Chris Bosh Hospitalized in Miami

It's hard to tell - any of those below-the-knee veins can cause calf pain.

 

Damn, poor guy.

Just like Cat having to retire due to his heart condition. You hate to see great (might be pushing it) players forced to retire because of health. It's one thing to lose a guy like Isiah, Yao or Chuck at the twilight of their careers due to injuries, but Chris Bosh still had several good years left.

Hope he recovers, whether he makes it back to basketball, or just to live a long healthy life, for his family's sake. Glad he got to win a ring though.

 

Just want to say that Yao was not on the twilight of his career.

 

many different unknown factors to begin speculating

DVE or PE

How large the previous clot, how it was treated ,


Blood thinner dosage

Did he develop another clot while using blood-thinner

hypercoloagubility workup before starting treatment or was it after?

Then ...if he qualified for life long anticoagulation while monitoring

active thrombosis, IVC Filter etc ;

but yeah he would be fine and set for life which is great

 

DVT*

...
The trickiest part is how you perform coagulation based test, while he is on

anticoagulants -active thrombosis. it's near impossible to interrupt results or to

stay within approximate reliable range.
Which would lead to an extra 3 stages of tests

it may take at least 4 months before having a solid bases to evaluate his case.

 

<blockquote class="twitter-tweet" data-lang="en"><p lang="en" dir="ltr">Heat announce: &quot;Chris Bosh will not practice today and will not accompany the team to Atlanta for the game on Friday . . . &quot;</p>&mdash; Ira Winderman (@IraHeatBeat) <a href="https://twitter.com/IraHeatBeat/status/700053683921362945">February 17, 2016</a></blockquote>
<script async src="//platform.twitter.com/widgets.js" charset="utf-8"></script>

 

Man you make it sound like rocket science lol. It's not really that complicated, there's like three options you have to choose from.

I think the problem is that this lies in a gray area in terms of the science, not that the science itself is complicated.

 

<blockquote class="twitter-tweet" data-lang="en"><p lang="en" dir="ltr">Dwyane Wade: &quot;He's fine. It's not the same health scare he was in last year.&quot; <a href="https://twitter.com/hashtag/Heat?src=hash">#Heat</a></p>&mdash; Manny Navarro (@Manny_Navarro) <a href="https://twitter.com/Manny_Navarro/status/700077739668332545">February 17, 2016</a></blockquote>
<script async src="//platform.twitter.com/widgets.js" charset="utf-8"></script>

 

Yea this sound a lot like DVT. He's gonna be on anti-coagulants for the rest of his life.

 

You don't diagnose DVTs with a lab test (unfortunately). It's all with medical imaging. Being on anticoagulation would not prevent diagnoses of a new thrombus, especially since prior imaging would be available for comparison.

 

Actually imaging help with detection.it comes secondary in importance ( you can bypass it if you have to by some blood test ,D dimer under some circumstances)

But in order to diagnose and determine treatment length you need the blood test

Coagulation based test is a general name for a group of 10+ test criteria

 

how many haematologists are in this forum? Serious.

 

Lol, please stop posting.

 

true it's so common, treatment was available since long time ( rat poison day lol)

But there are many serious investigation to be made .

Young,healthy and was diagnosed and treated =This is an alarming combination .

You take your time rethink previous treatment, could the flow due to lack of regular medication usage? Size...these little things often overlooked.

Human error/administration ...did he go to hospital and received treatment by non hematologist ? The guide line between specialist vary sometimes etc ; this why Dr.Wells created simple score board charts for it.

 

Try to explain more

 

D-Dimer, fibrin split products, etc cannot diagnose a deep vein thrombosis. It's diagnosed with medical imaging.

 

Wells criteria is a pretest probability. It has no effect on treatment guidelines nor actual diagnosis.

 

Medical imaging tell you >>>> there is a clot here.

Then what would you do ? More imaging ??

 

D-dimer is very non specific (fibrin split products). After a history and physical, perhaps elevated d-dimer, you need confirmation from (usually) ultrasound.

If you're talking about indications to start heparin following high suspicion of a DVT, I think you can go ahead and start it following elevated D-dimer, but for the diagnosis of a DVT or PE, you need imaging ; v/q mismatch.

azadre or Md_in training can probably correct me as they are probably more experienced and further along.

 

I already explained in my post, he's not talking about intervention such as wether or not you go ahead and start heparin based on high suspicion outweighing the potential risks of anticoagulation.

For the diagnosis of a DVT or PE. You need imaging or V/Q mismatch (PE).


Whats your background? Since you've posted some slightly incorrect stuff before in the D&D