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5-year anniversary today!
Well, it’s March 13th. My oldest grandson’s birthday (turning 13) AND the five-year anniversary of having my pulmonary embolism.
I was sitting at my computer, minding my own business, when all of a sudden it felt like someone had walked into the room and hit me HARDHARDHARD on the outer side of my right chest area with a heavy hammer. Construction-grade hammer…not one of those wimpy little “lite home use” things! The pain was excruciating. I slid out of my chair and onto the floor, clutching my chest and gasping for breath. When I was finally able to catch it, I staggered to the living room and sat down in my rocker, still reeling from the pain, which had only diminished slightly.
I sat like that for maybe half an hour, debating whether I should go to the ER. I knew it wasn’t a heart attack. The pain was in the wrong place for that. But I had no idea what it might be. As I sat there, the pain slowly decreased to the point that I felt like I could walk upright and look fairly normal. But it never went away. I was supposed to work for a couple of hours as a volunteer in the hospice office, so I decided to go. I figured if it got better, it wouldn’t matter if I did my volunteer work. And if I got worse, there were nurses there in the office. And if it got REALLY bad again, I’d be at hospice—the right place to be for pain like that! (Dark humor, here.)
By evening the pain hadn’t gone away, so I went to the ER. They did a CT scan (I think they used contrast?) and found NOTHING. Told me it was reflux. Perhaps due to having eaten a LOT of York peppermint patties 24 hours before the symptoms hit. And besides, I was on Eliquis at the time, so they didn’t think it was possible for me to have had something like a PE.
I went off Eliquis at the end of May that year, but got my hematologist to agree that I could take a d-dimer test monthly for the next several months just to reassure myself that I wasn’t clotting up again. The hematologist told me that my chances of getting a PE were exceedingly small, so he wasn’t worried at taking me off Eliquis, but allowed for my worry by letting me get the d-dimer tests.
The pain never entirely left, but it got a lot better. My breathing, however, did not. I went in search of a medical answer and found none. I joined a cancer survivors’ exercise class at the Y, thinking that perhaps I needed to exercise and improve my physical condition. But while others in the class got better and better as the weeks rolled by, I got worse and worse. I couldn’t keep up. I got out of breath very fast. It worried the instructors.
I went to my PCP at this point and complained that everyone else in my exercise class was getting better while I was getting worse. I said I was having trouble with getting SOB upon the *least* exertion. He said he had no idea why.
I was going to fly to Amsterdam in a couple of days. Free trip! (Long story.) So I got another d-dimer test done. And I noted that I was having pain in my right calf that felt like DVT pain. I’d had 2 DVTs there before, so I knew what that felt like. Four days before I was due to fly out, I called my PCP to ask him if it was safe for me to fly, because of the pain in my leg and my trouble breathing. I asked him to check my latest d-dimer test results.
Voila! In a heartbeat my trip to Amsterdam was canceled. My d-dimer was over 800. My PCP sent me for a CT scan with contrast, and there was the PE. Right in the area of my chest where I had felt the “hammer blow” 7 months earlier (by now). And a Doppler showed a third DVT in my calf.
The medical professionals insist that they missed nothing when I had the chest pain on March 13th. That there was no PE then, but there was 7 months later. I think they’re full of horse hockey.
I’m on Eliquis for life, now. VQ scans (two of them) in subsequent years have shown no impairment in my lung function, so I am reassured time and again that there is no evidence that I have CTEPH. I self-referred to San Diego last year and, after looking at my scans and medical records, San Diego agreed that it seemed unlikely. So…..
Happy 5th anniversary of my PE!
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