INR stands for International Normalised Ratio which is a check for blood clotting time associated with Warfarin. A regular blood test is needed when on Warfarin to check that the INR is in the correct range. Much better to be on one of the newer drugs which are not affected by food and no blood tests needed.
My mom did not go to the doctors in many years. When she did go (this was eighteen years ago) with what she thought was fibrositis (turned out to be multiple myeloma) they had difficulty because her records had not been computerised because she was not a frequent attender!
I was pestered constantly to book blood tests (under threat of withholding pain medication). The thought of needles sends me into panic mode so I resisted as much as possiblr. I was also required to attend a medication review, again threatened with no medication, when I was quite happy with what I was on. I waited two hours to be seen despite the one ailment rule, which the doctor ignored, so appointments ran over. During my wait, a lady came in to say her son was on his way for an appointment but was stuck in traffic. She was told he would be seen if he got there within ten minutes of his appointment but would have to book again if not despite them running two hours late! I changed practices and have not been contacted at all in nine months by the new doctors which I am happy with.
My main gripe is with a hospital. I was put on the list for an Ablation procedure for atrial fibrillation in mid December with the consultant said 2 - 3 month wait. Great, I thought, will not interfere with summer holidays. In mid January, I received a letter stating I had to phone in weekly to confirm I had taken anti coagulant medication and, after four weeks, would be put on the waiting list. I would then have to continue with the weekly phone call until scheduled. I then found out the waiting list was more like five months putting a possible date in the summer holiday time. Had I been on Warfarin weekly blood tests would be required. I feel insulted that people can't be trusted to take the medication and this has made me worried that there may have been problems with procedures at this hospital. A friend who lives fifteen miles away and has only had AF since last August (I have had it seven and a half years) has already got her date for the procedure in April, in another hospital, with no weekly phone calls. I don't know whether her calling an ambulance every time she has an episode has any bearing on her getting, what seems, priority service.