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First Job & Office Politics

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Jul 28, 2:07 PM

In my Cath lab, we choose anticoagulants like warfarin or DOACs to prevent clot formation by targeting clotting factors in the blood, while antiplatelets like aspirin stop platelets from sticking together. We monitor INR only for warfarin because its effect is unpredictable and depends heavily on diet—unlike the fixed doses of newer drugs. This precision matters, but I remember my own father, a taxi driver, couldn’t afford these frequent tests during the lean monsoon months. So, for my patients from similar backgrounds, I often prefer a predictable DOAC, even if the textbook still loves warfarin for some cases.
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