Stay on top of it. My wife Christine Antoneo Smith had a PE on December 23 rd 2015. High doses of blood thinners, intubation and CPR were useless. The doctor and nurses fought for her for 5 1/2 hours. She was only 41....it was the only PE she ever had.
I’m a 27 year old male and I have an acute PE in my right lung. Just diagnosed a week ago, only caught through my blood work. My D dimer was .54 and I had multiple symptoms like outer chest wall pain right below the breast bone, back and shoulder pain, sharpness in my lung when breathing. I went to urgent care 8 months ago for the same reason and only got an x-ray, my lungs looked great and the doctor believed it was just a muscle thing. Just because I’m young, she didn’t suspect I would have a PE. I’m so glad I went back to find out what the issue is and be able to resolve it now.
My husband just got out of the hospital for acute pulmonary embolism. He has to take blood thinner for 6 months. But he is still having a hard time catching his breath and pain in his side like under his arm. In January he broke his ankle and they did a scan of his chest in the emergency room and said he had pneumonia. Fast forward he just had his gallbladder removed last week and was rush to the hospital because he was in so much pain he couldn’t really move and this was 5 days after surgery. This emergency room did a scan of his arteries and they said he had small clots in both lungs. We spent 4 nights in the hospital and he was sent home with xarelto And tramadol. I really believe the hospital that said he had pneumonia back in January missed the clots. I’m praying to god my husband makes it through this…
My father just past away yesterday morning because of this. It happened so fast within 30 mins. He was 63. I wish I watched this video before it was too late.
I had a pulmonary embolism back in 2010. I also had DTV and endocarditis. I ended up being flown to Toronto, ON. and getting antibiotics, and then undergoing emergency open-heart surgery. My cardiologist said with the number of blood clots in my system, he was surprised I hadn't had a heart attack or a stroke. I was also given 2 weeks to live if I didn't have surgery. It was a fun time.
I spent 10 days in ICU in Feb w/ multiple PEs, including saddle PE, I had 2 emergency emolectomies. The PEs cane from DVT in my leg after I tore my ACL. The hospital staff & doctors made me feel relatively calm, but researching now after the fact I realize just how close to dying I really was. This video explains it really well, and in a way that doesn't cause me anxiety
I just had multiple extensive pulmonary embolisms. I was first misdiagnosed with costochondritis by my pcp. I'm 33, non-smoker, and had just started using Nuvaring for BC. My only symptom was chest pain and it was severe. It hurt to breathe and,to laugh even, and the ER Dr. Promptly did a D. Dimer on me when I went in, followed by all the other tests and being admitted to ICU. I am blessed to be here still.
+Suzanna Oglesby you are too young to be getting blood clots. More investigation needs to happen such as a hypercoagulable workup etc. Make sure to follow up with you doctor and follow their advice.
I’m a 25 year old man I just had a pulmonary embolism in my right lung a week ago I was in the hospital for 3 days I can agree the pain was severe I felt like I had broke my ribs
I'm a new nurse and am trying to get a handle on the "bigger picture." Your video helped me understand possible complications and specifically signs and symptoms to look for. Thank you.
Recovering from a PE just this last week. 61 yr old non-smoker, I sit at a workbench 40+ hours a week with no exercise at all. Picture of health otherwise. Couldn't catch my breath and then the CT scan showed the bad news. Doctor said I was 12 steps away from the widowmaker. Thank God for blood thinners. Get your sorry butt up and walk around.
This is about PE's but with a slight introduction: I just came back from having an EKG and was told how my LBBB (Left Bundle Branch Block) was no longer there. The Doctor said he had NEVER heard of this ever happening in is entire career. I came home (very short of breath, but do have copd), and started searching the net for hours and could find nothing on why LBBB's just go away until I stumbled into a post graduate medical journal which did case study on a 61 year old man who had always had an LBBB and the only time it didn't show up on an EKG was when he was in ER with a PE. After they cleared up the PE, his LBBB was back on the EKG. I'm going to my Doctor tomorrow, as I once had a d-dimer test that came back at 2050, yes 2050, but there were no clots - just a lot of inflammation. But, I'm not ignoring what I read tonight.
I'm male, was 48, and thought I had pneumonia. I spent over a month going back for x-ray after x-ray. The x-ray techs, I was told later, thought I had lung cancer. Eventually I could only walk a few feet before feeling faint and having to cling to walls and furniture. My blood pressure became very low. Finally, a blood test -- I don't know what kind -- indicated heart damage and sent me to an ER. I was told the tops of both lungs had died, that my pulmonary artery was filled with clots, and that I should have been dead already. The cause was a condition called APS, which was apparently part of my undiagnosed lupus. I mention this because I didn't see APS listed in the video. I've read that APS most often occurs during pregnancy, which was listed, but obviously I was not pregnant. I was given a clot-buster (TPA?) and kept in ICU for 5 days. That was eight years ago. I did eventually try to go back to work, but my lupus journey was just starting, and I am now disabled. I still take Warfarin every day, keeping my INR between 2.5 and 3.5, and that seems to prevent clots from building back up. I hope this little study adds to someone's understanding of what can happen. Sometimes it really is lupus! (and APS)
I had this the doctors said it was among the worst they had ever seen and were confused how I was even walking. FTW it’s worth here were my symptoms: I noticed red splotches on my calf. No swelling. A few days later I started getting pain in my upper calf. A few days later my calf started swelling, slowly but surely. After about a week it began to hurt so badly I was limping. Additionally I started experiencing on and off shortness of breath. Maybe once a day for an hour or so. Then the shortness became worse and i could it walk for more than 30 minutes without having to sit or lay due to fatigue. Finally my calf swelled so much I could not walk on it. Went to PCP she told me most likely DVT so went to ER. They did emergency surgery and aspirated the majority of clots. Since then I have been on Eliquis. Ps. The reason I had so many PE’s was due to internal bleeding I was having for months prior. I hope this helps anyone curious about my experience anyway. Best of luck.
