Guest guest Posted January 7, 2012 Report Share Posted January 7, 2012 Ask your endo what the reference ranges are, chances are he won't have a clue, thats what is happening here, endos depend on lab tech's judgement not their own. But then if they were to depend on their own judgement they would be listening to uis instead of ordering tests and trusting lab techs judgement..... Glynis > Who allows Pathology laboratory staff to go against a doctors > recommendations for specific tests for his/her patients? > > I do not choose the pathology laboratory, but I do choose my endocrinologist > because he is the best I have found up here and because he knows his job, > yet the path. lab. know nothing about me, my personal circumstances, my > family or medical history or even what disease I am suffering or what > medication I am taking. > > How much responsibility for our care is being handed over to the > laboratories, who are refusing the do the tests that we need. > > > Hi Chrissie, sadly, I can identify, and empathise, with you. > > I was referred to hospital when I challenged, as advised by Sheila, my > GP over the Ferritin, at 55 ug/L (22 - 275), and Serum B12, at 348 ng/L > (189 - 883). I arrived at reception, to be told that the consultant had > cancelled the appointment. > >> Because my TSH has virtually doubled from 2.2, in July '09, to 4.0, in > Dec '11, the path lab will still not do a full thyroid panel? > > I have one law suit against the Trust, which my MP is involved in, so I > can only inform him of the obfuscation I'm currently experiencing. > > How the hell is anyone supposed to follow a Doc's advise and avoid > stress? > > Bill. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 8, 2012 Report Share Posted January 8, 2012 Hi Sheila, I'm sorry to see that you're as incensed as me. My GP said that he can ask for a full thyroid function test, but the lab will only perform it if the TSH is abnormal. If it's happening elsewhere I can discount my cynicism and the "Vexatious Complainant Policy " has been removed? When I first drew this to my MP's secretary she replied that it is all too common for Trusts to implement when faced with serious allegations?When I raised the issue of the previous GP, who was advised by the hospitals biochemist, only having prescribed the maintenance treatment for Vit D deficiency of Calceos (800 IU daily) he has ordered a Dexa scan because of my anticonvulsants, but wouldn't begin the 50,000 IU's because the Pathway diagram states, " in patients with corrected calcium levels > 2.50 mmol / L, vitamin D replacement should be more cautious eg colecalciferol 50,000 units once weekly for 4 weeks with monitoring of bone, U & E, PTH, 25 Vitamin D after the fourth dose." and does not specifically state "international units". Because of the omission of "international" he said he was afraid of overdosing me? My PTH test, dated 29/11/11 came back normal with the "corrected calcium level at 2.4 mmol/L, just 0.10 below the stated cautionary level of 2.5 mmol/L. Though I need to get away from the PC I'm going to continue researching the potential damage that may have been simply due to long term anticonvulsant useage. Bill >> Ask your endo what the reference ranges are, chances are he won't have a clue, thats what is happening here, endos depend on lab tech's judgement not their own. But then if they were to depend on their own judgement they would be listening to uis instead of ordering tests and trusting lab techs judgement.....> Glynis> > > > Who allows Pathology laboratory staff to go against a doctors> > recommendations for specific tests for his/her patients? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 At the begining of december I had a set of bloods done,previously my f erritin had been 29 in a range of 10-200 so I have been taking iron for nearly 6 months this time my ferritin was 50 range 10-200 so I queried this with the doctor her reply they dont treat any one whose in range and would only consider iron supplements at 5. I also have raised alt and creatine, liver and kidney results but the doctor responce is that they have to be critical not just high before they would investigate its ironic that the TSH is sacrosanct but they ignore blood test results that are flagged up by the labs. Well I needless to say have changed surgeries a really simple proceedure tomorrow i will have a half hour interview with the practise nurse who will go through my medical history etc so I will tell them that I have been self treating with NDT since the begining of september.I hope that as this surgery uses many alternative therapies including homeopathic treatments that they will be well versed in NDT or T3 will let you know Sheila if they are sympathatic. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2012 Report Share Posted January 17, 2012 Ignorant, arrogant doctor! How DARE she say that doctors don't treat anyone whose ferritin level is " in range " , especially with a range as massive as 10 to 200. I hope that she never finds she is suddenly suffering with low ferritin level of 10 and all the doctors there refuse to treat her. Is it any wonder we have getting on for 3000 members of this forum when we have doctors who are quite incapable of understanding what test results mean. You should keep on treating your level of 50 until you get the level to between 70 to 90. When doctors are SO adamant, it is always best to ask them to point you in the right direction where you can see the scientific evidence, research or studies that have been done to show that doctors would not treat ferritin unless their level had dropped to 5 - I really would NOT allow her to get away with making such a statement. I would now write her a letter and ask her for such scientific evidence and also evidence to show that they are correct in not treating liver/kidney results until they become " critical " - by that time, I guess the " critical " results could be critical for the patient too. This needs reporting to your local Primary Care Trust and tell them exactly the reason why you felt the need to change doctors, because this doctor is likely to cause many of her patients great harm. Somebody somewhere should make her answer some questions as to what she does, and does not know about blood test results. I hope your new doctors are more sympathetic. Luv - Sheila At the begining of december I had a set of bloods done,previously my f erritin had been 29 in a range of 10-200 so I have been taking iron for nearly 6 months this time my ferritin was 50 range 10-200 so I queried this with the doctor her reply they dont treat any one whose in range and would only consider iron supplements at 5. I also have raised alt and creatine, liver and kidney results but the doctor responce is that they have to be critical not just high before they would investigate its ironic that the TSH is sacrosanct but they ignore blood test results that are flagged up by the labs. Well I needless to say have changed surgeries a really simple proceedure tomorrow i will have a half hour interview with the practise nurse who will go through my medical history etc so I will tell them that I have been self treating with NDT since the begining of september.I hope that as this surgery uses many alternative therapies including homeopathic treatments that they will be well versed in NDT or T3 will let you know Sheila if they are sympathatic. No virus found in this message. Checked by AVG - www.avg.com Version: 2012.0.1901 / Virus Database: 2109/4747 - Release Date: 01/16/12 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2012 Report Share Posted February 9, 2012 Hi Lillian. I take four grains of Erfa... 2 last thing at night and 2 more at about 2pm. I had my blood test at 10am on Mon 6th Feb and my last dose of Erfa was at 11pm on Sun 5th Feb, 11 hours before. Despite the four grains I take, my temps are still ranging between 36.4 and 35.2 throughout the day. I've also just had the 24 saliva cortisol test done and will post the results when I get them. > > Are you on anything that contains T3 e.g. NDT or T3? If so did you take > it the morning of the test? > > Lilian > > I've just received the following blood test results. Can anyone translate > > them please, as I'm a bit flummoxed by them. Looking at them, my T4 seems > > ok but my T3 is too high. Is this right and, if so, what are the > > implications of it? > > > > > Quote Link to comment Share on other sites More sharing options...
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