Guest guest Posted August 16, 2004 Report Share Posted August 16, 2004 i had been posting that i am post op from 10-02, open distal rny. i was dated by lmp to be 12.5 wks and by recent ultrasound possibly 14 or 15. i see a perinatal doc wed. i have posted that i have been (at times having these episodes) weak, dizzy, chest feels heavy/like an elephant on it, feel like i have to sit immediately, when its bad my tounge gets numb--feels like i just came from the dentist office, when its REALLY bad my lips get numb. i am an operator for the phone company and i sit for my job, i havent even been able to work 1/2 time. i get so so so tired and weak. i CANNOT hardly eat!!! someone said that i should post my labs so that you all could look at them. they were done 8-7-04. comp metabolic panel sodium 134L 136-146 potssium 4.0 3.5-5.0 chloride 105 96-110 co2 24 16-30 anion gap 5L 6-16 glucose 64 60-126 bun 7 3-25 creatinine 0.6 0.5-1.4 calcium 8.8 8.4-10.4 total protein 6.3 5.9-8.3 albumin 3.1 3.1-4.7 globulin 3.1 2.0-3.9 bilirubin, total 0.7 0.0-1.4 alk phos 68 20-145 ast (sgot) 20 3-70 alt (sgpt) 19 3-78 iron 104 45-150 tibc 278 228-428 iron sat 37 15-50 retic 1.0 0.3-2.4 abs retic 0.05 0.02-0.11 fibriongen 402 170-410 protime 12.6 9.9-15.4 inr 1.04 0.80-1.30 ptt 29 24-37 ferritin 31 11-307 serum folate 15.0 5.0-20.0 prealbumin 18.6 18.0-45.0 vitamin b12 255 200-1100 Please let me know what you think!!! Kuljey@... Yvonne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2004 Report Share Posted August 16, 2004 Here's my thoughts. You need to ask your perinatal doc a bunch of questions. Where's your CBC results? They need to pull that and a PTH on you ASAP. my labwork...what do you think To: ossg-pregnant i had been posting that i am post op from 10-02, open distal rny. i was dated by lmp to be 12.5 wks and by recent ultrasound possibly 14 or 15. i see a perinatal doc wed. i have posted that i have been (at times having these episodes) weak, dizzy, chest feels heavy/like an elephant on it, feel like i have to sit immediately, when its bad my tounge gets numb--feels like i just came from the dentist office, when its REALLY bad my lips get numb. i am an operator for the phone company and i sit for my job, i havent even been able to work 1/2 time. i get so so so tired and weak. i CANNOT hardly eat!!! someone said that i should post my labs so that you all could look at them. they were done 8-7-04. comp metabolic panel sodium 134L 136-146 --> address this with your doctor ASAP! Electrolyte imbalance could be causing some of the problems that you're having. potssium 4.0 3.5-5.0 --> this is OK chloride 105 96-110 --> this is OK co2 24 16-30 --> this is OK anion gap 5L 6-16 address this with your doctor as well. glucose 64 60-126 --> this is better than OK... but are you having low blood sugar episodes? Talk to your doctor about getting a blood tester and tracking your sugar for a few days. bun 7 3-25 --> this is OK creatinine 0.6 0.5-1.4 --> this is OK calcium 8.8 8.4-10.4 --> this is LOW. You need to have your doctor draw your PTH immediately. If it is elevated, you should INCREASE your calcium citrate--I would do that immediately anyway. Dr. Oh, very well respected distal RNY surgeon, puts his pregnant patients on 5000 mg of calcium as calcium citrate a day. He also has his pregnant gals taking 2000 mg of magnesium as magnesium citrate a day -- build up to this amount by starting at 400 mg and adding 200 mg each day. You can take it at the same time as the calcium. total protein 6.3 5.9-8.3 --> terribly low! You should be at 6.5 or better, especially during pregnancy. How