I Want an INRatio!

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Lisa in Katy

...or a similar machine. I had a run-in with the new nurse at my doctor's office, and if I can help it, I'll never deal with her again. I'll try to make a long story not so long, but I probably won't succeed because I'm pissed.

It started with her telling me that she would not renew my prescription if I didn't have an INR every month. I explained that the doctor is fine with me being tested every 2-3 months because I have been stable for quite a while, and I would have to take off a half day of work every month to have it tested that often. She said that she didn't see it in the chart, so she wouldn't honor it based on my word alone. Then she accused me of "playing around with" my Warfarin. I told her that although I am not doing this, with a stable INR, why should she care. She then noted that I hadn't been to the doctor since last July, which was unacceptable. I told her that I was actually in the office in December for an echo and she interrupted me and informed me that the Echo Tech is not a doctor. I told her that I have been seeing this doctor for about 15 years, and I am well aware of who the doctors are in the office; however, if she wouldn't have interrupted me, I was going to say that the doctor came in while I was having the echo, so even though it wasn't official, we did talk for a little while. Also, since I am only supposed to see the doctor once a year, in my calculation, I shouldn't need to see him again until July. I then told her that she was being extremely rude and I didn't appreciate it. She said that "since I don't know you from Adam, I really don't want to be responsible for your numbers." I said, "Well, let me introduce myself. I had mitral valve replacement almost 9 years ago. Since then, I have taken it upon myself to find out everything I can about Warfarin and my INR. I am a very educated patient. I now know more than you'll ever hope to know, and I am still learning. I'll be glad to adjust my own dosage if you just tell me my numbers. Then you can call in whatever amount I feel that I need." She said that I would have to take it up with the doctor, and hung up on me.

So, I have printed out the paperwork for the INRatio and will be talking to my doctor and to Aetna, my new insurance company. I found something online that seems to suggest that Aetna covers the machine for mechanical valve recipients.

By the way, my INR came back at 2.5, so no adjustments are needed!
 
Sorry you had to deal with one of the ignorant fools that call themselves "experts." You will not regret getting an INRatio. I've only used mine twice so far, and it's great. I had a ProTime before that and it could be a pain. Not so with the INRatio. And ANYTHING beats going in to the lab (well, maybe not anything, but you get my drift).

Good luck getting insurance to cover it. I think more are now-a-days. I had no problems getting mine covered. :D
 
Aetna's On Board

Aetna's On Board

Wow! That sounds like the pits! But I just found out that Aetna approved in-home testing for all mechanical valve replacements as of April 2007. You can find the update bulletin in their website. Good news!

Christy
 
The classic "I am God all knowing" manager. One word for this one. FIRED.

Send your paperwork in for a monitor with your Doctors prescription and be prepared to appeal as many times as necessary.
 
When my husband had strokes in 2000, we encountered the same kind of bull from "so-called" medical people in doctors offices. One woman told me she had been a medical professional for 8 years...what she did not say is that for 7 years she had been a receptionist. Al got his own machine and we have not had to deal with those who assist in doctors offices since.

You will like having your own monitor. Makes life so much easier.

Kind regards,

Blanche
 
You go girl! I love to read/hear stories of people standing up for themselves to rude, egotistical, know-it-all care providers. The good ones are good, but the bad ones make me nuts!!!!:D
 
My son just got his INratio. Very easy to use! Based on Al Lodwick's charts and the advice that I have got on this site, it has been fairly easy to manage his Coumadin. These doctors and nurses who think that we are idiots really piss me off! Get your INRatio and you will be very happy.
 

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