3962 Transmissão Ao vivo Back To The Future YouTube Google Chrome 2024 08 17 13 14 42

Uanderson Silva

17 Aug 202409:10

Summary

TLDRThis video script discusses the importance of assessing microthrombi in patients through D-dimer levels and coagulograms. It emphasizes the use of preventative measures, such as addressing inflammation, lifestyle, and genetic factors that increase thrombosis risk. The speaker recommends specific treatments like Somarin Cardio and Natuquinase, depending on the patient's condition, and highlights the effectiveness of Bemor Therapy in improving microcirculation and reducing tissue damage. The key takeaway is the significance of prevention and the compassionate care of patients, regardless of the medical specialty.

Takeaways

🔍 The speaker emphasizes the importance of assessing the presence of microthrombi in patients using D-dimer and a complete coagulogram as part of regular check-ups, regardless of age.
📌 D-dimer is a marker for the presence of a thrombus; its presence indicates that a thrombus has formed in the body.
🩸 A coagulogram assesses the speed of coagulation, with the speaker noting an increase in the percentage of coagulation speed in individuals, which may indicate a higher risk of thrombosis.
🚫 If the coagulogram is altered but D-dimer is normal, it suggests a high risk of thrombosis due to rapid coagulation without an existing thrombus.
🛠 The first step in managing high thrombosis risk is to address factors that increase it, such as inflammation, lifestyle, and genetic factors affecting homocysteine levels.
🌿 The use of homeopathic detox and other methods to address vaccination against thrombosis is mentioned, highlighting a holistic approach to prevention.
💊 The speaker recommends the use of Somarugon Cardio as a preventive medication for thrombosis, which is easy to administer and does not show resistance.
⏱ Regular assessment of coagulogram results is advised every two months to monitor the effectiveness of preventive measures and adjust treatment as needed.
🚨 In cases where D-dimer levels are elevated, even with a normal coagulogram, the speaker advises immediate action, including the use of anticoagulants and thorough patient examination to rule out false positives.
💡 The speaker introduces the use of Bemiparin therapy for acute thrombosis, noting impressive results in reducing symptoms and preventing tissue damage.
❤️ The importance of approaching patient care with love, care, and dedication is highlighted, emphasizing the ethical responsibility of healthcare professionals.

Q & A

What is the role of D-dimer in the assessment of blood clots?
-D-dimer is a marker for the presence of a blood clot. If D-dimer is present, it indicates that there is a blood clot somewhere in the body. Its presence is a sign that the body has already formed a clot, and during its removal, D-dimer is released.
What is the purpose of a complete coagulogram?
-A complete coagulogram is used to assess the speed of blood clotting. It helps in understanding whether the patient's blood is clotting at a normal rate or if it is clotting too quickly, which could be a risk factor for thrombosis.
Why is it important to check both D-dimer and coagulogram in patients?
-Checking both D-dimer and coagulogram helps in determining the risk of thrombosis. If the coagulogram is altered but D-dimer is normal, it suggests a high risk of clot formation due to rapid blood clotting, even though a clot is not currently present.
What should be done if a patient has an increased risk of thrombosis but no current clot?
-In such cases, it's important to address the factors that increase the risk of thrombosis, such as inflammation, lifestyle, and genetic factors that may raise homocysteine levels. A detox homeopathic approach may be used, along with other methods to manage these risk factors.
What is the recommendation for patients with an altered coagulogram and normal D-dimer?
-For patients with an altered coagulogram and normal D-dimer, the recommendation is to start using Somaru Cardio, a medication that is easy to administer and does not show resistance, and to continue assessing and managing risk factors for thrombosis.
What should be done if the coagulogram remains elevated despite using Somaru Cardio?
-If the coagulogram remains elevated, it is suggested to use NatuQuinase, which is taken once a day to help prevent a possible thrombotic event while continuing to work on managing thrombosis risk factors.
What is the significance of an elevated D-dimer level even with a normal coagulogram?
-An elevated D-dimer level, even with a normal coagulogram, indicates a high risk of thrombosis and is a cause for concern. It suggests that a blood clot may have already formed, and immediate action is needed to prevent complications.
How should one proceed if a patient has a high D-dimer level and an altered coagulogram?
-In such cases, it's crucial to first rule out false positives and then start the patient on an anticoagulant of choice, with close monitoring to balance the risk of thrombosis against the risk of bleeding.
What is the importance of weekly monitoring when using anticoagulants?
-Weekly monitoring is important when using anticoagulants to ensure that the treatment is effective in normalizing D-dimer levels and managing the risk of thrombosis without causing excessive bleeding.
What is the role of vascular therapy in managing thrombosis?
-Vascular therapy, such as the use of Bemor, can help alleviate symptoms and reduce damage in cases of thrombosis. It works by improving microcirculation and oxygenation of tissues, even when there is a blockage, thus saving cells and reducing tissue loss.
How can healthcare providers ensure they are providing the best care for their patients?
-Healthcare providers can ensure they are providing the best care by approaching their work with love, concern, and dedication, treating patients as they would their own family members, and focusing on prevention and comprehensive care.

Outlines

00:00

🩺 Medical Assessment of Thrombosis Risk

This paragraph discusses the importance of assessing thrombosis risk in patients through the use of D-dimer tests and complete coagulation profiles. The D-dimer is a marker for the presence of a blood clot, while the coagulation profile evaluates the speed of blood clotting. The speaker emphasizes that these tests are crucial for daily medical practice, regardless of the patient's age or specialty. They highlight that an increased coagulation speed, beyond the normal range, indicates a high risk of clot formation. The paragraph also touches on the need to address factors that increase the risk of thrombosis, such as inflammation, lifestyle, and genetic factors, and suggests the use of homeopathic detox as a preventive measure. The speaker also recommends the use of somaru and cardion as medications to prevent thrombotic events if the coagulation profile is abnormal.

