Author Topic: Coumadin therapy ending  (Read 10353 times)

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Coumadin therapy ending
« on: December 22, 2008, 09:57:32 PM »
     I was told today I could come off my Coumadin starting tomorrow which is 3 weeks post-op.  Has anyone come off this soon?  Or is this soon?  I'm 52 yrs old.  My levels were checked all along and I was fine.  Someone told me he had a friend who came off Coumadin too soon and developed blood clots.  Now I'm wondering if it is too soon.  I do take 81mg aspirin daily anyway.  There was no order to go on a heavier dose of aspirin (325mg) instead of the Coumadin. 

     I do tend to be active, moving around all day.  I suppose that helps.    Let me know,thanks, Russ


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Re: Coumadin therapy ending
« Reply #1 on: December 22, 2008, 10:47:41 PM »
I was taking 350 mg asprin for blood thinning.  I was off at 4 weeks.
John S RBHR 11/19/2008 Dr.Palmer, Minnesota


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Re: Coumadin therapy ending
« Reply #2 on: December 23, 2008, 07:16:53 AM »
I was told during a joint replacement class at Union memorial Hospital in Baltimore that everyone except my doctor's patients would come off coumadin after two weeks.  Dr. Broucher's patients would stay on a full 4 weeks.  In home nursing care has been taking blood samples from me on Mon - Wed - Fri's and dosage has been adjusted down slightly.  Beginning next week after in-home care ends (wk 3) I'll need to go get my levels tested from a lab.

But even at the same hospital, and same ortho department, there seems to be a difference between doctor's decision on how long to continue the blood thinning medication.
BHR on 12-10-08
OS:  Dr. Henry Boucher, Union Memorial Hospital, Baltimore, MD


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Re: Coumadin therapy ending
« Reply #3 on: December 23, 2008, 07:19:17 AM »
I was on Lovenox for just 7 days at home (came home from hospital day after surgery) and then 325 mg aspirin for 45 days.  I am at 5 weeks post-op now. No problem w/clots, but sure did hourly ankle stretches to keep legs moving as they recommended.

Dwight V


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Re: Coumadin therapy ending
« Reply #4 on: December 23, 2008, 09:24:25 PM »
Lovenox x 17 days post op for me. Its interesting how different Dr's preferences are. I agree that the most important thing is to keep doing ankle pumps and moving around.

RBHR 10/13/2008. LBHR 12/08/2008. LBHR revision 1/18/2010, LTHR 9/23 2011, RTHR 12/16 2011............
Dr Pritchet, Seattle


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Re: Coumadin therapy ending
« Reply #5 on: December 23, 2008, 09:42:14 PM »
Dr. Gross is like 10 days Arixtra self injections (we Gross hippies are tough)--- no TEDS, just aspirin for a month or so afterwards.

I continued to take aspirin because my mother in-law told me her doctor told her that taking a low dose aspirin every day can help your body so that it does not reject your hardware. 

The way I figure, what is it going to hurt?

I am always amazed how each doctor does things so differently, some doctors do not allow a lot of weight bearing post-op, some allow 100%.  Some doctors only allow driving after 4-6 weeks, some as little as 3 days post-op.   

Pat did tell me once in a chat that US doctors are way more conservative than overseas doctors.   I think Pat was allowed to run laps 2 days post op and allowed to do a iron woman marathon 7 days post-op--- ok I exaggerated somewhat. 

RH/Biomet U/C Dr. Gross/Lee Webb



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