Wow that pretty scary that happened under someone like Mahboubian. Was this a long time ago or recent? If I understand you correctly you mean to stay in the hospital until ready to discharge, hire a caretaker to look after you (24/7? or just during the day), and does this caretaker need any certifications (certified nurse) to check for complications while you're in bed? When can you start doing stuff all by yourself and you don't have to worry about complications? After week 3 or so?
A few years ago. obviously that mistake doesn't happen anymore. He actually did prescribe it. But it was a poor dose for the given situation AND he did not prescribe it for the entire duration of the LL and rehab was not properly done. Rookie mistake. Now they know better
And yeah stay in hospital until discharge as long as possible, and maybe 24/7 caretaker for at least 7-10 days after you leave.
Not really, noc sets. Basically there to check on you and call 911 if you pass out or begin to breathe very badly.
After the first week post op, the risk of FAT embolism syndrome developing is very low. After TWO weeks it is pretty much safe to say you will not have fat embolism syndrome if you made it this far- that is the reason for the caretaker for 10 days.
However, deep vein thrombosis/pulmonary embolism can occur throughout the entire journey. The MOST IMPORTANT THING post op is to exercise your leg even a little. So yeah that is what you're forced to stand up at Paley's. And prescribed blood thinner for the WHOLE JOURNEY until after fully consolidation.
When u exercise u get rid of existing blood clots. Then the baby aspirin is a preventative (prophylaxis) measure and will basically ensure you won't get future blood clots. Baby aspirin is used now for stryde although some doctors still use Xalrelto like Debiparshad and it really doesn't matter. Xalrelto was very good during an era of weak non weightbearing nails like PRECICE 2.2, however now with Stryde and the ability to stand on legs (essentially exercising the legs), baby aspirin is all that is needed.
But you must take your blood thinner whether asprin or xalrelto for the WHOLE PHASE OF LL. so both legnthening and consolidation.
http://www.limblengtheningforum.com/index.php?topic=5103.31∆ here's the guy I'm talking about. He was 25 and almost died mostly because he was sleeping on opioids+ got breathing issues from PULMONARY / deep vein thrombosis. Scroll down on that link, he tells his whole story.
Basically you can tell if you have DVT. Second guess your doctor. Take your blood thinner every day don't stop till you legit are doing with consolidation. Exercise your legs by standing and walking slowly after surgery even a little to clear blood clots, and do this often on other days.