Atrial Fibrillation (AFib) Support Group
Atrial fibrillation (AF or afib) is an abnormal heart rhythm (cardiac arrhythmia) which involves the two small, upper heart chambers (the atria). Heart beats in a normal heart begin after electricity generated in the atria by the sinoatrial node spread through the heart and cause contraction of the heart muscle and pumping of blood.
My lab fees are covered but not the INR clinic deal here. I go to lab and they give it to clinic Dr and he has some one call with the dose and how soon to come back.
No alcohol or anything with aspirin in. Once in a while my INR flips up and down and this time I can not find not reason for it. I think could be stress maybe. This way I have no set day and time to come back. Dr will say back in month or two weeks and this time a week as too low. I was doing good on the eating. I think it is good to start out with the clinic at first and I did. But here with med ins in this area and the clinic charge was too much.
Here there is no drug store as we know it. It is hospital pharmacy and they are not that cheap . I now pay $12 for 90 pills of warfarin. Does not go me 90 days. I do try to eat a steady diet. Right now Dr is putting me back on more warfarin that he had stoped. I was doing good till this stress started. If it will stay where it should the once a month to lab is not bad, My Dr has told me to not worry about the INR flipping up and down . My Dr is retiring by end of June. I have gone to him for over 22 years and having to get a new Dr is very upsetting. Yes, his office has set me up with a new one, So I said I will try him. I have appt with new one for the next heart check up. Just a family type Dr. is all I have had and will have long as things go okay.
By way am 80 miles from my Dr and so use the local lab. We have no Drs here in this little town but those at the clinic. One seems to stay here and rest change. I have never met or spoken with the clinic Dr here. My Dr set that up with him to monitor me. The ins total really is more than can afford and but pays on drugs and so on. But at my age 81 I feel I had better have it.
My experience with warfarin is pretty much the same as Rick's. No problems, blood test 1x/month. I'm big on salads so my dosage has been adjusted for that.
Like you my diet is pretty much the same week to week.
I eat anything I want but since alcohol is an AF trigger I don't drink everything I want.
My dosage has changed a couple times in the past 2 1/2 years. Dosage is now less than in the beginning: 4mg 1/wk and 3mg 6x/wk.
I'm fortunate to have a Medicare Advantage Plan. In SF there is no monthly premium. I pay a minimal cost like Rick for warfarin and I'm not charged for blood tests or calls from Dr.'s office re: results.
Annette
I had no ins. from age 40-49, I too was self employed. I took a job because I would have benefits. Since I had health ins. I went for a routine check up. My first pap test came back with diagnosis ot precancer cells in uterus. I had emergency hysterectomy 6 weeks later. I consider myself Blessed!
I loved my job for 20 yrs. and had only minor health related problems.
I retired and joined Medicare. 6 weeks later, I was diagnosed with afib, then Lots of back issues. As frustrating as Medicare can be, I am Grateful to have Ins.
My first Cardio Dr. said I "Had" to take Pradaxa vs Warfarin. If I had it to do over, and I just may someday, I would take Warfarin. Pradaxa has very clear instructions that it is not indicated for folks over 75. Also, had I been taking Warfarin, I would not have had to stop taking it for my tooth extraction.
Are we invited to your Graduation?????