"Treated for DVT in my left leg"

About: Stirling Royal Infirmary / General Medicine

(as the patient),

In May 2011 I had my second DVT in my left leg - I was an regular outpatient for 2 weeks and will now be on long term anti-coagulants (warfarin).

I started having pain in my leg in April so my GP referred me into hospital as a result of my history of a large DVT in 2001, I had 2 ultra-sound scans on my leg - the first showed a slight 'mark' behind my knee which prompted the follow-up which apparenlty showed nothing. My experience of the first scan was not that great - I felt the clinicians were rushed and that I was left feeling that I was over-reacting. The follow-up one was slightly better, but not much.

about 2 weeks later my leg had not got better but was starting to feel a lot worse and walking was difficult, so I went into A&E - and they referred me for another scan and put me on heparin immediately. The third scan showed a clot in my calf (the previous clinicians had been concentrating on my thigh presumably because me previous DVT had been there).

I was a patient in Day Medicine for 2 weeks with almost daily bloodtests - I had to administer my own heparin (by injection) at home - this was ok. The nurses and the doctors in Day Medicine (stirling hospital) were fantastic - I didn't mind seeing them everyday at all.

I got a fitting for a compression stocking really quickly. However considering it'd been decided that long-term warfarin was probably the best option for me I did not have an automatic referal to a heamatologist - I had to go to the GP who then thought it would be a good idea to be referred - I would've thought this would've been automatic.

I've seen my heamatologist now, and I have regular checkups at my local health centre.

All in all my exprience was good - despite the initial scanning exprience and the fact I had to ask for a referall to a Heamatologist

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Response from Arlian Mallis, Person Centred Health and Care Co-ordinator, Department of Nursing, NHS Forth Valley

Firstly can I apologise in the delay in responding to your story

We really appreciate you sharing your experience on Patient Opinion.

It's great to hear that your overall experience was good.

We are disappointed that your experience whilst having the scans was not to a satisfactory level.

I have spoken with our team at day medicine who have advised that it is not routine practice to make referrals to haematologists whilst patients are undergoing treatment for DVTs as the medication changes the blood results as you will know if you are on warfarin.I hope this information is of use to you.

The Day Medicine team will, I'm sure be pleased to hear that you thought they were "fantastic".

Please let us know if this response has met your needs many thanks

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