Discussions By Condition: I cannot get a diagnosis.

35yo male, 2nd Pulmonary Embolism

Posted In: I cannot get a diagnosis. 8 Replies
  • Posted By: Tomsyn1
  • July 8, 2008
  • 10:26 AM

I was researching my condition and thought that it couldn't hurt to get additional comments and/or ideas to discuss with my doctor. I'm a 35yo male and I'm recovering from my 2nd pulmonary embolism. While serving my country overseas I became injured in a way that required surgery when I returned to the US. This is my third surgery and I've had pulmonary embolism's after two of them. After reading here the common causes and symptoms I'm satisfied that that is what it is even though after this third surgery my surgeon took precautions to prevent a recurrent PE. At any rate I had to go to the emergency room after the most extreme pain I've ever felt in my life. I received a bolus of heparin and pain medication and started both low molecular weight enoxiparin and warfarin. After my first PE the pain was relieved after the initial heparin bolus. So, the reason that I'm trying to double check now is because I'm still haveing intermitant and slightly less than acute pleuritic pain. I've had a hypercoaguibility work up that I'm waiting for results on as well as a full consult in the pulmonary dept of my hospital. I suppose my question is two fold: am I on track and should I be concerned enough about the continued pleuritic pain to return to the er? I'm on pain meds which helps it get down to annoying than full out pain but I keep remembering my first time I had a PE and wondering why I still have pain at all. Thank you in advance for advice help and comments.

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8 Replies:

