Having moved from the south coast up to Hull the protocols here are so different it would be interesting to hear what protocols are in place in different places in the UK.
Here in Hull its a nurse led clinic using a coagucheck and dosing etc is done there and then. When I first moved and said INR needs to be between 3 and 4.5 and if under 3 need Fragmin they looked at me in disbelief. I was very glad I could locate a consultants letter confirming this.
In the 20 years I have been on warfarin its never been exactly stable. Last week it was 6.7 and today 1.5 oh the joys of Warfarin. However, I'm still trying to get the nurses to understand sticky blood I am getting there and at least they listen.
As a by the by the last time I needed an urgent supply of Fragmin it took my new GP's three days to get script sorted out. I now keep some in hand.
I know I've got to the age where I can be a grumpy old woman (I relish it) but I can see my new GP and I having some interesting discussions in the future.
Heres to everyone having a happy and hopefully healthy 2017.