30 points but still put into work related group

Yes i have to inject tinzaparin for the first seven days At present they are aiming for between 2 and 3 INR. My mother was on it for years before she dies but in hercase it was for heart issues after a heart valve replacement. I am seeing the GP next week to see where this leaves me regarding the operation. I understand there are other anti coagulants they can uase in cases like this when and if they operate. However, My GP was quite adamant that he wouldnt refer me for at least another year as no consultant would touch me.
besides, there are other complications in my case and it isnt certtain the knee replacement can help.
I understand vitamin K is what they use to aid clotting if it is needed post op or during an op.

micksville wrote:

Yes i have to inject tinzaparin for the first seven days At present they are aiming for between 2 and 3 INR. My mother was on it for years before she dies but in hercase it was for heart issues after a heart valve replacement. I am seeing the GP next week to see where this leaves me regarding the operation. I understand there are other anti coagulants they can uase in cases like this when and if they operate. However, My GP was quite adamant that he wouldnt refer me for at least another year as no consultant would touch me.
besides, there are other complications in my case and it isnt certtain the knee replacement can help.
I understand vitamin K is what they use to aid clotting if it is needed post op or during an op.

yes they would give it after the op is finished and watch your inr the vitamin K is the one you see them give to babies as soon as they are born in the foot

tinzaparin is a type of heprin .. did you do yourself ?

yes I have the bruises to prove it I have one more day left of self injecting and I hate it. Im currently on eight MG a day of warfarin till they get my INR stable again.

micksville wrote:

No surgeon will touch you if you have had a DVT oe have been on warfarin - there is a minimum of 12 months after anti coagulants due to the possibility of DVT. I had a DVT above knee in may last year and was on warfarin for six months. I finished in December but have just been diagnosed with a second DVT in the other leg and last wek was placed on warfarin for life. I have to see my GP to ascertain whetehr my proposed knee replacement can ever go ahead.After the first DVT my GP said no consultant would touch me for a year minimum as there was a good chance I would die on his operating table. In ietehr case you cant just stop warfarin for afew days before an operation.

Hi,

As a retired nurse let me explain that a DVT is a'deep vein thrombosis' which can occur in the calf or elsewhere spontaneously, but is more common after a person has a surgical procedure, usually a major one, rather than minor surgery.

Most DVT's occur in the veins of the calf or upper leg, and unless treated with anticoagulant drugs, a medicine that retards or prevents blood clotting, the consequences can be serious to say the least.

An untreated DVT, can cause a pulmonary embolism, which is a very serious and often fatal condition.

Patients admitted to hospital with a DVT are usually put on intravenous heparin which rapidly thins the blood. Before discharge the usual drugs used to prevent further blood clots from developing are Dindevan or Warfarin ( which is actually used to poison rats). Warfarin now appears to be used more than Dindevan.

These anticoagulants must not be stopped suddenly, patients need to have their what's called prothombrin levels checked and gradually tapered off the drug otherwise a further DVT, or even worse could develop.

See Deep Vein Thrombosis

I appreciate this is 'off topic' for benefits discussion, but the consequences of not seeking advice on DVT medication can be dire.

Hope this is of help.

Pat

I think this is more what my GP was getting at Pat: In my case the DVt could be due to trauma to my knee ( i have had five operations over the last seven years on it) though strangely none since 2007. I always expected one of these things but I wondered why now rather than then. My weight and immobility are factors as I have gained a whopping seven stones since my injury and can do little in the way of exercise to shift this. the first DVT weas above right knee affecting tow veins the current one is deemed less serious and is below knee in the left calf and seems accompanied by lump under the skin.My GP simply wouldn't allow me referral to Wrightington for a knee replacemetn last year after I got the initial DVT - as I said he opined that no surgeon would touch me - certainly not yet anyway. I am due to see him next week on unrelated matters and also to discuss what he feels this latest DVT will mean regarding any proposed operation.

Have an elderly friend who has had PEs and is on warfarin for life. Target INR is 3-4 which is high. She had had 3 knee operations. All they do is take her off the warfarin until INR is acceptable - operate and then inject heparin or similar until levels are in the range. My wife too has had PEs and is also on warfarin for life. Target range 2-3. She too goes through the same precedures before any procedures. Being on warfarin for life doesn't prevent either of them carrying out their normal routines so in itself wouldn't be seen as a disability.