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Dr. Owen
Dr. Owen, Doctor
Category: Health
Satisfied Customers: 55754
Experience:  Board Certified Physician and US Medical School Graduate
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I am an anesthesiologist and pt has platelet clumping such

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I am an anesthesiologist and pt has platelet clumping such that they couldn't give me a platelet count. I am wondering if I can do a spinal for C section. She has had platelets of 70,000 in 2008. We are waiting for a count now. Can I do a spinal.
Dr. Owen :

Hello, and I am pleased to help, use of my answers are for educational purposes only.

Dr. Owen :

Well I think you know that most of you guys like to see platelets above 100,000 - but I have one of my anesthesiologists who will go down to 50,000

Customer: Ok
Dr. Owen :

Heck we do surgery with even less than than

Dr. Owen :

and the platelets still work such as in Severe Pre-E - it still scares me, and we have platelets, etc available, but they still function

Dr. Owen :

There is always a blood patch available too if necessary

Dr. Owen :

As an ob/gyn myself, I don't do the spinals/ epidurals - but I am always talking the anesthesiologists

Customer: Yes, I prefer >100k but have done spinal or epidural with pelts 90000. I'm uncertain what platelet clumping means,it's significance, I'm now awaiting platelet count and if 90,000 or above will do spinal. I know surgeons may do with lo plts but we're faced with potential spinal hematoma and paralysis, why we're a little uptight.
Dr. Owen :

I usually repeat the lab with clumping - usually a laboma in my experience

Dr. Owen :

Oh I know the situation you are in.

Dr. Owen :

There is only one guy who does this at 50,000 - everyone else - they sleep

Dr. Owen :

and, honestly sometimes sleeping is safer -

Dr. Owen :

I really don't have a hard time with sleeping a patient

Dr. Owen :

If a Primary section - I should have that kid out in less than 30 to 60 seconds anyway

Dr. Owen :

A repeat section - that is why NICU is called

Dr. Owen :

AN interesting conversation considering I am usually talking to non-physicians

Customer: Thanks, ***** ***** feedback, it helps with what I'll be doing, bot***** *****ne I've discussed at length with pt and husband.
Dr. Owen :

Tell me how it goes

Dr. Owen :

oh ob's and anesthesia - liability.....

Dr. Owen :

Well take care

Customer: OK, thank you very much, I appreciate the immediate response, great service!
Dr. Owen :

thanks

Dr. Owen :

Please click on EXCELLENT service

Dr. Owen :

thank you

Customer: Will do, thanks again
Dr. Owen :

:)

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