This of course is a false dilemma. “Either choose to engage or not” is not a viable choice when it comes to a medication that keeps me alive. It also fails to acknowledge that “declining” to work with HIS hospital’s coag clinic is not the only safe option. The hypocrisy that “safety” is at the root of his stance while he is denying me life sustaining medication is also notable.
This reminds me of a small incident that I had with my pharmacy. I keep 6mg and 1mg warfarin on hand. Over the past 18 months, my daily dosage has ranged from 6.5 to 7mg. So, this combo is ideal for me. I had plenty of 1mg, so I just asked my cardiologist to reload my 6mg, which he did. However, when I went to pick them up, the pharmacist informed me that there was a problem and they could not yet give them to me. They did not inform me what the issue was until I inquired. It turns out that having the 1mg and 6mg prescriptions in their system confused them- which is it 6mg or 1mg?
I explained that I self-test and need both the 6mg and 1mg to get the dosage right, usually taking about 6.5mg/day. It did not seem that she understood. She said she would need to check with my doctor, because warfarin "can be very dangerous if the dosage is wrong." I think most here will see the irony in that. No one is more aware than we are how important it is to get the dosage right, which is why we test often. So, I was turned away and told they would let me know when they got it sorted out.
Three weeks passed and I heard nothing from them. The irony is they they turned me away, to protect me from a dosage they felt could be harmful to me, yet denying a patient warfarin for 3 weeks could be fatal. Fortunately, I always refill when I have at least a 30-day supply left, so my situation was not urgent. Also, I have a bunch of 4mg on hand which I could have used to make 6mg if needed. I called them after 3 weeks to rattle their cage and they claimed to have never heard back from my cardiologist's office. So, I contacted him through the portal and asked him to reach out to them to straighten it out. He did. I had my prescription refilled the same day.
You never know when you are going to run into one of those individuals who can't proceed because they can't seem to get the round peg to fit into the square hole, so I always keep plenty of warfarin in reserve for such an event. I even keep a 30-day supply with me at all times in my car, or when I travel, just in case, you know, zombie apocalype or something.