CONTACTS
SUBJECTS
CBC Lab WBC 12.8 Elevated Blister Big Toe Left Foot VA for Meeting D
2903 -
2903 - ..
2904 - Summary/Objective
2905 -
290501 - Follow up ref SDS A8 0000. ref SDS A6 0000.
290502 -
290503 - Blood draw after midnight performed in ER to evaluate stroke symptoms.
290504 - Later in the day, Doctor Yoo and colleagures performed lumbar
290505 - puncture, which drew fluid from the brain to evaluate for
290506 - leptomeningeal enhancement, and otherwise diagnose large area of
290507 - inflammation above the brain.
290508 -
290509 -
290510 -
290511 -
290513 - ..
2906 -
2907 -
2908 - Background
2909 -
290901 - On 131016 1632 submit letter for agenda meeting to review lab results
290902 - scheduled 131017 1000. ref SDS 41 X45G
290904 - ..
290905 - On 140131 0815 ordered another lab - cbc, electrolytes, lipid with NMR
290906 - - from Labcor to get LDL-P. ref SDS 51 X45G
290908 - ..
290909 - On 140201 1159 had full lab with NMR lipid panel drawn at John Muir
290910 - Hospital on Treat, and by Labcorp. ref SDS 52 RP4N
290912 - ..
290913 - On 140203 1147 had partial lab drawn at VA in Martinez. ref SDS 53
290914 - KK9M
290916 - ..
290917 - On 140507 0857 ordered another full lab from Labcorp with NMR lipid
290918 - panel. ref SDS 59 OO5G
290920 - ..
290921 - On 140508 1133 lab blood daw at Labcorp with John Muir Medical Center
290922 - on Treat Blvd in Concord. ref SDS 60 445G
290924 - ..
290925 - On 140514 0950 VA partial lab at Medical Center in San Francisco.
290926 - ref SDS 63 X45G
290928 - ..
290929 - On 140814 1530 VA full lab at Clinic in Martinez. ref SDS 70 X45G
290931 - ..
290932 - On 140827 1422 VA partial lab CBC only at Clinic in Martinez re-check
290933 - elevated WBC. ref SDS 74 X45G
290935 - ..
290936 - On 141020 1025 Labcorp partial lab CBC Electrolytes Urinalysis, but
290937 - mistakenly omitted NMP lipid panel. ref SDS 76 X45G
290939 - ..
290940 - On 141021 1009 Labcorp NMR Lipid panel, ref SDS 78 U45J, and
290941 - Homocyst(e)ine. ref SDS 78 CM6J
290943 - ..
290944 - On 141201 Health Testing Centers Requisition order # 33541,
290945 - ref SDS 82 FK65, for full panel of blood tests at Labcorp, ref SDS 82
290946 - Q94L - which included NMR Lipid panelto test LDL-P. ref SDS 82 2P5J
290948 - ..
290949 - On 141021 1150 VA labs electrolytes, ref SDS 78 ZG5O, and lipids.
290950 - ref SDS 78 U45J
290952 - ..
290953 - On 150208 Health Testing Centers Requisition order # 34764,
290954 - ref SDS 85 IG6J, for full panel of blood tests at Labcorp, ref SDS 85
290955 - Q94L, which included NMR Lipid panelto test LDL-P. ref SDS 85 2P5J
290957 - ..
290958 - On 150512 0703 Health Testing Centers Requisition order # 36923,
290959 - ref SDS 89 8S7F, for full panel of blood tests at Labcorp, ref SDS 89
290960 - Q94L, which included NMR Lipid panelto test LDL-P. ref SDS 89 2P5J
290962 - ..
290963 - On 150512 1239 blood draw at Labcorp for NMR lipids. ref SDS 90 FK6I
290965 - ..
290966 - On 150512 1330 blood draw at VA in Martinez. ref SDS 91 X45G
290968 - ..
290969 - On 150723 2232 Health Testing Centers Requisition order # 38564 that
290970 - was not used, ref SDS 93 8S7F, for full panel of blood tests at
290971 - Labcorp, ref SDS 93 Q94L, which included NMR Lipid panel to test
290972 - LDL-P. ref SDS 93 2P5J
290974 - ..
290975 - 160131 0500 Labcorp lab using prior order # 461850, because it does
290976 - not expire until 160423. ref SDS A2 RH5L
290977 -
290978 -
290979 -
290980 -
290981 -
290982 -
290983 -
290985 - ..
2910 -
2911 -
2912 - Progress
2913 -
291301 - See directory structure for medical records on 140320 1125.
291302 - ref SDS 57 4M5I
291303 -
291304 -
291306 - ..
291307 - Lab CBC Evaluate Health 7 Years After CABG x4 Heart Surgery
291308 - WBC 11.3 Elevated Aligns Hiking 122 Miles in Week 26 Miles Today
291309 -
291310 - Follow up ref SDS A8 RP4N, ref SDS A6 RP4N.
291311 -
291312 - Prior VA CBC on 120509 1108. ref SDS 26 RP4N
291313 - Prior VA CBC on 120831 1524. ref SDS 27 RP4N
291314 - Prior VA CBC on 121130 1001. ref SDS 31 RP4N
291315 - Prior VA CBC on 130529 0818. ref SDS 38 RP4N
291316 - Prior Labcorp CBC on 140201 1159. ref SDS 52 RP4N
291317 - VA did not order CBC for lab on 140203 1147. ref SDS 53 YX8K
291318 - Prior Labcorp CBC on 140508 1149. ref SDS 60 RP4N
291319 - VA did not order CBC for lab on 140514 0950. ref SDS 63 RP4N
291320 - Prior VA CBC on 140814 1530. ref SDS 70 RP4N
291321 - Prior VA CBC on 140827 1413. ref SDS 74 RP4N
291322 - Prior Labcorp CBC on 141020 1025. ref SDS 76 RP4N
291323 - Prior Labcorp CBC on 141201 0850. ref SDS 83 RP4N
291324 - Prior Labcorp CBC on 150208 1438. ref SDS 86 RP4N
291325 - Prior Labcorp CBC on 150512 1239. ref SDS 90 RP4N
291326 - Prior VA CBC on 150512 1349. ref SDS 91 RP4N
291327 - Prior VA CBC on 150728 1146. ref SDS 94 RP4N
291328 - Prior Labcorp CBC on 160131 1700. ref SDS A2 RP4N
291329 - Prior Labcorp CBC on 160401 1219. ref SDS A5 RP4N
291330 - Prior VA CBC on 160618 0050. ref SDS A8 RP4N
291331 - Prior VA CBC on 160619 0700. ref SDS 0 RP4N
291332 -
291344 - ..
291345 - On 160401 did interim lab ordered from Health Testing Centers (HTC)
291346 - performed by Labcorp, ref SDS A5 FK6I, following up prior lab with VA
291347 - on 160202 1220. ref SDS A3 KK9M
291349 - ..
291350 - Yesterday, lab drawn shortly after midnight in ER evaluating for
291351 - stroke symptoms. 160618 0050, ref SDS A8 VH3K
291353 - ..
291354 - This morning blood draw in bed after admitted to hospital to evaluate
291355 - for stroke.
291357 - ..
291358 - Results are stored in file at...
291359 -
291360 - F:\05\00003\SM\CC\AGMJ\20160618-005400\labs.pdf
291361 -
291363 - ..
291364 - CBC PANEL
291365 - x
291366 - Dates......... 2016 06 19 160618 0054 160401 1443 160202 1334 160131 1714 150728 1154 150512 1349 150512 1300 150208 141201 141020 140827 140814 140514 140508 140203 140201 130529
291367 - VA VA Labcorp VA Labcorp VA VA Labcorp Labcorp Labcorp Labcorp VA VA VA Labcorp VA Labcorp VA VA Labcorp
291368 - Blood Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Units Range Range
291369 - ** WBC LEUKOCYTES 13.0 H 15.2 H 8.9 9.4 11.3 H 7.4 8.9 7.6 10.6 11.2 H 13.3 H 13.8 H 12.8 H 9.5 6.2 7.4 K/cmm 4.8 - 10.8 3.4 - 10.8
291370 - RBC ERYTHROCYTES 5.40 5.49 5.60 5.51 5.41 5.10 5.15 5.15 5.46 5.24 5.64 5.56 5.44 5.21 5.13 5.09 M/cmm 4.7 - 6.1 4.14 - 5.80
291371 - HGB Hemoglobin 15.7 15.3 16.3 15.3 15.2 15.3 15.3 15.1 16.2 15.7 16.5 16.4 16.2 15.1 15.2 15.0 g/dL 14 - 18 12.6 - 17.7
291372 - HCT Hematocrit 47.2 47.7 48.6 47.6 46.0 46.0 46.3 45.5 47.7 47.4 50.1 48.8 48.3 47.0 44.2 46.2 % 42 - 52 37.5 - 51.0
291373 - MCV 87.3 86.9 87.0 86.4 85 90.3 89.8 88.0 87.0 91.0 89.0 87.8 88.7 90.0 86.0 90.7 fL 80 - 99 79.0 - 97.0
291374 - MCH 29.0 27.9 29.1 27.7 28.1 29.9 29.8 29.3 29.7 30.0 29.3 29.5 29.8 29.0 29.6 29.5 uug 27 - 34 26.6 - 33.0
291375 - MCHC 33.2 32.1 33.5 32.1 33.0 33.2 33.1 33.2 34.0 33.1 32.9 33.6 33.6 32.1 34.4 32.5 gm/dL 32 - 35.2 31.5 - 35.7
291376 - RDW ERYTHROCYTE D W 14 5 15.2 13.8 13.6 13.6 13.9 14.3 13.9 13.9 13.8 13.7 14.4 % 11.5 - 14.5 12.3 - 15.4
291377 - PLT 267 287 335 325 348 294 315 326.0 321.0 314.0 341.0 322.0 295.0 329 303 279 K/cmm 130 - 400 155.0 - 379.0
291378 - MPV 8.9 9.1 8.3 8.8 fL 7 - 10.4
291379 - NEUT % 73 79 76.3 74.0 76.0 82.0 80.0 74.2 78.1 70 69 69.9 % 40 - 80 40.0 - 74.0
291380 - LYMPH % 16 14 16.5 L 19.0 15.0 12.0 13.0 14.9 L 13.6 L 20 21 L 19.7 % 20 - 51 14.0 - 46.0
291381 - MONO % 8 6 6.0 6.0 7.0 5.0 7.0 9.8 7.6 8 8 7.8 % 2 - 13 4.0 - 12.0
291382 - EOS % 2 0 0.6 1.0 1.0 1.0 0.0 0.3 L 0.4 L 1 1 1.9 % .5 - 7 0.0 - 5.0
291383 - BASO % 1 1 0.6 0.0 1.0 0.0 0.9 0.8 0.3 1 1 0.7 % 0 - 2 0.0 - 3.0
291384 - NEUT # 6.5 9.0 H 6.6 5.5 8.2 H 9.1 H 10.5 H 10.3 H 10.0 H 6.7 4.3 5.2 K/cmm 1.5 - 7.9 1.4 - 7.0
291385 - LYMPH # 1.4 1.6 1.4 1.5 1.6 1.4 1.7 2.1 1.7 1.9 1.3 1.5 K/cmm 1.2 - 3.4 0.7 - 3.1
291386 - MONO # 0.7 0.7 0.5 0.5 0.7 0.6 0.9 1.3 H 1.0 0.7 0.5 0.6 K/cmm .2 - 1.2 0.1 - 0.9
291387 - EOS # 0.2 0.0 0.1 0.1 0.1 0.1 0.0 0.9 L 0.1 0.1 0.1 0.1 K/cmm .1 - .5 0.0 - 0.4
291388 - BASO # 0.1 0.1 0.0 0.0 0.1 0.1 0.0 0.1 0.0 0.1 0.1 0.1 K/cmm 0 - .2 0.0 - 0.2
291389 - ESRmVES mm/hr 0 - 10
291390 - ESRxCYT mm/hr 2 - 10
291391 - RETIC % % .66 - 2.85
291392 - RETIC # k/uL 27.9 - 121.6
291393 - Immature Granulocytes 0,0 0,0 0,0 0.0 0.0 0.0 0.0 0.0 0.0 % 0.0 - 2.0
291394 - Immature Grans (Abs) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 % 0.0 - 0.1
291395 -
291396 -
291397 - ** WBC 13.0 H recovering from 15.2 after EGD Dilation leading to
291398 - stroke symptoms.
