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Do Not Wait to Seek Care: Melissa’s Story

Do Not Wait to Seek Care: Melissa’s Story

I was a healthy 25-year-old who ran numerous half marathons, sprint triathlons, and I am also an active Crossfitter. I never in my wildest dreams thought that I’d battle life-threatening blood clots in my calf (deep vein thrombosis/DVT) and lungs (pulmonary embolism/PE).

I noticed lingering calf pain in my left leg in September 2011. There was no swelling or redness, but it hurt so much during the night that the pain woke me out of a dead sleep.

I got out of bed to elevate and ice it, assuming it was just a muscle strain from my workouts. My calf pain lingered as weeks went on, though less intense, so I continued to exercise, as well as walk on it for 12-hour shifts  three days in a row, because I am a nurse assistant.

My boyfriend and I had to pack up our house in Northern Michigan to move downstate. That night, I noticed what felt like more gas pain in my left shoulder and lower left backside that I more or less ignored. Within a few days, my symptoms got worse. I woke up one night with major pain in my lower left back. My instinct told me something was very wrong, so I knocked on my parents’ bedroom door in the middle of the night to tell them what was going on.

My mom and dad had no idea what it was, but they stayed up with me, massaged my back, went to the 24-hour grocery store to buy Gas-X at 2 a.m. and applied heat to the area. Nothing worked, so I went back to bed, tired and exhausted.

At 7 a.m., I woke up with the same sharp pain in the same places. After about a month of pain in my calf, shoulder, and lower back, I finally decided to go to the ER. The ER doctor confirmed from MRI results that I had two pulmonary emboli (PEs) in my left lung. A Doppler of my left leg found the initial blood clot (deep vein thrombosis/DVT) that triggered my PEs. My life has changed forever since then, in some ways for the better.

I tested positive for heterozygous factor V Leiden and factor II blood clotting disorders. I stopped my oral birth control pills immediately because they carry risk for blood clots, and was started on Coumadin, which I took for six months. The catch is that Coumadin can sometimes alter test results for certain blood clotting disorders, so I plan to be re-tested for factor II in the future.

My hematologist recommended against life-long Coumadin, because he attributed my use of hormonal birth control as the primary cause of my DVT and PEs.  I trust him, and am so thankful to be free of Coumadin therapy now. This has been hard for me, because I realize that I am no longer protected by blood thinners and although that thought scares me a little bit overall, I’d rather be free from taking medication and make lifestyle modifications to prevent any future clots.

I continue to exercise daily, I wear compression stockings when I know I have to sit around studying or traveling for long periods, and I move around more frequently, given that I am in school and study for hours each day.

I believe my DVT/PE experience will help make me a more compassionate nurse because I can relate to the fear some patients feel with any illness. I have cared for a couple of patients with blood clots. When I teach a patient about  blood clot awareness upon discharge, it not only comes easy to me, I feel as if I make a positive connection with them based on similar experiences.

If you think you have any symptom of a blood clot, do not wait to seek care, even if you are unsure about what is going on. Stay positive, lead a healthy lifestyle, and listen to your body. Spread awareness about blood clotting risk.

Resources

Factor V Leiden
Factor II
Women and Blood Clots

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