abnormal lab test

Vic Nicholls nichollsvi2 at GMAIL.COM
Wed Apr 23 13:43:05 UTC 2014


And therein lies the problem.

I am a huge proponent of patients learning from reliable sources (no 
Oprah or Dr. Phil or whoever shows up on TV) and taking a look 
themselves. Ok you are going to have some that don't or won't, their 
problem. People already google, they just need some reliable sources.

If the patient figures out their own normal levels, that helps the issue 
with 1) lack of time most doctors have for patients and 2) the fact that 
doctors are human and can't remember the levels of 2000+ patient panels 
most have.

No, docs don't take into account the entire picture. That's what I the 
patient should be doing. Health is an asset, an extremely important one. 
Outside of the fact that 90% of docs I know only look at bloodwork or a 
test and if they can't find anything, you're crazy, anxious, bipolar or 
depressed, that would solve the issue of the docs who don't do that.

Its a job for a doc: its a patients' wealth asset.

Btw, for the record, I'm going to send a note to my GI that I was wrong. 
Its not my liver that is the problem, it is the low albumin/protein in 
the blood that is the cause for my medication issues. I put it together 
when I saw the changes & read about drugs interaction with albumin.

Granted ... ok I'm not your normal patient with a normal 10th grade 
science background. That being said, WHO finds the answer is not as 
important as Team Patient WINNING. Whether or not the quarterback makes 
the touchdown or the center or tight end does, all that matters at the 
end of the quarter is the team winning.

Victoria


On 4/23/2014 6:48 AM, Hoffer, Edward P.,M.D. wrote:
>
> Another important factor is that some tests, notably those in the 
> endocrine field, have a very wide range of “normal,” reflecting the 
> fact that they were derived from a large sample of presumably healthy 
> people. In many cases, an individual has a much narrower range of 
> normal, which may be at the top, middle or bottom of the population 
> normal.  You MUST take into account the entire picture: history, 
> physical exam and laboratory tests.
>
> Ed
>
> Edward Hoffer MD, FACC, FACP
>
> *From:*Peggy Zuckerman [mailto:peggyzuckerman at GMAIL.COM]
> *Sent:* Tuesday, April 22, 2014 4:56 PM
> *To:* IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> *Subject:* Re: [IMPROVEDX] abnormal lab test
>
> It is critical for patients to understand that some labs may be 
> "normal" though high or low, and that the trend of that measure may be 
> more important than the actual number.  In addition, the various 
> measures that rise or fall together, or rise and fall in opposition 
> to  one another can guide the diagnosis.  Neither the patient nor the 
> doctor should focus solely on one measure without seeing the 
> interactions and the trends.
>
> Peggy Z
>
> On Tue, Apr 22, 2014 at 8:15 AM, Vic Nicholls <nichollsvi2 at gmail.com 
> <mailto:nichollsvi2 at gmail.com>> wrote:
>
> Unfortunately patients are not all numbers, we're unique human beings. 
> What a true "mean" is for one patient may not be that in another.
>
> Victoria
>
> On 4/22/2014 10:31 AM, Xavier Prida wrote:
>
>     Any singular abnormal laboratory should be repeated once to
>     ascertain regression to the mean.
>
>     -- 
>
>     Xavier E. Prida MD FACC FSCAI
>
>     813 813 0721 <tel:813%20813%200721>(H)
>
>     813 245 3143 <tel:813%20245%203143>(C)
>
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