291400 - ..
291401 - Dates......... 2016 06 18 1610
291402 - VA VA VA Labcorp
291403 - Blood Results Units Range Range
291404 - ESR 7.0 K/cmm 0 - 15
291405 -
291406 -
291407 -
291408 -
291409 -
291410 - ---- DIFFERENTIAL COUNT ----
291411 -
291413 - ..
291414 - VA VA VA Labcorp
291415 - Blood Results Units Range Range
291416 - NEUTS 10.70 H K/mcl 2.2 - 8.6
291417 - LYMPHS 1.30 K/mcl .8 - 3.5
291418 - MONOS 0.90 H K/mcl .2 - .8
291419 - EOSINO 0.00 L K/mcl .04 - .5
291420 - BASO 0.00 L K/mcl .01 - .2
291421 -
291422 -
291423 -
291425 - ..
291426 - ---- COAGULATION I ----
291427 -
291429 - ..
291430 - INR 1.0 .8 - 1.2
291431 - PT 13.3 secs 9.3 - 13.7
291432 - PTT 24.6 secs 24.4 - 36.8
291434 - ..
291435 - Evaluation for INR:
291436 - Recommended therap.range for oral anticoag.therapy:
291437 -
291438 - Treatment of DVT and PE: INR = 2.0-3.0
291439 - Atrial Fibrillation: INR = 2.0-3.0
291440 - Prosthetic Heart Valves: INR = 2.5-3.5
291441 -
291442 -
291443 -
291444 -
291445 -
291446 -
291447 -
2915 -
SUBJECTS
Urinalysis Lab VA No Results
4403 -
440401 - ..
440402 - Urinalysis Ketones Trace Abnormal Sp Gravity Above Range
440403 -
440404 - Follow up ref SDS A8 0X72, ref SDS A6 0X72.
440405 -
440406 - Prior Urinalysis test on 101207 0906. ref SDS 15 0X72
440407 - Prior Urinalysis test on 120509 1108. ref SDS 26 0X72
440408 - Prior Urinalysis test on 140201 1159. ref SDS 52 0X72
440409 - VA did not order urinalysis for lab on 140203 1147. ref SDS 53 0X72
440410 - Prior Urinalysis Labcorp test on 140508 1149. ref SDS 60 0X72
440411 - Prior Urinalysis test on 140814 1530. ref SDS 70 0X72
440412 - Prior Urinalysis Labcorp test on 141020 1025. ref SDS 75 0X72
440413 - Prior Urinalysis Labcorp test on 141201 0850. ref SDS 82 0X72
440414 - Prior Urinalysis Labcorp test on 150208 1438. ref SDS 85 0X72
440415 - Prior Urinalysis Labcorp test on 150512 1239. ref SDS 89 0X72
440416 - Prior Urinalysis Labcorp test on 160131 1700. ref SDS A1 0X72
440417 - Prior Urinalysis Labcorp test on 160401 1219. ref SDS A5 0X72
440419 - ..
440420 - VA did not order Urinalysis panel for lab today, so most recent was at
440421 - Labcorp on 160401...
440422 -
440424 - ..
440425 - URINALYSIS PANEL
440426 - x
440427 - Dates..........2016 04 01 1443 16011 1714 150512 1300 150208 141201 141020 140814 140514 140203 140201 120509
440428 - Labcorp Labcorp Labcorp Labcorp Labcorp Labcorp VA VA Labcorp VA Labcorp VA VA Labcorp
440429 - Results Results Results Results Results Results Results Results Results Results Results Results Units Range Range
440430 - PH 7.5 6.0 7.0 6.0 5.5 6.0 6.0 5.5 5.5 6.0 5 - 9 5.0 - 7.5
440431 - PROTEIN Trace NEG NEG NEG Trace Trace NEG NEG NEG NEG mg/dL NEG - TRACE NEG - TRACE
440432 - GLUCOSE NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG mg/dL Ref: NEG NEG
440433 - KETONES NEG 2+ Abnormal NEG 1+ Abnormal 1+ Abnormal Trace Abnormal 15 Trace Abnormal NEG NEG mg/dL Ref: NEG NEG
440434 - BILI NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG Ref: NEG NEG
440435 - BILIcnf Ref: NEG
440436 - BLOOD TRACE TRACE TRACE TRACE Ref: NEG
440437 - NITRITE, URINE NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG Ref: NEG NEG
440438 - UROBILI 0.2 0.2 ?? 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 EU/dL .2 - 1 0.0 - 1.9
440439 - LEU EST NEG NEG Ref: NEG
440440 - SP.GRAV 1.020 1.029 1.018 1.028 1.035 H 1.030 >=1.030 H 1.036 1.026 1.025 1.003- 1.035 1.005 - 1.030
440441 - COLOR YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW
440442 - APPEAR CLOUDY ABNORMAL CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR
440443 - WBC 0-5 0-5 /hpf 0 - 5
440444 - WBC ESTERASE NEG NEG NEG NEG NEG NEG NEG NEG
440445 - RBC 0-2 0-2 /hpf 0 - 2
440446 - OCCULT BLOOD NEG Trace Abnormal NEG NEG NEG NEG NEG NEG NEG
440447 - HAYALINE CASTS NORM(0-1) per lpf 0 - 1
440448 - GRANULAR CASTS None per lpf Ref: None
440449 - CELLULAR CASTS None per lpf Ref: None
440450 - RBC/HPF NORM(0-3) per lpf 0 - 3
440451 - BACTERIA None seen None seen 0 - 1 None seen / Few
440452 - EPITHELIAL CELLS None seen 0-10 NORM(0-1) /hpf 0 - 10
440453 - RENAL EPITHELIAL CELLS None per lpf Ref: None
440454 - CALCIUM OXILATE CRYST Present Abnormal N/A
440455 - URIC ACID CRYSTALS NORM(0-1) per lpf 0 - 1
440456 - TRIPLE PHOSPHATE CRYST NORM(0-1) per lpf 0 - 1
440457 - AMORPHOUS SEDIMENT None per lpf Ref: None
440458 - MUCOUS Present No Report Present Present Not Established
440459 - TRICHOMONAS None per lpf Ref: None
440460 - YEAST None per lpf Ref: None
440461 - CULTURE REFLEXED No
440462 - TR EPTH None per lpf Ref: None
440463 - NITRITE, URINE NEG NEG NEG NEG
440464 - Microscopic Examination
440465 - Microscopic follows if indicated
440466 - ALBUMIN
440467 - ALBUMIN/creatinine
440468 - CREATININE
440469 -
440470 -
440471 -
440472 -
440473 -
440474 -
440475 -
4405 -
SUBJECTS
Lab Electrolytes Chem Profile Glucose 97 Sodium NA 144 Potasium K 5.
6103 -
610401 - ..
610402 - Potasium K 4.3 Fell Back into Normal
610403 - ER Lab Ordered Evaluate Stroke Symptoms
610404 -
610405 - Follow up ref SDS A8 KK9M, ref SDS A6 KK9M.
610406 -
610407 - Prior CHEM PROFILE on 120509 1108. ref SDS 26 KK9M
610408 - Prior CHEM PROFILE on 120831 1524. ref SDS 27 KK9M
610409 - Prior CHEM PROFILE on 130228 1140. ref SDS 36 KK9M
610410 - Prior CHEM PROFILE on 130529 0818. ref SDS 38 KK9M
610411 - Prior CHEM PROFILE on 131015 0724. ref SDS 40 KK9M
610412 - Prior CHEM PROFILE Labcorp on 140201 1159. ref SDS 52 KK9M
610413 - Prior CHEM PROFILE on 140203 1147. ref SDS 53 KK9M
610414 - Prior CHEM PROFILE Labcorp on 140508 1149. ref SDS 60 KK9M
610415 - Prior CHEM PROFILE on 140520 0732. ref SDS 66 KK9M
610416 - Prior CHEM PROFILE on 140814 1530. ref SDS 70 KK9M
610417 - Prior CHEM PROFILE Labcorp on 141020 1025. ref SDS 75 KK9M
610418 - Prior CHEM PROFILE on 141021 11150 ref SDS 77 KK9M
610419 - Prior CHEM PROFILE Labcorp on 141201 0840. ref SDS 82 KK9M
610420 - Prior CHEM PROFILE Labcorp on 150208 1438. ref SDS 84 KK9M
610421 - Prior CHEM PROFILE Labcorp on 150208 14380 ref SDS 85 KK9M
610422 - Prior CHEM PROFILE on 150209 10120 ref SDS 86 KK9M
610423 - Prior CHEM PROFILE Labcorp on 150512 1239, ref SDS 89 KK9M
610424 - Prior CHEM PROFILE on 150728 11146, ref SDS 93 KK9M
610425 - Prior CHEM PROFILE Labcorp on 160131 1700, ref SDS A1 KK9M
610426 - Prior CHEM PROFILE on 160202 1220. ref SDS A3 KK9M
610427 - Prior CHEM PROFILE Labcorp on 160401 1219, ref SDS A5 KK9M
610428 - Prior CHEM PROFILE at VA on 160503 1130. ref SDS A6 KK9M
610429 - Prior VA CBC on 160618 0050. ref SDS A8 KK9M
610431 - ..
