Author Topic: I am dying inside because my pharmacist can't do math  (Read 1590 times)

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Howard Alan Treesong

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I am dying inside because my pharmacist can't do math
« on: April 08, 2008, 03:08:31 PM »
So, I'm on warfarin to thin my blood to eliminate the clot caused by my recent pulmonary embolism.

My goal is an INR (international normalized ratio) between 2.0 and 3.0. That's how many times thinner than normal my blood is, i.e. default blood INR is 1.0.

I've been taking 12.5 mg a day, and at my blood test last Thursday morning I was all the way up to 3.3. My pharmacist decided to keep me at 12.5 daily, but drop me to 10.0 on Thursday and Saturday.

Now, I am neither a pharmacuticist or a mathologist, but Warfarin has a 5-day decay time before it gets out of your system. And even I could tell that a 20% reduction in dose 40% of the time--or an overall 8% reduction--was not going to stem the tide of my skyrocketing INR.

Anyways, I got the results back from yesterday, and wow! I'm at 4.5! This basically means that if I eat spicy foods my intentines will leak out all over my spleen. They are freaking the fuck out and all I can do is go, I TOLD YOU ON THURSDAY YOU GOT MY DOSE WRONG.

If I die, please make sure my tombstone reads "Killed by Poor Math Standards."

Internally bleedingly yours,
S.P.
« Last Edit: April 08, 2008, 06:49:51 PM by Synthesizer Patel »
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Eric P

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Re: I am dying inside because my pharmacist can't do math
« Reply #1 on: April 08, 2008, 03:11:30 PM »
can you share your WoW log in info for the good of the guild?
Tonya

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Re: I am dying inside because my pharmacist can't do math
« Reply #2 on: April 08, 2008, 03:13:14 PM »
Wow, that sucks. What a dumbass, why didn't he listen to you?
wtc

demi

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Re: I am dying inside because my pharmacist can't do math
« Reply #3 on: April 08, 2008, 03:13:38 PM »
Tell me your employer's secrets before you die too, please
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Howard Alan Treesong

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Re: I am dying inside because my pharmacist can't do math
« Reply #4 on: April 08, 2008, 03:15:10 PM »
Wow, that sucks. What a dumbass, why didn't he listen to you?

She.
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Crushed

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Re: I am dying inside because my pharmacist can't do math
« Reply #5 on: April 08, 2008, 03:15:54 PM »
Wow, that sucks. What a dumbass, why didn't he listen to you?

She.

Ohhhhhhhhh.
wtc

Smooth Groove

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Re: I am dying inside because my pharmacist can't do math
« Reply #6 on: April 08, 2008, 04:03:40 PM »
Really sorry to hear about your condition, Patel.  It could be that you're getting rid of the drug at a different rate than your doctor expected.  If you have a concern about dosage, you should talk to the doctor not the pharmacist.  I'm sending you some info that would hopefully be useful. 

Phoenix Dark

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Re: I am dying inside because my pharmacist can't do math
« Reply #7 on: April 08, 2008, 04:33:01 PM »
So, I'm on warfarin to thin my blood to eliminate the clot caused by my recent pulmonary embolism.

My goal is an INR (international normalized ratio) between 2.0 and 3.0. That's how many times thinner than normal my blood is, i.e. default blood INR is 1.0.

I've been taking 12.5 mg a day, and at my blood test last Thursday morning I was all the way up to 3.3. My pharmacist decided to keep me at 12.5 daily, but drop me to 10.0 on Thursday and Saturday.

Now, I am neither a pharmacuticist or a mathologist, but Warfarin has a 5-day decay time before it gets out of your system. And even I could tell that a 20% reduction in dose 40% of the time--or an overall 8% reduction--was going to stem the tide of my skyrocketing INR.

Anyways, I got the results back from yesterday, and wow! I'm at 4.5! This basically means that if I eat spicy foods my intentines will leak out all over my spleen. They are freaking the fuck out and all I can do is go, I TOLD YOU ON THURSDAY YOU GOT MY DOSE WRONG.

If I die, please make sure my tombstone reads "Killed by Poor Math Standards."

Internally bleedingly yours,
S.P.

Don't you mean "was not"?

I hope you get better, and possibly bitchslap the doctor
010

xnikki118x

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Re: I am dying inside because my pharmacist can't do math
« Reply #8 on: April 08, 2008, 05:32:52 PM »
Wow. Please don't handle any knives or sharp objects. Don't eat chips or anything, either, because they can cut your mouth. Really, you can't be too careful. Please be safe!
:-*

CurseoftheGods

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Re: I am dying inside because my pharmacist can't do math
« Reply #9 on: April 08, 2008, 05:47:29 PM »
You got any good BoE gear on WoW?

Bloodwake

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Re: I am dying inside because my pharmacist can't do math
« Reply #10 on: April 08, 2008, 06:01:17 PM »
Wow, guess pharmacists don't fucking know basic math.
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Robo

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Re: I am dying inside because my pharmacist can't do math
« Reply #11 on: April 08, 2008, 06:33:47 PM »
Wow, guess pharmacists don't fucking know basic math.

Did you see the part where he said it was a woman?
obo

Phoenix Dark

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Re: I am dying inside because my pharmacist can't do math
« Reply #12 on: April 08, 2008, 06:43:55 PM »
Get Well Patel
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Human Snorenado

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Re: I am dying inside because my pharmacist can't do math
« Reply #13 on: April 08, 2008, 07:52:40 PM »
This is why I don't got to doctors or anything, they'll just tell me that I'm going to die or something, and that I need to quit eating shitty food and drinking excessively.  Guess what?  I like shitty food and drinking excessively, living I'm not so sure about.
yar

TVC15

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Re: I am dying inside because my pharmacist can't do math
« Reply #14 on: April 08, 2008, 07:59:33 PM »
Are you actually in any danger? :(
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Howard Alan Treesong

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Re: I am dying inside because my pharmacist can't do math
« Reply #15 on: April 08, 2008, 08:02:57 PM »
Um. I'm probably not in danger of dying. But if I were to injure or cut myself right now it would be a bad, bad scene.
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TVC15

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Re: I am dying inside because my pharmacist can't do math
« Reply #16 on: April 08, 2008, 08:04:48 PM »
Um. I'm probably not in danger of dying. But if I were to injure or cut myself right now it would be a bad, bad scene.

If you cut yourself and the worst happened, maybe blood splatter analysist Dexter Morgan would get called to the scene, figure out what happened, and murder your doctor for you.
serge

Howard Alan Treesong

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Re: I am dying inside because my pharmacist can't do math
« Reply #17 on: April 08, 2008, 08:11:45 PM »
Should I get a Comic Sans MedAlert bracelet?

http://www.design-a-band.com/medical_bracelets
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Bildi

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Re: I am dying inside because my pharmacist can't do math
« Reply #18 on: April 08, 2008, 08:27:27 PM »
So I wonder how every day haemophiliacs deal with the problem of blood not clotting?  I know a haemophiliac but I've never asked.

If you cut yourself and the worst happened, maybe blood splatter analysist Dexter Morgan would get called to the scene, figure out what happened, and murder your doctor for you.

I've been analysing blood splatters in Condemned 2 with quite a high degree of accuracy.  Call me.

Bildi

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Re: I am dying inside because my pharmacist can't do math
« Reply #19 on: April 08, 2008, 08:38:48 PM »
I hear they’re high in estrogen content, so that makes sense.

Madrun Badrun

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Re: I am dying inside because my pharmacist can't do math
« Reply #20 on: April 08, 2008, 08:55:29 PM »
My grandpa has had problems with taking to much warfarin before.  It's scary shit.