Shams: Wemby OUT for the Remainder of the Season

[benefactor]

Different. There are two steps to form a blood clot. First is your platelets become activated and stick together. Second step is called the coagulation cascade which is basically a long list of reactions involving various proteins made in your liver that ultimately lead to the final formation of a blood clot. For heart attacks, strokes, these are blood clots of the arterial system (aka oxygenated blood coming from the lungs going to the heart and rest of the body. These clots are driven by platelets. So medicines like aspirin work well to prevent platelets from sticking together. For deep vein thrombosis, which are blood clots of the venous system (aka blood that is no longer oxygenated that is going back to the lungs), the blood thinners used are called anticoagulants. They work on the second step (coagulation cascade). Like eliquis, xarelto, pradaxa. Victor will get one of these.

Thanks for the more detailed explanation for everyone. I have some limited knowledge when it comes to anticoagulant therapy due to my time spent in hospital pharmacy, but this really lays things out better. I knew more about prophylactic therapy and people with long-term problems. Back when I was doing it it was old school. Lovenox and Coumadin lol.

[spursgu]

so yeah a big FU to all the people that were calling him names when he was having a real medical issue. Changing your tunes now but I have mental notes of all you dumbasses.

get well soon, Wemby!

[TekXX]

Calm down people, the season was over anyway. I'm betting this is a one off and he'll be fine next season.

[Ice009]

The type of trauma that can incite a blood clot is usually much more significant than a fall. Let's say you were in a big car accident and had broken bones, internal bleeding, in the ICU, needing surgery. That's the type of trauma that will incite a blood clot. Your body has a natural ability to prevent excess clotting due to natural blood thinners. When your blood vasculature is no longer intact (ie from major trauma) you start to form a clot to stop bleeding. Most people don't develop DVT. And then there are those who develop them for various reasons known and unknown (genetic, environmental, sometimes lack natural blood thinners).

So the posters that mentioned GG Jackson falling on him (I don't remember the fall/hit) wouldn't be enough to cause one of those traumas? When you say "environmental" can you give some examples of that?

mikec thanks for the info tbh. I've also talked to my doctor family and friends who are also Spurs fans (some casual, some diehard), the things you guys are saying are more or less the same and that the conditioning/shortness of breath SHOULDN'T be connected to this cause if it is, then it's way ing worse.

The shortness of breath thing has me worried and I hope it's nothing related to it now that I know more about it. I hope it's just something completely separate.

[SayTown]

Calm down people, the season was over anyway. I'm betting this is a one off and he'll be fine next season.

Thank you I feel calm and reassured now!

[TekXX]

Thank you I feel calm and reassured now!

Hey, you're welcome bud!

[scott]

Shout out mikec. The real MVP of this thread and the forum today.

[TE]

I know I'm grasping at straws because we don't have this objective information, but I wonder what Wemby's baseline's CBC is. A basic exam like that can show patterns though not conclusive... another exam usually rendered in this case is a d-dimer which can give some pattern recognition.
All in all, if the initial reports from the Spurs insiders are that he'll make a "full return by the end of the season" are any indication, I hope other underlying procoagulopathy processes have been ruled out. As was mentioned before in this thread, this could have been brought upon by a simple hard fall/impact with the hardwood going after a loose ball, or even a URI could have initiated a procoagulopathy process.

[benefactor]

So the posters that mentioned GG Jackson falling on him (I don't remember the fall/hit) wouldn't be enough to cause one of those traumas? When you say "environmental" can you give some examples of that?

If I'm not mistaken environmental alludes to being stagnant. Long periods of inactivity can lead to clots in the legs. Many times people who are in hospitals for an extended amount of time receive what they call DVT prophylaxis. It's a blood thinner that keeps them from getting clots in the legs because they are bound to a hospital bed.

[D-Robinson 50 fan]

I hope he just gets well and it doesn’t escalate to anything more serious

[TE]

If I'm not mistaken environmental alludes to being stagnant. Long periods of inactivity can lead to clots in the legs. Many times people who are in hospitals for an extended amount of time receive what they call DVT prophylaxis. It's a blood thinner that keeps them from getting clots in the legs because they are bound to a hospital bed.

Basically apply virchow's triad to the situation or cir stance, and extrapolate from there. But other stuff that will no doubt be ruled out are like Protein C and S deficiency among other maladies

[scott]

If I'm not mistaken environmental alludes to being stagnant. Long periods of inactivity can lead to clots in the legs. Many times people who are in hospitals for an extended amount of time receive what they call DVT prophylaxis. It's a blood thinner that keeps them from getting clots in the legs because they are bound to a hospital bed.

When I was in the hospital, they had me wear these sleeves on my legs attached to a pump that continuously inflated and deflated to make sure my circulation kept going. Was actually a pretty nice little massage, tbh, but got pretty old after a few hours.

