Need Some Help

Valve Replacement Forums

Help Support Valve Replacement Forums:

This site may earn a commission from merchant affiliate links, including eBay, Amazon, and others.
E

evelyn2

Good morning everyone,

I saw my cardio Tuesday with forms in hand to have her sign for the home testing. I also brought articles I printed from QAS site about value of home testing and keeping complications low with self-testing. She has absolutely no desire to monitor my coumadin.

The forms were for the INRatio because of a lot of people here saying they liked this machine. My cardio was very hesitant about the idea of home testing. She stated it was not something to play around with. "How would you keep home monitor calculated - very important." She filled out the papers but stated she would not sign or fax them until she had assurance from the coumadin clinic that they would continue to monitor me and keep track of the home testing.

Today I went to the coumadin clinic, AGAIN because I needed frequent monitoring after being on 12 days of prednisone and Avelox for very bad upper respiratory infection. The nurse practioner is very excited and helpful to be able to do the home monitoring. I will be the clinic's first home monitored patient. She would like me to use the Coag check machine instead of the INRatio because they use coag check in the clinic and she felt it would be better to be testing on the same machine.

She also was unfamiliar with QAS or Raytel. She has talked with a company, Tapestry Medical. She called her contact and found out that the Coag check XS could be acquired.

I noticed the recent post from Isis and the responses about both the INRatio and the Coag check and it seems like both are easy to use and patient friendly. I guess I am just needing additional assurances.

The nurse practioner doesn't care if I use QAS or Tapestry Medical but would like me to get the Coag check.

Any thoughts?

Thank you so much.

Evelyn
 
I don?t home test so I should probably keep my mouth shut. Your comment that she has no interest in monitoring your INR seems very strange. My ?clinic? is in my cardio?s office and he is very much on top of my test results. If she has no interest I don?t see why she would give you any grief about home testing. Sounds to me like you and your clinic have things very much under control. Good luck!!
 
I agree with Cooker, that's very strange.

But I'd get whatever machine gets you to home testing. So if your clinic prefers you get a Coag XS - get it. Many members here really like them. I'm sure you'll love it.
 
Your doctor scares me. Not interested in monitoring your Coumadin? Oh really.

This doctor is not staying up with current trends in the medical field and is ignorant as to how these machines operate. The controls are built in to each test strip. Accuracy every time.

Doesn't matter which machine you get so long as you can home test. QAS has Coaguchek too I believe, but it's your choice as to where to get it from.
 
Evelyn, if I can get a home testing machine anyone can!
I live in a really tiny town with one doc who lives in an old convent building. But I have to say that this doc has had no problem managing my INR/coumadin. I'm also very consistent with my diet, etc and have been super stable; so when I approached him with brochures for a Coaguchek machine, he agreed.
I also promised that if he was leary of any results that I would back them up with a lab draw.
I have never needed to do that.:)
The pharmacist who trained me said I am the fifth person in Eastern Ontario with this Coaguchek XS machine.
I no longer worry when we have blizzards, road closures, etc. because I am now totally independant of the labs and hospitals for INR testing.
 
Evelyn:
You can go with the CoaguChek XS without worry. This monitor has been used in the United Kingdom and Germany for quite some time. The monitor is produced by Roche, a Swiss company, which has a good reputation and a good track record. For years it was the only point-of-care monitor produced.

We would have replaced our first monitor with the CoaguChek XS, but at that time it had not yet been approved by the FDA. Our Cardiologist has six CoaguCheck monitors in three locations. With 16 partners in his practice, you can bet that they do humdreds of p/t tests a week.

While we are very happy with our INRatio, and we nave recommended this monitor to many, if it is not one of your options, Roche produces a quality monitor, and this company was the first company to produce INR monitors, several years before the others now available.

Blanche
 
CoaguChek XS???

I thought that was for professional use only in the U.S. at this time and that only individuals in Canada and overseas could get an XS. Thought it was a CoaguChek S for home use in the U.S.
 
My recollection is that all the Coaguchek machines were discontinued for sale to individuals in the US ... until the XS was approved by FDA. The XS is the new one - much less expensive than their other models.
 
I just spoke with Brandi at QAS this morning (Monday). She stated the Coaguchek XS monitor became available to patients in September. She also said QAS doesn't sell the older model anymore. They still sell the test strips for the older models.

Forgot to ask her about seeing coaguchek controls. Does anyone know if the newer monitor needs to have controls done. I think someone (Ross?) said something about the controls built into the test strips.

Also when I went online at Amazon they had available Coaguchek XS teststrips (48) for 259.00
Another listing for Coaguchek PT test strips (48) for 339.99.

I asked Brandi what was the difference between Coaguchek XS and Coaguchek PT strips, she didn't know. Are they 2 different monitors?

I am just looking forward to having all this in place so I can start having control of my own monitoring.

Appreciate any information.

Evelyn
 
evelyn2:

FYI:
Some cardios do NOT monitor a patient's anticoagulation; instead, they have a patient's PCP or internist or an anticoagulation clinic to do it.

My first cardiologist had an anticoagulation clinic in his practice, a very large one in Dallas. I chose to have my PCP, in Fort Worth, monitor my INR.
Last year, when the price of gas went up, I switched to a cardiologist in Fort Worth but my PCP writes my warfarin Rxes. My PCP and cardio have known each other a long time.
My husband's surgeon put him on warfarin for arrhythmia after MV repair in May. He goes in once a month for his INR tests.

Doesn't matter whether your cardio or PCP's office monitors your INR. What does matter is having someone who actually knows and understand warfarin.

I think you'll love having an INR monitor!
 
Renting v owning INRatio machine

Renting v owning INRatio machine

FYI, My insurance co. pays the "rent" on my INRAtio, but my co-pay is $50 for every 4 tests. So that works out to an average of $600 per year if I only test once per week.
Buying it on Amazon: $950 + 220 for 48 strips = $1200 the first year, $1500 after 2 years, so after 3 years, it is cheaper to own the thing, assuming it doesn't need servicing.
 
Back
Top