THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rod@welchco.com
S U M M A R Y
DIARY: October 28, 2014 08:38 PM Tuesday;
Rod Welch
Labcorp and Liposcience notified error LDL-P conflicts TG/NMR ratio.
1...Summary/Objective
2...LDL-C 90 LDL-P 1586 HDL 57 Hike 200 Miles Weight Maintain 180
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CONTACTS
SUBJECTS
CBC Lab WBC 12.8 Elevated Blister Big Toe Left Foot VA for Meeting D
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2304 - Summary/Objective
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230501 - Follow up ref SDS 75 0000. ref SDS 74 0000.
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230504 -
230506 - ..
2306 -
2307 -
2308 - Background
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230901 - On 131016 1632 submit letter for agenda meeting to review lab results
230902 - scheduled 131017 1000. ref SDS 41 X45G
230904 - ..
230905 - On 140131 0815 ordered another lab - cbc, electrolytes, lipid with NMR
230906 - - from Labcor to get LDL-P. ref SDS 50 X45G
230908 - ..
230909 - On 140201 1159 had full lab with NMR lipid panel drawn at John Muir
230910 - Hospital on Treat, and by Labcorp. ref SDS 51 RP4N
230912 - ..
230913 - On 140203 1147 had partial lab drawn at VA in Martinez. ref SDS 52
230914 - KK9M
230916 - ..
230917 - On 140507 0857 ordered another full lab from Labcorp with NMR lipid
230918 - panel. ref SDS 58 OO5G
230920 - ..
230921 - On 140508 1133 lab blood daw at Labcorp with John Muir Medical Center
230922 - on Treat Blvd in Concord. ref SDS 59 445G
230924 - ..
230925 - On 140514 0950 VA partial lab at Medical Center in San Francisco.
230926 - ref SDS 62 X45G
230928 - ..
230929 - On 140814 1530 VA full lab at Clinic in Martinez. ref SDS 68 X45G
230931 - ..
230932 - On 140827 1422 VA partial lab CBC only at Clinic in Martinez re-check
230933 - elevated WBC. ref SDS 72 X45G
230935 - ..
230936 - On 141020 1025 Labcorp partial lab CBC Electrolytes Urinalysis, but
230937 - mistakenly omitted NMP lipid panel. ref SDS 73 X45G
230939 - ..
230940 - On 141021 1009 Labcorp NMR Lipid panel, ref SDS 75 U45J, and
230941 - Homocyst(e)ine. ref SDS 75 CM6J
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230946 - ..
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2312 - Progress
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231301 - LDL-C 90 LDL-P 1586 HDL 57 Hike 200 Miles Weight Maintain 180
231302 -
231303 - Follow up ref SDS 75 IM9N, ref SDS 74 IM9N.
231304 -
231305 - 01 S7 Deanna Franke, PhD
231306 - Liposcience Inc
231307 - 2500 Sumner Blvd, Raleigh, NC 27616-3235
231308 - 877 547 6837
231309 -
231310 - customer.service@liposcience.com
231312 - ..
231313 - Called Liposcience and talked to Brenda in Customer service.
231315 - ..
231316 - Explained possible error LDL-P conflicts with TG/HDL ratios reported
231317 - for Labcorp lab on 141021 1150. ref SDS 75 QV5G
231319 - ..
231320 - Brenda advised questions can be submitted to Deanna Franke, PhD.
231322 - ..
231323 - Submitted letter saying...
231324 -
231325 - 1. Subject: LDL-P Conflicting Results Specimen 294-544-7457-0
231326 - Date: 2014-10-28 21:11
231330 - ..
231331 - 2. Below is a letter from Health Testing Centers with attached
231332 - Labcorp test results for...
231334 - ..
231335 - 3. Customer........................ Rod Welch
231336 - Control ID...................... 16235437
231337 - Acct #.......................... 09419602
231338 - Specimen ID..................... 294-544-7457-0
231339 - Date collected.................. 10/21/2014 1021 Local
231340 - Date entered.................... 10/21/2014
231341 - Date reported................... 10/23/2014 1314 ET
231343 - ..
231344 - 4. You can open Labcorp PDF file attached to HTC's letter.
231346 - ..
231347 - 5. The lab included NMR LipoProfile performed by...
231349 - ..
231350 - 6. Deanna Franke, PhD
231351 - Liposcience Inc
231352 - 2500 Sumner Blvd, Raleigh, NC 27616-3235
231353 - 877 547 6837
231355 - ..
231356 - 7. Talked to Brenda earlier today, and she suggested submitting
231357 - questions to this address on following issues...
231359 - ..
231360 - 8. LDL-P 1586 seems conflicting with TG/HDL ratio 80/55 = 1.41,
231361 - and further with lipid lab at VA an hour later reporting TG/HDL
231362 - 65/57 = 1.14.
231364 - ..
231365 - 9. On prior lab 140508, Liposcience reported LDL-P 851 with TG/HDL
231366 - ratio 59/67 = 0.88
231368 - ..
231369 - 10. And, on earlier lab 140203 you reported LDL-P 861 with TG/HDL
231370 - ratio 68/61 = 1.11.
231372 - ..
231373 - 11. Sources, including my medical team at VA/UCSF, maintain TG/HDL
231374 - ratio should predict LDL-P. If so, then TG/HDL correlation
231375 - with LDL-P must be stable within a range in order to be
231376 - reliable. Seems like the numbers in this case indicate
231377 - possible error reporting LDL-P 1586 higher than TG/HDL predicts
231378 - from multiple sources.
231380 - ..
231381 - 12. Please call to discuss, whether there might be an error in the
231382 - lab this cycle, perhaps the specimen got corrupted somehow.
231383 - Can the specimen be retested? Alternatively, I could do
231384 - another blood draw at Labcorp.
231386 - ..
231387 - 13. Your support is appreciated.
231389 - ..
231390 - 14. Sincerely,
231392 - ..
231393 - 15. Rod
231394 - 925 849 4745
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