CONTACTS
0201 - Health Testing Center
020101 - Ms. Shannon CMA; Manager
020103 - Ordering Department
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 E6 0000. ref SDS E3 0000.
290502 -
290503 -
290504 -
290505 -
290507 - ..
2906 -
2907 -
2908 - Background
2909 -
290901 - On 170925 ordered lab from Health Testing Centers (HTC) performed by
290902 - Labcorp, ref SDS D6 8K4H, following up prior lab ordered at HTC and
290903 - performed at Labcorp on 170216 1005. ref SDS C0 3M6I
290905 - ..
290906 - On 171001 1246 went to John Muir Hospital and got blood draw in Urgent
290907 - Care by Labcorp. 171001 1246, ref SDS D8 X45G
290909 - ..
290910 - On 171003 1519 received letter from Shannon at Health Testing Centers,
290911 - ref SDS D9 PZ3T, transmitting results for lab 2 days ago on 171001
290912 - 1246. ref SDS D8 X45G
290914 - ..
290915 - On 171003 1519 sent letter to Shannon at Health Testing Centers (HTC)
290916 - advising HDL cholesterol lower than expected, ref SDS D9 EN3Y, and
290917 - that triglycerides are much lower that patient history indicates is
290918 - possible, indicating lab error. ref SDS D9 EN42
290920 - ..
290921 - On 171009 0926 called HTC and talked to Shannon. She agreed that
290922 - triglycerides are much too low, indicating lab error. Shannon ordered
290923 - make-up lipid lab #
290924 - at no charge. She offered cross-check lab at Quest
290925 - at half price. ref SDS E0 IK5F
290927 - ..
290928 - On 171218 1044 received letter from HTC saying patient has paid for
290929 - blood test at Quest Labs. ref SDS E1 FK6L
290931 - ..
290932 - On 180222 1500 went to Quest lab for blood draw. ref SDS E2 XC4F
290934 - ..
290935 - On 180410 0842 ordered labs and NMR lipid study at Labcorp from HTC
290936 - (Shannon). 180410 0842, ref SDS E3 AP6H
290938 - ..
290939 - On 180410 1444 after hiking 15 miles blood draw at Labcorp John Muir
290940 - Hospital on Cherry Lane and Treat in Pleasant Hill. ref SDS E4 XC4F
290942 - ..
290943 - On 180411 0750 blood draw at VAMCSF after hiking 12 miles. ref SDS E5
290944 - ZW7G
290946 - ..
290947 - On 180504 1310 went to Quest Labs for blood draw. ref SDS E7 XC4F
290949 - ..
290950 - On 180504 1357 went to Labcorp at John Muir Urgent Care for another
290951 - blood draw to compare with Quest. ref SDS E8 R66M
290953 - ..
290954 - On 180507 1541 called Shannon at HTC and reported both Quest HDL test
290955 - and Labcorp HDL were comparable, but much lower than expected based on
290956 - miles hiked. ref SDS E9 XC4F Shannon sent letter advising she asked
290957 - both labs to restest blood specimens. ref SDS E9 LO83
290958 -
290959 -
290960 -
290962 - ..
2910 -
2911 -
2912 - Progress
2913 -
291301 - This morning called Health Testing Centers...
291302 -
291303 - 877 511 5227
291305 - ..
291306 - Left message for Shannon to call back.
291308 - ..
291309 - Sent letter to Shannong saying...
291310 -
291311 - 1. Subject: Order Lipid Panel from Quest and Labcorp
291312 - Date: 2018-05-10, 10:24
291316 - ..
291317 - 2. Dear Shannon,
291319 - ..
291320 - 3. Just left message asking you to call following up your letter
291321 - on 180507, discussing recollection for blood draws on 180504.
