Do you really think your stroke hospital is giving prophylactic doses of Lovenox as soon as a COVID-19 patient comes in? This is the reason I'm glad I'm taking a 325 daily aspirin and will demand either tPA or a Lovenox shot immediately. Because of this statement in other research;
Alveolar(lungs) capillary microthrombi were 9 times as prevalent in patients with Covid-19 as in patients with influenza. Because I want to prevent or blow out this clotting, but since I'm not medically trained you can't use this with your doctor.
Stroke Care During the COVID-19 Pandemic: Twice as Many Thrombectomies
During the peak of the
outbreak in Manhattan, Dr. Weinberger reported, “We’re doing twice as
many interventions for large vessel thromboses than usual...”
Stroke
patients with disability, especially COVID-19 related large vessel
strokes, deserve acute rehabilitation hospital care and should be
referred to these specialty rehabilitation hospitals.”
SANTA BARBARA, CA, UNITED STATES, May 26, 2020 /EINPresswire.com/ -- Dr. Jesse Weinberger, a stroke
neurologist and member of a vascular interventional group that serves
multiple hospitals in Manhattan, New York, a is director of the
neurovascular laboratory at Mount Sinai states that during the COVID-19
pandemic, “We are also seeing…large vessel strokes…in folks who don’t
have a good reason for it…and seeing many with multiple small infarcts,
but we don’t find anything in the heart causing it.”
— Dr. Greg Vigna
During the peak of the outbreak in Manhattan, Dr. Weinberger reported, “We’re doing twice as many interventions for large vessel thromboses than usual, over 50% of which were on COVID-19 patients.”
Greg Vigna, MD, JD, practicing Physical Medicine and Rehabilitation physician and national neurological injury attorney, and Certified Life Care Planner states, “COVID-19 has not changed much in terms of the stroke treatment plan as the major centers continue to provide thrombolytics (tPA or clot busters) if a ischemic stroke is identified within 6 hours of onset and thrombectomy is provided if large vessel occlusion is identified on CT-angiogram within 24 hours of onset. The goal is the same, decrease the time to thrombectomy as that leads to less disability.”
Dr. Vigna adds, “Venous blood clots are also more common in COVID-19 patients especially in those who are critically ill and those with abnormalities on liver function test. Many hospitals have introduced policies to ensure that COVID-19 patients are given prophylactic doses of Lovenox, a blood thinner, to reduce the risk of deep venous thrombosis (blood clots) and pulmonary embolisms. Many questions remain with this novel virus because of the risk of large vessel strokes that are occurring in the young and the thrombogenic risk associated with COVID-19 infections. Should newly diagnosed COVID-19 young patients take a Baby Aspirin to prevent the risk of stroke? I don’t think anyone in the medical community is ready to say that without studies. The standard of care related to stroke care remains the same as prior to the pandemic. tPA administered within 4-6 hours of an acute stroke and thrombectomy, sooner the better, but must be within 24 hours.”
Dr. Vigna concludes, “Interestingly, some acute rehabilitation hospitals are not taking COVID-19 patients because of the risk of viral shedding and infection control risks. Stroke patients with disability, especially COVID-19 related large vessel strokes, deserve acute rehabilitation hospital care and should not be transferred to a skilled nursing home and should be referred to these specialty rehabilitation hospitals.”
Greg Vigna, MD, JD is a California and Washington DC lawyer who focuses on catastrophic neurological injuries cause by the vaginal mesh, brain injuries, spinal cord injuries, brachial plexus injuries, and medical malpractice. He is Board Certified in Physical Medicine and Rehabilitation.
https://www.medscape.com/viewarticle/930457
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