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 G5 0000. ref SDS G3 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 cbc, electrolytes and lipids at
291012 - Quest. ref SDS F2 ZY9N
291014 - ..
291015 - On 180713 0755 Doctor Lee ordered labs for electrolytes and lipids to
291016 - evaluate effects hiking Half Dome the day before. ref SDS F8 XC4F
291018 - ..
291019 - On 180802 0640 lab at VAMCSF for lipids. ref SDS G0 XC4F
291021 - ..
291022 - On 180824 1140 lab at Quest for lipids. ref SDS G2 XC4F
291024 - ..
291025 - On 180913 1350 lab at VAMCSF for lipids, day after hiking 28 miles to
291026 - top of Half Dome in Yosemite, and reported HDL 68. ref SDS G3 U45J
291028 - ..
291029 - On 181015 0908 ordered labs from HTC at Labcorp and at Quest. Only
291030 - for lipids, reported on 181015 0908. ref SDS G4 AP6H
291032 - ..
291033 - On 181021 1541 blood draw at Labcorp in Urgent Care at John Muir
291034 - Hospital on Cherry Lane and Treat Boulevard in Pleasant Hill.
291035 - ref SDS G5 G65K Labcorp only tested lipid panel, reported HDL 66.
291036 - ref SDS G5 U45J
291038 - ..
291039 - On 181029 1438 went to Quest lab and got blood draw. Quest reported
291040 - HDL 69, after hiking 42 miles past 2 days. ref SDS 0 U45J
291041 -
291042 -
291043 -
291044 -
291045 -
291047 - ..
2911 -
2912 -
2913 - Progress
2914 -
291401 - On 181015 0908 ordered labs from HTC at Labcorp and at Quest. Only
291402 - for lipids, reported on 181015 0908. ref SDS G4 AP6H
291404 - ..
291405 - Today, went to Quest labs for blood draw (lipids only) results from
291406 - Quest are stored in... stored in...
291407 -
291408 -
291409 - F:\05\00003\SM\CC\AGMJ\20181029-145100\Test_Results_51950.pdf
291411 - ..
291412 - See lipid panel report below. ref SDS 0 U45J
291413 -
291414 -
291416 - ..
291417 - Lab CBC Evaluate Health 8 Years After CABG x4 Heart Surgery
291418 - WBC 9.8 All Labs Within Range 3 Months After Car Collision 65 MPH
291419 -
291420 - Follow up ref SDS G5 RP4N, ref SDS G3 RP4N.
291421 -
291422 - Prior VA CBC on 120509 1108. ref SDS 27 RP4N
291423 - Prior VA CBC on 120831 1524. ref SDS 28 RP4N
291424 - Prior VA CBC on 121130 1001. ref SDS 32 RP4N
291425 - Prior VA CBC on 130529 0818. ref SDS 39 RP4N
291426 - Prior Labcorp CBC on 140201 1159. ref SDS 53 RP4N
291427 - VA did not order CBC for lab on 140203 1147. ref SDS 54 YX8K
291428 - Prior Labcorp CBC on 140508 1149. ref SDS 61 RP4N
291429 - VA did not order CBC for lab on 140514 0950. ref SDS 64 RP4N
291430 - Prior VA CBC on 140814 1530. ref SDS 71 RP4N
291431 - Prior VA CBC on 140827 1413. ref SDS 75 RP4N
291432 - Prior Labcorp CBC on 141020 1025. ref SDS 77 RP4N
291433 - Prior Labcorp CBC on 141201 0850. ref SDS 84 RP4N
291434 - Prior Labcorp CBC on 150208 1438. ref SDS 87 RP4N
291435 - Prior Labcorp CBC on 150512 1239. ref SDS 91 RP4N
291436 - Prior VA CBC on 150512 1349. ref SDS 92 RP4N
291437 - Prior VA CBC on 150728 1146. ref SDS 95 RP4N
291438 - Prior Labcorp CBC on 160131 1700. ref SDS A4 RP4N
291439 - Prior Labcorp CBC on 160401 1219. ref SDS A7 RP4N
291440 - Prior Labcorp CBC on 160717 1053. ref SDS B4 RP4N
291441 - Prior Labcorp CBC on 161009 1320. ref SDS B5 RP4N
291442 - Prior VA CBC on 161011 1100. ref SDS B6 RP4N
291443 - Prior Labcorp CBC on 170215 1634. ref SDS C2 RP4N
291444 - Prior VA CBC on 170412 0700. ref SDS C8 RP4N
291445 - Prior San Joaquin General Hospital on 170905 2350. ref SDS D2 RP4N
291446 - Prior San Joaquin General Hospital on 170906 0420. ref SDS D4 RP4N
291447 - Prior VA CBC on 170911 1047. ref SDS D6 RP4N
291448 - Prior Labcorp CBC on 171001 1246. ref SDS D9 RP4N
291449 - Prior Labcorp CBC on 171124 0851. ref SDS E2 RP4N
291450 - Prior Quest CBC on 180222 1500. ref SDS E5 RP4N
291451 - Prior Labcorp CBC on 180410 1444. ref SDS E7 RP4N
291452 - Prior VA CBC on 180411 0750. ref SDS E8 RP4N
291453 - Prior Quest CBC on 180504 1310. ref SDS F0 RP4N
291454 - Prior Labcorp CBC on 180504 1357. ref SDS F1 RP4N
291455 - Prior Quest CBC on 180514 1538. ref SDS F3 RP4N
291456 - Prior VA CBC on 180802 0640. ref SDS G0 RP4N
291457 - Prior Labcorp CBC on 180620 1205. ref SDS F7 RP4N
291458 - Prior VA CBC on 180802 0755. ref SDS F8 RP4N
291459 - Prior VA CBC on 180913 1357. ref SDS G3 RP4N
291461 - ..
291462 - CBC panel was not tested today.
291463 -
291465 - ..
291466 - CBC PANEL
291467 - x x
291468 - Dates............. 2018 09 13 1357 180802 0644 180620 1205 180514 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
291469 - VAMCSF VAMCSF Labcorp 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
291470 - 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 Results Results Results Units Range Range
291471 - WBC LEUKOCYTES 9.7 7.3 9.6 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
291472 - RBC ERYTHROCYTES 5.30 5.22 5.34 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
291473 - HGB Hemoglobin 15.6 15.1 15.1 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
291474 - HCT Hematocrit 47.8 47.1 46.3 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
291475 - MCV 90.2 90.2 87 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
291476 - MCH 29.4 28.9 28.3 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
291477 - MCHC 32.5 32.1 32.6 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
291478 - RDW ERYTHROCYTE D W 15.0 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
291479 - PLT 319 282 331 377 364 366 307 321 293 371 422 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
291480 - MPV 10.7 10.9 11.2 8.2 8.9 8.9 9.1 8.3 8.8 fL 7 - 10.4
291481 - NEUT % 74 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
291482 - BAND NEUT 0
291483 - LYMPH % 17 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
291484 - MONO % 7 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
291485 - EOS % 1 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
291486 - BASO % 1 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
291487 - NEUT # 7.1 H 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
291488 - LYMPH # 1.6 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
291489 - MONO # 0.7 928 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
291490 - EOS # 0.1 393 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
291491 - BASO # 0.1 131 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
291492 - ESRmVES mm/hr 0 - 10
291493 - ESRxCYT mm/hr 2 - 10
291494 - RETIC % % .66 - 2.85
291495 - RETIC # k/uL 27.9 - 121.6
291496 - Immature Granulocytes 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 - 2.0
291497 - Immature Grans (Abs) 0.0 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
291498 - NRBC 0.0 0.2 0 % 0 - 0
291499 - ANIOCYTOSIS # 1+
291500 - PLATELET ESTIMATE ADEQUATE
291501 -
291502 -
291503 -
291504 -
291505 -
291506 -
291507 -
291508 -
291509 -
291510 -
2916 -
SUBJECTS
Urinalysis Lab VA No Results
4403 -
440401 - ..
440402 - Urinalysis Ketones Abnormal Occurs After Hiking Extended Miles
440403 -
440404 - Follow up ref SDS G5 0X72, ref SDS G3 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 F6 0X72
440428 - ..
440429 - Did did not test urinalysis panel today.
440430 -
440432 - ..
440433 - URINALYSIS PANEL
440434 - x x
440435 - 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
440436 - 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
440437 - 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
440438 - 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
440439 - 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
440440 - 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
440441 - 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
440442 - BILI NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG Ref: NEG NEG
440443 - BILIcnf NEG Ref: NEG
440444 - BLOOD NEG 1+ TRACE TRACE TRACE TRACE Ref: NEG
440445 - NITRITE, URINE NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG Ref: NEG NEG
440446 - 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
440447 - LEU EST NEG NEG Ref: NEG
440448 - 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
440449 - COLOR Yellow Yellow Yellow YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW YELLOW
440450 - APPEAR Cloudy Clear Clear CLEAR Turbid Abnormal CLEAR Cloudy Abnormal CLEAR CLEAR CLOUDY ABNORMAL CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR CLEAR
440451 - WBC 6-10 Abnormal 0-5 0-5 0-5 /hpf 0 - 5
440452 - WBC ESTERASE Trace NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG NEG
440453 - RBC 0-2 0-2 0-5 0-2 0-2 /hpf 0 - 2
440454 - OCCULT BLOOD NEG NEG NEG NEG NEG NEG NEG NEG NEG Trace Abnormal NEG NEG NEG NEG NEG NEG NEG
440455 - UROBILINOGEN... 0.2 0.2 0.2 0.2 0.2 mg/dL 0.2 - 1.0
440456 - NITRITE, URINE NEG NEG NEG NEG NEG NEG NEG NEG NEG
440457 - HAYALINE CASTS NONE NORM(0-1) per lpf 0 - 1
440458 - GRANULAR CASTS None per lpf Ref: None
440459 - CELLULAR CASTS None per lpf Ref: None
440460 - RBC/HPF NORM(0-3) per lpf 0 - 3
440461 - BACTERIA Few NONE None seen None seen 0 - 1 None seen / Few
440462 - EPITHELIAL CELLS None seen FEW None seen 0-10 NORM(0-1) /hpf 0 - 10
440463 - RENAL EPITHELIAL CELLS None per lpf Ref: None
440464 - CALCIUM OXILATE CRYST Present Abnormal N/A
440465 - URIC ACID CRYSTALS NORM(0-1) per lpf 0 - 1
440466 - TRIPLE PHOSPHATE CRYST NORM(0-1) per lpf 0 - 1
440467 - AMORPHOUS SEDIMENT None per lpf Ref: None
440468 - MUCOUS Present Present No Report Present Present Not Established
440469 - TRICHOMONAS None per lpf Ref: None
440470 - YEAST None per lpf Ref: None
440471 - CULTURE REFLEXED No
440472 - TR EPTH None per lpf Ref: None
440473 - Microscopic Examination
440474 - Microscopic follows
440475 - if indicated
440476 - ALBUMIN 0.9
440477 - ALBUMIN/creatinine 29
440478 - CREATININE 148
440479 -
440480 -
440481 -
440482 -
440483 -
440484 -
440485 -
440486 -
440487 -
4405 -
SUBJECTS
Lab Electrolytes Chem Profile Glucose 97 Sodium NA 144 Potasium K 5.