Thanks so much for this video. I never thought anything about blood clots until I was in a cycling accident on July 12 of this year that resulted in a pelvic fracture (thankfully stable and no surgery) and subsequent DVT in my right calf and clots in my lungs. The first sign for me was the left chest pain, 2 days later right chest pain and shortness of breath. I have been in the ER and hospital the past 2 months way too many times. The lack of information for clots has been frustrating to me. I am also an endurance athlete which I found out is another reason for blood clotting. Thanks again for the education.
My small clinic doctor missed my PE. I told him I felt exhausted and awful, had sharp throbbing pain on one side of my ribcage. I also told him I thought I might have a clot in my calf, and that I had just flown several hours the day before. I asked him to do an EKG, and it was normal, other than tachycardia. He palpated my leg, said there was no clot, just said it was a muscle strain and sent me home. 36 hours later I called the ambulance. By then the pain had moved to the left side, and my whole ribcage fet tight. Hospital immediately suspected PE, and did CT angiogram. I had 2 large clots in each lung, and several smaller ones. They told me I was very lucky I didn't die.
Thanks Doc .. I discovered this channel few months ago and I can gladly say it's so informative.. actually I was able to capture early PE from a 34yr old 3wks post CS...it was PE in peuparieum 3wks post C/S in para 3+1 with two Previous scars .....keep them coming doc.. highly appreciated..much love from Kenya Nairobi.. Eastern part of Africa .
I’m in the ER right now with multiple bilateral pulmonary emboli, from a DVT in left leg behind knee. I got it by sitting at a desk working for 10 hrs/day. And a cross-country flight.
My husband suddenly passed away aged 59 last month awaiting double hip replacement surgery from a PE caused by DVT. We had been in to see the surgeon 2 months prior and we asked him about the swelling in his legs and he did not warn us of anything or tell us to go to ER. Same thing with his pain dr. We were concerned and no one thought it was an issue. Tell that to our 13 year old daughter.
Same situation here. I googled my symptoms and they misdiagnosed me for a week until I finally went to the emergency room. Because I started fainting for no reason. It took 5 Doctors until they knew. Sad & infuriating. My sincerest condolences
Had DVTs in both legs and ended up with extensive embolisms in both lungs. Almost died. Four months later I seem to be over it. Used to be a hard core mountain biker. Now I can bike on the sidewalk around the block but I am improving little by little.
FYI for anyone concerned about DVT and clots. I had NO warning or signs but do have high blood pressure and high cholesterol. Woke up and my left leg was swollen,foot had no definition, calf hard as granite and leg was warm. DON'T WAIT DAYS like I did. It's not a strain. I had a massive clot and a CT revealed TWO lung embolisms. Using a catheter/vac they removed 3 and 1/2 ft of thrombus "clot" and I will be on blood thinners forever. Also wear compression stockings. Athletes do and they really work both in preventing DVT and preventing a 2nd event.
Awesome presentations. I am not a doctor but I am a former semi-elite runner so I know my body pretty well. I am 53 and can't run anymore due to osteoarthritis in my hips and knees. Right hip is bone on bone but I am too young for hip replacement. I have been biking all summer so I was alittle surprised when I was diagnosed with Pulmonary Emblolism in both lungs, today as a matter of fact. I feel better about my condition, after watching your presentations. Thanks very much
These lectures are great, you break everything down in to digestible sized pieces so that all this overwhelming stuff makes sense finally!! Thanks, this will really help me study for NP boards!!
Thank you for this education. I am 41 and my sister recently passed of this. Was not known until autopsy. Deep vein thrombosis to PE. Is there a hereditary risk factor? What should I do/lifestyle as preventative measures?
Thank you for sharing this, I'm going to watch pt2! I'm a long time LPN getting ready to do an RA program so this was very helpful to me. I subscribed to see more of your videos as you make them and will also share with my classmates.
I have suffered with DVT 5 and had a pulmonary embolism when I was 29 years old and I nearly died... I coughing up blood and the pain in my chest was unbearable... When I reached the hospital the doctor after stabilizing me told me iff I hadn't have gone to hospital I would have only less than 2 hours to live..As a consequence I am now on Life long blood thinners called riveroxiban
See the whole series at www.medcram.com along with other top quality videos including reviews in pulmonary, cardiology, infectious disease, and hematology!
Interesting, I see I have been here before. Well I have had 2 more embolism since my last one in 2013. 2nd and 3rd one where within a year of each other (june 2021, and april 2 2022) Going to see a specialist. I enjoy speaking to doctors and actually know what I am talking about, partly because of videos like this. cheers
I'm going through this right now . I have 3 good size clots in the lungs . I'm in pretty good shape and a non smoker . The only way I knew I had it was that my heart rate went up to 130 just going up 13 stairs . I felt a little dizzy and weak . I felt no pain in my lungs or heart at all . I wear a garmin watch that shows my heart rate so I keep a pretty good eye on the heart rate at all times .My rate was staying at around 100 instead of the normal 70 . Before this happened I would have to walk on the tread mill at a good pace for over 2 miles before my heart rate would get up to 130 so I knew something was not right . I told all this to the local emergency DR and he sent me down the hall to get a scan with die injected . He found the clots right away . He started me on blood thinner right away . My oxygen level was around 87 . It took about 1 week before my oxygen level went back to 96 -97 I think the clots came from a week long coughing spell I went through the week before this all started .. I might have had covid . I did not get checked for it . I had just about stopped coughing all together for a few days and then the high heart rate happened . I did not feel any pain in my legs or any extremities . The Dr checked all my veins and heart valves and every thing was normal . He didn't know where the clots came from . One odd thing happened at the end of the week long coughing spell ,I got Cubital tunnel syndrome . My 2 fingers are still numb today a month later . My Dr is sending be to a hand specialist . I'm not sure if the pulmonary embolism had any thing to do with it or not .
