Does Your Hospital Have A Coumadin Restricted Diet?

Valve Replacement Forums

Help Support Valve Replacement Forums:

This site may earn a commission from merchant affiliate links, including eBay, Amazon, and others.

Ross

Well-known member
Joined
Dec 15, 2001
Messages
25,981
Location
On The Hot Seat
Here is yet another for Al's wall of shame. For the love of God, please tell me hospitals know better then this.

A hospital no less, not allowing patients the choice of leafy greens in there diet because they think the little measley portions they serve will throw ones INR off. I was put on this in this last round. I asked my Doctor what gives and he looked at it and called dietary and had the main dietician come explain. His words, "What the hell is a Coumadin Restricted Diet?"

She faltered, tripping all over herself and finally admitting that she didn't know. She later came back to see me and we had battle. She was trying to tell me that some people would order a salad and coleslaw or a combo of 2 vit k containing items on the same plate. I said so what? Those little 4 ounce servings aren't even going to show up in a INR test, I don't care if you eat them all week long and you never do, it ain't gonna happen. She then started in about cranberry juice and insists that those on Coumadin cannot have it. I'm busy gathering all the data contrary to this to present to her stating otherwise.

I told her they should be more concerned about the boost, ensure, and carnation drinks that they so proudly tout as being good for you, to Coumadin patients and asked her if she bothered to read the label for vit k content in them. Answer, NO. I told her that is where her INR killer likely is, not the food being served.

The bull is never going to stop so long as people are not educated about Coumadin. They'll listen to garbage before they'll listen to someone on it. I hope my Doctor and I taught her something, but I doubt it's going to change any policies.

ScanImage001.jpg
 
Ross,
I've been hospitalized at Akron City Hospital twice since my surgery in August. Neither time did I ever hear of a "Coumadin Diet". They wanted me to follow a cardiac diet, but that included a green salad or any vegetable I wanted. I'd try talking to the higher-ups at Altman, again (or at least the Cardiology Department). I bet you're glad to be home!!
Kris
 
There's no "coumadin restricted" diet at Peconic Bay. The dietician did stop by yesterday (after Tyce had been there 4 days) and told him that he has to watch foods high in Vit K. She gave him a list of high K foods and told him that IF he ate these foods he had to adjust his dosage of warfarin......He is on a "no salt" diet, though.....not that he ever eats salt anyway!

Evelyn
 
EVELYN said:
There's no "coumadin restricted" diet at Peconic Bay. The dietician did stop by yesterday (after Tyce had been there 4 days) and told him that he has to watch foods high in Vit K. She gave him a list of high K foods and told him that IF he ate these foods he had to adjust his dosage of warfarin......He is on a "no salt" diet, though.....not that he ever eats salt anyway!

Evelyn
Yeah I was on No added salt or NAS. The seasoning packets they have are good enough to make something tasty. One thing about Aultmans food, it was very GOOD. Outstanding for a hospital.
 
kbheart said:
Ross,
I've been hospitalized at Akron City Hospital twice since my surgery in August. Neither time did I ever hear of a "Coumadin Diet". They wanted me to follow a cardiac diet, but that included a green salad or any vegetable I wanted. I'd try talking to the higher-ups at Altman, again (or at least the Cardiology Department). I bet you're glad to be home!!
Kris
I liked Akron City's arrangement. Now patients have menus in the room and can order anything anytime during certain hours. All they do is call food service and have it made and brought up to the room.
 
Never heard of a "coumadin" diet at any hospital I have been lucky enough to visit (and those include Ohio, , NY, NJ & CA hospitals). They always want the NAS diets as soon as they hear "heart patient" but greens have always been on the menu. Besides, they cook the h**l out of green vegies so there is no way anything could be left in them from a vitamin standpoint.:rolleyes: :D ;)
 
NAS diet only here in MO. What will they come up with next? Good to have you back Ross!
 
Ross said:
I liked Akron City's arrangement. Now patients have menus in the room and can order anything anytime during certain hours. All they do is call food service and have it made and brought up to the room.

It was nice to order my own food! It wasn't exactly the tastiest, but at least I had some choices.:)
 
kbheart said:
It was nice to order my own food! It wasn't exactly the tastiest, but at least I had some choices.:)
I know I was impressed. Wish our hospitals did something like that.
 
Few things I would not want to see on my tray. Ensure or Boost. Had issues with Ensure. Before I knew better. They were giving it to me x3 daily and attempting to raise my INR. :p Moral of the story. Kept my INR supressed and caused me an additional 3-4 days in the slammer:mad:
 
INR restrictive diet!!!

INR restrictive diet!!!

Hi Ross,

Oh to have been a fly on the wall during the "battle" with the dietician.

Glad you're back and feeling feisty.

There is a great marketing need for a Anti-coagulation for Dummies text book focused to "professionals".

INR restrictive diet--what a hoot. Marketing opportunity for take-out near that hospital. I'm still shaking my head.
 
why do they still recommend boost ect.

why do they still recommend boost ect.

My local health information booklet recommends boost ect,why don't they
warn people on warfarin about boost.I'm less sick now that i don't use it
my inr is no longer low.Has anyone else found this,that's valve replacement
once agan.
 
