Moving Around To Avoid Blood Clots

LorriB
on 2/9/12 10:28 pm
How much moving around after surgery did your doctor suggest to avoid any blood clots?  I was just curious since I imagine the first few days are experienced thru a medicated fog.
Have a great weekend everyone :D
mkbeany
on 2/9/12 10:56 pm
I was instructed to be and at it the next morning, showering and walking, drains and all.
I have a 2 story house, bedrooms are all upstairs and I was suppposed to be up and down the stairs.

I walked at least once an hour, to the bathroom, to the shower, up and down the stairs or outside and down the driveway.

Blood clots are nothing to mess around with.
I have a fear of them when I fly, take long care trips, and have surgery.

In my nursing career I have seen people die from them...young, old, fat, skinny, big surgery, small surgery.

Fog or not, pain or not...you must get up and move!
"And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom. " -- Anais Nin

Revised from Band to Bypass 10/26/09
High Wt 355/ Surgery Wt 343 (BMI 61) / Current Wt 190 on 3/17/12

TT/Fleur De Lis 8/22/11
Mastopexy and Brachioplasty 12/14/11
dasie
on 2/9/12 11:43 pm
They scare me big time.  I have nose bleeds off and on...sometimes not often at all.  But when I had RNY and had the injection to prevent clots, I had a bad bleed.  They almost kept me one more night and almost packed my nose.  They cancelled the 2nd injection.  So...I am concerned about blood clots.  My nose bleed stopped on its own, but if I had to have more than 1 injection, I'm not sure what would happen.  I mention this in my consults, and I think it kind of concerned the 2nd doctor.  He wants clearances from all my doctors.  I guess that is normal?

If we make sure we move post op are we usually safe?




    
waitinggame
on 2/9/12 11:00 pm - Bowie, MD
Trust her...she knows! :) I also know I was instructed to do a lot of ankle twirls, flexing and relaxing the calf muscles, changing position of my legs from up to down to spread (okay, that one was my husband's idea!  LOL!).

Good luck! I'm sure you'll do great, especially being so aware!

Denise

Check out my blog--menumealplanning.com. Tales of making meal planning managable, family fodder, and everything else under the sun. 

RNY 2/3/09, LBL/BL w/Augmentation 9/16/11
Start weight: 335 Current weight: 185 Goal weight: Whatever the hell I can maintain without driving myself insane


                    ButterflyCenturyCard-5.gif picture by barbccrn

 

*6.5 lost preop

mkbeany
on 2/9/12 11:18 pm
OMG Denise- you just made me spit out my Starbucks!

You kill me sometimes.


"And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom. " -- Anais Nin

Revised from Band to Bypass 10/26/09
High Wt 355/ Surgery Wt 343 (BMI 61) / Current Wt 190 on 3/17/12

TT/Fleur De Lis 8/22/11
Mastopexy and Brachioplasty 12/14/11
(deactivated member)
on 2/10/12 1:53 am
As much as you can stand to move around. Everyone is at risk, I got 5 blood clots or (5 Pulmonary Embolisms)  and I was 15 days out when It hit me. I had just walked over 1/4 mile the day before to and was feeling great. I was wearing compression stockings too doing the foot exercises etc etc like I had been told and it still happened. There were a few factors that led up to mine happening like my Pulmonologist told me I had a perfect little storm come together. Talk to your PS about lovenex shots or when you can take baby aspirin after surgery to help minimize your risk.

You can't be over prepared on some things, funny how I thought having a raised toilet seat was the bomb how little I knew.  Getting to the ER probably saved my life so if it hurts more than normal dial 911.

You'll probably be fine most people are with PS but doesn't hurt to be prepared. Heck if it get more money someday I will have more plastics done.

Take care,

Bubba
DrL
on 2/11/12 4:03 am - Houston, TX
Blood clot prevention should be a big part of what goes on before, during, and after surgery.

The following are some of my interventions and should not be attempted by anyone reading this unless ordered by your doctor.  I.e. this is for "information pruposes only."

The first step is identifying your risk factors, whi*****lude things like a prior blood clot, inherited family clotting disorders (like AT3 deficiency, Factor 5 Leiden, and protein C or S deficiency)

http://my.clevelandclinic.org/heart/disorders/vascular/hyper coagstate.aspx

Other factors contributing to risk are being on female hormones and recent or expected travel over 3 hours.

Standard clot prevention therapy should always be done at the hospital like SCD therapy, maintaining adequate hydration during surgery, proper patient positioning, and possbly the use of Lovenox in patients with extra risk factors.

After surgery, body positioning to prevent blood from pooling in the legs, loosening of the compression garment periodically, adequate hydration, and a scheduled period of moveent and/or excercise are standard.

The key is to obtain a plan from your doc prior to surgery and follow up with him afterwards.
John LoMonaco, M.D., F.A.C.S.
Plastic Surgery
Houston, Texas

www.DrLoMonaco.com
www.BodyLiftHouston.com
LorriB
on 2/13/12 2:39 am
Thanks so much everyone, I really appreciate your time and experiences!

And Thank You Dr L!   Wish I still lived in Clear Lake - you would have been my pick for my PS!
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