291322 - Since both tests appear comparable, they may reflect eating
291323 - small amount of cherrios with milk the morning of the tests. I
291324 - took hydrocodone for pain management hiking 15 miles that
291325 - morning prior to the blood draws. Hydrocodone protocol
291326 - requires eating something after taking a pill. A month earlier
291327 - on 180411, the tech at the VA lab said they no longer require
291328 - fasting for lipid tests. If results are significantly
291329 - unexpected, then they do another blood draw. I thought the 15
291330 - miles would obviate non-fasting effects. Now, I hope it
291331 - didn't, and so the cherrios and milk accounts for extreme
291332 - variance from expected results based on hiking 300 miles since
291333 - prior test 4 weeks earlier [...on 180410 1444. ref SDS E4
291334 - 5C7M...], including multiple 15 mile hikes. Previously, this
291335 - level of effort has always raised HDL. If lowered HDL result
291336 - was not due to non-fasting, then this will indicate damaged
291337 - liver function, which will have to be addressed.
291339 - ..
291340 - 4. Accordingly, want another blood draw Saturday or Sunday at both
291341 - Quest and Labcorp, as done on 180504. The objective here is to
291342 - provide evidence for the VA to order a CCTA test. During a
291343 - meeting at the VA on 171011, HDL was 55. It dropped from 72 on
291344 - 170216, due to injuries that curtailed hiking. A new line of
291345 - care with PRP injections for feet and knees restored hiking, so
291346 - we decided that after HDL rises above 60 again, we would do the
291347 - CCTA test. I had HDL 61 on 171124, but then incurred more
291348 - injuries, so hiking stopped again. After further PRP treatment
291349 - in January, got back on track, and have been hiking well. Hit
291350 - HDL 67 on 180222, ref SDS E2 5C7M, so expected tests on 180504
291351 - to be well over 70 again. In fact, HDL may have been over 70
291352 - on 180504, but results were skewed by not fasting. To test
291353 - that, would like to do another draw, and if past correlations
291354 - hold, HDL should be near 80, since I have hiked another 90
291355 - miles this week.
291357 - ..
291358 - 5. If we get expected results, can we go back and ask Labcorp to
291359 - do an NMR on the same collection sample?
291361 - ..
291362 - Clinical trial raise HDL and EPCs with hiking cure atherosclerosis...
291364 - ..
291365 - Letter to Shannon continues...
291366 -
291367 - 6. For context, Doctor Simpson is a researcher at UCSF, and is my
291368 - cardiologist at the VA Medical Center in San Francisco. He
291369 - told me 2 years ago, he would like to see if I can raise HDL to
291370 - over 100 by hiking. I thought at the time this would be easy,
291371 - having already raised HDL 30 at the time I had CABG x4 in
291372 - October 2009, to HDL 73 in 2016. However, subsequent injuries
291373 - limited hiking, and so we have not yet reached even HDL 80.
291374 - Now that I am well again, just going for the numbers. There
291375 - seem to be helpful health benefits from this effort, e.g. BP,
291376 - HR, weight all way down; ravages of sarcopenia have not
291377 - occurred at age 73. Even vision has improved compared to 20
291378 - years ago, due (I'm guessing) to increased blood flow.
291380 - ..
291381 - 7. Anyway, it's a fun experiment. Please call so I can pay for
291382 - the additional tests. Once we have expected HDL numbers, will
291383 - do a test at the VA, so they have the numbers in their system.
291385 - ..
291386 - 8. Thanks again for assistance.
291388 - ..
291389 - 9. Best,
291391 - ..
291392 - 10. Rod
291393 - 925 849 4745
291395 - ..
291396 - 11. PS. I'll be out hiking in about 30 minutes, so call cellphone
291397 - 925 787 5641
291398 -
291399 -
291400 -
291401 -
291403 - ..
2915 -
2916 -
2917 - 1031
2918 -
291801 - Shannon called back.
291803 - ..
291804 - Ordered tests from Labcorp and Quest to cross check results. Omitted
291805 - NMR at Labcorp and expanded lipid study at Quest because lost
291806 - confidence in NMR and Quest expanded study is too expensive.
291807 -
291808 - 1. CBC
291809 - 2. Electrolytes
291810 - 3. Lipid (omit NMR and expanded detail)
291812 - ..
291813 - This implements planning Shannon's letter from HTC on 180507 1541.
291814 - ref SDS E9 LO83
291816 - ..
291817 - Karen gave 25% discount....
