How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Rick, MD Your Own Question

Dr. Rick, MD
Dr. Rick, MD, Board Certified MD
Category: Medical
Satisfied Customers: 8486
Experience:  20+ years as a doctor. Internal Medicine Internship in NYC
48069651
Type Your Medical Question Here...
Dr. Rick, MD is online now
A new question is answered every 9 seconds

Would it be reasonable for me to request of my surgeon that

Resolved Question:

Would it be reasonable for me to request of my surgeon that heparin be administered thru the IV rather than intramuscularly? I find the shots into the stomach or thigh quite painful with pain lasting for awhile after administration.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Rick, MD replied 1 year ago.

RickMD :

I am online and happy to help you with your question today.

RickMD :

Why are you being given heparin?

RickMD :

Are you still in the hospital?

RickMD :

We have been experiencing problems with the chat system for the last few days. Our engineers are working on it. However, I'll switch over to the Q&A system. This system works a lot like 'text messaging' but an email is sent to each of us anytime something is posted to this thread. We can continue to work on your question there..... :)

Expert:  Dr. Rick, MD replied 1 year ago.
We have been experiencing technical difficulties with the chat system. Please allow me to retype my chat here for your review:

RickMD : I am online and happy to help you with your question today.
RickMD : Why are you being given heparin?
RickMD : Are you still in the hospital?


This is not an answer, but an Information Request. I need this information to answer your question. Please reply, so I can answer your question. I look forward to helping you.
Expert:  Dr.Christian7712 replied 1 year ago.

Hello,
I hope to be able with your medical concerns. Please be sure to leave feedback, as that is how I know how to improve.

 

This may be more of a logistics issue than anything else. While you can always ask, remember that it is not the surgeon giving you your dose, it will be your nurse. The entire dose would need to be converted for IV use. That would be more the case of patients needing therapeutic heparin such as a heparin drip.

 

The other issue is whether a nurse can push IV heparin at that institution. I know there are strict regulation regarding pushing any blood thinning agents, especially in patients who may be prone to bleeding such as those prone to falling and post surgical patients.

 

I would ask your surgeon why you need heparin at all. If you are post surgery, up and ambulating, or at least moving from the bed to the chair, I'm not entirely sure I see the need to continue the heparin (it may just be a goofy hospital policy).

 

I hope this helps,

Christian

Dr.Christian7712, Doctor
Category: Medical
Satisfied Customers: 39
Experience: Surgery/Anesthesia/Sleep/Medicine
Dr.Christian7712 and 2 other Medical Specialists are ready to help you
Customer: replied 1 year ago.

It is hospital policy for post-surgery patients to receive heparin injections subcutaneously to prevent blood clots.

Expert:  Dr. Rick, MD replied 1 year ago.
Christian,


That is a good policy and for clot prevention you do not need IV therapy.

Sorry it hurts :(

......but it is a lot better then a blood clot.

Is there anything else you would like to discuss at this point or have all your questions been answered to your satisfaction?

I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. And please let me know if the rating system gives you any troubles.

Thanks in advance,

Dr. Rick MD FACS
Customer: replied 1 year ago.

Thank you. No more questions at this time.

Expert:  Dr. Rick, MD replied 1 year ago.
My pleasure :)
Dr. Rick, MD, Board Certified MD
Category: Medical
Satisfied Customers: 8486
Experience: 20+ years as a doctor. Internal Medicine Internship in NYC
Dr. Rick, MD and 2 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions

Chat Now With A Doctor
Dr. Rick, MD
Dr. Rick, MD
Ophthalmologist & Retina Specialist
3000 Satisfied Customers
20+ years as a doctor. Internal Medicine Internship in NYC