Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Blood Clots On Knee Caused By Severe Gout
Question: Thank you. Scared for bro in law. On 3rd hospitalization in 30 days. DX; 1st / Severe gout rt. knee, then got blood clot rt calf. D/c to SNF, returned to acute after 2 days with dx stroke. In acute 2 days, has blood clot rt arm and today transfused for bleeding. Hx: Alcoholism, diabetes, HTN, left leg ortho disability, age 58. Some medications rx'd were or are prednisone, insulin, htn meds?, ASA 81mg daily, Plavix, Coumadin started yesterday. . Is it time to ask that he be moved to a larger hospital like Stanford.He is in the Telemetry Unit vs the Med Surg.To the best of my knowledge do not feel that he is being appropriately followed and cared for. I think his condition is more complicated than it is being addressed. What is your opinion as to medical picture and treatment being rendered to address condition?
Brief Answer:
Needs intensive treatment.
Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern.
He has multiple issued including Deep Vein thrombosis (DVT), Stroke and probably drug induced bleeding.
Such cases have to be well managed by Internal medicine specialist as well as Neurologist.
He would require anti coagulation for long term and in acute period with Low Molecular Weight Heparin.
He already has two great risk factors for Stroke and DVT that is Diabetes and Alcoholism.
It's not that these issues can't be managed well at your hospital.
For these issues you can move to higher Center but usually is not required as the treatment is the same as ongoing with Anti platelet drugs, anticoagulation therapy and care of Diabetes.
DVT is however a critical condition as if not treated properly can lead to Pulmonary Embolism that is a life threatening state.
I suppose that the conditions you have mentioned with the medicines are appropriate. So you should discuss with your doctors that they should refer him if they are unable to manage.
If they can manage him here only then I would recommend you not to go for shifting as travel and unnecessary movement of a person having DVT and suspected Pulmonary Embolism should be best avoided in order to avoid the dislodgement of the clot.
I hope it helps you.
If you have any further query, please ask me.
Needs intensive treatment.
Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern.
He has multiple issued including Deep Vein thrombosis (DVT), Stroke and probably drug induced bleeding.
Such cases have to be well managed by Internal medicine specialist as well as Neurologist.
He would require anti coagulation for long term and in acute period with Low Molecular Weight Heparin.
He already has two great risk factors for Stroke and DVT that is Diabetes and Alcoholism.
It's not that these issues can't be managed well at your hospital.
For these issues you can move to higher Center but usually is not required as the treatment is the same as ongoing with Anti platelet drugs, anticoagulation therapy and care of Diabetes.
DVT is however a critical condition as if not treated properly can lead to Pulmonary Embolism that is a life threatening state.
I suppose that the conditions you have mentioned with the medicines are appropriate. So you should discuss with your doctors that they should refer him if they are unable to manage.
If they can manage him here only then I would recommend you not to go for shifting as travel and unnecessary movement of a person having DVT and suspected Pulmonary Embolism should be best avoided in order to avoid the dislodgement of the clot.
I hope it helps you.
If you have any further query, please ask me.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
