Something is so horribly wrong. My INR has been perfect. 3.5 to 4.3. I have about 2.5 inches of non compressible brachial deep vein in right upper extremity. I have known for about 4-5 days it was re forming- I could feel it building.
The emergency room doctor ( our small town.) did not have access to a heme he knew. My INR by finger prick was 3.6. He said he could put me in hospital in San Antonio, or I could inject with Lovenox at home at come back Friday and re evaluate then.
He said lovenox at 70 mg at 1.5 mgs per kgs ( I weighed in at 110.)
I'm not sure... he said he could manage it- come back Friday and rescan arm. If it wasn't better - then hospital in San Antonio. Then we would call hematologist.... he didn't even know to check my platelets. I suggested he should do that before the lovenox... my counts was ok. 240.
My husband- who is out of state right now- couldn't be reached by phone.
He just called. He thinks it's insane to have an ER doc manage a fairly severe clotting anti phospholipid patient. This doc admitted to never having ever seen and APS patient.
Guys- is it ok to have an INR of 3.6 and inject with 70 mg of Lovenox?!?! OMG!!! I'm at home ALONE!!! But I also have a 2.5 inch segment of non compressible vein showing no blood flow. ( $&"&€#!) Please feel free to insert your favorite explicitive in preceding parentheses.