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Re: Re: blood work-up

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Hi -

A really good phlebotomist would know how to reduce

the amount of blood needed for these tests. You could

possibly call a children's hospital lab, speak to

someone there explaining that you have a large amount

of tests on a small child, and ask to speak to the

person who would be best at combining the tests and

planning the draw.

You could take the list you have from Dr G to the lab

techs, then discuss the recommendations w/your doctor.

HTH-

> >

> > >

> > > Can anyone tell me how many blood draws it takes

> for a little guy

> > (3)

> > > for all of the initial labwork that is

> recommended for Dr.

> > Goldberg?

> > > Also, is the panel on his website still accurate

> or is there

> > anything

> > > additional he now likes to start with?

> > >

> > > Thanks.

> > >

> > >

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Guest guest

,

I agree with ... when my younger son went for the labs I believe he

was a young four. The phlebotomist spent A LOT of time figuring out how

much to draw... she spoke to the folks in the lab who would tell her how

much they could do a certain lab with (because there is a fudge factor built

into many labs in case they have a spill, whatever, so that they can repeat

it)... they didn't need to take that extra blood on EVERY lab.

We took the list to the lab before we took our son in... to give them plenty

of time to figure it up.

Here are some other tips...

1.) Use EMLA Cream. It is a prescription cream that you can put on the

child's arm prior to the draw to numb it. After you put it on, you put an

occlusive bandage over it (we've gotten to the point that we now use Saran

wrap wrapped all the way around our boys' arms and just taped back to itself

since one of our was allergic to the Tegaderm pads).

Our doctor showed us how to put it on and now we just keep a tube at home

for draws so we can put it on before we go. We don't like to hang out in

the lab any longer that we need to.... it just adds to the kids' anxiety and

I also always worry about them catching an illness from another patient in

the lab.

2.) Ask if there is a phlebotomist who is really good with kids (and really

good at finding a vein... IMHO, there always seems to be one person they

call when they're having trouble who has a reputation as having a knack for

it). Then find out when they work and go then.

3.) Ask if they can use a " butterfly " needle. It is a small needle that

they put in and can hold perfectly still. There is a little tube running

from the needle to the vials... they can fill one tube up, pop it off,

switch to the next vial and just keep going... switching does not jar the

child's arm at all because the switching of the tubes is happening well away

from the needle. If all goes well, the phlebotomist can get all of the

blood in one poke.

BTW, I know Dr. Goldberg is starting to run labs for Mycoplasma in kids he

has suspicions with now. I don't know if that would be in his initial work

up or not. He also likes to run an ASO titer (for strep antibodies).

That's all I can think of. Good luck.

Caroline

> From: <thecolemans4@...>

> Reply-< >

> Date: Sun, 11 Jun 2006 14:18:00 -0700 (PDT)

> < >

> Subject: Re: Re: blood work-up

>

> Hi -

>

> A really good phlebotomist would know how to reduce

> the amount of blood needed for these tests. You could

> possibly call a children's hospital lab, speak to

> someone there explaining that you have a large amount

> of tests on a small child, and ask to speak to the

> person who would be best at combining the tests and

> planning the draw.

>

> You could take the list you have from Dr G to the lab

> techs, then discuss the recommendations w/your doctor.

>

>

> HTH-

>

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Guest guest

Our daughters blood was taken in two visits. Sheri

meljackmom <meljackmom@...> wrote: Hey

We did our initial work-up when my son was a month shy of 3 yrs. Our

pediatrician did not want to do all of the tests in one sitting

because he felt it was too much blood. Dr Gs office told me not to

worry about it, that they do it all at once. But we did it in 2

separate sittings anyway.

>

> Can anyone tell me how many blood draws it takes for a little guy

(3)

> for all of the initial labwork that is recommended for Dr.

Goldberg?

> Also, is the panel on his website still accurate or is there

anything

> additional he now likes to start with?

>

> Thanks.

>

>

>

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