For more information go to medcram.com where we have several videos and series on things like pulmonary embolism, congestive heart failure, and EKG reading. We offer Cme as well. 
Hi, My dad is 95 years old was in good health until he got the Covid vaccine and got sick with covid 2 years ago. About 6 months later he had blood clots in his right lower leg. He had surgery and the clots were removed. He was put on blood thinner. After 3 months on blood thinner he stopped taking them. The clots came back in his leg within 6 weeks. He was put back on blood thinners. Now 6 months later his stool is black, he got a black tongue, and he has anemia now too. Blood clots do not run in our family and l strongly believe that the blood clots are the results from the covid vaccine. My question is can he take something more naturally to keep from forming blood clots that will help him stop the blood thinners??? Unfortunately most doctors attitude is if anyone is past 75 years old they should not expect much in terms of good health. I feel that is a shame for doctors to think that and not give the elderly people better medical care.
My 92 yo father died from subdural hemorrhage. We first discovered he sleep walk once awhile. The surgeon assured us our father would not "die from the slow bleeding". He also said too many senior (patients) had been on blood-thinner for decades, turning their small blood vessels into "mush". My father's bleeding did not stop and I signed him off to hospice on Valentine day. He died 7 days later.
My metric for this observation was walking our dog. January 2021 I was walking the dog in the woods for 2 hours 5 days a week. Received my Moderna shots in April then in May . By June the walks decreased to 1.45 then 1.30 . Slowly decreasing till November when 45 minutes was a struggle. Dec 3rd I reported to the ER . Where I was found to have 6 PEs . One moderate size slightly distal to pulmonary bifurcation. The others small in each lung. Not my best day. Yep on Eliquis. No family history of PEs I’m aware of. Age 67 at the time. nonsmoker
my story is about the same : massive blood clots after 3rd shot of moderna vaccine. I am told to stay on eliquis as they think Moderna vaccine is not yhe cause
Excellent video on an extremely important subject! My Mother had a PE in 2012. She was 66 at the time, on oral HRT, and morbidly obese. After 1 year of monitoring her d-dimer her pulmonologist said she would likely be on anticoagulation for life. She started on warfarin, moved to Rivaroxaban and later to apixaban. Her d-dimer was tested annually for 10yrs and was always highly elevated (3x upper range of normal) despite the anticoagulation. Her pulmonologist retired and her new pulmonologist felt that at 75yrs old she needed to be removed from anticoagulation due to the elevated risk of bleeding from a fall. She is stable and has no fall history or risk other than her age. She was still morbidly obese with a highly elevated d-dimer. We pushed back on the pulmonologist who then said we needed to see a hematologist in order to continue anticoagulation. Her hematologist also wanted to discontinue the anticoagulation due to her age related fall risk. After a pretty contentious discussion regarding her risk factors, her elevated d-dimer, and history of PE her hematologist finally relented and wrote the script for apixaban. However, it's a fight every year to convince her care team that the benefits in my mother's case outweigh the risks. She is on tirzepatide and has lost 25lbs. She's no longer morbidly obese but is still obese. In another few months we'll check her d-dimer to see if it's improved with her weight loss. Her hs-crp and HbA1C are normal. Mildly elevated LDL and trigs with high HDL and low Lp(a). Do you feel d-dimer should be considered when determining the continuation of anticoagulation therapy after unprovoked thromboembolism? There does seem to be data supporting the NEJM paper titled: "d-Dimer Testing to Determine the Duration of Anticoagulation Therapy".
I don't understand the pushback from her team. As long as the risks are discussed and the family / patient / caregiver are well aware of the risks the provocation has not been removed. She is still at risk being morbidly obese / obese, taking HRT, and having an elevated D-dimer. Once stability is an issue I think it would be good to re-visit. The family and patient should hypervigilant in regards to this.
In my case I have been on Eliquis for a long time (for AF, but no recurrance after ablation). A year and a half ago my doctor noted anemia and did testing to rule out various causes. Probable cause was long term Eliquis usage. Steps were taken to improve this. Although over 70, I use a bicycle daily in the city and have had altercations with vehicles that sometimes resulted in minor bleeding. A few scrapes to the knee resulted in a blood soaked sock . I monitor AF with a smart watch and have been free of incidents for fwo years. I have argued with the doctor about continuing Eliquis for what I consider a small chance. In addition without insurance it costs $500 per month which is a big bite out of Social security. So typically I travel to another country where it costs $60 per month for the same med or do without in the US.
Same here - with AF, but under control with meds. Failing to understand the need to be on thinners when I am a bit of a klutz bumping into things / tripping / falling etc., where I am at a higher risk of bleeding, I think. Very nervous about starting - haven't yet but pressure from the docs is getting pretty intense.
Oh boy, have I learned🤩! Great and exciting video by one of my favorite physicians. As a premed, currently taking a postbac program… your channel has been my fortress since I came to the U.S. thank you Dr. Roger S🙏🙏✨
I started using Nattokinase 200 mg since last year, a two month supply $54 vs $125 one month supply of Xarelto. Eliquis caused memory problems so I stopped that for Xarelto. Have a warchman installed last year. Have a couple of stints in my heart and one in my leg. Had open heart surgery that started all of this, 10 years ago I went to the ER with pneumonia found out I had a blood vessel blocked (what they call a widow maker.) Thats what 3 packs a day for 40 years will get you. 30 days in the hospital gave me enough time to break that habit.
Good video. I had a DVT ( R - LE ) behind my patella and was prescribed a blood thinner. Cardiologist and hematologist couldn't figure out what caused the risk factors. I later, started thinking about things, and using the law of cancelation, later realized on my own the DVT was most likely caused by sitting on a wooden kitchen chair. I was only sitting long periods once or twice a week. During an ER visit for a cold; The Daimler part of a blood test gave the first warning and was considered inconclusive, and the CAT scan was also inconclusive until the hot swelling and ruddy discoloration start on my foot and calf days later.
I just got off Eliquis. Was on it 2 weeks and my stools turned tar black and stinky, brown urine. Massive weakness and fatigue. Got border line anemic from the internal bleeding. Thanks for the info. Makes me understand how thinners work.
@@prudenciow 🙌🏻 that’s great news and hoping you remain stable 🙏🏻❤️ I have an AMAZING hematologist and I get iron infusions bc I already have a huge bleeding problem (not like my husband who needs more testing bc if he barely cuts himself he doesn’t stop bleeding and it’s a LOT) and eloquis made me hemorrhage even faster and anemia in any form isn’t good at all.. even not taking blood thinners older people can barely hit their head and develop a slow bleed happened to my (now deceased) 97 year old grandfather and thankfully my husband and I had to drag him to the hospital and he got immediate care and was fixed after a tube in his head and he died years later of natural causes I’m a strong believer in always learning and highly respect doctors who are as well we don’t know everything but together with a mutual trust relationship we can prevent the only mistake (& Ive had drs do many mistakes and I don’t believe in ever suing it’s ok to me bc that’s how we learn when they stop learning and listening and caring is when I know it’s time to move on bc that’s when death is the mistake and I don’t want for my loved ones at all. Good for you for continuing your learning and best of luck to you!
