Real warfarin resistance or medication noncompliance?
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The word noncompliance comes too many times in the physicians’ notes, particularly when the out-come is not in sync with the standard of care these days. True, many times, for various reasons, patients are noncompliant with the prescribed regimen; at times, however, the patient is not at fault and, perhaps out of ignorance, the clinician falls back on that explanation. We present an interesting case of warfarin resistance and discuss possible reasons for that resistance in light of a current literature review.