Thanks for filling in the details, as a nurse I am reassured you are being treated with the best our healthcare system can offer. I am glad they gave you risk %s. Thats just what I would worry about. I am 56, and I lost 5 pregnancies to APS and so far I am good with aspirin. Ok, lets think together.... we are young to have a stroke, the odds with coumadin are in our favor. Even a small area of cerebral bleeding can cause paralysis on one side of our body, affect speech and gait.....they have invented nifty INR fingerstick machines to check clotting times every several days/as ordered at home when you take coumadin....dose adjustments are easy to make to decrease bleeding risk....and so that pts. take only the minimum of the drug they need for the target INR number.....ok, if you were my sister, (I am just pouring you a cup of coffee/tea) I would think that I want you around for a long time to come, your drs. are going for the coumadin......there are going to be chances to reassess need, and other anticlotting meds are being developed....as it was explained to me, antiphospholipid antibodies are very large circulating antibodies that flowed around fine until they got to the microscopic blood vessels in my baby's placentas, plugged them up due to their lg. size and caused greater and greater areas of placenta to infarct. I imagine the same patho for other places, too. That said, sitting around the kitchen table together, I'm thinking I'd say go for the coumadin. It is really given alot, I know, especially in elders to treat a stroke. Please take a deep breath, sleep on it until Monday maybe?? and listen to your head telling you which plan, to take or not to take...that is the question...(I'm sorry, I couldn't resist saying that),
you can live with the easiest. Keep me posted,
God knows, even if I don't....
CNS Lupus 2005, APS, Hashimoto's Thyroiditis, Degenerative Osteoarthritis, Asthma
Meds: Plaquenil, Neurontin, Thyroid, meloxicam, Aspirin, Atenolol and Norvasc, Prednisone 5mg daily. (20-40mg prn), Vit. B12 2400 mcgs, Vit D 1000U, Calcium, Flector patch prn, Ambien and Elavil every night. Advair, Albuterol and DuoNeb inhalers.