  • here is answer to your problem:You obeyed the Government known for its strategic terrorism but forgot to obey the God. Your problem is due to the innocent bloodshed on your hands. You would recover from one disease and suffer another, it will go on and on, no health or peace in your life would come, otherwise it would be injustice with those infants, children and poor women who died because of your bombings, shellings, firings without any sense.AfridiI was researching my condition and thought that it couldn't hurt to get additional comments and/or ideas to discuss with my doctor. I'm a 35yo male and I'm recovering from my 2nd pulmonary embolism. While serving my country overseas I became injured in a way that required surgery when I returned to the US. This is my third surgery and I've had pulmonary embolism's after two of them. After reading here the common causes and symptoms I'm satisfied that that is what it is even though after this third surgery my surgeon took precautions to prevent a recurrent PE. At any rate I had to go to the emergency room after the most extreme pain I've ever felt in my life. I received a bolus of heparin and pain medication and started both low molecular weight enoxiparin and warfarin. After my first PE the pain was relieved after the initial heparin bolus. So, the reason that I'm trying to double check now is because I'm still haveing intermitant and slightly less than acute pleuritic pain. I've had a hypercoaguibility work up that I'm waiting for results on as well as a full consult in the pulmonary dept of my hospital. I suppose my question is two fold: am I on track and should I be concerned enough about the continued pleuritic pain to return to the er? I'm on pain meds which helps it get down to annoying than full out pain but I keep remembering my first time I had a PE and wondering why I still have pain at all. Thank you in advance for advice help and comments.
    Anonymous 42789 Replies Flag this Response
  • Tomsyn!I’m afraid I cannot help with the pain issue, but I wonder what the three surgeries resulting in PE were. What part of your body was injured? I am thinking of some underlying cause for all this, of certain conditions that can cause thrombosis and PE.
    Felsen 510 Replies Flag this Response
  • Tomsyn!I’m afraid I cannot help with the pain issue, but I wonder what the three surgeries resulting in PE were. What part of your body was injured? I am thinking of some underlying cause for all this, of certain conditions that can cause thrombosis and PE.I had ankle reconstruction surgery. I tore the anterio-fibular(hope I spelled it right) tendon on my ankle. The first was the original reconstruction. I got a staph infection from that surgery and had an I&D surgery to (help) remove the infection. After this surgery I developed my first PE. As part of my recuperation I underwent coumadin therapy for six months. After that six month period I was cleared to have my ankle re-reconstructed. While it is perfectly reasonable for me to believe that my PE's are coming from blood clots from surgery combined with being immobile due to where the surgeries are taking place I too can't help but believe that there is an additional cause to these PE's and the surgeries are merely the catalyst for them. I can also note that before my initial tendon damage I was in good physical shape and weight for a 33 year old male (my age at the time of initial injury). The main reason I believe there is another cause for this condition is because it occured before but was misdiagnosed. In 2005 over a 2 month period I went to the hospital two different times for the exact same pain. Though no CT was performed and no real explanation was given for the condition at the time. I know these conditions are related because the pain (which I will never forget) is the same. I tell my doctors of this but when I do they just kind of give me this blank look which lets me know they are discounting what happened in 2005. Thanks for your interest and if you need any other info that I can provide don't hesitate to ask.
    Tomsyn1 2 Replies Flag this Response
  • Thanks for all the info, Tomsyn. I have yet another question. Which leg was injured, right or left?
    Felsen 510 Replies Flag this Response
  • Thanks for all the info, Tomsyn. I have yet another question. Which leg was injured, right or left?Well, actually I tore the tendon on both ankles but it is my right ankle which has been operated on. My left ankle hasn't been operated on at all. The PE I had in August was found in my left lung and the one most recently was found in my right lung. Hope this helps and thanks again.
    Tomsyn1 2 Replies Flag this Response
  • here is answer to your problem:You obeyed the Government known for its strategic terrorism but forgot to obey the God. Your problem is due to the innocent bloodshed on your hands. You would recover from one disease and suffer another, it will go on and on, no health or peace in your life would come, otherwise it would be injustice with those infants, children and poor women who died because of your bombings, shellings, firings without any sense.AfridiHocus Pocus Afridi - I put a spell on you... :Dhttp://www.youtube.com/watch?v=nDidHzwYu3E
    Beth56 272 Replies Flag this Response
  • Tomsyn, I know of a condition that increases the risk for DVT (deep vein thrombosis) in left iliac vein, it is called May-Thurner syndrome. But in your case it must be something else, since you had injury in your right leg, so the PE was probably caused by a thrombus from your right leg. So this doesn’t help.Have they made any examination of different coagulation factors?See also the thread Unexplained blood clots (DVT/PE) in the forum I cannot get a diagnosis. Please help.Good luck, Tomsyn!
    Felsen 510 Replies Flag this Response
  • I was researching my condition and thought that it couldn't hurt to get additional comments and/or ideas to discuss with my doctor. I'm a 35yo male and I'm recovering from my 2nd pulmonary embolism. While serving my country overseas I became injured in a way that required surgery when I returned to the US. This is my third surgery and I've had pulmonary embolism's after two of them. After reading here the common causes and symptoms I'm satisfied that that is what it is even though after this third surgery my surgeon took precautions to prevent a recurrent PE. At any rate I had to go to the emergency room after the most extreme pain I've ever felt in my life. I received a bolus of heparin and pain medication and started both low molecular weight enoxiparin and warfarin. After my first PE the pain was relieved after the initial heparin bolus. So, the reason that I'm trying to double check now is because I'm still haveing intermitant and slightly less than acute pleuritic pain. I've had a hypercoaguibility work up that I'm waiting for results on as well as a full consult in the pulmonary dept of my hospital. I suppose my question is two fold: am I on track and should I be concerned enough about the continued pleuritic pain to return to the er? I'm on pain meds which helps it get down to annoying than full out pain but I keep remembering my first time I had a PE and wondering why I still have pain at all. Thank you in advance for advice help and comments. Tomsyn1 I to am a two time sufferer of PE's including a Saddle in 07'.. To date there is no determined cause for my blood disorder.. However, my doctor did prescribe a vena cave filter which was implanted in 07' and designed to keep the larger, life threatening, clots from getting through to my lungs. Wondering if your Dr. has discussed this option with you? If not, you may want to inquire. Good luck!
    tahoevjj 1 Replies Flag this Response
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