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Coumadin Clinic Shut Down
Rigorous dosing schedules, harassment prompt state
investigation
BALTIMORE, MD--In a statement made earlier today,
Maryland state health officials announced the closing of the Coumadin
Clinic
at
The Phelps
Center
for Family
Wellness. The action comes after numerous patients and families voiced
concern over the intensity and complexity of their Coumadin dosing schedules.
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| The Phelps Center |
Marvin Cosell, a retired 72-year-old masonry worker
with a metallic aortic valve, was reportedly taking half of a 2 mg tablet
seven times per day on Mondays and Fridays, and five 1 mg tablets on Tuesdays,
Wednesdays and Thursdays, after which he would have his prothrombin time
checked and then administer weekend doses based on a sliding scale.
“It’s become my whole life. I can’t
hardly keep it all straight. And just the other day my doctor called and
said, ‘Your protime’s all #$&#'d up – have you been
drinking, you old bastard?’”
Clinic director Herbert Baff, MD defends the Phelps
Center’s practices.
“My colleagues and I have developed a very
successful algorithm for maintaining appropriate anticoagulation,”
says Baff. “Nobody said life was easy. If you want us to thin your
blood here at The Phelps, you’d better bring your A-game. This isn’t
for babies or simpletons.”
78-year-old Belinda Sporr, a longtime Phelps patient,
recently developed atrial fibrillation and was placed on Coumadin. “I’m
supposed to have my blood drawn each day and put the results of my protime
into an equation that my doctor gave me. I had to have my son buy me a
laptop to do the calculation. My doctor said it would be a miracle if
an old broad like me could figure out how to use it.”
One patient, Zoë Neuhauser, is suing the clinic
over her experience while on Coumadin.
“I couldn’t stop thinking about it,”
she says. “My doctor would call me with the results of my protime
and be like, ‘For the love of God woman, take some vitamin K - are
you bleeding? Don’t move around for Christ's sake! STAY IN ONE
PLACE!’”
Soon, says Neuhauser, she was paralyzed with fear
because of her protime, and had to stop working as an interior designer.
She has since been successfully placed on one milligram per day of Coumadin
and is doing well at The Highpoint Psychiatric Center.
State officials have also been given information
about bizarre prednisone tapers and oral cephalexin doses of as little
as 50 mg given thirty times a day for skin infections.
The Phelps Center, which is open every other
hour from 6AM to 10PM, says it has not seen a decline in patient volumes
since the investigation began.
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