Pulmonary Embolism Support Group
By far the most common form of pulmonary embolism is a thromboembolism, which occurs when a blood clot, generally a venous thrombus, becomes dislodged from its site of formation and embolizes to the arterial blood supply of one of the lungs. Symptoms may include difficulty breathing, pain during breathing, and more rarely circulatory instability and death.
jhallibu311
Hi everyone. :) I've been following this group since I found it soon after my PE, but this is my first post here.
My PE happened about 3 and a half months ago, and though I did get quite a bit better while I was in the hospital from my original symptoms that led to my diagnosis, I really haven't improved much at all since being released, and have actually seemed to have regressed some.
I had multiple large embolisms all throughout both of my lungs, and it very much noticeably affected my breathing and heartrate as soon as it happened. I've also had some neurological issues that developed at the same time too. For a still unknown reason, it set me into have pretty intense myoclonic seizures every single day since the PE hit. I am on antiseizure medicine now, but I still get them every day, just not as extreme as it had been to begin with.
I haven't really known what kind of expectations to have with my recovery, because no one really knows anything about this. And I tried to slowly work back into my regular routine, adding about 1 new thing in each week.
However, I am still struggling a LOT with shortness of breath, chest pain, and racing heartbeat. Just taking a shower can set my heart rate into the 130s and have my chest burning like I had just ran around the block. Getting dressed sets my heart rate soaring. I've tried a couple of times to shop, and just walking from my car to the front of the store, has my heartrate up to the 130s and I have to sit down because I can barely breathe and feel like I'm going to pass out.
It's been very frustrating, and the past month I fallen into a deeper depression because my life is so drastically different right now than it was just a few months ago.
I am 35, and a mother of 4, and it was nothing for me to up and take all 4 of those kids to the store to get groceries each week, and now I can't even make it through a grocery trip at all.
I am going to a cardiologist tomorrow, and I am so worried that I've moved over into the pulmonary hypertension category now, and that I'm not really going to get back to normal again.
What can you guys tell me? What's been your experience? Were you still very limited in your abilities 3 months out? Did your heartrate still shoot up every time you did the least little thing?
I just need to hear from others who have been this path before, and find out what realistic expectations at this point should really be. Thanks!!
My PE happened about 3 and a half months ago, and though I did get quite a bit better while I was in the hospital from my original symptoms that led to my diagnosis, I really haven't improved much at all since being released, and have actually seemed to have regressed some.
I had multiple large embolisms all throughout both of my lungs, and it very much noticeably affected my breathing and heartrate as soon as it happened. I've also had some neurological issues that developed at the same time too. For a still unknown reason, it set me into have pretty intense myoclonic seizures every single day since the PE hit. I am on antiseizure medicine now, but I still get them every day, just not as extreme as it had been to begin with.
I haven't really known what kind of expectations to have with my recovery, because no one really knows anything about this. And I tried to slowly work back into my regular routine, adding about 1 new thing in each week.
However, I am still struggling a LOT with shortness of breath, chest pain, and racing heartbeat. Just taking a shower can set my heart rate into the 130s and have my chest burning like I had just ran around the block. Getting dressed sets my heart rate soaring. I've tried a couple of times to shop, and just walking from my car to the front of the store, has my heartrate up to the 130s and I have to sit down because I can barely breathe and feel like I'm going to pass out.
It's been very frustrating, and the past month I fallen into a deeper depression because my life is so drastically different right now than it was just a few months ago.
I am 35, and a mother of 4, and it was nothing for me to up and take all 4 of those kids to the store to get groceries each week, and now I can't even make it through a grocery trip at all.
I am going to a cardiologist tomorrow, and I am so worried that I've moved over into the pulmonary hypertension category now, and that I'm not really going to get back to normal again.
What can you guys tell me? What's been your experience? Were you still very limited in your abilities 3 months out? Did your heartrate still shoot up every time you did the least little thing?
I just need to hear from others who have been this path before, and find out what realistic expectations at this point should really be. Thanks!!
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Try to hang in there. Seeing a cardiologist is a good idea, just to be checked out. But I do consider three months to not be very long.
mommato2lilmonkeys
I saw my regular doc yesterday, and he was very concerned that I was still so affected and symptomatic this far out, but I didn't know that it wasn't normal to still feel this way, you know. So that freaked me out a little more.
