NP prescribed medrol for cellulitis and missed a DVT.
I had DVTs in both legs in 2020, then another one in my left leg in 2023. After the one in 2023, the NP at my hematologist’s office took me off anticoagulants after only 1 month, even though I had initially been told that I would need them for life. I’m 25 and the NP said it would be “super rare” for someone my age to get an unprovoked clot (even though it already happened twice??). I also have complex regional pain syndrome (CRPS) and PTS, so I was really fearful of getting another DVT.
So I started having pain in my calf roughly 1 month ago. Went to the ER and the NP said I’m too young to have a DVT. She did not order an ultrasound or even so much as a d-dimer, just did an EKG told me that my leg hurts because of anxiety. I have PTSD as a result of some previous hospital experiences and the EKG triggered a flashback, so I was panicking and quite anxious in that moment. I fail to see how that would make my leg hurt though! My anxiety is well controlled and panic attacks are rare - it was really just the hospital environment that set me off.
Went to the ER again 2 weeks ago. It was the same NP who saw me. Still no ultrasound. She saw that my feet were red and swollen (they always look like that due to the CRPS and PTS), so she diagnosed me with cellulitis and prescribed… a medrol pack? Spoke to my PCP and she prescribed 7 days of keflex + ordered an ultrasound (which my insurance denied).
I felt better for a short time after the antibiotics, but a few days ago my left foot suddenly swelled up and I developed several blisters on the top of my foot. Called my PCP and she recommended urgent care or ER because she’s out of the office this week and can’t see me. Back to the ER (different hospital this time), and they did labs, a leg ultrasound, chest x-ray, and an MRI of my foot. Not only do I have a DVT going from my ankle to just above my knee, but I have the beginning signs of osteomyelitis.
I’m still in the hospital on IV antibiotics and will be getting a thrombectomy this afternoon. While I’m glad that I’m getting appropriate care now, I’m incredibly frustrated by how I was treated by that NP. I also can’t help but think that this whole thing could’ve been avoided had the hematology NP just kept me on anticoagulants.