Shelby Macomb Medical Mall 586-580-3062
Roseville Office 586-772-3366
East China Office 810-326-0643
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Shelby Macomb Medical Mall Office Opens
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Coumadin Clinic
Top Docs named by HOUR Detroit
Shelby Macomb Medical Mall Office Opens Our newest office is now open in the Shelby Macomb Medical Mall.  Located on the third floor, our well appointed office suite is setup with you, our patient in mind. 
Heart Watch A heart-healthy lifestyle can significantly reduce your chances of getting high cholesterol levels, having a heart attack or stroke. Here is a dose of heart healthy choices to ensure your heart is happy:
Coumadin Clinic Welcome to our Coumadin Clinic.  Here at Cardiology Associates of Michigan we strive to provide the best care possible for our patients.  The reason for Coumadin has been explained to you by your physician.  It is our goal to give you results of your blood work in a timely manner.  There are a few guidelines that we have our patients follow so that we can keep your risk of complications at a minimum.
#1 “Top Docs” by HOUR Detroit Magazine Every October, Hour Detroit offers a dose of healthy advice in the form of an annual survey of health-care professionals. Congratulations to the Cardiology Associates of Michigan Group of Dr. Mark Zainea and Dr. Mouhammed Joumaa who were named to HOUR Detroit magazine’s 12th Annual Top Docs list.

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Coumadin Clinic

Welcome to our Coumadin Clinic.  Here at Cardiology Associates of Michigan we strive to provide the best care possible for our patients.  The reason for Coumadin has been explained to you by your physician.  It is our goal to give you results of your blood work in a timely manner.  There are a few guidelines that we have our patients follow so that we can keep your risk of complications at a minimum.

  • Coumadin should be taken in the evening or with your PM medications.  The reason for this is for safety precautions.
  • Diet: Keep your diet consistent.  That means any foods that are HIGH in Vit. K (Dark green, and/or leafy vegetables) should remain the same amount of servings a week.  For example if you eat 4-5 serving a week than always keep it 4-5 servings a week.  A serving can be of any variety that you want.
  • Antibiotics:  If for any reason that you need to start Antibiotics that is fine.  Start the Antibiotics and then call Christina to let her know.  Your blood work will need to follow very closely during this time due to the fact that Antibiotics affect your Coumadin greatly.
  • Medication changes:  There are a few medications that will affect the Coumadin.  Examples of some of them are Amiodarone, Digoxin, Antifungal (pill, creams, or powders), etc.  If you have any questions please give Christina a call to double check.  Tylenol is to be used instead of Ibuprofen or Aleve.
  • Blood results:  Christina will call you usually the afternoon/evening of the day after your blood test.  Christina does stress testing during the day, therefore afternoon/evening call backs are usual.  If you have not heard from her by the THIRD morning after your blood work, please call the office this could mean that she has not received the results.  At that time she will call the lab for the results and give you a call back.
  • Blood results will be provided to only one person.  If the patient is unable to receive results only one patient representative will be called with results.  Let Christina know who that representative will be.
  • If you stop getting your PT/INR blood work drawn, unfortunately you will be discharged from the Coumadin Clinic.  This is so that a safe and therapeutic level of Coumadin can be maintained.  Christina will call you if 2 months have gone by without any blood work.
  • You must also maintain a current relationship with your physician (at least once a year) to remain in the Coumadin Clinic and to fill your RX for Coumadin as well.

If you have any questions, please call Christina at 586-772-3366.

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