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Old 10-06-2022, 09:49 AM   #6 (permalink)
DeathInGrasp
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Join Date: Jan 2019
Location: Midwest
Posts: 96
Nurse practitioner here. I wouldn’t mess with the birth control if you consume nicotine. The reason blood clots are a concern is that if you get a blood clot in your blood vessel it cuts off circulation and is painful and emergent and requires treatment - that’s the best case with blood clots, that it’s in an extremity and you can treat it before further complications. Worst case, having a blood clot somewhere like in your leg can cause fatal outcomes when the blood clot dislodges and travels to the heart, lungs or brain because it’ll cut off circulation in a blood vessel in your brain causing a stroke, or in your heart a heart attack, or in your lungs a pulmonary embolism.

Plus from the provider perspective, even if a patient puts pressure on us to prescribe it against our best judgment, if we cave in and prescribe it, and then the patient ends up hospitalized with a stroke that leaves them bedridden and permanently affected, the patient can definitely still sue the provider for prescribing something unsafely and we can’t say in court “hey, but they made me feel bad for not giving it to them and really really wanted it” to get off the hook.

So not only is the patient’s life on the line but also the provider’s career.

So at least in this case your doctor was correct.
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