Today was my two-week post-op checkup with my OB who did my D&C and endometrial ablation on June 4.
She said she was pleased with how the procedure went and gave me some photos of the inside of my uterus. The only thing that was at all unusual is apparently the inside of my uterus is heart-shaped. That sounds sweet, but it may have been a contributing factor to my miscarriages. (It's moot now since we no longer plan to expand our family.)
But the abnormal platelet function test that her nurse called me about just a couple days after the procedure is apparently more serious than I realized. The OB was pleased to hear I already have a hematologist, and told me to call him today.
I left a message for his assistant, and got a quick call back. "Your PT is 70?!" she asked. "Do you have it in front of you? Can you fax it to me?" Meanwhile, she was looking at my file on her computer. "It looks like Dr. D was treating you just for anemia. We didn't know you had a bleeding disorder!"
"Well," I replied, "I didn't know that either. And I don't know that I do."
Like my neurologist, Dr. D is out of town on vacation, but he's responding to email sporadically so she expects to have a plan for me tomorrow.
Hm. I guess if I'm not clotting properly -- I'm taking twice as long to clot as it should -- that explains the horrendous bruises I have from my blood patch experience ...
Stay tuned. I'll let y'all know what's up when I hear something.
(FWIW, the OB said that perhaps my difficulty clotting was related to my overall health issues. She says it sometimes becomes an issue for people with lupus and other autoimmune diseases. We'll see. I suspect this is just another in a long line of weird test results that don't lead to a clear diagnosis.)
Edited to Add: I vaguely remembered there being some tests run earlier in my illness because I was freaking out about my bruises. I dug through my very thick file of lab test results and discovered that platelet function tests had been run back in November 2007. At that time, the APTT that's causing concern now was 53.6. I don't know why that didn't get followed up on back then. I faxed over those results to the hematologist as well, so he'll have that much more to contemplate. I'm guessing that I won't be waiting until I'm due for an annual checkup on my MGUS before I see him again ...
2 weeks ago