I was diagnosed with APS about 10 years ago by my Rheumatologist who took a history on me at our first visit. With my menstrual history pregnancy problems and the fact that I have SLE he tested me for APS. I did test positive for APS Lupus Anticoagulant and Factor IV and was tested again at a later date again tested positive. He started me on a baby aspirin, but not long after switched me to 325mg aspirin. In February of this year they scheduled me for an MRI with contrast of the brain and the inner ear because in December 2013 I had gone deaf in my left ear over night. This did show that I have had at least 2 mild strokes in the past 2 years. This summer I had a total knee replacement and after the surgery I had 24 days of Lovenox and I did feel better during this period and one thing that was not as bad was my double vision. Now that I am back on my regular aspirin daily my double vision has gotten worse and I have it almost all of the time not just when I start to tire. Now the doctor is talking putting me on Lovenox permanently. I guess my question is should I question this further with him. He does know about APS but is not that knowledgeable. I live in the County in the USA and am about 20 miles (1/2 hour drive) to the nearest place to get my INR tested for Coumadin, so he thinks this might cause a problem. I go back to see him and also my neurologist on Friday and am having trouble trying to research which of these drugs would be best. Any opinions would be appreciated.