, what do y'all do to substitute for not drinking > coffee.. I was drinking herb and green tea, no know they arent > allowed either?? > Judi in Denham Springs, Louisiana( just East of Baton Rouge) > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 18, 2006 Report Share Posted March 18, 2006 And I can't type! I have decaf green tea with mint every day. > > > > I am sorry, I forgot to sign it! > > > > one more question, what do y'all do to substitute for not drinking > > coffee.. I was drinking herb and green tea, no know they arent > > allowed either?? > > Judi in Denham Springs, Louisiana( just East of Baton Rouge) > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 18, 2006 Report Share Posted March 18, 2006 I stopped having green tea because I thought it was on the avoid list for coumadin. Re: Newbie here.. a long post And I can't type! I have decaf green tea with mint every day. > > > > I am sorry, I forgot to sign it! > > > > one more question, what do y'all do to substitute for not drinking > > coffee.. I was drinking herb and green tea, no know they arent > > allowed either?? > > Judi in Denham Springs, Louisiana( just East of Baton Rouge) > > > Web Page - http://www.afibsupport.com List owner: AFIBsupport-owner For help on how to use the group, including how to drive it via email, send a blank email to AFIBsupport-help Nothing in this message should be considered as medical advice, or should be acted upon without consultation with one's physician. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 18, 2006 Report Share Posted March 18, 2006 > I stopped having green tea because I thought it was on the avoid list for > coumadin. > > > > > one more question, what do y'all do to substitute for not drinking > > > coffee.. I was drinking herb and green tea, no know they arent > > > allowed either?? > > > Judi in Denham Springs, Louisiana( just East of Baton Rouge) Judi & : Green tea has about 1/2 the caffeine of black tea which has about 1/2 the caffeine of drip coffee. If you use the tea leaves and not the bags you should rinse them for 30 seconds or so with nearly boiling water to get them to open up and to rinse whatever off whatever residue is left from the picking and handling. The rinsing removes most of the caffeine but certainly not all. I use Lung Ching Dragonwell Spring tea when I can get it and love it a lot. Most herbal teas have no caffeine at all. Having said all this, I don't think you have to give it up at all. If you drink it regularly you can easily adjust your dosage of warfarin to compensate. You do need some Vitamin K and green tea is a good antioxidant. I and my cardiologist don't think you have to give up any foods while on warfarin. Just be consistent with whatever you eat and you can take the right amount of warfarin to keep your INR where your doc wants it. I'm 190 pounds, take a lot of Gingko, fish oil, Vitamin E, green tea and all the veggies I want and my INR stays in the 2 - 3 range on 2 mg/day of warfarin. Here is a chart of the caffeine content of various fun foods and drinks: Double espresso (2oz) 45-100 mg Brewed coffee (8 oz) 60-120 mg Instant coffee (8 oz) 70 mg Decaf coffee (8 oz) 1-5 mg Tea - black (8 oz) 45 mg Tea - green (8 oz) 20 mg Tea - white (8 oz) 15 mg Coca Cola (12 oz can) 34 mg Pepsi (12 oz can) 38 mg Barq's Root Beer (12 oz can) 22 mg 7-up (12 oz) 0 mg Chocolate milk (8 oz) 4 mg Dark chocolate (1 oz) 20 mg Milk chocolate (1 oz) 6 mg Ben & Jerry's Coffee Fudge Frozen Yogurt (8 oz) 85 mg Note that green tea is about half that of a can of Pepsi or Coke. Gordon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 18, 2006 Report Share Posted March 18, 2006 Thanks for the info, Gordon! Re: Newbie here.. a long post > I stopped having green tea because I thought it was on the avoid list for > coumadin. > > > > > one more question, what do y'all do to substitute for not drinking > > > coffee.. I was drinking herb and green tea, no know they arent > > > allowed either?? > > > Judi in Denham Springs, Louisiana( just East of Baton Rouge) Judi & : Green tea has about 1/2 the caffeine of black tea which has about 1/2 the caffeine of drip coffee. If you use the tea leaves and not the bags you should rinse them for 30 seconds or so with nearly boiling water to get them to open up and to rinse whatever off whatever residue is left from the picking and handling. The rinsing removes most of the caffeine but certainly not all. I use Lung Ching Dragonwell Spring tea when I can get it and love it a lot. Most herbal teas have no caffeine at all. Having said all this, I don't think you have to give it up at all. If you drink it regularly you can easily adjust your dosage of warfarin to compensate. You do need some Vitamin K and green tea is a good antioxidant. I and my cardiologist don't think you have to give up any foods while on warfarin. Just be consistent with whatever you eat and you can take the right amount of warfarin to keep your INR where your doc wants it. I'm 