6103 -
610401 - ..
610402 - Glucose Sal Sodium NA Within Range Calcium Slightly Elevated
610403 -
610404 - Follow up ref SDS G5 KK9M, ref SDS G3 KK9M.
610405 -
610406 - Prior CHEM PROFILE on 120509 1108. ref SDS 27 KK9M
610407 - Prior CHEM PROFILE on 120831 1524. ref SDS 28 KK9M
610408 - Prior CHEM PROFILE on 130228 1140. ref SDS 37 KK9M
610409 - Prior CHEM PROFILE on 130529 0818. ref SDS 39 KK9M
610410 - Prior CHEM PROFILE on 131015 0724. ref SDS 41 KK9M
610411 - Prior CHEM PROFILE Labcorp on 140201 1159. ref SDS 53 KK9M
610412 - Prior CHEM PROFILE on 140203 1147. ref SDS 54 KK9M
610413 - Prior CHEM PROFILE Labcorp on 140508 1149. ref SDS 61 KK9M
610414 - Prior CHEM PROFILE on 140520 0732. ref SDS 67 KK9M
610415 - Prior CHEM PROFILE on 140814 1530. ref SDS 71 KK9M
610416 - Prior CHEM PROFILE Labcorp on 141020 1025. ref SDS 76 KK9M
610417 - Prior CHEM PROFILE on 141021 11150 ref SDS 78 KK9M
610418 - Prior CHEM PROFILE Labcorp on 141201 0840. ref SDS 83 KK9M
610419 - Prior CHEM PROFILE Labcorp on 150208 1438. ref SDS 85 KK9M
610420 - Prior CHEM PROFILE Labcorp on 150208 14380 ref SDS 86 KK9M
610421 - Prior CHEM PROFILE on 150209 10120 ref SDS 87 KK9M
610422 - Prior CHEM PROFILE Labcorp on 150512 1239, ref SDS 90 KK9M
610423 - Prior CHEM PROFILE on 150728 11146, ref SDS 94 KK9M
610424 - Prior CHEM PROFILE Labcorp on 160131 1700, ref SDS A3 KK9M
610425 - Prior CHEM PROFILE on 160202 1220. ref SDS A5 KK9M
610426 - Prior CHEM PROFILE Labcorp on 160401 1219, ref SDS A7 KK9M
610427 - Prior CHEM PROFILE at VA on 160503 1130. ref SDS A8 KK9M
610428 - Prior CHEM PROFILE Labcorp on 160717 1053. ref SDS B4 KK9M
610429 - Prior CHEM PROFILE Labcorp on 161009 1320. ref SDS B5 KK9M
610430 - Prior CHEM PROFILE Labcorp on 170216 1534. ref SDS C2 KK9M
610431 - Prior CHEM PROFILE at VA on 170412 0700. ref SDS C8 KK9M
610432 - Prior CHEM PROFILE at VA on 170911 1040. ref SDS D6 KK9M
610433 - Prior CHEM PROFILE Labcorp test on 171001 1246. ref SDS D9 KK9M
610434 - Prior CHEM PROFILE Labcorp test on 171124 0851. ref SDS E2 0X72
610435 - Prior Quest CHEM PROFILE on 180222 1500. ref SDS E5 KK9M
610436 - Prior CHEM PROFILE Labcorp test on 180411 0757. ref SDS E8 0X72
610437 - Prior Quest CHEM PROFILE on 180504 1310. ref SDS F0 KK9M
610438 - Prior CHEM PROFILE Labcorp test on 180504 1357. ref SDS F1 0X72
610439 - Prior Quest CHEM PROFILE on 180504 1310. ref SDS F0 KK9M
610440 - Prior CHEM PROFILE Labcorp test on 180516 0923. ref SDS F6 KK9M
610441 - Prior CHEM PROFILE at VA Sacramento on 180713 0755. ref SDS F8 KK9M
610442 - Prior CHEM PROFILE at VA on 180802 0640. ref SDS G0 KK9M
610443 - Prior CHEM PROFILE at VA on 180913 1357. ref SDS G3 KK9M
610445 - ..
610446 - Electrolytes, etc, was not tested today.
610447 -
610448 -
610450 - ..
610451 - ELECTROLYTES - CHEM PROFILE
610452 - COMPREHENSIVE METABOLIC PANEL
610453 - RENAL GLUCOSE
610454 -
610455 - ..
610456 - x x x x
610457 - Dates......... 2018 09 13 1357 180802 0644 180713 0800 180620 1205 180516 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 13
610458 - VAMCSF VAMCSF VAMC Sacramento Labcorp 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
610459 - 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 Results
610460 - GLUCOSE 103 108 98 110 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
610461 - GLUfast
610462 - NA (salt) 139 144 139 146 H 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
610463 - K (potassium) 5.3 H 4.2 4.3 5.4 H 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
610464 - CL (Chloride) 101 107 104 106 105 107 103 104 103 103 107 105 104 105 104 103 104 105 107 103 103 103 102 108 106 104 100 99 109 103 106 103 H 108 H 108 102 105 103
610465 - CO2 (Carbon Dxide) 26 28.0 28.0 25 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
610466 - AGAP 12.0 9.0 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
610467 - BUN (Urea Nitrogen) 26 H 27 H 20 22 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
610468 - * BUN/Creati Ratio 18 18 21 22 15 23 25 26 H 20 20 18 26 H 24 H 22 H 28 19 H 23 17
610469 - CREAT 1.2 1.0 1.03 1.22 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
610470 - ** eGFR INA 62 72 GT 60 58 L 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 91 66 >60 102 79 >60
610471 - eGFR IA 68 57 L 57 L 56 L 55 L 82 81 73 79 86 81 79 92 89 74 76 92
610472 - CALCIUM 9.1 8.5 L 9.8 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
610473 - CA CORR
610474 - PO4
610475 - MG 85
610476 - ALK PHO 96 107 116 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
610477 - Phosphorous, Serum 4.1 3.2 3.4 2.9 3.2
610479 - ..
610480 - T. BIL 1.5 H 1.7 H 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
610481 - D. BILI 0.2 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
610482 - Bilirubin, Indir 1.52 H 1.36 H 0.97 H 1.19 H 1.52 H H 1.62 0.98
610483 - AST (SGOT) 23 42 H 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
610484 - ALT (SGPT) 23 40 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
610485 - PRE-ALBUMIN 4.4 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
610486 - ALBUMIN 4.3 6.6 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
610487 - PROTEIN (TP) 6.8 2.2 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
610488 - Globulin, Total 2.0 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
610489 - A/G Ratio 193 268 H 189 240 H 241 H 223 200.0
610490 - LDH 14 11 13 13 11.0
610491 - GGT 98 110 115 89 101 146 100.0
610492 - Iron, Serum
610493 - AMYLASE
610494 - LIPASE
610495 - NH3 5.4 5.3 4.9 5.4
610496 - URIC AC 20
610497 - * ALANINE AMINOTR 23
610498 - * ASPARTATE AMINOTR
610499 - GLOMERULAR FILTRATION 95.6
610500 - RATE.PREDICTED
610501 - x
610502 - ..
610503 - 201 196 219 H 212 H 221 H 200 191 197 179 284 H 167 161 174 164.0 162.0
610504 - Cholesterol, Total 74 82 103 107 99 89 103 83 64 107 60 66 79 55.0 64.0
610505 - Triglycerides 61 67 64 60 67 65 61 53 73 57 68 67 61
610506 - HDL Cholesterol 15 16 21 21 20 21
610507 - VLDL Cholesterol Cal 125 112 H 134 H 131 H 134 H 116 H 109 H 127 93 206 H 87 81 96
610508 - LDL Cholesterol Calc 2.9 3.5 3.1 3.13 3.7 2.5 5.0 2.5 2.4 2.8
610509 - T Chol/HDL ratio
610510 - ..
610511 - 1.5 1.7 1.7 . 1.57 0.88
610512 - TG/HDL ratio...... 1.5 1.7 1.7 1.7 . 1.57 0.88
610513 - . 1.57 0.88
610514 - ..
610515 - These lipid results align with Cardio IQ(R) Advanced Lipid Panel
610516 - reported below. ref SDS F3 U45J
610517 -
610518 - Please Note:
610519 -
610520 - T Chol/HDL Ratio Men Women
610521 -
610522 - 1/2 Avg Risk 3.4 3.3
610523 - Avg Risk 5.0 4.4
610524 - 2x Avg Risk 9.6 7.1
610525 - 3x Avg Risk 23.4 11.0
610527 - ..