610432 - VA results lab (ER ordered partial CBC lab) performed in ER at VAMCSF
610433 - to evaluate stroke symptoms following EGD Dilation yesterday, at VAMC
610434 - in Sacramento, reported on 160617 1637. ref SDS A7 5F6F
610436 - ..
610437 - ELECTROLYTES - CHEM PROFILE
610438 - ..
610439 - x
610440 - Dates..........2016 06 18 0054 160503 1145 160202 1334 160131 1714 150728 1154 150512 1349 150512 1300 150209 150208 141201 141021 141020 140814 140520 140514 140508 140203 140201 131015 130529
610441 - VA VA Labcorp VA Labcorp VA VA Labcorp VA Labcorp Labcorp VA Labcorp VA VA VA Labcorp VA Labcorp VA VA VA Labcorp
610442 - PLASMA Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Units Range Range
610443 - ** GLUCOSE 146 H 104 112 H 104 87 110 104 99 108 89 104 H 110 H 105 98 98 97 103 98 108 H 120 mg/dL 65 - 115 65.0 - 99.0
610444 - GLUfast mg/dL Ref: <=99
610445 - NA (salt) 136 141 148 H 144 147 H 142 138 141 145 144 147 H 138 144 144 139 144 140 140 139 139 mmol/L 136 - 144 134.0 - 144.0
610446 - K (potassium) 4.3 4.8 5.3 H 5.0 H 5.3 H 4.4 4.4 5.0 5.5 H 5.3 H 5.6 H 4.4 4.3 4.3 H 5.2 H 5.6 H 5.4 4.8 4.3 H 4.9 mmol/L 3.4 - 4.8 3.5 - 5.2
610447 - CL 105 103 102 108 106 104 100 99 109 103 106 103 H 108 H 108 102 105 103 102 105 105 mmol/L 98 - 106 97.0 - 108.0
610448 - CO2 25 27 27 27 31 31 30 29 28 29 29 29.0 30.0 37.0 30.0 mmol/L 23 - 33
610449 - AGAP 6.0 11.0 9.0 9.0 7.0 7.0 7.0 7.0 8.0 mmol/L 5 - 20
610450 - BUN 23 34 H 21 24 22 22 17 29 H 26 H 28 H mg/dL 8 - 26 8.0 - 27.0
610451 - BUN/Creati Ratio 20 20 18 26 H 24 H 22 H 28 19 H 23 17 20 24 18 10.0 - 22.0
610452 - CREAT 0.8 1.2 1.06 1.1 1.09 1.0 0.80 0.96 0.9 0.99 1.16 0.8 1.13 1.03 0.80 0.97 0.82 0.81 0.83 0.83 mg/dL .5 - 1.1 0.76 - 1.27
610453 - eGFR INA 100 61 70 64 68 72 80 80 77 64 91 66 >60 102 79 >60 91 >60 >60 mL/min Ref: >=60 >59
610454 - eGFR IA 81 79 92 89 74 76 92 106 mL/min >59
610455 - CALCIUM 8.9 9.1 9.5 9.1 9.8 9.2 9.1 9.5 9.6 10.0 10.0 8.8 9.9 9.1 8.9 9.5 9.3 9.4 9.2 9.2 mg/dL 8.7 - 10.2 8.6 - 10.2
610456 - CA CORR mg/dL 8.7 - 10.2
610457 - PO4 mg/dL 2.4 - 4.5
610458 - MG 85 mg/dL 1.8 - 2.5
610459 - ALK PHO 82 82 82 100 79 79 88 98 96 107 85 86 100 105 84 87 U/L 37 - 107 39.0 - 117.0
610460 - Phosphorous, Serum 2.1 L 4.1 3.2 3.4 2.9 3.2 mg/dL 2.5 - 4.5
610462 - ..
610463 - T. BIL 1.8 H 2.2 H 1.7 H 1.6 1.2 1.5 H 1.9 H H 2.0 H 2.5 1.2 H 2.2 H 1.3 H 2.1 H 1.6 H 1.7 H 1.3 mg/dL .1 - 1.2 0.0 - 1.2
610464 - D. BILI 0.28 0.20 0.34 0.23 0.31 0.38 0.38 0.3 0.2 0.2 0.32 0.3 0.34 < 0.1 mg/dL .1 - .4 0.00 - 0.40
610465 - Bilirubin, Indir 1.52 H 1.36 H 0.97 H 1.19 H 1.52 H H 1.62 0.98 1.26 H mg/dL 0.10 - 0.80
610466 - AST (SGOT) 24 33 26 17 23 26 31 25 23 26 23 21 20 22 IntUnits/L 8 - 42 0.0 - 40.0
610467 - ALT (SGPT) 32 22 22 17 18 23 30 21 21 17 21 19 17 19 IntUnits/L 5 - 55 0.0 - 44.0
610468 - ALBUMIN 4.2 4.5 4.3 4.5 4.2 4.2 4.5 4.5 4.8 4.7 4.8 4.3 3.9 4.6 4.6 4.1 4.4 3.9 4.0 g/dL 3.3 - 5.2 3.6 - 4.8
610469 - PROTEIN 7.0 6.7 7.0 7.0 6.5 6.9 6.6 6.9 7.2 6.5 7.5 6.6 6.7 6.5 7.1 7.2 g/dL 6.0 - 8.5 6.0 - 8.5
610470 - Globulin, Total 2.5 2.2 2.1 1.9 2.1 2.0 2.1 g/dL 1.4 - 4.5
610471 - A/G Ratio 1.8 2.0 2.3 2.5 2.3 2.3 2.1 1.1 - 2.5
610472 - LDH 193 268 H 189 240 H 241 H 223 200.0 180.0 IntUnits/L 90 - 208 0.0 - 225.0
610473 - GGT 14 11 13 13 11.0 9.0 IU/L 0.0 - 65.0
610474 - Iron, Serum 98 110 115 89 101 146 100.0 114.0 ug/dL 40.0 - 155.0
610475 - AMYLASE Units/L 28 - 100
610476 - LIPASE Units/L 7 - 58
610477 - NH3 mcmol/L 15 - 56
610478 - URIC AC 5.4 5.3 4.9 5.4 mg/dL 4.8 - 8.7 3.7 - 8.6
610479 - ALANINE AMINOTR 20 IntUnits/L 5 - 55
610480 - ASPARTATE AMINOTR 23 IntUnits/L 8 - 42
610481 - GLOMERULAR FILTRATION
610482 - RATE.PREDICTED 95.6 mL/min > 60
610483 - UREA NITROGEN 18 mg/dL 8 - 26
610485 - ..
610486 - Cholesterol, Total 197 179 284 H 167 161 174 164.0 162.0 mg/dL 100.0 - 199.0
610487 - Triglycerides 83 64 107 60 66 79 55.0 64.0 mg/dL 0.0 - 149.0
610488 - HDL Cholesterol 53 73 57 68 67 61 > 39
610489 - LDL Cholesterol 127 93 206 H 87 81 96 0 - 99
610490 - T Chol/HDL ratio 3.7 2.5 5.0 2.5 2.4 2.8 0.0 - 5.0
610491 -
610492 - TG/HDL ratio.......... 1.57 0.88
610493 -
610494 -
610495 - ** Point of Care lab test in ER
610496 -
610497 - Glucose lab 135
610498 -
610499 - 160617 2353
610501 - ..
610502 - Why did glucose rise 11 points in 61 minutes? What are implications
610503 - and correlations?
610504 -
610505 -
610506 -
610507 -
610508 -
610510 - ..
610511 - Notes on Electrolytes Lab Hyperbilirubinemia Potassium Heart Problems
610512 - Hyperbilirubinemia Potassium Heart Problems Notes on Electrolytes Lab
610513 - Potassium Heart Problems Hyperbilirubinemia Notes on Electrolytes Lab
610514 -
610515 - Follow up ref SDS A8 G34G, ref SDS A6 G34G.
610516 -
610517 - For some reason, T Bilirubin was not checked this cycle by the VA...
610518 -
610519 - 1. T Bilirubin ...0.3 - 1.2..... ref SDS A6 015M
610521 - ..
610522 - Collection DT T Bili Range Source
610523 - 05/03/2016 11:45 ...0.3 - 1.2.. ref SDS A6 015M
610524 - 04/01/2016 14:43 1.8 H...0.3 - 1.2.. ref SDS A5 015M
610525 - 02/02/2016 13:34 2.2 H...0.3 - 1.2.. ref SDS A3 015M
610526 - 01/31/2016 17:14 1.7 H...0.3 - 1.2.. ref SDS A2 015M
610527 - 05/12/2015 13:49 1.6 H...0.3 - 1.2.. ref SDS 90 015M
610528 - 05/12/2015 13:00 1.2 ...0.3 - 1.2.. ref SDS 89 015M
610529 - 02/08/2015 14:52 1.5 H...0.3 - 1.2.. ref SDS 85 015M
610530 - 01/12/2014 08:40 1.9 H...0.3 - 1.2.. ref SDS 82 015M
610531 - 20/10/2014 10:60 2.0 H...0.3 - 1.2.. ref SDS 75 015M
610532 - 14/08/2014 15:28 2.5 H...0.3 - 1.2.. ref SDS 70 WJ5H
610533 - 20/05/2014 10:20 1.2 ....0.3 - 1.2.. ref SDS 66 015M
610534 - 08/05/2014 11:49 1.3 H...0.0 - 1.2.. ref SDS 60 015M
610535 - 03/02/2014 09:52 2.1 H...0.3 - 1.2.. ref SDS 53 015M
610536 - 01/02/2014 12:28 1.6 H...0.0 - 1.2.. ref SDS 52 015M
610537 - 15/10/2013 08:25 1.7 H...0.3 - 1.2.. ref SDS 40 015M
610538 - 29/05/2013 08:18 1.3 H...0.3 - 1.2.. ref SDS 38 1Y9G
610539 - 28/02/2013 08:36 1.3 H...0.3 - 1.2.. ref SDS 36 6S4F
610540 - 31/08/2012 15:24 2.3 H...0.3 - 1.2.. ref SDS 27 NV9M
610541 - 09/05/2012 11:24 2.5 H...0.3 - 1.2.. ref SDS 26 O46K
610542 - 09/02/2012 11:18 1.8 H...0.3 - 1.2.. ref SDS 22 KK9M
610543 - 17/11/2011 14:27 1.3 H.............. ref SDS 20 KK9M
610544 - 13/10/2011 14:35 1.3 H.............. ref SDS 19 GM65
610545 - 27/07/2011 12:58 2.0 H.............. ref SDS 16 GM65
610546 - 07/12/2010 09:17 1.0 ............... ref SDS 15 GM65
610547 - 21/07/2010 08:54 1.3 H.............. ref SDS 11 GM65
610548 - 14/12/2009 1.3 H ............. ref DRP 1 DE4O
610549 - 02/11/2009 0.9 ............... ref DRP 1 LG4L
610550 - 13/08/2009 15:09 1.7 H.............. ref SDS 5 VG8R
610552 - ..
