Unbelievable. I am shocked with the vigor our bodies clot despit our efforts to stop the process.
We stopped the exclusive Lovenox regime May 8th. I suspect the clot was forming on the lovenox treatment, which shows all signs of failing me despite being at the highest norm of limits of the anti XA factor. ( 1.64 for my weight, 108 pounds. I was dosed at 1.5 mg/kg for 24 hour dosing. I asked my team at London Lupus center if there was a preference for 12 vs 24 hour dosing. The Andrew was no, as long as number was in range - meaning anti XA factor, which it was- as high as it could go and be safe. We could not increase it.)
Some people- heparin just does not suit them.
So this is three DVT's in 6 months. Twice on high intensity anticoagulants. Warfarin once and lovenox once.
They doctor wanted to air lift me to San Antonio...
After calling my heme in SA ( one hour away) my heme wanted to treat me at home. I'm still in continued migraine. INR still at 2.0 injecting lovenox ( 45 mg) to bridge.
My local doc wants to admit today here and use local heme and bump Coumadin up and break migraine. I'm going to wait and see what happens by late afternoon. 15 year old son in finals end of school this week ... husband out of town on business. My business administrative assistant is out of the country on holiday in Scotland in Edinborough ( a convention with a friend ) . I'm thinking I need to schedule these DVTs at better times in my calendar. 😳