FAQ • Emboli och trombos

FAQ - Emboli och trombos
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causes of temporary blindness... ? (research)?

I did some "google" research on temporary blindness, I only found info on causes that were related directly to clots / emboli / thickening of the blood... I was looking for something more general like a blow to the head to cause temporary blindness... something that may or may not clear up in time. Like a very hard blow to a certain part of the head (and therefore brain)... sort of like when you get amnesia from head trauma. Or perhaps trauma to the eyes themselves.

So does anyone know anything about temporary blindness (I mean not being able to see at all or well enough to walk without bumping into objects), due to trauma ?

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It's called a 'cortical visual impairment' (which is a more accurate term, as some people with CVI are not rendered legally blind)- basically, a person has had some sort of injury to the BRAIN, not the eyes, that may cause constant or on and off difficulty with the brain's ability to 'understand' visual information that the eyes send. (+ info)

What are the potential risks of using the pill to skip your period one month?

if there are any?

I'm 21 years old, I don't smoke, I was on birth control for 3 years. I recently was diagnosed with multiple pulmonary emboli in both lungs. I was kept in the hospital for two nights; the doctors kind of freaked out because there were so many and they were big too. Their reason was that I was taking birth control and I have a few aunts and uncles who have also had blood clots. I don't really understand that because I was on the pill for 3 years before anything happened so I was trying to think of what else could have caused it.

I didn't think about this until after I was discharged, but the month before this happened I had a weekend get-away with my fiance and I skipped my placebo pills so I wouldn't have to worry about dealing with my period.

I've done this like once or twice before and had no problems, but I was wondering if that could have caused my blood clots? Could this have increased my hormones to dangerous levels?

The trip was a fairly short car ride and was a whole month before I experienced any symptoms, so I doubt it was the cause.

I'm not supposed to take hormonal forms of birth control ever again, I'd just like to know what really caused it!

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I doubt if anybody can give you a definite answer but I do think its possible the pill contributed to your condition.

Taking the pill consecutive months with no breaks will not increase hormones to dangerous levels it would have kept your hormones at whatever level your pill made them for a longer time than they usually are...I doubt that alone had anything to do with it.

Its more likely its a family/genetic condition and the pill increased your chance of it happening. (+ info)

I've had similar symptoms before....and know what kind of tests to expect..how do I ask my doc?

I was in the hospital 2 years ago with pulmonary emboli. I'm beginning to experience similar symptoms and want to get checked out before it gets worse. I know that a CT scan and an ultra sound are needed to ease my mind and eliminate the worst.... My doctor isn't very pro-active and will more than likely suggest I go to the ER or suggest I tough it out for a few days and go to the ER if symptoms don't clear up.
I'm planning on calling my doc office to get fit in sometime tomorrow afternoon....would it be rude of me to be straight forward and ask him to have these tests done? It would be a lot cheaper than going to the ER...and I could have my results the day I get tested [ assuming I go in sometime in the morning]... My insurance will charge me an arm and a leg to go to the hospital and have these tests run...and unfortunately i can't afford to miss work right now [in every sense].
Please advise.
Thanks!

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No, it would not be rude to let the doctor know that you would rather they run the tests than go to the ER. Let them know as well that if you go to the ER to have this done the insurance will charge you a lot for going there.

If the doctor still won't listen then I would recommend getting another opinion, preferably from someone that does not share the same office of the doctor you currently go to for care. (+ info)

DVT/Superficial Phelb in left arm - scared out of my mind - HELP!?

Last Wed. I underwent emergency surgery. I had IVs in my left arm - many of them. I was released on Thursday, but by Sunday I went back to ER with complaints about how bad my arm hurt. The ER doc had ultrasound tests done and showed superficial phlebitis (sp). I was told to put arm up, with heat and take ibuprophen and to see outpatient vascular dr. in two days to make sure clot has not moved.

I went to the dr. on Tuesday and the technician said the clot hadn't moved and that it was in a superficial vein. He said he wanted me to the see dr. on Thursday.

I came back in today and met with the Dr. He said that I need to take aspirin and that the clot is more Deep Vein than Superficial. I'm so perplexed!!!! First they all say superficial and now he says "more like" deep vein, but not exactly deep vein - HOW CONFUSING FOR ME.

So then he said he wanted me to take two adult aspirins twice a day for a week and to come back in next Friday for another ultrasound. I said, "that's it?" Aspirin? He said, well I could put you on coumadin but at this point I think it'd be "overkill". I said, am I going to die from this. He told me that it is very very rare for an arm DVT to turn into emboli. I asked if he'd take the vein out and he said "nope, only if it got badly infected." He then said that some people have this their entire life!

I felt bad and started crying and I said to him, "I went in for surgery and come out with a clot in my arm." He said, "it's very common actually."

I told him I have anxiety about this and he reassured me again that at this point in time it's not life threatening and that with medication and weekly follow ups things should improve and at least we know where we stand.

Have any of you had DVT in your arm? I'm scared. I have two amazing kids, a great life all in all and I love life and this clot thing really has me on edge. How can I get positive and move on and just treat this without it tearing me down.

HELP!

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Yes, in fact I did. Before my arm surgery. he drained it when he did the surgery. I got mine from a fall i took about a year before.

2 yrs later, i developed a clot in my leg, which led to PE. I am now on warfarin to keep me from clotting.

Asprin is the next best thing to warfarin that there is to help keep clotting down. I guess I never had the clots before because i took 2 asprin 2x a day for many years.

PLEASE have your doctors check you for PROTEIN S deficency. They found out I had this about a year after I got sick.