610528 - Estimated CHD Risk < 0.5 times avg 0.0 - 1.0
610530 - ..
610531 - The CHD Risk is based on the T Chol/HDL ratio.
610532 - Other factors affect CHD Risk such as hypertension,
610533 - smoking, diabetes, severe obesity, and family history
610534 - of premature CHD.
610535 -
610536 -
610538 - ..
610539 - Notes on Electrolytes Lab Hyperbilirubinemia Potassium Heart Problems
610540 - Hyperbilirubinemia Potassium Heart Problems Notes on Electrolytes Lab
610541 - Potassium Heart Problems Hyperbilirubinemia Notes on Electrolytes Lab
610542 -
610543 - Follow up ref SDS G5 G34G, ref SDS G3 G34G.
610544 -
610545 - For some reason, T Bilirubin was not checked this cycle by the VA...
610546 -
610547 - 1. T Bilirubin 2.0...0.3 - 1.2..... ref SDS E2 015M
610549 - ..
610550 - Collection DT T Bili Range Source
610551 - 11/24/2017 15:08 2.0 H...0.3 - 1.2.. ref SDS E2 015M
610552 - 10/01/2017 12:51 1.5 H...0.3 - 1.2.. ref SDS D9 015M
610553 - 09/11/2017 10:47 ...0.3 - 1.2.. ref SDS D6 015M
610554 - 09/06/2017 04:20 1.4 H...0.3 - 1.2.. ref SDS D4 015M
610555 - 09/05/2017 23:50 ...0.3 - 1.2.. ref SDS D2 015M
610556 - 04/12/2017 07:00 ...0.3 - 1.2.. ref SDS C8 015M
610557 - 02/16/2017 16:39 2.0 H...0.3 - 1.2.. ref SDS C2 015M
610558 - 10/11/2016 11:14 1.7 H...0.3 - 1.2.. ref SDS B6 015M
610559 - 10/09/2016 13:37 1.3 H...0.3 - 1.2.. ref SDS B4 015M
610560 - 07/17/2016 10:55 1.0 ...0.3 - 1.2.. ref SDS B4 015M
610561 - 05/03/2016 11:45 ...0.3 - 1.2.. ref SDS A8 015M
610562 - 04/01/2016 14:43 1.8 H...0.3 - 1.2.. ref SDS A7 015M
610563 - 02/02/2016 13:34 2.2 H...0.3 - 1.2.. ref SDS A5 015M
610564 - 01/31/2016 17:14 1.7 H...0.3 - 1.2.. ref SDS A4 015M
610565 - 05/12/2015 13:49 1.6 H...0.3 - 1.2.. ref SDS 91 015M
610566 - 05/12/2015 13:00 1.2 ...0.3 - 1.2.. ref SDS 90 015M
610567 - 02/08/2015 14:52 1.5 H...0.3 - 1.2.. ref SDS 86 015M
610568 - 01/12/2014 08:40 1.9 H...0.3 - 1.2.. ref SDS 83 015M
610569 - 20/10/2014 10:60 2.0 H...0.3 - 1.2.. ref SDS 76 015M
610570 - 14/08/2014 15:28 2.5 H...0.3 - 1.2.. ref SDS 71 WJ5H
610571 - 20/05/2014 10:20 1.2 ....0.3 - 1.2.. ref SDS 67 015M
610572 - 08/05/2014 11:49 1.3 H...0.0 - 1.2.. ref SDS 61 015M
610573 - 03/02/2014 09:52 2.1 H...0.3 - 1.2.. ref SDS 54 015M
610574 - 01/02/2014 12:28 1.6 H...0.0 - 1.2.. ref SDS 53 015M
610575 - 15/10/2013 08:25 1.7 H...0.3 - 1.2.. ref SDS 41 015M
610576 - 29/05/2013 08:18 1.3 H...0.3 - 1.2.. ref SDS 39 1Y9G
610577 - 28/02/2013 08:36 1.3 H...0.3 - 1.2.. ref SDS 37 6S4F
610578 - 31/08/2012 15:24 2.3 H...0.3 - 1.2.. ref SDS 28 NV9M
610579 - 09/05/2012 11:24 2.5 H...0.3 - 1.2.. ref SDS 27 O46K
610580 - 09/02/2012 11:18 1.8 H...0.3 - 1.2.. ref SDS 23 KK9M
610581 - 17/11/2011 14:27 1.3 H.............. ref SDS 21 KK9M
610582 - 13/10/2011 14:35 1.3 H.............. ref SDS 20 GM65
610583 - 27/07/2011 12:58 2.0 H.............. ref SDS 17 GM65
610584 - 07/12/2010 09:17 1.0 ............... ref SDS 16 GM65
610585 - 21/07/2010 08:54 1.3 H.............. ref SDS 12 GM65
610586 - 14/12/2009 1.3 H ............. ref DRP 1 DE4O
610587 - 02/11/2009 0.9 ............... ref DRP 1 LG4L
610588 - 13/08/2009 15:09 1.7 H.............. ref SDS 6 VG8R
610590 - ..
610591 - On 131017 1000 VA medical chart Progress Notes assessment
610592 - reports Doctor Egan diagnosed chronic hyperbilirubinemia.
610593 - ref SDS 43 PSXT
610595 - ..
610596 - Liver damage that reduces production of HDL cholesterol seems
610597 - also associated with elevated bilirubi due to statin side
610598 - effects, reviewed on 160131 1700. ref SDS A4 FX40
610600 - ..
610601 - Liver damage reduces production of HDL cholesterol, associated
610602 - with acetaminophen and ibuprofen taken to control pain in feet
610603 - and knees, which enables hiking extended mileage that elevates
610604 - HDL. Thus, rate of HDL increase is reduced, so will try taking
610605 - naproxen, which does not impact the liver production of HDL.
610607 - ..
610608 - T Bilirubin 2.0 increased elevated slightly above range,
610609 - reflects increased reliance on acetaminophen (see also
610610 - hydrocodone combined with acetaminophen) and ibuprofen to
610611 - manage feet and knee pain for hiking the past 2 months,
610612 - beginning on 170928, shown in case study on 160101 0700.
610613 - ref SDS A0 WYWU This compounds chronic side effects low dose
610614 - statin medications causing poor liver function, as reviewed
610615 - previously on on 140514 0950. ref SDS 64 G34G Side effects of
610616 - peripheral neuropathy in right foot have ended from prior
610617 - condition that ebbed and flowed, reported on 140510, shown in
610618 - case study on 120101 0900. ref SDS 22 TV6I
610620 - ..
610621 - On 160131 1700 elevated LDH may also indicate liver damage due
610622 - to statin medication. at ref SDS A4 FX40 This has not been
610623 - tested again, so there is no record on continuity.
610625 - ..
610626 - On 140819 0800 during meeting with Doctor Sandhu in Primary
610627 - Care VA Clinic in Martinez, there was no review of chronic
610628 - hyperbilirubinemia, with T Bilirubin 2.5 rising 110% above
610629 - range, ref SDS 73 9K7I, shown in lab ordered by the doctor on
610630 - 140814. ref SDS 71 015M
610632 - ..
610633 - Background on Rosuvastatin causing elevated T Bilirubin with
610634 - associated severe side effects is reported on 121206 0900,
610635 - ref SDS 33 NI9L, and further explained in the record on 121130
610636 - 0846. ref SDS 32 ER4K
610638 - ..
610639 - On 131017 1000 Doctor Egan explained patient history of
610640 - intermittant and mild peripheral neuropathy that correlates
610641 - with persistent elevated Bilirubin in lab on 131015,
610642 - ref SDS 41 015M, and further reported with vitals, diet and
610643 - exercise since prior meeting at VA on 130603, see case study on
610644 - 120101 0900, ref SDS 22 X14N, suggests intervention is not
610645 - required at this time to improve recovery from side effects
610646 - taking Rosuvastatin. ref SDS 43 LV5J
610647 -
610649 - ..
610650 - 2. Potassium K 4.7 ............................. ref SDS D9 ZG5O
610651 -
610652 - Potassium 4.7 maintained within range, may reflect reduced
610653 - hiking due to injuries the past year.
610655 - ..
610656 - Similarly, dramatic decline in hiking during 2014, tracked
610657 - potassium within range, reported on 150208 1438. ref SDS 87
610658 - ref SDS 87 ZY7M.
610660 - ..
610661 - Doctor Egan, referring cardiology physician at Martinez VA,
610662 - noted in a letter that meeting at VA Medical Center in San
610663 - Francisco on 140213 0830, ref SDS 57 GT7G, did not address
610664 - elevated potassium in labs performed by Labcorp and VA, shown
610665 - on 140203 1147. ref SDS 54 ZG5O Doctor Egan again notified
610666 - that this condition of elevated potassium represents exposure
610667 - to "electrical problems" with the heart, reported on 140430.
610668 - ref SDS 59 UV5I
610670 - ..
610671 - Doctor Egan was concerned last year about potassium (K) rising
610672 - above range for good health. He explained potassium effects
610673 - electrical signals to the heart, and so has significance for
610674 - CVD, reported during meeting at VA on 121206 0900. ref SDS 33
610675 - 6K56
610677 - ..
610678 - At that time on 121206, the doctor cited medication conflicts
610679 - as possibly causing elevated potassium. ref SDS 33 FI7L Doctor
610680 - Egan further considered dehydration (urination) caused by
610681 - Rosuvastatin may have skewed lab results for electrolytes on
610682 - 121130, and so ordered re-test. ref SDS 33 6K4J
610684 - ..
610685 - On 121212 0941 re-test lab reported Glucose 111, sodium 139,
610686 - and potassium (K) 4.6, all within range, ref SDS 34 KK9M,
610687 - correcting errors noted by Doctor Egan during meeting at VA on
610688 - 121206 0900. ref SDS 33 6K4J
610689 -
610691 - ..
