What is Deep Vein Thrombosis DVT
Deep-vein thrombosis, also known as deep-venous thrombosis or DVT, is the formation of a blood clot ("thrombus") in a deep vein. It commonly affects the leg veins, such as the femo...
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Deep-vein thrombosis, also known as deep-venous thrombosis or DVT, is the formation of a blood clot ("thrombus") in a deep vein. It commonly affects the leg veins, such as the femo...

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I had just found this site and my first post was last night around 1 am. I was over-tired and probably should have waited until today to look more thoroughly through it. Some of my questions were already answered.
A little about me: I'm 51 years old, a registered nurse, and overweight. I had leg trauma when I was a kid and always thought I'd have trouble with my leg - more with arthritis. As stupid as it sounds, I didn't really consider a DVT. I have had leg swelling for months. Even years. It was especially worse with New England humidity. In the last 4 months I have done a lot of travelling. I flew from Boston to Vancouver twice to deal with the health issues of my mother. The last trip ended with my mother passing away. That last trip also included two 8 hour car trips to and from my mother's funeral. Even prior to those trips, I experienced right leg pain. I guess it's true what they say...nurses look after everyone but themselves. I just assumed that with my weight and prior leg trauma, the pain and swelling was just something to be endured. I finally went to my doctor last Wednesday when the pain and swelling got to be too much. I had the vascular studies done and ended up in the emergency room for 5 hours. Luckily I didn't get admitted. I was sent home on Lovenox twice a day and started on Coumadin the next day. The clots are throughout my entire lower right leg and include the femoral and saphenous veins. That, to me, says that I've had these clots more than just recently. One thing that annoyed the heck out of me in the ER...doctors just assume too much. I asked the ER doc if I should go back to work the next day. He said "oh yes....you don't want to lie around..that's what got you into this mess" Now granted...I don't run marathons, but I'm no slug either. I really wish I had said that to him but when you're in the ER, you're scared, vulnerable and not really in the mood for witty quips. And the fact that I'm a nurse helps a bit, but it's completely different when you're on the other side of the situation. Anyway, my personal doctor said absolutely no to going back to work right away. I couldn't have anyway...the pain and burning in my leg was too painful. I couldn't imagine working 12 hours with it. So now I'm a week with the DVT diagnosis. My first INR after starting Coumadin was 3.5, so too high right now. I have spent these days with my leg elevated and applying heat almost continuously. I have to say - the reduction in swelling has amazed me. I can see and feel my ankle and shin on that right leg! I am now sick and tired of lying on the couch but I don't know how much activity I can safely do. We have friends arriving from Phoenix today. We had an action-packed week planned that I fear will now have to be scaled down. We wanted to take them to Cape Cod...all the way to the end...Provincetown. It's about a 2 1/2 hour trip by car. Is this advisable - with a few pit stops to get out, stretch and walk around? Mostly what you do in P-town is walk. Initially my doctor said long car rides are not advisable, but it's a week later and my INR is high. What is the general consenus? Sorry for taking up so much space with this post. I would appreciate any input. Posted on 09/15/09, 10:09 am |
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I actually DID and DO run marathons, did not smoke, took full control of health and all that, and got into at least as bad of trouble as you did, in part from circumstances best described at http://www.airhealth.org/athletes.... . By some accounts, staying active and keeping the blood pumping through superficial and deeper vein thromboses may have accelerated the migration to the lungs before the doctors figured out the seriousness of what was going on.
When I could breathe again I became active as soon as possible, if only because it brought a feeling of being alive. Whatever did or did not contribute to the condition or its escalation, being on AC mitigates further risk so you can live as is right for you. BTW I just did a marathon in Montreal, 700+ miles away, drove their over the course of 2 days, drove back in one. I did leg flexes the whole time in the car, stopped every 1 to 2.5 hours, and alternated elevation of each leg up on the dashboard. Hair off the dog that bit.
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If it feels good, do it! Words to live by, Karen! I had a 3 hour car trip the week of my DVT, and was given the go-ahead as long as I got out for a bit every hour. You might need to elevate your leg if it swells up from being on it a lot - mine ankle still swells a year later if I'm on it all day.
That sounds like a fun trip - I've got to get out to that neck of the woods one of these days. Have a great time!
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I went on short trips a few weeks/months after my DVTs (my folks were in AL, I attended school in KY) and did okay with it. I wore a compression stocking and drank a lot (which MAKES you stop every hour for a bathroom break). I'm a fan of point-and-flex the foot while the cruise control is on.
I think you'd be okay -- listen to your body though! I'm not you or your doctor, so do what you feel up to.
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Thanks for your help. It's all very much appreciated. As I wrote after a previous post....I'm so glad to have found this supportive, friendly site.
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I am a nurse too. I would say that since you are now anticoagulated, and if you get out and walk around every hour or 1/2 way through the trip -I would think you would be alright. Being on it walking around all day may be a problem , so make sure you take that heating pad. I hope your pain is under control, and -did the GP prescribe a compression stocking yet? That would help with the walking-I don't know how quickly you could get one though. I ony had PE so don't know all the subtlties of DVT per say-only what I have learned from here. I hope you have a lovely time. Blessings, Teri
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