I was just dignosed last night in the ER with a "small PE in the bottom of my left lung" and they put me on blood thinners. At this point im terrified and i dont k ow what to do next
Great video on Pulmonary embolism! Adding to this, I wanted to ask, why are the emboli typically hemorrhagic and what exactly happens?- I am referencing to Robbins Pathology
Doc, M.S.N. Student here and long time Ortho Nurse. I have always wondered- Does the actual process of surgery itself create a "more likely to clot" state? in other words, when the surgeon cuts into bone does the body say - hey lets make more clotting factors etc? Thanks so much for these awesome lectures!
Thank you a lot. I'm saudi medical student. And I enjoyed the video, but I hope you explain more, like why abdominal/pelvic surgeries and cancer surgery increases the risk of PE, and why pregnancy increases the risk... Again thank you
I'm 30 & I've just had my second PE.. this time was a lot worse then the first time. Felt like pure torture just to breathe I still weeks later am having the hardest time breathing I just want to heal and get better. I own my own cleaning business & it's effecting how I can work & my anxiety is just horrible lately. I'm sick of going through this I don't understand it & my doctor has never given me a reason why this is happening. Took me off blood thinners and back on 3 times now everytime I stop I get another blood clot whether it be in my leg or my lung. The ones in my legs I've had are nothing compared to the 2 pEs I've had
My youngest son age 36 died from Pulimary Embolism 3 years ago. He didn't have any symptons I have two older son's we miss Ryan so much my heart is broken 💔
I was on the operating table for hip surgery. I had a massive pulmonary embolism and an ischemic stroke. 100% of my heart was blocked. That happened 2 years ago.
Great video but I cried. I am a Pulmonary Emboli Survivor. I was misdiagnosed with anxiety. I was 35 at the time and on birth control. All my vitals were normal. I though when I went to another ER a month later, and the bloodwork showed my blood was thick, I told the dr that my mom had 7 clots in 12 yrs and was on warfarin. They sent me for an X-ray then a CT Scan. I had a medium clot in each lung, infarction, and pleural effusions. I am a walking miracle. My ER Dr is my hero.
+TheSofres Dear I am also suffering from PE from last FIVE months but still not satisfied by the treatment and feeling continuous pain although I m on RIVAROXABEN 20 mg...can yu please tell me about your treatment remedies and symptoms
If you're on warfarin, you need to watch your Vitamin K intake. Foods that are green or even strawberries and blueberries are high in Vit K. NASIR MEHMOOD WARRAICH if you're not happy with what is going on, can you get a second opinion from another Dr? The pain can be from scar tissue. You have to pace yourself and not do anything that can aggravate it.
I'm 26, female, nonsmoker, on an OCP, and have multiple non occlusive PEs. Not sure why yet except for maybe caused by OCP. I also have peripheral edema, myalgia, and arthralgia, which don't seem to line up with the PE symptoms (chest pain and shortness of breath). My oxygen is fine and my heart and lungs sound great, had an echo and the preliminary results are normal. I was diagnosed with an elevated d-dimer and a CT scan of my chest. So yeah for now I'm just chilling on furosemide and Xarelto and seeing a hematologist in a few months.
Thank you very much. Also risk factors can be categorized according to Virchow triade:hypercoagulability.endothelial damage and blood stasis Please we want lecture of ttt especially thrombolytics.
I waited a bit too long before going to the ER with horrid chest pain, and we found out I had clots in both lungs...and I was real close to losing my life. This stuff is noooooooooo joke! I just got out the hospital, and they really don't know what cause it, they're saying genetics!
Same just happened to me. Felt like a pinched nerve on my back, to find out both lungs were full of blood clots. We are lucky to be here not many people make it through even one blood clot in their blood stream or lungs.
brooklyn718 same as me. I had just had my acl repaired and attributed a pain in my back to a pinched nerve or strained muscles because I was using crutches to get around. When I started coughing up blood I realised something was up.
I'm going through this at the moment post spine surgery but think it's been happening for years as doctors have ignored my symptoms and requests for several years.
I am pretty sure I have a dvt I had one 4 years ago, which didn't result in PE, I have varicose veins, 2.5 inches of swelling in my affected leg, hard leg, pressure pain, can't walk, redness, hot calf, pregnant currently. Of to hospital in a few hours in agony from putting my foot on the ground. 💔
Just got out of the hospital from pulmonary embolism, still have a long way to go to feel better. Still have pain and SOB if I move to much. The doctor who sent me to the ER said you could die from this, I believe him now.
My mother’s friend passed away two weeks ago from this unfortunately . I am very hurt about it. How can paramedics avoid death being final for a patient experiencing it in the moment ?
My mom just passed away from a pulmonary embolism at 58 with absolutely no warning. Happened all within 45 minutes. Other than being over weight, there was no indication that it might even happen.
I'm 16 and pretty inactive but I'm built nicely and can do exercise easily but I've been having leg pain lately could that be a clot and is it a possibility at my age?
Great simple breakdown of etiology, pathogenesis, clinical manifestations ect. I would have loved to hear the risk factors broken down in term of Virchow's Triad for simplicity sake. I feel like my brain works so backwards (i.e.you say... "not providing prophylaxis" I want to hear you say, "the risk is venous stasis") 6 of one, half dozen the other I suppose :) Anyway, still watching all MEDcram videos, love them!
Yes crazy. Day two in the hospital. was walking on earth breathless for a week. I was on my way to make a relief as a bus driver in san Francisco. Walked on block, turned the corner, and bam! my heart is pounding! my chest is tight, and i couldn't catch up with my breathing. Thought it was anxiety because i had that 15 years ago. Got to my relief point. Took over the bus. And was driving in San Francisco, Dizzy, with a full load of people! After driving for 8 hrs. I would. bring the bus to the yard. There was a mild ascending 50 yard walk to the office. When i got to the top. I had to sit down for 10 minutes. This same scenerio went on like this for a week. The final straw was two nights ago. went to sleep. i use a cpap machine and usually fall asleep in 30 min. Not this time! My hearts. pounding like i ran a sprint. 911 and ambulance. Got to the hospital. They ran a wire. through my right wrist, looking to see if i had any blocked arteries in my heart. All crear. Then they did a cat scan. BOOM! two large blood clots. One on each lung! The looks on their. faces, is saying it all. Like how are you here. At first. the young doctor said they are going in to suck them out. After. talking with his colleagues. They told me that it would be better to let the body dissolve the clots with medication. Im on Heprin and other meds now. I hope they are right. And if i didnt have "The good insurance, I wouldnt be texting this right now. Thanking God, with all my Heart.
