In emergency from 6:20 to 1:00. It was better to come in during the day as I was taken right away and all the needed services were open.Given 600mg of Ibuprofen. The initial blood test showed clotting again (d-dimer ~2000) but an ultrasound of the whole leg found nothing this time. Conclusion: no gout, no plantar fascitis, no break or sprain. Answer: thrombophlebitis (https://www.mayoclinic.org/diseases-conditions/thr...
) ..fancy for saying probably a clot or vein irritation in the foot where they don't scan because it would be in peripheral-surface veins with extremely low likelihood of breaking off into circulatory system and getting to the major organs. So no blood thinners this time (had there been a clot I would have been on them for life since its a second unprovoked clotting incident)...Cause unknown...could be the tightness of my X-C boots could be the impacts of the clips to my ankle while doing running snowshoeing could be my history with poor circulation and freezing with winter cold...all seem unlikely since there were no ill effects at the time but the idea is that some trauma was done, my body repaired it and the clotting elements are just taking awhile to clear out due to the part of the body and poor circulation.
Therapy: soak the feet, warm compresses, RICE, pain meds (if I want), activity as I can handle it and normal blood clot warnings to get to the ER if this that or the other thing happens.
Walked back from the QCH through the field to Bayshore and 600 mg of Ibuprofen in the PM