BadCopy wrote:I just had angio in late August and Siskin DOES send you home with a script for blood thinners if you had angio.
I'd read this but I don't think it's an across the board policy change. I had emailed him about a few things and today I received an email back (from his fingertips to my slightly damaged optic nerve cells
) saying that he prescribes 3 months of aspirin after angio. Plavix for six months after stents. He also said that as time has passed and their experience has grown, they have seen some people come back with clotting issues and are taking steps to prevent that. Not sure what steps those would be...maybe he can identify which patients would be more likely to clot and prescribe blood thinners selectively to those patients? This is just a guess. I think Dr. Siskin is an upstanding, excellent doctor who is making the choices he thinks are best for his patients. But it is hard seeing the also excellent, also upstanding next-doctor-over making different choices. It will be easier once everything is better studied and standardized.
And I have never heard from HIM that he would not consider seeing a patient prior to 3 months post if there was a potential problem.
He said this at the symposium, about patients thinking they'd restenosed soon after procedure but hadn't, so he liked to wait three months to see if they get the gradual improvement course. I imagine if he was able to ascertain that a serious problem (like a thrombus?) had occurred, he'd get the patient in right away, but how can he tell? Especially if a thrombus has the same symptoms as restenosis in general. But clotting over can mean the vein gets lost.
Sorry adamt, back to your thread now....