Snowflake

Well, it’s official. I went to see my hotshot coagulation specialist in St. Louis again today, and he reiterates that I’m unique. Most people who get arterial clots in their kidneys get them because of blunt trauma or heart disease. Neither of these apply to me. There are a few studies out there of people that have arterial renal blood clots not caused by those, but all of such people (and there aren’t many — the largest study had N=12) either smoke, have high blood pressure, or have a history of coagulation problems. None of those apply to me either.

So, I wasn’t too surprised when the doctor concluded with “I’d like to publish this, if it’s okay with you.” I was going to hold out for co-authorship, but I think that lab rats typically don’t qualify. Meanwhile, he thinks I should go off coumadin after 6 months are up (end of January). He also says that he thinks I shouldn’t bike huge distances, although he concedes that a) he doesn’t know of any actual connection and b) the nephrologist he conferred with didn’t think there was any connection either.

Meanwhile, in other news I helped out at the first Cape Cyclocross race on Sunday. It poured right up till race time, so the course had lots of mud. It’s basically a sort of obstacle course race with bikes — no suspension shocks, but otherwise whatever you want to ride. A good time was had by all. I may ride in the one this coming Sunday.

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5 Responses to “Snowflake”

  1. Cabell says:

    After reviewing the literature, I’m starting to think that I’m just a standard case of effort thrombosis, but maybe I can be a footnote in YOUR article.

  2. Allen says:

    Doesn’t seem that standard to me; as far as I know, effort thrombosis is associated only with DVTs in the upper extremities — results from extensive overhead exercise.

  3. Allen says:

    Well, okay — here’s a case in the leg, after calf strain and a long plane trip. And here’s one in a football player. But they appear to be rare.

  4. Allen says:

    So I take it you’ve seen this review?

  5. Cabell says:

    I hadn’t seen that review, but I’d dug up a few cases of effort thrombosis in the leg. It seems to mainly be a function of what the athlete moves around a lot, since there have been leg thromboses in runners and skiers.

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