291819 - ..
291820 - Labcorp.......................... $67.75
291822 - ..
291823 - Quest............................ $67.75
291825 - ..
291826 - Posted expense ledger...
291827 -
291831 - ..
291832 - Karen said HTC will issue 2 letters for each of the 2 orders. Ignore
291833 - the 1st letter, because it is generated automatically by the computer
291834 - system.
291836 - ..
291837 - Take the 2nd letter with requisition to Labcorp to get the lab ordered
291838 - today.
291839 -
291840 -
291841 -
291842 -
291843 -
291844 -
291846 - ..
2919 -
2920 -
2921 - 0851
2922 -
292201 - Received 1st letter from Shannon at HTC saying...
292202 -
292203 - 1. Subject: Lab Testing Purchase Received
292204 - Date: 2018-04-10 08:43
292208 - ..
292209 - 2. Your order has been received and is being processed.
292210 -
292211 - Health Testing Centers Logo
292213 - ..
292214 - 3. Rod,
292216 - ..
292217 - 4. Your Health Testing Centers purchase number 37617 has been received.
292219 - ..
292220 - 5. Your Purchase Information
292222 - ..
292223 - 6. Name:
292224 -
292225 - Rod Welch
292227 - ..
292228 - 7. Email:
292229 -
292230 - rod@welchco.com
292232 - ..
292233 - 8. Payment Method:
292235 - ..
292236 - 9. Credit Card
292238 - ..
292239 - 10. Total Amount......................... $46.75
292241 - ..
292242 - This aligns with amount paid this morning, per above. ref SDS E3 ET79
292244 - ..
292245 - HTC letter continues...
292246 -
292247 - 11. For an itemized list of your purchased tests, sign in and view
292248 - your purchase details.
292250 - ..
292251 - View Purchase Details
292253 - ..
292254 - 12. If you have any questions or need help, please call our
292255 - customer support team at 877-511-LABS (5227).
292257 - ..
292258 - 13. Thank you.
292260 - ..
292261 - 14. Your Health Testing Centers Customer Team
292262 -
292263 - 15. 877-511-LABS (5227) Fax: 954-208-5987 info@healthtestingcenters.com
292264 - ABOUT US FAQ TERMS & CONDITIONS
292266 - ..
292267 - 16. This e-mail and any attachments may contain CONFIDENTIAL
292268 - information, including PROTECTED HEALTH INFORMATION. If you are
292269 - not the intended recipient, any use or disclosure of this
292270 - information is STRICTLY PROHIBITED; you are requested to delete
292271 - this e-mail and any attachments, notify the sender immediately,
292272 - and notify the Heatlh Testing Centers Privacy Officer at
292273 - privacy@healthtestingcenters.com or call (877) 511-LABS / (877)
292274 - 511-5227.
292275 -
292276 - 17. ©2018 Health Testing Centers. All rights reserved.
292277 -
292278 -
292279 -
292280 -
292282 - ..
2923 -
2924 -
2925 - 0853
2926 -
292601 - Received 2nd letter from Shannon at HTC saying...
292602 -
292603 - 1. Subject: Health Testing Centers Lab Requisition Ready
292604 - Date: 2017-10-09 14:52
292608 - ..
292609 - 2. The physician order for your purchase number 20314 has been
292610 - placed by Dr. <%doctorname%>. Your lab requisition number is
292611 - <%reqnumber%>. You can now go to a LabCorp Patient Service
292612 - Center for your sample collection. Remember to bring a photo ID
292613 - with you and follow any fasting or special preparation
292614 - instructions for your purchased tests.
292616 - ..
292617 - Health Testing Centers Logo
292619 - ..
292620 - View all Tests Find a Lab Your Account
292622 - ..
292623 - 3. Dear Rod,
292625 - ..
292626 - 4. You are now ready to visit a LabCorp location for sample
292627 - collection.
292629 - ..
292630 - 5. Your lab requisition 34170331 is attached as a .pdf to this email.
292632 - ..
292633 - 6. Bring this lab requisition OR number and a photo ID with you to
292634 - a LabCorp location. Remember to follow any fasting or special
292635 - preparation instructions for your purchased tests.
