Factor V Leiden: This Inherited Clotting Problem can kill you before you know you have it.

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ABOUT DR. BREWER
Dr. Brewer started as an Emergency Doctor. After seeing too many preventable heart attacks, he went to Johns Hopkins to learn Preventive Medicine. While there, he went on the run the post-graduate training program (residency) in Preventive Medicine. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has close to 1,000 primary care/prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, and stroke prevention clinic.

At PrevMed, we focus on heart attack, stroke, and cognitive decline. We serve patients who have already experienced an event as well as those who have not developed a diagnosis or event. Dr. Brewer provides services via telemedicine or in person if you're in the Lexington, KY area. We find a lot of undiagnosed Pre-Diabetes or Insulin Resistance. Treating unrecognized risk factors like Pre-Diabetes allows reduction of risk and prevention of disease.

If you are interested in becoming a patient, please visit our website: https://prevmedheartrisk.com/

ABOUT THIS VIDEO:
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Factor V Leiden is the most common genetic clotting disorder among ethnic Europeans. It's named after the Dutch city Leiden, where it was first described. It is a cofactor with factor Xa, resulting in increasing the cascade to end up with increased polymerization of fibrin, forming clots too quickly.
Doctors diagnose it by having a high index for suspicion for anyone with a clot. Venous clots or pulmonary embolus among ethnic Europeans can show over 30% probability of having this. If a patient has a clot, docs should check the clotting time. If positive, they should do the genetic test. Treatment involves special consideration for flying, surgery, oral contraceptives and pregnancy.