Bloodclots

Patient: Complicated case but nutshell version…hx of bloodclots sp hospitalization in past 3 weeks for one in left lower lobe…hx of anemia several transfusions past year…currently throwing blood clots menstrual-wise quite large any chance that I will lose enough blood to get weak enough to pass out hx of that as well or should I not worry about an ER visit at this time coumadin tx for life current pt.inr 4.3thank you for any advice

Doctor: