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  #1  
Old Tue May 22, 2018, 08:35 PM
Bossywife Bossywife is offline
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Surgery with low Platelets

So Hockey strikes again ... my husband tore his rotator cuff badly. He did it about 14 years ago on the same shoulder... a complete tear.. but it healed on it's own with Physio.

This time, I think he's going to push for the surgery but I'm wondering.. will they even do surgery if your platelets are 44-60?
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Old Tue May 22, 2018, 09:02 PM
Pearl Pearl is offline
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Originally Posted by Bossywife View Post
So Hockey strikes again ... my husband tore his rotator cuff badly. He did it about 14 years ago on the same shoulder... a complete tear.. but it healed on it's own with Physio.

This time, I think he's going to push for the surgery but I'm wondering.. will they even do surgery if your platelets are 44-60?
I am not a doctor -- that is the person to turn to with questions about surgery with low platelets and your husband. However, platelets below 50 and a contact sport such as ice hockey where bleeding is quite common do not seem the best mix.
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Old Tue May 22, 2018, 09:51 PM
Sally C Sally C is offline
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We were told they will do surgery with platelets at 50,000. If he's a little low they could give him some platelets to boost them for the surgery.
All the best,
Sally
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Old Wed May 23, 2018, 02:12 AM
DanL DanL is offline
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I had oral surgery prior to transplant. They wanted me to be at 75,000. I was at 25,000 and received about 5 platelet transfusions to make it happen. I think the short answer is that yes, surgery can be done but extra caution is probably in order.
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MDS RCMD w/grade 2-3 fibrosis. Allo-MUD Feb 26, 2014. Relapsed August 2014. Free and clear of MDS since November 2014 after treatment with Vidaza and Rituxan. No longer experiencing nor treating CGVHD. Working on fixing long-term side effects of AVN in hips and cataracts in eyes. Life is good!
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Old Wed May 23, 2018, 03:00 AM
Pearl Pearl is offline
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Originally Posted by DanL View Post
I had oral surgery prior to transplant. They wanted me to be at 75,000. I was at 25,000 and received about 5 platelet transfusions to make it happen. I think the short answer is that yes, surgery can be done but extra caution is probably in order.
Certainly, you know your situation, which is interesting. However, wouldn't the surgeon with direct knowledge of this specific case be the opinion that matters?
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Old Wed May 23, 2018, 07:40 PM
Neil Cuadra Neil Cuadra is offline
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Certainly, you know your situation, which is interesting. However, wouldn't the surgeon with direct knowledge of this specific case be the opinion that matters?
Surgeons may not be familiar with the specifics of bone marrow failure diseases, making it hard for them to judge the risk, take necessary precautions, or be prepared in case of an emergency.

It's very individual. Some happen to know enough to deal with it, some just need a little information from you the patient, and some may want to consult with your hematologist.

After consulting with a surgeon, some patients schedule procedures shortly after a transfusion, like filling up the gas tank before a driving trip. And some put off surgery if they can avoid or delay it.
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