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Feb 19, 2010

setsail98 Profile

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Birmingham, AL

Review: Ballagas, Tony Dvm - Tony Ballagas DVM

Hmmm, just maybe Dec 94 was a competitor (given her accusations)? Dr. B did alright by me and my hopeless case. He gave him a better life!  (Mar 1, 2010 | post #8)

Switching from Lovenox to Coumadin

Quite safe to take both at the same time... they work in two different ways and you quit Lovenox when your PT/INR is therapeutic with Coumadin. I don't quite understand his logic in that Lovenox is "stronger " though. Therapeutic range is normally what is sought with Coumadin.  (Feb 24, 2010 | post #32)

coming of coumadin side affects.

Pretty doubtful tlong. I would suggest reading the literature on-line found at such sites as WEBMD and the numerous drug reference sites anyway. Despite whatever my doctor tells me, I research many professional articles (i.e. JAMA) and have even been known to discuss them with him and change his mind.  (Feb 19, 2010 | post #2)

Coagucheck accuracy?

I have read all the comments here regarding PT/INR testing, procedures, and results and find them all quite interesting. My background is over 25 years in the military medical field of which my early years were in cardiopulmonary technology and research. I had my aortic valve (St. Jude) and aortic arch replaced in 1997 and my mitral valve (St. Jude) replaced in 2000. Having done research of the best medical science articles available at the time (2007), I ordered and began using the Roche Coaguchek XS meter under the auspices and prescription of a cardiologist. I encourage all who use any meter not to wail and flail and bemoan at home testing as I see here and on many other sites. Instead, research YOUR product, procedures, testing modalities, and especially professional articles to include medical, laboratory, nutritional, and pharmaceutical journals. Probably the most important research you can do is nutritional. Many herbs, vitamins, and spices “significantly” affect the PT/INR. While many physicians have had some sort of training in this, few are exceptionally qualified (nutritionists included). The best advice is to learn YOUR body. This includes YOUR health, medications and supplements you take, diet, and testing technique. Know and learn about YOUR drug, vitamin, spice, and supplement interactions with Coumadin, warfarin, or Jantoven. There are many interactions and there are numerous web sites that can help with this. I suggest using more than one for comparisons and cross reference. I use the Roche Coagu-Chek XS as does my cardiologist. This is a “prescribed” medical device and I suggest through reading of the manual, training by medical personnel, and viewing the many available videos on-line as I did. It performs its own quality assurance check (QC) individually on each test via a microchip included with each batch/lot of test strips. When we compare tests we set both meters side by side at the SAME TIME. If comparing to a lab visit it must also be done at the very SAME TIME. If tested on different days or mere hours apart, PT/INR results WILL vary and be different. To date, I have been within the percentage allowance offered by authors and literature discussions cited in medical, laboratory and pharmaceutical journals. My dose of Jantoven has been between 3 – 5 mgs since 1997. My diet has been consistent as well as my use of vitamins and supplements. Every so often I review literature, look back over the manual, and watch continuing medical educational (CME) videos regarding my medical conditions and especially MY meter.  (Feb 19, 2010 | post #20)