610692 - 3. Glucose 104.....65 - 99 Labcorp......... ref SDS D9 ZG5O
610693 -
610694 - Glucose trending higher because hiking declined due to
610695 - injuries.
610697 - ..
610698 - Diabetes concern from reduced hiking due to metatarsalgia side
610699 - effects, causing weight to increase at times above 180; this
610700 - has subisded the past month, because hiking increased
610701 - significantly, as set out below. ref SDS D9 DC6L
610703 - ..
610704 - On 140814 VA Martinez lab reported HGBA1c 5.6 within range 4 -
610705 - 6, seems to indicate no evident exposure for diabetes.
610706 - ref SDS 78 H66G
610708 - ..
610709 - On 140514 0950 VA lab for HGBA1c 5.4 within range 4 - 6, seems
610710 - to indicate no evident exposure for diabetes. ref SDS 64 H66G
610711 -
610713 - ..
610714 - 4. Salt NA 146...134 - 144......... ref SDS D9 WJ5H
610715 -
610716 - NA salt 146 above range reflects reduced hiking past year.
610717 -
610719 - ..
610720 - 5. LDH for range 0.0 - 225..... ref SDS D9 015M
610721 -
610722 - LDH not reported. Previously, fell back within range for lab
610723 - on 160401 1219. ref SDS A7 015M Reflects reduced hiking due to
610724 - injury. See mileage chart showing 83 miles for February and 48
610725 - miles for March 2016, in case study on 160101 0700. ref SDS A0
610726 - XY4M
610728 - ..
610729 - Research indicates...
610730 -
610731 - http://get.smarter.com/qa/health/causes-elevated-ldh-levels-blood-bb5efae2447298f8?ad=semD&an=google_s&am=broad&o=33306
610732 -
610733 - ...elevation in LDH (lactic acid dehydrogenase) levels include
610734 - certain cancers, heart attack, blood flow deficiency, stroke or
610735 - other cerebrovascular accidents, hemolytic anemia or infectious
610736 - mononucleosis. Liver diseases, including hepatitis, may also
610737 - cause high levels of LDH. Low blood pressure, injuries to the
610738 - muscles, muscular dystrophy and tissue death are additional
610739 - causes, according to Healthline.
610740 -
610741 -
610742 -
610743 -
610744 -
610745 -
610746 -
6108 -
SUBJECTS
VA Lab Lipid Cholesterol 164 with Medication Hiking 1000 Miles Weigh
8103 -
810401 - ..
810402 - HDL 69 Above Healthy Target 60 After Hike 42 Miles Past 2 Days
810403 - Triglycerides Lower to Healthy Target Due Increased Hiking
810404 -
810405 - Follow up ref SDS G5 IM9N, ref SDS G3 IM9N.
810406 -
810407 - Prior LIPID PANEL 120509 1108. ref SDS 27 IM9N
810408 - Prior LIPID PANEL 120831 1525. ref SDS 28 IM9N
810409 - Prior LIPID PANEL 130228 1140. ref SDS 37 IM9N
810410 - Prior LIPID PANEL 130529 0818. ref SDS 39 IM9N
810411 - Prior LIPID PANEL 131015 0724, ref SDS 41 IM9N
810412 - Prior LIPID PANEL Labcorp, 140201 1159, ref SDS 53 IM9N
810413 - Prior LIPID PANEL, 140203 1147, ref SDS 54 IM9N
810414 - Prior LIPID PANEL Labcorp, 140508 1149. ref SDS 61 IM9N
810415 - Prior LIPID PANEL, 140814 1530, ref SDS 71 IM9N
810416 - Prior LIPID PANEL Labcorp, 141021 1009. ref SDS 77 IM9N
810417 - Prior LIPID PANEL, 141021 1150, ref SDS 78 IM9N
810418 - Prior LIPID PANEL Labcorp, 141106 0630, ref SDS 80 IM9N
810419 - Prior LIPID PANEL Labcorp, 141201 0852, ref SDS 83 IM9N
810420 - Prior LIPID PANEL Labcorp, 150208 1438, ref SDS 86 IM9N
810421 - Prior LIPID PANEL VA Medical Center San Francisco, 150209 1012, ref SDS 87 IM9N
810422 - Prior LIPID PANEL Labcorp, 150512 1239, ref SDS 90 IM9N
810423 - Prior LIPID PANEL VA Clinic Martinez, 150512 1349, ref SDS 91 IM9N
810424 - Prior LIPID PANEL Labcorp, 150602 1300, ref SDS 92 IM9N
810425 - Prior LIPID PANEL VA Medical Center San Francisco, 150728 1146, ref SDS 94 IM9N
810426 - Prior LIPID PANEL Labcorp, 160131 1714, ref SDS A3 IM9N
810427 - Prior Lipid Panel VA Medical Center San Francisco, 160202 1220. ref SDS A5 IM9N
810428 - Prior LIPID PANEL Labcorp, 160401 1219, ref SDS A7 IM9N
810429 - Prior Lipid Panel VA Medical Center San Francisco, 160503 1130. ref SDS A8 IM9N
810430 - Prior LIPID PANEL Labcorp, 160717 1053, ref SDS B4 IM9N
810431 - Prior LIPID PANEL Labcorp, 161009 1320, ref SDS B5 IM9N
810432 - Prior Lipid Panel VA Medical Center San Francisco, 161011 1100. ref SDS B6 IM9N
810433 - Prior Lipid Panel VA Medical Center San Francisco, 170206 1100, ref SDS B9 IM9N,
810434 - Prior LIPID PANEL Labcorp, 170216 1634, ref SDS C2 IM9N
810435 - Prior Lipid Panel VA Medical Center San Francisco, 170412 0700, ref SDS C8 IM9N,
810436 - Prior LIPID PANEL Labcorp, 171001 1246, ref SDS D9 IM9N
810437 - Prior Lipid Panel VA Medical Center San Francisco, 171011 0710, ref SDS E1 IM9N
810438 - Prior Lipid Panel Quest on 180222 1500. ref SDS E5 IM9N
810439 - Prior LIPID PANEL Labcorp, 180410 1444, ref SDS E7 IM9N
810440 - Prior Lipid Panel VA Medical Center San Francisco, 180411 0750, ref SDS E8 IM9N
810441 - Prior Lipid Panel Quest on 180504 1310. ref SDS F0 IM9N
810442 - Prior LIPID PANEL Labcorp, 180504 1357, ref SDS F1 IM9N
810443 - Prior Lipid Panel Quest on 180514 11538 ref SDS F3 IM9N
810444 - Prior Lipid Panel Labcorp on 180620 1145 ref SDS F7 IM9N
810445 - Prior Lipid Panel VA Medical Center Sacramento, 180713 0755, ref SDS F8 IM9N
810446 - Prior Lipid Panel VA Medical Center San Francisco, 180802 0640, ref SDS G0 IM9N
810447 - Prior Lipid Panel Quest on 180824 1140, ref SDS G2 IM9N
810448 - Prior Lipid Panel VA Medical Center San Francisco, 180913 1350, ref SDS G3 IM9N
810449 - Prior Lipid Panel Labcorp on 181021 1541 ref SDS G5 IM9N
810450 - Prior Lipid Panel Quest on 181029 1438, ref SDS 0 IM9N
810451 -
810453 - ..
810454 - After hiking 22 miles today, reported in case study on 180101 0820,
810455 - 180101 0820, ref SDS E4 E55K, and following hiking 20 miles the day
810456 - before on 181028, ref SDS E4 6N5G, went to Quest Labs for blood draw
810457 - (lipids only) results from Quest are stored in... stored in...
810458 -
810459 - F:\05\00003\SM\CC\AGMJ\20181029-145100\Test_Results_51950.pdf
810461 - ..
810462 - On 181015 0908 ordered labs from HTC at Labcorp and at Quest. Only
810463 - for lipids, reported on 181015 0908. ref SDS G4 AP6H
810465 - ..
810466 - These results showing HDL 66 last week on 181021, increased to HDL 69
810467 - today, conflicts with patient history showing increased HDL 73, after
810468 - hiking long distances everyday. Did not eat anything (NPO) before
810469 - leaving for hike, applying fasting protocol before lipid labs.
810471 - ..
810472 - Ended drinking ensure with milk including egg nog the past week.
810474 - ..
810475 - Ended taking Naproxen 1 pill 250 mg before leaving on hikes, beginning
810476 - on 181028, reported in case study on 180101 0820. ref SDS E4 NG5G
810477 - Research found Acetaminophen lowers HDL 30%, reported on 180724 1645.
810478 - ref SDS F9 EZ7G Today, found PubMed articled published on 1995 04
810479 - 17, saying Naproxen lowers LDL, and has no effect on HDL.
810480 -
810481 - https://www.ncbi.nlm.nih.gov/pubmed/7614523
810482 -
810484 - ..
810485 - LIPID PANEL
810486 - ..
810487 - x x x x
810488 - Dates..............2018 10 29 1451 181021 1553 180913 1357 180824 1145 180802 0643 180713 0800 180620 1205 180514 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 140
810489 - Quest Labcorp VAMCSF Quest VAMCSF VAMC Sacrmnto Labcorp 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 V
810490 - 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 Res
810491 - LDL Particle Number
810492 - 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
810493 -
810494 -
810495 -
810496 -
810498 - ..
810499 - Lipids
810500 - CHOL 185 208 189 196 195 182 201 H 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 1
810501 -
810502 - TRIGLYC 83 92 84 75 104 67 74 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
810503 -
810504 - HDL-C 69 66 68 67 66 55 61 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
810506 - ..
810507 - LDL-C 99 124 105 113 109 114 125 112 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
810508 -
810509 - ** LDL Dir
810510 - TRIG NF
810512 - ..
810513 - TC/HDL ratio 2.7 3.2 2.8 2.9 3.0 3.3 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
810514 - TG/HDL ratio 1.2 1.4 1.2 1.1 1.6 1.2 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
810516 - ..