many 30 g shakes a day are you doing? albumin 3.1 3.1-4.7 --> low! globulin 3.1 2.0-3.9 --> this is OK bilirubin, total 0.7 0.0-1.4 --> this is OK alk phos 68 20-145 --> this is OK ast (sgot) 20 3-70 --> this is OK alt (sgpt) 19 3-78 --> this is OK iron 104 45-150 --> this is a nice number, but expect it to drop during pregnancy. keep a close eye on it tibc 278 228-428 --> nice iron sat 37 15-50 --> a tad on the low side, but perfectly acceptable for now. keep an eye on this one too retic 1.0 0.3-2.4 --> this is OK abs retic 0.05 0.02-0.11 --> this is OK fibriongen 402 170-410 Ask your doctor about this one. protime 12.6 9.9-15.4 --> this is OK inr 1.04 0.80-1.30 --> this is OK ptt 29 24-37 --> this is OK ferritin 31 11-307 --> pretty nice number for this stage of pregnancy; keep a close eye on it and try hard to NOT let it drop. serum folate 15.0 5.0-20.0 --> this is OK prealbumin 18.6 18.0-45.0 --> this is a bit low vitamin b12 255 200-1100 --> this is probably a large part of your problem!! My PCP and ND and midwife all want women to maintain levels of 600 or greater, and my midwife said 800 or greater during pregnancy. You need to get an Rx for cyanocobalamin and 25 gauge 1 " needles for IM injection, preferably with 3cc syringe barrels. Then you will need to inject 1cc into your thigh either weekly or every other week. Your doctor's nurse can show you how to do the shots, it's ridiculously easy. Please let me know what you think!!! Kuljey@... Yvonne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 17, 2004 Report Share Posted August 17, 2004 --- I work in a Drs. office and the only thing I can see is you may have hypoglycemia, your sugar is almost too low! That can give you those feelings for sure...the tongue thing I have never heard of. Your sodium is a couple points low, not sure if that means anything or not. But that definately is on the low side for blood sugar...get that followed up on ASAP! Robin Conners EDD 11-5-04 Aiyven Conners Lap DS 3-26-03 In OSSG-pregnant , Kuljey@a... wrote: > i had been posting that i am post op from 10-02, open distal rny. i was > dated by lmp to be 12.5 wks and by recent ultrasound possibly 14 or 15. i see a > perinatal doc wed. > > i have posted that i have been (at times having these episodes) weak, dizzy, > chest feels heavy/like an elephant on it, feel like i have to sit immediately, > when its bad my tounge gets numb--feels like i just came from the dentist > office, when its REALLY bad my lips get numb. i am an operator for the phone > company and i sit for my job, i havent even been able to work 1/2 time. i get so > so so tired and weak. i CANNOT hardly eat!!! > > someone said that i should post my labs so that you all could look at them. > they were done 8-7-04. > > comp metabolic panel > sodium 134L 136-146 > potssium 4.0 3.5-5.0 > chloride 105 96-110 > co2 24 16-30 > anion gap 5L 6-16 > glucose 64 60-126 > bun 7 3-25 > creatinine 0.6 0.5-1.4 > calcium 8.8 8.4-10.4 > total protein 6.3 5.9-8.3 > albumin 3.1 3.1-4.7 > globulin 3.1 2.0-3.9 > bilirubin, total 0.7 0.0-1.4 > alk phos 68 20-145 > ast (sgot) 20 3-70 > alt (sgpt) 19 3-78 > iron 104 45-150 > tibc 278 228-428 > iron sat 37 15-50 > retic 1.0 0.3-2.4 > abs retic 0.05 0.02-0.11 > fibriongen 402 170-410 > protime 12.6 9.9-15.4 > inr 1.04 0.80-1.30 > ptt 29 24-37 > ferritin 31 11-307 > serum folate 15.0 5.0-20.0 > prealbumin 18.6 18.0-45.0 > vitamin b12 255 200-1100 > > Please let me know what you think!!! > Kuljey@a... > Yvonne > > > Quote Link to comment Share on other sites More sharing options...
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