I’ve been on Eliquis to prevent further DVT’s for about two years. I’ve had no issues…other than weight gain, but that could be from the stress of losing my husband to Covid in December of 2020. I see my Hematologist every six months and they do blood work in the office. My GP is copied on all my bloodwork & reports. I don’t like taking these drugs, but I’m having an awful hard time losing weight at 73…
Thanks doc as always. Very helpful information. Quick question, what's the risk of bleeding from apixaban and the likes combined with antiplatelets (Aspirin+ Clopidogrel) for the first 3 months, and onwards if continued?
What about the use of Nattokinase prophylactically for those of us who are over 75, family history of clots (father, sister, both brothers - one died of pulmonary embolism after the jab)? If so, what dosage?
Hospitals, doctors offices and schools should be places where good nutrition is taught and provided not places that contribute to disease and obesity. It is crazy the hospitals are feeding people the very food that caused the heart disease, high blood pressure or cancer that they are treating. Every person in the hospital should receive some nutrition education before being released. Every doctor visit should be an opportunity to educate patients about how food choices impacts their health outcomes. The fact that doctors do not get nutrition training as part of their training makes no sense. Medicare and Medicaid should require nutrition education as part of patient care. Focus should be on food choices. Fasting should be investigated as a treatment for disease.
It’s like going in with breathing problems, so they give you cigarettes to treat it. Unfortunately, we live in a sick care system, not a preventative one. And nutrition, proper supplements, sunlight, exercise, etc is rarely researched, as they can’t profit off of it. That’s why I love this channel!
I experienced an extensive VTE that reached my IVC as a result of May-Thurner syndrome and sitting for long periods of time. I was 63 at the time. A stent was placed and on Plavix now and am told I will be taking it for the remainder of my life. I was extremely fortunate that I didn't develop a PE. Have had no recurrence of clots in the last 6 years. My Vascular Surgeon recommends stopping the Plavix for 7 days prior to any invasive procedure.
I used a BT for 365 days after a clogged artery. It has been 4 years without another clogged artery. Mine was unprovoked. My surgeon said mine was genetic. I was against long term BT's and my doctor was also.
Same for my 74 year old wife. Has been on it for the past almost 4 years. After Covid infection and hospitalization in 2021 was diagnosed with blood clots in the lungs and formally chronic thrombeobolic pulmonary arterial hypertension (CTEPH).
Studies are mixed. Aspirin is much better at stopping platelets than it is at stopping thrombosis. That’s why we typically don’t depend on aspirin in these cases. Coronary disease response much better to antiplatelets.
That is because 1) there is no cure for afib…it will be back. 2) studies show that the danger is the occasional episode causing the LAA to throw a blood clot. The watchman will fix that. I had it done 3 months ago…and I am off the blood thinner
I took a 7 hour plane flight to Ireland six months after first diagnosed with blood clots. My hematologist said to get up and walk the aisles. So…I got up every hour and walked up and down the aisle. I wanted this trip…so I listened. We also did a lot of walking in Ireland. That was in 2018. Now I’m on 2.5 Eliquis for life because the clots shifted legs every other year???
So. To summarize. Continue the medication in the unprovoked situation until either: A. The patient develops a medical comorbidity that starts shifting the risk benefit B. Until you identify (if ever) the cause and the situation shifts from unprovoked to provoked. If provoked discontinue treatment once the provocation has been mitigated or altogether resolved OR a medical comorbidity causes a shift in the risk benefit.
Thank you for this interesting video. About 6 years ago I was treated for a "blood clot" with eliquis. I stopped taking it when I noticed blood in my urine. I switched to low dose aspirin and then to fish oil. I also lost weight and try to stay hydrated. I was told that my blood clot was actually PLATELET AGGREGATION. Is this true of all blood clots or are there other types of blood clots that are not platelet aggregation.? Also, is it true that blood doesn't actually clot unless it is exposed to the air (e.g., at the site if a wound)?. Thanks again.
9:00 Is Omega 3 and vitamin D blood levels on the list as they influence blood clotting? If not, why not? I don't believe I heard anything about changing diet, or measuring pt/inr. Why?
@@Medcram I really didn't understand your answer. How can you do a study of medications and the 1 out of 100 (or so) recurring clot if you haven't checked to see if these people have low levels of things that would allow clots to form more easily? Make it make sense. What might the outcome of the study have been if their (most likely) low levels had been corrected? I'd bet a nickel that 100 number would sky rocket and you'd have an overall healthier patient population. What would the number have needed to be to show no value in continuation?
@@Medcram Really, I'd like to hear what your thought processes are about this. Or even as was commented by another guy about d-dimer levels, were those measured in the study to see who might have been safe for discontinuation? Or at least grouping the participants by d-dimer levels, along with omega 3 levels and vitamin d levels if not supplemented to optimum levels. What was your thinking when doing the study? And how about homocysteine levels, were those at least checked if not corrected before the study, possible B vitamin deficiencies? All of these could be provoking, no?
The risk factor of sitting for extended periods of time - Does this include very sedentary people at home or do you literally have to be immobile and if so for how long?
Actually c19 vaccines decreaseit especially during a high prevalence of infection of SARS-cov2 (which dramatically increases it) www.ncbi.nlm.nih.gov/pmc/articles/PMC11177983/
@@Medcram A preprint not peer reviewed? It didn't say the shot didn't provoke blood clots, it said it provoked it less than the virus. And, by the way, this would have no bearing on one individual. Did you see Don Lemon telling a guy who said his financial situation was bad, that that isn't what the statistics showed? The stats said the economy was good, so the guy he was interviewing must have been in good shape financially. Lots of people were playing that clip.
A question. Still over time the clotting risk goes up in both groups. Would it make a difference if you would take the anticoagulant less regularly ? Is something in the body adjusting to it?
Can you cover the blood clots that form from Covid and what we can do to eliminate or minimize the micro-clotting? Will it increase the chance of dementia or heart attacks in the future?
Absolutely helpful, now I have some ideas for discussion with my provider cardiologist . Why UCMed cardio treats events in heart area and abdominal area ie pressure not heart attack, why these MDs throw statins at everything is beyond me. Luckily I had been in the habit of taking low dosage aspirin a couple of times a week.
I have a clot in the neck vein where the surgeon inserted an IV during cardiac surgery (provoked). Been on Xeralto for almost six months now. After three months the clot still existed so I am still on medication. Do not notice any issues with this treatment so far.
After a stroke in 2018 I take 325mg aspirin every day since . I take extra if I feel funny dizzy . Seems to work well. Thank you. I also took Johnson and Johnson vaccine 2020.