05:02

🛑 Management of Elevated D-Dimer Levels and Thrombosis Therapy

The second paragraph delves into the management of patients with elevated D-dimer levels, which indicates a high risk of blood clots, even in the absence of symptoms. The speaker advises to first rule out false positives, which can occur due to various reasons such as recent aesthetic procedures or injuries. If a high D-dimer level is confirmed, the speaker recommends starting anticoagulant therapy, with regular monitoring to balance the risk of thrombosis against the risk of bleeding. The use of a specific anticoagulant, Xarelto, is mentioned, along with the importance of weekly follow-ups. The paragraph also introduces the concept of vascular therapy, which is used to improve microcirculation and reduce tissue damage in cases of thrombosis. The speaker shares positive outcomes of using this therapy in clinical practice and emphasizes the importance of approaching patient care with love and dedication, treating them as one would treat family members.

Mindmap

Keywords

💡Microthrombi

Microthrombi refer to small blood clots that can form within the body's blood vessels. In the context of the video, the speaker emphasizes the importance of assessing the presence of microthrombi as a part of regular health check-ups, indicating a focus on early detection and prevention of thrombotic diseases.

💡D-dimer

D-dimer is a protein fragment that is produced when a blood clot dissolves in the body. It serves as a biomarker for the presence of thrombi. The video script mentions using D-dimer tests to determine if a blood clot has formed, which is crucial for evaluating a patient's risk of thrombotic events.

💡Coagulogram

A coagulogram is a comprehensive test that measures the blood's ability to clot. The video discusses how the coagulogram helps in assessing the speed of coagulation, with the speaker noting that many individuals are showing coagulation rates exceeding the normal range, which could indicate a higher risk of thrombosis.

💡Inflammation

Inflammation is the body's response to harmful stimuli and is often associated with an increased risk of thrombosis. The script suggests that addressing inflammation is part of managing factors that contribute to the formation of blood clots.

💡Homeopathic Detox

A homeopathic detox is a treatment method that aims to cleanse the body of toxins using homeopathic remedies. The video mentions the use of homeopathic detox as a strategy to reduce the risk of thrombosis by addressing lifestyle factors.

💡Homocysteine

Homocysteine is an amino acid that, when present in high levels, can increase the risk of blood clots. The script discusses evaluating homocysteine levels as part of assessing a patient's thrombotic risk.

💡Somalgin Cardio

Somalgin Cardio is a medication mentioned in the video as a recommendation for patients with high coagulation rates. It is suggested as a preventative measure to reduce the risk of thrombotic events.

💡Nattokinase

Nattokinase is an enzyme that helps to break down blood clots and improve circulation. The speaker in the video recommends the use of nattokinase for patients whose coagulation rates remain high despite other interventions.

💡Anticoagulant

An anticoagulant is a medication that helps prevent blood clots by thinning the blood. The video script discusses starting anticoagulant therapy for patients with elevated D-dimer levels and provides guidance on monitoring and managing the therapy.

💡Therapy Bemer

Therapy Bemer refers to a type of physical therapy that is mentioned in the video for its potential to improve microcirculation and reduce tissue damage in cases of thrombosis. It is presented as a complementary treatment to help alleviate symptoms and decrease the impact of blood clots.

💡Thrombosis Risk Factors

Thrombosis risk factors are conditions or behaviors that increase the likelihood of blood clot formation. The video script discusses evaluating and addressing these factors, such as lifestyle and genetic predispositions, as part of a comprehensive approach to thrombosis prevention.

Highlights

Using D-dimer and complete coagulation tests to assess the presence of microthrombi in patients regardless of age.

D-dimer as a marker for the presence of thrombus, indicating where the body has generated D-dimer during clot removal.

Coagulation tests to evaluate the speed of coagulation, with many individuals showing rates above 100%, indicating rapid clotting.

If coagulation test is altered but D-dimer is normal, it suggests high risk of clot formation but no current thrombus present.

Treating factors that increase thrombosis risk, including inflammation, lifestyle, and homocysteine levels.

Using homeopathic detox as a method to address thrombosis risk factors.

The importance of prevention in healthcare, emphasizing the need to address thrombosis risks proactively.

Recommendation to use Somalgin Cardio when coagulation levels are above the maximum threshold to prevent thrombotic events.

Periodic reassessment of coagulation levels every two months to monitor the effectiveness of thrombosis prevention measures.

If coagulation levels remain elevated, the suggestion to use Natuquinase as an additional preventive measure.

Gradual withdrawal of preventive medications once coagulation levels normalize to avoid complications.

The concern of elevated D-dimer levels even with normal coagulation tests, indicating a high risk that requires immediate attention.

The need to rule out false positives for D-dimer, such as from recent aesthetic procedures or unremembered injuries.

If D-dimer is confirmed to be high, the recommendation to start anticoagulant therapy to manage the risk.

Weekly monitoring of patients on anticoagulants to balance the risk of thrombosis versus bleeding.

The use of vascular therapy with Bemer for patients with acute thrombosis, showing impressive results in reducing symptoms and damage.

Bemer therapy works by increasing microcirculation to improve tissue nutrition and oxygenation, even with blocked pathways.

The challenge of locating thrombi, with some cases only detectable through D-dimer levels and patient history.

The importance of approaching patient care with love, care, and dedication, treating them as one would their own family.