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Alert: It hurts

I had a blood clot, and I've never been so frightened

By Barbara J. McKee
Tribune Columnist

February 14, 2006

For the past month or so, I've had the unexpected opportunity to be on the receiving end of hospital care.

Right after Christmas, I developed a serious blood clot, a deep-vein thrombosis, in my left thigh. I had no idea I had a blood clot for about a week until I received a phone call from my physician telling me to get to the hospital right away.

Deep-vein thrombosis is one of the leading silent killers. When the thrombosis is spotted early, and prompt treatment given, it might often resolve itself. When left untreated, it might cause severe and even fatal complications. Such complications kill up to 200,000 people a year in the United States. That's more than AIDS and breast cancer combined.

The symptoms for deep-vein thrombosis might be subtle and difficult to detect. Contact your doctor if you notice pain, tenderness or sudden swelling in the leg, discoloration or visibly large veins, or skin that is warm to the touch. Seek urgent medical help if you experience shortness of breath, rapid pulse, excessive sweating or anxiety, sharp chest pain, coughing up blood, dizziness or fainting.

My symptoms were a sudden swelling of my entire leg, similar to the three times I have fractured my tibia. I immediately assumed that was the issue. As several days passed, the skin on my leg became tight, bruised and painful.

After an ultrasound, I was placed on the blood thinner, heparin, immediately. I was fortunate the clot didn't break off and cause a lung, heart or brain embolism in the days before I went to the hospital.

After a few days, I was placed on another blood thinner and an anti-blood clotting agent, coumadin. Coumadin doesn't dissolve blood clots but does help in preventing them.

Within the first 30 days of a clot, the body is prone to repeating the event. I had to keep close watch for any of the symptoms of a new clot or an embolism.

Luckily, with the great care I received from three teams of doctors, interns, nurses and support staff, I have improved greatly. But the final outcome will not be known for another five months. It takes six months for the body to decide to dissolve the blood clot, or it will calcify and remain permanently.

For a paraplegic to feel pain means the injury is quite severe and dangerous. I thought I was too young for such an experience, but blood clots are common for the disabled.

I can honestly tell you I had never been so frightened in my life. I'll never make an assumption about my health again.

For more information on blood clots and how to prevent them, visit www.dvt.net

McKee, a wheelchair user, is a freelance writer and producer. You can e-mail her at chairgrrl@chairgrrl.com.

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