Day 1367: What does “INR” stand for?

Because I need to take the drug Coumadin  (aka Warfarin) for the rest of my life after getting a brand new shiny mechanical heart valve exactly a week ago, “INR” is now an important abbreviation in my life.

So what does “INR” stand for?

Answer # 1: International Normalized Ratio.

Coumadin is a blood anticoagulant, and everybody who takes it needs to combine the right dosage of medicine with  consistent food choices in order to prevent both internal bleeding AND stroke, maintaining that all-important  International Normalized Ratio.

Answer # 2: I Need Rides.

In order to establish and maintain a consistent  ratio of medicine and Vitamin-K-containing food as soon as possible, I Need Rides to get my blood taken and evaluated. Because I just had heart surgery, I cannot drive. My boyfriend, Michael, who has been an excellent caregiver, also does not drive.  Therefore, I need to impose on others to to get me to blood tests and to cardiac rehab (starting in a week or two).

Answer #3: Independence Needs a Rest.

I am a fiercely independent person. People who have heart surgery and who have trouble asking for help sometimes have emotional as well as physical pain in the weeks after surgery. I must learn to put aside this need for independence  as I recover, and ask for rides and other things I need.

Answer #4: I’m Never Ridiculous.

Even though I may fear that I look and sound ridiculous as I recover, I don’t.

Answer #5: It’s Not Rational.

People recovering from open heart surgery sometimes have irrational fears (e.g., sneezing is going to burst the wiring of their sternum, one of their cats is going to infect their stitches,  or sex will kill them). These irrational fears are typical and fade as the days of recovery proceed.

Answer #6: Inconsistently Not Replying.

Because I’ve been so busy healing from heart surgery and making the long trip back from the Mayo Clinic in Minnesota to our home in Boston, I have not been able to keep up my previously perfect record in replying to all the comments in this blog. I hope my readers can forgive me.

Answer #7: Images Not Relevant.

When I just looked at all the images I captured on my iPhone yesterday — my last day at the amazing  Mayo Clinic in Minnesota — I am realizing that none of those  images are relevant to today’s blog post topic.

Answer #8: Irrelevence Now Rules!







Answer #9: If Needed, Respond!

Categories: heart condition, personal growth, photojournalism | Tags: , , , , , , | 51 Comments

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51 thoughts on “Day 1367: What does “INR” stand for?

  1. I Never Realized most of those things about heart surgery, Ann, even though I have other friends who have had it. Thank you for teaching.

    You are wonderful! I am so thrilled to see you posting and taking care of yourself.

    It is 1:30 in the morning for me so that is the most Intelligent Nighttime Response I can come up with. But you will forgive me

    • It Never Really surprises me when one wonderful person knows another one, Maureen. Imperfections Never Really need forgiving, either.

  2. It’s so good to see you back on form, Ann

  3. And for me – the INR was this post “is nice read” ha!
    And that first operating table – so uncomfortable – we sure have come a long long way!
    Sending healing wishes 🌸

  4. So glad you are home and resting up and letting go of the need to be independent at this moment. Incredible News Reported from you Ann!!

  5. Hi.. as you surely know, in patients on Warfarin therapy INR has to be kept in a range from 2.00 to 3.00 to prevent clotting disorders. Have a nice day 🙂

  6. BIG *careful gentle* (((HUGS))) coming your way, Ann. Best of luck as you learn how to depend being independent. Much Love!! ❤

  7. The wonderful thing about acronyms is their flexibility. INR can also stand for I Nabbed a Record since you are the longest surviving person in the world with a pacemaker.
    That’s been your acronym for years now, of course but it’s fitting that the letters that describe you are deep and multi-layered.

    • Inaccuracies Need Rectifying, Chris. When I started this blog, I and lots of other people thought I was the longest surviving person with a pacemaker. However, somebody who got her first pacemaker two years before i got my first one found my blog and let me know she had the title. She didn’t want the t-shirt so I stopped wearing it. Then, my son Aaron said to me, “I’m sure you have SOME pacemaker record.” So I Never Regretted wearing that t-shirt to Minnesota.

  8. Warfarin is a small price to pay! So glad you’re doing well.

  9. Is there a home test for Vitamin K levels? How do you establish a consistent menu when veggies are so seasonal?

    • Inquiries Now Read!

      There is a home test, which my insurance may cover. I was told today that as long as I eat the way I usually do and that diet includes a pretty consistent amount of Vitamin K food, It’s Not Really arduous.

  10. nice post. best wishes for continued recovery.

  11. Gene Phillips

    One of your cleverest posts…It needs rereading.

  12. Hubby’s been on warfarin for over 20 years, and it comes to something when he has to tell the ‘new’ nurse his dosage as he knows his body better than some damn machine which doesn’t take into account cold remedies or painkillers! Sigh….It Never Rains

  13. So glad you’re home and that none of those ancient surgical instruments was used on you! INR means whatever it needs to in the circumstances!

  14. Interesting and my well wishes continue for you.

  15. So, it’s time to work on allowing others to support you. I know! I know! it’s tough when that has been your job for others for so long.
    This is the perfect time to switch places…. And the next time someone says, I am here for you, how can I help?.
    The answer is thank you! That would be great. I need a ride. Which day on the upcoming schedule would you be available to drive me…. Remember, allowing others to give is a gift we can give them 💝

  16. Pingback: Day 1370: I’ve never seen you like this before | The Year(s) of Living Non-Judgmentally

  17. hello ann koplow its dennis the vizsla dog hay wow its a kombinayshun hospital and myoozeum!!! wot wil they think of nekst!!! i am sending tail wags that yoo kontinyoo to feel better!!! ok bye

    • It’s Naturally Righteous to hear from you, Dennis. Hay wow I’m at the best place to be now, HOME! Your tail wags make me very happy, too. ok bye

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