Found out I'm protein S & protein C deficit after developing a clot from left ankle to left hip...been on warfarin since 1999 INR levels steadily 2.5 - 2.7
Actually c19 vaccines decreaseit especially during a high prevalence of infection of SARS-cov2 (which dramatically increases it) www.ncbi.nlm.nih.gov/pmc/articles/PMC11177983/
@@Medcramseriously? What about these fibrous stringy anomalies embalmers are finding? Would you advise someone with Factor V Leiden and a history of DVT to get the jabs and boosts? I’ll take your inevitable lack of response as “no”..
I heard about this. It’s interesting about the fibrin (I think?) causing what they call white blood clots. This is waaay above my head and I don’t know anything else about that. I’m very neutral on this subject and I’ve strongly advocated for everyone in my family to get vaccinated over 55. My parents both get boosted every 2-3 months and every other vaccine and the month of June were EXTREMELY sick with Covid and they thought they couldn’t get it and couldn’t spread it we were 100% exposed bc we have basically been living with them this last year bc they both have had a lot of medical issues (that they had before) and need us .. we expected to get it but we didn’t. We know we’ll get it at some point. We are not against vaccines at all and we were both planning to get it and my husband was signed up to get the J&J but it was put on hold and he wanted to get one that seemed more promising can’t even remember the name now but it started with novo something) vaccinated due to 2 major things that we were told not to do so we have been extremely careful and barely go out and wear masks and gloves etc and we know we are taking a risk and we also fully support vaccines and my parents are looking forward to the new vaccine. I take everything with a grain of salt and again I’m very neutral and that’s the honest truth. We have a lot of nurses in our family and I have a couple of friends I went to JH and HS with who are cardiologists and one is a scientist at UC Berkeley I only went to UC Berkeley during summers because my university was closed and I wanted to get my 4 year degree in 2 years while working full time and commuting 4 hours per day (I worked full time since I was 15/16 graduated early and worked with people 4x my age while girls my age were enjoying high school) and I achieved that. My original goal was to be a physical therapist and I thrived in all my classes however I had a major injury and changed my major to economics and was a senior analyst. My husband has talked to a few scientists after his (much younger) sister finally got vaccinated due to her job in the medical field and her doctors told her she had a vaccine injury and she’s now on 12 meds at only 41 (uncontrollable high BP tachycardia polyps CAD and is on statins and so many others and we have seen things happen in younger people we know but I also know you can’t blame everything on one thing and I don’t know but hopefully it will get more attention and studies for better vaccines and treatment etc anyway I don’t know much of anything about this bc I don’t look into it much honestly and I do the best I can to stay balanced or I can fall into the many traps of what you learn in high level classes in critical thinking or abnormal psychology) but my husband pointed out a large study in Japan that sounded interesting, showing a very high F- FGD uptake in PET in hearts of people who had been vaccinated vs unvaccinated and I don’t know the parameters or anything about it but it sounds interesting if you or anyone wants to look into it and perhaps it can explain why it SEEMS a lot of young people are having heart problems and myocarditis etc idk (?) and I don’t know which vaccine they studied or what but it’s good imho to look at everything without any bias (if that’s possible) to learn and do better hopefully🙏🏻
@@sonitty This guy is being deliberately dishonest trying to fool people. Saying it "decreaseit" then adding "especially during a high prevalence of infection of SARS-cov2 (which dramatically increases it)" in the same sentence like its one, but its two completely different things. If it decreases blood clots (of any significance) then you'd have people taking this instead of anti-coagulation, but you don't. Its purpose is not meant for anti-coagulation.. Its meant to protect you from the virus and the issues it causes. There are multiple Dr's now speaking up on the harms it has all caused, yet this one is still pushing it. The link He provided hasn't even been "peer reviewed" yet.
Actually c19 vaccines decreased it especially during high prevalence rates of infection of SARS-cov2 (which dramatically increases it) www.ncbi.nlm.nih.gov/pmc/articles/PMC11177983/
The study was to see if the risks of anticoagulation was outweighed by the benefits. Something that many say is needed. “We need long term studies”. And this is the response from the sane when you do them.
My mom was put on anticoagulants about two years ago, after she kept going into AFIB. We have a bleeding disorder in our family called HHT(Oslow-Weber Rendue I believe is the name), so then my poor mom had to receive iron infusions because of so much bleeding. They finally put a stent in her heart to help it not throw off blood clots from going into AFIB, but now she is going unconscious. Every month actually, for the last three months. The specialists have zero clue as to why. After listening to this, it’s got me wondering if this delicate dance they were doing for the last two years had shut down some of her organs (constantly high ammonia), and that’s why she doesn’t wake up without spending 36+ hours in the ICU. Is there something we could be doing to help it not happen again, or is there no correlation? Every time she goes unconscious, it’s taking longer and longer to wake her up. Her brain is taking even longer to function normally. She’s in her early 70’s, never smoked or drank, and is just on T4 and iron. I completely devoured your podcast on Melatonin and the importance of sunlight, and I very much appreciate the time and attention you put into these wonderful podcasts. We’re all so hungry for actual data, and not rumors or fear mongering. You’re the best!
This video seemed more geared for patients or the consumer version than the professional version. And since it was suggested for me out of algorithm on both my phone and computer, after I was wondering if I had an episode or variant of broken heart syndrome. Currators trying to frame it as just a clot would be a deceptive dx as they were doing intentional infliction of emotional distress to induce broken heart syndrome and do other malicious things to put me at risk of an AMI. Peralman clinic urgent care refued to do a discreet 12 Lead EKG, saying they had no staff. AMR also refused to do a discreet 12 leadEKG unless they initiated a transport w a 911 EMS unit. And since they and I were 1-2 blocks from both UCSD medical and Scripps they clearly delibertly missed the point. So much for professional courtesy. The purpose of this comment on medcram on youtube is to defend myself against an attempt by others who are targeting me. To prevent or deter a deceptive diagnosis which they would do to cover up an attempted homicide(s). A deceptive diagnosis is intentionally wrong for the purpose of misleading, concealing, lying.
I'm struggling with this. I have proximal afib - 74 and somewhat overweight. My docs are very much pushing me to go on thinners, but I am very afraid of it because I have excess bleeding now when I cut myself and very slow healer (my INR is in good limits however) I have also been told i wouldn't be able to take aspirin / ibuprofin etc for pain if I was on thinners - have lots of headaches / joint pains etc. Tylenol does nothing for me. My afib is under control with flecainide with occasional premature beats now. I don't really get why if you are younger, without co-morbidity and with afib you don't need to be on... so it's not just the fact you have afib to be on - but rather the co-morbidity., right? So at a certain age is everyone that is older automatically on thinners regardless because just being older is by itself leads to higher risk of stroke, right? So, it isn't really the afib, it's the other stuff.
Saying that there is benefit without risk, is assuming that the drug has no other side effect Which might not be the case It’s worth pointing out that we’re defining risk as bleeding event only If it causes hormonal changes, cancer or something else after a decade or longer of use, then…
Hmm. I have Hashimoto's thyroiditis, an autoimmune disorder. Had surgery. 2 days of routine post-surgery heparin okay, 3+ caused symptoms like thyroid collapse (extreme fatigue, anorexia). Stopped after 4 days, took about a week to recover. No other co-anything.
