Bad advice from Anchi Baranova about pneumonia and D-dimer

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Kitty plays doctor
Kitty plays doctor
Kitty plays doctor

Well this is all from the same yesterday's stream Anchi Baranova. I looked in there and cannot forget. There are many heresies that are harmful to people's health. Therefore, I will explain here exactly what heresy is.

In short, there some person asks a question about what happened to him and gives the results of analyzes with diagnoses and other useful information.

The point is, someone there had a fracture and aspiration pneumonia a month ago; he has an ESR of 19 millimeters per hour; and hemoglobin decreased from 130 grams per liter to 119 grams per liter, and the D-dimer was increased, well, like a person was prescribed Eliquis for a month, and there would be no need to cancel it.

On my own: Eliquis is a medicine that prevents blood clots from forming in blood vessels and saves lives. To cancel it on the advice from the network is always stupidity.

Then I describe Anchi's train of thought and immediately give a comment.

Ancha: hemoglobin is small, probably because there was blood loss.

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From me: maybe. Or anemia with pneumonia. It happens, and we discussed it.

Ancha: D-dimer, big, but Eliquis is not needed. Like if a person had a fracture and bleeding and blood clots, now the blood clots dissolve, and therefore the D-dimer rises.

From me: maybe so, or maybe there was a deep vein thrombosis, or a bunch of thrombosis in the past, or something else that Ancha does not know, but the attending physician of that poor fellow knows.

Well, that is, as a doctor, I immediately imagine a fracture in which people lie, and aspiration pneumonia, which also just does not appear. Aspiration pneumonia is when a helpless person chokes on his vomit. Have you presented? Such people do not get out of bed, and they have thrombosis, from which you can get thromboembolism of the pulmonary artery and die.

Can he now have to take Eliquis for life. But Ancha was canceled by Eliquis online. Dosviduli! And greetings from the USA! American Movie "Catch Me If You Can".

Ancha: In your case, he says, increasing the D-dimer is absolutely normal. Why, like, does he need Eliquis?

From me: How does Ancha know what this weirdo has? Maybe he has fifty more illnesses that he did not tell her about.

Ancha: iron can be drunk with low hemoglobin.

From me: Why iron? Maybe there are other reasons for anemia? Well, if there is iron, then who said that this eccentric in the hospital had not been given a frantic dose of iron? Or, on the contrary, the weirdo or his unfortunate relative, about whom he talks, is still sick with some kind of infection, in which iron is contraindicated, because it aggravates this infection.

Ancha: Or maybe, he says, it was due to pneumonia that the iron decreased. Type of inflammation consumes it.

From me: Almost a good idea. This really happens with different infections. But only inflammation does not consume it, but our body hides iron so that it does not support this inflammation and is not eaten by microbes.

In short, people, I never cease to admire you. And I will definitely not die of hunger.

Well, you understand that in the case of some serious illness, when a person thundered the hospital, received aspiration pneumonia and almost died (and sometimes up to 70% of patients die from aspiration pneumonia), then everything is very difficult, and then you just need to stupidly follow the prescriptions of the attending physician?

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