Comments on: Community Medicine: My First House Call http://www.mexicomedstudent.com/2006/01/454 Every journey has a pitstop. Welcome to mine. Sat, 24 Oct 2009 23:12:27 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Raul Benavides http://www.mexicomedstudent.com/2006/01/454/comment-page-#comment-1337 Raul Benavides Thu, 01 Jan 1970 00:00:00 +0000 #comment-1337 <b>you feel more helpless KNOWING what you can't do</b><br/>Don't worry, because the last thing I see happening is: OK, let's get a stat INR, q 6 hour PTT's started, start heparin, transition to warfarin in the next few days, and we'll have a stat spiral CT standing by. OK that was a little overboard, but you get my drift :) In this case, with this low socioeconomic class, from home, all you really could do was mostly assess for SOB and ensure proper followup, which she will need if she starts anticoagulation. you feel more helpless KNOWING what you can’t do
Don’t worry, because the last thing I see happening is:
OK, let’s get a stat INR, q 6 hour PTT’s started, start heparin, transition to warfarin in the next few days, and we’ll have a stat spiral CT standing by. OK that was a little overboard, but you get my drift :)
In this case, with this low socioeconomic class, from home, all you really could do was mostly assess for SOB and ensure proper followup, which she will need if she starts anticoagulation.

]]> By: enrico http://www.mexicomedstudent.com/2006/01/454/comment-page-#comment-1338 enrico Thu, 01 Jan 1970 00:00:00 +0000 #comment-1338 <b>Clot-B-Gone</b><br/>Actually she is already on anticoagulant therapy, but it's suspect because she has two different anti-coag medications (one a combo w/coumadin) but clearly are additive. Med management is definitely needed as I think she got the meds from different doctors (hence the need for the "home base") Actually, the group of pts at this clinic is decidedly better off compared to last time. She has a house in a cplx with a manned guard gate, and while she definitely struggles to make ends meet, I think her SE status would be approaching a normal "middle class." A lot of the money goes to their special needs child. Clot-B-Gone
Actually she is already on anticoagulant therapy, but it’s suspect because she has two different anti-coag medications (one a combo w/coumadin) but clearly are additive. Med management is definitely needed as I think she got the meds from different doctors (hence the need for the “home base”)

Actually, the group of pts at this clinic is decidedly better off compared to last time. She has a house in a cplx with a manned guard gate, and while she definitely struggles to make ends meet, I think her SE status would be approaching a normal “middle class.” A lot of the money goes to their special needs child.

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