I had thyroid cancer complete removal huge tumors attached in chest . Hormone replacement therapy was the most difficult thing . I take synthroid and cytomel boost . I had a stroke in 2018 found out chronic low thyroid causes cardio vascular disease plagues build up . Careful
@@MitzvosGolem1 Yup. My background is biochemistry, and I read the endocrine literature. Low thyroid means cholesterol stays in the blood instead of being transported into the cells. But it's worse than that. There's a cardiac pathologist who went ballistic over this -- he said fully half his autopsies for fatal cardiac events showed low T3 syndrome (commonly called "flabby heart"). About half of all chronic diseases, and perhaps 90% of the "symptoms of aging" have a thyroid component, yet this is rarely considered, nor do most docs Rx T3.
@@Reziac I keep my T3 ,T4 elevated on medication.. Thanks for information. Do you have any peer reviewed medical reference to what you mentioned? I am in a legal battle over this now . My attorney needs data . Thanks 👍
I have obesity hypo ventilation syndrome so I can’t work, I’m sedentary so 2 months ago they found an small blood blood clot (behind my left knee) it went away. The doctor told me I was gonna be on eliquis for 3 months, where do I fall on the provoked or unprovoked?? Thanks in advance
@Medcram could you please be so kind and give your opinion on Varicose Veins as provoking factor for DVT please !?? Some Dr and countries acknowledge it and some seem to completely ignore it In your professional opinion...could dehydration, low Iron blood levels , sedentary life style, varicose veins and previous superficial thrombophlebitis be classified as provoking factors
Question. You said you were paid for your time contributed to components of publication of this research. Is it ok to ask, what per hour that is worth? Or, if that is too rude, how much money does it take to publish research like this?
I have Factor 5 liden and MTHFR. RA. Have always clotted behind my left knee 4 times. On life long Lovenox. Yes risk of hit with heprin induced thrombositipenia. Blood thinners causes me hair loss and trouble emptying my bladder 🤔???
Am I reading this wrong, there seems to be some giant typos on 16:25, from the data in the table, the risk of bleeding is not only very large but much larger than the discontinuation cohort? Eg the last entry, 23/293 = 7.8%. Also some diseases predispose to bleeding. I think the graph is supposed to take the updated at risk number, not the first one, otherwise the previous graph on VTE doesn't make sense either (why is it increasing, it's not cumulative). Whoopsie.
Granny would take a swig of XXX. In 2017 i went to the emergency room and had to sit all day.(hyperthyroid). I got a clot in my leg. My Dr. offered no treatment. So i drink 1/3 ounce of vodka 4 or 5x a week.. no more clots. i'm 72. I'm not giving medical advice, but i can get vodka without a prescription , so i don't have to beg for help.
Woah! I have thousands of mini clots from Covid 19 Vaccine, which the Cardiac Doctor did not issue medication for to care for. My Rheumatologist suggested I take 2 aspirin per day. He also suggested I get a Pulmonary Doctor since it is so difficult to breath and can only 20 steps. We shall see. Long Covid is so difficult to get treated.
In 2020 I see at some Covid19 hypoxic patients that drop of blood on a glass agglutinate (before coagulate) At microscop I see that erytocite agregate (at room temperature) At body temperature aggregation did not occur. Using warmed oxigen mix (at body temperature 36C) at this patients, oxigen saturation increased more rapidly.
If tendency of erytocite to agregate If blood temperature decrease, that explain,, paradoxal,, happy hypoxia. At finger blood temperature decrease,and puls oximetry indicate lower values.
It reduces the clotting of your blood but does not act on the clotting system so its not an anti-coagulant. rather, it acts on platelets to make them less sticky. Its used in heart disease along with another anti-platelet drug to reduce the clotting of blood in the arteries of the heart. anticoagulants work on the coagulation protein in the blood and inhibit them to slow down coagulation in general.
Factor 5 dude here, My Hematologist said Aspirin doesn’t do much for the venus side of the circulation system. He stated that my best way to prevent another DVT and PE is to drink water and move the legs as much as possible all time especially when traveling long distances. He said don’t eat vitamin K rich foods before traveling. And if I was worried, I could take Coumadin for a few days before the trip and that give me some prophylactic advantage against clotting. If I was to have any more lower limb surgery, I should be placed on lovenox shots and Coumadin for a short time. My InR would need to checked weekly but that is a far cry easier and less expensive than Xarelto and way easier to reverse anticoagulation with Vitamin K if I had suffered a some kind of trauma while on Coumadin. It’s been 13 years since my DVT and PE’s. I feel that my doctor’s advice is working for me.
For more information go to medcram.com where we have several videos and series on things like pulmonary embolism, congestive heart failure, and EKG reading. We offer Cme as well. 
@@Medcram sadly I found Medcram after retiring from Anesthesia. I would have appreciated your CME courses
Hi,
My dad is 95 years old was in good health until he
got the Covid vaccine and got sick with covid 2 years ago. About 6 months later he had blood clots in his right lower leg. He had surgery and the clots were removed.
He was put on blood thinner.
After 3 months on blood thinner he stopped taking them.
The clots came back in his leg within 6 weeks. He was put back on blood thinners. Now 6 months later his stool is black, he got a black tongue, and he has anemia now too.
Blood clots do not run in our family and l strongly believe that the blood clots are the results from the covid vaccine.
My question is can he take something more naturally to keep from forming blood clots that will help him stop the blood thinners???
Unfortunately most doctors attitude is if anyone is past 75 years old they should not expect much in terms of good health.
I feel that is a shame for doctors to think that and not give the elderly people better medical care.
@@artlion_4748I agree 100%.
❤❤❤cristus is an honorary 1
My 92 yo father died from subdural hemorrhage. We first discovered he sleep walk once awhile. The surgeon assured us our father would not "die from the slow bleeding". He also said too many senior (patients) had been on blood-thinner for decades, turning their small blood vessels into "mush". My father's bleeding did not stop and I signed him off to hospice on Valentine day. He died 7 days later.
Sorry for your loss.
My metric for this observation was walking our dog. January 2021 I was walking the dog in the woods for 2 hours 5 days a week. Received my Moderna shots in April then in May . By June the walks decreased to 1.45 then 1.30 . Slowly decreasing till November when 45 minutes was a struggle.
Dec 3rd I reported to the ER . Where I was found to have 6 PEs . One moderate size slightly distal to pulmonary bifurcation. The others small in each lung. Not my best day. Yep on Eliquis. No family history of PEs I’m aware of. Age 67 at the time. nonsmoker
my story is about the same : massive blood clots after 3rd shot of moderna vaccine. I am told to stay on eliquis as they think Moderna vaccine is not yhe cause
Excellent video on an extremely important subject! My Mother had a PE in 2012. She was 66 at the time, on oral HRT, and morbidly obese. After 1 year of monitoring her d-dimer her pulmonologist said she would likely be on anticoagulation for life. She started on warfarin, moved to Rivaroxaban and later to apixaban. Her d-dimer was tested annually for 10yrs and was always highly elevated (3x upper range of normal) despite the anticoagulation.
