Pulmonary Embolism : Treatment

[@marklance1250]

The squeakiness of your pen is so satisfying.

[@kadianbennett3918]

Thank God for people like u ... u guys saved my wife on 13/1/19🤗❤❤❤❤❤😘

[@happymomchristina8211]

Awww.God bless her. Very few people who are happy with us..most only complain :(

[@carlorocky]

Brilliant explanation, bravo! I’m 45 years old and have been taking trt for 8 years. For the last three months I’ve been experiencing shortness of breath, pain in my right calf, chest pain, numb legs and arms, and balance issues. Finally, after waiting 3 months, I have an appointment with a Dr. on 11-27-18. I suspect I may have a PE. I also suspect that trt is responsible for this. Thank you for your extremely well explained video. You are an excellent teacher.

[@nikkirothschild8767]

carlorocky I'm on apixiban after a pe in Dec. I get exactly the same symptoms pains in legs shortness of breath and live my life in panic that i get another PE. I'm glad I'm not alone

[@venomx4093]

carlorocky, did your diagnosis turn out to be a PE?

[@carlorocky]

@@venomx4093 no.Thanks for asking. After a recent knee injury, I discovered during physical therapy that the gastrocnemius muscle in the calf is known as the second heart. It pumps blood. I’ve been wondering if there is some correlation between weak gastroc. muscles and PE. Read up on that, I’ve got my hands full with knee rehab reads. Good fortune!

[@chrisbrooks2676]

How come doctors around the world are way better at there jobs then in Canada they just neglect you hear wow they tell me I'm fine at 38 years old with a heart rate of 42 resting 38to42 I expect I will die and it because of neglected blood clots I mean I have cough up blood and I have kidney desease my liver enzyme are elevated and the doctors say your a black mail for reasons we can't understand you guys have lower blood then us of course we don't have meany good doctors down hear or they just don't care they are killing you thanks would love to see you you seem like a great doc

[@Icanctc]

My grandmother has this and I hope she gets better

[@Sharon-yr6th]

Dr Fasakas - Thank you for the excellent "understandable" explanation of PE! I am a survivor of a massive unprovoked bilateral PE! 🙂

[@rdo1231]

excellent!

[@rupapriyadharshini3830]

Doctor you explained very beautifully, I like to see more videos, thanks for sharing

[@TheZuluman7]

A polished & brilliant presentation made pretty easy to understand!!

[@JesusIsTheGoodSheppard]

I'm working on a Med/Tele unit and this helped me so much!

[@milowgeary]

I had a very severe rattlesnake bite about a year ago, I don't recommend carrying rattlesnakes around by the neck. I had to go back to the hospital three times for Anti-Venom + platelets+ plasma, during my third trip in they discovered three blood clots in my lungs through a sonogram, one of them they said was in a bad spot, during the course of this last I've gotten shorter and shorter on breath to the point of not even be able to work for half an hour without being winded, I also feel fatigued quite frequently and dizzy and my fingertips get numb quite often. I'm only 44 years old and I have three children that I'm not ready to leave without a dad just yet. I have not gone back to the hospital to do a follow-up because I'm very concerned about the level of expertise it might require to if possible rectify my illness or at least prolong it. I would be grateful for any recommendations on doctors that specialize in this field. Thank you

[@chiamakafrances3359]

A very satisfying explanation.

[@dr.diegomaier]

Awesome video. Thanks for your explanation. I am brasilian, so we have some different ways to treat since we do not use some of these mentioned drugs. I encourage you to stay doing more videos. You got a excellent didatic method

[@subhashgrover3087]

excellant lecture

[@pdopp236]

Thank you,i really enjoyed,learned your passionate hardworkthank you so much for creating this video,you are a very dedicated doctor and teacher. Keep it up.

[@lreneaborchie]

Good teacher

[@V21IC]

🇲🇽 Excellent explaination. Shows that you are quite knowledge and ethical. In 2019 was admitted to the hospital for 2 months and then received surgery on my lungs. They said it was PE and that I have DVT . Still haven't recovered yet. Still have a pain on right lower chest. I was told that it was scars from the surgery in October 2019. Started with Rixozaban. Later, I started on Apixazaban. Now, I've stopped taking them. I suspect that I may still have a TE or maybe the pain is due to my liver. I don't know. I've gone from specialist in a circular motion until I've given up. So sad that public health system is like this. They were focused on COVID-19 so much that follow-up visits in early 2020 were denied. I remember faking to have COVID to get attention late last year! An ultrasound shows that the Deep vein in my legs are destroyed. The bicuspid valves aren't working! Now, I can't walk fast, nor jump nor run! What a situation!

[@thomassmearcheck2819]

Great video , well explained ,you helped me so much

[@TheAirtrans]

CA te tah..Catheter..its so unique how he pronounces it. Good lecture

[@DarleneLavigne-to9pn]

Really informative and great explanation. Thank you.

[@ubaiduddin5222]

You deserve 1M likes Sir..

[@daniellujano5894]

Quick and dirty... love it. Thank you, Doc!

[@ravisingh-mk5uw]

Beautifully explained sir

[@ChidozieAdiukwu]

Excellent presentation! You couldn't have made it simpler.

[@carolinabergstrom5409]

Så duktig 😍👍

[@aliabuzaid1499]

Thank you, I really enjoyed as well..

[@duwad9914]

Thankyou i am bleeder you helped so much second time around thanks

[@ultimatecountry]

I just got out of ICU for PE they said there was to many clots to count that hit my lung and one big one in my left leg but the pain was in my right leg, i was in ICU 3 days they gave me fluids then a clot buster after that a med hepner

[@enthroned_one]

Please join nsppd on KZbin. Jesus will heal you there

[@yunassaxer7119]

super!

