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 F3 0000. ref SDS F1 0000.
290502 -
290503 -
290504 -
290505 -
290506 -
290507 -
290509 - ..
2906 -
2907 -
2908 - Background
2909 -
290901 - On 131016 1632 submit letter for agenda meeting to review lab results
290902 - scheduled 131017 1000. ref SDS 42 X45G
290904 - ..
290905 - On 140131 0815 ordered another lab - cbc, electrolytes, lipid with NMR
290906 - - from Labcor to get LDL-P. ref SDS 52 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 53 RP4N
290912 - ..
290913 - On 140203 1147 had partial lab drawn at VA in Martinez. ref SDS 54
290914 - KK9M
290916 - ..
290917 - On 140507 0857 ordered another full lab from Labcorp with NMR lipid
290918 - panel. ref SDS 60 OO5G
290920 - ..
290921 - On 140508 1133 lab blood daw at Labcorp with John Muir Medical Center
290922 - on Treat Blvd in Concord. ref SDS 61 445G
290924 - ..
290925 - On 140514 0950 VA partial lab at Medical Center in San Francisco.
290926 - ref SDS 64 X45G
290928 - ..
290929 - On 140814 1530 VA full lab at Clinic in Martinez. ref SDS 71 X45G
290931 - ..
290932 - On 140827 1422 VA partial lab CBC only at Clinic in Martinez re-check
290933 - elevated WBC. ref SDS 75 X45G
290935 - ..
290936 - On 141020 1025 Labcorp partial lab CBC Electrolytes Urinalysis, but
290937 - mistakenly omitted NMP lipid panel. ref SDS 77 X45G
290939 - ..
290940 - On 141021 1009 Labcorp NMR Lipid panel, ref SDS 79 U45J, and
290941 - Homocyst(e)ine. ref SDS 79 CM6J
290943 - ..
290944 - On 141201 Health Testing Centers Requisition order # 33541,
290945 - ref SDS 83 FK65, for full panel of blood tests at Labcorp, ref SDS 83
290946 - Q94L - which included NMR Lipid panelto test LDL-P. ref SDS 83 2P5J
290948 - ..
290949 - On 141021 1150 VA labs electrolytes, ref SDS 79 ZG5O, and lipids.
290950 - ref SDS 79 U45J
290952 - ..
290953 - On 150208 Health Testing Centers Requisition order # 34764,
290954 - ref SDS 86 IG6J, for full panel of blood tests at Labcorp, ref SDS 86
290955 - Q94L, which included NMR Lipid panelto test LDL-P. ref SDS 86 2P5J
290957 - ..
290958 - On 150512 0703 Health Testing Centers Requisition order # 36923,
290959 - ref SDS 90 8S7F, for full panel of blood tests at Labcorp, ref SDS 90
290960 - Q94L, which included NMR Lipid panelto test LDL-P. ref SDS 90 2P5J
290962 - ..
290963 - On 150512 1239 blood draw at Labcorp for NMR lipids. ref SDS 91 FK6I
290965 - ..
290966 - On 150512 1330 blood draw at VA in Martinez. ref SDS 92 X45G
290968 - ..
290969 - On 150723 2232 Health Testing Centers Requisition order # 38564 that
290970 - was not used, ref SDS 94 8S7F, for full panel of blood tests at
290971 - Labcorp, ref SDS 94 Q94L, which included NMR Lipid panel to test
290972 - LDL-P. ref SDS 94 2P5J
290974 - ..
290975 - 160131 0500 Labcorp lab using prior order # 461850, because it does
290976 - not expire until 160423. ref SDS A4 RH5L
290978 - ..
290979 - On 170905 2350 lab performed at San Joaquin General Hospital in French
290980 - Camp, California, South of Stockton, ref SDS D2 O95H, and to evaluate
290981 - for injuries from automobile accident an hour earlier, reported in
290982 - another record on 170905 2230. ref SDS D1 KO5H
290984 - ..
290985 - On 170906 0420 lab performed at San Joaquin General Hospital 4 hours
290986 - later showed WBC 24.4 ref SDS D4 LY7F Glucose 158 was also reported.
290987 - ref SDS D4 ZG5O
290989 - ..
290990 - On 170911 1040 lab performed at VA to evaluate recovery from
290991 - automobile accident, ordered by Primary Care Physician Lauren Retberg.
290992 - ref SDS D6 A56J
290993 - On 171218 1044 received letter from HTC saying patient has paid for
290994 - blood test at Quest Labs. ref SDS E3 FK6L
290996 - ..
290997 - On 171218 1044 called HTC and ordered Labcorp labs, including NMR
290998 - lipids.
291000 - ..
291001 - On 180222 1500 went to Quest Labs for blood draw. ref SDS E5 XC4F
291003 - ..
291004 - On 180503 0902 called HTC ordered cdb, electrolytes and lipids at
291005 - Quest. ref SDS E9 AP6H
291007 - ..
291008 - On 180504 1310 went to Quest Labs for blood draw. ref SDS F0 XC4F
291010 - ..
291011 - On 180510 0936 called HTC ordered cdb, electrolytes and lipids at
291012 - Quest. ref SDS F2 ZY9N
291013 -
291014 -
291015 -
291016 -
291017 -
291018 -
291020 - ..
2911 -
2912 -
2913 - Progress
2914 -
291401 - While waiting for care in Audiology and Balance, received call from
291402 - assistant for Lauren in Primary Care, also called Medical Practice.
291403 - The assistant said that Lauren ordered electrolyte lab to test for
291404 - normalization while not hiking, including potasium, which HTC rep
291405 - called about yesterday, reported on 180515 1037. ref SDS F4 XN3H This
291406 - request responds to the letter submitted to Lauren yesterday, reported
291407 - on 180515 2228. ref SDS F5 7850
291409 - ..
291410 - Lab results from VA stored in...
291411 -
291412 - F:\05\00003\SM\CC\AGMJ\20180516-093000\VA_labs.pdf
291413 -
291414 -
291415 -
291416 -
291418 - ..
291419 - Lab CBC Evaluate Health 8 Years After CABG x4 Heart Surgery
291420 - WBC 9.8 All Labs Within Range 3 Months After Car Collision 65 MPH
291421 -
291422 - Follow up ref SDS F3 RP4N, ref SDS F1 RP4N.
291423 -
291424 - Prior VA CBC on 120509 1108. ref SDS 27 RP4N
291425 - Prior VA CBC on 120831 1524. ref SDS 28 RP4N
291426 - Prior VA CBC on 121130 1001. ref SDS 32 RP4N
291427 - Prior VA CBC on 130529 0818. ref SDS 39 RP4N
291428 - Prior Labcorp CBC on 140201 1159. ref SDS 53 RP4N
291429 - VA did not order CBC for lab on 140203 1147. ref SDS 54 YX8K
291430 - Prior Labcorp CBC on 140508 1149. ref SDS 61 RP4N
291431 - VA did not order CBC for lab on 140514 0950. ref SDS 64 RP4N
291432 - Prior VA CBC on 140814 1530. ref SDS 71 RP4N
291433 - Prior VA CBC on 140827 1413. ref SDS 75 RP4N
291434 - Prior Labcorp CBC on 141020 1025. ref SDS 77 RP4N
291435 - Prior Labcorp CBC on 141201 0850. ref SDS 84 RP4N
291436 - Prior Labcorp CBC on 150208 1438. ref SDS 87 RP4N
291437 - Prior Labcorp CBC on 150512 1239. ref SDS 91 RP4N
291438 - Prior VA CBC on 150512 1349. ref SDS 92 RP4N
291439 - Prior VA CBC on 150728 1146. ref SDS 95 RP4N
291440 - Prior Labcorp CBC on 160131 1700. ref SDS A4 RP4N
291441 - Prior Labcorp CBC on 160401 1219. ref SDS A7 RP4N
291442 - Prior Labcorp CBC on 160717 1053. ref SDS B4 RP4N
291443 - Prior Labcorp CBC on 161009 1320. ref SDS B5 RP4N
291444 - Prior VA CBC on 161011 1100. ref SDS B6 RP4N
291445 - Prior Labcorp CBC on 170215 1634. ref SDS C2 RP4N
291446 - Prior VA CBC on 170412 0700. ref SDS C8 RP4N
291447 - Prior San Joaquin General Hospital on 170905 2350. ref SDS D2 RP4N
291448 - Prior San Joaquin General Hospital on 170906 0420. ref SDS D4 RP4N
291449 - Prior VA CBC on 170911 1047. ref SDS D6 RP4N
291450 - Prior Labcorp CBC on 171001 1246. ref SDS D9 RP4N
291451 - Prior Labcorp CBC on 171124 0851. ref SDS E2 RP4N
291452 - Prior Quest CBC on 180222 1500. ref SDS E5 RP4N
291453 - Prior Labcorp CBC on 180410 1444. ref SDS E7 RP4N
291454 - Prior VA CBC on 180411 0750. ref SDS E8 RP4N
291455 - Prior Quest CBC on 180504 1310. ref SDS F0 RP4N
291456 - Prior Labcorp CBC on 180504 1357. ref SDS F1 RP4N
291457 - Prior Quest CBC on 180514 1538. ref SDS F3 RP4N
291459 - ..
291460 - VA did not test CBC Panel labs today.
291461 -
291463 - ..
