S.O.S. I am not a nurse. I feel Like I am a walking time bomb. A week or so ago I began suffering from a kidney stone. It was time for my PT test. It came back 1.3. My NP said that was alright since I had blood in the urine but then he didn't make any effort to monitor the P.T.. I have a standing order and had another blood draw two days later. My P.T. had risen to 3.7 without my having increased the Warfarin dose. I had been in intense pain from the stone and hadn't eaten in days. After about seven days I passed the stone. Two days later I woke up with all the symptoms of a DVT: Tendonitis in calf area, swollen leg, heat etc.. In addition my heel and arch were so sore I couldn't walk. I went to our hospital emergency. The emerg. M.D. sent me home. Since my P.T was 3.6.
he assumed I could not have a clot. The next day my N.P. referred me for an ulta sound which showed I had not only extensive DVT clots but superficial clots that were visible to the naked eye. The Ultra Sound tech or someone unknown recommended to my N.P. that I have a second Ultra Sound in two days (today) to make sure the clots are not moving. I live in a rural area where our medical services are like third world. It's impossible to find a doctor and when you do your telephone calls are picked up by an automated voice system advising you to either call 911 or call back Friday to make an appointment. I go to a doctor 100 miles distant who is more responsive. My N.P. runs our rural clinic but doesn't even have admitting privileges. Meanwhile, I have been hobbling around on crutches for almost a week now. I have had two former DVT's. The first, ten years ago advanced into a P.E.. I'm thinking to call my distant M.D. to see if he can get me in today. I don't feel comfortable with any of this. The question: how uncommon is it for DVT's to form when the INR is above range?