What is Pulmonary Embolism
By far the most common form of pulmonary embolism is a thromboembolism, which occurs when a blood clot, generally a venous thrombus, becomes dislodged from its site of formation an...
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very annoyed at appointment
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Hi all,
I just found this site a couple of days ago and have been posting quite a bit. This time I just wanted to vent. I went to my GP's office today to see the nurse practitioner because I have a pretty bad cold and had my PE only a month ago. I am currently on 10mg of coumadin and the hospitalist prescribed me both 5mg and 1mg tablets and told me to buy a pill splitter so I could adjust my dosage to anything. Well my script from the hospital just ran out and while I was in the office I told them I just needed a refill of the 5mg. They told me, "no, we don't do that here." We only do 1mg so you can adjust your dosage. Um, I have a masters degree in math, I think I can handle combinations of 5s and 1s. Now I have to swallow 10 pills a night? Why???? In addition, I switched to my current GP partly because I hated the nurse practitioner and he followed me!!! It's the same guy I didn't like in the last office. I don't know how to go about finding a doctor that I trust. And what should their specialty be? Internal medicine or pulmonary? One more question. This guy told me claritin is ok to take while on warfarin. Has anyone else tried this? Does it affect your INR? Thanks for listening to my vent... Posted on 06/30/09, 04:42 pm |
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I've been on Coumadin since 2001. Having bad sinus' and occasional alleries, Over the years, the naval hospital has prescribed me either claritan, allegra, or singular since the 90's (when I was also on coumadin just at a higher INR). None of them affected my INR. As long as it's okay with your physician I see now problems with taking any of the allergy/sinus' products.
Regards, Tom 
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As far the the mg of Coumadin, do you have accessibility to a pharmacy outside of the hospital? Most pharmacies carry pretty much the common mg of Warfarin/Coumadin or can have it ready by the next day if they have to order.
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Tom-Thanks for the input on meds. I think I'll go get some claritn right now.
The problem with the Coumadin is that my pharmacy does carry 5mg but my doctor won't write a script for it.
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Welcome to the place to vent.
Perhaps consider that you may still be getting the coumadin/warfarin dose adjusted so it can stay nearly the same for a few weeks, after which time maybe you can get a more forgivingly convenient combination of pills. Maybe you are getting a bit jaded of playing musical doctors but there is a list of trombophilia-aware physicians and specialists at http://www.acforum.org/clinics_us.htm . Some of the clinic locations are colocated with general practitioners who may be a bit less klutzy when it comes to your particular health issues. People do understand here, many of us have had to deal with morons in the healthcare industry.
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Thanks for that link more2be. Now I definitely know I'll be making some phone calls in th morning. Just went to the pharmacy and my insurance only covers 100 pills/month. With what this moron prescribed me, that will last me 10 days and we'd have to pay the rest out of pocket. I'm so annoyed!!
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mecab,
I would call the Physician that sponsers the nurse practitioner and let him know the situation. That is ridiculous. Especially with the insurance situation as it is. That doctor needs to know this is how his practice is being handled. Good Luck
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This nurse practitioner sounds like an idiot. Did you ask him if he only lets his diabetes pt.s have one dose of insulin, so no matter what dose they are on, he only has to prescribe 1 thing- doen't matter if they have to take one shot or ten. I would be calling the attending physician and leaving a message that I wanted to talk to him pronto. I have been nice, asked questions and been told"that's what he said," even though it didn't sound right, and I now have learned that sometimes I have to bite the guarddogs back. Advocate for yourself, arm yourself with knowledge, and if they can't give you the right answers, then go someplace else. Good luck and Blessings, Teri
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