610553 - On 131017 1000 VA medical chart Progress Notes assessment
610554 - reports Doctor Egan diagnosed chronic hyperbilirubinemia.
610555 - ref SDS 42 PSXT
610557 - ..
610558 - T Bilirubin 1.7 elevated slightly above range shows increase
610559 - from 1.6 in prior lab on 150512, and maintaining dramatic
610560 - decline from Bilirubin 2.5 reported for lab at VA Martinez
610561 - Clinic performed on 140814 1530. ref SDS 70 015M This latest
610562 - result for T Bili in patient history, may demonstrate chronic
610563 - side effects statin medications causing poor liver function, as
610564 - reviewed previously on prior lab on 140514 0950. ref SDS 63
610565 - G34G Side effects of peripheral neuropathy in right foot have
610566 - ebbed and flowed, reported on 140510, shown in case study on
610567 - 120101 0900. ref SDS 21 TV6I
610569 - ..
610570 - On 160131 1700 elevated LDH may also indicate liver damage due
610571 - to statin medication. at ref SDS A1 NS5N
610573 - ..
610574 - On 140819 0800 during meeting with Doctor Sandhu in Primary
610575 - Care VA Clinic in Martinez, there was no review of chronic
610576 - hyperbilirubinemia, with T Bilirubin 2.5 rising 110% above
610577 - range, ref SDS 72 9K7I, shown in lab ordered by the doctor on
610578 - 140814. ref SDS 70 015M
610580 - ..
610581 - Background on Rosuvastatin causing elevated T Bilirubin with
610582 - associated severe side effects is reported on 121206 0900,
610583 - ref SDS 32 NI9L, and further explained in the record on 121130
610584 - 0846. ref SDS 31 ER4K
610586 - ..
610587 - On 131017 1000 Doctor Egan explained patient history of
610588 - intermittant and mild peripheral neuropathy that correlates
610589 - with persistent elevated T Bilirubin in lab on 131015,
610590 - ref SDS 40 015M, and further reported with vitals, diet and
610591 - exercise since prior meeting at VA on 130603, see case study on
610592 - 120101 0900, ref SDS 21 X14N, suggests intervention is not
610593 - required at this time to improve recovery from side effects
610594 - taking Rosuvastatin. ref SDS 42 LV5J
610595 -
610597 - ..
610598 - 2. Potassium K 5.0 ............................. ref SDS A5 ZG5O
610599 -
610600 - Potassium 5.3 increased above range, and above prior test 4.4
610601 - on 150512, ref SDS 90 WJ5H; may reflect increased hiking 240
610602 - miles past 3 weeks. see history of hiking mileage below.
610603 - ref SDS A1 GY6H
610605 - ..
610606 - Similarly, dramatic decline in hiking for 6 weeks from June to
610607 - August last year (see again hiking history below, ref SDS 86
610608 - ZY7M), and reported on the agenda for meeting with Doctor
610609 - Sandhu in Primary Care, which was submitted on 140814 2227.
610610 - ref SDS 71 K098, may correlate with potassium falling back
610611 - within range, at that time. This record shows correlation
610612 - between elevated Potassium and extended endurance hiking.
610614 - ..
610615 - Doctor Egan, referring cardiology physician at Martinez VA,
610616 - noted in a letter that meeting at VA Medical Center in San
610617 - Francisco on 140213 0830, ref SDS 56 GT7G, did not address
610618 - elevated potassium in labs performed by Labcorp and VA, shown
610619 - on 140203 1147. ref SDS 53 ZG5O Doctor Egan again notified
610620 - that this condition of elevated potassium represents exposure
610621 - to "electrical problems" with the heart, reported on 140430.
610622 - ref SDS 58 UV5I
610624 - ..
610625 - Doctor Egan was concerned last year about potassium (K) rising
610626 - above range for good health. He explained potassium effects
610627 - electrical signals to the heart, and so has significance for
610628 - CVD, reported during meeting at VA on 121206 0900. ref SDS 32
610629 - 6K56
610631 - ..
610632 - At that time on 121206, the doctor cited medication conflicts
610633 - as possibly causing elevated potassium. ref SDS 32 FI7L Doctor
610634 - Egan further considered dehydration (urination) caused by
610635 - Rosuvastatin may have skewed lab results for electrolytes on
610636 - 121130, and so ordered re-test. ref SDS 32 6K4J
610638 - ..
610639 - On 121212 0941 re-test lab reported Glucose 111, sodium 139,
610640 - and potassium (K) 4.6, all within range, ref SDS 33 KK9M,
610641 - correcting errors noted by Doctor Egan during meeting at VA on
610642 - 121206 0900. ref SDS 32 6K4J
610643 -
610645 - ..
610646 - 3. Glucose 104.....74 - 118......... ref SDS A5 ZG5O
610647 -
610648 - Labcorp test today showing glucose 87 for range 65-99
610649 - significantly improves earlier Labcorp test showing glucose 99
610650 - reported on 150512. and has remained within VA range, per
610651 - above. ref SDS A1 ZG5O Current Glucose 87 decline correlates
610652 - with hiking 240 miles past 3 weeks, per below. ref SDS A1 GY6H
610654 - ..
610655 - Diabetes concern from reduced hiking due to metatarsalgia side
610656 - effects, causing weight to increase at times above 180; this
610657 - has subisded the past month, because hiking increased
610658 - significantly, as set out below. ref SDS A1 DC6L
610660 - ..
610661 - On 140814 VA Martinez lab reported HGBA1c 5.6 within range 4 -
610662 - 6, seems to indicate no evident exposure for diabetes.
610663 - ref SDS 77 H66G
610665 - ..
610666 - On 140514 0950 VA lab for HGBA1c 5.4 within range 4 - 6, seems
610667 - to indicate no evident exposure for diabetes. ref SDS 63 H66G
610668 -
610670 - ..
610671 - 4. Salt NA 144..................... ref SDS A5 WJ5H
610672 -
610673 - NA salt 147 rising above range seems anomolous with patient
610674 - history, including past 3 weeks hiking 240 miles, per below.
610675 - ref SDS A1 GY6H
610676 -
610678 - ..
610679 - 5. LDH 268 for range 0.0 - 225..... ref SDS A1 015M
610680 -
610681 - LDH increased further above range, and may reflect increased
610682 - hiking of 240 miles past 3 weeks, per below. ref SDS A1 GY6H
610684 - ..
610685 - Research indicates...
610686 -
610687 - http://get.smarter.com/qa/health/causes-elevated-ldh-levels-blood-bb5efae2447298f8?ad=semD&an=google_s&am=broad&o=33306
610688 -
610689 - ...elevation in LDH (lactic acid dehydrogenase) levels include
610690 - certain cancers, heart attack, blood flow deficiency, stroke or
610691 - other cerebrovascular accidents, hemolytic anemia or infectious
610692 - mononucleosis. Liver diseases, including hepatitis, may also
610693 - cause high levels of LDH. Low blood pressure, injuries to the
610694 - muscles, muscular dystrophy and tissue death are additional
610695 - causes, according to Healthline.
610697 - ..
610698 - Liver damage seems also associated with elevated bilirubi due to
610699 - statin side effects, per above. ref SDS A1 FX40
610700 -
610701 -
610702 -
610703 -
610704 -
610705 -
610706 -
6108 -
SUBJECTS
VA Lab Lipid Cholesterol 164 with Medication Hiking 1000 Miles Weigh
8103 -
810401 - ..
810402 - HDL 63 TG 66 Aterosclerosis Risk Stroke
810403 -
810404 - Follow up ref SDS A8 IM9N, ref SDS A6 IM9N.
810405 -
810406 - Prior LIPID PANEL 120509 1108. ref SDS 26 IM9N
810407 - Prior LIPID PANEL 120831 1525. ref SDS 27 IM9N
810408 - Prior LIPID PANEL 130228 1140. ref SDS 36 IM9N
810409 - Prior LIPID PANEL 130529 0818. ref SDS 38 IM9N
810410 - Prior LIPID PANEL 131015 0724, ref SDS 40 IM9N
810411 - Prior LIPID PANEL Labcorp, 140201 1159, ref SDS 52 IM9N
810412 - Prior LIPID PANEL, 140203 1147, ref SDS 53 IM9N
810413 - Prior LIPID PANEL Labcorp, 140508 1149. ref SDS 60 IM9N
810414 - Prior LIPID PANEL, 140814 1530, ref SDS 70 IM9N
810415 - Prior LIPID PANEL Labcorp, 141021 1009. ref SDS 76 IM9N
810416 - Prior LIPID PANEL, 141021 1150, ref SDS 77 IM9N
810417 - Prior LIPID PANEL Labcorp, 141106 0630, ref SDS 79 IM9N
810418 - Prior LIPID PANEL Labcorp, 141201 0852, ref SDS 82 IM9N
810419 - Prior LIPID PANEL Labcorp, 150208 1438, ref SDS 85 IM9N
810420 - Prior LIPID PANEL VA Medical Center San Francisco, 150209 1012, ref SDS 86 IM9N
810421 - Prior LIPID PANEL Labcorp, 150512 1239, ref SDS 89 IM9N
810422 - Prior LIPID PANEL VA Clinic Martinez, 150512 1349, ref SDS 90 IM9N
810423 - Prior LIPID PANEL Labcorp, 150602 1300, ref SDS 91 IM9N
810424 - Prior LIPID PANEL VA Medical Center San Francisco, 150728 1146, ref SDS 93 IM9N
810425 - Prior LIPID PANEL Labcorp, 160131 1714, ref SDS A1 IM9N
810426 - Prior Lipid Panel VA Medical Center San Francisco, 160202 1220. ref SDS A3 IM9N
810427 - Prior LIPID PANEL Labcorp, 160401 1219, ref SDS A5 IM9N
810428 - Prior Lipid Panel VA Medical Center San Francisco, 160503 1130. ref SDS A6 IM9N
810429 - Prior Lipid Panel VA Medical Center San Francisco, 160618 0054. ref SDS A8 IM9N
810430 -
810432 - ..
