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Migraine- t1_j15rzho wrote

Reply to comment by lostkarma4anonymity in A supercomputer is predicting brain bleeds in intensive care patients before they happen by Sariel007

And? No different to if they were on warfarin or any of the other DOACs.

It's not some "gotcha" that these medications cause some patients to have serious bleeds, which may kill them. They are given to people who have a very high risk of forming life threatening or disabling clots. These medications reduce that risk, but in order to do that they increase your risk of bleeding. For patients offered these drugs, the risk-benefit ratio is felt to be in favour of treatment i.e. their risk of serious clots is so high that the risk of bleeding is the lesser evil. Patients are counselled on the risks and have every right to choose not to go onto these drugs if they don't want to.

Some individual patients will suffer harm. Overall, more people will benefit.

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lostkarma4anonymity t1_j15v6kc wrote

Also during litigation it was discovered that Pradaxa marketers had access to internal research papers proving this risk and they knowingly and intentionally hide the risks and misled patients as to the risk.

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lostkarma4anonymity t1_j15u7ar wrote

Not sure why youre so argumentative. No Pradaxa and Xarelto are NOT the same as Warfarin and other anticoagulants. That’s why I specifically said “Pradaxa and Xarelto” as opposed to other medication. P and X do NOT respond to Vitamin K, a common medication prescribed to stop bleeds, that’s what P and X have an extremely high fatality rate. Further P and X cause spontaneous bleeds whereas Warfarin bleeds are usually caused by trauma, impact, or cuts/scratches.

Google P and X lawsuits and you’ll find thousands of wrongful death lawsuits (which the companies are paying out) google Warfarin lawsuits and you won’t find shit because it’s doesn’t cause death the same way P and X do.

Are you one of those doctors that still prescribe P and X despite knowing how dangerous and lethal they are? Or you just a Reddit user with no specialized knowledge on the topic and want to one up a stranger that actually knows what they are talking about.

How about this: I’ll keep warning people about the inherent, inevitable, and proven danger of P and X and you keep saying “and so?” Does that work for you?

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Migraine- t1_j15vvkf wrote

Case study in someone having zero understanding of what they are talking about and having used that non-existent understanding to form a dangerously misinformed viewpoint they are going to shout from the rooftops.

You are a dangerous idiot.

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lostkarma4anonymity t1_j15wpdv wrote

Wow just looked at your history. So you ARE one of the doctors that still prescribes this heinous product. Scary stuff. It would be great if doctors paid attention to this stuff instead of blindly listening to the pharma companies… but blindly listening to pharma companies is how you get to avoid medmal liability so I guess so long as you are protected it doesn’t matter how many patients die.

Your arrogance will be the cause of patients dying. The scientific proof is out there and available to the public.

Let me guess, you also told patients OxyContin was COMPLETELY non habit forming.

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Migraine- t1_j18k5ce wrote

What's scary is the fact idiots like you can make dangerous - and as has been proven elsewhere in this comment chain, factually wrong - claims about medications without consequences.

Frankly I'm tempted to look into whether I can report you to your professional board because I don't think they would look kindly on a lawyer giving out medical advice online.

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lostkarma4anonymity t1_j196tky wrote

And what consequences do you face when you negligently prescribe unsuitable medication?

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Migraine- t1_j197400 wrote

I would face many. Fortunately we base our prescribing guidelines on actual evidence, not what some 2-bit No Win No Fee leach lawyer thinks.

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lostkarma4anonymity t1_j197vmz wrote

Actually, in the US, doctors rarely face legal consequences from prescription medication as its found the prescription manufacturer is usually at fault. For example, Pradaxa manufacturers knowingly hid data from doctors when saying it was a safe medication. So doctors can't be found liable when its the manufacturer thats lying to the doctors in the first place.

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lostkarma4anonymity t1_j198z4z wrote

You're over hear calling me names. When I think we can both agree that we are trying to help people. When was the last time you warned a patient of the risk that they would bleed to death out of their asshole, a legitimate risk according to you. These conversations are good to have and increase knowledge to the patient. Why gloss over the real danger? Nobody is suing the doctors over this, you remain protected and shielded from liability.

So ugly and hateful. As though the thousands of people that died don't matter because "they are free to turn down blood thinners" if they want.

You have all this evidence in front of you showing that it DOES cause a lot of people pain and tragedy, yet you resort to name calling and hateful rhetoric.

The fact that some doctors would rather be hateful than accountable is exactly the reason I love my job. AGAIN I don't even sue the doctors, its the MANUFACTURERS a PRODUCTS LIABILITY CASE. But go ahead and call me the idiot.

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[deleted] t1_j16xby1 wrote

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lostkarma4anonymity t1_j16xqix wrote

I’m an injury attorney. I deal with the families after the patients are dead.

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[deleted] t1_j16y3ia wrote

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Fordged t1_j179r97 wrote

Hey can you make me a mod at misspelled coffee sub? I've been posting on in for about 10 years and would love to clean up some of the spam

Thanks man!

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lostkarma4anonymity t1_j16yl0h wrote

The numbers are out there. What’s with the Pradaxa and Xarelto dick sucking? There are safer alternatives on the market.

There ARE doctors that refuse to prescribe P and X because of the high fatality rate.

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[deleted] t1_j170ciz wrote

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lostkarma4anonymity t1_j179zd2 wrote

The newer article says Xarelto is more dangerous than Warfarin

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[deleted] t1_j17a5m1 wrote

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lostkarma4anonymity t1_j197cdb wrote

" CONCLUSION - DOACs overall, apixaban, and dabigatran, but not rivaroxaban were associated with less total bleeding and death than warfarin in patients with heart failure and atrial fibrillation at all levels of renal function. Renal function decline resulted in increased bleeding in patients with DOACs. DOAC dose adjustment was often indicated, associated with increased bleeding when not adjusted, emphasizing the need for closer monitoring in these patients."

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lostkarma4anonymity t1_j17aew7 wrote

Then it goes on to say that DOAC increase kidney failure that increases bleeds and patients should be monitored closely and have their dosage adjusted….

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KerryonsCrayons t1_j17jd6a wrote

Hope you realize that you sound like an idiot to any medical professional. “Monitored closely and have their dosage adjusted….” Newsflash, there’s thousands of medication that need dose adjustments in kidney failure, and warfarin is infinitely more difficult to adjust…in any patient, not just kidney failure. That’s one of the reasons warfarin had higher risks of bleeding, likely too many people were supratherapeutic. Also you mentioned that you can’t use vitamin k; you wouldn’t use just vitamin k if it’s a life threatening bleed since it takes hours to work. You’d use the same reversal agent most use for DOAC’s, which is PCC’s.

I’m not sure if you’ve started this job you’re talking about or not, but you definitely need to do more reading on the subject if you are going to be talking like such an expert.

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