This is amazing to me. My husband had a saddle pulmonary embolism in 2017 and he didn't have any symptoms before his passed out in our kitchen. We spent the night in the ER and then we were moved to room. We were told they couldn't find the problem. We were prepared to head back home but a doctor asked for one more test. That test found the Saddle pulmonary embolism. They moved him to the ICU. They told us the diagnosis but neither of us fully understood it until things settled down and I was able to Google it. I saw your original video on Pulmonary Embolism. It was an eye opener. We realized how lucky he was that it was found. Especially because he didn't seem to meet any of the criteria.
Is a person's hormones affected by a pulmonary embolism? I feel like now that I am on the blood thinners and the clots are breaking up and the blood is flowing my libido and energy has gone up somewhat. Months of not breathing well and the doctors were giving me cough syrup for the condition not knowing what I had put a strain on my body. Once I got to a knowledgeable doctor in the ER she recognized the condition immediately and put me on blood thinners. All the doctors we're in agreement that I shouldn't have lived through this. They are scratching their heads? They told me normal people died from the pulmonary embolism that I had and the deep vein thrombosis. I just hope to God they got it right now. This pain still continues in my leg but I deal with it on a daily
What it comes down to is how good your dr is and how deep he wants to dig I have gone through this two different times in under a year first time they found 42 clots between both lungs and the second time 25-30 ALL IT TAKES IS THE DR TO ORDER A MRI WITH INHANSMENS TO FIND THEM
Wow.... I have May Thurner's Syndrome w Factor V Leiden Disease. I take 20 000/u of Fragmin daily. ( Ten thousand 2x a day injection in the abdomen) and will be taking this for the rest of my life. I was diagnosed last year after my L Leg swelled 4x the size of my R and was Purple at the groin. I was at work in med room and passed out, my Nurse in Charge gave me Epinephrine and anti-coagulant and called next hospital, by mng I had emerg surg to find I had blood clots from my knee to 3" above my belly button. I now have 4 Stents in my heart as well.
Wish my doctors on first visits to urgent and emergency departments had followed this protocol. Sent home multiple times despite fainting, shortness of breath and tachycardia because I didn’t have any other risk factors. Finally diagnosed with multiple bilateral PE a month later.
The Diagnosis slide - most of it is correct except I noticed a key difference when you mentioned what to do if Wells score is 5 - 12 ... (the following is sourced from 2019 U-World) >> Wells > 4 or 5-12 >> 1st do CTA / VQ .. if CTA / VQ negative (it does not rule out PE) -- in fact you're supposed to do the next step = US of BLE >>> if CTA / VQ & US BLE negative >> next step >> Pulmonary angiogram .... This is what i have from an algorithm from Uworld - what do you say to this ? is this correct or not? >>>> There was also a question on Uworld stating that if the diagnosis of PE is likely based off the question stem presentation - Treat with TPA if hemodynamically stable otherwise give LMWH if hemodynamically unstable right away .. forego testing because if there is no difference to be made from testing - dont delay the treatment (ie = if CTA / VQ negative but US BLE positive, youre going to give the said therapies anyways)
Is a person's hormones affected by a pulmonary embolism? I feel like now that I am on the blood thinners and the clots are breaking up and the blood is flowing my libido and energy has gone up somewhat. Months of not breathing well and the doctors were giving me cough syrup for the condition not knowing what I had put a strain on my body. Once I got to a knowledgeable doctor in the ER she recognized the condition immediately and put me on blood thinners. All the doctors we're in agreement that I shouldn't have lived through this. They are scratching their heads? They told me normal people died from the pulmonary embolism that I had and the deep vein thrombosis. I just hope to God they got it right now. This pain still continues in my leg but I deal with it on a daily
Sorry for asking this. I checked your website, your background through your website. But, how do we verify if a doctor is real? I'm not saying you are fake, but I want to know is there a sure way to find out if someone is actually a real doctor? Given that many are faking their profiles. Having said that, I know you should be a real doctor listening to your knowledge presented on the video.
Supposed the patient is diagnosed of having a cute DVT, thereafter, she was treated and walks well but all over sudden, she feels pain respiratory system while she breathes. What is wrong?
Doc, what about a repeat d-dimer during inflammatory covid stage? I has a high d-dimer (775) at 1st admission CT positive for pneumonia and negative for PE. Treated 4 days and discharged without anticoagulation or repeat d-dimer. Readmitted next morning with d-dimer >7,550 CT positive for bilateral pulmonary emboli. The preventative heparin injections didn't prevent PE
Yes we’ve been noticing the same thing. The clots seem to be very rich in platelets. This would indicate that antiplatelet therapy might be more beneficial than anticoagulation.
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See the rest of this course here: www.medcram.com/courses/pulmonary-embolism-explained-clearly
This is amazing to me. My husband had a saddle pulmonary embolism in 2017 and he didn't have any symptoms before his passed out in our kitchen. We spent the night in the ER and then we were moved to room. We were told they couldn't find the problem. We were prepared to head back home but a doctor asked for one more test. That test found the Saddle pulmonary embolism. They moved him to the ICU. They told us the diagnosis but neither of us fully understood it until things settled down and I was able to Google it. I saw your original video on Pulmonary Embolism. It was an eye opener. We realized how lucky he was that it was found. Especially because he didn't seem to meet any of the criteria.