Hi from Albania! Thank you very much for your videos! :-) I didn't understand: 1)-why resistance is getting higher? 2)-And what does cause death when pulmonay tromboembolia? Is it hypoxi, that lead to cardiac arrest?
+Shqiponja Kasa When the blood clot gets lodged in the pulmonary vasculature (which gets smaller), the resistance to blood flow suddenly changes and the stress on the right heart is too much for it - it stops. When the right heart stops no more blood goes to the left heart. Cardiac Arrest.
I had clots develop in my right groin vein from groin to knee. A clot broke away, and lodged in lung. Interestingly I had no chest pain, just extremes hypoxia/shock. My question, if clot is dissolved will lung area reprofuse?
Great video! What about the MTHFR mutation, would that be a risk factor as well? being that someone with this mutation such as myself is more prone to blood clotting. I've been having sharp shooting pains where my heart is or around there anyway sometimes it'll be on the right side too and its worse if I breath in deep but it doesn't last long. I've had this issue for over a year now maybe close to 2 yrs 😞 and I get heart palpitations
well this was pretty good but, that's not the full clinical Picture (C/P) . it would be better than that if u added the acute massive pulmonary embolism C/P to the vid .
Hi my mother diagnosed with PE in CT scan with a contrast. There is a thrombus in the left main pulmonary artery initially given LMWH injections for 5 day’s and then shifted to PRADExa tablets. Will this thrombus go away? how many days will it takes to dissolve thrombus. Currently there’s no signs of DVT.
I'm not really too interested in pulmonary embolism, but I've struggled with feeling very faint and weak whenever people discuss blood, the heart or anything like that. Desensitize myself I guess
Thank you for all these videos and all this knowledge Doctor. More blood tests were done to try and find where the blood clots are coming from, with tests for Factor V Leiden, and turns out I have heterozygote in my DNA, and have been put on Xarelto for the rest of my life.
Doctor good summerized info given in the video...but can yu tell me about how to get rid from this embolism if once you are trapped by this desease...???
I'm jealous! When I was told about the blood thinners, I asked, "For the rest of my life?" The hematologist looked at me quite soberly and said, "Yes. By definition." Very memorable!
Thanks a lot ,very helpful video! Videos about EKG, Pneumothorax and alfa/beta/muscarin receptors would be nice,if it is possible! Greetings from Serbia
I don’t understand how you get this from a Bbl , is it if the fat is inserted into a major vein , or can it just be when the fat has gone into the blood stream
I had a weird sharp pain in my left foot, and then I had sudden shortness of breath and fast heart rate. No coughing, and no severe pain. It was just a sudden rush of chest tightness and then I think I went into a full fledged panic attack. I felt better after about 2 hours of the attack coming and going. I slept it off and worked today. I thought it was a panic attack, but I'm just wondering if it was a PE, would I have recovered? Would I be okay right now? Should I go get some blood tests or see a hospital? I feel fine at the moment, I can breathe normal and I feel normal. I'm just so anxious that maybe it was more than panic.
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I'm glad to have survived DVT, PULMONARY EMBOLISM AND BLOODCLOT IN EACH LUNG ALL AT THE SAME TIME. LORD I THANK YOU!!
I am recovering from a PE and DVT diagnosed at the end of May. By the Glory of God I am typing this message. Thank you Jesus for healing!!!
I had DVD in my left leg from my hip down. Ended up with clots in both lungs I'm here by the grace of God!
my cousin diagnosed with the same condition. he had an attack of short breath even he is taking med。。 how u r dealing with.that condition
Stay on top of it.
My wife Christine Antoneo Smith had a PE on December 23 rd 2015.
High doses of blood thinners, intubation and CPR were useless. The doctor and nurses fought for her for 5 1/2 hours.
She was only 41....it was the only PE she ever had.
Eat Zilero..
Hope you are well
I’m a 27 year old male and I have an acute PE in my right lung. Just diagnosed a week ago, only caught through my blood work. My D dimer was .54 and I had multiple symptoms like outer chest wall pain right below the breast bone, back and shoulder pain, sharpness in my lung when breathing. I went to urgent care 8 months ago for the same reason and only got an x-ray, my lungs looked great and the doctor believed it was just a muscle thing. Just because I’m young, she didn’t suspect I would have a PE. I’m so glad I went back to find out what the issue is and be able to resolve it now.
My husband just got out of the hospital for acute pulmonary embolism. He has to take blood thinner for 6 months. But he is still having a hard time catching his breath and pain in his side like under his arm. In January he broke his ankle and they did a scan of his chest in the emergency room and said he had pneumonia. Fast forward he just had his gallbladder removed last week and was rush to the hospital because he was in so much pain he couldn’t really move and this was 5 days after surgery. This emergency room did a scan of his arteries and they said he had small clots in both lungs. We spent 4 nights in the hospital and he was sent home with xarelto And tramadol. I really believe the hospital that said he had pneumonia back in January missed the clots. I’m praying to god my husband makes it through this…
My father just past away yesterday morning because of this. It happened so fast within 30 mins. He was 63. I wish I watched this video before it was too late.
+Amanda Brown our condolences. You may want to ask your doctor about genetic testing as he was quite young. Hypercoagulable state?
I had a pulmonary embolism back in 2010. I also had DTV and endocarditis. I ended up being flown to Toronto, ON. and getting antibiotics, and then undergoing emergency open-heart surgery. My cardiologist said with the number of blood clots in my system, he was surprised I hadn't had a heart attack or a stroke. I was also given 2 weeks to live if I didn't have surgery. It was a fun time.
