Freddie:
What does the inhaler have in it? If it has any kind of a steroid, it would have increased your INR.
Grrrr - Did I miss my Dose?
- Thread starter Freddie
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Freddie:
What does the inhaler have in it? If it has any kind of a steroid, it would have increased your INR.
Doc told me there was no steroid in it.
It's called Atrovent HFA 20mcg
It's called Atrovent HFA 20mcg
I would be going to the ER, they may hook up a heparin IV for a few hours.
Bring a toothbrush.
Bring a toothbrush.
Oh gee thanks Bina.
How does everyone feel about me just increasing my dosage 10 to 20% and recheck in 7 days?
Might as well do something while I wait for this doc to call back.
How does everyone feel about me just increasing my dosage 10 to 20% and recheck in 7 days?
Might as well do something while I wait for this doc to call back.
Freddie, don't make me go over there and kick your ass all the way to the ER.
Remember though that just because your INR drops way below your range doesn't automatically mean something "bad" is going to happen. I have had to be off warfarin several times now and although I felt very much at risk nothing happened. The longer you are low though the more at risk you become. I hope it all turns out OK, Freddie.
One more thing comes to mind, I always double check my med case after I fill it for the week. It just is a safeguard against forgetting to put in a pill. It is too easy to make a mistake that is multiplied x 7. I know I am older than you but it is still a good idea.
One more thing comes to mind, I always double check my med case after I fill it for the week. It just is a safeguard against forgetting to put in a pill. It is too easy to make a mistake that is multiplied x 7. I know I am older than you but it is still a good idea.
Well.......I think the on-call doc might be another quack.
"He" doesn't feel that any kind of bridging would be necessary because that too would take 3 days - that I should be "ok" to increase 20% (start taking 6mg) until Sunday and retest Monday morning.
So, I took 2mg this morning and I'll take my regular 5mg in an hour and start taking 6 mg tomorrow.
All I can say, is that I do realize that right now I'm barely on any warfarin and that French stubbornness will get me through this - if not...........
Thanks a million to each and everyone of you for being here and that includes you too Hank.
(((((hugs)))))
"He" doesn't feel that any kind of bridging would be necessary because that too would take 3 days - that I should be "ok" to increase 20% (start taking 6mg) until Sunday and retest Monday morning.
So, I took 2mg this morning and I'll take my regular 5mg in an hour and start taking 6 mg tomorrow.
All I can say, is that I do realize that right now I'm barely on any warfarin and that French stubbornness will get me through this - if not...........
Thanks a million to each and everyone of you for being here and that includes you too Hank.
(((((hugs)))))
Betty, repeat after me,
"Your not old to begin with"
"Your not old to begin with"
Ross
Well-known member
You really have got to take control of your own care. Bridging would take 3 days? What kind of Crack do you have in Canada? Must be better then what they smoke down here.
kfay
Well-known member
Freddie, Since your cardios seem totally clueless, why can't you just go to the ER and get some shots? I really don't understand. I have only had to be on Coumadin for a total of about 6 months of my life and I swear I understand it better than they seem to. You are letting these people play Russian roulet with your life. You really need to stand up for yourself and take control of your health.
Kim
My dear, dear, dear Freddie
My dear, dear, dear Freddie
I am a clutz...big time. Of late I have had some concerns that have made me the clutz of the year....or maybe even the century. In the midst of this clutzing, I have screwed up my anticoagulation six ways to Sunday...several times...and, to make things even clutzier...I have been driving my husband to forget his Coumadin too...and he even took it twice..once.
This is a mole hill, not a mountain. You missed one day, just one. It's a problem that many of us have had, but it is not likely to be a problem that will have you singing with the angels.
Your real problem is that you do not have a competent person to help you manage your anticoagulation. Until you either take charge with your misguided doctor, or you get another one,you will continue being devistated everytime you have an INR that is not on spot. I know that will be difficult, but the worry you have had from dealing with your doctor is not worth the stress and the things that you do to keep her from knowing about your monitor.
Fred, you must realize that you know more than your doc. Save yourself.
Back to the point, it is highly unlikely that you are going to have difficulties for a few days of being below your INR target. You really have to put this is perspective.
Other folks have told you how to get your INR up to where it belongs, so I will save you a rehash of the good information you already have. This is a problems most of us have from time to time. Calm down, dear one"
And, if it takes years to get another doctor, do it!!!!
Blanche
My dear, dear, dear Freddie
I am a clutz...big time. Of late I have had some concerns that have made me the clutz of the year....or maybe even the century. In the midst of this clutzing, I have screwed up my anticoagulation six ways to Sunday...several times...and, to make things even clutzier...I have been driving my husband to forget his Coumadin too...and he even took it twice..once.
This is a mole hill, not a mountain. You missed one day, just one. It's a problem that many of us have had, but it is not likely to be a problem that will have you singing with the angels.
Your real problem is that you do not have a competent person to help you manage your anticoagulation. Until you either take charge with your misguided doctor, or you get another one,you will continue being devistated everytime you have an INR that is not on spot. I know that will be difficult, but the worry you have had from dealing with your doctor is not worth the stress and the things that you do to keep her from knowing about your monitor.
