It seems everyone I talk to around here in Virginia Medical Center, who partly specializes on heart surgery, have rarely or never heard about home monitoring. For instance, the woman (don't remember title), who came to me just to talk about coumadin and montoring, who I asked about it, I think all she knew was that is was pretty expensive. Same with the assistant doctors who stop by. I haven't asked my main surgeon though, who has been fantastic. I hope for something better there, but sadly it probably ends up being my insurance (Group Health) who will deny me, and not Virginia Mason. I will likely end up having to pay for it myself. I have seen the devices, but how much do the monthly strips etc add up to?