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Re: Reasons To Be Grumpy thread

Started by jumbojak, October 27, 2012, 09:21:31 PM

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Magdalena

^^^
Gloucester :therethere:
I hope you feel better, soon.

"I've had several "spiritual" or numinous experiences over the years, but never felt that they were the product of anything but the workings of my own mind in reaction to the universe." ~Recusant

Claireliontamer

Quote from: Gloucester on July 15, 2017, 10:28:34 PM
I am wearing a medical compression stocking in my right arm, and it itches.

You might wonder why I am wearing a stocking on my arm - no I am not training to do handstands or hand walks 'cos my legs hurt when I walk. They do but...

I was put back on aspirin about a year ago, as well as warfarin. It may not be that but, for the past six months, I have suffered subcutaneous bleeding on my arms, only on the front, just below the elbow - capillary breakdown. I can find no resl reason for it being only those places, if I do bang or abrade those areas it happens, great dark red stains. But I rarely bang those areas; knees, hands, back of elbows all get the occasional hamering with no subcute bleeding.

But, occasionally, something tears the very thin skin over these places - then they bleed "supercutaneously" as well. And take ages to repair. Can't use sticking plaster if there are other bleeds nearby, pulling the plaster off takes the skin with it. I have to use low adhesion dressings and some sort of pressure bandage to hold it on and reduce the bledding. Been wearing an ankle support on my arm all day, that itches horribly. Then I rememvered the compression stockings in my medical kit, still itchy but bearable for the night I hope!

I dare not disturb the dressing, breaks the thin scab and it just starts bleeding again. Off for more dressings from the pharmacy tomorrow. Doctors and nurses have seen the subcute bleeds and made no comment but since it seems to be getting worse I am off to see the doc about it next week. And to get a prescription for the dressings! Will also ask to be taken off aspirin for a few months to see if that is the culprit. I was only put back on them as a "routine" measure, now part of the standard medication package for all AF sufferers.

Do you get your warfarin levels checked regularly?  It could be that your dose is slightly too high.

hermes2015

Quote from: Claireliontamer on July 16, 2017, 08:48:43 AM
Quote from: Gloucester on July 15, 2017, 10:28:34 PM
I am wearing a medical compression stocking in my right arm, and it itches.

You might wonder why I am wearing a stocking on my arm - no I am not training to do handstands or hand walks 'cos my legs hurt when I walk. They do but...

I was put back on aspirin about a year ago, as well as warfarin. It may not be that but, for the past six months, I have suffered subcutaneous bleeding on my arms, only on the front, just below the elbow - capillary breakdown. I can find no resl reason for it being only those places, if I do bang or abrade those areas it happens, great dark red stains. But I rarely bang those areas; knees, hands, back of elbows all get the occasional hamering with no subcute bleeding.

But, occasionally, something tears the very thin skin over these places - then they bleed "supercutaneously" as well. And take ages to repair. Can't use sticking plaster if there are other bleeds nearby, pulling the plaster off takes the skin with it. I have to use low adhesion dressings and some sort of pressure bandage to hold it on and reduce the bledding. Been wearing an ankle support on my arm all day, that itches horribly. Then I rememvered the compression stockings in my medical kit, still itchy but bearable for the night I hope!

I dare not disturb the dressing, breaks the thin scab and it just starts bleeding again. Off for more dressings from the pharmacy tomorrow. Doctors and nurses have seen the subcute bleeds and made no comment but since it seems to be getting worse I am off to see the doc about it next week. And to get a prescription for the dressings! Will also ask to be taken off aspirin for a few months to see if that is the culprit. I was only put back on them as a "routine" measure, now part of the standard medication package for all AF sufferers.

Do you get your warfarin levels checked regularly?  It could be that your dose is slightly too high.

I was thinking the same. That is what makes warfarin such an effective rat poison.
"Eventually everything connects - people, ideas, objects. The quality of the connections is the key to quality per se."
― Charles Eames

Dave

#1728
Quote from: Claireliontamer on July 16, 2017, 08:48:43 AM
Quote from: Gloucester on July 15, 2017, 10:28:34 PM
I am wearing a medical compression stocking in my right arm, and it itches.

You might wonder why I am wearing a stocking on my arm - no I am not training to do handstands or hand walks 'cos my legs hurt when I walk. They do but...

I was put back on aspirin about a year ago, as well as warfarin. It may not be that but, for the past six months, I have suffered subcutaneous bleeding on my arms, only on the front, just below the elbow - capillary breakdown. I can find no resl reason for it being only those places, if I do bang or abrade those areas it happens, great dark red stains. But I rarely bang those areas; knees, hands, back of elbows all get the occasional hamering with no subcute bleeding.