810433 - LIPID PANEL
810434 - ..
810435 - x x
810436 - Dates..........2016 06 18 0054 160503 1145 160401 1443 160202 1334 160131 1714 151027 1152 150728 1154 150602 1300 150512 1349 150512 1300 150209 150208 141201 141106 0714 141021 1148 141021 1021 140814 140514 140508 140203 140201 131015 130529
810437 - VA VA Labcorp VA Labcorp VA VA Labcorp VA Labcorp VA Labcorp Labcorp Labcorp VA Labcorp VA VA Labcorp VA Labcorp VA VA VA Labcorp
810438 - NMR LipoProfile Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Results Units Range Range
810439 - LDL Particle Number
810440 - LDL P 1379 H 699 1158 H 2537 H 709 656 997 H 1586 851 861 nmol/L Low < 1000
810441 - Moderate 1000 - 1299
810442 - Borderline High 1300 - 1599
810443 - High 1600 - 2000
810444 - Very High > 2000
810446 - ..
810447 - Lipids
810448 - CHOL 230 196 197 177 183 315 153 199 H 299 H 282 H 161 162 157 137 159 157 161 (a) 164 162 160 156 321 H 307 mg/dL 100 - 240 < 200
810449 - (b) 169
810450 - TRIGLYC 66 55 88 61 61 59 54 77 103 108 50 66 73 85 65 80 72 (a) 58 59 47 68 109 85 mg/dL 10 - 190 < 150
810451 - (b) 59
810452 - HDL-C 63 57 56 69 73 60 65 69 58 56 70 66 63 53 57 55 55 (a) 66 67 58 61 50 50 mg/dL Ref: >=35 >= 40
810454 - ..
810455 - LDL-C 153 128 123 96 98 243 78 115 H 220 H 204 H 81 83 79 67 90 86 92 (a) 87 83 93 81 249 H 240 mg/dL Ref: <=131 < 160
810456 - (b) 90
810457 - ** LDL Dir 93 mg/dL 0 - 130
810458 - TRIG NF mg/dL Ref: <=150
810460 - ..
810461 - TC/HDL ratio 3.4 3.4 3.5 2.6 2.5 5.3 2.49 2.49 2.58 2.79 2.85 2.93 2.48 2.42 2.76 2.56
810462 - TG/HDL ratio 1.0 1.0 1.6 0.9 0.8 1.0 2.49 2.49 2.58 2.79 2.85 2.93 2.48 2.42 2.76 2.56
810464 - ..
810465 - LDL and HDL Particles
810466 - HDL-P (Total) 33.9 41.9 42.3 34.3 39.5 38.9 35.2 36.4 38.1 31.4 umol/L >= 30.5
810467 - Small LDL-P 636 H 176 417 1141 H 153 310 387 H 1277.0 < 90.0 < 90.0 umol/L <=527.0
810468 - LDL Size 20.6 20.9 20.9 20.8 21.0 20.4 Low 20.8 L 19.7 21.2 21.3 nm > 20.5
810469 -
810471 - ..
810472 - --------------------------------------------------------
810473 - ** INTERPRETATIVE INFORMATION**
810474 - PARTICLE CONCENTRATION AND SIZE
810476 - ..
810477 - LDL AND HDL PARTICLES Percentile in Reference Population
810478 - HDL-P (total) High 75th 50th 25th Low
810479 - >34.9 34.9 30.5 26.7 <25.7
810480 - ..
810481 - Small LDL-P Low 25th 50th 75th High
810482 - <117 117 527 839 >839
810484 - ..
810485 - LDL Size <- Large (Pattern A)-> <- (Pattern B) ->
810486 - 23.0 20.6 20.5 19.0
810487 -
810489 - ..
810490 - Comment:
810491 -
810492 - Small LDL-P and LDL Size are associated with CVD risk, but
810493 - not after LDL-P is taken into account.
810495 - ..
810496 - These assays were developed and their performance
810497 - characteristics determined by LipoScience. These assays
810498 - have not been cleared by the US Food and Drug
810499 - Administration. The clinical utility of these laboratory
810500 - values have not been fully established.
810502 - ..
810503 - Insulin Resistance Score x x
810504 - LP-IR Score < 25 45 < 25 H 46.0 < 25.0 < 25.0 <= 45.0
810505 -
810507 - ..
810508 - INSULIN RESISTANCE MARKER
810509 -
810510 - <--Insulin Sensitive Insulin Resistant-->
810511 - Percentile in Reference Population
810512 - Insulin Resistance Score
810513 - LP-IR Score Low 25th 50th 75th High
810514 - <27 27 45 63 >63
810515 -
810517 - ..
810518 - Comments...
810519 -
810520 - LP-IR Score is inaccurate if patient is non-fasting. The
810521 - LP-IR score is a laboratory developed index that has been
810522 - associated with insulin resistance and diabetes risk and
810523 - should be used as one component of a physician's clinical
810524 - assessment. The LP-IR score listed above has not been
810525 - cleared by the US Food and Drug Administration.
810526 -
810527 - ========================================
810529 - ..
810530 - Final Report Labcorp NMR Lipid Panel
810532 - ..
810533 - Date Issued: 02/02/16 1133 ET
810535 - ..
810536 - This document contains private and confidential health
810537 - information protected by state and federal law.
810538 - If you have received this document in error, please call
810539 - 858-668-3700
810540 -
810541 - 1995-2014 Laboratory Corporation of America® Holdings
810542 - All Rights Reserved - Enterprise Report Version 1.00
810544 - ..
810545 - 02 BN William F Hancock, MD
810546 - Labcorp Burlington
810547 - 1447 York Court, Burlington, NC 27215-3361
810548 - 877 547 6837
810549 - 800-762-4344 Lab: 858-668-3700
810550 - Bianca
810551 - duranb3@labcorp.com
810553 - ..
810554 - For inquiries, the physician may contact Branch: 800 762 4344
810555 - Lab: 858 668 3700
810557 - ..
810558 - Prior labs contact for NMR Lipids...
810559 -
810560 - 02 BN Deanna Franke, PhD
810561 - Liposcience Inc
810562 - 2500 Sumner Blvd, Raleigh, NC 27616-3235
810563 - 877 547 6837
810564 - 800-762-4344 Lab: 858-668-3700
810565 - customer.service@liposcience.com
810566 -
810567 -
810569 - ..
810570 - Lipid History Trend Analysis
810571 -
810572 - Follow up ref SDS A8 W25L, ref SDS A6 W25L.
810573 -
810574 - There are 3 tests for cholesterol performed for an examination cycle:
810575 - (1) VA, (2) Liposcience NMR lipids, and (3) Labcorp lipids.
810576 - Confidence in lab results is high when these labs are in close
810577 - proximity...
810578 - Small LDL LP-IR
810579 - Collection DT CHOL TRIGL HDL LDL-C LDL-P HDL-P LDL-P SIZE SCORE LDL-D
810580 - 06/18/2016 00:54 230 66 63 153 ........................................... ref SDS A8 U45J
810581 - 05/03/2016 11:45 196 55 57 128 ........................................... ref SDS A6 U45J
810582 - 04/01/2016 14:43 197 88 56 123 ...1379....33.9...636...20.6......27....... ref SDS A5 U45J
810583 - 02/02/2016 13:34 177 61 69 96 ........................................... ref SDS A3 U45J
810584 - 01/31/2016 17:14 183 61 73 98 ....699....41.9...176...20.9....< 25....... ref SDS A2 U45J
810585 - 10/27/2015 13:49 315 H 59 60 243 H ......................................... ref SDS 97 5C7M
810586 - 07/28/2015 11:54 153 54 65 78 ........................................... ref SDS 94 U45J
810587 - retst 06/02/2015 13:00 199 H 77 69 115 H .1158....42.3...417...20.9....< 25....... ref SDS 92 U45J
810588 - 05/12/2015 13:49 299 H 103 58 220 H ......................................... ref SDS 91 5C7M
810589 - erro 05/12/2015 13:00 ?? 282 H 108 56 204 H .2537....34.3..1141...20.8......45....... ref SDS 90 BE6O
810590 - 02/09/2015 11:21 161 50 70 81 ......................................... ref SDS 87 BE6O
810591 - 02/08/2015 14:52 162 66 66 83 ..709....39.5...153...21.0....< 25....... ref SDS 86 BE6O
810592 - 12/01/2014 08:40 157 73 63 79 ..656....38.9...310...20.4....< 25....... ref SDS 83 BE6O
810593 - retst 11/06/2014 07:14 137 85 53 67 ..997....35.2...387...20.8......30....... ref SDS 80 BE6O
810594 - erro 10/21/2014 10:21 157 80 55 86 .1586....36.4..1277...19.7......46....... ref SDS 77 BE6O
810595 - 10/21/2014 11:48 159 65 57 90 ......................................... ref SDS 78 BE6O
810596 - 08/14/2014 15:28 161 72 55 92 ......................................... ref SDS 70 BE6O
810597 - 05/14/2014 10:16 164 58 66 87 .................................... 93.. ref SDS 63 BE6O
810598 - 05/08/2014 11:49 162 59 67 83 ..851....38.1...<90...21.2....< 25 ..... ref SDS 60 U45J
810599 - 02/03/2014 12:28 160 47 58 93 ......................................... ref SDS 53 BE6O
810600 - 02/01/2014 12:31 156 68 61 81 ..861....31.4...<90...21.3....< 25....... ref SDS 52 HW5M
810601 - 10/15/2013 08:25 321 H 109 50 249 H ......................................... ref SDS 40 BE6O
810602 - 05/29/2013 08:18 307 H 85 50 240 H ......................................... ref SDS 38 BE6O
810603 - 02/28/2013 08:39 310 H 73 47 248 H ......................................... ref SDS 36 BE6O
810604 - 11/30/2012 10:01 173 53 57 105 ......................................... ref SDS 31 BE6O
810605 - 08/31/2012 15:25 176 94 47 110 ......................................... ref SDS 27 U89N
810606 - 05/09/2012 11:24 158 76 49 94 ......................................... ref SDS 26 U89N
810607 - 02/09/2012 11:18 285 82 41 228 H ......................................... ref SDS 22 2A4G
810608 - 11/17/2011 14:27 260 84 43 200 H ......................................... ref SDS 20 2A4G
810609 - 07/27/2011 12:58 163 81 45 102 ......................................... ref SDS 16 E19L
810610 - 12/07/2010 09:17 151 41 47 96 ......................................... ref SDS 15 E19L
810611 - 07/21/2010 08:54 261 H 87 35 L 209 H ......................................... ref SDS 11 E19L
810612 - 06/10/2010 10:33 217 H 83 36 L 164 H ......................................... ref SDS 10 QV4F
810613 - 12/14/2009 11:10 241 H 136 44 170 H ......................................... 100928 0706, ref SDS 12 VW6J
810614 - 08/13/2009 15:09 233 H 118 30 L 179 H ......................................... 100610 1046, ref SDS 10 U45G
810615 - 06/16/2006 10:59 238 H 68 32 L 192 H ......................................... 091002 0900, ref SDS 6 LJ5H
810616 -
810617 -
810618 -
810619 - * Lab at VA San Francisco Medical Center reported on 100928 0706.