291464 - CBC PANEL
291465 - x x
291466 - Dates............. 2018 05 14 1553 180504 1407 180504 1323 180411 0757 180410 1450 180222 1526 171124 1508 171001 1251 170911 1047 170906 0420 170905 2350 170412 0702 160206 1639 161011 1114 161009 1337 160717 1055 160401 1443 160202 1334 160131 1714 150728 1154 150512 1349 150512 1300 150208 141201 141020 140827 140814 140514 140508 140203 140201 130529
291467 - Quest Labcorp Quest VAMCSF Labcorp Quest Labcorp Labcorp VAMCSF San Joaquin Gnrl Joaquin Gnrl VAMCSF Labcorp VAMCSF Labcorp Labcorp Labcorp VA Labcorp VA VA Labcorp Labcorp Labcorp Labcorp VA VA VA Labcorp VA Labcorp VA VA Labcorp
291468 - Blood Results Results Results Results Results Results Results Results Results 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
291469 - WBC LEUKOCYTES 11.9 H 10.5 11.3 H 9.9 14.2 H 10.4 9.8 10.8 11.0 H 24.4 H 11.9 H 9.5 12.3 H 13.9 H 14.6 H 8.4 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
291470 - RBC ERYTHROCYTES 5.71 5.65 5.70 5.44 5.83 H 5.41 5.32 5.6 5.17 5.18 5.42 5.28 5.7 5.32 5.2 5.3 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
291471 - HGB Hemoglobin 16.2 16.3 16.2 15.2 16.4 14.8 15.4 15.9 14.7 14.7 15.6 15.4 17.1 15.2 15.4 15.7 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
291472 - HCT Hematocrit 48.3 49.8 47.9 47.9 50.5 45.8 46.7 49.7 44.6 44.9 47.2 46.1 51.2 H 47.5 46.6 48.7 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
291473 - MCV 84.6 88 84.0 88.1 87 84.7 88 89 86.3 86.7 87.0 87.3 89 89.3 90 92 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
291474 - MCH 28.4 28.8 28.4 27.9 28.1 27.4 28.9 28.4 28.4 28.4 28.7 29.2 29.8 28.6 29.6 29.6 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
291475 - MCHC 33.5 32.7 33.8 31.7 L 32.5 32.3 33.0 32.0 33.0 32.8 33.0 22.4 33.4 32 0 33 0 32 2 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
291476 - RDW ERYTHROCYTE D W 13.8 15.3 14.3 15.4 14.5 13.9 14.1 13.7 14.3 13.9 13.9 14.1 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
291477 - PLT 377 364 366 307 321 293 371 422 H 370 300 338 323 385 H 385 434 H 319 335 325 348 294 315 326.0 321.0 314.0 341.0 322.0 295.0 329 303 279 K/cmm 130 - 400 155.0 - 379.0
291478 - MPV 10.7 10.9 11.2 8.2 8.9 8.9 9.1 8.3 8.8 fL 7 - 10.4
291479 - NEUT % 73.7 77 75.6 82 76.5 77 80 90 H 95.4 H 78 83 75 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
291480 - BAND NEUT 0
291481 - LYMPH % 14.1 13 9 14.6 14 11 1.4 3.9 L 11 11 16 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
291482 - MONO % 7.8 7 7.5 8 7.7 7 7 6.0 0.6 L 8 6 6 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
291483 - EOS % 3.3 2 2.6 0 0.4 1 1 0 0.0 1 0 2 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
291484 - BASO % 1.1 0.1 1.1 1 0.8 1 1 0 0.1 1 0 1 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
291485 - NEUT # 8770 H 8.0 H 8543 H 11.5 7.6 8.8 H 8.36 11.40 H 9.9 H 12.1 H 6.3 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
291486 - LYMPH # 1678 1.4 1492 1.3 1.4 1.2 1.32 0.50 L 1.3 1.6 1.4 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
291487 - MONO # 928 0.8 848 1.2 0.7 0.7 0.94 0.10 L 0.9 0.9 0.5 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
291488 - EOS # 393 0.3 294 0.0 0.1 0.1 0.15 0.00 0.1 0.0 0.1 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
291489 - BASO # 131 0.1 124 0.1 0.1 0.1 0.09 0.00 0.1 0.1 0.1 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
291490 - ESRmVES mm/hr 0 - 10
291491 - ESRxCYT mm/hr 2 - 10
291492 - RETIC % % .66 - 2.85
291493 - RETIC # k/uL 27.9 - 121.6
291494 - Immature Granulocytes 0 0 0 0 1 0 0 0,0 0,0 0,0 0.0 0.0 0.0 0.0 0.0 0.0 % 0.0 - 2.0
291495 - Immature Grans (Abs) 0.0 0.0 0.0 0 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 % 0.0 - 0.1
291496 - NRBC 0.0 0.2 0 % 0 - 0
291497 - ANIOCYTOSIS # 1+
291498 - PLATELET ESTIMATE ADEQUATE
291499 -
291500 -
291501 -
291502 -
291503 -
291504 -
291505 -
291506 -
291507 -
291508 -
2916 -
SUBJECTS
Urinalysis Lab VA No Results
4403 -
440401 - ..
440402 - Urinalysis Ketones Abnormal Occurs After Hiking Extended Miles
440403 -
440404 - Follow up ref SDS F3 0X72, ref SDS F1 0X72.
440405 -
440406 - Prior Urinalysis test on 101207 0906. ref SDS 16 0X72
440407 - Prior Urinalysis test on 120509 1108. ref SDS 27 0X72
440408 - Prior Urinalysis test on 140201 1159. ref SDS 53 0X72
440409 - VA did not order urinalysis for lab on 140203 1147. ref SDS 54 0X72
440410 - Prior Urinalysis Labcorp test on 140508 1149. ref SDS 61 0X72
440411 - Prior Urinalysis test on 140814 1530. ref SDS 71 0X72
440412 - Prior Urinalysis Labcorp test on 141020 1025. ref SDS 76 0X72
440413 - Prior Urinalysis Labcorp test on 141201 0850. ref SDS 83 0X72
440414 - Prior Urinalysis Labcorp test on 150208 1438. ref SDS 86 0X72
440415 - Prior Urinalysis Labcorp test on 150512 1239. ref SDS 90 0X72
440416 - Prior Urinalysis Labcorp test on 160131 1700. ref SDS A3 0X72
440417 - Prior Urinalysis Labcorp test on 160401 1219. ref SDS A7 0X72
440418 - Prior Urinalysis Labcorp test on 160717 1053. ref SDS B4 0X72
440419 - Prior Urinalysis Labcorp test on 161009 1320. ref SDS B5 0X72
440420 - Prior Urinalysis Labcorp test on 170216 1634. ref SDS C2 0X72
440421 - Prior Urnialysis San Joaquin General test on 170906 0040, ref SDS D3 0X72,
440422 - Prior Urinalysis Labcorp test on 171001 1246. ref SDS D9 0X72
440423 - Prior Urinalysis Labcorp test on 171124 0851. ref SDS E2 0X72
440424 - Prior Quest CBC on 180222 1500. ref SDS E5 0X72
440425 - Prior Urinalysis Labcorp test on 180410 1444. ref SDS E7 0X72
440426 - Prior Urinalaysis VA test on 180516 0923. ref SDS 0 0X72
440428 - ..
440429 - Lab results from VA stored in...
440430 -
440431 - F:\05\00003\SM\CC\AGMJ\20180516-093000\VA_labs.pdf
440432 -
440434 - ..
440435 - URINALYSIS PANEL
440436 - x x
440437 - Dates.....................2018 05 16 0946 180410 1450 180222 1526 171001 1251 170906 0040 170216 1634 161009 1337 160717 1055 160401 1443 16011 1714 150512 1300 150208 141201 141020 140814 140514 140203 140201 120509
440438 - VA Labcorp Quest Labcorp Labcorp Labcorp San Joaquin Genrl Labcorp Labcorp Labcorp Labcorp Labcorp Labcorp Labcorp Labcorp Labcorp VA VA Labcorp VA Labcorp VA VA Labcorp
440439 - 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
440440 - PH 6.0 5.5 5.5 5.5 5.5 6.5 5.5 5.5 7.5 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
440441 - PROTEIN 1+ Abnormal NEG Trace Trace 1+ Abnormal NEG Trace NEG NEG Trace NEG NEG NEG Trace Trace NEG NEG NEG NEG mg/dL NEG - TRACE NEG - TRACE
440442 - GLUCOSE NEG Abnormal NEG NEG NEG NEG Trace NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG mg/dL Ref: NEG NEG
440443 - KETONES 1+ Abnormal 1+ Abnormal 1+ Abnormal 1+ Abnormal Trace Abnormal Trace Trace Abnormal NEG NEG NEG 2+ Abnormal NEG 1+ Abnormal 1+ Abnormal Trace Abnormal 15 Trace Abnormal NEG NEG mg/dL Ref: NEG NEG
440444 - BILI NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG Ref: NEG NEG
440445 - BILIcnf NEG Ref: NEG
440446 - BLOOD NEG 1+ TRACE TRACE TRACE TRACE Ref: NEG
440447 - NITRITE, URINE NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG Ref: NEG NEG
440448 - UROBILI 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 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
440449 - LEU EST NEG NEG Ref: NEG
440450 - SP.GRAV 1.025 1.025 1.028 1.028 1.038 H >1.030 H 1.030 1.028 1.018 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
440451 - COLOR Yellow Yellow Yellow YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW
440452 - APPEAR Cloudy Clear Clear CLEAR Turbid Abnormal CLEAR Cloudy Abnormal CLEAR CLEAR CLOUDY ABNORMAL CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR
440453 - WBC 6-10 Abnormal 0-5 0-5 0-5 /hpf 0 - 5
440454 - WBC ESTERASE Trace NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG
440455 - RBC 0-2 0-2 0-5 0-2 0-2 /hpf 0 - 2
440456 - OCCULT BLOOD NEG NEG NEG NEG NEG NEG NEG NEG NEG Trace Abnormal NEG NEG NEG NEG NEG NEG NEG
440457 - UROBILINOGEN... 0.2 0.2 0.2 0.2 0.2 mg/dL 0.2 - 1.0
440458 - NITRITE, URINE NEG NEG NEG NEG NEG NEG NEG NEG NEG
440459 - HAYALINE CASTS NONE NORM(0-1) per lpf 0 - 1
440460 - GRANULAR CASTS None per lpf Ref: None
440461 - CELLULAR CASTS None per lpf Ref: None
440462 - RBC/HPF NORM(0-3) per lpf 0 - 3
440463 - BACTERIA Few NONE None seen None seen 0 - 1 None seen / Few
440464 - EPITHELIAL CELLS None seen FEW None seen 0-10 NORM(0-1) /hpf 0 - 10
440465 - RENAL EPITHELIAL CELLS None per lpf Ref: None
440466 - CALCIUM OXILATE CRYST Present Abnormal N/A
440467 - URIC ACID CRYSTALS NORM(0-1) per lpf 0 - 1
440468 - TRIPLE PHOSPHATE CRYST NORM(0-1) per lpf 0 - 1
440469 - AMORPHOUS SEDIMENT None per lpf Ref: None
440470 - MUCOUS Present Present No Report Present Present Not Established
440471 - TRICHOMONAS None per lpf Ref: None
440472 - YEAST None per lpf Ref: None
440473 - CULTURE REFLEXED No
440474 - TR EPTH None per lpf Ref: None
440475 - Microscopic Examination
440476 - Microscopic follows
440477 - if indicated
440478 - ALBUMIN 0.9
440479 - ALBUMIN/creatinine 29
440480 - CREATININE 148
440481 -
440482 -
440483 -
440484 -
440485 -
440486 -
440487 -
440488 -
440489 -
4405 -
SUBJECTS
Lab Electrolytes Chem Profile Glucose 97 Sodium NA 144 Potasium K 5.
6103 -
610401 - ..
610402 - T Bili 2.0 Hyperbilirubinemia Due Elevated Acetaminophen Pain Medication
610403 - Salt Sodium NA Increased Due Increased Digestion Medications
610404 - Alk Phos Significant Decline But Still Elevated
610405 - HDL 61 Other Lipids Improved After Resume Hiking 2 Months
610406 -
610407 - Follow up ref SDS F3 KK9M, ref SDS F1 KK9M.
