Ugh, haven't fallen so far this year, but last year, I swear I fell a half dozen times due to ice. Sometimes I bruised quite a bit and sometimes not so much.

But realistically, if you're on lovenox, how would you form a clot from landing on your knee? Wouldn't the opposite be true and it's more an issue of bleeding and developing a hematoma or internal bleed. But the internal bleed stuff is usually more concerning if you hit your head. That's where you have to really try to reason out the risks, to fight off the paranoia

Yeah. I guess I shouldn't be worried about a clot but of a bleed. I don't seem to be bruising, but it's swollen and I'm icing it. Maybe I should be worried about screwing up my new knee. Gee, I have to worry about something! You know how they always ask you 'Have you fallen in the last 6 months?" When I go to the hematologist tomorrow, I'll be able to say "Yes, I have!"

It's so scary to fall. It shakes you up for sure. And to fall on a repaired knee would worry me too. Hopefully your hema can reassure you a bit. Hang in there!

Thanks. I'll report in tomorrow. My latest worry was -- -did I shake an old clot loose? I've survived the day so, so far, so good. Appt tomorrow is at 8. Haven't see a hematologist yet and I have lots of questions. But no bruising on the knee so that's a good sign. I have to stop being a worst-case-scenario human, but it's kind of late in life to change.

I first saw the hematologist. I had an 8 am appointment so I held off on my lovenox injection until I saw her and she said it was ok. The doctor looked at the knee and said the bruising stopped pretty quickly so YES, give myself the shot to AVOID ANOTHER CLOT. I really didn't think she'd say that since I've been on Lovenox for over 7 months and I haven't missed an injection ever. After I saw her, I went back to my car and gave myself the injection in the car. (I felt like some kind of criminal/junkie shooting up in a car, LOL) Then I went to the orthopedic guy to make sure I didn't screw up my knee replacement. I hadn't, but had plenty of fluid under the knee, which is causing me mucho pain.

I have a cold, but I realized yesterday I'm having trouble taking a deep breath. I believe at sometime, a small clot parked in my lungs. No chest pains, and I survived, but clearly something ended up there; either a new clot or an old one that got dislodged with my knee banging.

I am forever grateful that I'm still alive but golly gee. Will life ever return to "normal"? I also got blood work done. NO genetic problems. D=Dimer was 279. INR was 0.99. prothrombin 120.7 SEC , Derived Fibrinogen 379 MG and PTT at 22.9. So it SEEMS as if everything is back to normal now that the cancer is gone, and the hematologist said this, but protocol says to stay on the injections until next May. Then she'll take me off, re-do the tests and see how everything looks compared to this week.

I gotta say. I think it's highly unlikely you threw a new clot while on lovenox or that an existing clot broke off and traveled to your lungs while on lovenox and so far out from your original diagnosis. Clots tend to not break off unless they are recent. Seems more plausible your cold and feeling anxious, maybe even the weather, could be contributing to your issue with taking a deep breath.

Glad you saw both your docs for some reassurance. You are going to be ok.

To be honest, I also never thought I could throw a new clot having been on lovenox for so long. It was the hematologist who said it was possible and warned me not to miss a shot. From what I read online today, the Lovenox greatly reduces the possibility of forming a clot, but it isn't 100%.

No, it's possible on any anticoagulant, but it's just unusual for it to happen. Most times people who do clot while taking anticoagulants have a genetic clotting factor, miss a dose, low inr ( if on warfarin), etc.

So, I called my doctor and before I could make an appointment the nurse there said "If you're short of breath and you sense chest pain and you recently fell and you have a history of clots, go to the emergency room now" We went
They did blood work, they did a chest xray and we talked about the multiple-CT thing. I'd only had one on my chest, so we opted for a second one. It's been 8 months since the last. In the end, I did NOT have any new clot in my chest and because of the contrast (I think I understand this) they could see that it was going farther into the lungs, indicating the old PEs were shrinking enough for the contrast to get around them. All good news.

Good!