Nursing student here, thanks for your help!!
I had one last year. Thank God, in fully recovered
I spent 10 days in ICU in Feb w/ multiple PEs, including saddle PE, I had 2 emergency emolectomies.
The PEs cane from DVT in my leg after I tore my ACL.
The hospital staff & doctors made me feel relatively calm, but researching now after the fact I realize just how close to dying I really was.
This video explains it really well, and in a way that doesn't cause me anxiety
I just had multiple extensive pulmonary embolisms. I was first misdiagnosed with costochondritis by my pcp. I'm 33, non-smoker, and had just started using Nuvaring for BC. My only symptom was chest pain and it was severe. It hurt to breathe and,to laugh even, and the ER Dr. Promptly did a D. Dimer on me when I went in, followed by all the other tests and being admitted to ICU. I am blessed to be here still.
+Suzanna Oglesby you are too young to be getting blood clots. More investigation needs to happen such as a hypercoagulable workup etc. Make sure to follow up with you doctor and follow their advice.
I’m a 25 year old man I just had a pulmonary embolism in my right lung a week ago I was in the hospital for 3 days I can agree the pain was severe I felt like I had broke my ribs
I'm a medstudent and I find this channel very helpful for my study.
+TH-camr 1 Good to hear, thank you
I'm a new nurse and am trying to get a handle on the "bigger picture." Your video helped me understand possible complications and specifically signs and symptoms to look for. Thank you.
Recovering from a PE just this last week. 61 yr old non-smoker, I sit at a workbench 40+ hours a week with no exercise at all. Picture of health otherwise. Couldn't catch my breath and then the CT scan showed the bad news. Doctor said I was 12 steps away from the widowmaker. Thank God for blood thinners. Get your sorry butt up and walk around.
This is about PE's but with a slight introduction: I just came back from having an EKG and was told how my LBBB (Left Bundle Branch Block) was no longer there. The Doctor said he had NEVER heard of this ever happening in is entire career. I came home (very short of breath, but do have copd), and started searching the net for hours and could find nothing on why LBBB's just go away until I stumbled into a post graduate medical journal which did case study on a 61 year old man who had always had an LBBB and the only time it didn't show up on an EKG was when he was in ER with a PE. After they cleared up the PE, his LBBB was back on the EKG. I'm going to my Doctor tomorrow, as I once had a d-dimer test that came back at 2050, yes 2050, but there were no clots - just a lot of inflammation. But, I'm not ignoring what I read tonight.
Retired EMT here to review & expand my understanding; thanks for the info. I just subscribed.
My small brother just passed away from this in October 😭 He was only 29.
I'm male, was 48, and thought I had pneumonia. I spent over a month going back for x-ray after x-ray. The x-ray techs, I was told later, thought I had lung cancer. Eventually I could only walk a few feet before feeling faint and having to cling to walls and furniture. My blood pressure became very low. Finally, a blood test -- I don't know what kind -- indicated heart damage and sent me to an ER. I was told the tops of both lungs had died, that my pulmonary artery was filled with clots, and that I should have been dead already. The cause was a condition called APS, which was apparently part of my undiagnosed lupus. I mention this because I didn't see APS listed in the video. I've read that APS most often occurs during pregnancy, which was listed, but obviously I was not pregnant. I was given a clot-buster (TPA?) and kept in ICU for 5 days. That was eight years ago. I did eventually try to go back to work, but my lupus journey was just starting, and I am now disabled. I still take Warfarin every day, keeping my INR between 2.5 and 3.5, and that seems to prevent clots from building back up. I hope this little study adds to someone's understanding of what can happen. Sometimes it really is lupus! (and APS)
+Harold Norris APS is the antiphospholipid syndrome. And yes it can cause blood clots. Glad to see you made it through!
YOUR CHANNEL HELPS ME GET THROUGH MED SCHOOL ALOT EASIER
I had this the doctors said it was among the worst they had ever seen and were confused how I was even walking.
FTW it’s worth here were my symptoms:
I noticed red splotches on my calf. No swelling.
A few days later I started getting pain in my upper calf.
A few days later my calf started swelling, slowly but surely.
After about a week it began to hurt so badly I was limping.
Additionally I started experiencing on and off shortness of breath. Maybe once a day for an hour or so.
Then the shortness became worse and i could it walk for more than 30 minutes without having to sit or lay due to fatigue.
Finally my calf swelled so much I could not walk on it.
Went to PCP she told me most likely DVT so went to ER.
They did emergency surgery and aspirated the majority of clots.
Since then I have been on Eliquis.
Ps. The reason I had so many PE’s was due to internal bleeding I was having for months prior.
I hope this helps anyone curious about my experience anyway. Best of luck.
Thanks so much for this video. I never thought anything about blood clots until I was in a cycling accident on July 12 of this year that resulted in a pelvic fracture (thankfully stable and no surgery) and subsequent DVT in my right calf and clots in my lungs. The first sign for me was the left chest pain, 2 days later right chest pain and shortness of breath. I have been in the ER and hospital the past 2 months way too many times. The lack of information for clots has been frustrating to me. I am also an endurance athlete which I found out is another reason for blood clotting. Thanks again for the education.
My small clinic doctor missed my PE. I told him I felt exhausted and awful, had sharp throbbing pain on one side of my ribcage. I also told him I thought I might have a clot in my calf, and that I had just flown several hours the day before. I asked him to do an EKG, and it was normal, other than tachycardia. He palpated my leg, said there was no clot, just said it was a muscle strain and sent me home. 36 hours later I called the ambulance. By then the pain had moved to the left side, and my whole ribcage fet tight. Hospital immediately suspected PE, and did CT angiogram. I had 2 large clots in each lung, and several smaller ones. They told me I was very lucky I didn't die.