810517 - Non HDL Cholesterol 129 152 114
810518 -
810520 - ..
810521 - Cholesterol very low 17
810522 - density 15
810524 - ..
810525 - LDL and HDL Particles
810526 - 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
810527 - Small LDL-P 847 H 376 626 H 843 H 543 436 636 H 176 417 1141 H 153 310 387 H 1277.0
810528 - 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
810529 -
810531 - ..
810532 - CYSTATIN C 1.27 H
810534 - ..
810535 - eGFRcys 57.7 L
810537 - ..
810538 - Quest Diagnostics-Sacramento - Northgate, 3714 Northgate Blvd,
810539 - Sacramento CA, phone: , Medical Director: MD Rose Akin
810540 -
810541 -
810542 -
810544 - ..
810545 - Article explains HDL-P...
810546 -
810547 - Clinical Chemestry
810548 -
810549 - HDL-C vs HDL-P: How Changing One Letter Could Make a
810550 - Difference in Understanding the Role of High-Density
810551 - Lipoprotein in Disease
810552 -
810553 - http://clinchem.aaccjnls.org/content/60/11/e1
810555 - ..
810556 - HDL-P can be measured by NMR or by ion mobility (IM)
810557 - spectrometry.
810559 - ..
810560 - Most people measure HDL-P 32 - 34 using NMR methods, so 40.9
810561 - indicates high concentration.
810563 - ..
810564 - Most people measure HDL-P 5 - 6 using IM methods.
810565 -
810566 -
810568 - ..
810569 - --------------------------------------------------------
810570 - ** INTERPRETATIVE INFORMATION**
810571 - PARTICLE CONCENTRATION AND SIZE
810573 - ..
810574 - LDL AND HDL PARTICLES Percentile in Reference Population
810575 - HDL-P (total) High 75th 50th 25th Low
810576 - >34.9 34.9 30.5 26.7 <25.7
810577 - ..
810578 - Small LDL-P Low 25th 50th 75th High
810579 - <117 117 527 839 >839
810581 - ..
810582 - LDL Size <- Large (Pattern A)-> <- (Pattern B) ->
810583 - 23.0 20.6 20.5 19.0
810584 -
810586 - ..
810587 - Comment:
810588 -
810589 - Small LDL-P and LDL Size are associated with CVD risk, but
810590 - not after LDL-P is taken into account.
810592 - ..
810593 - These assays were developed and their performance
810594 - characteristics determined by LipoScience. These assays
810595 - have not been cleared by the US Food and Drug
810596 - Administration. The clinical utility of these laboratory
810597 - values have not been fully established.
810599 - ..
810600 - Insulin Resistance Scr x x x x x x x
810601 - LP-IR Score 26 <25 37 < 25 < 25 < 25 45 < 25 H 46.0 < 25.0 < 25.0 <= 45.
810602 -
810604 - ..
810605 - INSULIN RESISTANCE MARKER
810606 -
810607 - <--Insulin Sensitive Insulin Resistant-->
810608 - Percentile in Reference Population
810609 - Insulin Resistance Score
810610 - LP-IR Score Low 25th 50th 75th High
810611 - <27 27 45 63 >63
810612 -
810614 - ..
810615 - Comments...
810616 -
810617 - LP-IR Score is inaccurate if patient is non-fasting. The
810618 - LP-IR score is a laboratory developed index that has been
810619 - associated with insulin resistance and diabetes risk and
810620 - should be used as one component of a physician's clinical
810621 - assessment. The LP-IR score listed above has not been
810622 - cleared by the US Food and Drug Administration.
810623 -
810624 - ========================================
810626 - ..
810627 - Final Report Labcorp NMR Lipid Panel
810629 - ..
810630 - Date Issued: 02/02/16 1133 ET
810632 - ..
810633 - This document contains private and confidential health
810634 - information protected by state and federal law.
810635 - If you have received this document in error, please call
810636 - 858-668-3700
810637 -
810638 - 1995-2014 Laboratory Corporation of America® Holdings
810639 - All Rights Reserved - Enterprise Report Version 1.00
810641 - ..
810642 - 02 BN William F Hancock, MD
810643 - Labcorp Burlington
810644 - 1447 York Court, Burlington, NC 27215-3361
810645 - 877 547 6837
810646 - 800-762-4344 Lab: 858-668-3700
810647 - Bianca
810648 - duranb3@labcorp.com
810650 - ..
810651 - For inquiries, the physician may contact Branch: 800 762 4344
810652 - Lab: 858 668 3700
810654 - ..
810655 - Prior labs contact for NMR Lipids...
810656 -
810657 - 02 BN Deanna Franke, PhD
810658 - Liposcience Inc
810659 - 2500 Sumner Blvd, Raleigh, NC 27616-3235
810660 - 877 547 6837
810661 - 800-762-4344 Lab: 858-668-3700
810662 - customer.service@liposcience.com
810663 -
810664 -
810665 -
810666 -
810667 -
810668 -
810670 - ..
810671 - Lipid History Trend Analysis
810672 -
810673 - Follow up ref SDS G5 W25L, ref SDS G3 W25L.
810674 -
810675 - There are 3 tests for cholesterol performed for an examination cycle:
810676 - (1) VA, (2) Liposcience NMR lipids, and (3) Labcorp lipids.
810677 - Confidence in lab results is high when these seperate labs are in
810678 - close proximity...
810679 - Small LDL LP-IR
810680 - Collection DT CHOL TRIGL HDL LDL-C LDL-P HDL-P LDL-P SIZE SCORE LDL-D
810681 - 10/29/2018 14:41 185 83 69 99 .......................................... ref SDS 0 U45J
810682 - 10/21/2018 15:53 208 H 92 66 124 H.......................................... ref SDS G5 U45J
810683 - 09/13/2018 13:57 189 84 68 105 .......................................... ref SDS G3 U45J
810684 - 08/24/2018 11:45 196 75 67 113 .......................................... ref SDS G2 U45J
810685 - 08/02/2018 06:43 195 104 66 109 .......................................... ref SDS G0 U45J
810686 - 07/13/2018 08:00 182 67 55 114 .......................................... ref SDS F8 U45J
810687 - 05/14/2018 15:53 196 82 67 112 .......................................... ref SDS F3 1O6N
810688 - 05/04/2018 14:07 219 103 64 134 .......................................... ref SDS F1 1O6N
810689 - 05/04/2018 13:23 212 107 60 131 .......................................... ref SDS F0 1O6N
810690 - 04/11/2018 07:57 175 84 60 98 .......................................... ref SDS E8 1O6N
810691 - 04/10/2018 14:50 221 99 67 134 ..1603....40.9...847...20.5......26....... ref SDS E7 1O6N
810692 - 02/22/2018 15:56 181 81 67 97 .......................................... ref SDS E5 1O6N
810693 - 11/24/2017 15:08 191 103 61 109 H..1090....37.9...376...20.9....< 25....... ref SDS E2 U45J
810694 - 10/11/2017 07:13 179 81 55 108 ........................................... ref SDS E1 U45J
810695 - 10/01/2017 12:51 211 158 57 122 H..1272....35.8...626...20.4....< 37....... ref SDS D9 U45J
810696 - 04/12/2017 07:00 184 67 54 117 ........................................... ref SDS C8 U45J
810697 - 02/16/2017 16:39 242 H 103 72 149 H .1678....42.5...943...20.6....< 25....... ref SDS C2 U45J
810698 - 02/06/2017 10:49 196 72 61 121 ........................................... ref SDS B9 U45J
810699 - 10/11/2016 11:14 231 66 62 156 ........................................... ref SDS B6 U45J
810700 - 10/09/2016 13:37 245 98 65 160 ...1619....40.4...543...21.2....< 25....... ref SDS B5 U45J
810701 - 07/17/2016 10:55 229 70 67 148 ...1346....39.4...436...21.2....< 25....... ref SDS B4 U45J
810702 - 06/18/2016 00:54 230 66 63 153 ........................................... ref SDS B0 U45J
810703 - 05/03/2016 11:45 196 55 57 128 ........................................... ref SDS A8 U45J
810704 - 04/01/2016 14:43 197 88 56 123 ...1379....33.9...636...20.6......27....... ref SDS A7 U45J
810705 - 02/02/2016 13:34 177 61 69 96 ........................................... ref SDS A5 U45J
810706 - 01/31/2016 17:14 183 61 73 98 ....699....41.9...176...20.9....< 25....... ref SDS A4 U45J
810707 - 10/27/2015 13:49 315 H 59 60 243 H ......................................... ref SDS 98 5C7M
810708 - 07/28/2015 11:54 153 54 65 78 ........................................... ref SDS 95 U45J
810709 - rets 06/02/2015 13:00 199 H 77 69 115 H .1158....42.3...417...20.9....< 25....... ref SDS 93 U45J
810710 - 05/12/2015 13:49 299 H 103 58 220 H ......................................... ref SDS 92 5C7M
810711 - erro 05/12/2015 13:00 ?? 282 H 108 56 204 H .2537....34.3..1141...20.8......45....... ref SDS 91 BE6O
810712 - 02/09/2015 11:21 161 50 70 81 ......................................... ref SDS 88 BE6O
810713 - 02/08/2015 14:52 162 66 66 83 ..709....39.5...153...21.0....< 25....... ref SDS 87 BE6O
810714 - 12/01/2014 08:40 157 73 63 79 ..656....38.9...310...20.4....< 25....... ref SDS 84 BE6O
810715 - rets 11/06/2014 07:14 137 85 53 67 ..997....35.2...387...20.8......30....... ref SDS 81 BE6O
810716 - erro 10/21/2014 10:21 157 80 55 86 .1586....36.4..1277...19.7......46....... ref SDS 78 BE6O
810717 - 10/21/2014 11:48 159 65 57 90 ......................................... ref SDS 79 BE6O
810718 - 08/14/2014 15:28 161 72 55 92 ......................................... ref SDS 71 BE6O
810719 - 05/14/2014 10:16 164 58 66 87 .................................... 93.. ref SDS 64 BE6O
810720 - 05/08/2014 11:49 162 59 67 83 ..851....38.1...<90...21.2....< 25 ..... ref SDS 61 U45J
810721 - 02/03/2014 12:28 160 47 58 93 ......................................... ref SDS 54 BE6O
810722 - 02/01/2014 12:31 156 68 61 81 ..861....31.4...<90...21.3....< 25....... ref SDS 53 HW5M
810723 - 10/15/2013 08:25 321 H 109 50 249 H ......................................... ref SDS 41 BE6O
810724 - 05/29/2013 08:18 307 H 85 50 240 H ......................................... ref SDS 39 BE6O
810725 - 02/28/2013 08:39 310 H 73 47 248 H ......................................... ref SDS 37 BE6O
810726 - 11/30/2012 10:01 173 53 57 105 ......................................... ref SDS 32 BE6O
810727 - 08/31/2012 15:25 176 94 47 110 ......................................... ref SDS 28 U89N
810728 - 05/09/2012 11:24 158 76 49 94 ......................................... ref SDS 27 U89N
810729 - 02/09/2012 11:18 285 82 41 228 H ......................................... ref SDS 23 2A4G
810730 - 11/17/2011 14:27 260 84 43 200 H ......................................... ref SDS 21 2A4G
810731 - 07/27/2011 12:58 163 81 45 102 ......................................... ref SDS 17 E19L
810732 - 12/07/2010 09:17 151 41 47 96 ......................................... ref SDS 16 E19L
810733 - 07/21/2010 08:54 261 H 87 35 L 209 H ......................................... ref SDS 12 E19L
810734 - 06/10/2010 10:33 217 H 83 36 L 164 H ......................................... ref SDS 11 QV4F
810735 - 12/14/2009 11:10 241 H 136 44 170 H ......................................... 100928 0706, ref SDS 13 VW6J
810736 - 08/13/2009 15:09 233 H 118 30 L 179 H ......................................... 100610 1046, ref SDS 11 U45G
810737 - 06/16/2006 10:59 238 H 68 32 L 192 H ......................................... 091002 0900, ref SDS 7 LJ5H
810738 - 07/19/1999 11:31 331 H 123 44 262 H ......................................... ref SDS 1 5035
810739 -
810740 -
810741 - * Lab at VA San Francisco Medical Center reported on 100928 0706.
