I received my October lab results on Saturday. It looks like I did not do so well with my phosphorus binders. I am having some trouble remembering to take them with every meal, so I think that is part of my problem. I was also eating a corn-based breakfast cereal, and corn is high in phosphorus. I switched to a rice cereal this week, so I am hoping that will help me out. My hemoglobin (HGB) is up a little bit from last month (which is good, but I am still a little anemic). My creatinine went down from 8.2 to 7.6. I’m not sure what that means, but maybe my kidney was trying a little harder last month. My potassium level stayed the same, but they want me to get it up a little bit so that I don’t have to use quite as strong of a concentration of potassium for my dialysis.
| TEST NAME | 09/09/2005 | 10/04/2005 | UNITS | REFERENCE RANGE |
|---|---|---|---|---|
| CBC | ||||
| WBC | 4.58 | 5.27 | 1000/mcL | 4.80 - 10.80 |
| RBC | 3.73 | 3.82 | mill/mcL | 4.70 - 6.10 |
| HGB | 11.8 | 12.6 | g/dL | 14.0 - 18.0 |
| HCT | 35.8 | 36.1 | % | 42.0 - 52.0 |
| MCV | 96 | 95 | mcm3 | 80 - 94 |
| MCH | 31.6 | 33.1 | pg/cell | 27.0 - 31.0 |
| MCHC | 32.9 | 35.0 | g/dL | 33.0 - 37.0 |
| HGB X 3 | 35.4 | 37.8 | % | 42.0 - 54.0 |
| PLATELETS | 190 | 1000/mcL | 130 - 400 | |
| RETICULOCYTE COUNT | % | 0.80 - 2.10 | ||
| BUN (pre) | 40 | 30 | mg/dL | 6 - 19 |
| CREATININE | 8.2 | 7.6 | mg/dL | 0.5 - 1.2 |
| POTASSIUM | 3.7 | 3.7 | mEq/L | 3.3 - 5.1 |
| BICARBONATE | 28 | 29 | mEq/L | 22 - 29 |
| ALKALINE PHOS | 65 | 83 | U/L | 40 - 129 |
| AST/GOT | 21 | 28 | U/L | 13 - 39 |
| TOTAL PROTEIN | 7.1 | 6.8 | g/dL | 5.9 - 8.4 |
| ALBUMIN (BCG) | 4.6 | 4.6 | g/dL | 3.8 - 5.2 |
| CALCIUM | 10.0 | 10.0 | mg/dL | 8.4 - 10.2 |
| PHOSPHORUS | 4.6 | 6.3 | mg/dL | 2.6 - 4.5 |
| Ca X P PRODUCT | 46 | 63 | <55 | |
| SODIUM | 144 | 141 | mEq/L | 133 - 145 |
| CHLORIDE | 102 | 100 | mEq/L | 96 - 108 |
| GLUCOSE | mg/dL | 70 - 105 | ||
| CHOLESTEROL | mg/dL | <200 | ||
| Reference Range is the Desirable Range as specified by the National Cholesterol Education Program Expert Panel. | ||||
| TRIGLYCERIDE | 124 | mg/dL | <200 | |
| Normal Expected Value is the Desirable Range as specified by the National Cholesterol Education Program Wroking Group. | ||||
| IRON | 63 | 52 | mcg/dL | 45 - 160 |
| UIBC | 181 | 182 | mcg/dL | 110 - 370 |
| TIBC (CALC) | 244 | 234 | mcg/dL | 228 - 428 |
| TRANSFERRIN SAT. (CALC) | 26 | 22 | % | 20 - 55 |
| FERRIRITIN | 286 | ng/mL | 22 - 322 | |
| HEMOGLOBIN A1C | 4.3 | % | 4.5 - 5.7 | |
| HBsAg | Negative | Negative | Negative | |
| Please note, methodology has changed from EIA to Chemiluminescence. | ||||
| HBsAb | 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) | mcg/L | 0 - 10 | ||
| Please note, methodology has changed from EIA to Chemiluminescence. | ||||
| ALUMINUM UNSTIM | 13 | mcg/L | 0 - 10 | |
| BIO-INTACT PTH (I-84) | 70.5 | pg/mL | 12.6 - 53.5 | |
| The Bio-intact PTH (I-84) Assay results are approximately 52% of the intact PTH Assay. | ||||
| VITAMIN B12 | pg/mL | 211 - 911 | ||
| Verified by Repeat Analysis. | ||||
| RBC FOLATE (CALC) | ng/mL | 280 - 791 | ||
| TSH | <0.01 | mIU/L | 0.35 - 5.50 | |
| HDL | 31 | 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 | 9.5 | 9.5 | mg/dL | |
| Calcuated Calcium is not equivalent to measured ionized calcium | ||||
| CORRECTED CA X P PROD | 44 | 60 | ||
| BUN (post) | 12 | 8 | mg/dL | 6 - 19 |
| UREA REDUCTION RATIO (URR) | 70 | 73 | % | 65 - 80 |
As you can see, the best information is at the bottom of the table (I put it there to be easy to find). My post-dailysis BUN (blood urea nitrogen) is down to 8, which according to the range, is excellent. Also, my Urea Reduction Ratio (how well the dialysis is doing) is up to 73%, and they want to get me eventually up to 80%. But, I have not been using the 15-guage needles at 400 ml/min for very long, so I imagine that the URR will go up again in November when they take my labs again.
As you can see, if you understand more about blood work than I do, I am doing pretty good with my dialysis. The only thing I really need to work on is diet stuff, like getting my potassium a little higher and getting my phosphorus a lot lower. Thanks for coming by to read today.
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