Ross, Sorry to hear you've been sick. I am still in the hospital and they dont have a Coumadin diet. You are correct though, the portion in maybe 2 spoonfulls if that much. Cant wait to get out and have some "real food". A steak would be sooooo yummy!!! Stay well my friend..

Alicia
:D
 
What a laugh Ross!...

at least the rest of the menu sounds pretty good even though it was lacking ice-cream!

I am gonna make Broccoli soup for dinner in your honour!

WELCOME HOME buddy.
 
LEN said:
My local health information booklet recommends boost ect,why don't they
warn people on warfarin about boost.I'm less sick now that i don't use it
my inr is no longer low.Has anyone else found this,that's valve replacement
once agan.
Honestly Len, I don't know. We read the labels on these cans, why can't the dietary folks? Boost has it's place in nutrition, but a person needs to realize that it's going to require a dose adjustment to stay in range.
 
My husband had his surgery at one of the major heart hospitals in Montreal and they didn't have a Coumadin restricted diet. He was however put on a heart diet (the majority were bypass surgeries). He didn't get as many 'sweets' as you did Ross. Dessert was maybe a small oatmeal cookie which looked rather stale:) Anyways, there were few greens in the food and I kept bringing him food - like salmon with dark leafy greeens etc.:)
When my husband was released the surgeon said to eat as healthy as possible which he knew we would be doing anyways and to adjust the coumadin dosage to his life style. The little booklet we got said the same - but if you do eat large amounts of greens to be consistent. The only restriction he was given was not to drink cranberry juice which was odd since he was drinking it at the hospital.

My husband had a picture perfect surgery and it looked at first as he could go home after 3 days but he ended up with a heparin bleed and had to stay 8 days. They gave him fresh frozen plasma, stopped the Heparin of course and after 4 days the bleeding had stopped although my husband was quite in pain. The bleed was a nurses mistake. She had inflated the urinary tract catheder too early (my husband had a normal prostate). The Heparin and stress of surgery caused the bleed and he threw blood clots which had to be irrigated - talk about painful and right after OHS surgery. The blood loss and strain also set off A-fib and A-flutter - I was sure glad he was a repair and not valve replacement.

He then was released with an INR of 1.5. and the same night he collapsed in the bathroom (I tried to catch him but he was like dead weight) so he hit his head on the bath tub. He broke his nose and lots of bleeding from a head wound at first but it stopped after 10 min.
The ambulance had arrived by then and when I said to hurry - my husband is on Coumadin the 'charming guy' answered: If there is an internal bleed (head) he won't make it anyway to the hospital in time. Well, he made it to the hospital - thankfully no internal injuries and valve was fine. His INR was 1.2 at that day. It took about two weeks to get to 2.0 but the Coumadin Dr. didn't seem concerned since he was a repair and had a normal rythm. It was stressful to handle the Coumadin at first since we knew so little and there was no time pre-op to get better prepared. He just got really consistent readings after 3 months and that was when he was taken off it.
 
Pegasus said:
My husband had his surgery at one of the major heart hospitals in Montreal and they didn't have a Coumadin restricted diet. He was however put on a heart diet (the majority were bypass surgeries). He didn't get as many 'sweets' as you did Ross. Dessert was maybe a small oatmeal cookie which looked rather stale:) Anyways, there were few greens in the food and I kept bringing him food - like salmon with dark leafy greeens etc.:)
When my husband was released the surgeon said to eat as healthy as possible which he knew we would be doing anyways and to adjust the coumadin dosage to his life style. The little booklet we got said the same - but if you do eat large amounts of greens to be consistent. The only restriction he was given was not to drink cranberry juice which was odd since he was drinking it at the hospital.

My husband had a picture perfect surgery and it looked at first as he could go home after 3 days but he ended up with a heparin bleed and had to stay 8 days. They gave him fresh frozen plasma, stopped the Heparin of course and after 4 days the bleeding had stopped although my husband was quite in pain. The bleed was a nurses mistake. She had inflated the urinary tract catheder too early (my husband had a normal prostate). The Heparin and stress of surgery caused the bleed and he threw blood clots which had to be irrigated - talk about painful and right after OHS surgery. The blood loss and strain also set off A-fib and A-flutter - I was sure glad he was a repair and not valve replacement.

He then was released with an INR of 1.5. and the same night he collapsed in the bathroom (I tried to catch him but he was like dead weight) so he hit his head on the bath tub. He broke his nose and lots of bleeding from a head wound at first but it stopped after 10 min.
The ambulance had arrived by then and when I said to hurry - my husband is on Coumadin the 'charming guy' answered: If there is an internal bleed (head) he won't make it anyway to the hospital in time. Well, he made it to the hospital - thankfully no internal injuries and valve was fine. His INR was 1.2 at that day. It took about two weeks to get to 2.0 but the Coumadin Dr. didn't seem concerned since he was a repair and had a normal rythm. It was stressful to handle the Coumadin at first since we knew so little and there was no time pre-op to get better prepared. He just got really consistent readings after 3 months and that was when he was taken off it.
What a nightmare. Sounds like something that I go through and people wonder why I'm so gun shy of hospitals.
 

Latest posts

Back
Top