I had been feeling bad for more than six weeks, experiencing shortness of breath while doing light exercise, like walking up a flight or two of stairs. I had gone from being able to run 8+ minute miles comfortably to struggling to walk at a normal pace in a matter of weeks. My resting heart rate increased from below 50 bpm to something closer to 70.
My primary care physician thought the symptoms might be related to a recent respiratory infection, or maybe even a bit of undiagnosed COVID-19 that was lingering. On April 4, 2022, I returned to the doctor’s office because I felt like I was drowning during my attempt at my morning workout.
This time, I saw a different doctor who sent me straight to the hospital. I was diagnosed with multiple pulmonary emboli, including two large ones in each of the descending pulmonary arteries.
The doctors that reviewed the CT were shocked that I came in under my own power. There was a discussion of administering clot-busting drugs via a catheter as well as less aggressive treatments. Ultimately it was decided that I would get an IV of heparin with frequent PT testing.
My only risk factor is that I tend to be chronically dehydrated. I am 60 years old, male, non-smoker, 6’2,” a distance runner, have a BMI of 22.5, and have had no cancers or trauma, no surgeries, or extended periods of inactivity. I have none of the known genetic clotting disorders. I currently take a daily therapeutic dose of an anticoagulant, and probably will for the rest of my life.
This experience has changed my lifestyle. Due to the need to take an anticoagulant, I am more careful about engaging in activities that can lead to bleeding, like mountain biking. I’m much more careful about where and how I ride than I used to be.
My advice is to be clear and persistent with your health care professionals if you’re not feeling right. Don’t ignore your symptoms.
Resources
Living Your Best Life on Blood Thinners
Know Your Risk
Signs and Symptoms of Blood Clots
