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.
TossNTurn
I saw my cardiologist today for a follow-up visit from my first visit in May. He's a super-nice guy who answers queations and gives details and spent around 30 minutes with me. Said things look great, I'm doing really well, don't seem to have any residual issues from the PEs.
He took the time to explain how pulmonary hypertension (in the lungs) can lead to orthostatic hypotension (in the rest of the body). Although I didn't follow all the explanation it was nice to know that he would explain it to me. He did warn though, that I couldn't conclusively connect the hypotension to the PEs. Just because it happened *after* the PEs does not mean that it was a cause and effect deal. True enough ...
The only part of the appointment that was annoying was when I asked about the intermittent SOB and fatigue. He brushed it off as part of normal life and said that we all have energy ups and downs. Gave the (somewhat patronizing) example of him getting up in the morning and not wanting to ride his bike cause he doesn't have the energy, but then 30 minutes in he feels great.
Really a stupid comment on his part ... if I rode a bike for 30+ minutes in the morning, I'd probably feel completely wiped the rest of the day. I'm just not recovered enough yet to even consider that. I felt like he really doesn't have an idea of the kind of crushing fatigue a lot of us get. It isn't just feeling tired and lying on the couch watching junk TV all night. It is a weariness that makes even reaching for the remote control too much effort.
I guess as far as he is concerned, I'm fine so there is no reason to be so tired other than just normal life. Whatever!
Overall, it was a good appointment, but that comment really kind of annoyed me. Especially now ... my husband and I went and walked around a museum for two hours this afternoon. We came home and settled in to watch some TV and I fell asleep 15 minutes in, just crashed on the couch too tired to keep my eyes open. I don't care what he says, that kind of tired isn't normal for me or my life.
He took the time to explain how pulmonary hypertension (in the lungs) can lead to orthostatic hypotension (in the rest of the body). Although I didn't follow all the explanation it was nice to know that he would explain it to me. He did warn though, that I couldn't conclusively connect the hypotension to the PEs. Just because it happened *after* the PEs does not mean that it was a cause and effect deal. True enough ...
The only part of the appointment that was annoying was when I asked about the intermittent SOB and fatigue. He brushed it off as part of normal life and said that we all have energy ups and downs. Gave the (somewhat patronizing) example of him getting up in the morning and not wanting to ride his bike cause he doesn't have the energy, but then 30 minutes in he feels great.
Really a stupid comment on his part ... if I rode a bike for 30+ minutes in the morning, I'd probably feel completely wiped the rest of the day. I'm just not recovered enough yet to even consider that. I felt like he really doesn't have an idea of the kind of crushing fatigue a lot of us get. It isn't just feeling tired and lying on the couch watching junk TV all night. It is a weariness that makes even reaching for the remote control too much effort.
I guess as far as he is concerned, I'm fine so there is no reason to be so tired other than just normal life. Whatever!
Overall, it was a good appointment, but that comment really kind of annoyed me. Especially now ... my husband and I went and walked around a museum for two hours this afternoon. We came home and settled in to watch some TV and I fell asleep 15 minutes in, just crashed on the couch too tired to keep my eyes open. I don't care what he says, that kind of tired isn't normal for me or my life.
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Carrie
I've learned most doctors just want you alive (to pay that bill) lol, Quality restoration is not on their agenda. We know what you mean. I still have some SOB stints. A co-worker of mine had a PE 5 years ago and he still has anxiety attacks around SOB. I also sleep 3 hours more per day than ever before in my life. This may be our exclusive membership handshake...... lol only those going through it understand.
Even with having seen the SOB bouts come and go for this long, they are still worrisome when they set in.
Well, there's my little rant. Not much helpful either, but at least you know that we here understand!
And, as I've been in this body for 35 years, I also know what is normal tired and what isn't. ShilosMommy ... I love the term "black hole tired" cause that is really what it is.
*sigh* This still annoys me, when I think about it.