810742 - ref SDS 13 VW6J
810744 - ..
810745 - Research on cholesterol reported on 091002 0900. ref SDS 7 2F8K
810747 - ..
810748 - On 131125 0005 research found ezetimibe (zetia) mg added to
810749 - Atorvastatin 20 mg yielded after 6 weeks significantly greater changes
810750 - to lipids than taking Atorvastatin in higher doses, e.g., 20 or 40 mg.
810751 - ref SDS 47 CO56
810753 - ..
810754 - On 131125 0005 research found discordance LDL-P low and LDL-C high
810755 - lipid panel HDL 65 TG 77 healthy patient profile with LDL 246.
810756 - ref SDS 47 MN98 Discordance with LDL-P low and LDL-C high is lowest
810757 - risk for CVD, arterialsclorosis. ref SDS 47 FI3G
810759 - ..
810760 - Analysis....
810761 -
810762 - 1. HDL 60 (Labcorp NMR test) and HDL 61 standard lipid panel, per
810763 - above, ref SDS E2 1O6N, increased 5 - 6 points marginally
810764 - reaching 60 required to regress and prevent atherosclerosis.
810765 - Shows effect hiking 371 miles since prior lab at VA on 171011
810766 - 0710. ref SDS E1 5C7M
810768 - ..
810769 - HDL 73 was reported on 160131 1700. ref SDS A4 U45J
810770 - Previously, primary care Doctor Rao seemed to indicate it would
810771 - be impossible to increase HDL above 70, reported during meeting
810772 - at the VA Medical Center in San Francisco on 150213 0830.
810773 - ref SDS 89 L84O On 160202 1220 VA lab reported HDL 69,
810774 - ref SDS A5 U45J after hiking additional 30 miles which should
810775 - have yielded HDL 75 or so; may indicate VA refusing correct
810776 - reporting HDL > 69. ref SDS A5 GH8N
810778 - ..
810779 - Hiking increased with improved shoes and orthotic inserts that
810780 - resolved pain from plantar plate tear, and metatarsalgia,
810781 - purchased from On-the-Run reported 2 days ago on 170929 1010.
810782 - ref SDS D8 DH8F Additionally, feet and knee pain from
810783 - metatarsalgia, plantar plate tear and osteoarthritis beginning
810784 - to resolve following PRP injection treatments on 170726 1600,
810785 - ref SDS C9 0001, and follow up treatments 3 weeks later on
810786 - 170816 1400. ref SDS D0 0001
810788 - ..
810789 - 2. LDL-P 1090, ref SDS E2 BE6O, significant improvement from 1272
810790 - on 171001, ref SDS D9 BE6O, but signficantly worse than 699 -
810791 - best NMR lipid panel in over a year, ref SDS A3 BE6O, since
810792 - LDL-P 656 on 141201 0850. ref SDS 83 U45J LDL particle size
810793 - 20.4 drops slightly below target 20.5 for "fluffy" particles
810794 - that resist causing plaque.
810796 - ..
810797 - 3. Triglycerices (TG) 105, ref SDS E2 BE6O, corrects prior mistake
810798 - reporting TG 158.
810800 - ..
810801 - 4. Research indicates healthiest cardiovascular condition occurs
810802 - with lowest risk for CVD, when lipids are discordant, with
810803 - LDL-P low and LDL-C high. However, greatest risk for CVD is
810804 - LDL-P high and LDL-C low, shown in the record on 131125 0005.
810805 - ref SDS 47 FI3G
810807 - ..
810808 - 5. VA published goal LDL-C <= 131; Labcorp published goal LCL-C <
810809 - 100. ref SDS 64 5C7M New AHA guidelines show LDL-C < 190,
810810 - reported on 131112 1422. ref SDS 45 HT87
810812 - ..
810813 - 6. VA lowering goal to HDL > 35, per above, ref SDS 86 5C7M, from >
810814 - 40 seems conflicting with patient history of CABG +4 on 091022
810815 - 0700. ref SDS 8 PQWU Since HDL 30 was found at that time (see
810816 - Lipid history below, ref SDS 64 W25L, setting the bar at HDL 35
810817 - has little tolerance for genetic variation to avoid and repair
810818 - endothelium lesions causing atheriosclerotic plaque.
810820 - ..
810821 - 7. Resting heart rate getting up in the mornings has increased
810822 - above 50. Blood pressure averages about 127 68; however,
810823 - systolic often drops below 120, and diastolic often falls below
810824 - 60. After 11 mile hikes blood pressure drops to about 105 55.
810825 - Systolic on occassion falls below 90. Dystalic has fallen
810826 - below 50 - e.g., see Saturday, 141018, reported in case study
810827 - on 120101 0900, ref SDS 22 V83O Heart rate now recovers well
810828 - after strenuous exercise, often falling back below 60 within 20
810829 - minutes or so.
810831 - ..
810832 - 8. Cholesterol................... 194................ ref SDS E2 U45J
810833 -
810835 - ..
810836 - LDL-C......................... 122................ ref SDS E2 U45J
810838 - ..
810839 - 9. Worsening HDL and TG lipids reflect...
810841 - ..
810842 - a. Physical activity prescribed by the VA on 140213,
810843 - ref SDS 57 E34O, has recovered after a pause of 5 months to
810844 - recover from side effects, and now continues from prior
810845 - levels hiking 300+ miles per month, and supplemented with
810846 - 750 ml orange juice per day (explained below, ref SDS 87
810847 - LO4J)...
810849 - ..
810850 - Mileage spreadsheet 2010 to present, and tracking cholesterol lab
810851 - history...
810852 -
810853 - F:\05\00003\SM\CC\BNKG\120216cc\130101cc\hiking_miles_3.xlsx
810854 -
810856 - ..
810857 - Mileage 2015 and Beginning 2016 Since Prior Lab
810858 -
810859 - Follow up ref SDS G5 ZY7M, ref SDS G3 ZY7M.
810860 -
810861 - Miles Minutes
810862 - 150201....Jan................... 242 3687 ...... ref SDS 49 TSYW
810863 - 150302....Feb................... 256 3941 ...... ref SDS 49 VYVP
810864 - 150329....Mar................... 189 2941 ...... ref SDS 49 WUTU
810865 - 150503....Apr................... 240 3698 ...... ref SDS 49 XVVR
810866 - 150531....May................... 230 3485 ...... ref SDS 49 PPXS
810867 - 150628....June.................. 233 3571 ...... ref SDS 49 QZ6J
810868 - 150802....July.................. 230 3559 ...... ref SDS 49 RSVY
810869 - 150830....August................ 142 2241 ...... ref SDS 49 SVPP
810870 - 150927....September............. 212 3658 ...... ref SDS 49 TVQP
810871 - 151101....October............... 323 5337 ...... ref SDS 49 YN4J
810872 - 151129....November.............. 152 2461 ...... ref SDS 49 WRYV
810873 - 160103....December.............. 73 1158 ...... ref SDS 49 LX6I
810874 - 160131....January............... 229 3612 ...... ref SDS A0 XY4M
810875 - 160228....February.............. 83 1337 ...... ref SDS A0 XY4M
810876 - 160403....March................. 48 813 ...... ref SDS A0 XY4M
810877 - 160501....April................. 103 1828 ...... ref SDS A0 XY4M
810878 - 160529....May................... 129 2205 ...... ref SDS A0 XY4M
810879 - 160703....June.................. 218 3628 ...... ref SDS A0 XY4M
810880 - 160731....July.................. 228 3909 ...... ref SDS A0 XY4M
810881 - 160828....August................ 183 3262 ...... ref SDS A0 XY4M
810882 - 161002....September............. 276 4854 ...... ref SDS A0 XY4M
810883 - 161030....October............... 269 4205 ...... ref SDS A0 XY4M
810884 - 161127....November.............. 85 1397 ...... ref SDS A0 XY4M
810885 - 170101....December.............. 60 1012 ...... ref SDS A0 XY4M
810886 - 170129....January............... 20 331 ...... ref SDS A0 XY4M
810887 - 170226....February.............. 122 2082 ...... ref SDS A0 XY4M
810888 - 170402....March................. 115 1904 ...... ref SDS A0 XY4M
810889 - 170430....April................. 27 430 ...... ref SDS A0 XY4M
810890 - 170604....May................... 165 2678 ...... ref SDS A0 XY4M
810891 - 170702....June.................. 72 1220 ...... ref SDS A0 XY4M
810892 - 170730....July.................. 106 1827 ...... ref SDS A0 XY4M
810893 - 170903....August................ 169 2915 ...... ref SDS A0 XY4M
810894 - 171001....September............. 89 1460 ...... ref SDS A0 XY4M
810895 - 171029....October............... 241 3858 ...... ref SDS A0 XY4M
810897 - ..
