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.
It's a long story but I've been having occasional midcycle bleeding since 2012. I also have always had heavier periods but they have been monsterous since I started Xarelto. I had an ultrasound and biopsy back in 2012 that was clear so my gyno kind of shrugged it off. In March, the midcycle stuff seemed to get worse and that continues this month and put it down to the mystery 30 lbs I had gained in 5 months. I had another ultrasound this week, this time showing my endometrium is thickened - 18 mm at day 15, 16 should be the max right before the period starts. I'm waiting to hear from my new gyno on Monday, I suspect the next step may be a d&c/hyteroscope to visual what is going on in there.
Has anyone had a hysteroscopy and/d&c while on blood thinners? I assume I'd have to bridge with shots? Will I need to be hospitalized for observation afterwards? I'm really terrified at the idea because I've NEVER been put under for anything! It's a scary idea for me to be put to sleep. Thanks!
Has anyone had a hysteroscopy and/d&c while on blood thinners? I assume I'd have to bridge with shots? Will I need to be hospitalized for observation afterwards? I'm really terrified at the idea because I've NEVER been put under for anything! It's a scary idea for me to be put to sleep. Thanks!
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Look at what my best friend did with my picture!
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We all have 24 hours in a day. How we spend these hours is important. Watching a little bit of a video about how sitting affects us made me aware of how much sitting and laying down I do. Gonna have to work on that.Your turn. Tell me another truth.
When I had my gall bladder surgery, I met withthe surgeon in her office and we went over everything, like when to stop warfarin, what to expect, etc.The surgeon suggested I plan to stay over night despite the procedure normally being outpatient because of my clotting history. Then after the procedure, she determined it was ok to start warfarin later that day. It may be different for you but my point is that you and the doc performing the procedure will need to work together to get a plan in place specific to you. Don't be afraid to be proactive and ask what to expect.
Until you know for sure what's going to happen, try to take it easy and not work yourself up. I hate being put to sleep too but it will be ok. I think of all the people I've known in my life who've had surgery and none have had anesthesia complications.
I assume you had your gallbladder out in a hospital as opposed to a surgery center? I feel like any procedures I might have I'd be more comfortable doing in the hospital. Then again, my gyno and PCP are both literally connected to the hospital where I was diagnosed with my PE, so that's a comfort. Thanks again.
I have to echo what @rmb said. Definitely ask lots of questions and make sure everyone is very clear about the warfarin, when you're coming off, and when you're starting up again. Getting all your ducks in a row ahead of time will definitely help calm your nerves. I did have a situation where no one seemed clear when to restart my lovenox/warfarin, but I kicked up a huge fuss and called a ton of doctors and we got it straightened out. If you have to advocate for yourself, you can definitely do it.
I'd never had surgery before either and I wound up having two in 2011! Kind of freaky, all the way around, just because its so foreign, but I came through both with flying colors. Definite improvement in quality of life and worth it.
Both times, I had to bridge with the shots. Both times, the surgeons were very clear about when they wanted me off the warfarin. (One was fine about five days ahead... the other wanted two weeks!) Both surgeries that I had were normally outpatient, but because of my clotting history, they kept me in overnight to keep an eye on me until I could restart the warfarin.
I think this could be a good thing for you, but it is definitely scary to be considering surgery. Just be proactive, get your questions answered, and make sure everyone knows what the plan is ahead of time. You'll do great!