Monday morning I had my blood test to see what my INR (blood clotting time was). Ideally while on Warfarin it should be between 2.0 and 3.0. My number was 2.9.
Today I went in again to have my blood level checked. They couldn’t get blood from the old faithful vein in my right arm. They found what they thought would be a good vein in my left arm. Because the order was STAT they were supposed to get 2 vials of blood. They got the needle into my tiny and very twisty vein. The first vial of blood comes out and as they start to collect a second my vein blows.
I am not surprised. Back in the days when I had so many blood tests, I began having this issue with using my veins too much. They bandaged my arm and told me not to lift anything for at least an hour (not an easy task with a three-year-old waiting for me at home). Thank goodness my husband was there. I now have a very ugly hematoma on my left arm that is ugly and very tender.
This afternoon when I phoned to get my INR level I was told that it was now at 5.9 (nearly double the acceptable upper level). This may have to do with my dose being upped on Saturday to 10 mg and then dropped back down to 5 on Sunday. It can take four days for changes to show up and today would have been four days since Saturday’s dose. I am to stay off the Warfarin for two days and retest on Friday (assuming I have any way of giving them the blood). I am being extremely careful around anything sharp and have removed my rugs and anything that may cause me to take a tumble in the meantime.
I meet with my doctor tomorrow. We will be discussing many things. One is that I want to be referred to a hematologist who can possibly better manage my blood levels. I am also going to ask for a self INR test machine. Where I only have to poke my blood with a lancet and put it on a test strip similar to what diabetics use. The result will be instantaneous. I call a number, give my ID and the level and my doctor is notified immediately of the results. I can’t continue to poke my veins 2 or 3 times a week. They are not going to hold out. I believe it is covered under medicare or my insurance company as a loaner.
I am spending a lot of time the rest of this week being very sedentary and reading. I will pop in to the office for short spurts periodically to check on my email, etc. Needless to say this is too much of Been There, Done That for me right now.
I hope you all are doing well.