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2009-07-03 7:11 AM
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Bob
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Binghamton, NY
Subject: RE: season over .......maybe tris over.......

Hey Chris!

Sorry to hear of the PE's. Don't get too down about it. Get well now and worry about later, well ..... later. I had a PE back in 2003 that originated from some road rash on my leg.  After a bunch of bloodwork I was found to have Factor V Leiden, a predisposition to clotting. The Dr, who knows me and is an athlete himself, wanted me to go on Coumadin for good. After talking it out with him we came to the conclusion that iit would be more dangerous for me to be on blood thinners and crashing out in the middle of nowhere that the chance of getting another PE. But, he did say that if another PE should come about I WILL be on the blood thinners.

Get well, at least you know where the chest pain was coming from. Stay positive!

 

Bob



2009-07-03 7:18 AM
in reply to: #2259543

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Subject: RE: season over .......maybe tris over.......

Healing vibes... 

Sorry to hear.  Hope you are better soon.  Said a prayer for you

more healing vibes

2009-07-03 8:16 AM
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Champion
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Fountain Hills, AZ
Subject: RE: season over .......maybe tris over.......
Hang tough, big man! From the many responses sounds like you are going to be ok and back at it.
2009-07-03 8:21 AM
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Pro
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Norwalk, Connecticut
Subject: RE: season over .......maybe tris over.......
all the best Kharma for you Chris,...but you are a fighter, you will persevere!!!

2009-07-03 8:24 AM
in reply to: #2259961

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Champion
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Sarasota, FL
Subject: RE: season over .......maybe tris over.......

rstocks3 - 2009-07-03 8:11 AM

 

 After talking it out with him we came to the conclusion that iit would be more dangerous for me to be on blood thinners and crashing out in the middle of nowhere that the chance of getting another PE. But, he did say that if another PE should come about I WILL be on the blood thinners.

The additional risk of crashing while on Coumadin is marginal and mostly related to a closed head injury and brain bleed. 

Coumadin is actually an anti-coagulant, not a "blood thinner".  It delays the clotting process, but does not stop it.  It does not turn people into hemophiliacs. Typical theraputic ranges would be an INR value of somewhere between 2.0 and 3.5 which means that it takes your blood 2 to 3.5 times longer to clot compared to normal blood.

If you crash and cut yourself you're not going bleed to death unless you sever a major artery or tear off a limb, in which case you're probably are probably going to bleed to death with or without the Coumadin.

I certainly always wear a helmet when I ride, which really has nothing to do with Coumadin but is only common sense.  I have no other restrictions being on Coumadin (My PCP is also a triathlete).  Besides tri training, I routinely bust my knuckles working on my cars and volunteer regularly at Habitat for Humanity where I hammer, saw and play with other sharp toys.

I even occasionally will run with scissors. 

Mark

 

2009-07-03 8:37 AM
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Master
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Lake Norman, NC
Subject: RE: season over .......maybe tris over.......
Here's praying that the docs are wrong and you'll make a FULL and COMPLETE recovery!


2009-07-03 8:39 AM
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Expert
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Broadlands
Subject: RE: season over .......maybe tris over.......

Chris,

That sucks, not missing the season (although that does too) but the health side, I hope things improve for you and you're able to continue, best wishes from this side of the pond.

take care.

dean

2009-07-03 8:42 AM
in reply to: #2259822

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Cycling Guru
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Fulton, MD
Subject: RE: season over .......maybe tris over.......
Dude ..........

I hope things work out for the best.  There's gotta be something non-invasive that can be done to get you better.

In our thoughts.
2009-07-03 9:02 AM
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Regular
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Subject: RE: season over .......maybe tris over.......
Sending more best wishes
2009-07-03 9:11 AM
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Subject: RE: season over .......maybe tris over.......
wwlani - 2009-07-02 9:35 PM

Chris,

1) Get better
2) Listen to your Dr.'s
3) Make sure they figure out why you got the clots in the first place
4) AFTER clots are disolved and medication under control you "should" be able to ride (many of us do or did)
5) You can ride after having had clots (I've had 2 previously, had to take blood thinners while pregnant) and was cleared to ride
6) Keep your chin up!
7) Keep us posted on how you are doing!

Lani


Hi Chris,
I have a rough idea of how you are feeling. I was admitted to the ER 4 yrs with what they thought was a pulmonary embolism. Same symptoms. No clot showed, but knowing what I know now, I think it was a clot. I thought it was only a one-time thing. 4 months later, I had 3 clots in my left leg. I second what Lani says. I ride and also take blood thinners. I am fortunate that because of my condition, I can take aspirin daily and Lovenox when I travel.

Make sure they find out why you got the clots in the first place. As for me, I have a clotting condition that makes it highly likely that I will clot, even with as active as I am. You can do it.

Get better and then worry about not cycling. It can be done, but you have to take it one step at a time. If you want to talk... pm me.
2009-07-03 9:25 AM
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Master
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Subject: RE: season over .......maybe tris over.......
Chris,
Healthy thoughts coming your way. Get healthy, then work toward a solution.
Good Luck!


2009-07-03 9:55 AM
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Champion
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Brandon, MS
Subject: RE: season over .......maybe tris over.......