610408 -
610409 - Prior CHEM PROFILE on 120509 1108. ref SDS 27 KK9M
610410 - Prior CHEM PROFILE on 120831 1524. ref SDS 28 KK9M
610411 - Prior CHEM PROFILE on 130228 1140. ref SDS 37 KK9M
610412 - Prior CHEM PROFILE on 130529 0818. ref SDS 39 KK9M
610413 - Prior CHEM PROFILE on 131015 0724. ref SDS 41 KK9M
610414 - Prior CHEM PROFILE Labcorp on 140201 1159. ref SDS 53 KK9M
610415 - Prior CHEM PROFILE on 140203 1147. ref SDS 54 KK9M
610416 - Prior CHEM PROFILE Labcorp on 140508 1149. ref SDS 61 KK9M
610417 - Prior CHEM PROFILE on 140520 0732. ref SDS 67 KK9M
610418 - Prior CHEM PROFILE on 140814 1530. ref SDS 71 KK9M
610419 - Prior CHEM PROFILE Labcorp on 141020 1025. ref SDS 76 KK9M
610420 - Prior CHEM PROFILE on 141021 11150 ref SDS 78 KK9M
610421 - Prior CHEM PROFILE Labcorp on 141201 0840. ref SDS 83 KK9M
610422 - Prior CHEM PROFILE Labcorp on 150208 1438. ref SDS 85 KK9M
610423 - Prior CHEM PROFILE Labcorp on 150208 14380 ref SDS 86 KK9M
610424 - Prior CHEM PROFILE on 150209 10120 ref SDS 87 KK9M
610425 - Prior CHEM PROFILE Labcorp on 150512 1239, ref SDS 90 KK9M
610426 - Prior CHEM PROFILE on 150728 11146, ref SDS 94 KK9M
610427 - Prior CHEM PROFILE Labcorp on 160131 1700, ref SDS A3 KK9M
610428 - Prior CHEM PROFILE on 160202 1220. ref SDS A5 KK9M
610429 - Prior CHEM PROFILE Labcorp on 160401 1219, ref SDS A7 KK9M
610430 - Prior CHEM PROFILE at VA on 160503 1130. ref SDS A8 KK9M
610431 - Prior CHEM PROFILE Labcorp on 160717 1053. ref SDS B4 KK9M
610432 - Prior CHEM PROFILE Labcorp on 161009 1320. ref SDS B5 KK9M
610433 - Prior CHEM PROFILE Labcorp on 170216 1534. ref SDS C2 KK9M
610434 - Prior CHEM PROFILE at VA on 170412 0700. ref SDS C8 KK9M
610435 - Prior CHEM PROFILE at VA on 170911 1040. ref SDS D6 KK9M
610436 - Prior CHEM PROFILE Labcorp test on 171001 1246. ref SDS D9 KK9M
610437 - Prior CHEM PROFILE Labcorp test on 171124 0851. ref SDS E2 0X72
610438 - Prior Quest CHEM PROFILE on 180222 1500. ref SDS E5 KK9M
610439 - Prior CHEM PROFILE Labcorp test on 180411 0757. ref SDS E8 0X72
610440 - Prior Quest CHEM PROFILE on 180504 1310. ref SDS F0 KK9M
610441 - Prior CHEM PROFILE Labcorp test on 180504 1357. ref SDS F1 0X72
610442 - Prior Quest CHEM PROFILE on 180504 1310. ref SDS F0 KK9M
610444 - ..
610445 - Lab results from VA stored in...
610446 -
610447 - F:\05\00003\SM\CC\AGMJ\20180516-093000\VA_labs.pdf
610448 -
610450 - ..
610451 - ELECTROLYTES - CHEM PROFILE
610452 - COMPREHENSIVE METABOLIC PANEL
610453 -
610454 - ..
610455 - x x
610456 - Dates......... 2018 05 16 0930 180514 1553 180504 1407 180504 1323 180411 0757 180410 1450 180222 1526 171001 1251 170911 1047 170906 0420 170905 2350 170412 0700 02 16 1639 161011 1114 161009 1337 160717 1055 160503 1145 160401 1443 160202 1334 160131 1714 150728 1154 150512 1349 150512 1300 150209 150208 141201 141021 141020 140814 140520 140514 140508 140203 140201 131015 130529
610457 - VAMCSF Quest Labcorp Quest VAMCSF Labcorp Quest Labcorp Labcorp VAMCSF San Joaquin Gnrl San Joaquin Gnrl VAMCSF Labcorp VAMCSF Labcorp Labcorp VA Labcorp VA Labcorp VA VA Labcorp VA Labcorp Labcorp VA Labcorp VA VA VA Labcorp VA Labcorp VA VA VA
610458 - PLASMA Results Results Results Results Results Results Results Results Results Results Results Results Results Results 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
610459 - GLUCOSE 110 97 100 H 94 110 104 H 92 95 104 H 114 158 H 179 H 110 92 109 96 108 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 74 - 118 65
610460 - GLUfast mg/dL Ref: <=99
610461 - NA (salt) 139 146 149 H 143 142 148 H 144 150 H 146 H 142 135 134 L 142 149 H 144 144 145 H 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
610462 - K (potassium) 4.6 6.2 H 5.8 H 5.7 H 4.4 5.4 H 4.8 5.0 4.7 4.4 4.3 4.2 4.4 5.1 6.0 H 5.5 H 5.7 H 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
610464 - ..
610465 - This result - k 4.6, corrects prior Quest lab 2 days ago reporting
610466 - elevated K 6.2, cited in call from HTC yesterday on 180515 1037.
610467 - ref SDS F4 XN3H
610469 - ..
610470 - CL (Chloride) 105 107 103 104 103 103 107 105 104 105 104 103 104 105 107 103 103 103 102 108 106 104 100 99 109 103 106 103 H 108 H 108 102 105 103 102 105 105 mmol/L 98 - 106 97
610471 - CO2 (Carbon Dxide) 29 27 27 30 28 29 27 27 22 39 22 L 20 L 31 21 28 23 25 27 27 27 31 31 30 29 28 29 29 29.0 30.0 37.0 30.0 mmol/L 23 - 33
610472 - AGAP 5.0 11.0 8.0 13.3 15.2 7.0 9.0 11.0 11.0 9.0 9.0 7.0 7.0 7.0 7.0 8.0 mmol/L 5 - 20
610473 - BUN (Urea Nitrogen) 17 25 30 H 32 H 22 16 24 18 18 21 23 20 26 37 H 28 H 17 34 H 21 24 22 22 17 29 H 26 H 28 H mg/dL 8 - 26 8
610474 - * BUN/Creati Ratio 18 21 22 15 23 25 26 H 20 20 18 26 H 24 H 22 H 28 19 H 23 17 20 24 18 10
610475 - CREAT 1.0 1.40 H 1.41 H 1.43 H 1.3 H 1.45 H 1.05 1.06 1.15 0.9 0.85 0.94 1.0 1.22 1.1 1.09 1.01 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
610476 - ** eGFR INA 78 49 L 49 L 48 L 53 L 47 L 71 70 63 82 >60 >60 73 59 L 65 68 74 61 70 64 68 72 80 80 77 64 91 66 >60 102 79 >60 91 >60 >60 mL/min Ref: >=60
610477 - eGFR IA 57 L 57 L 56 L 55 L 82 81 73 79 86 81 79 92 89 74 76 92 106 mL/min
610478 - CALCIUM 9.3 10.3 10.7 H 10.2 9.5 10.4 H 9.6 9.7 9.6 9.6 8.9 9.1 9.3 10.4 H 9.6 10.0 9.7 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
610479 - CA CORR mg/dL 8.7 - 10.2
610480 - PO4 mg/dL 2.4 - 4.5
610481 - MG 85 mg/dL 1.8 - 2.5
610482 - ALK PHO 116 H 111 111 121 H 112 132 H 193 H 98 104 90 105 108 82 82 82 100 79 79 88 98 96 107 85 86 100 105 84 87 U/L 37 - 107 39
610483 - Phosphorous, Serum 4.1 3.2 3.4 2.9 3.2 mg/dL 2
610485 - ..
610486 - T. BIL 1.7 H 1.8 H 1.9 H 1.7 H 1.4 H 1.7 H 2.0 H 1.5 H 1.4 H 2.0 H 1.7 H 1.3 1.0 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
610487 - D. BILI 0.2 0.1 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
610488 - 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
610489 - AST (SGOT) 29 30 30 27 36 31 31 34 70 H 26 27 24 21 24 33 26 17 23 26 31 25 23 26 23 21 20 22 IntUnits/L 8 - 42 0
610490 - ALT (SGPT) 26 32 31 29 42 26 29 32 57 H 22 25 23 22 32 22 22 17 18 23 30 21 21 17 21 19 17 19 IntUnits/L 5 - 55 0
610491 - ALBUMIN 4.7 4.8 4.6 4.4 4.8 4.3 4.5 4.7 4.0 4.8 4.3 4.4 4.3 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
610492 - PROTEIN (TP) 7.1 7.2 7.1 7.1 7.5 6.6 6.7 7.0 7.0 7.1 7.0 6.7 6.5 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
610493 - Globulin, Total 2.4 2.4 2.5 2.7 2.3 2.2 2.3 3.0 2.3 2.3 2.2 2.5 2.2 2.1 1.9 2.1 2.0 2.1 g/dL 1
610494 - A/G Ratio 2.0 1.8 1.9 2.0 2.0 1.3 2.1 1.9 2.0 1.8 2.0 2.3 2.5 2.3 2.3 2.1 1
610495 - LDH 193 268 H 189 240 H 241 H 223 200.0 180.0 IntUnits/L 90 - 208 0
610496 - GGT 14 11 13 13 11.0 9.0 IU/L 0
610497 - Iron, Serum 98 110 115 89 101 146 100.0 114.0 ug/dL 40
610498 - AMYLASE Units/L 28 - 100
610499 - LIPASE Units/L 7 - 58
610500 - NH3 mcmol/L 15 - 56
610501 - URIC AC 5.4 5.3 4.9 5.4 mg/dL 4.8 - 8.7 3
610502 - * ALANINE AMINOTR 20 IntUnits/L 5 - 55
610503 - * ASPARTATE AMINOTR 23 IntUnits/L 8 - 42
610504 - GLOMERULAR FILTRATION
610505 - RATE.PREDICTED 95.6 mL/min > 60
610506 -
610507 - x
610508 - ..
610509 - Cholesterol, Total 196 219 H 212 H 221 H 200 191 197 179 284 H 167 161 174 164.0 162.0 mg/dL 100.0 - 199.0
610510 - Triglycerides 82 103 107 99 89 103 83 64 107 60 66 79 55.0 64.0 mg/dL 0.0 - 149.0
610511 - HDL Cholesterol 67 64 60 67 65 61 53 73 57 68 67 61 > 39
610512 - VLDL Cholesterol Cal 16 21 21 20 21 5 - 40
610513 - LDL Cholesterol Calc 112 H 134 H 131 H 134 H 116 H 109 H 127 93 206 H 87 81 96 0 - 99
610514 - T Chol/HDL ratio 2.9 3.5 3.1 3.13 3.7 2.5 5.0 2.5 2.4 2.8 0.0 - 5.0
610516 - ..
610517 - TG/HDL ratio...... 1.5 1.7 1.7 . 1.57 0.88
610519 - ..
610520 - These lipid results align with Cardio IQ(R) Advanced Lipid Panel
610521 - reported below. ref SDS F3 U45J
610522 -
610523 - Please Note:
610524 -
610525 - T Chol/HDL Ratio Men Women
610526 -
610527 - 1/2 Avg Risk 3.4 3.3
610528 - Avg Risk 5.0 4.4
610529 - 2x Avg Risk 9.6 7.1
610530 - 3x Avg Risk 23.4 11.0
610532 - ..
610533 - Estimated CHD Risk < 0.5 times avg 0.0 - 1.0
610535 - ..
610536 - The CHD Risk is based on the T Chol/HDL ratio.
610537 - Other factors affect CHD Risk such as hypertension,
610538 - smoking, diabetes, severe obesity, and family history
610539 - of premature CHD.
610540 -
610542 - ..
610543 - a. Test Performed at...
610544 - Jenny Galloway, MD
610545 - LabCorp San Diego
610546 - 13112 Evening Creek Dr So Ste 200, San Diego, CA 92128-4108
610548 - ..
610549 - For inquiries, the physician may contact Branch:
610550 - 800-762-4344 Lab: 858-668-3700
610552 - ..
610553 - For inquiries, the physician may contact Branch:
610554 - 800-762-4344 Lab: 858-668-3700
610555 -
610556 -
610557 -
610559 - ..