Is a person's hormones affected by a pulmonary embolism? I feel like now that I am on the blood thinners and the clots are breaking up and the blood is flowing my libido and energy has gone up somewhat. Months of not breathing well and the doctors were giving me cough syrup for the condition not knowing what I had put a strain on my body. Once I got to a knowledgeable doctor in the ER she recognized the condition immediately and put me on blood thinners. All the doctors we're in agreement that I shouldn't have lived through this. They are scratching their heads? They told me normal people died from the pulmonary embolism that I had and the deep vein thrombosis. I just hope to God they got it right now. This pain still continues in my leg but I deal with it on a daily
Hello there is no video about the treatment of pulmonary embolism
My favorite videos although I am a Psychologist and not an MD. Love the lectures.
What it comes down to is how good your dr is and how deep he wants to dig I have gone through this two different times in under a year first time they found 42 clots between both lungs and the second time 25-30 ALL IT TAKES IS THE DR TO ORDER A MRI WITH INHANSMENS TO FIND THEM
Wow.... I have May Thurner's Syndrome w Factor V Leiden Disease. I take 20 000/u of Fragmin daily. ( Ten thousand 2x a day injection in the abdomen) and will be taking this for the rest of my life.
I was diagnosed last year after my L Leg swelled 4x the size of my R and was Purple at the groin.
I was at work in med room and passed out, my Nurse in Charge gave me Epinephrine and anti-coagulant and called next hospital, by mng I had emerg surg to find I had blood clots from my knee to 3" above my belly button. I now have 4 Stents in my heart as well.
I really love these videos!!! GOOD JOB DOC !!!
Brilliant! So clear explained
Massive bilateral pulmonary embolism, negative d-dimer. Untreated 7 days, infarct 20% bottom right lobe due to delayed treatment.
Excellent review. Thanks a lot.
I had upper rt back pain and fever. Thought it was gallbladder as well as my urgent car MD. Found embolism in CT scan.
My emergency professor says : tachycardia, dyspnea and chest Xray negative must lead to dimers. If positive, angioscan
+Herve Louon sounds like another way of doing it.
Wish my doctors on first visits to urgent and emergency departments had followed this protocol. Sent home multiple times despite fainting, shortness of breath and tachycardia because I didn’t have any other risk factors. Finally diagnosed with multiple bilateral PE a month later.
Great lecture at CHC today, and very cool channel!
-Andrew
How many days it will take to cure for medicine form polmonary embolism..?
The Diagnosis slide - most of it is correct except I noticed a key difference when you mentioned what to do if Wells score is 5 - 12 ... (the following is sourced from 2019 U-World) >> Wells > 4 or 5-12 >> 1st do CTA / VQ .. if CTA / VQ negative (it does not rule out PE) -- in fact you're supposed to do the next step = US of BLE >>> if CTA / VQ & US BLE negative >> next step >> Pulmonary angiogram .... This is what i have from an algorithm from Uworld - what do you say to this ? is this correct or not? >>>> There was also a question on Uworld stating that if the diagnosis of PE is likely based off the question stem presentation - Treat with TPA if hemodynamically stable otherwise give LMWH if hemodynamically unstable right away .. forego testing because if there is no difference to be made from testing - dont delay the treatment (ie = if CTA / VQ negative but US BLE positive, youre going to give the said therapies anyways)
Is a person's hormones affected by a pulmonary embolism? I feel like now that I am on the blood thinners and the clots are breaking up and the blood is flowing my libido and energy has gone up somewhat. Months of not breathing well and the doctors were giving me cough syrup for the condition not knowing what I had put a strain on my body. Once I got to a knowledgeable doctor in the ER she recognized the condition immediately and put me on blood thinners. All the doctors we're in agreement that I shouldn't have lived through this. They are scratching their heads? They told me normal people died from the pulmonary embolism that I had and the deep vein thrombosis. I just hope to God they got it right now. This pain still continues in my leg but I deal with it on a daily
Please share your knowledge on DIC
Thanks
thanku sir
Where can we find the treatment video? It’s private
Thanks
great!
Sorry for asking this. I checked your website, your background through your website.
But, how do we verify if a doctor is real? I'm not saying you are fake, but I want to know is there a sure way to find out if someone is actually a real doctor?
Given that many are faking their profiles.
Having said that, I know you should be a real doctor listening to your knowledge presented on the video.
Supposed the patient is diagnosed of having a cute DVT, thereafter, she was treated and walks well but all over sudden, she feels pain respiratory system while she breathes. What is wrong?
Hello, i have blood clot in my lungs can I do exercise or running and cycling
Do spiral CT to rollout PE
Doc, what about a repeat d-dimer during inflammatory covid stage? I has a high d-dimer (775) at 1st admission CT positive for pneumonia and negative for PE. Treated 4 days and discharged without anticoagulation or repeat d-dimer. Readmitted next morning with d-dimer >7,550 CT positive for bilateral pulmonary emboli. The preventative heparin injections didn't prevent PE
Yes we’ve been noticing the same thing. The clots seem to be very rich in platelets. This would indicate that antiplatelet therapy might be more beneficial than anticoagulation.
sa teyan na lang e lagay ang baby ok
PE
a 'spanish study'. .... wow