Holy smokes!I agree with most of your summary points except one:
- Less time spent testing (5.3 minutes per test compared with 158
We spend less time testing but it is more like 30 to 45 minutes. My wife helps me clean up the table, scrub it down with soap and water, scrub our hands and use a thermophore heating pad for 3 to 5 minutes prior to the prick. We also set up the spreadsheet from the previous week to show which side of which finger to prick. Then, it is a couple minutes to enter the data into two different spreadsheets (to avoid loss in the far future). The data includes what the coumadin dosage was and whether there were unusual circumstances such as medicines or painkillers such as Tylenol. After this, we methodically put away all the equipment and close the software. The extra time is still far less then the time to drive to the Coumadin Clinic which I was doing every couple months prior to the epidemic. My time in range is not as good as yours and Pellicle's but is getting better.
Thank you again for your sample report sheet. It keeps my doctor and my Coumadin Clinic Pharmacist very content. I only send it to the M.D. once every couple months to reassure him that I am fine. I send it to the Coumadin Clinic about once a month. I told my M.D. that it is as much for me as for him as it keeps me from having strokes and bleeds (I had two large hematomas from taking a medicine that was NOT supposed to interact but DID that convinced me that I needed a home meter) When I tried to get a meter thru my health insurance, the rigamarole (sp?) was so great that he wrote me a prescription to get one by paying entirely on my own. I got a Coag-Sense on a bundle sale and it has worked perfectly for me. The CoagUChek folks wanted me to use their service and I did not wish to as my health plan has a Coumadin Clinic.
Walk in His Peace,
Scribe With A Lancet
- Set tester on the bathroom counter.
- Insert test strip.
- Wash and dry hands.
- Poke left side of right middle finger (always works).
- Apply sample to strip.
- Rinse off finger.
- Note result.
- Put it all away.
- Send an e-mail with result later.
Done in two or three minutes beginning to end.
I don’t keep a spread sheet because it’s one more thing to do. Historical results only ever satisfy curiousity without a detailed log of everything driving those results (diet, exercise, weight, sleep log, missed doses, etc). If I’m curious, I can look at archived emails or scroll back through tests on the machine. I only care about two things.
Am I in range?
If not, how should I change my dose to get back in range (if at all)?
My INR five years ago and the dose that got me there doesn’t matter one bit today. When I was in my 20’s, 4 - 4.5 mg’s kept me in range. Today, it’s around 6.
But, if you love spread sheets and have the free time - its all good.
I should add that everyone is different and variants in the condition of ones skin, quality of blood vessels, etc can all have an impact on ones experience. Some folks don’t recover from a finger poke as quick, so multiple testing spots matter more. My post reads a bit more rude than intended on a second read through. Apologies for that.