There’s no good way to tell this story without me looking like an idiot, but Brad asked about it, so here goes. Let’s bullet point some backstory.
- Remember when I would get those weird, itchy toes that would then get a searing pain and then a bruise? No? Well, here’s one instance and here’s another.
- Last fall I was giving blood, and as the blood started filling the bag, the technician said, “That’s weird. It’s clotting. It’s not supposed to do that – we have anti-coagulants in the bag.” I laughed nervously and asked her to take a photo. There were snake-y like little things in there. Weird enough that I thought, “I should maybe get that checked out.” Of course, I never did.
Ok, now we’re ready for February. Lloyd and I were unloading groceries after church and all of a sudden my left index finger started to have that searing pain. Many, many thoughts ran through my head, but the primary one was, “YOU DUMMY! YOU SHOULD HAVE HAD THAT CLOTTING THING CHECKED OUT. IDIOT. NOW YOU’RE GOING TO HAVE A STROKE SOMETIME AND YOU COULD HAVE DONE SOMETHING. IDIOT.”
Behold my scaly skin, and the bump you can barely see in the middle of my finger.

I would like the record to show that I did not think I was going to die from a hurt finger, but I did wonder if I had clots just running willy-nilly through my veins, getting stuck in little capillaries…. and eventually they would get stuck in my brain. It was Sunday – the clinic wasn’t open, the urgent care place wasn’t open, and I wanted to ask questions right then, because I knew I wouldn’t get it done during the work week.
So we went to the ER.
Yep. I went to the ER for a hurt finger. There wasn’t any bruise at this point, just a minuscule swelling. MINISCULE. The staff did a very professional job not laughing at me, and I could see the inner eye roll of the doctor. I explained the toe thing and the blood clotting thing, and he walked me through preschool-level explanation of what a ‘bruise’ is, and said I probably hurt my finger shoveling snow or unloading groceries. I knew I hadn’t. Grrrrr. He said if I wanted to get some blood tests done, we could do that. Yes, yes I did. So, they took some blood.
Two hours after I left the ER, the vein burst.

I dearly wanted to go back and show the doctor and say, “See? This is what happens,” but I didn’t, because I couldn’t have afforded the second visit. (Oy. Now I know what ‘meeting your deductible’ means. That was an expensive ‘wet paper towel and a pat on the head’.)
I had a visit with my regular doctor later to go over the blood work – this time armed with photos of the toes and finger – and he said he honestly didn’t know what was causing the bruises. I appreciated his honesty. He also said we should do some further bloodwork to check some other things.
So, two things came of this: the first is that the bloodwork shows that I have iron-deficiency anemia, which is unrelated to the bruising. I’m supposed to be taking enormous amounts of iron, which is messing with my guts. We’re getting that figured out.
The second is that thanks to the internet, I found out that the vein thing is called Achenbach’s syndrome, or paroxysmal hematoma. It’s a weird vein thing that some people get. Beth has it and her daughter has it, too. So, there’s that – which is a relief regarding the stroke thing.
So, Brad – I hope that answers your question. I told you it was a long, dumb story. 😀
For Karla, and I’m sure these are all out of order. 😀





So I’m going to be the super nerd and ask what labs were drawn from the ER? Did they do a clotting panel? My family has a strong family history of blood clots so really I worry when I hear people talk about it.
I love the super nerds, Karla! 😀 I just uploaded some screenshots of the labs. They mean nothing to me. All I know is the iron stuff – everything else was in normal range.
By the way, tell Arron that his tip about selecting ‘bowling’ on the watch has been a lifesaver!
Yes! That answers my question. The description of that syndrome sounds exactly like your thing. I’m glad you found out about it at least. And that you found out about your iron deficiency. And you know you inspired me to finally message my doctor about my thing, so that’s good too.
I hope you have no more incidents. …or at least not for a while.
Yep. It’s a weird searing-pain-then-a-bruise-thing.
It happens in the exact same place on my big toes… I fall down in pain. It’s weird. And a little embarrassing if I’m in public. The worst was when I was in the shower in college.
It happens in Tara’s fingers.
I’m glad it has a name, and we’re all in good company!
So sorry to hear this. Please stay vigilant. Nerdy people can be life savers and additional iron while the normal response is not always the best answer.
You might do some extensive reading on your mother’s health history. It might provide some additional information.
A good way of referencing is to keep all copies of blood tests. You can look back and follow your health history. We often change doctors, they get rid of files, or they do not look back for reference. It gives you a reference to ask questions you might not know to ask. Happened to me and without the blood test I would not have asked the right questions. The referenced Dr blew it off as nothing significant as well.
Just a heads up and I hope all goes well.
Love Mom Sommerer