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Yikes! Skolimowska dead at 26

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  • #16
    Very sad, 26 is no age at all!!

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    • #17
      Info on the cause of death is expected to be released today. Most of the Polish team doctors who I've seen interviewed are suggesting a clot. There have also been suggestions that the death could have been avoided if a doctor was present on the spot...

      Here's Skolimowska's complete career record:
      http://www.pzla.pl/index2.php?page=aktu ... =1&id=2181
      Było smaszno, a jaszmije smukwijne...

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      • #18
        Originally posted by Powell
        Originally posted by Pego
        Based on what we know, this is the most likely scenario.
        I don't know about that. She lost consciousness, then recovered sufficiently to walk into the ambulance before lapsing again. Could that be explained by a clot?
        yes

        a large clot in the lungs can reduce/stop bloodflow to R side of heart & that in itself or a cardiac arrhythmia triggered by this can cause collapse

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        • #19
          Originally posted by eldrick
          Originally posted by Powell
          Originally posted by Pego
          Based on what we know, this is the most likely scenario.
          I don't know about that. She lost consciousness, then recovered sufficiently to walk into the ambulance before lapsing again. Could that be explained by a clot?
          yes

          a large clot in the lungs can reduce/stop bloodflow to R side of heart & that in itself or a cardiac arrhythmia triggered by this can cause collapse
          Yes, I know it can explain the lack of consciousness, but what about the momentary recovery?
          Było smaszno, a jaszmije smukwijne...

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          • #20
            clot may dislodge temporarily resuming blood flow to heart & a recovery, but may re-block again & this time it was permanent

            & if it is a clot, a doctor at hand wouda made no difference to outcome

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            • #21
              Originally posted by eldrick
              if it is a clot, a doctor at hand wouda made no difference to outcome
              Not that I know much about these things myself, but apparently some syndroms appeared the previous day that a doctor could have recognized. Also, according to a Polish team doctor quoted in a paper, she should not have been allowed to walk when she felt better following the first collapse, as that could have triggered the re-clotting.
              Było smaszno, a jaszmije smukwijne...

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              • #22
                If it's the same training camp in Faro that I think it is, I've been to it and it's pretty much in the middle of nowhere. It's a fair journey to the nearest town, so even if they had called a doctor after the initial collapse, it would have taken quite a while for them to get there.

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                • #23
                  Originally posted by Jon
                  If it's the same training camp in Faro that I think it is, I've been to it and it's pretty much in the middle of nowhere. It's a fair journey to the nearest town, so even if they had called a doctor after the initial collapse, it would have taken quite a while for them to get there.
                  Yes, I believe so. Which is why some people suggested a Polish team doctor should have travelled with the training group and been there all along.
                  Było smaszno, a jaszmije smukwijne...

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                  • #24
                    Originally posted by Powell
                    Originally posted by eldrick
                    if it is a clot, a doctor at hand wouda made no difference to outcome
                    Not that I know much about these things myself, but apparently some syndroms appeared the previous day that a doctor could have recognized. Also, according to a Polish team doctor quoted in a paper, she should not have been allowed to walk when she felt better following the first collapse, as that could have triggered the re-clotting.
                    yes, you don't ask them to walk around - the initial collapse may have been only due to a medium-sized part of the clot breaking off from whole clot in the leg & going to the lungs - walking around after may have dislodged the remainder of the clot from the leg & therefore the whole clot ends up in the lungs in 2 pieces

                    also anyone who has circulatory collapse you don't ask them to walk around for simple reason that their blood pressure isn't high enough yet to maintain circulation to brain ( "shock" ) & they'll keep collapsing until it is & possibly end up with brain damage if they survive

                    there is no really effective acute treatment for a clot in the lungs ( but see below ) - you only hope it is not large enough to cause sudden death - you hope for smaller ones which cause sharp, localised chest pain, coughing up blood, breathing difficulty, etc, are anti-coagulated with heparin but this takes days to resolve the clot & then you stay on warfarin for 6/12 & lifelong if it is recurrent problem

                    sophisticated centres do have methods to pass a "net" like device thru a bronchoscope ( an endoscope but into the lungs not stomach ) & find the region of the clot on simultaneous scan & then try to "scoop" the clot out but i'm not sure how effective this method is ( i'll have to look it up for full details as this is pretty specialised respiratory physician stuff )

                    if she wasn't on the contraceptive pill, there are various hypercoaguability states where blood is just very thick & keeps causing clots ( systemic lupus erythamatous is a multi-system disease which includes this, but there are specific illnesses with hypercoaguability but no other system involvement - i saw one of these recently & he is only 30y ole, had 2 clots already & on daily heparin injections for life - i can't remember what the condition is called ( it's rare ) & i'll look it up )

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                    • #25
                      Also, her father was quoted saying she had breathing problems after the last OG to the point where she would be out of breath after walking up a flight of steps. Those symptoms went away after a while, so she was never properly diagnosed. Of course, it's always easier to see the warning signs in hindsight...
                      Było smaszno, a jaszmije smukwijne...

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                      • #26
                        News story on front page today says a Polish attorney general has called for an investigation.

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                        • #27
                          Originally posted by eldrick
                          if she wasn't on the contraceptive pill, there are various hypercoaguability states where blood is just very thick & keeps causing clots ( systemic lupus erythamatous
                          I am betting on the pill.
                          "A beautiful theory killed by an ugly fact."
                          by Thomas Henry Huxley

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                          • #28
                            if not the pill, this was what i was thinking about

                            http://www.hughes-syndrome.org/overview.htm

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                            • #29
                              The autopsy confirmed it was a clot in the lungs.
                              Było smaszno, a jaszmije smukwijne...

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                              • #30
                                Originally posted by Powell
                                Info on the cause of death is expected to be released today. Most of the Polish team doctors who I've seen interviewed are suggesting a clot. There have also been suggestions that the death could have been avoided if a doctor was present on the spot...

                                Here's Skolimowska's complete career record:
                                http://www.pzla.pl/index2.php?page=aktu ... =1&id=2181
                                I hope nobody's beating themselves up too badly over "if a doctor was present." Obviously everybody can't be expected to walk around with a physician on a minute's notice at all times. Life is full of risks.

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