Her pulmonologist retired and her new pulmonologist felt that at 75yrs old she needed to be removed from anticoagulation due to the elevated risk of bleeding from a fall. She is stable and has no fall history or risk other than her age. She was still morbidly obese with a highly elevated d-dimer. We pushed back on the pulmonologist who then said we needed to see a hematologist in order to continue anticoagulation. Her hematologist also wanted to discontinue the anticoagulation due to her age related fall risk. After a pretty contentious discussion regarding her risk factors, her elevated d-dimer, and history of PE her hematologist finally relented and wrote the script for apixaban. However, it's a fight every year to convince her care team that the benefits in my mother's case outweigh the risks.
She is on tirzepatide and has lost 25lbs. She's no longer morbidly obese but is still obese. In another few months we'll check her d-dimer to see if it's improved with her weight loss. Her hs-crp and HbA1C are normal. Mildly elevated LDL and trigs with high HDL and low Lp(a).
Do you feel d-dimer should be considered when determining the continuation of anticoagulation therapy after unprovoked thromboembolism? There does seem to be data supporting the NEJM paper titled: "d-Dimer Testing to Determine the Duration of Anticoagulation Therapy".
Yes there is some evidence to support d dimer testing.
I don't understand the pushback from her team. As long as the risks are discussed and the family / patient / caregiver are well aware of the risks the provocation has not been removed. She is still at risk being morbidly obese / obese, taking HRT, and having an elevated D-dimer. Once stability is an issue I think it would be good to re-visit. The family and patient should hypervigilant in regards to this.
In my case I have been on Eliquis for a long time (for AF, but no recurrance after ablation). A year and a half ago my doctor noted anemia and did testing to rule out various causes. Probable cause was long term Eliquis usage. Steps were taken to improve this. Although over 70, I use a bicycle daily in the city and have had altercations with vehicles that sometimes resulted in minor bleeding. A few scrapes to the knee resulted in a blood soaked sock . I monitor AF with a smart watch and have been free of incidents for fwo years. I have argued with the doctor about continuing Eliquis for what I consider a small chance. In addition without insurance it costs $500 per month which is a big bite out of Social security. So typically I travel to another country where it costs $60 per month for the same med or do without in the US.
Same here - with AF, but under control with meds. Failing to understand the need to be on thinners when I am a bit of a klutz bumping into things / tripping / falling etc., where I am at a higher risk of bleeding, I think. Very nervous about starting - haven't yet but pressure from the docs is getting pretty intense.
Oh boy, have I learned🤩! Great and exciting video by one of my favorite physicians. As a premed, currently taking a postbac program… your channel has been my fortress since I came to the U.S. thank you Dr. Roger S🙏🙏✨
Fermented red beets, garlic ,turmeric are all natural blood thinners it works for me. By the way I had blood clot.
I started using Nattokinase 200 mg since last year, a two month supply $54 vs $125 one month supply of Xarelto. Eliquis caused memory problems so I stopped that for Xarelto. Have a warchman installed last year. Have a couple of stints in my heart and one in my leg. Had open heart surgery that started all of this, 10 years ago I went to the ER with pneumonia found out I had a blood vessel blocked (what they call a widow maker.) Thats what 3 packs a day for 40 years will get you. 30 days in the hospital gave me enough time to break that habit.
Good video. I had a DVT ( R - LE ) behind my patella and was prescribed a blood thinner. Cardiologist and hematologist couldn't figure out what caused the risk factors. I later, started thinking about things, and using the law of cancelation, later realized on my own the DVT was most likely caused by sitting on a wooden kitchen chair. I was only sitting long periods once or twice a week. During an ER visit for a cold; The Daimler part of a blood test gave the first warning and was considered inconclusive, and the CAT scan was also inconclusive until the hot swelling and ruddy discoloration start on my foot and calf days later.
Good sleuth work!
How long did they make you take it for?
With ultra sound doppler tests the better part of a year. The DVT fused with vein.
@@Medcram , thank you for the ❤️ . God bless!
Obesity is a seious physical & psychlogical disease.
I just got off Eliquis. Was on it 2 weeks and my stools turned tar black and stinky, brown urine. Massive weakness and fatigue. Got border line anemic from the internal bleeding. Thanks for the info. Makes me understand how thinners work.
@@prudenciow 🙌🏻 that’s great news and hoping you remain stable 🙏🏻❤️ I have an AMAZING hematologist and I get iron infusions bc I already have a huge bleeding problem (not like my husband who needs more testing bc if he barely cuts himself he doesn’t stop bleeding and it’s a LOT) and eloquis made me hemorrhage even faster and anemia in any form isn’t good at all.. even not taking blood thinners older people can barely hit their head and develop a slow bleed happened to my (now deceased) 97 year old grandfather and thankfully my husband and I had to drag him to the hospital and he got immediate care and was fixed after a tube in his head and he died years later of natural causes I’m a strong believer in always learning and highly respect doctors who are as well we don’t know everything but together with a mutual trust relationship we can prevent the only mistake (& Ive had drs do many mistakes and I don’t believe in ever suing it’s ok to me bc that’s how we learn when they stop learning and listening and caring is when I know it’s time to move on bc that’s when death is the mistake and I don’t want for my loved ones at all. Good for you for continuing your learning and best of luck to you!
I’ve been on Eliquis to prevent further DVT’s for about two years. I’ve had no issues…other than weight gain, but that could be from the stress of losing my husband to Covid in December of 2020. I see my Hematologist every six months and they do blood work in the office. My GP is copied on all my bloodwork & reports. I don’t like taking these drugs, but I’m having an awful hard time losing weight at 73…
Lifetime Eliquis here due to Factor V Leiden. I believe that when I get old I will have a greater risk of bleeding due to falls.
Thanks doc as always. Very helpful information. Quick question, what's the risk of bleeding from apixaban and the likes combined with antiplatelets (Aspirin+ Clopidogrel) for the first 3 months, and onwards if continued?
What about the use of Nattokinase prophylactically for those of us who are over 75, family history of clots (father, sister, both brothers - one died of pulmonary embolism after the jab)? If so, what dosage?
Shhhhhhh, that's something this Dr and the whole establishment don't want you to know about or take.
My husband and I take it daily!
Hospitals, doctors offices and schools should be places where good nutrition is taught and provided not places that contribute to disease and obesity. It is crazy the hospitals are feeding people the very food that caused the heart disease, high blood pressure or cancer that they are treating. Every person in the hospital should receive some nutrition education before being released. Every doctor visit should be an opportunity to educate patients about how food choices impacts their health outcomes. The fact that doctors do not get nutrition training as part of their training makes no sense. Medicare and Medicaid should require nutrition education as part of patient care. Focus should be on food choices. Fasting should be investigated as a treatment for disease.
