what the medicare new order looks like in labs

[ndifp3]

Got a therapeutic phlebotomy scheduled for tomorrow but thinking I won't bother. It was a three week battle to get the order. Four years ago things were looking bright with text book perfect labs and BP 115. Today it was 182/104 after moving up from 140's in recent weeks from the stress of trying to access labs and care.

Competent care is available of course its just moved to a cash-only basis.

Sodium 142 mmol/L 136 - 145 mmol/L
Potassium 4.2 mmol/L 3.5 - 5.1 mmol/L
Chloride 103 mmol/L 98 - 107 mmol/L
CO2 (Bicarbonate) 28 mmol/L 21 - 32 mmol/L
Anion Gap 11 mmol/L 3 - 12 mmol/L
Glucose 39 mg/dL 70 - 99 mg/dL LL
Critical result called to and readback by DR x on Tuesday June 25, 2019
08:21:10 PM , confirmed by JPM

BUN 22 mg/dL 7 - 18.0 mg/dL H
Creatinine 1.19 mg/dL 0.50 - 1.30 mg/dL
IDMS-traceable method
GFR Est-Other 63 See Cmnt >60 See Cmnt
GFR Est-African American 73 See Cmnt >60 See Cmnt
Units: mL/min/1.73 m2. Estimated glomerular filtration rate values are
calculated using the CKD-EPI equation
Calcium 9.4 mg/dL 8.5 - 10.1 mg/dL
Total Protein 7.3 g/dL 6.2 - 8.5 g/dL
COMPREHENSIVE METABOLIC PANEL - Details
7/1/2019 My Health Online - Test Details

Albumin 4.3 g/dL 3.4 - 5.0 g/dL
Total Bilirubin 0.7 mg/dL <1.1 mg/dL
Alkaline Phosphatase 49 U/L 50 - 136 U/L L
AST 26 U/L 15 - 37 U/L
ALT 34 U/L 0 - 60 U/

White Blood Cell Count 8.7 K/uL 4.0 - 11.0 K/uL
Red Blood Cell Count 5.76 M/uL 4.40 - 6.00 M/uL
Hemoglobin 18.5 g/dL 13.5 - 18.0 g/dL H
Hematocrit 55 .55 %40.0 - 52.0 % H
MCV 96 fL 80 - 100 fL
MCH 32.1 pg 27.0 - 33.0 pg
MCHC 33.3 g/dL 31.0 - 36.0 g/dL
RDW 14.0 % <16.4 %
Platelet Count 164 K/uL 150 - 400 K/uL
Differential Type Automated
Abs. Neutrophil 4.8 K/uL 2.0 - 8.0 K/uL
Abs. Lymphocyte 3.0 K/uL 1.0 - 5.1 K/uL
Abs. Monocyte 0.6 K/uL 0.0 - 0.8 K/uL
Abs. Eosinophil 0.2 K/uL 0.0 - 0.5 K/uL
Abs. Basophil 0.0 K/uL 0.0 - 0.2 K/uL
COMPLETE BLOOD CELL COUNT - Details
7/1/2019 My Health Online - Test Details

Component Your Value Standard Range Flag
CBC differentials are being reported as absolute counts whenever possible
rather than %. If % is of clinical interest it can be calculated as
absolute/WBC.
NUCLEATED RBC AUTO 0.0 /100 WBC /100 WB

Estradiol 72 pg/mL <56 pg/mL H via Siemens Vista

LIPIDS
Total cholesterol 171 mg/dL <200 mg/dL
Triglyceride 116 mg/dL <150 mg/dL
HDL cholesterol 42 mg/dL >40 mg/dL
LDL Calculated 106 mg/dL <100 mg/dL H
Cholesterol to HDL Ratio 4.1 <5.0 Cholesterol/HDL
Cholesterol Ratio Interpretation Risk Female Male 1/2 Average 3.27 3.34 Average 4.44 4.97 2X Average 7.05 9.55 3X Average 11.04 23.39 VLDL (Calculated) 23 mg/dL 5 - 40 mg/dL