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Re: [OM] Coumadin story

Subject: Re: [OM] Coumadin story
From: "Clay Nichols" <Clay.Nichols@xxxxxxxxxxxxxxxxxx>
Date: Tue, 13 Oct 2009 14:15:37 -0400
I was also wondering why a neurologist would treat a suspected stroke with 
coumadin.   No CT of the head for confirmation?

>>> Charles Geilfuss <charles.geilfuss@xxxxxxxxx> 10/13/2009 2:03 PM >>>
I agree Clay, it would be unusual to have this severe a reaction if he was
properly dosed with coumadin. It is common practice to give coumadin in the
immediate postoperative period to people who had been on coumadin prior to
surgery and had it temporarily withdrawn before surgery. Bill's story sounds
more like a DIC-type reaction.

Charlie

On Mon, Oct 12, 2009 at 4:53 PM, Clay Nichols <
Clay.Nichols@xxxxxxxxxxxxxxxxxx> wrote:

> Bill
> Terrible story. But I think it is BS.
>
> Charlie
> What do you think?
>
> Clay A. Nichols MD
> Chief Medical Examiner for Richland County, SC
>
> >>> "Sue Pearce" <bs.pearce@xxxxxxx> 10/12/09 3:10 PM >>>
>  I have waited a few days, hoping those facing a "proceedure" are under
> now,
> but if not, don't read this.
>
> I have a friend that was driving down the street one afternoon and felt as
> if he were having heart problems. As he drove past an area hospital, he
> pulled in for a check. They were alarmed to find that he was on the way to
> a
> massive and almost certainly fatal heart attack. It was determined that all
> arteries supplying blood to the heart were only capable of supplying fat
> and
> alcohol, a regular part of his diet. Multiple bypasses were performed.
>
> As he was returning to consciousness after, the staff was concerned by his
> impared speech. A neurological consult was called immediately. After what
> proved to be too little consideration, the neurologist determined that he
> was having a stroke, and large doses of coumiden were administered. He
> began
> to leak like a cheap garden hose. Blood was coming from everywhere,
> especially the various incisions. After some time and several tranfusions,
> it was determined that he was in no way having a stroke, but instead had
> been given too much morphine, hence the scrambled speech. He was to remain
> in the hospital one whole month.
>
> A musician friend commented that the hospital should have a staff jazz
> musician, who could have seen right away that "...the m-f-er is high!"
>
> Bill Pearce
>
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