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MY UROLOGIST WANTS TO DO A PROSTRATE BIOPSY AND HAVE ME STOP…

Customer Question
Second opinion] MY UROLOGIST...

Second opinion] MY UROLOGIST WANTS TO DO A PROSTRATE BIOPSY AND HAVE ME STOP TAKING MY EFFEIN TODAY FOR THE BIOPSY WEDNESDAY. MY CARDIOLOGIST SAYS NO WAY BECAUSE THE BLOOD THINNER IS FOR A STENT I GOT IN SEPTEMBER 2017. SO WHAT THE HELL DO I DO NOW.

Doctor's Assistant: Are you keeping a personal medical record while dealing with this?

DONT UNDERSTAND

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

NO THAT IS ABOUT IT. DO I DIE FROM A HEART ATTACK OR PROSTRATE CANCER.

Submitted: 3 months ago.Category: Medical
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Customer reply replied 3 months ago
Posted by JustAnswer at customer's request) Hello. I would like to request the following Expert Service(s) from you: Live Phone Call.
Customer reply replied 3 months ago
Let me know if you need more information, or send me the service offer(s) so we can proceed.
Answered in 40 minutes by:
3/23/2018
Doctor: Connie Pennington,
 replied 3 months ago
Connie Pennington
Category: Medical
Satisfied Customers: 552
Experience: Colorectal Surgeon at Colon & Rectal Surgery Consutants, PC
Verified

Hello, I am Dr. Pennington, I would like to help.

I am happy to answer a phone call.

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Doctor: Connie Pennington,
 replied 3 months ago

I am happy to text you until a phone call becomes available to you.

Can you tell me your PSA level, and have you been followed a while for elevated PSA's? Are they trending up?

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Customer reply replied 3 months ago
Dont know the number. have texted him on his portal to find out. I have actually had 2 test and according to the urologist they are trending up.
Doctor: Connie Pennington,
 replied 3 months ago

Good morning. If you are still here, I would like to help.

When a PSA gets high enough, a biopsy is a good thing to do.

I understand about recent heart stents.

There are two choices, and we consider risk vs. benefit.

1. Wait until Sept, and then have the prostate biopsy after Effient has been stopped. If the PSA is not to high, this would be my choice.

2. Go on Lovenox, an injectable blood thinner and come off Effient for the biopsy. Lovenox is a bridge, and you would go back on Effient after the biospy. There is much less risk of bleeding on Lovenox, and we can do surgery/biopsies. Your cardiologist would need to weigh in, but most cardiologist are ok with Lovenox.

I hope that helps. I am still here if you have questions or concerns.

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Experience: Colorectal Surgeon at Colon & Rectal Surgery Consutants, PC

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