Have a couple of questions. First, I have a very small hernia but very bothersome since I work out a lot. I want to get it taken care of, which involves a 20 minute outpatient procedure. My cardiologist, when I first asked about it, said don't do it unless I absolutely HAVE to. But I feel I do have to, and happened to be in to see him a couple of weeks ago, and he said sure, do it, but I'll be in the hospital 3-4 days re: bridging, starting w/lovenox at home but then heparin after the procedure.
So. Since this is such a small procedure, and I see some of you on here having molars extracted and whatever else, I wondered if I even needed to go off coumadin. I was so excited when I found an article online about a study that concludes patients don't need to go off coumadin for hernia surgery. I know my cardio will still want me to, so next thing I did was call my sister in law in Florida who is a general surgeon. She said she wouldn't do it, but I told her of the article, so she said she'd call her brother, a cardiologist, and see what he said. When she called me back, she told me how it's really a legal thing for dr.'s to cover themselves, but that she herself would not do it, and that her brother asked why I have to go in the hospital at all, why not just do lovenox before and after? I feel I should know this, after all the reading and asking questions I've done, but I just don't know the answer to that one. Is it just procedure for different doctors, a preference to how they do it?
One last note, that last year when my INR dropped the dr. said that I should always bridge in the hospital b/c I drop so fast. I just want to do the procedure as an outpatient with NO bridging. Of course the hospital that did the study is in England; if it was here in the US I would travel if it meant I could avoid the bridging.
Anyhow, any insight as always is appreciated!!
link to the article:
http://www.ncbi.nlm.nih.gov/pubmed/18704620
So. Since this is such a small procedure, and I see some of you on here having molars extracted and whatever else, I wondered if I even needed to go off coumadin. I was so excited when I found an article online about a study that concludes patients don't need to go off coumadin for hernia surgery. I know my cardio will still want me to, so next thing I did was call my sister in law in Florida who is a general surgeon. She said she wouldn't do it, but I told her of the article, so she said she'd call her brother, a cardiologist, and see what he said. When she called me back, she told me how it's really a legal thing for dr.'s to cover themselves, but that she herself would not do it, and that her brother asked why I have to go in the hospital at all, why not just do lovenox before and after? I feel I should know this, after all the reading and asking questions I've done, but I just don't know the answer to that one. Is it just procedure for different doctors, a preference to how they do it?
One last note, that last year when my INR dropped the dr. said that I should always bridge in the hospital b/c I drop so fast. I just want to do the procedure as an outpatient with NO bridging. Of course the hospital that did the study is in England; if it was here in the US I would travel if it meant I could avoid the bridging.
Anyhow, any insight as always is appreciated!!
link to the article:
http://www.ncbi.nlm.nih.gov/pubmed/18704620
