K
Karlynn
Freddie (I'm back - had to go run rehearsal)
Our advice and the calculator are basically the same. It says hold 0 - 2 doses. Most of us that have been on Coumadin for a long time know that a 2 day hold for a 4.9 is outrageous and the calculator (and protocol) only suggests it if, for some strange reason, there is bleeding going on.
As Jim pointed out - you Dr. and the way she freaks out over an INR that is a point or 2 over your range is what is causing the problem.
Don't forget, some people here have a range of 3 - 4. Your doctor would probably have them live their life in the hospital so as to catch any horrible bleed as it starts
It is extremely dangerous to think that going low and starting over again is a good plan. I would rather be 6.0 than 1.8. (And I've been both several times).
If you take 3 tonight and 3 tomorrow night, your test on Saturday should be lower. But for heaven's sake - do not let your doctor convince you to hold if it's over 3.
But after looking at your dose history - it looks like 5 mg/day (35/week) is your sweet spot.
Please tell your doctor that there can be as much as a .3 variance in any test. So if she's freaking over a 3.5 or 3.6 - it could very well be a 3.2 or 3.3. (and yes - a 3.8, or 3.9) She is micromanaging you into one heck of a yo yo.
She's talking about you seeing a "specialist". Please show her your weekly INR's and doses and tell her that she is the reason your INR is going all over the place. (I know you won't, but think about it.)
Our advice and the calculator are basically the same. It says hold 0 - 2 doses. Most of us that have been on Coumadin for a long time know that a 2 day hold for a 4.9 is outrageous and the calculator (and protocol) only suggests it if, for some strange reason, there is bleeding going on.
As Jim pointed out - you Dr. and the way she freaks out over an INR that is a point or 2 over your range is what is causing the problem.
Don't forget, some people here have a range of 3 - 4. Your doctor would probably have them live their life in the hospital so as to catch any horrible bleed as it starts
It is extremely dangerous to think that going low and starting over again is a good plan. I would rather be 6.0 than 1.8. (And I've been both several times).
If you take 3 tonight and 3 tomorrow night, your test on Saturday should be lower. But for heaven's sake - do not let your doctor convince you to hold if it's over 3.
But after looking at your dose history - it looks like 5 mg/day (35/week) is your sweet spot.
Please tell your doctor that there can be as much as a .3 variance in any test. So if she's freaking over a 3.5 or 3.6 - it could very well be a 3.2 or 3.3. (and yes - a 3.8, or 3.9) She is micromanaging you into one heck of a yo yo.
She's talking about you seeing a "specialist". Please show her your weekly INR's and doses and tell her that she is the reason your INR is going all over the place. (I know you won't, but think about it.
)
