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me again...... lab messed up
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<blockquote data-quote="Marguerite" data-source="post: 268160" data-attributes="member: 1991"><p>I wouldn't be too concerned about the psychiatrist (if that's the qualification) checking over the blood results. At this level, the test results are obvious enough for almost a trained monkey to analyse. If the doctor is a genuine medical doctor under all the other qualifications then he should have the medical capability to report on the results. And psychiatrists should have a basic medical degree before they specialise. A psychologist - no, not necessarily. It's a separate degree.</p><p></p><p>An endocrinologist may not be any more qualified to report on basic blood tests than a psychiatrist, if the tests are not related to hormones. The only hormone possibly in your test would be fasting insulin, and you didn't mention that one (although from what you say, I think it would be a good idea for it to have been on the request list).</p><p></p><p>If you're concerned about the possibility of diabetes (Type I or Type II) you could in the meantime get a dip stick test from the pharmacy and test her urine, preferably AFTER a big meal. Fasting test on urine is far more likely to be negative even in a diabetic. It should be negative in someone without diabetes, even after a heavy meal, because even a sugar binge should be completely mopped up by insulin release from the pancreas. Only a really major, fast sugar binge MIGHT cause a sugar spillover into the urine. From memory, afternoon/evening samples are more likely to show positive, if there is a concern. And you can't argue with a positive urine sugar test.</p><p></p><p>Still, I fully agree you need to go ahead with the BSL. Couldn't they use blood they've already taken? Or didn't they take the right kind of tube? Over here, our pathologists will keep the blood tubes on ice for a short while in case a doctor wants to ring up and order an extra couple of tests. Some tests can be done this way; some can't and require a fresh sample.</p><p></p><p>And if there is any chance that she has diabetes in the offing, then perhaps seeking a referral to an endocrinologist is a good idea. But to analyse test results - the pathologist who oversees the report for the blood tests should have the capability. He/she specialises in blood test results (and a lot of other tissue-related analysis). Also, copies of the test results should be sent to the GP. Always. All results. Because the GP should be the spider in the centre of your health care web and if they're not there, who will oversee everything and look at the big picture for you?</p><p></p><p>It's not fair to put a kid through multiple blood draws (especially fasting draws) if it can be avoided. For someone to goof up like this - absolutely not right. Poor kid. I don't blame you being angry. I'd be furious, and making THEM hold difficult child 3 down for the next test, AND explain to him why it has to be done again. He would tell them in no uncertain terms what he thought of their incompetence. I wouldn't have to say a word!</p><p></p><p>The ekg shouldn't be too unpleasant for her, unless she has sensitive skin (mother in law does - we carry a bottle of olive oil in the car for her to immediately begin wiping on the areas which had the sticky electrodes). The worst part of the ekg is having to have your chest naked for the technician to stick on the leads. If she's not yet hit the "I'm too modest and shy" stage, tell her to bring a good book to read while the test is happening.</p><p></p><p>Marg</p></blockquote><p></p>
[QUOTE="Marguerite, post: 268160, member: 1991"] I wouldn't be too concerned about the psychiatrist (if that's the qualification) checking over the blood results. At this level, the test results are obvious enough for almost a trained monkey to analyse. If the doctor is a genuine medical doctor under all the other qualifications then he should have the medical capability to report on the results. And psychiatrists should have a basic medical degree before they specialise. A psychologist - no, not necessarily. It's a separate degree. An endocrinologist may not be any more qualified to report on basic blood tests than a psychiatrist, if the tests are not related to hormones. The only hormone possibly in your test would be fasting insulin, and you didn't mention that one (although from what you say, I think it would be a good idea for it to have been on the request list). If you're concerned about the possibility of diabetes (Type I or Type II) you could in the meantime get a dip stick test from the pharmacy and test her urine, preferably AFTER a big meal. Fasting test on urine is far more likely to be negative even in a diabetic. It should be negative in someone without diabetes, even after a heavy meal, because even a sugar binge should be completely mopped up by insulin release from the pancreas. Only a really major, fast sugar binge MIGHT cause a sugar spillover into the urine. From memory, afternoon/evening samples are more likely to show positive, if there is a concern. And you can't argue with a positive urine sugar test. Still, I fully agree you need to go ahead with the BSL. Couldn't they use blood they've already taken? Or didn't they take the right kind of tube? Over here, our pathologists will keep the blood tubes on ice for a short while in case a doctor wants to ring up and order an extra couple of tests. Some tests can be done this way; some can't and require a fresh sample. And if there is any chance that she has diabetes in the offing, then perhaps seeking a referral to an endocrinologist is a good idea. But to analyse test results - the pathologist who oversees the report for the blood tests should have the capability. He/she specialises in blood test results (and a lot of other tissue-related analysis). Also, copies of the test results should be sent to the GP. Always. All results. Because the GP should be the spider in the centre of your health care web and if they're not there, who will oversee everything and look at the big picture for you? It's not fair to put a kid through multiple blood draws (especially fasting draws) if it can be avoided. For someone to goof up like this - absolutely not right. Poor kid. I don't blame you being angry. I'd be furious, and making THEM hold difficult child 3 down for the next test, AND explain to him why it has to be done again. He would tell them in no uncertain terms what he thought of their incompetence. I wouldn't have to say a word! The ekg shouldn't be too unpleasant for her, unless she has sensitive skin (mother in law does - we carry a bottle of olive oil in the car for her to immediately begin wiping on the areas which had the sticky electrodes). The worst part of the ekg is having to have your chest naked for the technician to stick on the leads. If she's not yet hit the "I'm too modest and shy" stage, tell her to bring a good book to read while the test is happening. Marg [/QUOTE]
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