Also, in exciting news, I finally got my lab results for September. I am going to attempt to paste a table in here that will show my results comparing the August and September numbers. Numbers in BLUE are below the reference rage. Numbers in RED are above the reference range. For the medical students in the crowd, this might be exciting. For everyone else, I will try to explain the important numbers after the table.
| TEST NAME | 08/05/2005 | 09/09/2005 | UNITS | REFERENCE RANGE |
|---|---|---|---|---|
| CBC | ||||
| WBC | 5.18 | 4.58 | 1000/mcL | 4.80 - 10.80 |
| RBC | 4.11 | 3.73 | mill/mcL | 4.70 - 6.10 |
| HGB | 11.6 | 11.8 | g/dL | 14.0 - 18.0 |
| HCT | 34.2 | 35.8 | % | 42.0 - 52.0 |
| MCV | 83 | 96 | mcm3 | 80 - 94 |
| MCH | 28.2 | 31.6 | pg/cell | 27.0 - 31.0 |
| MCHC | 33.9 | 32.9 | g/dL | 33.0 - 37.0 |
| HGB X 3 | 34.8 | 35.4 | % | 42.0 - 54.0 |
| PLATELETS | 242 | 1000/mcL | 130 - 400 | |
| RETICULOCYTE COUNT | 2.48 | % | 0.80 - 2.10 | |
| BUN (pre) | 39 | 40 | mg/dL | 6 - 19 |
| CREATININE | 6.6 | 8.2 | mg/dL | 0.5 - 1.2 |
| POTASSIUM | 4.1 | 3.7 | mEq/L | 3.3 - 5.1 |
| BICARBONATE | 22 | 28 | mEq/L | 22 - 29 |
| ALKALINE PHOS | 74 | 65 | U/L | 40 - 129 |
| AST/GOT | 15 | 21 | U/L | 13 - 39 |
| TOTAL PROTEIN | 7.4 | 7.1 | g/dL | 5.9 - 8.4 |
| ALBUMIN (BCG) | 4.8 | 4.6 | g/dL | 3.8 - 5.2 |
| CALCIUM | 9.5 | 10.0 | mg/dL | 8.4 - 10.2 |
| PHOSPHORUS | 6.1 | 4.6 | mg/dL | 2.6 - 4.5 |
| Ca X P PRODUCT | 58 | 46 | <55 | |
| SODIUM | 142 | 144 | mEq/L | 133 - 145 |
| CHLORIDE | 107 | 102 | mEq/L | 96 - 108 |
| GLUCOSE | 92 | mg/dL | 70 - 105 | |
| CHOLESTEROL | 116 | mg/dL | <200 | |
| Reference Range is the Desirable Range as specified by the National Cholesterol Education Program Expert Panel. | ||||
| TRIGLYCERIDE | 127 | mg/dL | <200 | |
| Normal Expected Value is the Desirable Range as specified by the National Cholesterol Education Program Wroking Group. | ||||
| IRON | 66 | 63 | mcg/dL | 45 - 160 |
| UIBC | 198 | 181 | mcg/dL | 110 - 370 |
| TIBC (CALC) | 264 | 244 | mcg/dL | 228 - 428 |
| TRANSFERRIN SAT. (CALC) | 25 | 26 | % | 20 - 55 |
| FERRIRITIN | 208 | ng/mL | 22 - 322 | |
| HEMOGLOBIN A1C | 4.9 | % | 4.5 - 5.7 | |
| HBsAg | Negative | Negative | Negative | |
| Please note, methodology has changed from EIA to Chemiluminescence. | ||||
| HBsAb | <10 | mIU/mL | ||
| <10 mIU/mL - NON-IMMUNE >=10 mIU/mL - IMMUNE The magnitude of the measured result above 10 mIU/mL is not indicative of the total amount of antibody present. | ||||
| HEPATITIS C (ANTI-HCV) | Negative | mcg/L | 0 - 10 | |
| Please note, methodology has changed from EIA to Chemiluminescence. | ||||
| ALUMINUM UNSTIM | <5 | mcg/L | 0 - 10 | |
| BIO-INTACT PTH (I-84) | 109.6 | pg/mL | 12.6 - 53.5 | |
| The Bio-intact PTH (I-84) Assay results are approximately 52% of the intact PTH Assay. | ||||
| VITAMIN B12 | 3204 | pg/mL | 211 - 911 | |
| Verified by Repeat Analysis. | ||||
| RBC FOLATE (CALC) | 1216 | ng/mL | 280 - 791 | |
| TSH | 2.13 | mIU/L | 0.35 - 5.50 | |
| HDL | 40 | mg/dL | ||
| CLINICAL SIGNIFICANCE NOT ESTABLISHED * Male <35 mg/dL & Female <45 mg/dL suggestive of increased susceptibility to Coronary Arery Disease. * Male 35-55 mg/dL & Female 45-65 mg/dL clinical significance not established. * Male >55 mg/dL & Female >65 mg/dL suggestive of decreased susceptibility to Coronary Artery Disease. | ||||
| CORRECTED CALCUIM | 8.9 | 9.5 | mg/dL | |
| Calcuated Calcium is not equivalent to measured ionized calcium | ||||
| CORRECTED CA X P PROD | 54 | 44 | ||
| BUN (post) | 12 | mg/dL | 6 - 19 | |
| UREA REDUCTION RATIO (URR) | 70 | % | 65 - 80 | |
As you can see, they did extensive blood work in August, and only some basic tests in September. I think they do the extensive testing every six months (or maybe every year), but they do the standard tests every month. The numbers that are most important to me are the Phosphorus, Potassium, Sodium, BUN, and Urea Reduction Ratio. The Potassium, Phosphorus, and Sodium are the chemicals that I can work on with my diet. The BUN (blood urea nitrogen) is a test that measures the amount of urea nitrogen (a breakdown product of protein metabolism) in the blood. There is a (pre) and (post) dialysis reading for the BUN, and you will notice that it dropped dramatically. The Urea Reduction Ration (URR) is the number that shows how well your dialysis is working. Since I am on the 16-guage needles, the nurse explained that 70% is about as good as I can get. When I move up to the 15-guage needles, then they can get that cleaning rate up closer to 80%.
Prayer Requests:
- I am still feeling sick in the mornings when I get up for an hour or two. The doctor did not have any help when I asked him about it last night. Please pray that I will get back to feeling better. It’s not any fun to be sick.
- Continue to pray that my paperwork goes through quickly and with no problems.
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