I have a hematologist I see now every year who has told me I don't need to see her anymore, but she doesn't mind if we do an annual check-in... I keep going because I figure it couldn't hurt to have a specialist on my team looking at my body Next visit she's probably going to get annoyed when I ask her a bunch of questions about DVTs in the shoulder......

Went through a period where I had confusing panel results... thought for awhile I might have Lupus Anticoagulant syndrome (which can lead to DVT and strokes)... but turns out I didn't. Learned a lot about this stuff when I was going through that, most of which I've already forgotten.

[mikec]

Basically apply virchow's triad to the situation or cir stance, and extrapolate from there. But other stuff that will no doubt be ruled out are like Protein C and S deficiency among other maladies

Exactly.

[mikec]

Shout out mikec. The real MVP of this thread and the forum today.

[spurraider21]

we will rally around bismack biyombo. and we'll play good basketball

[Mugen]

When I was in the hospital, they had me wear these sleeves on my legs attached to a pump that continuously inflated and deflated to make sure my circulation kept going. Was actually a pretty nice little massage, tbh, but got pretty old after a few hours.

I have a hematologist I see now every year who has told me I don't need to see her anymore, but she doesn't mind if we do an annual check-in... I keep going because I figure it couldn't hurt to have a specialist on my team looking at my body Next visit she's probably going to get annoyed when I ask her a bunch of questions about DVTs in the shoulder......

Went through a period where I had confusing panel results... thought for awhile I might have Lupus Anticoagulant syndrome (which can lead to DVT and strokes)... but turns out I didn't. Learned a lot about this stuff when I was going through that, most of which I've already forgotten.

It's never lupus tbh.

[scott]

It's never lupus tbh.

One thing I learned while I was being tested for this Lupus Anticoagulant Syndrome... is that it's not the same thing as Lupus

[Russ]

Yes, agreed on minimum 3 months of blood thinners. His doctors will repeat another ultrasound in 3 months to see if the blood clot is still present or not. Sometimes there may still be residual clot remaining but it is scar.
If this is Paget-Schroetter syndrome which I suspect, he will be seeing vascular surgery to determine if surgery is needed. Six months of blood thinners is sometimes recommended.

Doctor, I'm thinking with this patient, it may be sooner than three months.

[Ice009]

I know I'm grasping at straws because we don't have this objective information, but I wonder what Wemby's baseline's CBC is. A basic exam like that can show patterns though not conclusive... another exam usually rendered in this case is a d-dimer which can give some pattern recognition.
All in all, if the initial reports from the Spurs insiders are that he'll make a "full return by the end of the season" are any indication, I hope other underlying procoagulopathy processes have been ruled out. As was mentioned before in this thread, this could have been brought upon by a simple hard fall/impact with the hardwood going after a loose ball, or even a URI could have initiated a procoagulopathy process.

Sounds like you know what you're talking about. I don't understand most of what you said, though.

One thing I will ask, though, so a fall or someone like GG Jackson falling on top of him should could have caused this? If I understand correctly what MikeC said, the trauma would have to be much more than that?

[baseline bum]

We call these upper extremity DVTs. The patient will usually present with sudden or worsening shoulder/arm/neck pain or discomfort. I've not seen shortness of breath/fatigue as a presenting symptom unless there is a concurrent pulmonary embolism. I really hope Victor does not have a pulmonary embolism.

Crap, at least hearing this news made the complete falloff in his game the last three weeks make some sense for a while until reading this. E.g. getting fatigued quicker, less mobility on defense, shot blocks dropping, and his three point shooting falling to 30%. But sounds like maybe only the last one would have much of a chance of coming from this. He really hadn't looked like himself the entire month.

[mikec]

Doctor, I'm thinking with this patient, it may be sooner than three months.

Good point...probably weekly haha

[Russ]

They misdiagnosed Danny green for an injury as well iirc. I don’t trust the spurs medical staff anymore, tbh. I just hope they’ve upgraded

Danny Green was on ESPN today gushing over the Spurs staff and saying Wemby was in the perfect place to recover and get through this.

[timtonymanu]

. I just hope he’s okay long term. That is scary.

[100%duncan]

Crap, at least hearing this news made the complete falloff in his game the last three weeks make some sense for a while until reading this. E.g. getting fatigued quicker, less mobility on defense, shot blocks dropping, and his three point shooting falling to 30%. But sounds like maybe only the last one would have much of a chance of coming from this. He really hadn't looked like himself the entire month.

This shouldn't explain the fatigue though, if it does then the situation is actually worse.

[Russ]

"Victor said his arm wasn't feeling normal."

It's anecdotal, but that doesn't sound like shortness of breath or other pulmonary symptoms.

If so, that could be a good sign that he does not have a pulmonary embolism.