Thanks Doc .. I discovered this channel few months ago and I can gladly say it's so informative.. actually I was able to capture early PE from a 34yr old 3wks post CS...it was PE in peuparieum 3wks post C/S in para 3+1 with two Previous scars .....keep them coming doc.. highly appreciated..much love from Kenya Nairobi.. Eastern part of Africa
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I’m in the ER right now with multiple bilateral pulmonary emboli, from a DVT in left leg behind knee. I got it by sitting at a desk working for 10 hrs/day. And a cross-country flight.
My husband suddenly passed away aged 59 last month awaiting double hip replacement surgery from a PE caused by DVT. We had been in to see the surgeon 2 months prior and we asked him about the swelling in his legs and he did not warn us of anything or tell us to go to ER. Same thing with his pain dr. We were concerned and no one thought it was an issue. Tell that to our 13 year old daughter.
Same situation here. I googled my symptoms and they misdiagnosed me for a week until I finally went to the emergency room. Because I started fainting for no reason. It took 5 Doctors until they knew. Sad & infuriating. My sincerest condolences
My PE is currently deemed as unprovoked with none of the risk factors listed. So scary for all who experience PE.
Had DVTs in both legs and ended up with extensive embolisms in both lungs. Almost died. Four months later I seem to be over it. Used to be a hard core mountain biker. Now I can bike on the sidewalk around the block but I am improving little by little.
Best medical educator in TH-cam ... thx doc
FYI for anyone concerned about DVT and clots. I had NO warning or signs but do have high blood pressure and high cholesterol. Woke up and my left leg was swollen,foot had no definition, calf hard as granite and leg was warm. DON'T WAIT DAYS like I did. It's not a strain. I had a massive clot and a CT revealed TWO lung embolisms. Using a catheter/vac they removed 3 and 1/2 ft of thrombus "clot" and I will be on blood thinners forever. Also wear compression stockings. Athletes do and they really work both in preventing DVT and preventing a 2nd event.
My grandfather was 88 years old and he died today at 4:10am from a pulmonary embolism.
Awesome presentations. I am not a doctor but I am a former semi-elite runner so I know my body pretty well. I am 53 and can't run anymore due to osteoarthritis in my hips and knees. Right hip is bone on bone but I am too young for hip replacement. I have been biking all summer so I was alittle surprised when I was diagnosed with Pulmonary Emblolism in both lungs, today as a matter of fact. I feel better about my condition, after watching your presentations. Thanks very much
These lectures are great, you break everything down in to digestible sized pieces so that all this overwhelming stuff makes sense finally!! Thanks, this will really help me study for NP boards!!
Thank you for this education. I am 41 and my sister recently passed of this. Was not known until autopsy. Deep vein thrombosis to PE. Is there a hereditary risk factor? What should I do/lifestyle as preventative measures?
Thank you for sharing this, I'm going to watch pt2! I'm a long time LPN getting ready to do an RA program so this was very helpful to me. I subscribed to see more of your videos as you make them and will also share with my classmates.
I have suffered with DVT 5 and had a pulmonary embolism when I was 29 years old and I nearly died... I coughing up blood and the pain in my chest was unbearable... When I reached the hospital the doctor after stabilizing me told me iff I hadn't have gone to hospital I would have only less than 2 hours to live..As a consequence I am now on Life long blood thinners called riveroxiban
Great information and thanks for sharing. It is so important that people understand what PE is and that DVTs are actually very common.
See the whole series at www.medcram.com along with other top quality videos including reviews in pulmonary, cardiology, infectious disease, and hematology!
My son developed massive bilateral pulmonary thromboembolism treated by thrombolytic injection successfully and with God's grace he is recovering
Brilliant video. Thank you. My gurlfriend was diagnosed with a PE a month ago and this explains it better than anything we were told at hospital.
Interesting, I see I have been here before. Well I have had 2 more embolism since my last one in 2013. 2nd and 3rd one where within a year of each other (june 2021, and april 2 2022) Going to see a specialist. I enjoy speaking to doctors and actually know what I am talking about, partly because of videos like this. cheers
I'm going through this right now . I have 3 good size clots in the lungs . I'm in pretty good shape and a non smoker . The only way I knew I had it was that my heart rate went up to 130 just going up 13 stairs . I felt a little dizzy and weak . I felt no pain in my lungs or heart at all . I wear a garmin watch that shows my heart rate so I keep a pretty good eye on the heart rate at all times .My rate was staying at around 100 instead of the normal 70 . Before this happened I would have to walk on the tread mill at a good pace for over 2 miles before my heart rate would get up to 130 so I knew something was not right . I told all this to the local emergency DR and he sent me down the hall to get a scan with die injected . He found the clots right away . He started me on blood thinner right away . My oxygen level was around 87 . It took about 1 week before my oxygen level went back to 96 -97 I think the clots came from a week long coughing spell I went through the week before this all started .. I might have had covid . I did not get checked for it . I had just about stopped coughing all together for a few days and then the high heart rate happened . I did not feel any pain in my legs or any extremities . The Dr checked all my veins and heart valves and every thing was normal . He didn't know where the clots came from . One odd thing happened at the end of the week long coughing spell ,I got Cubital tunnel syndrome . My 2 fingers are still numb today a month later . My Dr is sending be to a hand specialist . I'm not sure if the pulmonary embolism had any thing to do with it or not .
Great truth here! I survived many DVTs but nearly succumbed to a PE which the D Diomer did not verify. Damage to my right side of the heart .... BBBB.
I was just dignosed last night in the ER with a "small PE in the bottom of my left lung" and they put me on blood thinners. At this point im terrified and i dont k ow what to do next
My sister-in-law/BFF died when she was 37 from a pulmonary embolism. Her son was 3 and her daughter was weeks shy of her 1st birthday.
Great video on Pulmonary embolism! Adding to this, I wanted to ask, why are the emboli typically hemorrhagic and what exactly happens?- I am referencing to Robbins Pathology
*_My mother died due to Pulmonary Embolism just a few hours after her partial hip surgery... And it breaks my heart so much._* 😢
Doc, M.S.N. Student here and long time Ortho Nurse. I have always wondered- Does the actual process of surgery itself create a "more likely to clot" state? in other words, when the surgeon cuts into bone does the body say - hey lets make more clotting factors etc? Thanks so much for these awesome lectures!
