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FauxClaud

Out of you long term Coumidin users and the ones who don't follow doctors orders and do ""bad" things..
Anyone have a bruise in a joint that has bleed out and caused long term joint pain? You know, a fall off a bike, a fall, something like that?
Just wondering because THIS is the main agruement that my ex husband has about our son and his activity. So just wondering about the actual chances and stats on an odd occurance such as this.
Thanks
 
This isn't an answer, but if someone falls off a bike that hard, they're going to be messed up whether they are on Coumadin or not.
 
I think that you have to let kids be kids. One of my 3-year-old patients tried to get her piggy bank yesterday by climbing up the bookcase. It fell on top of her and cut her between the eyes. How many of you have your bookcases secured to the walls? You can't prevent everything.
 
FauxClaud said:
Out of you long term Coumidin users and the ones who don't follow doctors orders and do ""bad" things..
Anyone have a bruise in a joint that has bleed out and caused long term joint pain? You know, a fall off a bike, a fall, something like that?
Just wondering because THIS is the main agruement that my ex husband has about our son and his activity. So just wondering about the actual chances and stats on an odd occurance such as this.
Thanks

I had the same procedure your son did on June 6 of this year. After 12 weeks I was back on the bike going eight miles easy and now regularly doing 18 mile rides. It is very important he wait until his sternum heals to ride a regular bike. I felt waiting the 12 weeks until my surgeon took me off restrictions was a safe time to start but I believe others have gotten on their bikes earlier. You know, people who aren't on coumadin have problems with joint injuries bleeding. The whole reason he had the surgery was to save his life so let him have one. :)
 
Joe had a horrible fall on the ice last winter. The bruising went from his kidney area to his foot. Fortunately, nothing was broken. He had to have physical therapy in a rehab facility and at home to be able to walk again. There was a lot of soft tissue damage. He healed from it and has no lingering joint (hip) problems.

He's been on Coumadin for 28 years, and has had his share of falls, broken toes, etc. Everything has healed.
 
My husband's been on Coumadin for fifteen years, but I don't understand what you mean about not following doctor's orders and doing bad things. His doctors have not restricted his activities to any extent and I can't think of any bad things at all. Bad things have happened to him...he's fallen, bumped himself, had a chair at work fall apart under him, and the like. None of these caused anything more than temporary worry. There were some suggestions about sex and avoiding multiple partners early on, but I doublt that those are the "bad things" you were alluding to. Would you please explain a bit more to this bewildred person?
Regards,
Blanche
 
Some of the bad things

Some of the bad things

Please don't ever, ever quit taking the anitcoagulent therapy as prescribed, because bad things can happen. I get an occasional bruise working in my garden or my wood shop, working fire calls or traffic crashes, and so on (volunteer fireman and EMS Medic, retired). Fortunately, I now work in an office which decreases my risk of occupational injury. :) But the bruises are much better than the time I ran out of coumadin (for about three days) and had a stroke from a clot :mad: . The recovery from the stroke was a long battle, so I never run out and don't worry too much about bruising. I have been taking coumadin since 1982, get INR checked at the lab every 2 to 4 weeks (my doctor has not approved an INR home testing unit for me yet). You can not stop living or taking small risks, but live life to the your fullest.
 
If you have been taking warfarin for 23 years and your doctor won't let you home test, you have a doctor who is sadly out-of-date on warfarin knowledge. The argument over whether home testing is just as accurate was settled years ago - they are equivalent. You need to get your doc up to speed.
 
aka Mom

You can learn all about Coumadin management at AL Lodwick's website www.warfarinfo.com

Hopefully this will give you some 'amunition' for those arguments with your ex.

Many of us have had bruised to the body and/or hematomas. They're not fun, but they do heal and life goes on. Head injuries are the most dangerous so be sure your son wears a helmet when he rides his bike. Everything else just requires bandages and time.

'AL Capshaw'
 
Thank you all!!

