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It’s been just more than two months since I developed a blood clot in my leg. There have been some rough times for sure. For several weeks it was difficult to walk and sitting upright for too long would make my foot swell and my leg feel painful. I had to leave work early on a number of occasions so I could get home and just lie down. I even went into an empty conference room at work once and put two chairs together just so I could sort of lie down to give my leg some relief.

 

Then there was the day I couldn’t stop crying during church. The Mr. asked if it was my leg that was bothering me and begged me to sit down even though everyone else was standing. The kids were freaked, of course, because Mom was crying. I got lots of hugs that day.

 

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It's kind of hard to believe that it's been 3 months since I developed a blood clot in my leg. As you may remember, it's my third clot. If I had $1 for every time someone has said lately that I'm too young to have had so many clots I may be rich.

 

I had a follow up ultrasound on my leg yesterday, and was pleased when the tech said she had to check my whole right leg and my left groin. Ever since the clot developed I've had swelling in my feet some days. A lot of days, in fact. It concerned me that I was still having swelling since that's a symptom of clots.

 

Fortunately, the ultrasound showed that the clot has dissolved! The tech and I were both pleasantly surprised. Although she didn't have to, she checked briefly down my left thigh since I told her of the swelling in my left foot.

 

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It has been a week of disgustingly high blood sugars for no apparent reason. It started on Monday night when I woke up twice and tested over 600 mg/dL at 3 a.m.

 

I have done everything I can possibly think of to keep my sugar in check: changed my site, drowned myself in water, taken an injection, cut out snacks, barely eat carbs. There have been a handful of blood sugar checks that were normal and that caused me to jump for joy. Which also lead me to believe my site is not the issue, nor is my diet, nor that I'm not bolusing correctly.

 

The only thing I haven't done is to either set a temporary basal rate, change my basal rate and/or call my endo to see what the heck I can do. 

 

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So as I expected, my doctor told me this morning that the top of my foot is a little infected. I had suspected that a few days ago but then it started looking a little better, a little different. Though it still hurt I kept saying that I fell down the freaking stairs and that's why it still hurt.

 

Even The Mr. said he didn't think I needed to go to the doctor. But the swelling wasn't getting any better and I wanted to make sure that I was doing for it everything that I needed to do. And wanted to confirm my infection suspicion.

 

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I've heard many times in the last nearly two weeks how incredibly thorough my new primary care doctor is (I should probably write a post on why I switched). On March 31 when a blood clot in my leg was diagnosed, Dr. K did exhaustive testing to see why the clot developed. The tech took 24 vials of blood!

 

I knew I needed to see a hematologist (a blood specialist) but I wanted to wait until I got all the test results back from Dr. K. Everything, and I mean everything, Dr. K tested for was normal. There was not one single condition or genetic predisposition. Which was good, but it still didn't give me any answers to why this was happening.

 

The previous two clots I had developed because of a hormone-related event, and seeing as I'm not pregnant, not on the pill and not taking any hormones of any kind I was left with an even bigger "WHY?"

 

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I'm starting to wonder when it's going to end. Starting to really think about my mortality. How many more medical conditions can be heaped on me? (Hello Universe? That wasn't a challenge.)

 

Here's the short of it: I've developed my third blood clot in my leg. This clotting problem started when I was 18 and had been on the pill for about six months. At that time I was away at college, my first semester, and scared shitless when I had terrible pains in my chest. I wondered if I was having a heart attack. 

 

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I don’t know how long I’ve had reflux in my veins, but I wonder two things: did it/can it cause blood clots, and did the recent blood clot make the condition worse?

 

I’m wondering these things because prior to the last clot, I had virtually no swelling in my feet. But since the clot – particularly in the last month – I’ve had swelling almost every day. To the point where The Mr. and I have both said that my feet look like sausages. Stretching my feet out has caused some pain, though shortlived.

 

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So by the end of my appointment on Wednesday afternoon and Thursday morning I was being a quiet basket case. I was cranky and had trouble focusing on just about everything.

 

My hematologist basically told me that I needed surgery and that any doctor who suggested I *didn't* need surgery was a quack. I was left wondering why no one had suggested surgery when I had the first two clots. I really knew in the back of my mind that I wouldn't need surgery, but there was still that "maybe."

 

I was so worried that my blood pressure was slightly elevated by the time I got to the vascular surgeon's office. And that rarely happens to me. For being a big girl, I've got really good blood pressure. Anyway, the surgeon was very nice, young, energetic.

 

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Now that my blood thin-ness levels have been stable for several months, I don't have to check in with my primary physican every couple days or weeks. Since what we're doing is working, I only have to go into the office once a month.

 

The thin-ness test -- called INR (who knows what it stands for) -- is much like a blood sugar test. They prick your finger, take gadzoodles of blood (much, much more than for a blood sugar test) and drop the blood into a machine that spits out a number. A person who is not on blood thinners should be between 1 and 2. A person who is on blood thinners should be nestled between 2 and 3. Anything above 3 is too high.

 

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Admittedly, one of the reasons I chose my (old) primary care doctor is because she was just blocks away from my house. Also, she was so new to town that it was pretty easy to get a same-day appointment.

 

Her office is in a building with other doctor-types: a veterinarian, my dentist, etc. Since she was new to town, I basically looked the other way when it came to things like office decor. There were very basic chairs in the waiting room, very white walls, a piece of "art" that was too small for the wall. 

 

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