David had an endoscopy just now. The doctor found a large ulcer in the small intestine with active bleeding and clots. They cauterized it but are worried about the position and the possibility of re-bleeding and so will give him two units of blood, watch him carefully, give him IV proteomics for 72 hours and blood work periodically to see if the hemoglobin goes up. So he could go home Thursday or Friday. He is very lucky that we got him here. The blood thinners made the ulcer much worse that it would have been but we don't know what caused it. The gastroenterologist, Dr. Lee, is deferring to the cardiologist, Dr. Clemo, to decide about continuing the blood thinners. Blood thinners prevent clots due to atrial fibrillation, which David has had for sometime. So the risks to weigh are clots (stroke, pulmonary embolism, heart attack) vs. GI bleeds. So a cardio consult is probably going to happen today too.
As always more when I know more.
No comments:
Post a Comment