I find the bridging to be off a bit, finding that an injection 12 hrs prior to the procedure is too close to the procedure.
But what do I know???


If you want my opinion, I would ask the surgeon specifically about that.
As for the "sequential pump " it varies from Dr. to Dr. When I had an operation,(two years ago, a gallbladder extraction, a year post DVT) I asked about it to my surgeon and he said it was useless, then I talked to another Dr. after the procedure and he said that he would had used it...

I think I took my last dose of lovenox 12 hours before my colonoscopy but I don't know if it's the same protocol for a surgery. It seems to makes sense though since lovenox usually is prescribed as two injections a day, each lasting 12 hours. So, if it stays in your system for 12 hours, by the time you had the surgery, you'd no longer have the anticoagulation effects of the lovenox.

But like Dero, what do I know?

Yes R, you are correct.
(for a person that does not know :P )

I was on Fragmin which inject every 24 hrs

Ah, that's the difference. So we both know some stuff!

Thank you very much, for yoru answers and for being there, people who dont know.

I have asked for another opinion. I would say a second opinion but I would lie, because this is the fifth. Yesterday the (sixth) surgeon said that he wont inject Nico before surgery, only afterwards.

I really dont know how we are going to decide who and how is going to operate my son. I am so scared. I dont trust doctors anymore. I know we have to learn how to trust again but at the moment I think I am just losing my mind. I always find reasons to look for another doctor and my usually confident son is now losing his mind too, after a year being so brave.

Well, all I can do is trying my best to understand and then I will jump as we always have to do in the end and I hope everything will be ok. If one day I am able to do it.

It's so true; we get so much conflicting information from the medical field and so it seems all we can do it gather all the information, consider it all and make a decision based on what makes the most sense to us.

I think it's harder when you're making the decision for your child, though. Our emotions are part of the decision and to a degree, part of what holds us back. It's a hard thing to be objective when your kid is the one going through something.

Hi, what type of surgery is your son having? Is it the ACL repair? Do you know how invasive it is, i.e. laproscopic?

As far as the pumps, I would inquire at the hospital or the surgeon who is doing the surgery, as you are interviewing them and maybe save you the cost of renting it. Some hospitals won't allow equipment in that's not from their facility. In the states, all the hospitals have them, it's just a matter of having a dr order it.

My niece had a lap band surgery this year. The hospital where she had it done is BIG on dvt prevention, signs everywhere, etc. I was very surprised that they had given her heparin minutes before going into the ER, immediately upon coming out and had the pumps on her legs right away. She then received heparin shots twice a day for the few days she was inpatient. She has never had a dvt but this was their protocol for prevention.

I hope you are able to find a dr you are comfortable with and all goes smoothly with your son's surgery. I would ask each dr what their experience is with dvt. My neurosurgeon has no clue about dvt but he admits it, he doesn't pretend to know, kudos to him!

In my last post I was giving kudos to my neurosurgeon for admitting that he doesn't know much about dvt but that is not an excuse not to find out, especially when operating on people! He has consulted with my vascular dr on some things but all drs should be clued in a lot better than they are in some cases.

My son is going to have an artroscopic ACL repair, platellar tendon or hamstring.

Yes, some of them should they should care more, they should know more than they do and they should work more as a team.