610560 - Notes on Electrolytes Lab Hyperbilirubinemia Potassium Heart Problems
610561 - Hyperbilirubinemia Potassium Heart Problems Notes on Electrolytes Lab
610562 - Potassium Heart Problems Hyperbilirubinemia Notes on Electrolytes Lab
610563 -
610564 - Follow up ref SDS F3 G34G, ref SDS F1 G34G.
610565 -
610566 - For some reason, T Bilirubin was not checked this cycle by the VA...
610567 -
610568 - 1. T Bilirubin 2.0...0.3 - 1.2..... ref SDS E2 015M
610570 - ..
610571 - Collection DT T Bili Range Source
610572 - 11/24/2017 15:08 2.0 H...0.3 - 1.2.. ref SDS E2 015M
610573 - 10/01/2017 12:51 1.5 H...0.3 - 1.2.. ref SDS D9 015M
610574 - 09/11/2017 10:47 ...0.3 - 1.2.. ref SDS D6 015M
610575 - 09/06/2017 04:20 1.4 H...0.3 - 1.2.. ref SDS D4 015M
610576 - 09/05/2017 23:50 ...0.3 - 1.2.. ref SDS D2 015M
610577 - 04/12/2017 07:00 ...0.3 - 1.2.. ref SDS C8 015M
610578 - 02/16/2017 16:39 2.0 H...0.3 - 1.2.. ref SDS C2 015M
610579 - 10/11/2016 11:14 1.7 H...0.3 - 1.2.. ref SDS B6 015M
610580 - 10/09/2016 13:37 1.3 H...0.3 - 1.2.. ref SDS B4 015M
610581 - 07/17/2016 10:55 1.0 ...0.3 - 1.2.. ref SDS B4 015M
610582 - 05/03/2016 11:45 ...0.3 - 1.2.. ref SDS A8 015M
610583 - 04/01/2016 14:43 1.8 H...0.3 - 1.2.. ref SDS A7 015M
610584 - 02/02/2016 13:34 2.2 H...0.3 - 1.2.. ref SDS A5 015M
610585 - 01/31/2016 17:14 1.7 H...0.3 - 1.2.. ref SDS A4 015M
610586 - 05/12/2015 13:49 1.6 H...0.3 - 1.2.. ref SDS 91 015M
610587 - 05/12/2015 13:00 1.2 ...0.3 - 1.2.. ref SDS 90 015M
610588 - 02/08/2015 14:52 1.5 H...0.3 - 1.2.. ref SDS 86 015M
610589 - 01/12/2014 08:40 1.9 H...0.3 - 1.2.. ref SDS 83 015M
610590 - 20/10/2014 10:60 2.0 H...0.3 - 1.2.. ref SDS 76 015M
610591 - 14/08/2014 15:28 2.5 H...0.3 - 1.2.. ref SDS 71 WJ5H
610592 - 20/05/2014 10:20 1.2 ....0.3 - 1.2.. ref SDS 67 015M
610593 - 08/05/2014 11:49 1.3 H...0.0 - 1.2.. ref SDS 61 015M
610594 - 03/02/2014 09:52 2.1 H...0.3 - 1.2.. ref SDS 54 015M
610595 - 01/02/2014 12:28 1.6 H...0.0 - 1.2.. ref SDS 53 015M
610596 - 15/10/2013 08:25 1.7 H...0.3 - 1.2.. ref SDS 41 015M
610597 - 29/05/2013 08:18 1.3 H...0.3 - 1.2.. ref SDS 39 1Y9G
610598 - 28/02/2013 08:36 1.3 H...0.3 - 1.2.. ref SDS 37 6S4F
610599 - 31/08/2012 15:24 2.3 H...0.3 - 1.2.. ref SDS 28 NV9M
610600 - 09/05/2012 11:24 2.5 H...0.3 - 1.2.. ref SDS 27 O46K
610601 - 09/02/2012 11:18 1.8 H...0.3 - 1.2.. ref SDS 23 KK9M
610602 - 17/11/2011 14:27 1.3 H.............. ref SDS 21 KK9M
610603 - 13/10/2011 14:35 1.3 H.............. ref SDS 20 GM65
610604 - 27/07/2011 12:58 2.0 H.............. ref SDS 17 GM65
610605 - 07/12/2010 09:17 1.0 ............... ref SDS 16 GM65
610606 - 21/07/2010 08:54 1.3 H.............. ref SDS 12 GM65
610607 - 14/12/2009 1.3 H ............. ref DRP 1 DE4O
610608 - 02/11/2009 0.9 ............... ref DRP 1 LG4L
610609 - 13/08/2009 15:09 1.7 H.............. ref SDS 6 VG8R
610611 - ..
610612 - On 131017 1000 VA medical chart Progress Notes assessment
610613 - reports Doctor Egan diagnosed chronic hyperbilirubinemia.
610614 - ref SDS 43 PSXT
610616 - ..
610617 - Liver damage that reduces production of HDL cholesterol seems
610618 - also associated with elevated bilirubi due to statin side
610619 - effects, reviewed on 160131 1700. ref SDS A4 FX40
610621 - ..
610622 - Liver damage reduces production of HDL cholesterol, associated
610623 - with acetaminophen and ibuprofen taken to control pain in feet
610624 - and knees, which enables hiking extended mileage that elevates
610625 - HDL. Thus, rate of HDL increase is reduced, so will try taking
610626 - naproxen, which does not impact the liver production of HDL.
610628 - ..
610629 - T Bilirubin 2.0 increased elevated slightly above range,
610630 - reflects increased reliance on acetaminophen (see also
610631 - hydrocodone combined with acetaminophen) and ibuprofen to
610632 - manage feet and knee pain for hiking the past 2 months,
610633 - beginning on 170928, shown in case study on 160101 0700.
610634 - ref SDS A0 WYWU This compounds chronic side effects low dose
610635 - statin medications causing poor liver function, as reviewed
610636 - previously on on 140514 0950. ref SDS 64 G34G Side effects of
610637 - peripheral neuropathy in right foot have ended from prior
610638 - condition that ebbed and flowed, reported on 140510, shown in
610639 - case study on 120101 0900. ref SDS 22 TV6I
610641 - ..
610642 - On 160131 1700 elevated LDH may also indicate liver damage due
610643 - to statin medication. at ref SDS A4 FX40 This has not been
610644 - tested again, so there is no record on continuity.
610646 - ..
610647 - On 140819 0800 during meeting with Doctor Sandhu in Primary
610648 - Care VA Clinic in Martinez, there was no review of chronic
610649 - hyperbilirubinemia, with T Bilirubin 2.5 rising 110% above
610650 - range, ref SDS 73 9K7I, shown in lab ordered by the doctor on
610651 - 140814. ref SDS 71 015M
610653 - ..
610654 - Background on Rosuvastatin causing elevated T Bilirubin with
610655 - associated severe side effects is reported on 121206 0900,
610656 - ref SDS 33 NI9L, and further explained in the record on 121130
610657 - 0846. ref SDS 32 ER4K
610659 - ..
610660 - On 131017 1000 Doctor Egan explained patient history of
610661 - intermittant and mild peripheral neuropathy that correlates
610662 - with persistent elevated Bilirubin in lab on 131015,
610663 - ref SDS 41 015M, and further reported with vitals, diet and
610664 - exercise since prior meeting at VA on 130603, see case study on
610665 - 120101 0900, ref SDS 22 X14N, suggests intervention is not
610666 - required at this time to improve recovery from side effects
610667 - taking Rosuvastatin. ref SDS 43 LV5J
610668 -
610670 - ..
610671 - 2. Potassium K 4.7 ............................. ref SDS D9 ZG5O
610672 -
610673 - Potassium 4.7 maintained within range, may reflect reduced
610674 - hiking due to injuries the past year.
610676 - ..
610677 - Similarly, dramatic decline in hiking during 2014, tracked
610678 - potassium within range, reported on 150208 1438. ref SDS 87
610679 - ref SDS 87 ZY7M.
610681 - ..
610682 - Doctor Egan, referring cardiology physician at Martinez VA,
610683 - noted in a letter that meeting at VA Medical Center in San
610684 - Francisco on 140213 0830, ref SDS 57 GT7G, did not address
610685 - elevated potassium in labs performed by Labcorp and VA, shown
610686 - on 140203 1147. ref SDS 54 ZG5O Doctor Egan again notified
610687 - that this condition of elevated potassium represents exposure
610688 - to "electrical problems" with the heart, reported on 140430.
610689 - ref SDS 59 UV5I
610691 - ..
610692 - Doctor Egan was concerned last year about potassium (K) rising
610693 - above range for good health. He explained potassium effects
610694 - electrical signals to the heart, and so has significance for
610695 - CVD, reported during meeting at VA on 121206 0900. ref SDS 33
610696 - 6K56
610698 - ..
610699 - At that time on 121206, the doctor cited medication conflicts
610700 - as possibly causing elevated potassium. ref SDS 33 FI7L Doctor
610701 - Egan further considered dehydration (urination) caused by
610702 - Rosuvastatin may have skewed lab results for electrolytes on
610703 - 121130, and so ordered re-test. ref SDS 33 6K4J
610705 - ..
610706 - On 121212 0941 re-test lab reported Glucose 111, sodium 139,
610707 - and potassium (K) 4.6, all within range, ref SDS 34 KK9M,
610708 - correcting errors noted by Doctor Egan during meeting at VA on
610709 - 121206 0900. ref SDS 33 6K4J
610710 -
610712 - ..
610713 - 3. Glucose 104.....65 - 99 Labcorp......... ref SDS D9 ZG5O
610714 -
610715 - Glucose trending higher because hiking declined due to
610716 - injuries.
610718 - ..
610719 - Diabetes concern from reduced hiking due to metatarsalgia side
610720 - effects, causing weight to increase at times above 180; this
610721 - has subisded the past month, because hiking increased
610722 - significantly, as set out below. ref SDS D9 DC6L
610724 - ..
610725 - On 140814 VA Martinez lab reported HGBA1c 5.6 within range 4 -
610726 - 6, seems to indicate no evident exposure for diabetes.
610727 - ref SDS 78 H66G
610729 - ..
610730 - On 140514 0950 VA lab for HGBA1c 5.4 within range 4 - 6, seems
610731 - to indicate no evident exposure for diabetes. ref SDS 64 H66G
610732 -
610734 - ..
610735 - 4. Salt NA 146...134 - 144......... ref SDS D9 WJ5H
610736 -
610737 - NA salt 146 above range reflects reduced hiking past year.
610738 -
610740 - ..
610741 - 5. LDH for range 0.0 - 225..... ref SDS D9 015M
610742 -
610743 - LDH not reported. Previously, fell back within range for lab
610744 - on 160401 1219. ref SDS A7 015M Reflects reduced hiking due to
610745 - injury. See mileage chart showing 83 miles for February and 48
610746 - miles for March 2016, in case study on 160101 0700. ref SDS A0
610747 - XY4M
610749 - ..
610750 - Research indicates...
610751 -
610752 - http://get.smarter.com/qa/health/causes-elevated-ldh-levels-blood-bb5efae2447298f8?ad=semD&an=google_s&am=broad&o=33306
610753 -
610754 - ...elevation in LDH (lactic acid dehydrogenase) levels include
610755 - certain cancers, heart attack, blood flow deficiency, stroke or
610756 - other cerebrovascular accidents, hemolytic anemia or infectious
610757 - mononucleosis. Liver diseases, including hepatitis, may also
610758 - cause high levels of LDH. Low blood pressure, injuries to the
610759 - muscles, muscular dystrophy and tissue death are additional
610760 - causes, according to Healthline.