Get healthy and go from there, man.  Sorry to hear about this.

2009-07-03 10:36 AM
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Expert
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Subject: RE: season over .......maybe tris over.......
Sorry for your news, I hope you are feeling better.  It's very important to find out why this happened.  Did you have recent leg trauma, immobility, injury??  If a true precipitating event caused this, then maybe the coumadin could be for just 6 months.  If this is truly "idiopathic" meaning no explanation can be found, then the data is confusing, and the current consensus is treat indefinitely.  At least until more clinical trials prove otherwise.  It's also important that you make sure you are up to date on health maintenance issues, eg. colonoscopy, usual screening stuff.  I'm sure the docs will check you for genetic clotting disorders as well, most common ones include Factor 5 Leiyden and Prothrombin Gene Mutation.  Difficulty with these tests is knowing whether they truly were the reason for your clot. 
     Greenfield Filters are usually reserved for those with tremendous clot burden, and/or compromized right heart function as a result of the clots where any further clots could be fatal.  Filters are also used when anticoagulation cannot be used, eg. if you were to be bleeding or need major surgery.   If you don't fit this category, in general we don't put in Greenfield Filters as they can cause problems long term (filter is simply a device put into your Inferior Vena Cava to theoretically "catch" any blot clot that tries to travel from your legs to you lungs), and clots can still form on a filter.  
     Coumadin is a tough drug to be on, but know that in the future there is a new drug that may replace coumadin, and will not need to be monitored with regular blood draws.  It's still investigational in the US but appears very promising and the initial data looks good.
     Taking coumadin and biking is more of a risk decision you make for yourself.  Personally, if I end up on coumadin and am still physically able to cycle safely, I would do it.  It's a personal choice for me.  Make sure you get a medical warning wrist band or something that allows people to know you are on this medication if you do resume biking.
     Again, so sorry this happened to you.  Here's to a fast recovery.  My best, Jim
2009-07-03 11:27 AM
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Melon Presser
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Subject: RE: season over .......maybe tris over.......

You're an amazing soul and always lend a helping hand ... I much believe that as you are the recipient of so many return good thoughts here, so will the kind fortune you've bestowed return to you as you need it ...

I'm so sorry to hear about the PEs and the pain, too. Musta been seriously awful. Sending you the very best wishes and thoughts from Indonesia. They count more 'cause they have farther to travel

Stay in the moment and know there are many adventures for you yet. You were dealt a nasty blow at IMAZ and came back to smash it; so now you have been dealt a nasty blow and I am absolutely certain you will be back regardless. You are a major trooper, one of the very best I know.

2009-07-03 11:32 AM
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Master
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Chandler, Arizona
Subject: RE: season over .......maybe tris over.......

Sorry to hear about this Chris. Stay positive and you'll make it through this and be back training in no time!

2009-07-03 11:44 AM
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Champion
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Philly 'burbs
Subject: RE: season over .......maybe tris over.......
Get better Chris!


2009-07-03 11:49 AM
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Champion
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The Green Between Philadelphia and Pittsburgh
Subject: RE: season over .......maybe tris over.......
Hang in there, brother. Get the blood clot thing sorted first, then we'll worry about the cycling. You will be in my thoguhts and in my prayers, my friend.
2009-07-03 11:54 AM
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Extreme Veteran
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In front of computer when typing this.
Subject: RE: season over .......maybe tris over.......
Darn, that sucks man. I'll be thinking about you and hoping you find a good outcome!
2009-07-03 12:07 PM
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Expert
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Madison, MS
Subject: RE: season over .......maybe tris over.......

First things first: heal up and get healthy. Then, worry about the tri and cycling stuff. In the grand scheme of things, it's not really much. Your health and well being on the other hand...

In any case, here's hoping it all works out in your favor!

2009-07-03 12:09 PM
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Master
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The Redlands, FL
Subject: RE: season over .......maybe tris over.......

Wuaoooo...

Sending positive Vibes on your way...Hoping you feel better very soon...!!!

2009-07-03 2:07 PM
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Extreme Veteran
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Fulton
Subject: RE: season over .......maybe tris over.......
Sorry to hear about the clots.  Positive thoughts, Chris!  As everyone else said, get them figured out first, and you'll be back to cycling when you're ready. 


2009-07-03 2:11 PM
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Subject: RE: season over .......maybe tris over.......
Chris,
I just caught this thread. I'm so sorry to hear about this. I hope everything clears up quickly. You will get through this and make yet another comeback, Ironman.

Mike
2009-07-03 2:26 PM
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Veteran
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The Cold North
Subject: RE: season over .......maybe tris over.......
Chris, I'm so sorry you're going through this.  Heal up and deal with the rest later.  It sounds like there are many on here who are on thinners regularly and are still managing to ride.  Be up front with your doctors and see if something can be worked out.
2009-07-03 3:30 PM
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Master
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Mechanicsburg, PA
Subject: RE: season over .......maybe tris over.......

Chris, 

My thought and prayers are with you.  Get well, stay positive and I am sure you’ll be back at it soon. 

James

2009-07-03 3:35 PM
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Pro
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Parker, CO
Subject: RE: season over .......maybe tris over.......

really a bummer...sorry to hear that.  But this will pass and you will be back!

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