Thank you a lot. I'm saudi medical student. And I enjoyed the video, but I hope you explain more, like why abdominal/pelvic surgeries and cancer surgery increases the risk of PE, and why pregnancy increases the risk... Again thank you
The best explanation I have ever had--Thanks
What size of clot is usually fatal. And how long will it take a clot to reach from ijv to pulmonary artery
Thank you for such a eye opener information.
So would this be classified as a large embolism?
Also, would this increase blood pressure?
I'm 30 & I've just had my second PE.. this time was a lot worse then the first time. Felt like pure torture just to breathe I still weeks later am having the hardest time breathing I just want to heal and get better. I own my own cleaning business & it's effecting how I can work & my anxiety is just horrible lately. I'm sick of going through this I don't understand it & my doctor has never given me a reason why this is happening. Took me off blood thinners and back on 3 times now everytime I stop I get another blood clot whether it be in my leg or my lung. The ones in my legs I've had are nothing compared to the 2 pEs I've had
This took my brother's life 9 months ago. Get checked guys
My youngest son age 36 died from Pulimary Embolism 3 years ago. He didn't have any symptons I have two older son's we miss Ryan so much my heart is broken 💔
I am laying in a hospital bed as I type this.....this isnt a joke just about took my life.
I'm in a hospital bed too.
I just got out of 7 days in the hospital. I feel very lucky to be alive.
My mom is in the hospital for this
I was on the operating table for hip surgery. I had a massive pulmonary embolism and an ischemic stroke. 100% of my heart was blocked. That happened 2 years ago.
My 80 year old mom is in hospital with this right now :(
Never been that clear ❤️❤️
Great video but I cried. I am a Pulmonary Emboli Survivor. I was misdiagnosed with anxiety. I was 35 at the time and on birth control. All my vitals were normal. I though when I went to another ER a month later, and the bloodwork showed my blood was thick, I told the dr that my mom had 7 clots in 12 yrs and was on warfarin. They sent me for an X-ray then a CT Scan. I had a medium clot in each lung, infarction, and pleural effusions. I am a walking miracle. My ER Dr is my hero.
can you pls tell me what food is being avoided
can you pls tell me what food is being avoided
+TheSofres Dear I am also suffering from PE from last FIVE months but still not satisfied by the treatment and feeling continuous pain although I m on RIVAROXABEN 20 mg...can yu please tell me about your treatment remedies and symptoms
+NASIR MEHMOOD WARRAICH im using warfarin
5 months patient also
If you're on warfarin, you need to watch your Vitamin K intake. Foods that are green or even strawberries and blueberries are high in Vit K. NASIR MEHMOOD WARRAICH if you're not happy with what is going on, can you get a second opinion from another Dr? The pain can be from scar tissue. You have to pace yourself and not do anything that can aggravate it.
I'm 26, female, nonsmoker, on an OCP, and have multiple non occlusive PEs. Not sure why yet except for maybe caused by OCP. I also have peripheral edema, myalgia, and arthralgia, which don't seem to line up with the PE symptoms (chest pain and shortness of breath). My oxygen is fine and my heart and lungs sound great, had an echo and the preliminary results are normal. I was diagnosed with an elevated d-dimer and a CT scan of my chest. So yeah for now I'm just chilling on furosemide and Xarelto and seeing a hematologist in a few months.
one of the best explynation
Thank you very much.
Also risk factors can be categorized according to Virchow triade:hypercoagulability.endothelial damage and blood stasis
Please we want lecture of ttt especially thrombolytics.
I waited a bit too long before going to the ER with horrid chest pain, and we found out I had clots in both lungs...and I was real close to losing my life. This stuff is noooooooooo joke! I just got out the hospital, and they really don't know what cause it, they're saying genetics!
Same just happened to me. Felt like a pinched nerve on my back, to find out both lungs were full of blood clots. We are lucky to be here not many people make it through even one blood clot in their blood stream or lungs.
brooklyn718 same as me. I had just had my acl repaired and attributed a pain in my back to a pinched nerve or strained muscles because I was using crutches to get around. When I started coughing up blood I realised something was up.
im laying in the bed right now crazy, with the same diagnoses. City and county transit position is over.
Kenneth Meyers omg. Are you alright?
Same here. They have no clue why.
I'm going through this at the moment post spine surgery but think it's been happening for years as doctors have ignored my symptoms and requests for several years.
I am pretty sure I have a dvt I had one 4 years ago, which didn't result in PE, I have varicose veins, 2.5 inches of swelling in my affected leg, hard leg, pressure pain, can't walk, redness, hot calf, pregnant currently. Of to hospital in a few hours in agony from putting my foot on the ground. 💔
Just got out of the hospital from pulmonary embolism, still have a long way to go to feel better. Still have pain and SOB if I move to much. The doctor who sent me to the ER said you could die from this, I believe him now.
Thank you; looking forward to Part II
My mother’s friend passed away two weeks ago from this unfortunately . I am very hurt about it. How can paramedics avoid death being final for a patient experiencing it in the moment ?
I am so sorry. I just lost my Dad to a pulmonary embolism a few days ago.
Excellent video! Always gives me a better understanding compared to learning in class
My mom just passed away from a pulmonary embolism at 58 with absolutely no warning. Happened all within 45 minutes. Other than being over weight, there was no indication that it might even happen.
Good explaination, thankyou
Does donating plasma increase risk for pulmonary embolism?
I'm 16 and pretty inactive but I'm built nicely and can do exercise easily but I've been having leg pain lately could that be a clot and is it a possibility at my age?
I had one on New Year’s Day. No DVT. Had covid pneumonia so that was given as the cause.