Fred, you must realize that you know more than your doc. Save yourself.
Back to the point, it is highly unlikely that you are going to have difficulties for a few days of being below your INR target. You really have to put this is perspective.
Other folks have told you how to get your INR up to where it belongs, so I will save you a rehash of the good information you already have. This is a problems most of us have from time to time. Calm down, dear one"
And, if it takes years to get another doctor, do it!!!!
Blanche
Freddie, are you sure that you understood this correctly?
If your GP office has these kind of instructions given out it is completely false information.
GUARANTEED that in the ER they would know what to do.
Heparin IV or Lovenox shots would protect you almost immediately...why are you letting GP docs play russian roulette with YOUR life?
Are THEY going to change your diapers when you have a stroke???
This is insane.....
Freddie,
IMHO you really need to level with your doctors. How can they truly treat you when they aren't informed as to everything you're doing?
Why would you put yourself in a position of distrust of your medical professionals and come on this website to ask what you should do especially with an INR of 1.5 which is dangerously low? I'm not trying to scare you, but I sure would have my butt in that ER post haste.
We can't and shouldn't advise you what to do and how much warfarin to take. We don't know your lifestyle, your diet, your exercise routine, your mental state or any medical situations that might affect your INR.
Here's hoping you get through this..!
IMHO you really need to level with your doctors. How can they truly treat you when they aren't informed as to everything you're doing?
Why would you put yourself in a position of distrust of your medical professionals and come on this website to ask what you should do especially with an INR of 1.5 which is dangerously low? I'm not trying to scare you, but I sure would have my butt in that ER post haste.
We can't and shouldn't advise you what to do and how much warfarin to take. We don't know your lifestyle, your diet, your exercise routine, your mental state or any medical situations that might affect your INR.
Here's hoping you get through this..!
I agree with the others that the drs monitoring your INR don't have the slightest idea of what they are doing! Lovenox goes directly into your bloodstream immediately & keeps your blood from clotting ---- that's why it's an injection!
You need to take control of your life or clearly these bozos are going to kill you!
You need to take control of your life or clearly these bozos are going to kill you!
Freddie, are you sure that you understood this correctly? YEP
If your GP office has these kind of instructions given out it is completely false information.
GUARANTEED that in the ER they would know what to do. NOT! I'll explain below
Heparin IV or Lovenox shots would protect you almost immediately...I tried to say that, why are you letting GP docs play russian roulette with YOUR life? Just following protocol
Are THEY going to change your diapers when you have a stroke???
This is insane.....
I'm working on itFreddie,
IMHO you really need to level with your doctors I've tried - really I have. How can they truly treat you when they aren't informed as to everything you're doing? See explanation below
Why would you put yourself in a position of distrust of your medical professionals and come on this website to ask what you should do especially with an INR of 1.5 which is dangerously low? I'm not trying to scare you, but I sure would have my butt in that ER post haste. "Following protocol"
We can't and shouldn't advise you what to do and how much warfarin to take. We don't know your lifestyle, your diet,totally normal your exercise routinealways on the go, your mental state like you I'm here, so that must be a good signor any medical situations don't have anythat might affect your INR.Just as normal as the next guy
Here's hoping you get through this..!
I was brought to tears tonight from tryingI agree with the others that the drs monitoring your INR don't have the slightest idea of what they are doing! I agree totally now Lovenox goes directly into your bloodstream immediately & keeps your blood from clotting ---- that's why it's an injection! See explanation below
You need to take control of your life or clearly these bozos are going to kill you!
I went to the ER tonight, explained why I was there and what I wanted "a prescription for Lovenox" and explained to the finest detail the situation.
I waited 10 minutes in the ER when the head nurse called me and said, 'that she had brought my situation/problem to the ER doctor and he told her to call the doctor that was on call from the clinic I go to - that there would be a conflict of interest if he was to proceed with the request of the patient'.
The head nurse had a "resident" from my clinic on the phone and I talked to him for over 20 minutes.
to be continued............
river-wear
Well-known member
Hang in there Freddie. I can imagine your frustration. Best of luck getting things straightened around! (I wish I could smack them for you.)
Michele
Michele
I cried on the phone, cried to the head nurse when asked to be discharged and I cried on the way home.
I'll try to continue without crying...
I explained everything to the 'resident':
- 1.3 is not being protected
- "Lovenox is an ejection which goes right into the blood stream which protects me from clots and will assist me until I get into my therapeutic range, because I really don't know how long I've been so low - it could 4 days and today could my 5th day resulting in a very good likelihood of blood clots forming.
- I don't want to be back here at 3:00 in the morning unable to feel the left side of body or worse and then have my S/O take legal action because of your pre-cautionary measures because I tried to get the help I needed earlier.
The 'resident' was nice and very understanding to where I was coming from.
Although he was concerned about "side-effects" and "complications", with the Lovenox shots, such as bleeding. "How can I bleed?" I asked, I'm almost normal as you as far as clotting goes".