810620 - ref SDS 12 VW6J
810622 - ..
810623 - Research on cholesterol reported on 091002 0900. ref SDS 6 2F8K
810625 - ..
810626 - On 131125 0005 research found ezetimibe (zetia) mg added to
810627 - Atorvastatin 20 mg yielded after 6 weeks significantly greater changes
810628 - to lipids than taking Atorvastatin in higher doses, e.g., 20 or 40 mg.
810629 - ref SDS 46 CO56
810631 - ..
810632 - On 131125 0005 research found discordance LDL-P low and LDL-C high
810633 - lipid panel HDL 65 TG 77 healthy patient profile with LDL 246.
810634 - ref SDS 46 MN98 Discordance with LDL-P low and LDL-C high is lowest
810635 - risk for CVD, arterialsclorosis. ref SDS 46 FI3G
810637 - ..
810638 - Analysis....
810639 -
810640 - 1. HDL 73 and Triglycerides 61 (Labcorp) approximately 20% better
810641 - than Labcorp HDL 60 and TG 66 reported for prior lab at the VA
810642 - on 151027 1150, ref SDS 96 5C7M, show effects of endurance
810643 - exercise hiking 240 miles the past 3 weeks. As well, hiking
810644 - 122 miles the past week, and 26 miles on 160131, could be
810645 - significant factors raising HDL and lowering TG, per below.
810646 - ref SDS A5 GY6H
810648 - ..
810649 - HDL 73 increased HDL 70 a year ago - at that time primary care
810650 - Doctor Rao seemed to indicate it would be physically impossible
810651 - to increase HDL above 70, reported during meeting at the VA
810652 - Medical Center in San Francisco on 150213 0830. ref SDS 87 ZM37
810654 - ..
810655 - Hiking 30 miles in 2 days should have increased HDL 73 to HDL
810656 - 75, 76 for the test today, based on patient history, rather
810657 - than lowered HDL 73 to 69, reported by the VA today.
810659 - ..
810660 - 2. LDL-P 699 is best NMR lipid panel in over a year, ref SDS A1
810661 - BE6O, since LDL-P 656 on 141201 0850. ref SDS 82 U45J
810663 - ..
810664 - 3. The test today shows HDL and TG are responsive to high levels
810665 - of physical activity hiking 240 miles the past 2 weeks, and 122
810666 - miles the past week, shown below. ref SDS A1 GY6H
810668 - ..
810669 - 4. Research indicates healthiest cardiovascular condition occurs
810670 - with lowest risk for CVD, when lipids are discordant, with
810671 - LDL-P low and LDL-C high. However, greatest risk for CVD is
810672 - LDL-P high and LDL-C low, shown in the record on 131125 0005.
810673 - ref SDS 46 FI3G
810675 - ..
810676 - 5. VA published goal LDL-C <= 131; Labcorp published goal LCL-C <
810677 - 100. ref SDS 63 5C7M New AHA guidelines show LDL-C < 190,
810678 - reported on 131112 1422. ref SDS 44 HT87
810680 - ..
810681 - 6. VA lowering goal to HDL > 35, per above, ref SDS 85 5C7M, from >
810682 - 40 seems conflicting with patient history of CABG +4 on 091022
810683 - 0700. ref SDS 7 PQWU Since HDL 30 was found at that time (see
810684 - Lipid history below, ref SDS 63 W25L, setting the bar at HDL 35
810685 - has little tolerance for genetic variation to avoid and repair
810686 - endothelium lesions causing atheriosclerotic plaque.
810688 - ..
810689 - 7. Resting heart rate getting up in the mornings has increased
810690 - above 50. Blood pressure averages about 127 68; however,
810691 - systolic often drops below 120, and diastolic often falls below
810692 - 60. After 11 mile hikes blood pressure drops to about 105 55.
810693 - Systolic on occassion falls below 90. Dystalic has fallen
810694 - below 50 - e.g., see Saturday, 141018, reported in case study
810695 - on 120101 0900, ref SDS 21 V83O Heart rate now recovers well
810696 - after strenuous exercise, often falling back below 60 within 20
810697 - minutes or so.
810699 - ..
810700 - 8. Cholesterol................... 177................ ref SDS A5 U45J
810701 -
810702 - TC 183 fell from 350, reflects resuming statin treatments with
810703 - Atorvastatin 10 mg and Ezetimibe 10 mg on 151028, shown in case
810704 - study on 140101 0600. ref SDS 48 UH6N
810706 - ..
810707 - LDL-C......................... 98................ ref SDS A1 U45J
810709 - ..
810710 - LDL-c 98 fell from 240, reflects resuming statin treatments
810711 - with Atorvastatin 10 mg and Ezetimibe 10 mg on 151028, shown in
810712 - case study on 140101 0600. ref SDS 48 UH6N LDL-C is calculated
810713 - and so can be "assumed" from the Friedwald equation...
810714 - Cholesterol - HDL - TG/5 (reported on 140213 0830. ref SDS 56
810715 - Z37L).
810717 - ..
810718 - 9. Improved HDL and TG lipids reflect...
810720 - ..
810721 - a. Physical activity prescribed by the VA on 140213,
810722 - ref SDS 56 E34O, has recovered after a pause of 5 months to
810723 - recover from side effects, and now continues from prior
810724 - levels hiking 300+ miles per month, and supplemented with
810725 - 750 ml orange juice per day (explained below, ref SDS 86
810726 - LO4J)...
810728 - ..
810729 - Mileage 2015 and Beginning 2016 Since Prior Lab
810730 -
810731 - Follow up ref SDS A8 ZY7M, ref SDS A6 ZY7M.
810732 -
810733 - 150201....Jan................... 242 3687 ...... ref SDS 48 TSYW
810734 - 150302....Feb................... 256 3941 ...... ref SDS 48 VYVP
810735 - 150329....Mar................... 189 2941 ...... ref SDS 48 WUTU
810736 - 150503....Apr................... 240 3698 ...... ref SDS 48 XVVR
810737 - 150531....May................... 230 3485 ...... ref SDS 48 PPXS
810738 - 150628....June.................. 233 3571 ...... ref SDS 48 QZ6J
810739 - 150802....July.................. 230 3559 ...... ref SDS 48 RSVY
810740 - 150830....August................ 142 2241 ...... ref SDS 48 SVPP
810741 - 150927....September............. 212 3658 ...... ref SDS 48 TVQP
810742 - 151101....October............... 323 5337 ...... ref SDS 48 YN4J
810743 - 151129....November.............. 152 2461 ...... ref SDS 48 WRYV
810744 - 160103....December.............. 73 1158 ...... ref SDS 48 LX6I
810746 - ..
810747 - Mileage January 2016
810748 -
810749 - Follow up ref SDS A8 GY6H, ref SDS A6 GY6H.
810750 -
810751 - 160110........................ 0 0 ...... ref SDS 48 324G
810752 - 160117........................ 47 735 ...... ref SDS 48 KB6G
810753 - 160122........................ 60 952 ...... ref SDS 48 SV4K
810754 - 160131........................ 122 1925 ...... ref SDS 48 143K
810755 - ----- -----
810756 - 240 3784
810758 - ..
810759 - b. Weight increased to 182 on date of lab 160202 (see case
810760 - study on 140101 0600, ref SDS 48 015L Hiking lowers weight
810761 - more in the summer with higher temperatures that consume
810762 - calories and triglycerides. Extended endurance exercise
810763 - reduces time and interest in eating. Lower weight tends to
810764 - reduce tryglycerides, which tends to increase LDL-P size =
810765 - 21.0, reported on 150208 1438. ref SDS 85 5C86 ref SDS 85
810766 - 5C86 Evidence indicates weight is highly sensitive to
810767 - eating and exercise, and directly correlates to CVD risk.
810769 - ..
810770 - c. Week ending 160131, hiked 122 miles 2nd most in patient
810771 - history for 1 week, including 10 days in a row hiking 15
810772 - miles per day. ref SDS 48 143K
810774 - ..
810775 - d. Low-carbohydrate diet works best in this case with
810776 - elevated physical activity, because exhaustion from hiking
810777 - reduces desire/energy for eating.
810779 - ..
810780 - e. Chia seeds added to diet on 131125, reported in case study
810781 - on 120101 0900, ref SDS 21 746M, and recommended for
810782 - sustained energy hiking by Karen at VA on 131121 0930.
810783 - ref SDS 45 NQ37
810785 - ..
810786 - f. CoQ10 (Ubiquinol) added to diet for energy to recover from
810787 - loss of CoQ10 due to age and statin medications, started on
810788 - 151213, shown in case study on 140101 0600. ref SDS 48 MU6G
810790 - ..
810791 - g. Orange juice may have increased slightly this cycle, likely
810792 - contributing to HDL 70 rising 27%, ref SDS 86 U45J, from HDL
810793 - 55 on 141021, and supplementing increased physical
810794 - activity, and as explained in the prior lab analysis on
810795 - 140514 0950. ref SDS 63 LO4J
810797 - ..
810798 - h. Atorvastatin 10 mg with Ezetimibe 10 begun on 131230,
810799 - reported in case study on 120101, ref SDS 21 6A6H, and
810800 - continued through current cycle.
