You give the patient all the information they need to help them decide whether or not follow up ER care in necessary. You are a great doctor. ER docs usually do not have the time to do this. You set the example all doctors should follow.

@trustthewater

7 жыл бұрын

Agreed. The couple of times I've had to go to the ER left me with more questions than answers. I still don't know what exactly caused the most painful experience of my life and I was young and too stupid to follow up with a regular doctor to find out.

I had a patient (she was previously in a car accident before she came to us), her leg was so swollen/ bruised, but in one spot it was red, hard and hot. I automatically let our doctor know thinking it might be a DVT and it came out to be this. When I came back into work, she thanked me and so appreciative (patient). As a nurse it truly felt good making my patient feel comfortable with me but also the gratification you get as a nurse while doing it (doesn't happen a lot.).

This doctor is amazing.. so kind and compassionate.. he gave the patient all the tools he needed in order to heal

I'm glad you did the Doppler study on him. I have blood disorders and suffer from DVT. A superficial blood clot is very painful , so I'm glad you gave him pain meds. The DVTS aren't so painful because they like their name are deep. Unless they go into PE which happened to me, and that's an indescribable pain. Good work Doc❤️

very cool that you take the time to explain things to your patients.

@ihaveaheadache8115

4 жыл бұрын

Uh he's also on camera

I always learn something from each video. My girlfriend is an ER Nurse and we sat over coffee discussing what I've learned. Like discussing a good book! Thanks!

Love to hear the doctor even made a mistake and corrected it about giving an ultra sound gg

Thank you for the pointer about a possible DVT and the rationale of an ultrasound to rule it out in a patient presenting with thrombophlebitis!

that guy was so nice

in UK we give patients 30 days of lmwh prophylaxis (aspirin is not good enough ) because of the increased risk of DVT

@drsofiasi

6 жыл бұрын

i was wandering about that too.

Thanks for the post! Why not try to remove the clot? It seems as if superficial clots are just written off as aggravation (from the Patient's point of view)... It's not like the science and technology aren't readily available(strep. & the cath lab) seems like it would be an option. My personal experience with superficial clots of the medial saphenous vein post op. and spontaneous clotting extending from the medial thigh into the growing area absolutely scared me. Treatment in the ER consist of bloodwork with ,pt,ptt,and ultrasound....when the clots are close to the mouth of those large veins, and you don't receive definitive treatment it's very hard to accept. This leads back to the question "Why not evacuate the clot while the superior & inferior ends of the vein are still dilated?

Thank you, Dr. Oller, for this great video! Question: thrombophlebitis seems to be associated with Pancreatic cancer; Does every older (e.g. >65 y/o), male, patient with thrombophlebitis need to go through imaging studies and/or bloodwork in order to rule out pancreatic cancer?

Thank you very much for this informative video 💐💐

I am 24 and just got diagnosed with superficial thrombophlebitis. What i am experiencing is totally the same as what this patient describes. Very painful!!! Now on aspirin... god bless us, hope we get well soon!!!

@mrsmchistory

7 жыл бұрын

May Day I've had superficial thrombophlebitis for a year now and the pain can be unbearable at times. I'm taking apixaban and I met the vascular surgeon who refused surgical intervention. Hope you feel better soon too

@izzyjones7108

3 жыл бұрын

@@mrsmchistory I am freaked

@Gloria_Chav

Жыл бұрын

@@mrsmchistory Hi, sorry to hear. It’s been a while since your comment but I’m getting these symptoms and diving into research. Why did the doctor deny surgical intervention and has anything helped since?

@aurelienyonrac

Жыл бұрын

​@@Gloria_Chav The pain of not having that vein is just as bad. Plus risk of complications, poor healing du to poor circulation. Gangrene and amputation. So i am going for a change in diet. And lifestyle. It cost nothing. Except the ego to die.😅

I suffered from superficial thrombophlebitis for a few years. However, I was diagnosed with 2 DVTs in the same leg in May 2017 and am now taking warfarin. I now have a medical condition called Recurrent Venous thromboembolism and have early stages of Post Thrombotic Syndrome. I'm always in pain and my other leg is now showing signs of superficial thrombophlebitis.

