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Coronation and clotting

May 6, 2023 by Paul Leave a Comment

As the Coronation is taking place this week, I thought I should try to find some link between the Coronation and clotting. First, I tried to find out if any royals had suffered from clotting problems. George VI died from coronary thrombosis, and I am sure other Royal family members have had heart problems or venous thrombosis, but none seemed particularly interesting. I also … [Read more...]

Coagulation Essentials Quiz

May 5, 2023 by Paul 1 Comment

It has been a while since I posted on Coagulation Conversation, but I have a series of posts planned on Factor V Leiden over the next few months. These should help you understand this condition and how it affects you. You may have seen my introductory post about this last year. I have a personal interest in this as it affects my family. However, to get back into … [Read more...]

Factor V Leiden – A family affair

June 13, 2022 by Paul Leave a Comment

I see people with blood clots every week, and I am frequently asked, “Why did I get a clot?” Provoked or unprovoked clot In many cases it is obvious why the clot occurred. In approximately 50% of cases, there is a clear provoking factor; The common ones are. Recent surgeryInjury to the legImmobilityLong air flightUnderlying cancer In women Taking an oral … [Read more...]

COVID, clots and Shots – Factor V Leiden and the Pfizer vaccine

February 15, 2022 by Paul Leave a Comment

Over the last few months, both doctors and patients have asked me several times if it is safe for people with the Factor V Leiden mutation to have the Pfizer COVID-19 vaccine. At first, I couldn't understand why this question would come up, as there is no evidence that the Pfizer vaccine has any risk of thrombosis. But I presume the concern has come from publicity about the … [Read more...]

New Year resolutions for clotters

January 1, 2022 by Paul Leave a Comment

New Year is the time for making resolutions. If you are like me, they last for a few weeks at most but the intention is good. For people who have had a blood clot, these are three things that you might want to add to your resolutions for this year. Take your tablets regularly If you are taking an anticoagulant, you must keep taking it regularly. This is probably more … [Read more...]

Carols for clotters

December 23, 2021 by Paul Leave a Comment

This is a rather frivolous post but it is that time of year. I have modified a couple of well-known carols to bring some Christmas cheer to those of you on anticoagulants. The pregnant women's Christmas lament A Christmas carol to all those pregnant women having to inject themselves with low-molecular-weight heparin during the Christmas period. To the tune of O little … [Read more...]

Santa Claus atrial fibrillation risk

December 20, 2021 by Paul Leave a Comment

An article in The Medical Journal of Australia raised concerns that Santa has a risk of developing atrial fibrillation because of his advanced age and other risk factors. Currently, there is no guide to help manage his condition. Fortunately, the authors of the article have come up with some useful advice. They proposed the SANTA CLAUS mnemonic to aid … [Read more...]

Blood Red Christmas

December 17, 2021 by Paul 1 Comment

Red and green are the colours of Christmas. But why have the colours become so synonymous with this time of year? I wondered if there was any link with blood. The main reason I tried to find a link was so I could show off our Lego Christmas Village in a post. It certainly has a red and green theme. We have been collecting a new house for the Christmas village every year for … [Read more...]

I need surgery – on warfarin for venous thrombosis

December 13, 2021 by Paul Leave a Comment

Many of you have had a deep vein thrombosis (DVT) or pulmonary embolus (PE) or know somebody who has been affected by these conditions. Some of you will have had a short course of treatment, but if you have had more than one clot, you will likely stay on long-term treatment. Currently, most people with a DVT or PE are treated with newer drugs such as dabigatran, rivaroxaban or … [Read more...]

I need surgery – on warfarin for atrial fibrillation

December 6, 2021 by Paul Leave a Comment

Atrial fibrillation is a common condition. It affects approximately 1% of the population and up to 10% of people over 70 years have AF. At some time, you may need surgery. If you take warfarin there is some additional risk. Most people are concerned that they have an increased risk of bleeding if they keep taking their treatment and an increased risk of a stroke if they stop. … [Read more...]

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About Us

Paul & Angela

Paul, a specialist haematologist says, “I have a passion for improving anticoagulant management and I’m on anticoagulants myself. My wife, Angela, trained as a doctor, but has concentrated instead on raising our large family. We live in beautiful New Zealand and run INR Online, providing warfarin management software for health professionals.” More

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