610761 -
610762 -
610763 -
610764 -
610765 -
610766 -
610767 -
6108 -
SUBJECTS
VA Lab Lipid Cholesterol 164 with Medication Hiking 1000 Miles Weigh
8103 -
810401 - ..
810402 - HDL 60 TG 105 Resume Hiking After PRP Treat Feet and Left Knee
810403 -
810404 - Follow up ref SDS F3 IM9N, ref SDS F1 IM9N.
810405 -
810406 - Prior LIPID PANEL 120509 1108. ref SDS 27 IM9N
810407 - Prior LIPID PANEL 120831 1525. ref SDS 28 IM9N
810408 - Prior LIPID PANEL 130228 1140. ref SDS 37 IM9N
810409 - Prior LIPID PANEL 130529 0818. ref SDS 39 IM9N
810410 - Prior LIPID PANEL 131015 0724, ref SDS 41 IM9N
810411 - Prior LIPID PANEL Labcorp, 140201 1159, ref SDS 53 IM9N
810412 - Prior LIPID PANEL, 140203 1147, ref SDS 54 IM9N
810413 - Prior LIPID PANEL Labcorp, 140508 1149. ref SDS 61 IM9N
810414 - Prior LIPID PANEL, 140814 1530, ref SDS 71 IM9N
810415 - Prior LIPID PANEL Labcorp, 141021 1009. ref SDS 77 IM9N
810416 - Prior LIPID PANEL, 141021 1150, ref SDS 78 IM9N
810417 - Prior LIPID PANEL Labcorp, 141106 0630, ref SDS 80 IM9N
810418 - Prior LIPID PANEL Labcorp, 141201 0852, ref SDS 83 IM9N
810419 - Prior LIPID PANEL Labcorp, 150208 1438, ref SDS 86 IM9N
810420 - Prior LIPID PANEL VA Medical Center San Francisco, 150209 1012, ref SDS 87 IM9N
810421 - Prior LIPID PANEL Labcorp, 150512 1239, ref SDS 90 IM9N
810422 - Prior LIPID PANEL VA Clinic Martinez, 150512 1349, ref SDS 91 IM9N
810423 - Prior LIPID PANEL Labcorp, 150602 1300, ref SDS 92 IM9N
810424 - Prior LIPID PANEL VA Medical Center San Francisco, 150728 1146, ref SDS 94 IM9N
810425 - Prior LIPID PANEL Labcorp, 160131 1714, ref SDS A3 IM9N
810426 - Prior Lipid Panel VA Medical Center San Francisco, 160202 1220. ref SDS A5 IM9N
810427 - Prior LIPID PANEL Labcorp, 160401 1219, ref SDS A7 IM9N
810428 - Prior Lipid Panel VA Medical Center San Francisco, 160503 1130. ref SDS A8 IM9N
810429 - Prior LIPID PANEL Labcorp, 160717 1053, ref SDS B4 IM9N
810430 - Prior LIPID PANEL Labcorp, 161009 1320, ref SDS B5 IM9N
810431 - Prior Lipid Panel VA Medical Center San Francisco, 161011 1100. ref SDS B6 IM9N
810432 - Prior Lipid Panel VA Medical Center San Francisco, 170206 1100, ref SDS B9 IM9N,
810433 - Prior LIPID PANEL Labcorp, 170216 1634, ref SDS C2 IM9N
810434 - Prior Lipid Panel VA Medical Center San Francisco, 170412 0700, ref SDS C8 IM9N,
810435 - Prior LIPID PANEL Labcorp, 171001 1246, ref SDS D9 IM9N
810436 - Prior Lipid Panel VA Medical Center San Francisco, 171011 0710, ref SDS E1 IM9N
810437 - Prior Lipid Panel Quest on 180222 1500. ref SDS E5 IM9N
810438 - Prior LIPID PANEL Labcorp, 180410 1444, ref SDS E7 IM9N
810439 - Prior Lipid Panel VA Medical Center San Francisco, 180411 0750, ref SDS E8 IM9N
810440 - Prior Lipid Panel Quest on 180504 1310. ref SDS F0 IM9N
810441 - Prior LIPID PANEL Labcorp, 180504 1357, ref SDS F1 IM9N
810442 - Prior Lipid Panel Quest on 180514 11538 ref SDS F3 IM9N
810444 - ..
810445 - Lab results from Quest stored in...
810446 -
810447 - F:\05\00003\SM\CC\AGMJ\20180514-155300\Test_Results_39978.pdf
810448 -
810450 - ..
810451 - LIPID PANEL
810452 - ..
810453 - x x x x
810454 - Dates..............2018 05 14 1553 180504 1407 180504 1323 180411 0757 180410 1450 180222 1526 171124 1508 171011 0713 171001 1251 170412 0700 170216 1639 170206 1049 161011 1114 161009 1337 160717 1055 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
810455 - Quest Labcorp Quest VAMCSF Labcorp Quest Labcorp VAMCSF Labcorp VAMCSF Labcorp VAMCSF VAMCSF Labcorp Labcorp VA Labcorp VA Labcorp VA VA Labcorp VA Labcorp VA Labcorp Labcorp Labcorp VA Labcorp VA VA Labcorp VA Labcorp VA VA
810456 - 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 Results Results Results Results Results Results Results Results Results Results Results Results Results Results Units
810457 - LDL Particle Number
810458 - LDL P 1603 H 1257 H 1090 H 1272 H 1678 H 1619 H 1346 H 1379 H 699 1158 H 2537 H 709 656 997 H 1586 851 861 nmol/L
810459 -
810460 -
810461 -
810462 -
810464 - ..
810465 - Lipids
810466 - CHOL 196 219 H 212 175 226 H 181 194 179 211 H 184 242 H 196 231 245 229 196 197 177 183 315 153 199 H 299 H 282 H 161 162 157 137 159 157 161 (a) 164 162 160 156 321 H 307 mg/dL 1
810467 - (b) 169
810468 - TRIGLYC 82 103 107 84 101 81 105 81 158 H 67 103 72 66 98 70 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
810469 - (b) 59
810470 - HDL-C 67 64 60 60 65/67 67 60 55 57 54 72 61 62 65 67 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 R
810472 - ..
810473 - LDL-C 112 H 134 131 98 141 97 113 H 108 122 H 117 149 H 121 156 H 160 148 128 123 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 R
810474 - (b) 90
810475 - ** LDL Dir 93 mg/dL
810476 - TRIG NF mg/dL R
810478 - ..
810479 - TC/HDL ratio 2.9 3.5 2.9 3.5 2.7 2.7 3.2 3.3 3.7 3.4 3.4 3.2 3.7 3.8 3.4 3.4 3.5 2.6 2.5 5.3 2.4 2.9 5.2 5.0 2.3 2.49 2.49 2.58 2.79 2.85 2.93 2.48 2.42 2.76 2.56
810480 - TG/HDL ratio 1.4 1.6 1.2 1.2 1.8 1.5 2.8 1.2 1.4 1.2 1.1 1.5 1.0 1.0 1.6 0.9 0.8 1.0 0.8 1.1 1.8 1.9 0.7 1.0 1.1 1.3 1.2 1.5 1.4 2.48 2.42 2.76 2.56
810482 - ..
810483 - Non HDL Cholesterol 152 114
810484 -
810486 - ..
810487 - LDL and HDL Particles
810488 - HDL-P (Total) 40.9 37.9 35.8 42.5 40.4 39.4 33.9 41.9 42.3 34.3 39.5 38.9 35.2 36.4 38.1 31.4 umol/L
810489 - Small LDL-P 847 H 376 626 H 843 H 543 436 636 H 176 417 1141 H 153 310 387 H 1277.0 < 90.0 < 90.0 umol/L
810490 - LDL Size 20.5 20.9 20.4 20.6 21.2 21.2 20.6 20.9 20.9 20.8 21.0 20.4 Low 20.8 L 19.7 21.2 21.3 nm
810491 -
810493 - ..
810494 - CYSTATIN C 1.27 H
810496 - ..
810497 - eGFRcys 57.7 L
810498 -
810499 -
810501 - ..
810502 - Article explains HDL-P...
810503 -
810504 - Clinical Chemestry
810505 -
810506 - HDL-C vs HDL-P: How Changing One Letter Could Make a
810507 - Difference in Understanding the Role of High-Density
810508 - Lipoprotein in Disease
810509 -
810510 - http://clinchem.aaccjnls.org/content/60/11/e1
810512 - ..
810513 - HDL-P can be measured by NMR or by ion mobility (IM)
810514 - spectrometry.
810516 - ..
810517 - Most people measure HDL-P 32 - 34 using NMR methods, so 40.9
810518 - indicates high concentration.
810520 - ..
810521 - Most people measure HDL-P 5 - 6 using IM methods.
810522 -
810523 -
810525 - ..
810526 - --------------------------------------------------------
810527 - ** INTERPRETATIVE INFORMATION**
810528 - PARTICLE CONCENTRATION AND SIZE
810530 - ..
810531 - LDL AND HDL PARTICLES Percentile in Reference Population
810532 - HDL-P (total) High 75th 50th 25th Low
810533 - >34.9 34.9 30.5 26.7 <25.7
810534 - ..
810535 - Small LDL-P Low 25th 50th 75th High
810536 - <117 117 527 839 >839
810538 - ..
810539 - LDL Size <- Large (Pattern A)-> <- (Pattern B) ->
810540 - 23.0 20.6 20.5 19.0
810541 -
810543 - ..
810544 - Comment:
810545 -
810546 - Small LDL-P and LDL Size are associated with CVD risk, but
810547 - not after LDL-P is taken into account.
810549 - ..
810550 - These assays were developed and their performance
810551 - characteristics determined by LipoScience. These assays
810552 - have not been cleared by the US Food and Drug
810553 - Administration. The clinical utility of these laboratory
810554 - values have not been fully established.
810556 - ..
810557 - Insulin Resistance Scr x x x x x x x
810558 - LP-IR Score 26 <25 37 < 25 < 25 < 25 45 < 25 H 46.0 < 25.0 < 25.0 <= 45.
810559 -
810561 - ..
810562 - INSULIN RESISTANCE MARKER
810563 -
810564 - <--Insulin Sensitive Insulin Resistant-->
810565 - Percentile in Reference Population
810566 - Insulin Resistance Score
810567 - LP-IR Score Low 25th 50th 75th High
810568 - <27 27 45 63 >63
810569 -
810571 - ..
810572 - Comments...
810573 -
810574 - LP-IR Score is inaccurate if patient is non-fasting. The
810575 - LP-IR score is a laboratory developed index that has been
810576 - associated with insulin resistance and diabetes risk and
810577 - should be used as one component of a physician's clinical
810578 - assessment. The LP-IR score listed above has not been
810579 - cleared by the US Food and Drug Administration.
810580 -
810581 - ========================================
810583 - ..
810584 - Final Report Labcorp NMR Lipid Panel
810586 - ..
810587 - Date Issued: 02/02/16 1133 ET
810589 - ..
810590 - This document contains private and confidential health
810591 - information protected by state and federal law.
810592 - If you have received this document in error, please call
810593 - 858-668-3700
810594 -
810595 - 1995-2014 Laboratory Corporation of America® Holdings
810596 - All Rights Reserved - Enterprise Report Version 1.00
810598 - ..
