[Verse 1] Fresh conduit's in, bioprosthetic tissue sewn tight, platelets smell the suture line, want to pick a fight, so we clip the trigger — aspirin, low and slow, three to five milligrams per kilo, that's the children's flow, grown folks get eighty-one, one tablet holds the fort, duration's foggy — three months, six months, or the long report, no trial's drawn the finish line, so clinics disagree, some keep that baby aspirin running lifelong, guarding the debris. [Chorus] Two to three, INR, when the rhythm's gone astray, mechanical valve, old clot, AFib leads the way, eighty-one keeps the platelets calm, that's the aspirin song, amox two grams, thirty minutes, before the drill rolls on, brush it, floss it, see the dentist, don't just pop a pill, lifelong prophylaxis — conduit patients, guard it still. [Verse 2] Now the scanner's humming, CT catches a shadow thick, hypoattenuated leaflet, slowed and sluggish, kinda sick, that's leaflet thrombosis whispering under bioprosthetic skin, pull warfarin off the shelf a while, let the anticoag in, target window's two to three, not wandering past four, mechanical pulmonary valve's rare but it demands this chore, atrial fib or a clot that's already made its claim, warfarin steps into the ring, aspirin fades from the frame. [Verse 3] Dentist's chair, the gingiva's about to bleed a bit, bacteria surfing bloodstream, hunting a place to sit, prosthetic material's sitting pretty in that RV to PA tract, twenty-twenty-one AHA locked the lifelong contract, amoxicillin, two grams oral, fifty per kilo for the kids, thirty to sixty minutes early, that's how the cover bids, allergic, no anaphylaxis — cephalexin takes the shift, azithro or clarithro, five hundred milligrams, a steady lift, doxycycline, hundred milligrams, rounds the rescue crew, but clindamycin's benched for good — old news, we're through. [Bridge] Don't wait for the checkup chair to save you from the germ, brushing twice and flossing nightly — that's the real firm term, daily habits flood the blood with tinier, tamer swarms, one dose before a drill don't erase a year of harm, infection chapter's calling — hygiene's the quiet guard, prophylaxis just the backup when the plaque gets hard. [Chorus] Two to three, INR, when the rhythm's gone astray, mechanical valve, old clot, AFib leads the way, eighty-one keeps the platelets calm, that's the aspirin song, amox two grams, thirty minutes, before the drill rolls on, brush it, floss it, see the dentist, don't just pop a pill, lifelong prophylaxis — conduit patients, guard it still. [Outro] Three to five or eighty-one, the clot's kept on a leash, two to three when the valve's mechanical, never past that peak, amoxicillin first, cephalexin close behind, flossing every evening keeps the bacteria off your mind.
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