Latest on Colonoscopies While Anticoagulated

[lance]

Interesting mention of Dr. Spy ........................

Interesting mention of Dr. Spy ........................

I just spent 3 days at a meeting of anticoagulation people and have some new stuff to add.

First, don't look to scheduling an appointment with Dr. Spy in Albuquerque. Lovelace has mostly dismanteled (at least as a research institution). Spy moved to Hamilton, Ontario two weeks ago. Hamilton is "the research center" of the anticoagulation world. The last thing they need is another world-class anticoagulation doctor. But professionally it is a great opportunity for Alex, so I am happy for him.

Second, the feeling among top anticoagulation docs is this:
1. More and more GI docs are willing to do colonoscopies while someone is fully anticoagulated.
2. A screening colonoscopy is not an urgent procedure.
3. Find a GI doc who will do it while you are anticoagulated.
4. Coordinate IN ADVANCE with your insurance that they will agree to a second colonoscopy to remove polyps if this is necessary.
5. The majority of colonoscopies do not require polypectomies so mostly you will never need the second one.

and his association with HGH and the guidelines for colonoscopies.

Were there any new developments in warfarin management mentioned at the meeting? Perhaps a change in dosing style or INR requirements (range other than 2.5-3.5 for mechanical valvers?