"Don't worry about me."
I know.My posts #28 & 30 were just to try to help for your coming 12 hours flight.
I take note of your comments.
Could be wrong, but I think dhays is an expert optician, not an MD.Mr.Hays is a Medic as well, but I suspect his advice on preventing prostate cancer could be a bit cockeyed.
You might as well.Oh Bruce.
Bruce, Bruce, Bruce.
This whole thing has become quite humorous and way too serious. But it is fun to play wit you and omc.
Gad I hope the optical urologist line wasn’t wasted on everyone. If so I might as well pack my puns and promptly paddle a punt to Peru.
I do.BruceK; said:You do know there is an international dateline?
Thanks John. A few have commented to me about directional effect and most said they suffered more travelling westward, ie. Canada to Asia.I noticed that jet lag did not effect me at all on the way over but coming back home i was badly effected for a day or two. strangely enough our Dubai employees were effected the opposite direction.
Good. Go paddle there.I do.
See post #1.
Waded right into that now didn't I?Good. Go paddle there.
Boarding at 2am when it is 5pm next day at my destination, I'll have to stay awake for at least a couple hours. Maybe watch Sully.AusCan; said:What I'd suggest is to try to put yourself into the destination time zone as soon as you get on the plane. If it's night there then sleep if possible.
Got the aisle, but I'll skip the wine and I am looking forward to it; that's why I want to do everything possible to prevent ass drag when I get there.AusCan; said:Make sure you get an aisle seat.
Part of it is psychological...If you are looking forward to it, you'll be fine.
Bonsoir Pierre. You already know that I often travel by plane mostly 7 to 12 hours long direct flights, so can you give me your impression about this :
Before all long flights just after boarding, under my family physician's and pharmacist's recommendation (you know who I am talking about) I inject myself an anticoagulant (e.g. Calciparine or similar, I have no idea of the dosage). I should specify that I don't have any health issue.
Merci par avance.
Oh boy...
My God man, don't take a single Aspirin, just jamb a needle of an unknown dosage of something or other into your thigh.
And that you did in spades.Peter B; said:I think this issue needs a bit of clarification.
Exactly.As a follow on, if there is no way to know if prone to DVT, is it wise to take precautions and what are they?
And that you did in spades.
It’s really nice and helpful, when a professional can put things in simple, lay terms. I like your plug the leak, clear the blocked pipe analogy.
Though the reason for the post was not to get medical advice but rather to get a sense of what people do vis a vis jet lag i.e. prep, habits, food and drink, your comments are well received.
Having some experience with platelet counts, DVT, PE, Heparin, Warfarin, PT (time) and most other stuff related to the topic, I still have to ask; how does one know if you are “a traveller at risk of DVT” without a family or personal history of cardiopulmonary or vascular issues?
That was my whole point in cautioning against social media remedies. Kinda like prior, assumption driven comments, about welding fuel tanks.
Thanks for taking the time to lay it out nicely
As a follow on, if there is no way to know if prone to DVT, is it wise to take precautions and what are they?
Exactly.
Then there is the whole diagnosis and treatment process.
A family member, who has a very high pain tolerance, developed severe "chest" pains. Went to his GP who diagnosed pleurisy and sent him home to rest...Peter B just fell off his chair, I know.
That night he could stand it no more so went to the ER where they told him, at 35, he was too young for it to be anything serious and sent him home with pain killers...Peter climbed back on the chair and promptly fell off again.
Half way home he insisted he be taken back to ER and while in the waiting room, collapsed. That got their attention. Among other things they did blood gasses that were so out of whack they weren't believed. Only on a retest did they jump to attention. Both lungs had clots, the left one was loaded to the rafters.
DVT?
Inconclusive.
They did every test possible short of an autopsy and found no source.
The saga does not end there either.
Great exchange, Peter. Easy to follow and educational. So, one more question;Peter B said:There is a simple answer to all the above. If there is a family or personal history of DVT, PE, or as a result of the above in a relative, genetic blood tests done show a known risk ,then at the very least that person should travel covered by the heparin type anticoagulant, such as Clexane, as discussed above in response to Olivier.
For anyone else, there is no way to tell who is at risk, so basically all are potentially, so best to take the precautions I listed previously. Just being healthy, and with no known risk factors is no guarantee, sorry to say. And yes, I have a patient with no known risk factors, even by genetic testing, who still, like your 35 yr old Hawg, went straight to multiple PEs.
Hi, Olivier, or that should be bonjour. Sorry I am a bit late getting back on this, as I have not checked in every day, we have had so much else going on.
As you say, Calciparine is one brand name for heparin, one of the oldest and still most used true anticoagulants. However, it cannot be taken orally. There are now longer acting derivatives of heparin, one in particular Clexane, (enoxaparin), which is most often used by travellers at risk of DVT, and it can be administered personally when needed, once a day while travelling, via an under the skin injection like insulin. It is very safe, and dosed that way does not need to be monitored by clotting time tests. It is a Godsend when folk who have demonstrated a tendency to get DVTs or PEs, (pulmonary emboli from deep vein clots), have to travel long distances.
Calciparine: Heparin at The Medical Dictionary