The Fear Of Falling
Greater than Erica Jong's “The Fear of Flying,” should be the “Fear of Falling,” which should concern every stroke survivor on blood thinner medication. Many individuals have met with fatal results from a fall that would have been shucked-off by someone not on the medication. This is especially true of the elderly.
The slightest bump will precipitate a hematoma, leaving an ugly black or purplish bruise on the skin's surface, which will remain for two or three weeks. A severe fall against a hard surface can cause a gross hemorrhage, especially if the head is struck, causing immediate death.
Most doctors have a preference to prescribe coumadin as a gold standard, which requires frequent blood testing, diet restrictions and many side effects (coumadin is a rat poison). Despite all these restrictions, it is preferred over the newer thinners, as bleeding has a better chance of being controlled against the newer drugs which are less effective, although not requiring blood monitoring or avoidance of foods containing vitamin K, which thickens the blood.
Eight years ago, my GP would hound me at each visit to use a wheel chair, due to my vertigo and unstable balance. At the time I used a single point cane, and refused, feeling secure that I wouldn't fall Following a surgical procedure which proved to be disastrous, I had to use a walker that left me feeling less secure, then switching to a rollator which affords me better balance, but still a struggle against falling.
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