GP bemoans: 'She covered me for a day and altered my patient's risk of stroke'

We've all been there: when fill-in GPs change your patients' treatment plans

I was a little taken aback when Dr C changed my patient from warfarin to one of the Novel Anticoagulants, and one I seldom use, at that.


I have only worked with her for about three years, and we seem to come from the same mould, seasoned family docs with a penchant for teaching and patient empowerment.

I had not imagined she would step in and completely change my treatment plan when she was just covering for one day.

As far as which is safer, warfarin with variable therapeutic effect and fluctuating INRs? Or Novel Anticoagulants,