It’s like going in with breathing problems, so they give you cigarettes to treat it. Unfortunately, we live in a sick care system, not a preventative one. And nutrition, proper supplements, sunlight, exercise, etc is rarely researched, as they can’t profit off of it. That’s why I love this channel!
I experienced an extensive VTE that reached my IVC as a result of May-Thurner syndrome and sitting for long periods of time. I was 63 at the time. A stent was placed and on Plavix now and am told I will be taking it for the remainder of my life. I was extremely fortunate that I didn't develop a PE. Have had no recurrence of clots in the last 6 years. My Vascular Surgeon recommends stopping the Plavix for 7 days prior to any invasive procedure.
Awesome video as usual.
Thanks again!
I used a BT for 365 days after a clogged artery. It has been 4 years without another clogged artery. Mine was unprovoked. My surgeon said mine was genetic. I was against long term BT's and my doctor was also.
I'm taking Eliquis and was told I will be on it for Life .
Either because your clot was unprovoked or you’ve had two clots now?
@Medcram same with my dad, apixaban for life, one single unprovoked Pulmonary Embolism 16 years ago no clots since.
Same for my 74 year old wife. Has been on it for the past almost 4 years. After Covid infection and hospitalization in 2021 was diagnosed with blood clots in the lungs and formally chronic thrombeobolic pulmonary arterial hypertension (CTEPH).
Have afib was on Eliquis and got a dvt so now on 100mg Lovenox injection daily
Same here. But I have had two incidents of DVT; one post surgery in 2017 and 3 in my calf in May 2020. Found out I have 1 copy of Factor V Leiden.
Doctor, is it a rebound effect? Did anyone wean off or were all abruptly stopped at 3 months? We need to try to wean them.
Fantastic video Doc & another one to refer over to my cousin (M.D.) for his viewing! Thank you for these very interesting videos! Be well.
What are your thoughts on the effectiveness and safety of taking a low-dose aspirin daily as a long-term therapeutic regimen? Thank you.
Studies are mixed. Aspirin is much better at stopping platelets than it is at stopping thrombosis. That’s why we typically don’t depend on aspirin in these cases. Coronary disease response much better to antiplatelets.
Thanks Dr. Roger!
I've had no clots, but an ablation for arrhythmia, put on Eliquis afterward and never taken off. Three years now. I guess this is preventative.
That is because 1) there is no cure for afib…it will be back. 2) studies show that the danger is the occasional episode causing the LAA to throw a blood clot. The watchman will fix that. I had it done 3 months ago…and I am off the blood thinner
How often do you have to stand and walk on a long plane ride in order to prevent blood clots? Would listening to your Apple Watch be enough?
I took a 7 hour plane flight to Ireland six months after first diagnosed with blood clots. My hematologist said to get up and walk the aisles. So…I got up every hour and walked up and down the aisle. I wanted this trip…so I listened. We also did a lot of walking in Ireland. That was in 2018. Now I’m on 2.5 Eliquis for life because the clots shifted legs every other year???
So. To summarize. Continue the medication in the unprovoked situation until either: A. The patient develops a medical comorbidity that starts shifting the risk benefit B. Until you identify (if ever) the cause and the situation shifts from unprovoked to provoked. If provoked discontinue treatment once the provocation has been mitigated or altogether resolved OR a medical comorbidity causes a shift in the risk benefit.
Thank you for this interesting video.
About 6 years ago I was treated for a "blood clot" with eliquis. I stopped taking it when I noticed blood in my urine. I switched to low dose aspirin and then to fish oil. I also lost weight and try to stay hydrated.
I was told that my blood clot was actually PLATELET AGGREGATION. Is this true of all blood clots or are there other types of blood clots that are not platelet aggregation.? Also, is it true that blood doesn't actually clot unless it is exposed to the air (e.g., at the site if a wound)?.
Thanks again.
Not sure how they would know unless they looked at it under a microscope. Blood can clot without the presence of air.
@@Medcram Thank you for your most prompt response. Can a lay person participate in your CME ?
9:00 Is Omega 3 and vitamin D blood levels on the list as they influence blood clotting?
If not, why not?
I don't believe I heard anything about changing diet, or measuring pt/inr.
Why?
I’m sure they can affect coagulation just not to the same magnitude that would cause bleeding or clotting.
@@Medcram
I really didn't understand your answer.
How can you do a study of medications and the 1 out of 100 (or so) recurring clot if you haven't checked to see if these people have low levels of things that would allow clots to form more easily?
Make it make sense.
What might the outcome of the study have been if their (most likely) low levels had been corrected?
I'd bet a nickel that 100 number would sky rocket and you'd have an overall healthier patient population.
What would the number have needed to be to show no value in continuation?
@@Medcram
Really, I'd like to hear what your thought processes are about this.
Or even as was commented by another guy about d-dimer levels, were those measured in the study to see who might have been safe for discontinuation?
Or at least grouping the participants by d-dimer levels, along with omega 3 levels and vitamin d levels if not supplemented to optimum levels.
What was your thinking when doing the study?
And how about homocysteine levels, were those at least checked if not corrected before the study, possible B vitamin deficiencies?
All of these could be provoking, no?
The risk factor of sitting for extended periods of time - Does this include very sedentary people at home or do you literally have to be immobile and if so for how long?
Sitting is sitting. A good smart watch will remind you to get up and walk around every 20 to 30 minutes.
17:46
The outcome was VTE and major bleeding.
How about mortality, hospitalization, pulmonary embolism, stroke ?
Those events are more rare and would require a larger and longer study.
Does a blood clot caused by covid vaccination count as provoked or unprovoked?
Actually c19 vaccines decreaseit especially during a high prevalence of infection of SARS-cov2 (which dramatically increases it)
www.ncbi.nlm.nih.gov/pmc/articles/PMC11177983/
@@Medcram
A preprint not peer reviewed?
It didn't say the shot didn't provoke blood clots, it said it provoked it less than the virus.
And, by the way, this would have no bearing on one individual.
Did you see Don Lemon telling a guy who said his financial situation was bad, that that isn't what the statistics showed?
The stats said the economy was good, so the guy he was interviewing must have been in good shape financially.
Lots of people were playing that clip.
@@Medcram They didn't ask about Covid. They asked if Vaccine causal would be "provoked or unprovoked".?
In macroglobulinemia electrostatic dispersion of erytocite diminish secondary to high IgM level,and erytocite have tendency to agregate.
A question. Still over time the clotting risk goes up in both groups. Would it make a difference if you would take the anticoagulant less regularly ? Is something in the body adjusting to it?
Can you cover the blood clots that form from Covid and what we can do to eliminate or minimize the micro-clotting? Will it increase the chance of dementia or heart attacks in the future?
Absolutely helpful, now I have some ideas for discussion with my provider cardiologist .
Why UCMed cardio treats events in heart area and abdominal area ie pressure not heart attack, why these MDs throw statins at everything is beyond me. Luckily I had been in the habit of taking low dosage aspirin a couple of times a week.