810599 - 02 BN William F Hancock, MD
810600 - Labcorp Burlington
810601 - 1447 York Court, Burlington, NC 27215-3361
810602 - 877 547 6837
810603 - 800-762-4344 Lab: 858-668-3700
810604 - Bianca
810605 - duranb3@labcorp.com
810607 - ..
810608 - For inquiries, the physician may contact Branch: 800 762 4344
810609 - Lab: 858 668 3700
810611 - ..
810612 - Prior labs contact for NMR Lipids...
810613 -
810614 - 02 BN Deanna Franke, PhD
810615 - Liposcience Inc
810616 - 2500 Sumner Blvd, Raleigh, NC 27616-3235
810617 - 877 547 6837
810618 - 800-762-4344 Lab: 858-668-3700
810619 - customer.service@liposcience.com
810620 -
810621 -
810622 -
810623 -
810624 -
810625 -
810627 - ..
810628 - Lipid History Trend Analysis
810629 -
810630 - Follow up ref SDS F3 W25L, ref SDS F1 W25L.
810631 -
810632 - There are 3 tests for cholesterol performed for an examination cycle:
810633 - (1) VA, (2) Liposcience NMR lipids, and (3) Labcorp lipids.
810634 - Confidence in lab results is high when these seperate labs are in
810635 - close proximity...
810636 - Small LDL LP-IR
810637 - Collection DT CHOL TRIGL HDL LDL-C LDL-P HDL-P LDL-P SIZE SCORE LDL-D
810638 - 05/14/2018 15:53 196 82 67 112 .......................................... ref SDS F3 1O6N
810639 - 05/04/2018 14:07 219 103 64 134 .......................................... ref SDS F1 1O6N
810640 - 05/04/2018 13:23 212 107 60 131 .......................................... ref SDS F0 1O6N
810641 - 04/11/2018 07:57 175 84 60 98 .......................................... ref SDS E8 1O6N
810642 - 04/10/2018 14:50 221 99 67 134 ..1603....40.9...847...20.5......26....... ref SDS E7 1O6N
810643 - 02/22/2018 15:56 181 81 67 97 .......................................... ref SDS E5 1O6N
810644 - 11/24/2017 15:08 191 103 61 109 H..1090....37.9...376...20.9....< 25....... ref SDS E2 U45J
810645 - 10/11/2017 07:13 179 81 55 108 ........................................... ref SDS E1 U45J
810646 - 10/01/2017 12:51 211 158 57 122 H..1272....35.8...626...20.4....< 37....... ref SDS D9 U45J
810647 - 04/12/2017 07:00 184 67 54 117 ........................................... ref SDS C8 U45J
810648 - 02/16/2017 16:39 242 H 103 72 149 H .1678....42.5...943...20.6....< 25....... ref SDS C2 U45J
810649 - 02/06/2017 10:49 196 72 61 121 ........................................... ref SDS B9 U45J
810650 - 10/11/2016 11:14 231 66 62 156 ........................................... ref SDS B6 U45J
810651 - 10/09/2016 13:37 245 98 65 160 ...1619....40.4...543...21.2....< 25....... ref SDS B5 U45J
810652 - 07/17/2016 10:55 229 70 67 148 ...1346....39.4...436...21.2....< 25....... ref SDS B4 U45J
810653 - 06/18/2016 00:54 230 66 63 153 ........................................... ref SDS B0 U45J
810654 - 05/03/2016 11:45 196 55 57 128 ........................................... ref SDS A8 U45J
810655 - 04/01/2016 14:43 197 88 56 123 ...1379....33.9...636...20.6......27....... ref SDS A7 U45J
810656 - 02/02/2016 13:34 177 61 69 96 ........................................... ref SDS A5 U45J
810657 - 01/31/2016 17:14 183 61 73 98 ....699....41.9...176...20.9....< 25....... ref SDS A4 U45J
810658 - 10/27/2015 13:49 315 H 59 60 243 H ......................................... ref SDS 98 5C7M
810659 - 07/28/2015 11:54 153 54 65 78 ........................................... ref SDS 95 U45J
810660 - rets 06/02/2015 13:00 199 H 77 69 115 H .1158....42.3...417...20.9....< 25....... ref SDS 93 U45J
810661 - 05/12/2015 13:49 299 H 103 58 220 H ......................................... ref SDS 92 5C7M
810662 - erro 05/12/2015 13:00 ?? 282 H 108 56 204 H .2537....34.3..1141...20.8......45....... ref SDS 91 BE6O
810663 - 02/09/2015 11:21 161 50 70 81 ......................................... ref SDS 88 BE6O
810664 - 02/08/2015 14:52 162 66 66 83 ..709....39.5...153...21.0....< 25....... ref SDS 87 BE6O
810665 - 12/01/2014 08:40 157 73 63 79 ..656....38.9...310...20.4....< 25....... ref SDS 84 BE6O
810666 - rets 11/06/2014 07:14 137 85 53 67 ..997....35.2...387...20.8......30....... ref SDS 81 BE6O
810667 - erro 10/21/2014 10:21 157 80 55 86 .1586....36.4..1277...19.7......46....... ref SDS 78 BE6O
810668 - 10/21/2014 11:48 159 65 57 90 ......................................... ref SDS 79 BE6O
810669 - 08/14/2014 15:28 161 72 55 92 ......................................... ref SDS 71 BE6O
810670 - 05/14/2014 10:16 164 58 66 87 .................................... 93.. ref SDS 64 BE6O
810671 - 05/08/2014 11:49 162 59 67 83 ..851....38.1...<90...21.2....< 25 ..... ref SDS 61 U45J
810672 - 02/03/2014 12:28 160 47 58 93 ......................................... ref SDS 54 BE6O
810673 - 02/01/2014 12:31 156 68 61 81 ..861....31.4...<90...21.3....< 25....... ref SDS 53 HW5M
810674 - 10/15/2013 08:25 321 H 109 50 249 H ......................................... ref SDS 41 BE6O
810675 - 05/29/2013 08:18 307 H 85 50 240 H ......................................... ref SDS 39 BE6O
810676 - 02/28/2013 08:39 310 H 73 47 248 H ......................................... ref SDS 37 BE6O
810677 - 11/30/2012 10:01 173 53 57 105 ......................................... ref SDS 32 BE6O
810678 - 08/31/2012 15:25 176 94 47 110 ......................................... ref SDS 28 U89N
810679 - 05/09/2012 11:24 158 76 49 94 ......................................... ref SDS 27 U89N
810680 - 02/09/2012 11:18 285 82 41 228 H ......................................... ref SDS 23 2A4G
810681 - 11/17/2011 14:27 260 84 43 200 H ......................................... ref SDS 21 2A4G
810682 - 07/27/2011 12:58 163 81 45 102 ......................................... ref SDS 17 E19L
810683 - 12/07/2010 09:17 151 41 47 96 ......................................... ref SDS 16 E19L
810684 - 07/21/2010 08:54 261 H 87 35 L 209 H ......................................... ref SDS 12 E19L
810685 - 06/10/2010 10:33 217 H 83 36 L 164 H ......................................... ref SDS 11 QV4F
810686 - 12/14/2009 11:10 241 H 136 44 170 H ......................................... 100928 0706, ref SDS 13 VW6J
810687 - 08/13/2009 15:09 233 H 118 30 L 179 H ......................................... 100610 1046, ref SDS 11 U45G
810688 - 06/16/2006 10:59 238 H 68 32 L 192 H ......................................... 091002 0900, ref SDS 7 LJ5H
810689 - 07/19/1999 11:31 331 H 123 44 262 H ......................................... ref SDS 1 5035
810690 -
810691 -
810692 - * Lab at VA San Francisco Medical Center reported on 100928 0706.
810693 - ref SDS 13 VW6J
810695 - ..
810696 - Research on cholesterol reported on 091002 0900. ref SDS 7 2F8K
810698 - ..
810699 - On 131125 0005 research found ezetimibe (zetia) mg added to
810700 - Atorvastatin 20 mg yielded after 6 weeks significantly greater changes
810701 - to lipids than taking Atorvastatin in higher doses, e.g., 20 or 40 mg.
810702 - ref SDS 47 CO56
810704 - ..
810705 - On 131125 0005 research found discordance LDL-P low and LDL-C high
810706 - lipid panel HDL 65 TG 77 healthy patient profile with LDL 246.
810707 - ref SDS 47 MN98 Discordance with LDL-P low and LDL-C high is lowest
810708 - risk for CVD, arterialsclorosis. ref SDS 47 FI3G
810710 - ..
810711 - Analysis....
810712 -
810713 - 1. HDL 60 (Labcorp NMR test) and HDL 61 standard lipid panel, per
810714 - above, ref SDS E2 1O6N, increased 5 - 6 points marginally
810715 - reaching 60 required to regress and prevent atherosclerosis.
810716 - Shows effect hiking 371 miles since prior lab at VA on 171011
810717 - 0710. ref SDS E1 5C7M
810719 - ..
810720 - HDL 73 was reported on 160131 1700. ref SDS A4 U45J
810721 - Previously, primary care Doctor Rao seemed to indicate it would
810722 - be impossible to increase HDL above 70, reported during meeting
810723 - at the VA Medical Center in San Francisco on 150213 0830.
810724 - ref SDS 89 L84O On 160202 1220 VA lab reported HDL 69,
810725 - ref SDS A5 U45J after hiking additional 30 miles which should
810726 - have yielded HDL 75 or so; may indicate VA refusing correct
810727 - reporting HDL > 69. ref SDS A5 GH8N
810729 - ..
810730 - Hiking increased with improved shoes and orthotic inserts that
810731 - resolved pain from plantar plate tear, and metatarsalgia,
810732 - purchased from On-the-Run reported 2 days ago on 170929 1010.
810733 - ref SDS D8 DH8F Additionally, feet and knee pain from
810734 - metatarsalgia, plantar plate tear and osteoarthritis beginning
810735 - to resolve following PRP injection treatments on 170726 1600,
810736 - ref SDS C9 0001, and follow up treatments 3 weeks later on
810737 - 170816 1400. ref SDS D0 0001
810739 - ..
810740 - 2. LDL-P 1090, ref SDS E2 BE6O, significant improvement from 1272
810741 - on 171001, ref SDS D9 BE6O, but signficantly worse than 699 -
810742 - best NMR lipid panel in over a year, ref SDS A3 BE6O, since
810743 - LDL-P 656 on 141201 0850. ref SDS 83 U45J LDL particle size
810744 - 20.4 drops slightly below target 20.5 for "fluffy" particles
810745 - that resist causing plaque.
810747 - ..
810748 - 3. Triglycerices (TG) 105, ref SDS E2 BE6O, corrects prior mistake
810749 - reporting TG 158.
810751 - ..
810752 - 4. Research indicates healthiest cardiovascular condition occurs
810753 - with lowest risk for CVD, when lipids are discordant, with
810754 - LDL-P low and LDL-C high. However, greatest risk for CVD is
810755 - LDL-P high and LDL-C low, shown in the record on 131125 0005.
810756 - ref SDS 47 FI3G
810758 - ..
810759 - 5. VA published goal LDL-C <= 131; Labcorp published goal LCL-C <
810760 - 100. ref SDS 64 5C7M New AHA guidelines show LDL-C < 190,
810761 - reported on 131112 1422. ref SDS 45 HT87
810763 - ..