The resident said that they would not normally give Lovenox for some reason or another - I was crying by this time. He also said that by the time the ER got me a room, get blood tests done and have the explanation on the how to's of Lovenox could be 3 to 4 hours then I would have to return in 12 hours to get another shot since I've never done it myself before.
He did his very best to reassure me and to wait till morning until he talks to my regular Doc. I told him I still didn't like this decision and that I would go home and have a couple of analyzer's since they were the next best thing to a blood thinner and that he better pray that I don't throw a clot during the night, cause I was here doing my very best to be my own advocate for my own well being and I hit a brick wall, cause no one will see it my way and what the benefits Lovenox will do.
So the moral of this story and our health system (well in my city) is that, 'you don't go to the ER and discredit what you have been told by your doctor - it's a conflict of interest" between the ER Doc and your own doctor.'
Everyone in this city is clueless about INR.
So until morning.........I may hear from my regular doctor, who will also be pissed that I went to the ER, my INR is ....well...gone. Oh tomorrow will be fun.
I'll try to continue without crying...
I explained everything to the 'resident':
- 1.3 is not being protected
- "Lovenox is an ejection which goes right into the blood stream which protects me from clots and will assist me until I get into my therapeutic range, because I really don't know how long I've been so low - it could 4 days and today could my 5th day resulting in a very good likelihood of blood clots forming.
- I don't want to be back here at 3:00 in the morning unable to feel the left side of body or worse and then have my S/O take legal action because of your pre-cautionary measures because I tried to get the help I needed earlier.
The 'resident' was nice and very understanding to where I was coming from.
Although he was concerned about "side-effects" and "complications", with the Lovenox shots, such as bleeding. "How can I bleed?" I asked, I'm almost normal as you as far as clotting goes".
The resident said that they would not normally give Lovenox for some reason or another - I was crying by this time. He also said that by the time the ER got me a room, get blood tests done and have the explanation on the how to's of Lovenox could be 3 to 4 hours then I would have to return in 12 hours to get another shot since I've never done it myself before.
He did his very best to reassure me and to wait till morning until he talks to my regular Doc. I told him I still didn't like this decision and that I would go home and have a couple of analyzer's since they were the next best thing to a blood thinner and that he better pray that I don't throw a clot during the night, cause I was here doing my very best to be my own advocate for my own well being and I hit a brick wall, cause no one will see it my way and what the benefits Lovenox will do.
So the moral of this story and our health system (well in my city) is that, 'you don't go to the ER and discredit what you have been told by your doctor - it's a conflict of interest" between the ER Doc and your own doctor.'
Everyone in this city is clueless about INR.
So until morning.........I may hear from my regular doctor, who will also be pissed that I went to the ER, my INR is ....well...gone. Oh tomorrow will be fun.
What is protocol?
Steps! Everything in our health care system is done in steps.
In this case:
1) go for blood work
2) wait 3 hours for results
3) phone doctor
4) wait for doctor to call you back
When you don't have anyone else, what is one to do?
The real sad thing is that I knew all of this was going to happen.
Steps! Everything in our health care system is done in steps.
In this case:
1) go for blood work
2) wait 3 hours for results
3) phone doctor
4) wait for doctor to call you back
When you don't have anyone else, what is one to do?
The real sad thing is that I knew all of this was going to happen.
Something just accrued to me.
I haven't been noticing my "tick", not even in the shower.
Could this have been a hint?
Normally, I usually hear it.
I haven't been noticing my "tick", not even in the shower.
Could this have been a hint?
Normally, I usually hear it.
Omg Freddie,what a mess the system has,same here but i thank god
for the doc's i have and that i can wake him up at home to meet me in emerge
if need be.
University, is a training hospital,i spent 10 years there with my 1st hubby
and that was enough for me to say never would they touch me with a 10 foot pole,especially when they screwed up my inr during surgery of my cyst and i hemmoraged,its frustrating and i know how you must be scared and going crazy
as there is no where to turn and its same here as well,the only thing is if they piss you off enough,you need to keep looking for another understanding doc there has to be (1) in the city of Saskatoon,there has to be,I mean you are put at danger without lovenox,would be enough for me to put an article in the Star phonex ans start suing em all before something serious happens.
Im such a stubborn ass if someone pisses me off i dont care i take control and i dont go back ive done it with alot of Doc's here and not many to choose from in little North Battleford,you should have more in toon town and voicing loud will work....Trust me they wont throw you in a corner because they did that tonight
not helping or listening to you ohhhhhh i feel so
right now for what they did to you and since my earlier experiences with this hospital and docs ,it sure hasnot changed for the better yet.You need to maybe even get outta there altogether and find some Doc who listens,and they cant stop you going elsewhere and for Docs not taking on new patients when they hear your story after tonight and know anything about inr,lovenox and cardio,. willnot turn you away
Sounds like youve had all emotion you can take for today,and i hope you did take warfarin at least 1/2 your warfarin when it was so low and taking reg dose now? Good for you
and i couldnt sleep and came on and now im worried Freddie i pray your alright and you will be ((HUGS)) and i will come up there and help to find you a good Doc and wont leave till they get it straight and we find one for you....You know the song...LEAN ON ME
