Cece wrote:CD, was your first dose of Plavix a loading dose of 300 mg or was it the usual amount?
Dr. Cumming, glad to see you here on TIMS today! I've been meaning to ask in your thread if you've given up lovenox entirely for plavix instead? Is this due to what you'd been saying after ISET, that there wasn't much consensus on what anticoagulation if any?
Cece wrote:CD, thanks for looking it up. Maybe hypercoaguability was a factor or maybe 5 days of Plavix before the procedure is better than a loading dose the day of the procedure. Having it for five days pre-procedure fits with the research on intimal hyperplasia and cod liver oil, that for some reason taking cod liver oil (which is an antiplatelet like Plavix) the week before a procedure made the biggest impact.
(Plavix isn't being prescribed to address intimal hyperplasia but to hopefully limit clotting, so this is extrapolation. The idea is to get the factors in the blood right before the trauma to the veins rather than afterward.)
If I can keep asking questions, CD, were you having symptoms the night of the procedure or the next morning? I know your doctor caught the flow issues on the ultrasound the next day, but not all doctors order follow-up ultrasounds. If it hadn't been for the follow-up ultrasound, would you have known something was wrong and gone back to the doctor?
Cece wrote:What an experience, CD. I am not sure what conclusions can be drawn! That follow-up ultrasound caught what was going on for you and, since you didn't feel any symptoms, it would've been missed in a patient whose doctors does not do a day-after follow-up ultrasound.
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