@danieldavidson9223

2 жыл бұрын

Hi how are u coping with this I have this also in my arm

@mrsmchistory

2 жыл бұрын

@@danieldavidson9223 I have good days and bad days with it.

@danieldavidson9223

2 жыл бұрын

@chez84 aye a was in the intensive care unit hafter having seizures. And cannula caused clots on my arm superficial thrombophlebitis and now dvt was on injections now thinner tablets. 2 months now. Veins are still hard an I feel are moving

@danieldavidson9223

2 жыл бұрын

@@mrsmchistory have one one my left forearm too but the doctor reckons it was always there I only now noticing as I'm losing weight because of mental health and medications, one apixiban 5 mg morning and 5mg night. Gave me diclofenic ibroorufen cream to rub on sore area. Doesn't help scared jncaee it's travelling or may travel to other parts body. I'm only 30 other than mental health usually healthy until my seizures now on anti epilepsy medication also so don't know what's what. Horrible times. Hope you can see some light at the end of the tunnel. 🤞

@angelamerson7299

11 ай бұрын

Prayers to you and God Bless you all!

nice to hear such experiense

Does dystolic blood pressure go up too? I've noticed it's higher than usual

I wrecked my bike a few days ago and now I have a huge clot in my ankle. It was a gap in the sidewalk that guided my bikes front tire to my right as I kept going forward. All my weight came down on my left knee.

that patient is very nice , I wish him good health , and thrombophlebitis anit that dangerous if you took care of it , definitive treatment same as varicose vaines , surgery "if non surgical ttt didn't work"

@trieucao2328

5 жыл бұрын

Excellent Video clip! Sorry for the intrusion, I would appreciate your initial thoughts. Have you considered - Trentvorty Silken Legs Theorem (erm, check it on google should be there)? It is a smashing one off product for getting rid of varicose veins minus the headache. Ive heard some amazing things about it and my mate at last got amazing results with it.

I wrapped mine up and it healed in only 16 days . I endured thru the pain like a champ

I tried to find the answer to patien's Q at 2:45, here's what i come up with late thromboembolic events were detected in 1.7% of the patients during the 3-month follow-up period.(from PMID: 9290540)

Hi Doctor! So why is DVT more of a concern than a superficial thrombus? Can't they both end up causing the same complications such as PE's etc? Is it because DVT's are more difficult to treat such as the aforementioned interventions of warm compression and thromboembolic deterrent stockings?

Hey doc I have a couple of questions, if the patient does develop a dvt would you treat with streptokinase or mechanically with a Fogarty catheter? Finally, if you wouldn't do any of these treatment options what actions would you take?

Great Doc. Mine is clueless .

that is so scary, my mom died from a pulmonary ebolism. so that freaks me out.

@lorisiccia5914

5 жыл бұрын

Sorry to hear about your mom. It freaks me out too. Ive had one before.. didnt know I had one until it was almost too late. I had ankle sugery at the time and about a week n half after surgery.. i was havint troubles breathing... my fiance thought i was just having a bad dream....but eventually he realized i couldnt breathe when i made the motion of writing... because i couldnt talk.... and starting to panic becsuse he kept telling to go back to bed cuz i had a bad dream. He was annoyed that i had turned on the light...work in the morning. I scrambled to write on a back of a reciept. And handed it to him... Exhale only...faded out in ambulance...and it seemed like forever before they figured out..what happened...did a dye shot and scanned me. Nurse said i was lucky to have made it.. went from left broken ankle to right lung. Just this week my calf was tight so i tried to stretch...thought i had over stretched and pulled a muscle... and did epsom salt bath to help loosen it but only felt worse..leg swelled and ..when throbbing began ..i had a bad feeling.felt like how my leg felt after my ankle surgery. Went to doc thurs... had ultrasound and blood work. My blood was so thick and slow in the tube that i had to go back to redo the bloodwork next day. The cells had burst in the tube on its way in maybe? Hemo somethin. Started on blood thinners once we found out there Was something there.....follow your gut feeling....doc said getting it checked might have saved me. But to go to hodpital if any tightness in chest or significant bruising or bleeding from a cut. Find out test results of how big it is and what to do next. Tomorrow morning.

