Vascular consult update

I had another leg ultrasound today. The good news is that things didn’t get worse and nothing new showed up. The clot/thrombus is still there and it’s going to take time to dissolve. My leg feels a bit softer when you poke a finger into it, which is an improvement.

Best news is that I don’t have to continue Lovenox shots. Thank you, God. Really and truly, thank you. I’m back on Xarelto once a day in a teeny tiny little red pill taken with dinner. No Lovenox should mean no nausea and better sleep quality as well as not being a pin cushion.

Strange news is that my belly actually has two large hematomas as well as some smaller ones. Everyone was quite impressed by their size. The one on the left has been there for 3 weeks and does seem a bit smaller, but it’s still quite hard. The one on the right side, up closer to the bottom of the bra, has been there a week and is 6″ x 4″, and quite angry around the margins. I’m to use a heating pad 4 times a day for 20 minutes, and ice for the same, for a week before checking in again by phone. If it’s not getting any smaller, she’s going to send me for a CT scan.

There really isn’t any bad news, which is good news.

Let’s Do Another Ultrasound

Today’s doctor visit was to Vascular Specialists of East Texas and included another ultrasound of the right leg with lots of waiting in between things. First the doctor told me that the DVT found in last week’s scan wasn’t in the foot at all, it was in the thigh. Oh. Wondering how last week’s doctor decided that it was. Doing the scan involves needing help to take off my pants, shoe, and compression socks as well as help getting my legs up on the table. Then it hurts when they push the probe deep into the leg – but that I expected.

Today’s ultrasound showed what’s called a non-occluded chronic thrombus in the thigh, on both sides of the femoral vein. The passage is narrowed and, although blood can pass through, some is pooling in the calf, making it swell up. No wonder diuretics were not helping; water retention wasn’t the problem.

I’ve been on Xarelto for a week but today learned that they were taking me off of it and putting me on Lovenox, which is an anti-coagulent that is injected into the stomach. In my case, twice a day, because of my size. Lovenox can be dosed based on weight for maximum effectiveness. I had daily shots of it for two months while in rehab. I don’t like giving myself the shots but understand why I have to do them. I just wish I could get a refund on the $356 I spent on Xarelto last week.

I go back in a month for another ultrasound to see what’s happening with the clot. Or DVT. I’m not completely sure if what I have still is a DVT or if it’s something else. But whatever it is, it’s serious and I’m paying attention.

Today’s updates

Just got back from my first longish walk in two weeks (before the sprained ankle). I spent two days this week walking around the apartment with the walker, but today I went out into the hall, down to the elevators, and back again. It wasn’t as easy as it was two weeks ago but I only needed a few very short standing rest stops on the way back. I probably should have stopped at the fire doors instead of going all the way to the end of the hall but I’m not sorry I did what I did. But I’m also not going back out to walk the other half of the hall today, either.

Second, I’m seeing yet another doctor on Friday, a vascular specialist. They’ll probably do another ultrasound (of course) or two so they can check out the other leg as well. I’m actually glad for the referral since the right leg has been swollen and heavy for so long. I’m hoping the specialist will figure out what’s going on and come up with a plan to treat it.

I asked the office to email the registration forms so I could work on them at home. Being me, I converted them to fillable PDF forms so I could just type the answers instead of trying to write really tiny letters to fit in the too-short spaces. Bet they’ll be surprised when they get them.

Image credit: Photo 18832936 / Vascular © Qiming Yao | Dreamstime.com