Hi Greg,

Hope you had a great trip to Sumbawa and scored some more amazing waves!  Your email was exactly what I needed prior to my surgery.  I’m 8 days post-op and feeling great.  I’m still in Cleveland, Ohio, but can’t wait to get back to San Diego to my normal routine.  All went well with the surgery.  I went with a mechanical valve, so looks like I’ll be on warfarin for the rest of my life as well.  Would really like to chat more about your lifestyle on warfarin, and the things that you cut back on a bit.  My plan is to carry on just as before, obviously trying to be a bit more cautious, but I have and always will live a pretty active lifestyle.  Pretty good scar, huh?  You can see a preexisting scar from heart surgery that I had when I was 5 years old.  It was one of the reasons I went with a mechanical valve.  I don’t really want anymore surgeries if I can avoid it….

Best,

Carlos