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My patient never had a DVT before and did not have the protection of a filter. In this case I feel that hospital admission was warranted.




Pam W.

From:  Lisa Mekenas <[log in to unmask]>
Reply-To:  UVM Flownet <[log in to unmask]>
To:  [log in to unmask]
Subject:  Re: DVT patients
Date:  Wed, 26 Apr 2006 18:41:16 -0700
>I can appreciate your position but we have several patients that have
>filters in place and they are given lovenox and coumadin at home Many
>have chronic with acute thrombus formations. These patients are not
>considered a risk at home-and often are Cancer patient and do better in
>the home environment rather than in the hospital.
>Lisa
>
>-----Original Message-----
>From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Pamela
>Wickkiser
>Sent: Wednesday, April 26, 2006 5:06 PM
>To: [log in to unmask]
>Subject: Re: DVT patients
>
>I too had such an incident. My patient had an extensive DVT that had the
>
>ability to become a PE at any moment. Their family physician told me to
>send the patient home and come to the office tomorrow. I tried to
>emphasize the serious nature of the DVT, but the physician would not
>change his treatment plan. At this point I called our Medical Director
>to
>intervene on the patients behalf. There was some hesitation on his part,
>
>but he ultimately called the family physician and explained our concern.
>
>Finally, the referring physician admitted the patient.
>
>With all the liability concern why would a physician take such a casual
>position on a diagnosed acute DVT is beyond me.
>
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