292637 - ..
292638 - Find a LabCorp Location
292640 - ..
292641 - 7. For an itemized list of your purchased tests, sign in and view
292642 - your purchase details. Click on each test to view the
292643 - preparation instructions.
292645 - ..
292646 - 8. If you have any questions or need help, please call our
292647 - customer support team at 877-511-LABS (5227).
292649 - ..
292650 - 9. Thank you.
292652 - ..
292653 - 10. Your Health Testing Centers Customer Team
292655 - ..
292656 - 11. 877-511-LABS (5227) Fax: 954-208-5987
292657 -
292658 - info@healthtestingcenters.com
292660 - ..
292661 - ABOUT US FAQ TERMS & CONDITIONS
292663 - ..
292664 - 12. The information contained in this electronic message, including
292665 - any attachments, may contain confidential information. This
292666 - message is intended only for the use of the named recipient(s)
292667 - and may contain PROTECTED HEALTH INFORMATION. If the reader of
292668 - this electronic message is not the named recipient, or the
292669 - employee or agent responsible to deliver it to the named
292670 - recipient, you are hereby notified that any dissemination,
292671 - distribution, copying or other use of this communication is
292672 - strictly prohibited. If you have received this communication in
292673 - error, please immediately notify the sender by replying to this
292674 - electronic message and then deleting this electronic message
292675 - from your computer and notify the Health Testing Centers
292676 - Privacy Officer at privacy@healthtestingcenters.com or call
292677 - (877) 511-LABS / (877) 511-5227.
292678 -
292679 - 13. ©2017 Health Testing Centers. All rights reserved.
292681 - ..
292682 - 14. Attachments:
292683 - Requisition #34170331.pdf 212 KB
292684 -
292686 - ..
292687 - Labcorp
292688 - Cor Order
292689 - This expires 2018 10 07
292691 - ..
292692 - TO LABCORP PSC STAFF: This electronic lab order has been
292693 - submitted to the LabCorp COR system. The protocol for this
292694 - specimen is completely electronic EXCEPT for the DATE and TIME
292695 - OF COLLECTION. Please input this
292697 - ..
292698 - Account......................... 09419602
292699 - Req/Control..................... 35710711
292700 - Bill Type....................... Client
292702 - ..
292703 - Collection Date.................
292704 - Collection Time.................
292706 - ..
292707 - Client / Ordering Site Information
292708 - Name............................ Health Testing Centers
292709 - Account......................... 09419602
292710 - Address
292711 -
292712 - Health Testing Centers
292713 - 3115 NW 10th Terrace
292714 - FORT LAUDERDALE FL 33309
292715 - Phone 877 511 5227
292717 - ..
292718 - Lab Approving Entity............ PHNHealth LLC
292719 - Phone........................... 888 362 4321
292721 - ..
292722 - Physician Information
292723 - Physician Name.................. Carlos Ramos
292724 - NPI: 1447451323
292725 - UPIN:
292727 - ..
292728 - For questions regarding the lab order or test results, please
292729 - contact Vendor
292731 - ..
292732 - Patient Information
292734 - ..
292750 -
292752 - ..
292753 - Alt Control #.................... 35710711
292754 - Alt Patient ID................... 35710711
292756 - ..
292757 - This Digital Lab Order contains all the information needed to
292758 - complete this order
292760 - ..
292761 - Order Code
292762 -
292763 - 005009 Complete Blood Count (CBD) with Differential
292764 - 322000 Metabolic Panel (14) Comprehensive
292765 - 003038 Urinalysis, Routine with Microscopic Examination on Positives
292767 - ..
292768 - This supplements requisition #34170331 for order code...
292769 -
292770 - 884247 NMR LipoProfile
292771 -
292772 - ...issued at no charge by Shannon on 171009 0926. ref SDS E0 726F
292774 - ..
292775 - Fasting
292776 -
292777 -
292778 -
292779 -
292780 -
292781 -
292782 -
292783 -
292784 -
2928 -
Distribution. . . . See "CONTACTS"