Mr Jackson Coumadin Case Summary

Mrs. Jackson had amputations and needed transportation in order to get to the hospital or her doctor visits. Mrs. Jackson was physically incapable of driving herself or caring for herself without the help of Jackie. As mentioned before, Jackie family is poor and Jackie nor did her grandmother have the funds to get her to the doctor appointments. Jackie physically had to scrape together money to get her grandmother to see her primary care physician. Usually, for the round trip to Mount Sinai, it costs seventy dollars and Jackie just did not have the money every time to get her grandmother to her scheduled appointments. For that reason, Mrs. Jackson missed some of her important doctor visits. However, that is not the only reason why Mrs. Jackson could not make it to her
However, there is a test called prothrombin time that would measure the patient’s coagulation level. The normal level for coagulation is an 11. Mrs. Jackson doctor did not want her level normal, instead, he wanted it to do more so of preventing the blood clots that came from her circulatory system causing the Coumadin to be one and one-half to at least two times of the proposed normal reading of 11. So, for Mrs. Jackson’s prothrombin time level, it was 35. That was over what Dr. Gurevich projected. It was necessary for Mrs. Jackson to be closely monitored, unless, she would bleed to death. Due to Jackie not having the expenses to bring her grandmother to an earlier doctor’s appointment, it got worse. Mrs. Jackson had to spend a week in the hospital to manage the Coumadin poisoning which also caused the government several thousands of dollars to cover her hospital stay. In addition, Mrs. Jackson doctor, Dr. Gurevich was not informed of her lab results or received them and did not have a nurse give Mrs. Jackson a prothrombin time test. This can also show that Dr. Gurevich did not have the patient’s best interest at