The lessons to be learnt from my ex-patient's stroke

How can a GP best ensure integrated care in a time when fragmentation feels like the status quo?

In 2004, I was asked to provide a medicolegal opinion about the management of a 39-year-old recent mother who had a major stroke four days after ceasing warfarin for the purpose of removing a painful wisdom tooth.

Professor Max Kamien.

I pointed out that stopping warfarin was common practice, even though the available evidence at the time showed that this resulted in a 1% incidence of stroke.1

Emeritus Professor

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