Pulmonary Embolism Support Group
By far the most common form of pulmonary embolism is a thromboembolism, which occurs when a blood clot, generally a venous thrombus, becomes dislodged from its site of formation and embolizes to the arterial blood supply of one of the lungs. Symptoms may include difficulty breathing, pain during breathing, and more rarely circulatory instability and death.
How long off Coumadins before genetic testing?
Danielle-Chenier
OK, my internist and I decided that, regardless of the test results, due mostly to the fact that my PE were unprovoked and massive and that my dad died from a PE, I would be a lifer on Coumadins.
However, both of us would like to rule out any other issues that might have led to the PE, including genetic markers, so I'm going to have the tests done once I get past the six month mark, which is going to be at the end of March.
Now, my question is How long to wait once I'm off Coumadins? I've read that 4 weeks were required, however she is adamant that 2 weeks is enough.
While I do not want to risk another PE by being off the anticoagulants for longer than I need to be, I do not want to skew the tests either.
Any thoughts?
However, both of us would like to rule out any other issues that might have led to the PE, including genetic markers, so I'm going to have the tests done once I get past the six month mark, which is going to be at the end of March.
Now, my question is How long to wait once I'm off Coumadins? I've read that 4 weeks were required, however she is adamant that 2 weeks is enough.
While I do not want to risk another PE by being off the anticoagulants for longer than I need to be, I do not want to skew the tests either.
Any thoughts?
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If you take the tests after two weeks and one of the ones that IS affected by coumadin comes back abnormal, will you trust the results? Or will you feel like you have to test again at another time, making sure to stay off for four weeks?
Me personally, I'd rather be completely sure of the results. BUT, I also agree that I wouldn't want to be off the meds any longer than necessary. It really is a tough call.
rmb, I just plum never thought of asking her on what she was basing the 2 weeks. One thing I do know is that she is a relatively young doctor (later 20s, early 30s) and may base her decisions on newer protocols?
That's funny you mention her age. My Internist is really young too. He zoned in on managing my INR in a matter of weeks, where with my last Internist who was a bit older, she was just a nightmare with the warfarin management. I don't know why. I think some of it is merely approach. I do know my current Internist volunteers one day a week to providing care to the elderly and I wonder if many of those patients are on warfarin and so he's had some practice. Not sure. I tell you I really have a great deal of trust for him, despite him looking like he's 12 years old.
It could be that the new internists received more training on managing people on Warfarin?
And the balancing act makes a lot of sense.
My doc not only looks really young, younger than he even is, he is kind of a little guy too so sometimes when I look at him in his white coat, I think, man you look like a little kid playing dress up. Seriously, I tower over him. I feel like I could lift him over my head with my bare hands. Maybe I'll do that next week when I see him for an upcoming check up.