810802 - ..
810803 - Cholesterol 161 remained comparable to prior level 157 on
810804 - 141021, per above, ref SDS 86 5C7M, indicating minimal
810805 - effects pausing Atorvastatin 10 mg and Ezetimibe 10 mg for
810806 - 12 days due to delays in refill processing, cited in the
810807 - letter to the VA on 141218 0359. ref SDS 83 5N3O
810809 - ..
810810 - Research studies report Atorvastatin 10 mg + Ezetimibe 10
810811 - mg achieves LDL < 70, and favorably changes triglycerides
810812 - and HDL by 5%, reported on 131125 0005. ref SDS 46 CO45
810813 - While low LDL < 70 conflicts with goal of "discordance"
810814 - that lowers health risk for arterialsclorosis and CVD when
810815 - LDL-P low and LDL-C high, shown in research on 131125 0005,
810816 - ref SDS 46 FI3G, even "concordant" results today are good
810817 - news.
810818 -
810819 -
810821 - ..
810822 - CCTA Found Atherosclerosis Regressed 6 Years After CABG Reduce Statins
810823 - Coronary CTA or IVUS Test Athereosclerosis Plaque 6 Years After CABG
810824 - Athereosclerosis Plaque 6 Years After CABG Coronary CTA or IVUS Test
810825 -
810826 - Follow up ref SDS A8 QA4M, ref SDS A6 QA4M.
810827 -
810828 - On 131125 0005 research further found radiology imaging tests can
810829 - evaluate level of plaque build up resulting from elevated cholesterol.
810830 - ref SDS 46 N73K Radiology imaging technologies are Coronary CT
810831 - angiography - CTA - and Intravascular ultrasound - IVUS. ref SDS 46
810832 - KZ8O
810834 - ..
810835 - Lipid history past few years ith HDL >= 60 and Triglycerides < 80
810836 - ref SDS A1 W25L, indicates body chemestry causes rapid regression of
810837 - atherosclerosis plaque, cited in research on 131125 0005. ref SDS 46
810838 - RA7K Research indicates that favorable lipid profile, weight loss,
810839 - and production of EPC in the bone marrow, all stimulated by exercise,
810840 - drives regression of plaque. ref SDS 46 XY7L
810842 - ..
810843 - Medication diet, and exercise interventions the past 4 years, since
810844 - CABG x4 on 091022 0700, ref SDS 7 PQWU, supported radiology testing
810845 - for regression of atherosclerosis plaque, which previously required
810846 - major surgery to fix.
810848 - ..
810849 - CCTA testing was supported by patient history using CT radiology
810850 - imaging to assess regression of esophageal bubble after 4 years of
810851 - medical interventions, reported favorable by Doctor Stewart, Chief
810852 - General Surgery at VA on 130122 1330. ref SDS 34 03H6 CT radiology
810853 - with calcium score is commonly used to assess response to treatment
810854 - for regression of athersclerosis, reported during the meeting at the
810855 - VA on 140519 0800. ref SDS 65 OF7N
810857 - ..
810858 - On 151019 CCTA test was performed at VA Medical Center in San
810859 - Francisco. ref SDS 94 NV5I Initial report found all bypass grafts are
810860 - patent. ref SDS 94 JW8O
810862 - ..
810863 - On 151203 1014 meeting with Doctor Elicker in Radiology Department
810864 - seemed to clarify that he read the CCTA scan file performed on 151019,
810865 - and found no evidence of blockages of any amount anywhere in the
810866 - active circulatory system which was covered by the scan. ref SDS 97
810867 - SZ5F
810869 - ..
810870 - On 160104 0855 Doctor Jha, attending physician for this CCTA imaging
810871 - study, advised that standard of practice for radiology reporting is to
810872 - present any and all blockages of any kind observable in CCTA scan
810873 - imaging; so, in this case, since none are reported, the CCTA test on
810874 - 151019, ref SDS 94 JW8O, can correctely be interpretted to mean there
810875 - are no blockages, plaques, stenosis of any kind evident from the scan
810876 - file record. ref SDS 98 AA64
810878 - ..
810879 - On 160113 2234 received letter from Doctor Jha saying the radiology
810880 - faculty approved issuing an addendum. ref SDS 90 A85F
810881 -
810882 - No significant calcified plaque is seen in the bypass grafts.
810883 - All the bypass grafts are opacified with contrast without
810884 - evidence for filling defect or wall calcifications.
810886 - ..
810887 - No calcification is seen in the aortic wall in the visualized
810888 - portions of the thoracic aorta. No ostial calcifications at the
810889 - origins of great vessels from the aortic arch.
810891 - ..
810892 - This seems another way of saying in the written medical record that
810893 - CCTA testing found no evidence of atherosclerotic plaque of any kind
810894 - or amount visualized in the CCTA scan.
810896 - ..
810897 - On 160114 0022 letter commends Doctor Jha and faculty colleagues at
810898 - UCSF for good faith review to clarify CCTA on 151019, that
810899 - demonstrates CCTA evaluating response to treatment (hiking 10K miles
810900 - raising HDL 30 to 70) for regressing atherosclerosis to 0. ref SDS A0
810901 - N760
810903 - ..
810904 - This record together with continued elevated HDL 73 supports reducing
810905 - statin medications in order to reduce side effects.
810906 -
810907 -
810908 -
810909 -
810910 -
8110 -
SUBJECTS
Default Null Subject Account for Blank Record
8203 -
820401 - ..
820402 - Coronary Adverse Event Risk
820403 -
820404 - Follow up ref SDS A8 126H, ref SDS A6 126H.
820405 -
820406 - x
820407 - Dates......... 2016 06 18 1610 160503 1145
820408 - VA VA VA
820409 - Blood Results Results Units Range
820410 - CRP-HS 4.5 20.6 mg/L 0.2 - 7.5
820412 - ..
820413 - For assessment of risk for cardiovascular disease in adults.
820414 - The CDC and AHA recommnd the following guidelines based on two
820415 - test results, two weeks apart in metabolically stable patients.
820417 - ..
820418 - Cardiovascular Disease Risk CRP-HS mg/L
820419 - Low......................................... < 1.0
820420 - Average..................................... 1.0 - 3.0
820421 - High........................................ 3.0 - 10.0
820422 - Indeterminate............................... > 10
820423 -
820424 -
820425 -
820426 -
820427 -
8205 -
SUBJECTS
Default Null Subject Account for Blank Record
8303 -
830401 - ..
830402 - Lumbar Puncture Test Brain Fluid Evaluate Inflammation Large Area Above Brain
830403 - Brain Fluid Test Evaluate Inflammation Large Area Above Brain Lumbar Puncture
830404 - Inflammation Large Area Above Test Brain Brain Fluid Evaluate Lumbar Puncture
830405 - Leptomeningeal Enhancement Inflammation Large Area Above Brain Test Brain Fluid
830406 -
830407 - Follow up ref SDS A8 G34M.
830408 -
830409 -
830410 - CSF I: ROUTINE
830412 - ..
830413 - Dates......... 2016 06 18 1535
830414 - VA VA
830415 - CEREBROSPINAL Results Units Range
830416 - Color Colorless - Colorless
830417 - Appeara Clear
830418 - RBC 2 H #/cmm
830419 - WBC 4 H #/cmm 0 - 5
830420 - NEUTS comment % 0 - 6
830421 - GLUC 81 mg/dl [...none shown...]
830422 - CSFPRO 71 H md/dl 12 - 60
830423 -
830425 - ..
830426 - This seems to be lumbar puncture results ordered by Doctor Yoo.
830428 - ..
830429 - Review Progress Notes for implications for elevated labs in lumbar puncture op.
830430 -
830431 -
830432 -
830433 -
830434 -
830435 -
830436 -
8305 -
SUBJECTS
Default Null Subject Account for Blank Record
8403 -
840401 - ..
840402 - Continue results lumbar puncture results...
840403 -
840404 -
840405 - INFECTIOUS DIESEASE SEROLOGY I ----
840406 -
840407 -
840408 - Dates......... 2016 06 18 1610
840409 - VA VA
840410 - SERUM Results Units Range
840411 - RPR NR
840413 - ..
840414 - Evaluation for RPR:
840415 - "NR" = Non-reactive
840416 - "R" = Reactive
840417 -
840418 -
840419 -
840420 - ---- IMMUNOLOGY III (AUTOIMMUNE DISEASE) ----
840421 -
840423 - ..
840424 - Dates......... 2016 06 18 1610
840425 - VA VA
840426 - SERUM Results Units Range
840427 - RA FACT NEG - NEG
840428 -
840429 -
840430 -
840431 -
840432 - ---- IMMUNOLOGY VI (CSF) ----
840433 -
840435 - ..
840436 - Dates......... 2016 06 18 1535
840437 - VA VA
840438 - CEREBROSPINAL Results Units Range
840439 - OLIGOCL 0 Bands 0 - 2
840440 - IqG NDX 0.5 0 .7
840441 -
840442 -
840443 -
840444 -
840445 - ---- MRSA Surveillance AGAR Nares ---
840446 -
840448 - ..
840449 - Dates......... 2016 06 18 1740
840450 - VA
840451 - CEREBROSPINAL Results Units Range
840452 - NARES NEG
840453 - MRSAscr
840454 -
840455 -
840456 -
840457 -
840458 - ---- MISCELLANEOUS TESTS ----
840459 -
840461 - ..
840462 - Dates......... 2016 06 19 160618 1535
840463 - VA VA
840464 - SERUM Results Results Units Range
840465 - ANTI SSA(Ro) <1.0 NEG AI <1.0 Negative
840466 - ANTI SSB(La) <1.0 NEG AI <1.0 Negative
840467 - Lyme Scr <0.90 <0.91
840468 - ANA Screen Negative Negative
840469 - ACE 25 U/L 9 - 67
840470 -
840471 -
840472 -
840473 -
840475 - ..
840476 - CEREBROSPINAL FL MISCELLANEOUS
840477 -
840479 - ..
840480 - Dates......... 2016 06 18 1535
840481 - VA
840482 - CEREBROSPINAL FL Results Units Range
840483 - IgG (send out) 4.5 mg/dl 0.5 - 6.1
840484 -
840485 -
840486 -
840487 -
840488 - ---- MICROBIOLOGY ----
840489 -
840491 - ..
840492 - Dates......... 2016 06 18 1610
840493 - VA
840494 - Accession [UID]: BC 16 2639 [4316002639] Received: Jun 18, 2016@16:35
840495 - Collection sample: BACT/ALERT BOTTLE(s)Collection date: Jun 18, 2016 16:10
840496 - Site/Specimen: BLOOD
840497 - Provider: YOO,ALEXANDER
840499 - ..