Thank you all!!

As I had expected.

Garin's cardio refuses to allow the skatebaording..which is the ONLY thing my son adores. If I made him stop I might as well just put him into anger management classes, get the tutor and put him on drugs too.

I am ignoring him and letting my son live his life. He made some inane comment about "If he bruises in his joints" and will curse the day for years.
This jerk even cancelled his "make a Wish" requests...either a half pipe mini ramp thing built or a summer at the elite skate camp Woodward. Ok, so now I might get a vacation out of it, but still!
Anyway, his father is nervous because I am totally ignoring the doctor. Not that he would come hear and do any reading himself...no just bother me and make me feel bad. He wears his helmet, takes his coumidin, and knows that if he bruises and it becomes an issue then we might have to rethink it, but for now...no. I knew other folks here did official Coumidin "no nos'...not threesomes ( hee hee) , but bike riding, rockclimbing, risky things

This does sum it up best: The whole reason he had the surgery was to save his life so let him have one.

I am trying. You guys really help.
Thank you.
 
A few years ago I was an expert witness in a lawsuit against the NYPD. They were trying to fire a police officer a few months before his retirement because he got a mechanical valve and had to take warfarin. The city had the heads of departments at several famous NYC medical schools as their experts. They were making statements like, "He isn't even fit to stand duty along a parade route." And, "He could die from a punch in the stomach."
Needless to say I expressed a strong opinion against this. It had to be formal in the write-up - I couldn't really say what I thought. I can't advise you to go against the doctor's orders ...
 
FYI:

http://www.ncbi.nlm.nih.gov/entrez/...d&dopt=Abstract&list_uids=15722288&query_hl=9

Skateboard Injuries (from PEDIATRICS, Vol.95 No.4 April 1995)

Skateboarding has resurged and so have its associated hazards and injuries. There are an estimated 8 million skateboarders now in the US. Pediatricians informed about skateboard activities in their areas can help prevent needless injuries to children and adolescents. An estimated 56,435 skateboard injuries were treated in emergency departments in 1992. In addition, an estimated 1,900 hospitalizations occurred due to skateboard-related injuries during this period. The vast proportion of admissions were from head injuries.

Analysis of Consumer Product Safety Commission data from 1991 indicates the following salient features of the current outbreak of skateboard injuries:


95% involved skateboarders younger than 25 years; 61% involved 5- to 14-year-olds;
87% of victims were male;
74% of injuries involved the extremities?usually fractures of radius and ulna, 21% to the head and
neck, and 5% to the trunk;
severe injuries (intracraneal, internal) were uncommon, moderate injuries (long bones fractures) were
most common, and deaths occurred almost always from collisions with motor vehicles;
younger victims incurred in a higher proportion of head and neck injuries than older victims?head
injury occurred in 75% of the victims in the 0- to 4-year-old age group, 50% in the 5- to 9-year-old
group, and 15% in the 10- to 19-year-old category;
head injuries in the older age groups were more severe because of collisions with motor vehicles, and
helmets designed for skateboarding are seldom worn but will protect skateboarders from serious head
injury; data on the protective value of elbow pads, knee pads, and wrist guards are inconclusive; they
may reduce injury severity. The use of bicycle or hockey helmets has not been evaluated.



Patterns of injury at different ages can be explained by patterns of skateboard use, which, in turn, are developmentally determined. Young children generally use skateboards near their homes. These children have a high center of gravity and limited ability to break a fall. Injuries are most frequently to the head. Although these heads injuries have generally not been severe, they frequently require medical attention. Older children more often use their skateboards on streets and highways. They often can break their falls but injure their extremities in so doing. When they collide with a motor vehicle or cannot break a fall at high speed, serious head injury may result.