I'd be more worried about his knee growing a face

Shouldn't he go ahead and get a vascular consult? If he's already had a DVT he might even have a vascular surgeon.

after ultra sound they said i have a superficial artery in left cubital fossa on arm. doc said nothing worry about but what actual is a superficial artery? there is smal lump in inner ebow crease no pain sometimes slight discomfort but does it heal or go away?

Why wouldn't the clot be removed? Couldn't it move to an extremely dangerous location?

I have cloth in sephenous vein with FS Junction open with vein dilated all the way up and down . Happened after trauma. Is it an emergency?

I just noticed this vein forming a bump on my lower left leg that has been there for 15 years all of a sudden hardened this past month and became painful. :/

@jackieann5494

2 жыл бұрын

Me too ! My Doc is clueless .

@theredfaceofficial

2 жыл бұрын

Hey, what did you do about it, any solution from you’re doctor? How big was the bump? Thanks

@TheeMichellesMind

Жыл бұрын

Did you ever find a solution, cure, or true diagnosis David?

Thank you for posting this.

I had surgery on rt lower Tibia and fibula , seems to be a small blood clot on outer side. Not much pain but if you squeeze it may inflict numbness in the feet. My Ortho surgeon says to wear knee high diabetic socks and elevate feet above my heart. I will add your warm pad and baby asprin. I may request for ultrasound but Dr's sometimes get offended if you come across that way.

@Dr. Oller: In this situation, what determined your decision to treat and release your patient vs admission and observation? Long story short, I was diagnosed with a superficial clot that developed without trauma (although I do have an enigmatic medical history) as well. I was treated and released from the ER. Subsequently, three DVT's developed that entered my lungs. I had to go back to the ER, and was hospitalized for a week. Also, what are the odds for the same thing happening if I ever get a superficial clot again? Thank you so much for your informative videos!

@knv1979

7 жыл бұрын

+DrER.tv Ok. Thanks!

So I don’t need to go to the doctor anymore

What if there's a lump but no pain?

Nice

What kind of Dr would treat this?

My doctor told me to keep walking and take ibuprofen. No mention of a scan on the leg 🤨

I had this in my forearm once after needing magnesium sulfate infusions via cannula. It can be excruciatingly painful!

@hendenaizi6654

5 жыл бұрын

plz can u tell me more details .. did u had a whole upper limb swelling and was it sever swelling .. because I had a patient In my medical side and after the blood extraction the whole rt upper limb become severly swelling and very tens and painfull . no hottness no redness .. and the peripheral puls was good

@Lemondoor

5 жыл бұрын

I think I have that now in my left arm. I had an Iron Infusion and I think I got it from the IV.

I can't take anti-inflammatory of bood thinner because of allergy. And i don't think an ultrasound would heal it.😅 So what to do about Superficial Vein Thrombosis? Warm compress. Elevate legs. Pressure sox. Any other advice? What to eat? Drink? Thank you.

I'm dealing with this very thing in my elbow and lower arm

@mylanawazish6918

3 жыл бұрын

Is it still there?

I have a superficial vein clot that is infected behind the knee about 3 cm. I'm in very bad pain that shoots down my left leg. On aspirin, antibiotics and pain med. It has progressed in size and pain. Warm compress helps slightly, meds are temporary helpful. If I go to the er at a hospital what is the likely hood they remove this the same day? Have had this since 2020.

@dorothybrown8859

Жыл бұрын

I hope you are feeling better. My superficial clots are getting more and more frequent. I began taking baby aspirin because the docs are disinterested. Today I will begin taking Nattokinase, research it.