810764 - 6. VA lowering goal to HDL > 35, per above, ref SDS 86 5C7M, from >
810765 - 40 seems conflicting with patient history of CABG +4 on 091022
810766 - 0700. ref SDS 8 PQWU Since HDL 30 was found at that time (see
810767 - Lipid history below, ref SDS 64 W25L, setting the bar at HDL 35
810768 - has little tolerance for genetic variation to avoid and repair
810769 - endothelium lesions causing atheriosclerotic plaque.
810771 - ..
810772 - 7. Resting heart rate getting up in the mornings has increased
810773 - above 50. Blood pressure averages about 127 68; however,
810774 - systolic often drops below 120, and diastolic often falls below
810775 - 60. After 11 mile hikes blood pressure drops to about 105 55.
810776 - Systolic on occassion falls below 90. Dystalic has fallen
810777 - below 50 - e.g., see Saturday, 141018, reported in case study
810778 - on 120101 0900, ref SDS 22 V83O Heart rate now recovers well
810779 - after strenuous exercise, often falling back below 60 within 20
810780 - minutes or so.
810782 - ..
810783 - 8. Cholesterol................... 194................ ref SDS E2 U45J
810784 -
810786 - ..
810787 - LDL-C......................... 122................ ref SDS E2 U45J
810789 - ..
810790 - 9. Worsening HDL and TG lipids reflect...
810792 - ..
810793 - a. Physical activity prescribed by the VA on 140213,
810794 - ref SDS 57 E34O, has recovered after a pause of 5 months to
810795 - recover from side effects, and now continues from prior
810796 - levels hiking 300+ miles per month, and supplemented with
810797 - 750 ml orange juice per day (explained below, ref SDS 87
810798 - LO4J)...
810800 - ..
810801 - Mileage spreadsheet 2010 to present, and tracking cholesterol lab
810802 - history...
810803 -
810804 - F:\05\00003\SM\CC\BNKG\120216cc\130101cc\hiking_miles_3.xlsx
810805 -
810807 - ..
810808 - Mileage 2015 and Beginning 2016 Since Prior Lab
810809 -
810810 - Follow up ref SDS F3 ZY7M, ref SDS F1 ZY7M.
810811 -
810812 - Miles Minutes
810813 - 150201....Jan................... 242 3687 ...... ref SDS 49 TSYW
810814 - 150302....Feb................... 256 3941 ...... ref SDS 49 VYVP
810815 - 150329....Mar................... 189 2941 ...... ref SDS 49 WUTU
810816 - 150503....Apr................... 240 3698 ...... ref SDS 49 XVVR
810817 - 150531....May................... 230 3485 ...... ref SDS 49 PPXS
810818 - 150628....June.................. 233 3571 ...... ref SDS 49 QZ6J
810819 - 150802....July.................. 230 3559 ...... ref SDS 49 RSVY
810820 - 150830....August................ 142 2241 ...... ref SDS 49 SVPP
810821 - 150927....September............. 212 3658 ...... ref SDS 49 TVQP
810822 - 151101....October............... 323 5337 ...... ref SDS 49 YN4J
810823 - 151129....November.............. 152 2461 ...... ref SDS 49 WRYV
810824 - 160103....December.............. 73 1158 ...... ref SDS 49 LX6I
810825 - 160131....January............... 229 3612 ...... ref SDS A0 XY4M
810826 - 160228....February.............. 83 1337 ...... ref SDS A0 XY4M
810827 - 160403....March................. 48 813 ...... ref SDS A0 XY4M
810828 - 160501....April................. 103 1828 ...... ref SDS A0 XY4M
810829 - 160529....May................... 129 2205 ...... ref SDS A0 XY4M
810830 - 160703....June.................. 218 3628 ...... ref SDS A0 XY4M
810831 - 160731....July.................. 228 3909 ...... ref SDS A0 XY4M
810832 - 160828....August................ 183 3262 ...... ref SDS A0 XY4M
810833 - 161002....September............. 276 4854 ...... ref SDS A0 XY4M
810834 - 161030....October............... 269 4205 ...... ref SDS A0 XY4M
810835 - 161127....November.............. 85 1397 ...... ref SDS A0 XY4M
810836 - 170101....December.............. 60 1012 ...... ref SDS A0 XY4M
810837 - 170129....January............... 20 331 ...... ref SDS A0 XY4M
810838 - 170226....February.............. 122 2082 ...... ref SDS A0 XY4M
810839 - 170402....March................. 115 1904 ...... ref SDS A0 XY4M
810840 - 170430....April................. 27 430 ...... ref SDS A0 XY4M
810841 - 170604....May................... 165 2678 ...... ref SDS A0 XY4M
810842 - 170702....June.................. 72 1220 ...... ref SDS A0 XY4M
810843 - 170730....July.................. 106 1827 ...... ref SDS A0 XY4M
810844 - 170903....August................ 169 2915 ...... ref SDS A0 XY4M
810845 - 171001....September............. 89 1460 ...... ref SDS A0 XY4M
810846 - 171029....October............... 241 3858 ...... ref SDS A0 XY4M
810848 - ..
810849 - Mileage November 2017
810850 -
810851 - Follow up ref SDS F3 GY6H, ref SDS F1 GY6H.
810852 -
810853 - 171105........................ 50 795
810854 - 171112........................ 47 769
810855 - 171119........................ 46 730
810856 - 171124........................ 62 1021
810857 - ----- -----
810858 - 205 3315
810860 - ..
810861 - b. Weight continues about 180 on date of lab 171124 (see case
810862 - study on 160101 0700. ref SDS A0 KU3K Hiking lowers weight
810863 - more in the summer with higher temperatures that consume
810864 - calories and triglycerides. Extended endurance exercise
810865 - reduces time and interest in eating. Lower weight tends to
810866 - reduce tryglycerides, which tends to increase LDL-P size =
810867 - 21.0, reported on 150208 1438. ref SDS 86 5C86 ref SDS 86
810868 - 5C86 Evidence indicates weight is highly sensitive to
810869 - eating and exercise, and directly correlates to CVD risk.
810871 - ..
810872 - c. Low-carbohydrate diet works best in this case with
810873 - elevated physical activity, because exhaustion from hiking
810874 - reduces desire/energy for eating.
810876 - ..
810877 - d. Chia seeds added to diet on 131125, reported in case study
810878 - on 120101 0900, ref SDS 22 746M, and recommended for
810879 - sustained energy hiking by Karen at VA on 131121 0930.
810880 - ref SDS 46 NQ37
810882 - ..
810883 - e. CoQ10 (Ubiquinol) added to diet for energy to recover from
810884 - loss of CoQ10 due to age and statin medications, started on
810885 - 151213, shown in case study on 140101 0600. ref SDS 49 MU6G
810887 - ..
810888 - f. Orange juice may have increased slightly this cycle, likely
810889 - contributing to HDL 70 rising 27%, ref SDS 87 U45J, from HDL
810890 - 55 on 141021, and supplementing increased physical
810891 - activity, and as explained in the prior lab analysis on
810892 - 140514 0950. ref SDS 64 LO4J
810894 - ..
810895 - g. Atorvastatin 10 mg with Ezetimibe 10 begun on 131230,
810896 - reported in case study on 120101, ref SDS 22 6A6H, and
810897 - continued through current cycle.
810899 - ..
810900 - Research studies report Atorvastatin 10 mg + Ezetimibe 10
810901 - mg achieves LDL < 70, and favorably changes triglycerides
810902 - and HDL by 5%, reported on 131125 0005. ref SDS 47 CO45
810903 - While low LDL < 70 conflicts with goal of "discordance"
810904 - that lowers health risk for arterialsclorosis and CVD when
810905 - LDL-P low and LDL-C high, shown in research on 131125 0005,
810906 - ref SDS 47 FI3G, even "concordant" results today are good
810907 - news.
810908 -
810909 -
810911 - ..
810912 - Statins Reduce CCTA Found Atherosclerosis Regressed 6 Years After CABG
810913 - CCTA Found Atherosclerosis Regressed 6 Years After CABG Reduce Statins
810914 - Coronary CTA or IVUS Test Athereosclerosis Plaque 6 Years After CABG
810915 - Athereosclerosis Plaque 6 Years After CABG Coronary CTA or IVUS Test
810916 -
810917 - Follow up ref SDS F3 QA4M, ref SDS F1 QA4M.
810918 -
810919 - On 131125 0005 research further found radiology imaging tests can
810920 - evaluate level of plaque build up resulting from elevated cholesterol.
810921 - ref SDS 47 N73K Radiology imaging technologies are Coronary CT
810922 - angiography - CTA - and Intravascular ultrasound - IVUS. ref SDS 47
810923 - KZ8O
810925 - ..
810926 - Lipid history past few years with HDL >= 60 and Triglycerides < 80
810927 - ref SDS A3 W25L, indicates body chemestry causes rapid regression of
810928 - atherosclerosis plaque, cited in research on 131125 0005. ref SDS 47
810929 - RA7K Research indicates that favorable lipid profile, weight loss,
810930 - and production of EPC in the bone marrow, all stimulated by exercise,
810931 - drives regression of plaque. ref SDS 47 XY7L
810933 - ..
810934 - Medication diet, and exercise interventions the past 4 years, since
810935 - CABG x4 on 091022 0700, ref SDS 8 PQWU, supported radiology testing
810936 - for regression of atherosclerosis plaque, which previously required
810937 - major surgery to fix.
810939 - ..
810940 - CCTA testing was supported by patient history using CT radiology
810941 - imaging to assess regression of esophageal bubble after 4 years of
810942 - medical interventions, reported favorable by Doctor Stewart, Chief
810943 - General Surgery at VA on 130122 1330. ref SDS 35 03H6 CT radiology
810944 - with calcium score is commonly used to assess response to treatment
810945 - for regression of athersclerosis, reported during the meeting at the
810946 - VA on 140519 0800. ref SDS 66 OF7N
810948 - ..
810949 - On 151019 CCTA test was performed at VA Medical Center in San
810950 - Francisco. ref SDS 95 NV5I Initial report found all bypass grafts are
810951 - patent. ref SDS 95 JW8O
810953 - ..
810954 - On 151203 1014 meeting with Doctor Elicker in Radiology Department
810955 - seemed to clarify that he read the CCTA scan file performed on 151019,
810956 - and found no evidence of blockages of any amount anywhere in the
810957 - active circulatory system which was covered by the scan. ref SDS 98
810958 - SZ5F
810960 - ..
810961 - On 160104 0855 Doctor Jha, attending physician for this CCTA imaging
810962 - study, advised that standard of practice for radiology reporting is to
810963 - present any and all blockages of any kind observable in CCTA scan
810964 - imaging; so, in this case, since none are reported, the CCTA test on
810965 - 151019, ref SDS 95 JW8O, can correctely be interpretted to mean there
810966 - are no blockages, plaques, stenosis of any kind evident from the scan
810967 - file record. ref SDS 99 AA64
810969 - ..
810970 - On 160113 2234 received letter from Doctor Jha saying the radiology
810971 - faculty approved issuing an addendum. ref SDS 91 A85F
810972 -
810973 - No significant calcified plaque is seen in the bypass grafts.
810974 - All the bypass grafts are opacified with contrast without
810975 - evidence for filling defect or wall calcifications.
810977 - ..
810978 - No calcification is seen in the aortic wall in the visualized
810979 - portions of the thoracic aorta. No ostial calcifications at the
810980 - origins of great vessels from the aortic arch.
810982 - ..
810983 - This seems another way of saying in the written medical record that
810984 - CCTA testing found no evidence of atherosclerotic plaque of any kind
810985 - or amount visualized in the CCTA scan.
