You can fix the broken record by presenting your supposed DATA that you supposedly presented to them...
That would fix that broken record once and for all, and something tells me IF you had that DATA you would eagerly produce it for just that purpose...
You're right, this has become futile and...
And if Quest posted that on their lab report WITHOUT you presenting DATA to them, all the more reason I have less faith in their results.
If you did present DATA to them, produce it... it's THAT SIMPLE...EVERYONE would appreciate it.
Dr Saya
Anyone who reads the entire thread, and is intelligent, will easily see the holes.
You say "I don't know where you got the middle-range from...that's not even relevant"...umm, it was YOU that first mentioned it, that was also when you became hostile...when I pointed that out.
Throw around...
YOUR arrogance is unmatched and unwarranted as evidenced by the COUNTLESS inconsistencies in your posts... When challenged, you attack...as is customary for anyone who cannot partake in a valid evidence-based debate.
I've sat down with so-and-so this, talked with yada yada, 1000 of this a 1000...
Being condescending serves no purpose other than self-promotion.
I know the statement is there on Quest lab reports and you've stated 10 times it is there as a direct result of your compelling DISCUSSION to Nichols Inst, which I would love to be presented with (as would many others...or at...
Data walks and bullsh** talks...
Has NOTHING to do with personal profit as I am on salary and make not a dollar more or dollar less regardless of what lab tests I order. Myself and, I hope, other like-minded physicians will grant their patients the CHOICE (which you do not) of whether or not...
This is where the mid-range discussion came about, posted by YOU, in THIS thread.
Indeed, this discussion is going nowhere. I will continue to order the sensitive estradiol WHEN it seems clinically necessary (on the RARE occasion when the standard assay level and symptoms are discordant), but...
If the data you speak of is assumed to be correct, if anything it proves that one of Quest's assays (standard or sensitive) - or more appropriately their statistical derivation of their reference ranges on said assays - is flawed... remember that "mid-range on one is equivalent to mid-range on...
I, and I'm sure many others, would love to see the abstract of this presented data for our own review...please post or point to where it can be reviewed. Until then, I can only speak on statistics and statistical calculations/analysis facts...
I do order the sensitive assay, but as I noted...
The location on said bell curve (steeper slope) produces the enhanced SENSITIVITY of differing tests...ie: on steeper part of slope = smaller change is much more evident, on flatter part of sloop = smaller change is less evident, but tells us nothing of the accuracy or reliability of the test...
If the problem lies with the lab, there is either:
-human/lab measurement error
-reference range calculation error
-reference population discrepancy (ie: different assays NOT based on same reference population) - MOST likely
Dr Saya
You might want to do same, I understand statistical measurement and analysis more than most, probably you included. I hold a dual Bachelor's degree in Biological Sciences and ECONOMICS - a majority of which deals with statistics. Unless laboratory analysis (and their resultant STATISTICAL...