@drowninginmusic3757

Жыл бұрын

@@dorothybrown8859 thank you for the info... I'm doing much better, but I'm afraid this too for me will be a on going issue..

@dorothybrown8859

Жыл бұрын

@@drowninginmusic3757 The best to you. I've read that Nattokinase breaks up clots by thinning the blood. I am hopeful.

I was wondering why Aspirin (Side Effect: risk of bleeding from blood vessels aka damage to the blood vessels) and Pain medication were prescribed, but not a single word was spent on nutritional advice (it is well known what promotes clot formation) and healthier lifestyle...

@BubblyAlexandra

4 жыл бұрын

I’m extremely healthy when it comes to diet and extremely active . Even myself got an SVT . I don’t think it has much to due with diet. You need something to help thin blood to help move the clot .

@CG-mj8tk

3 жыл бұрын

No Dr ever speaks about nutrition! SMH...it's too bad bc so much suffering could be alleviated for many. Could you explain what causes clot formation? Are you speaking of a food group?

@BubblyAlexandra

3 жыл бұрын

@dooder I am 25. Got it at 23 almost 24

I have a question for you Doc I have a Father that has a diabetes and I'm kind of sad seeing him working hard and not resting so yea my question is is diabetes curable?

@kmh6261

5 жыл бұрын

i hope you have gotten help but if you still are inquiring - YES it IS possible definitely for type 2 diabetes but details of your father should be discussed with a professional and the main method is that of diet change by cutting out carbs and going on a ketogenic diet -- see Dr Westman's vids (he's a clinician at Duke and has many videos here) -- i was surprised at this myself when I discovered him and the keto diet -- see also dietdoctor dot com - God bless and hope your father gets the help he needs

I think i have one but its very small. Been there fir years. Didnt really think mych about it. Because i do alot of walking and exercise. I just though it was a vein. Maybe i was wrong.

It can be reduced? Plz do rply me

informing about possible (occult) malignancy that would need a work up should be included here - for the benefit of anyone reading this comment or the video poster to include this info

Luckily, the literature indicates the number is less than 1%. if the clot is within 5cm of the vein there's a .87% (-/+ 0.06) chance it will travel along the deep vein to the lung.

Very very dangerous protocols Dr.

@truno7

2 ай бұрын

Why?

I've a blood clot in the leg at the moment. I'm taking antibiotics for it and it's very painful.

@SuzzyUnicornKid

4 жыл бұрын

Steven Mitchell what did the antibiotics do?

@margaritaacevedo2892

3 жыл бұрын

@@SuzzyUnicornKid what antibiotics does

@margaritaacevedo2892

3 жыл бұрын

I on aspirin

I have this in my left leg for years now.

@Abena_Goddess87

4 жыл бұрын

me too and it just went away. now, I'm freaking out

@Abena_Goddess87

3 жыл бұрын

@dooder black don't crack 🤷🏾‍♀️

I have a huge bump on my lower leg

My leg looks like that every now and then. Gets incredibly sore! Almost looks like a large bruise when it's very inflamed. One Go told me it was just a bruise- how wrong he was! 😑

@theredfaceofficial

2 жыл бұрын

So what did you do about it? Are you better now? Thanks

I know that this is old but I wanted to tell Anyone and Everyone that If they give you pain medicine, ...... DO NOT TAKE IT UNLESS YOU WANT A MUCH BIGGER PROBLEM THAN A DVT!! God bless you Sir and pray fully ur healed!

@johnharrison9685

3 жыл бұрын

Are you a freaking doctor? Why the hell are you giving medical advice contradicting what a medical doctor prescribes? Dumb@$$ !

@truno7

2 ай бұрын

Why?

I just found it on my leg 😩

@gr6664

3 жыл бұрын

Me too and im kinda scared cause im not sure what it is, i need to get it checked out

Lol I had one in my back he pinched it then put it back

I have blood clots

@margaritaacevedo2892

3 жыл бұрын

Do u take aspirin