190 pounds, take a lot of Gingko, fish oil, Vitamin E, green tea and all the veggies I want and my INR stays in the 2 - 3 range on 2 mg/day of warfarin. Here is a chart of the caffeine content of various fun foods and drinks: Double espresso (2oz) 45-100 mg Brewed coffee (8 oz) 60-120 mg Instant coffee (8 oz) 70 mg Decaf coffee (8 oz) 1-5 mg Tea - black (8 oz) 45 mg Tea - green (8 oz) 20 mg Tea - white (8 oz) 15 mg Coca Cola (12 oz can) 34 mg Pepsi (12 oz can) 38 mg Barq's Root Beer (12 oz can) 22 mg 7-up (12 oz) 0 mg Chocolate milk (8 oz) 4 mg Dark chocolate (1 oz) 20 mg Milk chocolate (1 oz) 6 mg Ben & Jerry's Coffee Fudge Frozen Yogurt (8 oz) 85 mg Note that green tea is about half that of a can of Pepsi or Coke. Gordon Web Page - http://www.afibsupport.com List owner: AFIBsupport-owner For help on how to use the group, including how to drive it via email, send a blank email to AFIBsupport-help Nothing in this message should be considered as medical advice, or should be acted upon without consultation with one's physician. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 18, 2006 Report Share Posted March 18, 2006 > Thanks for the info, Gordon! > > > : More on green tea, regarding Vitamin K content this time: Green and black tea leaves are quite high in vitamin K. However, the critical point to understand is that vitamin K is a fat soluble vitamin, not water-soluble, and thus only small amounts of this vitamin are actually transferred from the tea leaves into the resultant tea that one drinks (1). You may actually see the data showing the difference between the vitamin K content of tea leaves and the resultant tea (1428 micrograms/100 grams of dry tea leaves (which is a lot of tea!) vs. 0.03 micrograms per 3.5 ounce serving) at the following web site: http://www.coumadin.com/consumer/INT_VitaminK1.asp - click on beverages, then scroll down to see the vitamin K content of green tea. For those of us who brew green tea from tea leaves, we probably use one gram or less per cup so a brewed cup might have 14 mcg of Vitamin K or less as the source above says that much of the Vitamin K doesn't get transferred; and I don't know anyone who eats tea leaves. Gordon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2006 Report Share Posted March 19, 2006 HI TO YOU ALL, Before you all get concerned regarding Vit K and wafarin, I would keep to your usual diet, wait and see you INR results for a few weeks. If the INR results show a fluctuating INR then look at your diet and try and work out what is causing it to go up and down. Certain drugs do cause a shift in INR levels but your pharmacy should let you know before they dispense the product. My top tip if your taking many drugs especially Doefeltilde or Amiodarone, then anything you take always, always asked the Pharmacy if its ok. Just think the dr deals with the same patients day in day out and he/her thinks they have informed you about drug reactions, it just slips there mind. C > Thanks for the info, Gordon! > > > : More on green tea, regarding Vitamin K content this time: Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 19, 2006 Report Share Posted March 19, 2006 Hi I find that I am concerned about my INR because of a mistake made my an on call doctor, I had some blood in my urine, the doctor said it was most probably due to a kidney infection and nothing to do with the warfarin. I was a little concerned at I was still bleeding the next day, went to have my blood tested and my INR was 10.5. They decided to admit me to hospital. Since then I tend to check with the pharmacist as there knowledge is more specialized that the GP. I am not on any other meds at present and my INR seams to be bouncing around either too high or too low. ine RE: Re: Newbie here.. a long post HI TO YOU ALL, Before you all get concerned regarding Vit K and wafarin, I would keep to your usual diet, wait and see you INR results for a few weeks. If the INR results show a fluctuating INR then look at your diet and try and work out what is causing it to go up and down. Certain drugs do cause a shift in INR levels but your pharmacy should let you know before they dispense the product. My top tip if your taking many drugs especially Doefeltilde or Amiodarone, then anything you take always, always asked the Pharmacy if its ok. Just think the dr deals with the same patients day in day out and he/her thinks they have informed you about drug reactions, it just slips there mind. C > Thanks for the info, Gordon! > > > : More on green tea, regarding Vitamin K content this time: Web Page - http://www.afibsupport.com List owner: AFIBsupport-owner For help on how to use the group, including how to drive it via email, send a blank email to AFIBsupport-help Nothing in this message should be considered as medical advice, or should be acted upon without consultation with one's physician. Quote Link to comment Share on other sites More sharing options...
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