But, occasionally, something tears the very thin skin over these places - then they bleed "supercutaneously" as well. And take ages to repair. Can't use sticking plaster if there are other bleeds nearby, pulling the plaster off takes the skin with it. I have to use low adhesion dressings and some sort of pressure bandage to hold it on and reduce the bledding. Been wearing an ankle support on my arm all day, that itches horribly. Then I rememvered the compression stockings in my medical kit, still itchy but bearable for the night I hope!

I dare not disturb the dressing, breaks the thin scab and it just starts bleeding again. Off for more dressings from the pharmacy tomorrow. Doctors and nurses have seen the subcute bleeds and made no comment but since it seems to be getting worse I am off to see the doc about it next week. And to get a prescription for the dressings! Will also ask to be taken off aspirin for a few months to see if that is the culprit. I was only put back on them as a "routine" measure, now part of the standard medication package for all AF sufferers.

Do you get your warfarin levels checked regularly?  It could be that your dose is slightly too high.

Yup, INR has been slightly below target for couple of months so dose about right. Difference could be due to diet, more salad stuff (vitamin K is antidote for warfsrin). Despite warfarin I normally scab up quite quickly. This problem has occured since re-starting aspirin. Skin elsewhere showing typical "old" behaviour, loose, wrinkles easily, repairs slowly etc. Skin over these bleeds has less strength than that on custard! Sticking plaster rips it off leaving just an area of blood. No pain though.

Left alone the spots fade from the inside out, as expected,  leaving "normal" skin after a week to ten days of appearing. I have seen other oldies with the dark patches so it could be "normal" - just why only at this one location, nothing on my legs (which come in for more knocks than the front of my arms) or anywhere else externally?

Tomorrow is precious, don't ruin it by fouling up today.
Passed Monday 10th Dec 2018 age 74

Claireliontamer

Quote from: Gloucester on July 16, 2017, 09:15:41 AM
Quote from: Claireliontamer on July 16, 2017, 08:48:43 AM
Quote from: Gloucester on July 15, 2017, 10:28:34 PM
I am wearing a medical compression stocking in my right arm, and it itches.

You might wonder why I am wearing a stocking on my arm - no I am not training to do handstands or hand walks 'cos my legs hurt when I walk. They do but...

I was put back on aspirin about a year ago, as well as warfarin. It may not be that but, for the past six months, I have suffered subcutaneous bleeding on my arms, only on the front, just below the elbow - capillary breakdown. I can find no resl reason for it being only those places, if I do bang or abrade those areas it happens, great dark red stains. But I rarely bang those areas; knees, hands, back of elbows all get the occasional hamering with no subcute bleeding.

But, occasionally, something tears the very thin skin over these places - then they bleed "supercutaneously" as well. And take ages to repair. Can't use sticking plaster if there are other bleeds nearby, pulling the plaster off takes the skin with it. I have to use low adhesion dressings and some sort of pressure bandage to hold it on and reduce the bledding. Been wearing an ankle support on my arm all day, that itches horribly. Then I rememvered the compression stockings in my medical kit, still itchy but bearable for the night I hope!

I dare not disturb the dressing, breaks the thin scab and it just starts bleeding again. Off for more dressings from the pharmacy tomorrow. Doctors and nurses have seen the subcute bleeds and made no comment but since it seems to be getting worse I am off to see the doc about it next week. And to get a prescription for the dressings! Will also ask to be taken off aspirin for a few months to see if that is the culprit. I was only put back on them as a "routine" measure, now part of the standard medication package for all AF sufferers.

Do you get your warfarin levels checked regularly?  It could be that your dose is slightly too high.

Yup, INR has been slightly below target for couple of months so dose about right. Difference could be due to diet, more salad stuff (vitamin K is antidote for warfsrin). Despite warfarin I normally scab up quite quickly. This problem has occured since re-starting aspirin. Skin elsewhere showing typical "old" behaviour, loose, wrinkles easily, repairs slowly etc. Skin over these bleeds has less strength than that on custard! Sticking plaster rips it off leaving just an area of blood. No pain though.

Left alone the spots fade from the inside out, as expected,  leaving "normal" skin after a week to ten days of appearing. I have seen other oldies with the dark patches so it could be "normal" - just why only at this one location, nothing on my legs (which come in for more knocks than the front of my arms) or anywhere else externally?



I did a quick literature search for the use of antithrombitics and an anticoagulant to see what the current research says.  It seems the jury is still very much out on the additional benefit of using them together. 

https://www.ncbi.nlm.nih.gov/pubmed/27665101 is from this year and a bigger review here https://www.ncbi.nlm.nih.gov/pubmed/25234549 concludes

"Available clinical trials and registries provide remarkably little evidence to guide difficult clinical decision making in patients with combined AF and CHD.... a single clinical trial indicates that withdrawal of aspirin may reduce bleeding risk without increasing the risk of coronary thrombosis."