Thankfully, my husband has been so good to me through this. I feel so bad for all of the extra weight he has had to pull on my behalf though. He has done all of the grocery shopping since March, and most of the housework that's gotten done too!! My kids have been as helpful as they can. My youngest is 4 though, so she's been hard to manage. She knows that I am not at the top of my game right now, and she has really taken advantage of the situation. :)
I had my cardiology appt on Friday, and they did an EKG in the office and he said that my resting heart rate was still pretty high. He also noticed that I was have tremors in my hands and head, which I did know had come up since the PE, but I had never mentioned it to anyone because I had enough other issues worrying me more. I'm not sure how that would relate to cardiology stuff, seems more neuro to me, but it was interesting that he had specifically picked up on it.
He said that I really shouldn't still be as affected on excersion as I obviously am this far out, so we're definitely going to do some testing.
He sent me home wearing a 48 hour heart monitor, and then he is going to set up another CT and echo.
The CT will tell us what's happened with the clots over the past few months, and the echo will help determine how my heart has held up from the extra work it's been doing.
I feel good about this plan because at least I feel like someone is trying to help me get back where I want to be. We can confirm, or not, for sure whether I'm still moving in the right direction. And if not, then maybe they can help figure out how we can finally get there. :)
mommato2lilmonkeys
I'm glad you've seen a cardiologist and have some plan in place. I think that at 3 months into recovery, it's too soon to have any firm idea of whether you have a long-term or permanent condition, including pulmonary hypertension (because if you still have clots resolving, your pulmonary pressures could still be high now but will lower naturally when those clots go away), but it's not too early to get some of these tests and have a baseline to see where you are now. That will help your doctors in case your symptoms continue to be problematic over the next several months, because they'll be able to repeat the tests and see whether there has been improvement and how much.
I will tell you that for some reason at 3 months, I had in my head that it was time I should be feeling "all better." And because I still was struggling with a lot of day to day things, I got really depressed at that point in my recovery. I got suddenly extremely impatient and felt like I needed to do something to make myself get back to normal right that minute. Unfortunately, we just need to learn to be really patient with recovery, because it takes longer than we want it to. It's good you're setting goals and increasing your activity as you can, that's a reasonable way to handle things. But remember too that you're taking care of 4 kids, and that takes a crazy amount of energy, so I think it can slow recovery some if you're not getting the rest you need. I had a toddler and a newborn when I got PE, so I know it was really difficult to rest. Also, if you're getting seizures every day, even if they're not as bad as they had been, that's exhausting to your body as well, and that's a complication I don't think any of us here had to deal with during recovery. In that way, I'm not surprised you're not bouncing right back from this. I don't think it necessarily means that you'll have permanent issues, you probably still need more time before that can be seen.
How has your BP been running since? I ask because I have heard of people having hypotension or even tachycardia after PE, when they change positions, usually from sitting or lying down to standing (it's called postural orthostatic hypotension or postural orthostatic tachycardia). I believe that in some cases it can cause tremors or even more severe seizure-type episodes. For most people I've heard of having that problem, it eventually goes away as their body recovers more completely from the PE. If your cardiologist thinks it likely, there are particular tests he can do to see if that's what it is.
Try to be patient, I always say this and feel kind of like a broken record, but 3 months really is still early in recovery from a substantial PE. So give yourself time and focus on your overall progress, remembering that recovery is also not always just a straight shot toward getting better, we often make some progress and then have small setbacks as well, as we figure out how to balance our life afterward. I hope you get things figured out and feel better soon.
RMB, they did do an echo my 2nd day in the hospital, and they just told me that it came out "normal". So hopefully, the repeat one will be good too, and I can just focus on continued healing, even if it's slow. :)
Shilosmommy, you are so right about the 3 months thing!!
I realized that I will actually be 4 months out next week!! Hard to believe!! And I was really handling it all pretty well, I think, until I got to 3 months out! Then I hit a wall!!! LOL
It's sort of like that first few months after you have a baby, and you're in euphoria of this new life, so you don't mind all of the extra work and lack of sleep at first. After that first few months though, the reality of how hard and difficult it really is sets in, and you realize you are working on fumes. LOL That's how I feel.
The first couple of months after the PE, I was just happy to be alive!! Any ache and pain had to be better than the alternative, right? At 3 months though, the shock wore off and reality hit me hard in the face, and I could no longer deny that this has been really life-changing and hard!!! So, I think I just need reassurance right now that it will get better, because I'm not seeing that light at the end of the tunnel yet. :)
I too am hopeful that these new tests can either put my mind at ease a little, or lead to better answers and treatment.
Oh, and my BP has been good since I've been out of the hospital, thankfully!! It's just my heart rate that goes soaring every time I move!