810987 - ..
810988 - On 160114 0022 letter commends Doctor Jha and faculty colleagues at
810989 - UCSF for good faith review to clarify CCTA on 151019, that
810990 - demonstrates CCTA evaluating response to treatment (hiking 10K miles
810991 - raising HDL 30 to 70) for regressing atherosclerosis to 0. ref SDS A2
810992 - N760
810994 - ..
810995 - On 171011 1000 Doctor Simpson in Cardiology entered order for another
810996 - lipid test at the VA. Blood draw can be done anytime, after patient
810997 - increases hiking with response to treatment for feet and knee injuries
810998 - that have prevented hiking. When HDL > 60, the doctor will order CCTA
810999 - to follow up prior evaluation of atherosclerosis plaques performed on
811000 - 151019 0930. ref SDS 96 KS8U
811001 -
811002 -
811003 -
811004 -
811005 -
811006 -
811007 -
8111 -
SUBJECTS
Default Null Subject Account for Blank Record
8203 -
820401 - ..
820402 - Coronary Adverse Event Risk
820403 -
820404 - Follow up ref SDS F3 126H, ref SDS F1 126H.
820405 -
820406 - For some reason, CRP-HS panel was not ordered for this lab.
820407 -
820408 - x
820409 - Dates......... 2016 10 11 1114 160503 1145
820410 - VAMCSF VA VA
820411 - Blood Results Results Units Range
820412 - CRP-HS 3.9 20.6 mg/L 0.2 - 7.5
820414 - ..
820415 - For assessment of risk for cardiovascular disease in adults.
820416 - The CDC and AHA recommnd the following guidelines based on two
820417 - test results, two weeks apart in metabolically stable patients.
820419 - ..
820420 - Cardiovascular Disease Risk CRP-HS mg/L
820421 - Low......................................... < 1.0
820422 - Average..................................... 1.0 - 3.0
820423 - High........................................ 3.0 - 10.0
820424 - Indeterminate............................... > 10
820426 - ..
820427 - If CRP-HS level is >10 mg/L, the patient should be evaluated
820428 - for possible sources of infection or inflammation. Repeat
820429 - CRP-HS may also be appropriate.
820430 -
820431 -
820432 -
820433 -
820434 -
820435 -
820436 -
820437 -
820438 -
820439 -
820440 -
8205 -
SUBJECTS
VA Lab Cardiac Enzymnes Creatine Kinase CK also CPK Creatine Phospho
9003 -
900401 - ..
900402 - Myopathy Muscle Pain Side Effects Simvistatin Decline
900403 -
900404 - Follow up ref SDS F3 D26G, ref SDS F1 D26G.
900405 -
900406 - Prior Cardiac Enzymes Profile on 120209 1118. ref SDS 23 D26G
900407 - Prior Cardiac Enzymes Profile on 120509 1108. ref SDS 27 D26G
900408 - Prior Cardiac Enzymes, 131015 0724, ref SDS 41 D26G
900409 - Prior Cardiac Enzymes Profile VA on 140203 1147. ref SDS 54 NX6G
900411 - ..
900412 - For some reason, CPK (CK) cardiac enzymes panel was not ordered for
900413 - this lab.
900414 -
900415 -
900416 - CARDIAC ENZYMES
900417 -
900418 - Dates 2014 05 14 1016 140508 140203 131015 120509
900419 - VA Labcorp VA VA VA
900420 - PLASMA Results Results Results Results Results Units Range
900421 - CPK (CK) 192 149 110 152 U/L 30 - 235
900422 - TRPONIN ng/ml 0 - 0.07
900423 - CK-MB ng/ml 0.6 - 3.5
900424 - MYOGLOB ng/ml 20 - 82
900426 - ..
900427 - a. CPK/CK test not performed by Labcorp
900429 - ..
900430 - b. SLIGHTLY ICTERIC SPECIMEN /HN
900432 - ..
900433 - c. Ordering Provider: Diana Alba
900434 - Report Released..: May 14, 2014@11:29
900435 - Reporting Lab....: SAN FRANCISCO VAMC [CLIA# 05D0988226]
900436 - 4150 CLEMENT STREET
900437 - SAN FRANCISCO, CA 94121-1545
900438 - Performing Lab...: SAN FRANCISCO VAMC [CLIA# 05D0988226]
900440 - ..
900441 - CKP and CK are the same thing - creatine phosphokinase (CPK) also
900442 - called creatine kinase (CK).
900443 -
900444 - http://www.scai.org/SecondsCount/Resources/Detail.aspx?cid=ed385473-d4e8-491e-9ce0-a7c984fe6f8e#.U3b_BfldWi8
900446 - ..
900447 - Research on 111013 explains Creatine Kinase CK, relates to muscle
900448 - disorders caused by cholesterol medications with statins. 111013 1404,
900449 - ref SDS 20 J54K
900451 - ..
900452 - CK lab may align with reduced side effects of muscle pain in left
900453 - shoulder.
900454 -
900455 -
900456 -
900457 -
900458 -
900459 -
9005 -
SUBJECTS
HGBA1C 5.4 Range 4.0-6.0 Diabetes Negative Laboratory Blood Test Cro
A703 -
A70401 - ..
A70402 - HGBA1c Diabetes Blood Test A1c
A70403 - A1c Diabetes Blood Test HGBA1c
A70404 - Diabetes HGBA1c A1c Blood Test
A70405 -
A70406 - Follow up ref SDS F3 9F4O, ref SDS F1 9F4O.
A70407 -
A70408 - Prior HGBA1c Profile on 100721 0800. ref SDS 12 IL4N
A70409 - Prior HGBA1c Profile on 101207 0906. ref SDS 16 IL4N
A70410 - Prior HGBA1c Profile on 131015 0724. ref SDS 41 9F4O
A70411 - Prior HGBA1c Profile on 140203 1147. ref SDS 54 9F4O
A70412 - Prior HGBA1c Profile on 161011 1100. ref SDS B6 9F4O
A70413 - Prior HGBA1c Profile on 171124 0851. ref SDS E2 9F4O
A70414 - Prior HGBA1c Profile on 180222 1500. ref SDS E5 9F4O
A70415 -
A70417 - ..
A70418 - Endocrine IV - HGBA1c - A1c
A70419 -
A70420 - x x
A70421 - Dates..........2018 02 02 1526 171124 1508 161011 1114 140814 1528 140514 140508 140203 131015 101207
A70422 - Quest Labcorp VA VA VA Labcorp VA VA VA VA Labcorp
A70423 - BLOOD Results Results Results Results Results Results Results Results Results Units Range Range
A70424 - HGBA1c 5.5 5.8 H 5.7 5.6 5.4 5.5 5.5 5.7 % 4.0 - 6.0 4.8 - 5.6
A70425 - eAG 114 111 111 mg/dL 74.0 - 118
A70427 - ..
A70428 - Quest Notes
A70429 -
A70430 - Absence diabetes < 5.7%
A70431 - Pre-diabetes: 5.7 6.4
A70432 - Diabetes: > 6.4
A70433 -
A70434 - This assay result is consistent with a decreased risk of
A70435 - diabetes.
A70437 - ..
A70438 - Test today, reporting HGBA1c 5.5 improves slightly prior Labcorp blood
A70439 - test reporting HGBA1c 5.8 slightly elevated presents flag for diabetes
A70440 - risk, reported on 171124 0851. ref SDS E2 9F4O
A70442 - ..
A70443 - Labcorp test showing LP-IR Score < 25, ref SDS E2 TU6L, indicating risk
A70444 - of diabetes actually declined.
A70446 - ..
A70447 - This test for diabetes was ordered by Doctor Abrams during a meeting
A70448 - at the San Francisco VA Medical Center on 130227 0930. ref SDS 36 8T5L
A70449 - However, it is not reported for the lab performed the next day on
A70450 - 130228 1140, ref SDS 37 RP4N, nor in the follow up lab 3 months later
A70451 - on 130529 0818. ref SDS 39 RP4N
A70453 - ..
A70454 - HGBA1c was performed previously on 101207 0906, ref SDS 16 IL4N, and 5
A70455 - months earlier on 100721 0800. ref SDS 12 IL4N
A70457 - ..
A70458 - Labcorp test showing LP-IR Score < 25, ref SDS B6 TU6L, indicating risk
A70459 - of diabetes declined.
A70460 -
A70461 -
A70462 -
A70463 -
A70464 -
A705 -
SUBJECTS
Default Null Subject Account for Blank Record
A803 -
A80401 - ..
A80402 - Prostate Evaluation PSA Tumor Markers
A80403 -
A80404 - Follow up ref SDS F3 GM9G, ref SDS F1 GM9G.
A80405 -
A80406 - Prior PSA PANEL VA Clinic Martinez, 100721 0800, ref SDS 12 ER6N
A80407 - Prior PSA PANEL VA Clinic Martinez, 150512 1330, ref SDS 91 GM9G
A80409 - ..
A80410 - For some reason PSA test for prostate cancer was not ordered for this
A80411 - lab.
A80412 -
A80414 - ..
A80415 - PSA Prostate Specific Ag
A80416 -
A80417 - Follow up ref SDS F3 1M9N, ref SDS F1 1M9N.
A80418 -
A80419 - Dates..........2015 05 12 1349 100721
A80420 - VA VA VA
A80421 - Serum Results Results Units Range
A80422 - AFP TM Not done ng/mL 0.0 - 8.0
A80423 - CEA Not done ng/mL 0.0 - 3.0
A80424 - PSA (Prostate) 2.18 1.25 ng/mL 0.0 - 4.0
A80425 - CA 125 Not done Units/mL 0.0 - 34.0
A80426 - CA 15-3 Not done Units/mL 0.0 - 25.0
A80427 - CA 19-9 Not done Units/mL 0.0 - 37.0
A80428 -
A80430 - ..
A80431 - Comments...
A80432 -
A80433 - a. Test Ordered by Doctor Harkesh Sandhu
A80434 - Performed at...
A80435 - MARTINEZ CBOC 150 MUIR ROAD
A80436 - MARTINEZ, CA 94553-4668
A80437 -
A80438 -
A80439 -
A805 -
SUBJECTS
Default Null Subject Account for Blank Record
A903 -
A90401 - ..
A90402 - Thyroid Stimulating Hormone
A90403 -
A90404 - Follow up ref SDS F3 PO6I, ref SDS F1 PO6I.
A90406 - ..
A90407 - Prior Thyroid PANEL VA Clinic Martinez, 150512 1330, ref SDS 91 PO6I
A90409 - ..
A90410 - For some reason thyroid panel was not ordered today.
A90411 -
A90412 -
A90413 - Dates..........2015 05 12 1349
A90414 - VA VA
A90415 - Serum Results Units Range
A90416 - * THYROTROPIN 1.65 uIUnits/mL 0.34 - 5.60
A90417 -
A90419 - ..
A90420 - Seems to be new lab panel.
A90421 -
A90422 - Comments...
A90423 -
A90424 - a. Test Ordered by Doctor Harkesh Sandhu
A90425 - Performed at...
A90426 - MARTINEZ CBOC 150 MUIR ROAD
A90427 - MARTINEZ, CA 94553-4668
A90428 -
A90429 -
A90430 -
A90431 -
A90432 -
A90433 -
A90434 -
A90435 -
A90436 -
A90437 -
A90438 -
A90439 -
A90440 -
A90441 -
A905 -