810898 - Mileage November 2017
810899 -
810900 - Follow up ref SDS G5 GY6H, ref SDS G3 GY6H.
810901 -
810902 - 171105........................ 50 795
810903 - 171112........................ 47 769
810904 - 171119........................ 46 730
810905 - 171124........................ 62 1021
810906 - ----- -----
810907 - 205 3315
810909 - ..
810910 - b. Weight continues about 180 on date of lab 171124 (see case
810911 - study on 160101 0700. ref SDS A0 KU3K Hiking lowers weight
810912 - more in the summer with higher temperatures that consume
810913 - calories and triglycerides. Extended endurance exercise
810914 - reduces time and interest in eating. Lower weight tends to
810915 - reduce tryglycerides, which tends to increase LDL-P size =
810916 - 21.0, reported on 150208 1438. ref SDS 86 5C86 ref SDS 86
810917 - 5C86 Evidence indicates weight is highly sensitive to
810918 - eating and exercise, and directly correlates to CVD risk.
810920 - ..
810921 - c. Low-carbohydrate diet works best in this case with
810922 - elevated physical activity, because exhaustion from hiking
810923 - reduces desire/energy for eating.
810925 - ..
810926 - d. Chia seeds added to diet on 131125, reported in case study
810927 - on 120101 0900, ref SDS 22 746M, and recommended for
810928 - sustained energy hiking by Karen at VA on 131121 0930.
810929 - ref SDS 46 NQ37
810931 - ..
810932 - e. CoQ10 (Ubiquinol) added to diet for energy to recover from
810933 - loss of CoQ10 due to age and statin medications, started on
810934 - 151213, shown in case study on 140101 0600. ref SDS 49 MU6G
810936 - ..
810937 - f. Orange juice may have increased slightly this cycle, likely
810938 - contributing to HDL 70 rising 27%, ref SDS 87 U45J, from HDL
810939 - 55 on 141021, and supplementing increased physical
810940 - activity, and as explained in the prior lab analysis on
810941 - 140514 0950. ref SDS 64 LO4J
810943 - ..
810944 - g. Atorvastatin 10 mg with Ezetimibe 10 begun on 131230,
810945 - reported in case study on 120101, ref SDS 22 6A6H, and
810946 - continued through current cycle.
810948 - ..
810949 - Research studies report Atorvastatin 10 mg + Ezetimibe 10
810950 - mg achieves LDL < 70, and favorably changes triglycerides
810951 - and HDL by 5%, reported on 131125 0005. ref SDS 47 CO45
810952 - While low LDL < 70 conflicts with goal of "discordance"
810953 - that lowers health risk for arterialsclorosis and CVD when
810954 - LDL-P low and LDL-C high, shown in research on 131125 0005,
810955 - ref SDS 47 FI3G, even "concordant" results today are good
810956 - news.
810957 -
810958 -
810960 - ..
810961 - Statins Reduce CCTA Found Atherosclerosis Regressed 6 Years After CABG
810962 - CCTA Found Atherosclerosis Regressed 6 Years After CABG Reduce Statins
810963 - Coronary CTA or IVUS Test Athereosclerosis Plaque 6 Years After CABG
810964 - Athereosclerosis Plaque 6 Years After CABG Coronary CTA or IVUS Test
810965 -
810966 - Follow up ref SDS G5 QA4M, ref SDS G3 QA4M.
810967 -
810968 - On 131125 0005 research further found radiology imaging tests can
810969 - evaluate level of plaque build up resulting from elevated cholesterol.
810970 - ref SDS 47 N73K Radiology imaging technologies are Coronary CT
810971 - angiography - CTA - and Intravascular ultrasound - IVUS. ref SDS 47
810972 - KZ8O
810974 - ..
810975 - Lipid history past few years with HDL >= 60 and Triglycerides < 80
810976 - ref SDS A3 W25L, indicates body chemestry causes rapid regression of
810977 - atherosclerosis plaque, cited in research on 131125 0005. ref SDS 47
810978 - RA7K Research indicates that favorable lipid profile, weight loss,
810979 - and production of EPC in the bone marrow, all stimulated by exercise,
810980 - drives regression of plaque. ref SDS 47 XY7L
810982 - ..
810983 - Medication diet, and exercise interventions the past 4 years, since
810984 - CABG x4 on 091022 0700, ref SDS 8 PQWU, supported radiology testing
810985 - for regression of atherosclerosis plaque, which previously required
810986 - major surgery to fix.
810988 - ..
810989 - CCTA testing was supported by patient history using CT radiology
810990 - imaging to assess regression of esophageal bubble after 4 years of
810991 - medical interventions, reported favorable by Doctor Stewart, Chief
810992 - General Surgery at VA on 130122 1330. ref SDS 35 03H6 CT radiology
810993 - with calcium score is commonly used to assess response to treatment
810994 - for regression of athersclerosis, reported during the meeting at the
810995 - VA on 140519 0800. ref SDS 66 OF7N
810997 - ..
810998 - On 151019 CCTA test was performed at VA Medical Center in San
810999 - Francisco. ref SDS 95 NV5I Initial report found all bypass grafts are
811000 - patent. ref SDS 95 JW8O
811002 - ..
811003 - On 151203 1014 meeting with Doctor Elicker in Radiology Department
811004 - seemed to clarify that he read the CCTA scan file performed on 151019,
811005 - and found no evidence of blockages of any amount anywhere in the
811006 - active circulatory system which was covered by the scan. ref SDS 98
811007 - SZ5F
811009 - ..
811010 - On 160104 0855 Doctor Jha, attending physician for this CCTA imaging
811011 - study, advised that standard of practice for radiology reporting is to
811012 - present any and all blockages of any kind observable in CCTA scan
811013 - imaging; so, in this case, since none are reported, the CCTA test on
811014 - 151019, ref SDS 95 JW8O, can correctely be interpretted to mean there
811015 - are no blockages, plaques, stenosis of any kind evident from the scan
811016 - file record. ref SDS 99 AA64
811018 - ..
811019 - On 160113 2234 received letter from Doctor Jha saying the radiology
811020 - faculty approved issuing an addendum. ref SDS 91 A85F
811021 -
811022 - No significant calcified plaque is seen in the bypass grafts.
811023 - All the bypass grafts are opacified with contrast without
811024 - evidence for filling defect or wall calcifications.
811026 - ..
811027 - No calcification is seen in the aortic wall in the visualized
811028 - portions of the thoracic aorta. No ostial calcifications at the
811029 - origins of great vessels from the aortic arch.
811031 - ..
811032 - This seems another way of saying in the written medical record that
811033 - CCTA testing found no evidence of atherosclerotic plaque of any kind
811034 - or amount visualized in the CCTA scan.
811036 - ..
811037 - On 160114 0022 letter commends Doctor Jha and faculty colleagues at
811038 - UCSF for good faith review to clarify CCTA on 151019, that
811039 - demonstrates CCTA evaluating response to treatment (hiking 10K miles
811040 - raising HDL 30 to 70) for regressing atherosclerosis to 0. ref SDS A2
811041 - N760
811043 - ..
811044 - On 171011 1000 Doctor Simpson in Cardiology entered order for another
811045 - lipid test at the VA. Blood draw can be done anytime, after patient
811046 - increases hiking with response to treatment for feet and knee injuries
811047 - that have prevented hiking. When HDL > 60, the doctor will order CCTA
811048 - to follow up prior evaluation of atherosclerosis plaques performed on
811049 - 151019 0930. ref SDS 96 KS8U
811050 -
811051 -
811052 -
811053 -
8111 -
SUBJECTS
Default Null Subject Account for Blank Record
8203 -
820401 - ..
820402 - Coagulation INR PT
820403 -
820404 - Follow up ref SDS G5 QS9L, ref SDS G3 QS9L.
820405 -
820406 - COAGULATION
820407 -
820409 - ..
820410 - Dates......... 2018 08 02 0644 X
820411 - VAMCSF VA
820412 - Blood Results Units Range
820413 - INR 1.0 0.9 - 1.1
820414 - PT 13.4 secs 12 - 14.8
820415 -
820416 -
820417 -
820418 -
820419 -
820420 -
820421 -
8205 -
SUBJECTS
Default Null Subject Account for Blank Record
8303 -
830401 - ..
830402 - Coronary Adverse Event Risk
830403 -
830404 - Follow up ref SDS G5 126H, ref SDS G3 126H.
830405 -
830406 - For some reason, CRP-HS panel was not ordered for this lab.
830407 -
830408 - x
830409 - Dates......... 2016 10 11 1114 160503 1145
830410 - VAMCSF VA VA
830411 - Blood Results Results Units Range
830412 - CRP-HS 3.9 20.6 mg/L 0.2 - 7.5
830414 - ..