[@afshinebdali504]

Very good explanation 👍👍

[@PoojaKumari-ih8nd]

Your way to Conduct lecture Too much nice♥️😎

[@MelliaBoomBot]

this man is fantastic!

[@sinanbay1585]

Warfarin, vitamin k from what I remember if increase would increase the strength of warfarin, would have to lower dosage to maintain therapeutic level

[@JP-dr7qd]

Very nice

[@haqataul4988]

Assalamo alaikum:- Dr you Education, Knowledge, Experience then, Allah Kareem, gave you a gift is called; Wisdom, and it is speaking in you.

[@nileshmane6476]

Excellent explanation sir

[@matthewskidmore6884]

It hurts so bad for me best way to relax and sleep is sitting up. What else would make me more comfortable cause the pain killers they gave me are not working

[@nadiaelhani9523]

Much appreciated! Thank you

[@hammerradiology1470]

Nice presentation...

[@nathalienaty1917]

Very well explained

[@anilkumarjangbahadu229]

Excellent knowledge u have....best rotational treatment possible ..Thanx sir Pl tell me about prognosis

[@gaxiola55]

Another question doctor , can EP be caused by the covid vaccine ?

[@nikkirothschild8767]

Thank you so much for this. I was diagnosed with an unprovoked Pulmonary Embolism in Dec 2017. Luckily I was in the stable group and I am on Apixiban with no side effects. I'm also a medical student and found this very useful. Worth noting my D dimer at time of PE diagnoses was negative and really believe that it's an unreliable test. How do they or can you monitor Apixiban as you cannot do an INR and do you know of many treatment faliures as of yet. I have protein S deficiency and belive this is possibly how I got the PE. I will certainly be keeping up to date with your videos and thank you for allowing myself to be educated on this subject.

[@drandrasfazakas]

Thanks alot Nikki for your great feedback :D You made my day!Apixaban does not need to be monitored as with warfarin. Only watch out for any excessive bleeding symptoms anywhere in your body and contact your doctor immediately if you bleed somewhere.But its possible to check the anticoagulation levels with a test called Chromogenic anti-Xa assay: It is the most sensitive assay to determine the inhibition of factor Xa by apixaban and it is recommended to estimate plasma concentrations of this drug. However, this test is not widely available and it is time consuming. There can be side effects and treatment failures with any medication on the market. No medication is 100% perfect. But I have to say that the new oral anticoagulants like Apixaban have revolutionized the treatment of deep vein thrombosis and pulmonary embolism. Protein S deficiency increases unfortunately the risk of thrombosis formation. Have a nice day, and I wish you all the best!

[@nikkirothschild8767]

Dr. Andras Fazakas thank you for your reply. I look forward to learning from you.

[@danielhendry8376]

I'm also on apixaban for life long now. Following breaking my leg and rupturing my acl and mcl followed by compartment syndrome and nearly losing my leg I then developed dvt and was found to have factor V leiden but have not had any issues with the drugs

[@aiswaryamb5229]

Super class sir ❤️ tnx for ur well explanation

[@JesusIsTheGoodSheppard]

What pain medicine is best for PE? I had a PE patient the other day, and they started the person out on Tylenol, and then ordered morphine

[@pingupingu9839]

Very nicely explained sir

[@gpg4424]

Super...lec

[@m.s7207]

Which medicine you've mentioned causes a face, neck to swell? Is it heparin?

[@mercyhaokip8558]

Thnk you sir

[@robertpugsley6326]

Very nice presentation. BS, lacking all the autoimmune diseases that are associated with this unfortunate life, condemned to unhappiness.

[@vanitylapree5197]

Appreciate you Doc ! Quick question , if someone is fighting for their life . How can you do this in a matter of minutes ? Unfortunately my mothers friend had blood clots in her legs only 49 and she was a heavy woman but she walked , work and still had a active life . Unfortunately she couldn’t breathe well all of a sudden 2 weeks ago , she told her cousin she could barely breathe and she didn’t feel right . Her family called the ambulance, the paramedics came and she began to lose consciousness , the paramedics resuscitated her and they got a faint heart beat . Unfortunately the paramedics dropped her off the gurney and she died smh . How could of all this been avoided? This was so sudden

[@gaxiola55]

Where does the bleeding usually show ?

[@gaxiola55]

Question , so I’m not supposed to be taking vitamin k ? Which is a lot of greens

[@slwilborne]

What if someone has a PE in their lung but cannot take anticoagulants? The filter won’t work because the PE is already in the lung, right? So what do you do?

[@sunshine-yh6oz]

Thank you Dr, but I have one question, what about giving dobutamine with fluid?

[@sanketshelake4214]

sir can iv fluids increase afterload of RT heart ,it may further worse the condition of patient - dilatation of rt sided heart

[@pamkallefa881]

Does PE comes with back pain

[@SPLITSLEEVE]

How can warfarin be Vitamin K ? They have opposite functions . Warfarin is anti, Vitamin K is pro-coagulation.

[@SPLITSLEEVE]

Okay, i figured it out. It blocks Vitamin K from doing its job.

[@gaxiola55]

@@SPLITSLEEVE so wait , warfarin blocks vitamin k ?

[@SPLITSLEEVE]

@@gaxiola55 vitamin k 2 thickens blood, warfarin thins it.

[@brad4908]

That was a mouth and lungs?

[@drandrasfazakas]

It seems you got the message from the best artist in the world :)

[@tshdvfsggaygdg2471]

Omg