(+ info)

can i get a voluntary hysterectomy?

im going to be 34 and for the last 6 years my periods have been almost non-stop. for a while they were controlled with b/c but i developed DVT, and bilateral pulmonary emboli...so i can no longer take b/c to regulate my periods my gyno told me that there is a procedure i can have called uterine ablation that would stop my periods but also leave me infertile...so i was wondering if i could just have a hysterectomy instead since the out come will be the same..does anyone know what is better to get done

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ask your doctor. removing your uterus may cause hormonal issues that your dr was hoping to avoid by doing the ablation instead. a hysterectomy is permanent, I'm not sure whether ablation is permanent or not. but there are consequences to removing the uterus beyond simply stopping your period. it's also a surgical procedure, more painful, and expensive.

best of luck, and talk to your doc! see what she tells you (+ info)

How do I ask my doctor........................................?

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(+ info)

clinical pharmacy question on atrial fibrillation?

commenton this case:
CC: SB is a man, age 62, who presents to the emergency department with light headache, palpitations, and shortness of breath, which have lasted for 2 days.

Problem list
1.atrial fibrillation
2.hypertension
3.hyperlipidemia
4.chronic renal failure

Problem 1. Atrial fibrillation

S: patient complaints of dizziness, SOB, palpitations.
O: BP 110/65, HR 146, pulse irregular irregularly, ECG: atrial fibrillation.
A: the cause of SB’s atrial fibrillation (AF) is most likely his history of childhood rheumatic heart disease. However, AF may occur in patient with hypertension as well. On echocardiogram, the atria are enlarged and mild hypertrophy of left ventricle is noted. These enlarge are long-term results of hypertension. Rarely is atrial fibrillation a cause of mortality, but it can be significant cause of morbidity. The detrimental effects of AF are hemodynamic compromise and thromboembolic events. Both can be prevented by returning the heart to normal sinus rhythm. Direct current (DC) cardioversion is the most effective method to convert AF to normal sinus rhythm (NSR) with an 85 to 90 % success rate. Chemical conversion with antiarrhythmic has lower success rate, especially after AF as been present for longer than 24 hrs. SB is at risk for thromboembolic event at the time of cardioversion, even though no thrombi were seen on the echocardiogram. The risk for emboli is significant when the duration of AF is 2 days or more, because atrial function may not return for up to 2 weeks even after normal sinus rhythm is restored. The current standard of practice is to use anticoagulant for 3 weeks before cardioversion and for 4 weeks after in patient at risk for clot formation. In the interim, because SB is asymptomatic, the ventricular rate must be controlled to maintain adequate cardiac output. Digoxin, B- blockers, and calcium-channel blockers are all useful in controlling the ventricular rate by slowing conduction through the AV node. Digoxin is not the best choice in SB because the potential for toxicity if renal function continues to deteriorate. Furthermore, digoxin is not effective in controlling AF during exercise, and SG has reported palpitations during exercise. B-blockers could be used but there is the potential for decreased exercise tolerance. Calcium-channel blockers have been reported to have no effect or improve exercise tolerance in patients with AF. Calcium-channel blockers may also be used to control hypertension, potentially allowing the removal of other antihypertensives from the regimen SB is currently following.
P: start either verapamil or deltiazem IV to control ventricular rate. Initiate anticoagulation with warfarin. Plan a direct current cardioversion in 3 weeks.

Questions:
Should SB be given an antiarrhythmic agent before cardioversion to maintain sinus rhythm?
Should SB be loaded on warfarin to achieve steady state anticoagulation faster?

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(+ info)

Could Ginkgo Biloba be used as a comparable supplement for Coumadin?

I'm currently on coumadin (wafarin) from multiple pulmonary emboli in January and I really, really hate the fact that I have to use such an unnatural thing like coumadin, which is essentially rat poisoning. I try to live a fairly organic lifestyle and want to know if anyone has tried/knows if taking ginkgo biloba would work as a comparable blood thinner to coumadin...?
NOTE: I'm not going to get off coumadin without consulting my hematologist, in fact, I have an appointment with him today. I just wanted to see if anyone had any thoughts on it here before I asked him and sounded stupid. But I'm going to continue my coumadin regime until otherwise instructed.

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No, you cannot take ginkgo instead of warfarin.
While ginkgo may have mild anticoagulation properties it is NOT comparable to warfarin (there is no way you could get it over the counter if it did)

You had multiple PEs in January. This is serious. You need to be on warfarin for at least 6 months. If you need to be on it longer or for life depends on your individual circumstances. Yes warfarin is an awful drug and has nasty side effects and risk of bleeding and you need weekly blood tests but it is a life saving medication.

A big PE will kill you. Please don't take chances when your life or ongoing good health depends on it. Yes you are at risk of a bleed from warfarin. But you are at a higher risk of serious consequences from another PE. (+ info)

Natural vs C Section for a peripartum cardiomyopathy recent discovered?

Today I'm starting my 38th week of pregnancy. Ejection Fraction is 35%, no simptoms now, just for couple of days in the beging of November I felt pressure in my chest and the need to take in more air.
Cardiologist and OBGYN want a C Section as soon as possible. I read about pros for induced natural delivery with no push.
Vaginal deliveries are preferred because third-spacing of fluid, endometritis, and pulmonary emboli occur much more often after cesarean deliveries.

"Early and effective pain control during delivery is paramount. Regional anesthesia, such as epidural or spinal, is not associated with the myocardial depression observed with inhaled anesthetics."

http://emedicine.medscape.com/article/153153-treatment

I'm waiting for answers!!!
Thank u!!!

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(+ info)

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