Got my home tester!

Valve Replacement Forums

Help Support Valve Replacement Forums:

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

IanH

Well-known member
Joined
Jan 19, 2009
Messages
84
Location
Victoria, BC, Canada
I am excited. I got my home tester yesterday and can now join the ranks of self testers.

It is a long story. My PCP didn't know too much about self testing and it would have been an uphill battle to explain the benefits to him. My Cardiologist knew more but his attitude was one of "why bother" because I was fairly stable and only testing once or twice per month. He also stated the home testers were expensive and the INR checks in the lab are covered under our medical plan (I'm in Canada).

I was running out of options but had a follow up appointment with my heart surgeon. I mentioned self testing to him and after a couple of quick questions he referred me to a Pharmacologist who happens to be the Coumadin specialist in Victoria. Apparently there was some program where the valve manufacturers provided self testers for us valvers and I just happened to ask the right question to the right person at the right time. I met with the pharmacologist yesterday and came home with an INRATIO machine (it is not the INRATIO II) and a box of 12 test strips. The test strips aren't normally part of the program but they were out of date so he gave them to me. I am going to continue going to the lab for INR tests until I can get a new batch of strips but I can "play" with the machine until then.

I did my first test as soon as I got home and came up with an INR of 2.3. My last check at the lab had been 2.2. (Even though I have a mechanical valve my range is 2.0-3.0 because I take low dose Aspirin).

I still have some hoops to go through. I have to convince my PCP to prescribe the strips so I can claim them on my extended medical through work. I also have to convince him that I am with it enough to self dose. Most of his coumadin patients can barely remember to take their pills so he is a bit wary.

I do have a question for those still reading after all this. Would my INR reading be fairly accurate and would the reading be obviously out to lunch if wrong since I'm using old strips? They expired in Nov. 08. Like I said I am not relying on it but I am just curious.
 
Hi Ian,
I don't have an answer to your question since I'm not on anticoagulants, but I just wanted to wish you well on your self testing. Why is it that some doctor's just can't let go of the theory that they know more what is best for our bodies and minds that we do. Horse Hockey!!! You stick with it. Your PCP needs to come to terms with reality....:)
 
Ian that is FANTASTIC news.
The monitors can have a diff of .2 which is normal and acceptable. Yours sounds good.
I don't think my monitor model accepts expired strips, it has a computerized chip and so do my strips.
 
Ian,
Have you checked with your extended health plan to see if they will cover the strips? My wife's work insurance (Great-West Life) have said they will not cover the machine or the strips. I am challenging their decision and would like to know if other insurers in Canada are covering these elements to give me some ammunition.
Thanks,
Cameron
 
We have Sunlife Canada insurance.
They flat out refused to cover the monitor, but the $500 cost was applied on my tax form medical expenses.
Sunlife initially refused to cover the strips, but I was armed with info, and asked them if they covered diabetic test strips (they do).
I make it simple, and I order strips once a year (24 strips) at a cost of $186.
(testing every 2 weeks is reasonable)
 
How in the heck would you know?

How in the heck would you know?

Mark:

How would you know if a monitor accepted out of date strips or not?

You don't have any direct experience with monitors, as you have said that you have not tested in years?

I have some misgivings with your suppositions about test strips, especially when it appears that you have never even held one in your bare hand?

Blanche
 
Ian,
Have you checked with your extended health plan to see if they will cover the strips? My wife's work insurance (Great-West Life) have said they will not cover the machine or the strips. I am challenging their decision and would like to know if other insurers in Canada are covering these elements to give me some ammunition.
Thanks,
Cameron

Hi Cameron,
I am covered by Sunlife and my wife has Bluecross for extended medical. I checked with both and neither will cover the test strips or the machine. I see that Bina also has Sunlife and she was able to get them to cover the strips. (Don't worry Bina, I didn't use the "you do it for Bina" card) I don't know if this is because our companies have negotiated the cheapest extend health plans available or what the difference is.

I do know that my plan is pretty cheap and it is hard to get changes. A friend's son need hearing aids and as a growing boy they required changing often. Our plan covered $500.00 every 5 years for hearing aids, no where near enough even for one year. They do cover $2000.00/year towards viagra though, go figure.
 
Ian, my husband's previous employer (large corporation) used Great West Live and we had good coverage.
Now he has Sunlife's retiree plan.....not so great, but I won't complain. ;)
 
Ian, my husband's previous employer (large corporation) used Great West Live and we had good coverage.
Now he has Sunlife's retiree plan.....not so great, but I won't complain. ;)

My company had Great West and switched to Sunlife. I'm not complaining but there are definitely somethings lacking in our plan. I'm lucky that my wife has a plan also so most things are covered (except INR test strips it seems)
 
Ian,

Welcome to the world of home testing!! It's great! I'm doing both at the moment - the lab tests and the home tests - because my doctor wanted me to do that for a while just to check that I was doing things correctly. So far there's only been a very slight variation - .1-.2 which is apparently normal. A point of interest - I thought I was stable in my readings too but on Saturday my home tester showed I had dropped down to 1.8 (could have been because of increased exercise) - so I was able to up my dose immediately and not wait till Wednesday when I was due for my next pathology test. The lab people agreed with my upping the dose when I spoke to them. (Mind you I would have upped it anyway) So home testing definitely is worth it!! :)

P.S. And I'm now back to a lovely reading of 3!!
 

Latest posts

Back
Top