I have a clot in the neck vein where the surgeon inserted an IV during cardiac surgery (provoked). Been on Xeralto for almost six months now. After three months the clot still existed so I am still on medication. Do not notice any issues with this treatment so far.
After a stroke in 2018 I take 325mg aspirin every day since .
I take extra if I feel funny dizzy .
Seems to work well.
Thank you.
I also took Johnson and Johnson vaccine 2020.
I’m going to comment now without watching the video. Then comment again after watching the video.
Found out I'm protein S & protein C deficit after developing a clot from left ankle to left hip...been on warfarin since 1999 INR levels steadily 2.5 - 2.7
I’ve had 3 major clots (1GI bleed) since I had a certain injection (M). Stuck on xarelto for life
Actually c19 vaccines decreaseit especially during a high prevalence of infection of SARS-cov2 (which dramatically increases it)
www.ncbi.nlm.nih.gov/pmc/articles/PMC11177983/
@@Medcramseriously? What about these fibrous stringy anomalies embalmers are finding? Would you advise someone with Factor V Leiden and a history of DVT to get the jabs and boosts? I’ll take your inevitable lack of response as “no”..
I heard about this. It’s interesting about the fibrin (I think?) causing what they call white blood clots. This is waaay above my head and I don’t know anything else about that. I’m very neutral on this subject and I’ve strongly advocated for everyone in my family to get vaccinated over 55. My parents both get boosted every 2-3 months and every other vaccine and the month of June were EXTREMELY sick with Covid and they thought they couldn’t get it and couldn’t spread it we were 100% exposed bc we have basically been living with them this last year bc they both have had a lot of medical issues (that they had before) and need us .. we expected to get it but we didn’t. We know we’ll get it at some point. We are not against vaccines at all and we were both planning to get it and my husband was signed up to get the J&J but it was put on hold and he wanted to get one that seemed more promising can’t even remember the name now but it started with novo something) vaccinated due to 2 major things that we were told not to do so we have been extremely careful and barely go out and wear masks and gloves etc and we know we are taking a risk and we also fully support vaccines and my parents are looking forward to the new vaccine. I take everything with a grain of salt and again I’m very neutral and that’s the honest truth. We have a lot of nurses in our family and I have a couple of friends I went to JH and HS with who are cardiologists and one is a scientist at UC Berkeley I only went to UC Berkeley during summers because my university was closed and I wanted to get my 4 year degree in 2 years while working full time and commuting 4 hours per day (I worked full time since I was 15/16 graduated early and worked with people 4x my age while girls my age were enjoying high school) and I achieved that. My original goal was to be a physical therapist and I thrived in all my classes however I had a major injury and changed my major to economics and was a senior analyst. My husband has talked to a few scientists after his (much younger) sister finally got vaccinated due to her job in the medical field and her doctors told her she had a vaccine injury and she’s now on 12 meds at only 41 (uncontrollable high BP tachycardia polyps CAD and is on statins and so many others and we have seen things happen in younger people we know but I also know you can’t blame everything on one thing and I don’t know but hopefully it will get more attention and studies for better vaccines and treatment etc anyway I don’t know much of anything about this bc I don’t look into it much honestly and I do the best I can to stay balanced or I can fall into the many traps of what you learn in high level classes in critical thinking or abnormal psychology) but my husband pointed out a large study in Japan that sounded interesting, showing a very high F- FGD uptake in PET in hearts of people who had been vaccinated vs unvaccinated and I don’t know the parameters or anything about it but it sounds interesting if you or anyone wants to look into it and perhaps it can explain why it SEEMS a lot of young people are having heart problems and myocarditis etc idk (?) and I don’t know which vaccine they studied or what but it’s good imho to look at everything without any bias (if that’s possible) to learn and do better hopefully🙏🏻
@@sonitty This guy is being deliberately dishonest trying to fool people. Saying it "decreaseit" then adding "especially during a high prevalence of infection of SARS-cov2 (which dramatically increases it)" in the same sentence like its one, but its two completely different things.
If it decreases blood clots (of any significance) then you'd have people taking this instead of anti-coagulation, but you don't. Its purpose is not meant for anti-coagulation.. Its meant to protect you from the virus and the issues it causes.
There are multiple Dr's now speaking up on the harms it has all caused, yet this one is still pushing it. The link He provided hasn't even been "peer reviewed" yet.
was also known through certain experimental substances
Actually c19 vaccines decreased it especially during high prevalence rates of infection of SARS-cov2 (which dramatically increases it)
www.ncbi.nlm.nih.gov/pmc/articles/PMC11177983/
@@Medcram
Actually IVM did a better job of reducing clots.
Another doctor being very friendly to another pharmaceutical drug; how come I'm not surprised??😂
The study was to see if the risks of anticoagulation was outweighed by the benefits. Something that many say is needed. “We need long term studies”. And this is the response from the sane when you do them.
@medcram does HRT come under contraception ? is it a provoking factor too ?
My mom was put on anticoagulants about two years ago, after she kept going into AFIB. We have a bleeding disorder in our family called HHT(Oslow-Weber Rendue I believe is the name), so then my poor mom had to receive iron infusions because of so much bleeding. They finally put a stent in her heart to help it not throw off blood clots from going into AFIB, but now she is going unconscious. Every month actually, for the last three months. The specialists have zero clue as to why. After listening to this, it’s got me wondering if this delicate dance they were doing for the last two years had shut down some of her organs (constantly high ammonia), and that’s why she doesn’t wake up without spending 36+ hours in the ICU.
Is there something we could be doing to help it not happen again, or is there no correlation? Every time she goes unconscious, it’s taking longer and longer to wake her up. Her brain is taking even longer to function normally. She’s in her early 70’s, never smoked or drank, and is just on T4 and iron.
I completely devoured your podcast on Melatonin and the importance of sunlight, and I very much appreciate the time and attention you put into these wonderful podcasts. We’re all so hungry for actual data, and not rumors or fear mongering. You’re the best!
This video seemed more geared for patients or the consumer version than the professional version. And since it was suggested for me out of algorithm on both my phone and computer, after I was wondering if I had an episode or variant of broken heart syndrome. Currators trying to frame it as just a clot would be a deceptive dx as they were doing intentional infliction of emotional distress to induce broken heart syndrome and do other malicious things to put me at risk of an AMI. Peralman clinic urgent care refued to do a discreet 12 Lead EKG, saying they had no staff. AMR also refused to do a discreet 12 leadEKG unless they initiated a transport w a 911 EMS unit. And since they and I were 1-2 blocks from both UCSD medical and Scripps they clearly delibertly missed the point. So much for professional courtesy. The purpose of this comment on medcram on youtube is to defend myself against an attempt by others who are targeting me. To prevent or deter a deceptive diagnosis which they would do to cover up an attempted homicide(s). A deceptive diagnosis is intentionally wrong for the purpose of misleading, concealing, lying.
Is riveroxaban like xarelto ?
