Thread by @angryhacademic

I had an appointment with my best dr the other day and he had a student dr with him.

Whilst the appointment wasnt about my clotting, he asked me to explain how atypically i present with pulmonary emboli and how treatment affects me beyond breathlessness

#medtw

https://twitter.com/DrZedZha/status/1659535487432900608

Some notes:
1. My dr knew id be ok with this and im beyond happy he did it

2. My diagnosis is pulmonary emboli but i present exactly how youd expect with #postvac #longcovid with anticoagulants stopping me relapsing

The point was that no one expected me to have pulmonary emboli. I had worsening breathlessness + positive d dimer, but didnt reliably desaturate, no pulmonary hypertension, no DVT signs, etc. Took 14 months to diagnose

The only reason i got a diagnosis was cos my dr listened to emerging evidence rather than sticking to textbooks. It was important to check for PE even though 99 % of other doctors would think thats a ridiculous thing to check for.

Hopefully the student doc remembers this lesson

Also a lesson for any doctors reading who have #postvac or #longcovid patients... get them a V/Q scan stat. Find the clots. Nearly guaranteed theyll have 'em. Nearly guaranteed they wont present typically (including often a negative d dimer)