830415 - For assessment of risk for cardiovascular disease in adults.
830416 - The CDC and AHA recommnd the following guidelines based on two
830417 - test results, two weeks apart in metabolically stable patients.
830419 - ..
830420 - Cardiovascular Disease Risk CRP-HS mg/L
830421 - Low......................................... < 1.0
830422 - Average..................................... 1.0 - 3.0
830423 - High........................................ 3.0 - 10.0
830424 - Indeterminate............................... > 10
830426 - ..
830427 - If CRP-HS level is >10 mg/L, the patient should be evaluated
830428 - for possible sources of infection or inflammation. Repeat
830429 - CRP-HS may also be appropriate.
830430 -
830431 -
830432 -
830433 -
830434 -
830435 -
830436 -
830437 -
830438 -
830439 -
830440 -
8305 -
SUBJECTS
VA Lab Cardiac Enzymnes Creatine Kinase CK also CPK Creatine Phospho
9103 -
910401 - ..
910402 - Myopathy Muscle Pain Side Effects Simvistatin Decline
910403 -
910404 - Follow up ref SDS G5 D26G, ref SDS G3 D26G.
910405 -
910406 - Prior Cardiac Enzymes Profile on 120209 1118. ref SDS 23 D26G
910407 - Prior Cardiac Enzymes Profile on 120509 1108. ref SDS 27 D26G
910408 - Prior Cardiac Enzymes, 131015 0724, ref SDS 41 D26G
910409 - Prior Cardiac Enzymes Profile VA on 140203 1147. ref SDS 54 NX6G
910411 - ..
910412 - For some reason, CPK (CK) cardiac enzymes panel was not ordered for
910413 - this lab.
910414 -
910415 -
910416 - CARDIAC ENZYMES
910417 -
910418 - Dates 2014 05 14 1016 140508 140203 131015 120509
910419 - VA Labcorp VA VA VA
910420 - PLASMA Results Results Results Results Results Units Range
910421 - CPK (CK) 192 149 110 152 U/L 30 - 235
910422 - TRPONIN ng/ml 0 - 0.07
910423 - CK-MB ng/ml 0.6 - 3.5
910424 - MYOGLOB ng/ml 20 - 82
910426 - ..
910427 - a. CPK/CK test not performed by Labcorp
910429 - ..
910430 - b. SLIGHTLY ICTERIC SPECIMEN /HN
910432 - ..
910433 - c. Ordering Provider: Diana Alba
910434 - Report Released..: May 14, 2014@11:29
910435 - Reporting Lab....: SAN FRANCISCO VAMC [CLIA# 05D0988226]
910436 - 4150 CLEMENT STREET
910437 - SAN FRANCISCO, CA 94121-1545
910438 - Performing Lab...: SAN FRANCISCO VAMC [CLIA# 05D0988226]
910440 - ..
910441 - CKP and CK are the same thing - creatine phosphokinase (CPK) also
910442 - called creatine kinase (CK).
910443 -
910444 - http://www.scai.org/SecondsCount/Resources/Detail.aspx?cid=ed385473-d4e8-491e-9ce0-a7c984fe6f8e#.U3b_BfldWi8
910446 - ..
910447 - Research on 111013 explains Creatine Kinase CK, relates to muscle
910448 - disorders caused by cholesterol medications with statins. 111013 1404,
910449 - ref SDS 20 J54K
910451 - ..
910452 - CK lab may align with reduced side effects of muscle pain in left
910453 - shoulder.
910454 -
910455 -
910456 -
910457 -
910458 -
910459 -
9105 -
SUBJECTS
HGBA1C 5.4 Range 4.0-6.0 Diabetes Negative Laboratory Blood Test Cro
A803 -
A80401 - ..
A80402 - HGBA1c Diabetes Blood Test A1c
A80403 - A1c Diabetes Blood Test HGBA1c
A80404 - Diabetes HGBA1c A1c Blood Test
A80405 -
A80406 - Follow up ref SDS G5 9F4O, ref SDS G3 9F4O.
A80407 -
A80408 - Prior HGBA1c Profile on 100721 0800. ref SDS 12 IL4N
A80409 - Prior HGBA1c Profile on 101207 0906. ref SDS 16 IL4N
A80410 - Prior HGBA1c Profile on 131015 0724. ref SDS 41 9F4O
A80411 - Prior HGBA1c Profile on 140203 1147. ref SDS 54 9F4O
A80412 - Prior HGBA1c Profile on 161011 1100. ref SDS B6 9F4O
A80413 - Prior HGBA1c Profile on 171124 0851. ref SDS E2 9F4O
A80414 - Prior HGBA1c Profile on 180222 1500. ref SDS E5 9F4O
A80415 -
A80417 - ..
A80418 - Endocrine IV - HGBA1c - A1c
A80419 -
A80420 - x x
A80421 - Dates..........2018 02 02 1526 171124 1508 161011 1114 140814 1528 140514 140508 140203 131015 101207
A80422 - Quest Labcorp VA VA VA Labcorp VA VA VA VA Labcorp
A80423 - BLOOD Results Results Results Results Results Results Results Results Results Units Range Range
A80424 - 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
A80425 - eAG 114 111 111 mg/dL 74.0 - 118
A80427 - ..
A80428 - Quest Notes
A80429 -
A80430 - Absence diabetes < 5.7%
A80431 - Pre-diabetes: 5.7 6.4
A80432 - Diabetes: > 6.4
A80433 -
A80434 - This assay result is consistent with a decreased risk of
A80435 - diabetes.
A80437 - ..
A80438 - Test today, reporting HGBA1c 5.5 improves slightly prior Labcorp blood
A80439 - test reporting HGBA1c 5.8 slightly elevated presents flag for diabetes
A80440 - risk, reported on 171124 0851. ref SDS E2 9F4O
A80442 - ..
A80443 - Labcorp test showing LP-IR Score < 25, ref SDS E2 TU6L, indicating risk
A80444 - of diabetes actually declined.
A80446 - ..
A80447 - This test for diabetes was ordered by Doctor Abrams during a meeting
A80448 - at the San Francisco VA Medical Center on 130227 0930. ref SDS 36 8T5L
A80449 - However, it is not reported for the lab performed the next day on
A80450 - 130228 1140, ref SDS 37 RP4N, nor in the follow up lab 3 months later
A80451 - on 130529 0818. ref SDS 39 RP4N
A80453 - ..
A80454 - HGBA1c was performed previously on 101207 0906, ref SDS 16 IL4N, and 5
A80455 - months earlier on 100721 0800. ref SDS 12 IL4N
A80457 - ..
A80458 - Labcorp test showing LP-IR Score < 25, ref SDS B6 TU6L, indicating risk
A80459 - of diabetes declined.
A80460 -
A80461 -
A80462 -
A80463 -
A80464 -
A805 -
SUBJECTS
Default Null Subject Account for Blank Record
A903 -
A90401 - ..
A90402 - Prostate Evaluation PSA Tumor Markers
A90403 -
A90404 - Follow up ref SDS G5 GM9G, ref SDS G3 GM9G.
A90405 -
A90406 - Prior PSA PANEL VA Clinic Martinez, 100721 0800, ref SDS 12 ER6N
A90407 - Prior PSA PANEL VA Clinic Martinez, 150512 1330, ref SDS 91 GM9G
A90409 - ..
A90410 - For some reason PSA test for prostate cancer was not ordered for this
A90411 - lab.
A90412 -
A90414 - ..
A90415 - PSA Prostate Specific Ag
A90416 -
A90417 - Follow up ref SDS G5 1M9N, ref SDS G3 1M9N.
A90418 -
A90419 - Dates..........2015 05 12 1349 100721
A90420 - VA VA VA
A90421 - Serum Results Results Units Range
A90422 - AFP TM Not done ng/mL 0.0 - 8.0
A90423 - CEA Not done ng/mL 0.0 - 3.0
A90424 - PSA (Prostate) 2.18 1.25 ng/mL 0.0 - 4.0
A90425 - CA 125 Not done Units/mL 0.0 - 34.0
A90426 - CA 15-3 Not done Units/mL 0.0 - 25.0
A90427 - CA 19-9 Not done Units/mL 0.0 - 37.0
A90428 -
A90430 - ..
A90431 - Comments...
A90432 -
A90433 - a. Test Ordered by Doctor Harkesh Sandhu
A90434 - Performed at...
A90435 - MARTINEZ CBOC 150 MUIR ROAD
A90436 - MARTINEZ, CA 94553-4668
A90437 -
A90438 -
A90439 -
A905 -
SUBJECTS
Default Null Subject Account for Blank Record
AA03 -
AA0401 - ..
AA0402 - Thyroid Stimulating Hormone
AA0403 -
AA0404 - Follow up ref SDS G5 PO6I, ref SDS G3 PO6I.
AA0406 - ..
AA0407 - Prior Thyroid PANEL VA Clinic Martinez, 150512 1330, ref SDS 91 PO6I
AA0409 - ..
AA0410 - For some reason thyroid panel was not ordered today.
AA0411 -
AA0412 -
AA0413 - Dates..........2015 05 12 1349
AA0414 - VA VA
AA0415 - Serum Results Units Range
AA0416 - * THYROTROPIN 1.65 uIUnits/mL 0.34 - 5.60
AA0417 -
AA0419 - ..
AA0420 - Seems to be new lab panel.
AA0421 -
AA0422 - Comments...
AA0423 -
AA0424 - a. Test Ordered by Doctor Harkesh Sandhu
AA0425 - Performed at...
AA0426 - MARTINEZ CBOC 150 MUIR ROAD
AA0427 - MARTINEZ, CA 94553-4668
AA0428 -
AA0429 -
AA0430 -
AA0431 -
AA0432 -
AA0433 -
AA0434 -
AA0435 -
AA0436 -
AA0437 -
AA0438 -
AA0439 -
AA0440 -
AA0441 -
AA05 -