Mary Hawking wrote:
>
> I have just refused to prescribe heparin (and supervise a patient's pre-
> operative withdrawal from long term warfarin) for a locum surgical
> consultant at a local hospital.
Please educate an ignorant GP registrar and tell me what is wrong
with changing your patient from warfarin ( a notoriously bothersome
medication) to subcut (self-administered)lowmolecular weight heparin -
which doesn't require any monitoring? If you are already supervising
his/her warfarin INRs presumably you will save a lot of effort and if you
are not it shouldn't create much extra work to give a prescription for
heparin instead. The only trouble I spot is teaching the patient or
relative to do subcut injections- in my experience, not too difficult.
> Can anyone tell me, *is* this part of "usual medical services"? How many
> of you have been asked to do this? and how many have done it?
Are "usual medical services" = to "what was current practice when
I was an SHO"? :-)
> Just curious - I'll still say no..;-)
Just curious - why?
Rachel
-----
Dr Rachel Hopkins
GP Registrar, East Oxford Health Centre
GP Registrar Observer at RCGP
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