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	<title>Comments on: Avoiding Blood Clots During Long-Distance Travel</title>
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	<description>on being a patient and a doctor, cancer, and communicating about health care</description>
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		<title>By: Nora Yood</title>
		<link>http://www.medicallessons.net/2010/07/how-to-avoid-blood-clots-during-long-distance-travel-by-airplane-and-other-vehicles/comment-page-1/#comment-1003</link>
		<dc:creator>Nora Yood</dc:creator>
		<pubDate>Fri, 16 Jul 2010 22:13:13 +0000</pubDate>
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		<description>Thanks for the practical, simple, easy to follow, and inexpensive tips. I notice that a lot of drinking goes on during international flights (free wine??, the desire to aid sleep??), which really is bad not beneficial. Any ideas about how to always secure an aisle seat?
Happy trails and travels.</description>
		<content:encoded><![CDATA[<p>Thanks for the practical, simple, easy to follow, and inexpensive tips. I notice that a lot of drinking goes on during international flights (free wine??, the desire to aid sleep??), which really is bad not beneficial. Any ideas about how to always secure an aisle seat?<br />
Happy trails and travels.</p>
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		<title>By: Elaine Schattner</title>
		<link>http://www.medicallessons.net/2010/07/how-to-avoid-blood-clots-during-long-distance-travel-by-airplane-and-other-vehicles/comment-page-1/#comment-997</link>
		<dc:creator>Elaine Schattner</dc:creator>
		<pubDate>Fri, 16 Jul 2010 06:38:42 +0000</pubDate>
		<guid isPermaLink="false">http://www.medicallessons.net/?p=3394#comment-997</guid>
		<description>Thanks Peggy, 

You raise an important point about high-estrogen states, including contraceptive use and pregnancy itself, as a risk factor for thrombosis (clot). 

About the stockings, you may be right about well-made compression socks, but I worry when I see women traveling with the usual, store-bought knee-high stockings. Those typically dig in circumferentially just below the knee. Based on my experiences, I suspect a lot of doctors don&#039;t appreciate this seemingly minor distinction among women&#039;s stockings that could make a significant difference in blood flow through the legs.</description>
		<content:encoded><![CDATA[<p>Thanks Peggy, </p>
<p>You raise an important point about high-estrogen states, including contraceptive use and pregnancy itself, as a risk factor for thrombosis (clot). </p>
<p>About the stockings, you may be right about well-made compression socks, but I worry when I see women traveling with the usual, store-bought knee-high stockings. Those typically dig in circumferentially just below the knee. Based on my experiences, I suspect a lot of doctors don’t appreciate this seemingly minor distinction among women’s stockings that could make a significant difference in blood flow through the legs.</p>
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		<title>By: Peggy Polaneczky, MD</title>
		<link>http://www.medicallessons.net/2010/07/how-to-avoid-blood-clots-during-long-distance-travel-by-airplane-and-other-vehicles/comment-page-1/#comment-995</link>
		<dc:creator>Peggy Polaneczky, MD</dc:creator>
		<pubDate>Fri, 16 Jul 2010 01:15:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.medicallessons.net/?p=3394#comment-995</guid>
		<description>Nice advice, Elaine! It&#039;s stuff everyone needs to know. 

I give much the same to all my patients taking estrogen containing oral contraceptives and HRT. I actually advise them to wear below the knee compression socks - they are quite comfortable, don&#039;t impede knee bending and from my reading of the literature, have been shown in numerous studies to reduce clot incidence. No to mention they&#039;ll be the only ones able to get their shoes on when the plan lands! 

Peggy</description>
		<content:encoded><![CDATA[<p>Nice advice, Elaine! It’s stuff everyone needs to know. </p>
<p>I give much the same to all my patients taking estrogen containing oral contraceptives and HRT. I actually advise them to wear below the knee compression socks — they are quite comfortable, don’t impede knee bending and from my reading of the literature, have been shown in numerous studies to reduce clot incidence. No to mention they’ll be the only ones able to get their shoes on when the plan lands! </p>
<p>Peggy</p>
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