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Old 01-01-2006, 04:13 PM   #1
Rajesh Huntley
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On December 24th I was admitted to the emergency room of my local hospital experiencing excruciating chest pains. After hours of waiting (and minutes of medical care)the doctors told me that I had bilateral pulmonary emboli (blood clots in both lungs).

This came as a surprise considering that I am 26, a regular participant in the WOD and very health concious. As of January 1 when I was released from the hospital not a single good theory as to where the clots came from has been proposed by any medical professional.

Has anyone in the crossfit world expereinced this? I have been told that this condition usually arises from pooling blood and is therefore not caused by exercise, but then again, it also usually doesn't arise in people who are young and healthy. To give more background to the medically minded out there; there is no family history of blood clots for generations, I have not been on any long trips for months (years?) that would have entailed sitting still for long periods of time. The doctors checked my legs for more clots, there are none.

I also had an echocardiogram which showed a perfectly healthy heart. It should be obvious from my dedication to crossfit but I do not use any type of recreational drugs (cocaine etc.) either. Some of the doctors in the hospital said that "speed" type drugs can cause blood to pool in the heart creating clots.

Thanks a bunch for any info you may have.
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Old 01-01-2006, 07:03 PM   #2
David Besachio
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Raj:

I'm glad to hear you made it through. Blood clots in the lower extremities are implicated in PE. It's not about blood "pooling", it's blood "clotting" in the legs/pelvis. Will they be working you up for any underlying hypercoagulable process?

David
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Old 01-02-2006, 12:57 AM   #3
Laura Rucker
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Raj, how scary! You didn't say if they were able to dissolve the clots...are you still at risk? I hope you are doing ok now.

I don't know anything other than a friend of mine got chest pains that were later attributed to pulmonary clots, but he had had knee surgery within three months of the occurrence.

Take care and hope to see you soon!
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Old 01-02-2006, 11:38 AM   #4
Rajesh Huntley
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David, before I was put on any blood thinners the hospital took blood samples to do those exact tests.

As for the blood clots, my condition was stabilized and I was placed on blood thinners to prevent more/enlargement of the clots. I was not given any clot busters though, as the doctors believed that the risks outweighed the possible rewards. I will remainon blood thinners until the clots dissolve on their own.
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Old 01-02-2006, 12:24 PM   #5
James Hall
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Raj,

Glad that you're OK. Just my $.02, hope no docs on here get ****ed. I've heard many patient's stories about ERs. If you're not dying, they don't know. My 14 yo son last year went to Disney in FL w/his grandparents, got dehydrated and was taken to the ER. After 2 CTs, IVs, and drugs, was diagnosed with a virus ($15K later). He's great and I don't blame the docs. In the ER, if you're not dying, they're not trying. I blame the medical system and healthcare in general. I work in the environment and it irritates me to no end.
Go see a cardiovascular specialist and get it checked out. You'll be better off.
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Old 01-02-2006, 03:01 PM   #6
David Wood
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I would second James' advice.

PE are *NOT* trivial . . . potentially life-threatening. I have no idea how you might have come about, but I'd definitely scrounge the money it took to see an appropriate specialist . . . either a pulmonologist (lungs) or vascular specialist.
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Old 01-03-2006, 02:19 PM   #7
Lani Lau
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So glad you are okay. PE are often serious. May I ask how they diagnosed your condition? What scan or test was used to confirm the presence of clots? I agree with James and David, go see a respected experienced specialist to try and make some sense of this. Take care.
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Old 01-03-2006, 08:31 PM   #8
Rajesh Huntley
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Lani,

It was a CT scan that finally revealed the clots.

I'll be on my way home tomorrow at which point I'm headed to my doctor's. From there I'll see about a hematologist and/or pulmonologist.
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Old 01-04-2006, 07:02 AM   #9
Joshua Newman
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Rajesh-

My father is a pulmonologist, with a sub-specialty in sports medicine. Significantly, he's also an avid CrossFitter himself.

Though he's up the coast from you (at Stanford), if you want to talk by phone with him for a second opinion on anything, I'm sure he'd be more than happy to chat. My email's in my profile if you want me to connect you.
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Old 01-08-2006, 01:28 PM   #10
Mike Moore
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The type of specialist you need to see to evaluate the cause of your problem is a hematologist. From your post, it doesn't sound like you have any obvious risk factors for PE, ie cancer, obesity, inactivity, etc., and you didn't mention any recent significant trauma. In a young patient with no obvious risk factors, one of the hypercoagulable syndromes should be excluded. Besides the "routine" tests they did before putting you on "blood thinners", a hematologist will probably suggest such tests as Protein S, Protein C, Factor 5 Leiden Mutation, Prothrombin Gene Mutation, Lupus Anticoagulant, etc. If these tests were not done, you need to get referred to a hematologist. What "blood thinner" were you started on eg Fragmin, Lovenox, etc.? Also,do you have any family history of close relatives (mom, dad, siblings) with "bllod clots" or pulmonary embolism or any recurrent problems that might have been a blood clot, but was diagnosed as something else, eg pneumonia.?
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