Is this common practice of bridging from Coumadin to an injectable anticoagulant back to Coumadin necessary? From a practical point, it is usually a major inconvenience for patients and doctors alike. Many patients are uncomfortable giving themselves injections at home. The injectable anticoagulants are sometimes expensive. Sometimes despite good instruction, they are administered incorrectly by the patient, or on the wrong dates. What if Coumadin was just held and later restarted without the bridging?
A Long Island native, Dr. Frederick Gandolfo graduated with a BS in biology from Fordham University in Bronx, NY. He attended SUNY Stony Brook School of Medicine. He completed internal medicine residency training at New York University. He continued at NYU for gastroenterology fellowship and was awarded fellow of the year. Dr. Gandolfo is board-certified in internal medicine and gastroenterology.
After practicing in a large group for several years, Dr. Gandolfo decided to go solo in 2018 and started his own practice, Precision Digestive Care, located in Huntington, NY.
Dr. Gandolfo lives in Long Island with his wife and two children. Most of his time outside of medicine revolves happily around doing dad stuff, but he is also an amateur photographer, fitness enthusiast, frustrated writer, and empiricist at heart.