Great simple breakdown of etiology, pathogenesis, clinical manifestations ect. I would have loved to hear the risk factors broken down in term of Virchow's Triad for simplicity sake. I feel like my brain works so backwards (i.e.you say... "not providing prophylaxis" I want to hear you say, "the risk is venous stasis") 6 of one, half dozen the other I suppose :) Anyway, still watching all MEDcram videos, love them!
Stephanie Mitchell Thanks for your thoughts and feedback on what works for you
Yes crazy. Day two in the hospital. was walking on earth breathless for a week. I was on my way to make a relief as a bus driver in san Francisco. Walked on block, turned the corner, and bam! my heart is pounding! my chest is tight, and i couldn't catch up with my breathing. Thought it was anxiety because i had that 15 years ago. Got to my relief point. Took over the bus. And was driving in San Francisco, Dizzy, with a full load of people! After driving for 8 hrs. I would. bring the bus to the yard. There was a mild ascending 50 yard walk to the office. When i got to the top. I had to sit down for 10 minutes. This same scenerio went on like this for a week. The final straw was two nights ago. went to sleep. i use a cpap machine and usually fall asleep in 30 min. Not this time! My hearts. pounding like i ran a sprint. 911 and ambulance. Got to the hospital. They ran a wire. through my right wrist, looking to see if i had any blocked arteries in my heart. All crear. Then they did a cat scan. BOOM! two large blood clots. One on each lung! The looks on their. faces, is saying it all. Like how are you here. At first. the young doctor said they are going in to suck them out. After. talking with his colleagues. They told me that it would be better to let the body dissolve the clots with medication. Im on Heprin and other meds now. I hope they are right. And if i didnt have "The good insurance, I wouldnt be texting this right now. Thanking God, with all my Heart.
The sickle cell trait wasn't mentioned. Is this available in your part two, or update?
Very Nice Lecture.
I had acute pulmonary embolism with saddle next to my heart multiple clots in both lungs I've got this twice in less than 1 1/2 years.
Hi from Albania! Thank you very much for your videos! :-)
I didn't understand: 1)-why resistance is getting higher?
2)-And what does cause death when pulmonay tromboembolia? Is it hypoxi, that lead to cardiac arrest?
+Shqiponja Kasa When the blood clot gets lodged in the pulmonary vasculature (which gets smaller), the resistance to blood flow suddenly changes and the stress on the right heart is too much for it - it stops. When the right heart stops no more blood goes to the left heart. Cardiac Arrest.
I had clots develop in my right groin vein from groin to knee. A clot broke away, and lodged in lung. Interestingly I had no chest pain, just extremes hypoxia/shock. My question, if clot is dissolved will lung area reprofuse?
My dad died of this in October. A few days before he passed he was complaining about a painful back.
Thanks! Recommending to my classmates
Very informative ,thank you for all the videos
Great video! What about the MTHFR mutation, would that be a risk factor as well? being that someone with this mutation such as myself is more prone to blood clotting. I've been having sharp shooting pains where my heart is or around there anyway sometimes it'll be on the right side too and its worse if I breath in deep but it doesn't last long. I've had this issue for over a year now maybe close to 2 yrs 😞 and I get heart palpitations
well this was pretty good but, that's not the full clinical Picture (C/P) .
it would be better than that if u added the acute massive pulmonary embolism C/P to the vid .
Hi my mother diagnosed with PE in CT scan with a contrast. There is a thrombus in the left main pulmonary artery initially given LMWH injections for 5 day’s and then shifted to PRADExa tablets. Will this thrombus go away? how many days will it takes to dissolve thrombus. Currently there’s no signs of DVT.
I'm not really too interested in pulmonary embolism, but I've struggled with feeling very faint and weak whenever people discuss blood, the heart or anything like that. Desensitize myself I guess
Very clearly explained!👍
Thank you for all these videos and all this knowledge Doctor.
More blood tests were done to try and find where the blood clots are coming from, with tests for Factor V Leiden, and turns out I have heterozygote in my DNA, and have been put on Xarelto for the rest of my life.
+Helena Dunbar I’m glad they researched and found that.
this killed my sister on Saturday. :( please get checked people. she was 31 and my second best friend.
So very sorry to hear it. I just got out of the hospital. It's very serious and I almost died.
So sad, may her soul continue to rest in perfect peace, Ameen.
Killed my cousin three weeks ago. She was 30 and had two small children. She was one of my best friends. I still can’t believe it.
kindly tell me how much long time we can take the acitrom4 tab for blood thinner...
Well made video, thank you.
Sometimes i feel a sharp pain in my heart , i fear that this may happen to me ...
Doctor good summerized info given in the video...but can yu tell me about how to get rid from this embolism if once you are trapped by this desease...???
When I was diagnosed with this nearly 2 months ago I was quite candidly informed that I will be on blood thinners for a minimum of 18 months.
I'm jealous! When I was told about the blood thinners, I asked, "For the rest of my life?" The hematologist looked at me quite soberly and said, "Yes. By definition." Very memorable!
Thanks a lot ,very helpful video! Videos about EKG, Pneumothorax and alfa/beta/muscarin receptors would be nice,if it is possible! Greetings from Serbia
I don’t understand how you get this from a Bbl , is it if the fat is inserted into a major vein , or can it just be when the fat has gone into the blood stream
Great video. Need to correct spelling. It’s a lot, not alot.
Can anyone explain, why "bleeding" occurs after pulmonary embolism? Is it bursting alveoli / capillaries? thanks
I had a weird sharp pain in my left foot, and then I had sudden shortness of breath and fast heart rate. No coughing, and no severe pain. It was just a sudden rush of chest tightness and then I think I went into a full fledged panic attack. I felt better after about 2 hours of the attack coming and going. I slept it off and worked today. I thought it was a panic attack, but I'm just wondering if it was a PE, would I have recovered? Would I be okay right now? Should I go get some blood tests or see a hospital? I feel fine at the moment, I can breathe normal and I feel normal. I'm just so anxious that maybe it was more than panic.
Smoking should certainly be its own category and it be top 5 of the list.
Thanks so much! I appreciate your videos! Very informative!