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View Diary: Secretary Clinton Suffers a Dural Venous Sinus Thrombosis - What is it and how is it treated? (119 comments)

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  •  Thanks! Very Sobering Stuff Though. nt (19+ / 0-)

    We are called to speak for the weak, for the voiceless, for victims of our nation and for those it calls enemy.... --ML King "Beyond Vietnam"

    by Gooserock on Mon Dec 31, 2012 at 03:59:10 PM PST

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    •  Life Alert - Pradaxa is dangerous. No antidote. (5+ / 0-)

      Certainly Secretary Clinton is receiving the world's best care and we wish her speedy recovery.

      But must seize this opportunity to sound a warning. The good doctor refers to Pradaxa and the newer anticoagulants as having lesser information because of their shorter length of usage.

      But what is known is THERE IS NO ANTIDOTE to the drugs. So if someone takes them, and is in a car accident or falls down or has a kitchen accident - THEY DIE.

      There is no drug or method or anything to stop the bleeding. There is no antidote. These drugs are blood thinners, which means they keep blood from clotting. So wounds equal death. The FDA approved these drugs despite the fact that people will die.

      Don't let your loved ones take Pradaxa or other newer anticoagulants like it. Stick with warfarin/coumadin.

      Here's a NY Times article on how ER docs hate these new drugs, because people die by bleeding to death, while the docs can only watch, unable to do anything to stop the Pradaxa. BECAUSE THERE IS NO ANTIDOTE!

      A dear friend of mine's father-in-law just died because he was on the drugs. Was in a car accident. Everyone else lived. He bled to death in the hospital. Because there is no antidote and there was no way to stop the bleeding.

      We hope Secretary Clinton will stick with the tried and true warfarin/coumadin. And recovers quickly.

      And we thank the doctor for the informative diary.

      •  That's a close to HRable comment. (0+ / 0-)

        Obviously they prescribed the more powerful bloodthinner due to the serious of her conditions.

        And, yes, obviously she is in mortal danger.

        I don't know who you mean as "we" when you say that "we" hope she'll stick to warfarin (which, of course, is also used as rat poison).

        •  Not sure why you're saying this (8+ / 0-)

          New York Presbyterian is a great hospital. Whatever treatment Mrs. Clinton is getting is certainly the best. There is no public knowledge of what exact drugs are being given to the Secretary.

          Pradaxa was developed to treat afib. The usual treatment for clots is warfarin/coumadin.

          I was just alerting about the Pradaxa type drugs, because they were mentioned in the diary. And discussion of blood thinners may be in the public discourse now because of the Secretary's condition.

          Pradaxa and Xarelto require less monitoring, less diet change, and are supposed to have less side effects than coumadin. Which sounds good. Except most people don't know there is no antidote to these drugs.

          The NY Times ran an article on the danger and why ER docs hate the drugs. My friend's father-in-law died just like people in the article. If he had stuck with coumadin instead of the new drugs, he would not have bled to death.

          Perhaps my choice of pronouns was too colloquial. "We" is me, and people like me, who are aware of the danger of drugs like Pradaxa. "We" know of people who have died because of taking them. Which is why "we" hope that when she leaves the hospital, Mrs. Clinton won't be taking drugs long term that would mean she would die if she hits her head, cuts herself, or is in a car accident.

          You and others may feel differently. Apologies, if I used poor pronoun selection. If comments could be edited, I would change the pronouns.

          •  I apologize. I was too harsh. (5+ / 0-)

            Thank you for this explanation.  It is informative, and makes your thoughts very clear.

            I really was wrong to jump so hard on your initial comment.  I hope you can accept my apology.

          •  I have A-fib (1+ / 0-)
            Recommended by:
            ER Doc

            I was first treated with warfarin, but a few months before Pradaxa was on the market, my cardiologist told me that there would soon be a better alternative that would not require modification to my vegetarian diet. When Pradaxa became available I was switched to it. No mention was ever made that there was no antidote to bleeding. Also not mentioned, but later found in the microscopic fine print on the package insert was the warning about esophageal pain. After about 6 weeks of treatment I experienced chest pain severe enough to think I was having a heart attack. I went back on warfarin which in itself has caused enough problems with various bumps and bruises.

            "Idiocracy. It's not a comedy, it's a prophecy."

            by wv voice of reason on Tue Jan 01, 2013 at 06:07:31 AM PST

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      •  By the way, who says she is receiving (0+ / 0-)

        Pradaxa?  What I'm seeing in the comments suggests otherwise.

      •  It's inappropriate to tell people (3+ / 0-)
        Recommended by:
        WakeUpNeo, BPARTR, Orange Crush

        what sort of medications to take or not in a forum like this. I'm sure there are cases where Pradaxa is more appropriate for an individual. That's a decision a patient and doctor should make, not you.

        "I have more than two prablems" - The Coach Z

        by AaronInSanDiego on Mon Dec 31, 2012 at 07:30:24 PM PST

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