u/Minimum-Mode7421

I'm planning to do drain and refill of transmission fluid on my RX 350. I watched plenty of videos how properly do it. The main point of the correct procedure is that after refill you supposed to start the engine and let the fluid to heat up to specific temperature and then drain excess till it starts dripping from that tube. I do not want to rely on correct temperature and feel that dripping degree I'd very subjective. Instead I plan to drain liquid first, let it cool to normal temperature, and refill transmission with exactly the same volume. Is this approach viable and reliable?

I had an OHS in February, got two mechanical valves -aortic and mitral. About a month postoperative had echo- everything looked good in terms of valve functioning and EF. At that time had atrial flutter. Flutter was fixed a month ago by doing cardioversion. Moral sinus rhythm since then. As of now no complaints about heart, chest or overall physical being. At the time of surgery they scheduled cardiology visit for Jun 25. Given my state and no complaints, should I go to this visit, or can I just cancel it? I can check that no additional tests are planned during the visit. My thinking is if no additional tests will be done, then I don’t want to pay for just chit-chat with the doctor. So, my question is to those that had such 4 months post op visits - any use of it?

I (53M) had an open heart surgery 4 months ago and got aortic and mitral mechanical valves. Prior surgery, for my pleasure I used to run 4miles twice a week. During those runs my heart rate was in a range of 135-145 without any problems. Now after 4 months recovery I am starting to resume my runs. I understand that it should restart gradually. As of now I keep my pace such that heart rate is 125-135. My question is: from stand point of gradual heart load and training is it better to do 15-20 min intervals of 100-130 bpm and then walk until hear rate goes down to 100 and then resume run for the next 15-20 min and so on, or just try to pace myself so that I run nonstop 4miles but keep rate under 125 bpm .

have been on warfarin since February. I use my local anticoagulation clinic to check my INR every two weeks. My insurance will cover the instrument for home use. The instrument and test strips will be provided by a contractor supplier for my insurance company. One of their requirements is that I do measurements weekly, and if the value is outside the target range, I have to report it to my clinic. Before they send me the instrument, they need an OK from my clinic to review my results.

Here's the problem: the clinic said they do not work under such an arrangement (though they are happy to charge $70 per visit). My primary care physician won't do it either. Does anyone have a possible solution for how to get that instrument?