There are other drugs out there which work in similar ways that it could be worth discussing with your doctor, one is dabigatran but there are others too.

Dave

^
That's much what I found, Claire. When I was first put in warfarin I was taken of aspirin and told never to take any medication, patent or prescription containing it. That was 2004.

A year or so ago I was called in by the nurse specialist, whilst on a routine device check, and asked why I was not on aspirin. I told her why, she said that ideas had changed and aspirin was OK with warfarin, even beneficial. My consultant popped in, checked that I was on a PPI and OK'd the change.

I do get on well with my consultant, he has a very high opinion of himself, does not listen to his patients, is lousy at explaining things and considers their emotional problems are absolutely nothing to do with him. Apart from those few minutes abive, where he addressed not one word to me, I have not seen him for two years. All he does is check the last bloods and my ecg, takes my blood pressure and that is about it.

With the exception that my average BP has dropped 10mm over the past couple of years (expected with worsening cardiomyopathy and stopping Losartan potassium, because it was making my quality of life not far above zero).

Giving the medical profession the doubt, we are all unique and gave different reactions to drugs, events and conditions, I have had, so far, 7 missed or mis-diagnoses; two slmost fatal, two serious and three where they failed to diagnose angina because it was abdominal instead of pectoral. Thus I tend to check things out myself. Worked so far, I am suffering a little but am far more able and mobile, and positive, than others I know with less severe cardiac conditions. At almost 73 with a couple of years or so near immobility I should not be annoyed that my stamina is not at its best. But it is improving, very slowly!
Tomorrow is precious, don't ruin it by fouling up today.
Passed Monday 10th Dec 2018 age 74

Velma

I really should not have to spend this much of my life trying to get permission from my insurance company to continue taking a drug I've been on for three months.  :rant1:
Life is but a momentary glimpse of the wonder of the astonishing universe, and it is sad to see so many dreaming it away on spiritual fantasy.~Carl Sagan

Tom62

My oldest brother has just a few more hours to live. He went to the hospital, because he had a severe stomach infection. While making a body scan the doctors found out that he had metastatic lung cancer, that effected most of his organs. 
The universe never did make sense; I suspect it was built on government contract.
Robert A. Heinlein

hermes2015

Quote from: Tom62 on July 19, 2017, 06:15:11 AM
My oldest brother has just a few more hours to live. He went to the hospital, because he had a severe stomach infection. While making a body scan the doctors found out that he had metastatic lung cancer, that effected most of his organs.

So sorry to hear that, Tom. Nothing anyone says can make you feel better, but just know I feel for you and your family.
"Eventually everything connects - people, ideas, objects. The quality of the connections is the key to quality per se."
― Charles Eames

Magdalena

Quote from: Tom62 on July 19, 2017, 06:15:11 AM
My oldest brother has just a few more hours to live. He went to the hospital, because he had a severe stomach infection. While making a body scan the doctors found out that he had metastatic lung cancer, that effected most of his organs.
I'm sorry to hear your oldest brother has just a few more hours to live. This is so sad, Tom62. :( ...So sad.

"I've had several "spiritual" or numinous experiences over the years, but never felt that they were the product of anything but the workings of my own mind in reaction to the universe." ~Recusant

Arturo

Quote from: Tom62 on July 19, 2017, 06:15:11 AM
My oldest brother has just a few more hours to live. He went to the hospital, because he had a severe stomach infection. While making a body scan the doctors found out that he had metastatic lung cancer, that effected most of his organs.

Issac Fucking Newton...sorry Tom

It's Okay To Say You're Welcome
     Just let people be themselves.
     Arturo The1  リ壱

Tom62

Quote from: hermes2015 on July 19, 2017, 06:20:06 AM
Quote from: Tom62 on July 19, 2017, 06:15:11 AM
My oldest brother has just a few more hours to live. He went to the hospital, because he had a severe stomach infection. While making a body scan the doctors found out that he had metastatic lung cancer, that effected most of his organs.

So sorry to hear that, Tom. Nothing anyone says can make you feel better, but just know I feel for you and your family.
[/quote

Thanks! I still have to wrap my head around this. Must however say that I was not really surprised, because my brother was a very heavy smoker.
The universe never did make sense; I suspect it was built on government contract.
Robert A. Heinlein

Claireliontamer

That's so sad Tom :(

The same thing happened to my Grandma, she went into hospital with stomach problems and they found lung cancer had spread all over her body.  She had never smoked a cigarette in her life though. 

Dave

Sad to hear your news, Tom. It is so often too easy to ignore your own body's complaints, or sometimes to find a doctor who reads them correctly.
Tomorrow is precious, don't ruin it by fouling up today.
Passed Monday 10th Dec 2018 age 74

OldGit