Guest guest Posted September 20, 1999 Report Share Posted September 20, 1999 Hi, , cathylu99@... wrote: > > Hi: > I have a lab question. > > Doc says BUN is 31, creatinine is 1.1, [Gen 3.0, and valley peak 6.3]. > Presently receiving Gentamicin q 24 hours and Zosyn q 6 hours. > Is Gen an abbreviation for Gentamicin? Should I typed out the entire word? > Valley peak??? Rather than " valley " , in my experience as a medical lab tech, this is referred to as a " trough " level, but I suspect it means the same thing: the point at which the blood level of the drug is lowest, as compared to the peak level, which is the point at which the blood level of the drug is highest. The terms come from drawing a curve of time following administration versus serum concentration. The point of drawing blood for peak and trough levels is to make sure that both are within what is considered to be " therapeutic " range, and not toxic to the patient. I am speculating that he is stating that the " valley " level of gentamicin (lower case--it's a generic name) is 3.0 and the peak level was 6.3. This fits with my reference " Interpretation of Diagnostic Tests " which states that the desired trough/valley level for gentamicin is 1-2 ug/mL and the desired peak level is 4-8 ug/mL. Another lab reference, " Clinical Guide to Laboratory Tests " gives different numbers for the peak and trough levels, based on the severity of the patient's infection and notes that different units, umol/L, can be used by a particular lab. I'm fairly certain this is what he's stating, but if the wording is as stated in your post, I would definitely flag this one. Carol K. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2000 Report Share Posted February 12, 2000 > > Trepid " and T remain normal. Could this possibly be " tricuspid " ??? Re: lab results > , > > " anteroseptal " is combining form of anterior septal, the frontal of the > septum, that I hear frequently with EKG reports. > > " estimated " is correct as they calculate approximate right ventricular > (RV) systolic pressure. > > " Trepid " , I am not sure about. > > > > On Sat, 12 Feb 2000 01:11:20 EST cathylu99@... writes: > > Hi all: > > Can someone help with this. I'm clueless. > > > > EKG showed a normal sinus rhythm with an " anteroseptal " ST segment > > change. > > Echocardiogram showed normal left ventricular function, ejection > > fraction of > > 50%, mild tricuspid regurgitation, and " estimated " RV systolic > > pressure > > suggesting pulmonary hypertension. Telemetry strips were benign > > with > > occasional PVC’s. CK’s were elevated with an elevated MB > > fraction. > > " Trepid " and T remain normal. > > > > HELP! > > > > > > > ------------------------------------------------------------------------ > > NMTC Web Page - http://go.to/nmtc > > > > > ------------------------------------------------------------------------ > > If you took Podimin™, Redux®, or the combination " Fen-Phen, " > > visit the OFFICIAL site. Request the Court authorized notice package > > explaining your rights under the class settlement. > > http://click./1/833/0/_/9092/_/950335888/ > > > > -- Check out your group's private Chat room > > -- /ChatPage?listName=nmtc & m=1 > > > > > > ________________________________________________________________ > YOU'RE PAYING TOO MUCH FOR THE INTERNET! > Juno now offers FREE Internet Access! > Try it today - there's no risk! For your FREE software, visit: > http://dl.www.juno.com/get/tagj. > > ------------------------------------------------------------------------ > NMTC Web Page - http://go.to/nmtc > > ------------------------------------------------------------------------ > eLerts! > It’s easy. It’s fun. Best of all, it’s free. > http://click./1/1234/0/_/9092/_/950363221/ > > -- Talk to your group with your own voice! > -- /VoiceChatPage?listName=nmtc & m=1 > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2010 Report Share Posted August 10, 2010 They dont look fie to me either. If he bases treatment on TSH why does he bother to run the others? Your T4 and Free T4 are too low where is the Free T3? Your meds should be increased you TSH has plenty of room to go down with increasing meds and then your T4 and Free T4 might move up to. Good luck finding a new doctor! Search for a DO in your area I know I and many others have had great success with a DO! Good luck! > > > So....My doc says...stay on meds...see you back in 2 months. Here's the labs...they don't look fine to me! > Can anyone help me with this? > > TSH 1.9 " normal " but I don't feel all normal range .34-5.6 > T4 3.3 low range 4.5-12.0 > Free T4 0.54 low range 0.71-1.85 > Total T3 86.4 high range .45-1.37 > > And DHEA is high at 439 range 45-270 > Also, he mentioned nothing of Estimated GFR flagged as " Critical Low " at >60 with normal being <61-120> and I looked at my other bloodwork and it showed the same thing for the GFR three months ago! > > Also mentioned nothing of these abnormal results > > GlucoseR 70 Low range- 17-110 > Ca++ 8.1 Low range- 8.5-10.5 > RDW-CU 43.8 High range 11.5-14.5 > Anion GAP 15 High range 4.5-11.5 > Eosinoph 3.2 High range 1.0-3.0 > Mean Platelet 11.2 High range 7.2-11.1 > LDL-C 80.2 Low range 100-129 > > This doc. is moving and so I can see his associate or switch practices...so here I go to find a new doc. SHEESH...I am so tired of this! > > Here's all the normal tests he did (I do have to appreciate all the tests he's done) > Normal lab tests on: > FSH > LH > Testosterone > Prolactin > Testos FR > Na+ > K+ > Chloride > BUN > Creatini > BUN/CREAT Ratio > CO2 Total > WBC > RBC > Hgb > Hct > MCV > Rlatelet > Neutroph > Lymphocy > Monocyte > Basophil > MCH > MCHC > TProtein > Albumin > A/G ratio > Total Bilirubin > Choleste > Triglyce > HDL-C > Chol/HDL > ALT (SGPT > AST (SGOT > Alk Phos > Glucose fasting > Hgb A1C > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 7, 2012 Report Share Posted June 7, 2012 Hi , Welcome to the group! First, you should be aware Free T3 and Free T4 tests are the most reliable tests for thyroid function. And just being in the normal range does not mean you feel well. Sometimes we need to be in upper half and for some of us up near the high end of the range. Find where you feel bestand aim for the spot. I always test at the same lab and at the same time of day. Do not test right after taking T meds. I test in the afternoon. Do not test when fasting. Most drs do order FT4 but use the old obsolete T3 test (aka Total T3), which your doctor did. TT3 measures all bound (used up and now useless) and unbound (free and available to be used by the body) together. Essentially, you have no way of knowing how much T3 is available. Again any bound T3 proteins are not available to the body to use nor will they ever be. The TPO antibody test doesn't show much, mine was 20,000. What this test measures is the antiTPOab count in the bloodstream. You could have lots of autoimmunity going on in the thyroid gland that has not yet spilled out into the blood. Also, people who get chocked, slapped, or hit in the neck will get these antibodies but usually do not have Hashis. If this is the only reason you were Dx'd with Hashis I would question the Dx. An elevated antiTPOab by 3 points is NOT all-telling. What are your symptoms? How long? As for reverse T3, there are many around the Internet who believe it is a whole new sub-disease within thyroid disease and they push correcting it with taking mega dose T3 only. However, I believe reverse T3 is a protection mechanism. I think of it as an " Anti-T3 " protein. When rT3 is high, it is a sign of a toxic liver, infection, high cortisol, blood sugar problems or poor diet etc. All of these influence the T4 to T3 conversion process. If you address these issues in most cases rT3 comes down. Note: rT3 is a normal function in the body, only a small percentage of T3 is used by the body; the rest is converted to rT3 to prevent harm. I hope this is helpful. To wellness, ~Bj > > Hi, everyone. I'm just joining this group and would like to post my lab results in hopes that someone can give my some advice. > I have Hashimotos and am on Armour. In March, I started the Wheat Belly Diet, which is low carb and haven't lost any weight. I feel so much better and will not ever go back to eating wheat but the weight loss or lack thereof is puzzling, since almost all of the other people on their blog have dropped weight quickly.Has anyone had this problem and figured out what to do about it? Here are my lab results. > > First page > TSH-1.279 Ref. Range 0.350-4.500 > T4,Free Free T4-1.03 Ref. Range-.80-1.80 > Second page > T4-7.8 Ref. Range-5.0-12.5 > TSH-0.011 Ref. Range-0.350-4.500 > T3-124.6 Ref. Range-80.0-204.0 > T4, Free Free T4 1.37 Ref. Range-0.80-1.80 > Thyroid Peroxidase (TPO) Ab-38.0 Ref. Range- <35.0 > The thyroid microsomal antigen has been shown to be Thyroid Peroxidase(TPO). This assay detects anti-TPO antibodies. > Reverse T3-22 Ref. Range-11-32 > Any thoughts on this? > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 7, 2012 Report Share Posted June 7, 2012 Bj, Well, it sounds like you really know a lot about this. I have to say that I don't understand it all, but I printed out your response and plan to take it to my doctor when he gets back from vacation. My main symptom is loss of weight despite being on a low carb diet since March. I do feel better since I've been wheat free.I have more energy,so my thyroid must be working some, but I just can't lose any weight, and I've had that problem for many years,when I used to cut way back on calories to lose even one pound.Does one of those components of the test indicate the weight loss aspect? I was diagnosed with Hashi's many years ago at Rochester Clinic, when I was having discomfort in my neck. After a lot of different tests,they couldn't find anything wrong, but mentioned that I had Hashi's.Before that, I thought mine was just low thyroid. The low thyroid does run in my family, but none of my sister's have been told that they had Hashi's, just low thyroid. I had been taking iodine, but stopped after Dr. (who developed the Wheat Belly Diet) said that those who have low thyroid should take iodine, but not if you have Hashi's. Thank you for taking the time to respond to my post. I think I will see if getting Armour from Canada will help. > > > > Hi, everyone. I'm just joining this group and would like to post my lab results in hopes that someone can give my some advice. > > I have Hashimotos and am on Armour. In March, I started the Wheat Belly Diet, which is low carb and haven't lost any weight. I feel so much better and will not ever go back to eating wheat but the weight loss or lack thereof is puzzling, since almost all of the other people on their blog have dropped weight quickly.Has anyone had this problem and figured out what to do about it? Here are my lab results. > > > > First page > > TSH-1.279 Ref. Range 0.350-4.500 > > T4,Free Free T4-1.03 Ref. Range-.80-1.80 > > Second page > > T4-7.8 Ref. Range-5.0-12.5 > > TSH-0.011 Ref. Range-0.350-4.500 > > T3-124.6 Ref. Range-80.0-204.0 > > T4, Free Free T4 1.37 Ref. Range-0.80-1.80 > > Thyroid Peroxidase (TPO) Ab-38.0 Ref. Range- <35.0 > > The thyroid microsomal antigen has been shown to be Thyroid Peroxidase(TPO). This assay detects anti-TPO antibodies. > > Reverse T3-22 Ref. Range-11-32 > > Any thoughts on this? > > > > > Quote Link to comment Share on other sites More sharing options...
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