I am glad, in a perverse way, when I hear others here say that this is a new kind of fatigue and we have to listen to our bodies or crash. It would be easy for someone to tell me that it's because I'm 72 but I was always active before spinal issues and PEs arrived and this is a whole different kind of feeling to deal with. It is also depressing to need so much sleep and to be exhausted so easily.
I agree too that women tend to be dismissed as just naturally being more neurotic and stressed. The only really empathetic professional I deal with is my pharmacist!! He is the greatest!
Good luck Carrie with the CT scan! Hugs, Cindy
Hang in there thats about all i can recommend i know how you feel best thing is to take care how you see fit.
The best illustration that I had come by was suggested on this discussion board. It is the Spoons Theory. I have sent it to my family, friends and employer. Even my husband said to me "But you don't feel nearly as bad as that lady in the story do you?" I had to explain that I indeed did.
I am going to attach the link. You can download a PDF version at that site. The author suffers from lupus but I believe it can help anyone with a physical, mental disability or illness.
http://www.butyoudontlooksick.com/articles/written-by-christine/the-spoon-theory-written-by-christine-miserandino/
This truly can give people a perspective and help people understand what we are going through. Maybe i should send it off to my doc too. Hope it helps.
I was diagnosed with bilateral PE THREE WEEKS AGO! I can barely walk up the stairs to my apartment without wanting to rest afterward. I could sleep 11 hours each day- and I was NEVER like that before.
Some people are so worried about trying to "fix" things that they don't listen...and some people are just insensitive twits.
I'm sorry you encountered that as well.
I have been highly irritated more than once by people who come on and talk like everything will just spring back to normal if we just get the mental attitude of an athlete and push ourselves forward. That may have been true in their case, but I would hope they realize that there are different levels of PE and recovery will be different depending on that. We've had people from time to time come here for a few days or weeks who did have PE but it was something very small - as minor as a PE can be. I'm not taking away from the fact that it always has the potential to be dangerous and it's very scary to have even a small one. But those people also have no idea what it is like to have really and truly almost died and to have to drag yourself back from the edge of the grave. That sounds dramatic I know, but for some of us, that was our reality. I really and truly did nothing for a month after my diagnosis except sleep. I did get up and walk a little from one end of my house to the other because my doctor stressed the importance of some exercise, but he also told me to just do whatever I could manage. It was truly a struggle for me to walk just inside my house. So what you're experiencing isn't unusual.
However, I try to take the point of view that people are for the most part trying to help, and if I want them to try to take into consideration what my circumstances were, then I owe them the same respect regarding their situation. If they found it useful and were able to get right back out and exercise again, well then I'm happy for them that their experience wasn't worse, and I realize that some people here will benefit from their advice, also being in a similar situation.
The advice to add exercise as you're able is actually very good and right on target, if a bit zealous in the goals which were suggested. I certainly couldn't have walked a quarter mile, not until at least 2-3 months after my PE. I did, however try to walk some every day and I found that having even that little bit of a goal was really beneficial physically, hard as it was. Another thing we always say here is to listen to your body. If you're doing that, then you'll do fine. The fatigue which you are experiencing right now is the worst of it, and you'll improve quite a lot as time goes on. Obviously, this doesn't mean your fatigue will magically disappear - some of us who have commented on THIS discussion here have been even years into recovery, yet still experience a different level of fatigue than what we ever did pre-PE.
I wish you well as you continue to recover.
Ha, I KNOW I've said some things that probably have chapped the hides of many. The stuff I post is just my opinion so it really doesn't count for much, in the big picture. What does count is a trusted health care provider blowing you off, treating you like you're just overreacting , dismissing your symptoms etc. I think we've all experienced that, pre and post PE. I've relayed this story so many times, but the third doctor who misdiagnosed my DVT said that I should just "go to the gym and work through the pain." The next morning I passed out on the side walk from PEs. Thanks for the great medical advice, graduate of Ass Clown Medical School.
My point was merely that we encounter those comments everywhere.