Hi Dr. Seheult; you listed AFib as a factor but you added “especially paroxysmal” - can you please explain why? Thanks
Paroxysmal atrial fibrillation goes in and out, and therefore is more likely to kick out clots
I'm struggling with this. I have proximal afib - 74 and somewhat overweight. My docs are very much pushing me to go on thinners, but I am very afraid of it because I have excess bleeding now when I cut myself and very slow healer (my INR is in good limits however) I have also been told i wouldn't be able to take aspirin / ibuprofin etc for pain if I was on thinners - have lots of headaches / joint pains etc. Tylenol does nothing for me. My afib is under control with flecainide with occasional premature beats now. I don't really get why if you are younger, without co-morbidity and with afib you don't need to be on... so it's not just the fact you have afib to be on - but rather the co-morbidity., right? So at a certain age is everyone that is older automatically on thinners regardless because just being older is by itself leads to higher risk of stroke, right? So, it isn't really the afib, it's the other stuff.
Saying that there is benefit without risk, is assuming that the drug has no other side effect
Which might not be the case
It’s worth pointing out that we’re defining risk as bleeding event only
If it causes hormonal changes, cancer or something else after a decade or longer of use, then…
…at the conclusion of the global real-time mandated experiment yielding enormous profits… it was pulled from the market
Whoops!
Hmm. I have Hashimoto's thyroiditis, an autoimmune disorder. Had surgery. 2 days of routine post-surgery heparin okay, 3+ caused symptoms like thyroid collapse (extreme fatigue, anorexia). Stopped after 4 days, took about a week to recover. No other co-anything.
I had thyroid cancer complete removal huge tumors attached in chest .
Hormone replacement therapy was the most difficult thing .
I take synthroid and cytomel boost .
I had a stroke in 2018 found out chronic low thyroid causes cardio vascular disease plagues build up .
Careful
@@MitzvosGolem1 Yup. My background is biochemistry, and I read the endocrine literature. Low thyroid means cholesterol stays in the blood instead of being transported into the cells. But it's worse than that. There's a cardiac pathologist who went ballistic over this -- he said fully half his autopsies for fatal cardiac events showed low T3 syndrome (commonly called "flabby heart").
About half of all chronic diseases, and perhaps 90% of the "symptoms of aging" have a thyroid component, yet this is rarely considered, nor do most docs Rx T3.
@@Reziac I keep my T3 ,T4 elevated on medication..
Thanks for information.
Do you have any peer reviewed medical reference to what you mentioned?
I am in a legal battle over this now .
My attorney needs data .
Thanks 👍
Sulfate, ez water.
I have obesity hypo ventilation syndrome so I can’t work, I’m sedentary so 2 months ago they found an small blood blood clot (behind my left knee) it went away. The doctor told me I was gonna be on eliquis for 3 months, where do I fall on the provoked or unprovoked?? Thanks in advance
I guess that sort of provoked. But you have to be able to change those risk factors for them to safely be able to stop anticoagulation
After Mycoplasma pneumoiae infection,, cold agglutinine,, occur
Maybe after SARS COV2 infection also.
@Medcram could you please be so kind and give your opinion on Varicose Veins as provoking factor for DVT please !??
Some Dr and countries acknowledge it and some seem to completely ignore it
In your professional opinion...could dehydration, low Iron blood levels , sedentary life style, varicose veins and previous superficial thrombophlebitis be classified as provoking factors
Question. You said you were paid for your time contributed to components of publication of this research.
Is it ok to ask, what per hour that is worth? Or, if that is too rude, how much money does it take to publish research like this?
I have Factor 5 liden and MTHFR. RA. Have always clotted behind my left knee 4 times. On life long Lovenox. Yes risk of hit with heprin induced thrombositipenia. Blood thinners causes me hair loss and trouble emptying my bladder 🤔???
Yep. I hear you.
Am I reading this wrong, there seems to be some giant typos on 16:25, from the data in the table, the risk of bleeding is not only very large but much larger than the discontinuation cohort? Eg the last entry, 23/293 = 7.8%.
Also some diseases predispose to bleeding.
I think the graph is supposed to take the updated at risk number, not the first one, otherwise the previous graph on VTE doesn't make sense either (why is it increasing, it's not cumulative). Whoopsie.
It is cumulative.
Then why are the last two graph points at the same level despite events?
❤❤❤
Granny would take a swig of XXX. In 2017 i went to the emergency room and had to sit all day.(hyperthyroid). I got a clot in my leg. My Dr. offered no treatment. So i drink 1/3 ounce of vodka 4 or 5x a week.. no more clots. i'm 72. I'm not giving medical advice, but i can get vodka without a prescription , so i don't have to beg for help.
Woah! I have thousands of mini clots from Covid 19 Vaccine, which the Cardiac Doctor did not issue medication for to care for. My Rheumatologist suggested I take 2 aspirin per day. He also suggested I get a Pulmonary Doctor since it is so difficult to breath and can only 20 steps. We shall see. Long Covid is so difficult to get treated.
In 2020 I see at some Covid19 hypoxic patients that drop of blood on a glass agglutinate (before coagulate)
At microscop I see that erytocite agregate (at room temperature)
At body temperature aggregation did not occur.
Using warmed oxigen mix (at body temperature 36C) at this patients, oxigen saturation increased more rapidly.
If tendency of erytocite to agregate If blood temperature decrease, that explain,, paradoxal,, happy hypoxia.
At finger blood temperature decrease,and puls oximetry indicate lower values.
Why are you using this antiquated model of coagulation?
That which is proposed without evidence, can be dismissed without evidence
What about baby aspirin as an alternative to blood thinners for life?
Does aspirin count as anti-coagulation?
It’s more of an anti platelet than an anticoagulant
It reduces the clotting of your blood but does not act on the clotting system so its not an anti-coagulant. rather, it acts on platelets to make them less sticky. Its used in heart disease along with another anti-platelet drug to reduce the clotting of blood in the arteries of the heart.
anticoagulants work on the coagulation protein in the blood and inhibit them to slow down coagulation in general.
Factor 5 dude here,
My Hematologist said Aspirin doesn’t do much for the venus side of the circulation system.
He stated that my best way to prevent another DVT and PE is to drink water and move the legs as much as possible all time especially when traveling long distances. He said don’t eat vitamin K rich foods before traveling. And if I was worried, I could take Coumadin for a few days before the trip and that give me some prophylactic advantage against clotting.
If I was to have any more lower limb surgery, I should be placed on lovenox shots and Coumadin for a short time.
My InR would need to checked weekly but that is a far cry easier and less expensive than Xarelto and way easier to reverse anticoagulation with Vitamin K if I had suffered a some kind of trauma while on Coumadin.
It’s been 13 years since my DVT and PE’s. I feel that my doctor’s advice is working for me.
@@highrxdo u know if u have 1 copy or 2 of the factor v gene?
@@sonittyI don’t know that info. I think I’ve ever been told that data on my Factor V?
❤❤❤cristus ❤cindianus
Aspirin is enough for most people