Monday, March 30, 2009

Coumadin



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People often ask me if I have ever killed a patient... I'm never quite sure how to answer that. My reaction is that every physician has killed a patient. Of course not intentionally, probably not even negligently, but it eventually happens. One that stands out for me is Mrs. M. Mrs M was an older woman, probably 63 or so. I inherited her care from the venerable senior small town doc whom I replaced. She was short, wide and with multiple medical problems. My first impression of her is overhear Dad has a blood clot in his lung so he's been on Coumadin for a while. His protime readings are generally all over the map. For the last few months, his protime has come back from the lab saying his blood is way too thick and some times, dangerously thick that they were worried about a stroke. At one point, his blood wasn't even flowing for the nurses to even draw any blood. After several weeks of slowly increasing his Coumadin, it appears Dad's protime readings are better and instead of having

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