On the basis of these data and their implications, the American Academy of Pediatrics makes the following recommendations:


Children younger than 5 years of age should not use skateboards. Their center of gravity is higher, their neuromuscular system is not well developed, their judgment is poor, and they are not sufficiently able to protect themselves from injury.
Skateboards must never be ridden near traffic. Their use should be prohibited on streets and highways.
Activities that bring skateboards and motot vehicles together, (?catching a ride?) are especially dangerous.
Skateboarders need to be encouraged to wear helmets and protective padding for their elbows and knees to reduce or prevent injury.
Communities should be encouraged to develop safe skateboarding areas away from pedestrians and motor vehicle traffic.

.
Back to PB Index
 
My husband is a Maintenance Mechanic in a fiberglas factory. The first year he was on coumadin he had his first accident on the job. A gy dropped a metal pole and it popped up and hit my husband in the mouth. He was taken to the hospital and had five stitches. The doctor on duty was surprised at the fact he bled no more than someone not on coumadin. He has since had lots of little cuts while doing yardwork,etc. I do still worry when he gets the chainsaw out. Oh never mind we weren't talking about those sort of bad things.
 
I'd let him go ahead; I doubt that you could really stop him if he really wants to do it. As long as he wears the helmet and stays clear of traffic, that's about all you can ask for.
Mary
Mother of 4 boys (and one girl) :)
 
FWIW, My lastest adventures:

I crashed on my bike about six weeks ago while training for my lastest triathlon. I got run off the road into a ditch by an inattentive driver who cut across the bike lane without looking. I thought at first that I had broken my shoulder or collarbone, but the x-rays were negative. It was just bruised, stiff, and sore for a week or so.

Then, about three weeks ago I slipped on a wet sidewalk and hyperextended and fractured the middle finger on my left hand.

Did my triathlon three days after breaking my finger; just buddy taped it to the next finger. I did the race with my doctor's blessing (he was doing the race too!).

Being on Coumadin wasn't a complicating factor in either situation. In the last five years Coumadin has not in any way limited my lifestyle or activities: I haven't let it.
(My doctor did ban me from working at Habitat for Humanity for six weeks, only because he figured all the hammering probably wouldn't be the best thing for my broken finger).

My INR has taken a jump from 3.0 up to 3.8 because I haven't been able to work out for the last couple of weeks, but I'm confident it will drop back into my 2.5-3.5 target range as soon as I can start working out again.

Just my $0.02.

Mark
 
I can see myself being in the same boat as you, at some point, it will be really hard trying to stop them doing things they love. Please make sure hes really really carefull( i know you will) and i hope he has loads of FUN, all the best Paula x
 
Coumadin and an Active Lifestyle

Coumadin and an Active Lifestyle

I've been on warfarin for 21 years, and was told no: rock climbing; contact sports; or hang gliding. I have been skiing, bike riding(and crashing) sailing catamarans, and kayaking. I have had major bleeding in my right knee and right elbow, but both happened during normal activities at work! I often have trouble with broken blood vessels in my fingers. I suspect if I start home testing, my bleeding episodes may come under control instead of being a mystery. I'd make sure my son was wearing a complete skating armor: Wrist guards, helmet, and knee and elbow pads. But I'd do that even if he wasn't on warfarin! :)
 
FauxClaud said:
Just wondering because THIS is the main agruement that my ex husband has about our son and his activity. Thanks

Can bleeding in a joint cause long-term joint pain?? That one is new to me. He might be making his decision based on a bogus risk, not a real one.

One thing I've learned about ex-husbands: they will NOT listen to a word you say. :D

If your son spends more time with you than him, won't matter anyway, you get to choose what he does when he's with you. At least that's how I deal with things when my ex is nauseatingly overprotective with our daughter.

Patty
 
I don't know about long-term pain, but the short-term pain can be quite nasty. I had one patient who had bleeding into his knee joint. When it happened a second time he matter-of-factly told me that he wasn't going to go through that again and went home and shot himself in the head.

I told this to another person who had the same problem. He said, "I wouldn't go that far, but I understand how someone would feel that way."
 
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