840500 - Test(s) ordered: BLOOD CULTURE................. completed: Jun 24, 2016 08:31
840501 -
840502 - * BACTERIOLOGY FINAL REPORT => Jun 24, 2016 08:31 TECH CODE: 1289816
840503 - Bacteriology Remark(s):
840504 -
840505 - NO AER OR ANA GROWTH IN 5 DAYS
840506 -
840507 -
840508 -
840509 - ---- MICROBIOLOGY ----
840510 -
840512 - ..
840513 - Dates......... 2016 06 18 1610
840514 - VA
840516 - ..
840517 - Accession [UID]: BC 16 2638 [4316002638] Received: Jun 18, 2016@16:35
840518 - Collection sample: BACT/ALERT BOTTLE(s)Collection date: Jun 18, 2016 16:10
840519 - Site/Specimen: BLOOD
840520 - Provider: YOO,ALEXANDER
840521 - Test(s) ordered: BLOOD CULTURE................. completed: Jun 24, 2016 08:31
840522 -
840523 - * BACTERIOLOGY FINAL REPORT => Jun 24, 2016 08:31 TECH CODE: 1289816
840524 - Bacteriology Remark(s):
840525 -
840526 - NO AER OR ANA GROWTH IN 5 DAYS
840527 -
840528 -
840529 -
840530 -
840531 - ---- MICROBIOLOGY ----
840532 -
840534 - ..
840535 - Dates......... 2016 06 18 1535
840536 - VA
840537 - Accession [UID]: CS 16 5654 [1216005654] Received: Jun 18, 2016@15:55
840538 - Collection sample: CEREBROSPINAL FLUID Collection date: Jun 18, 2016 15:35
840539 - Provider: YOO,ALEXANDER
840541 - ..
840542 - Test(s) ordered: CULTURE & SUSCEPTIBILITY...... completed: Jun 24, 2016 09:09
840543 -
840544 - * BACTERIOLOGY FINAL REPORT => Jun 24, 2016 09:09 TECH CODE: 519
840545 - GRAM STAIN: NO ORGANISMS SEEN
840546 - NO WBCs SEEN
840548 - ..
840549 - Bacteriology Remark(s):
840550 -
840551 - DR YOO INFORMED. ON THE GRAM STAIN RESULT 6/18/16 @ 20:54
840552 - GRAM STAIN REVIEWED ON 6/19/16 @ 08:45,JL
840553 - NO AER OR ANA GROWTH IN 5 DAYS
840554 -
840555 -
840556 -
840557 -
840558 -
840559 -
840560 -
840561 -
8406 -
SUBJECTS
VA Lab Cardiac Enzymnes Creatine Kinase CK also CPK Creatine Phospho
9203 -
920401 - ..
920402 - Myopathy Muscle Pain Side Effects Simvistatin Decline
920403 -
920404 - Follow up ref SDS A8 D26G, ref SDS A6 D26G.
920405 -
920406 - Prior Cardiac Enzymes Profile on 120209 1118. ref SDS 22 D26G
920407 - Prior Cardiac Enzymes Profile on 120509 1108. ref SDS 26 D26G
920408 - Prior Cardiac Enzymes, 131015 0724, ref SDS 40 D26G
920409 - Prior Cardiac Enzymes Profile VA on 140203 1147. ref SDS 53 NX6G
920411 - ..
920412 - This test not performed by Labcorp with blood draw earlier today on
920413 - 150512, nor by the VA with blood draw today. Most recent testing
920414 - showed...
920415 -
920416 - CARDIAC ENZYMES
920417 -
920418 - x
920419 - Dates 2016 06 19 0041 140514 1016 140508 140203 131015 120509
920420 - VA VA Labcorp VA VA VA
920421 - PLASMA Results Results Results Results Results Results Units Range
920422 - CPK (CK) 192 149 110 152 U/L 30 - 235
920423 - TROP-I <0.1 ng/ml 0 - 0.09
920424 - TRPONIN ng/ml 0 - 0.07
920425 - CK-MB ng/ml 0.6 - 3.5
920426 - MYOGLOB ng/ml 20 - 82
920428 - ..
920429 - CKP and CK are the same thing - creatine phosphokinase (CPK) also
920430 - called creatine kinase (CK).
920431 -
920432 - http://www.scai.org/SecondsCount/Resources/Detail.aspx?cid=ed385473-d4e8-491e-9ce0-a7c984fe6f8e#.U3b_BfldWi8
920434 - ..
920435 - Research on 111013 explains Creatine Kinase CK, relates to muscle
920436 - disorders caused by cholesterol medications with statins. 111013 1404,
920437 - ref SDS 19 J54K
920439 - ..
920440 - CK lab may align with reduced side effects of muscle pain in left
920441 - shoulder.
920443 - ..
920444 - TROP-I
920445 -
920446 -
920447 -
920448 -
920449 -
920450 -
920451 -
920452 -
920453 -
9205 -
SUBJECTS
HGBA1C 5.4 Range 4.0-6.0 Diabetes Negative Laboratory Blood Test Cro
A903 -
A90401 - ..
A90402 - HGBA1c Diabetes Blood Test A1c
A90403 - A1c Diabetes Blood Test HGBA1c
A90404 - Diabetes HGBA1c A1c Blood Test
A90405 -
A90406 - Follow up ref SDS A8 9F4O, ref SDS A6 9F4O.
A90407 -
A90408 - Prior HGBA1c Profile on 100721 0800. ref SDS 11 IL4N
A90409 - Prior HGBA1c Profile on 101207 0906. ref SDS 15 IL4N
A90410 - Prior HGBA1c Profile on 131015 0724. ref SDS 40 9F4O
A90411 - Prior HGBA1c Profile on 140203 1147. ref SDS 53 9F4O
A90413 - ..
A90414 - This test not performed by Labcorp with blood draw earlier today on
A90415 - 150212, nor by the VA with blood draw today. Most recent testing
A90416 - showed...
A90418 - ..
A90419 - Endocrine IV - HGBA1c - A1c
A90420 -
A90421 - Dates..........2014 08 14 1528 140514 140508 140203 131015 101207
A90422 - VA VA Labcorp VA VA VA
A90423 - BLOOD Results Results Results Results Results Results Units Range
A90424 - HGBA1c 5.6 5.4 5.5 5.5 5.7 % 4.0 - 6.0
A90425 - eAG 114 111 111 mg/dL 74.0 - 118
A90427 - ..
A90428 - This test for diabetes was ordered by Doctor Abrams during a meeting
A90429 - at the San Francisco VA Medical Center on 130227 0930. ref SDS 35 8T5L
A90430 - However, it is not reported for the lab performed the next day on
A90431 - 130228 1140, ref SDS 36 RP4N, nor in the follow up lab 3 months later
A90432 - on 130529 0818. ref SDS 38 RP4N
A90434 - ..
A90435 - HGBA1c was performed previously on 101207 0906, ref SDS 15 IL4N, and 5
A90436 - months earlier on 100721 0800. ref SDS 11 IL4N
A90438 - ..
A90439 - Labcorp test showing LP-IR Score 45.0, ref SDS 90 TU6L, indicating risk
A90440 - of diabetes increased since prior test LP-IR score was < 25, reported
A90441 - on 150208 1438. ref SDS 85 TU6L
A90442 -
A90443 -
A90444 -
A90445 -
A90446 -
A90447 -
A905 -
SUBJECTS
Default Null Subject Account for Blank Record
AA03 -
AA0401 - ..
AA0402 - Prostate Evaluation PSA Tumor Markers
AA0403 -
AA0404 - Follow up ref SDS A8 GM9G, ref SDS A6 GM9G.
AA0405 -
AA0406 - Prior PSA PANEL VA Clinic Martinez, 100721 0800, ref SDS 11 ER6N
AA0407 - Prior PSA PANEL VA Clinic Martinez, 150512 1330, ref SDS 90 GM9G
AA0408 -
AA0410 - ..
AA0411 - PSA Prostate Specific Ag
AA0412 -
AA0413 - Follow up ref SDS A8 1M9N, ref SDS A6 1M9N.
AA0414 -
AA0415 - Dates..........2015 05 12 1349 100721
AA0416 - VA VA VA
AA0417 - Serum Results Results Units Range
AA0418 - AFP TM Not done ng/mL 0.0 - 8.0
AA0419 - CEA Not done ng/mL 0.0 - 3.0
AA0420 - PSA (Prostate) 2.18 1.25 ng/mL 0.0 - 4.0
AA0421 - CA 125 Not done Units/mL 0.0 - 34.0
AA0422 - CA 15-3 Not done Units/mL 0.0 - 25.0
AA0423 - CA 19-9 Not done Units/mL 0.0 - 37.0
AA0424 -
AA0426 - ..
AA0427 - Comments...
AA0428 -
AA0429 - a. Test Ordered by Doctor Harkesh Sandhu
AA0430 - Performed at...
AA0431 - MARTINEZ CBOC 150 MUIR ROAD
AA0432 - MARTINEZ, CA 94553-4668
AA0433 -
AA0434 -
AA0435 -
AA05 -
SUBJECTS
Default Null Subject Account for Blank Record
AB03 -
AB0401 - ..
AB0402 - Thyroid Stimulating Hormone
AB0403 -
AB0404 - Follow up ref SDS A8 PO6I, ref SDS A6 PO6I.
AB0406 - ..
AB0407 - Prior Thyroid PANEL VA Clinic Martinez, 150512 1330, ref SDS 90 PO6I
AB0408 -
AB0409 -
AB0410 - Dates..........2015 05 12 1349
AB0411 - VA VA
AB0412 - Serum Results Units Range
AB0413 - * THYROTROPIN 1.65 uIUnits/mL 0.34 - 5.60
AB0414 -
AB0416 - ..
AB0417 - Seems to be new lab panel.
AB0418 -
AB0419 - Comments...
AB0420 -
AB0421 - a. Test Ordered by Doctor Harkesh Sandhu
AB0422 - Performed at...
AB0423 - MARTINEZ CBOC 150 MUIR ROAD
AB0424 - MARTINEZ, CA 94553-4668
AB0425 -
AB0426 -
AB0427 -
AB0428 -
AB0429 -
AB0430 -
AB0431 -
AB0432 -
AB0433 -
AB0434 -
AB0435 -
AB0436 -
AB0437 -
AB0438 -