Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Tuesday, May 30, 2017

Does Alcohol Thin Your Blood?

Ask your doctor for the exact amount per body weight and sex needed to replace your aspirin regimen. Don't do this on your own, you will never get the right amount. Considering how many social events and parties I go to I think I'm well covered.
https://www.verywell.com/alcohol-can-act-as-a-blood-thinner-67362
Updated April 14, 2017
Moderate drinking is a two-edged sword. It may have some beneficial effects, but at the same time, those very same effects could be negative in other areas of your health.
Moderate drinking is also a balancing act, of sorts. If you drink exactly the right amount to be "moderate" it may be better in some health effects than not drinking at all, but if you drink just a tad over the guidelines for moderate, it is much more dangerous than not drinking at all.
It's called the J-curve.
Take blood coagulation, for example. If you drink a moderate amount of alcohol—defined in one large study as three to six drinks per week—it may have the benefit of acting as a blood thinner and be protective against clotting in clogged arteries, like aspirin does. At the same time, thinning the blood can hasten bleeding from injured arteries, increasing the risk of bleeding strokes.

Precautions Against Drinking Alcohol While Taking Blood Thinners

You should abstain from alcohol while taking anticoagulant blood thinners such as Coumadin (warfarin) as the blood-thinning effects of alcohol can interact with those of the prescribed drugs. It will be more difficult for your healthcare providers to determine the correct dosage for the prescribed blood thinner if you also drink alcohol. As you will be placed on blood thinners to prevent a significant health threat, such as a deep venous thrombosis, it's best not to take the risk and have an alcoholic beverage.Learn More
Also, consider the other prescriptions that you take. Sometimes they interact with blood thinners and alcohol. Follow the precautions and refrain from drinking if that is recommended.

Don't Substitute Alcohol for Prescription Blood Thinners

Likewise, if you need anticoagulation to reduce a health risk, it is unwise to think that drinking alcohol is a substitute for prescribed blood thinners.
When your doctor prescribes an anticoagulant such as Coumadin, you will also have your blood tested regularly to ensure you are getting just the right amount of blood thinning. Too little and you aren't protected. Too much and you risk bleeding.

Contrasting Effects of Alcohol on Coagulation

Some studies have shown that moderate drinkers tend to have lower rates of heart disease, but higher rates of bleeding-type strokes than abstainers. However, some researchers believe that the ability of moderate drinking to make blood platelets less "sticky" may mediate the negative effects of moderate drinking.
"The contrasting effects of alcohol are similar to the effects of blood thinners like aspirin, which clearly prevent heart attacks but at the expense of some additional bleeding strokes," said Kenneth J. Mukamal, corresponding author for a study on effects of moderate drinking on blood coagulation. "Acting as a blood thinner makes sense, because heart attacks are caused by blood clots that form in clogged arteries, and blood thinners can hasten bleeding from injured arteries. Based on these findings, we speculated that moderate drinking would also act as a blood thinner."
Mukamal said previous research had shown that moderate drinkers tend to have "less sticky" platelets than abstainers, meaning that fewer blood elements cluster to form blood clots.
He studied 5,124 men and women enrolled in the Framingham Offspring Study of risk factors for cardiovascular disease.
"We found that among both men and women, an intake of three to six drinks per week or more was linked to lower levels of stickiness measured by aggregability," said Mukamal. "Among the men, we also found that alcohol intake was linked to lower levels of platelet activation. Together, these findings identify moderate drinking as a potential blood thinner."

No Reason to Start Drinking

"Our findings add to a large body of evidence showing that moderate drinking has effects on blood coagulation, which may have both good and bad effects, but now identify a new avenue by which this effect may occur," said Mukamal.
"By themselves, these findings have more importance for understanding risk factors for vascular disease than any clinical relevance, and should not be used by people as any reason to begin drinking."
Meanwhile, there is increasing skepticism among researchers that moderate drinking has protective health effects for heart disease, according to the CDC. The bottom line is, although moderate drinking may have some health benefits, there is risk involved, too. If you don't drink, the risks of developing other problems associated with alcohol may be too great to begin drinking for its limited benefits.
Sources:
Fact Sheets - Moderate Drinking. CDC. https://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htm
Mukamal, KJ, et al. " Alcohol Consumption and Platelet Activation and Aggregation Among Women and Men: The Framingham Offspring Study." Alcoholism: Clinical & Experimental Research October 2005
Taking Warfarin (Coumadin) NIH MedlinePlus. https://medlineplus.gov/ency/patientinstructions/000292.htm

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