Pam T or Vitalady:Lab List

(deactivated member)
on 4/7/10 11:52 pm, edited 4/8/10 12:17 am
Where can I find a complete list of what we should have tested?     I never have had the complete list done and this time I am having my PCP do every single item on the list.

So please point me in the direction and I will print it out.



Thank You very much
rbb825
on 4/8/10 12:08 am - Suffern, NY
This is a list of labs that I get done every 3 months:

CBC, Comprehesive Metabolic Panel, Iron, TIBC, Iron Sat %, Ferritin, B12, Folate,
Vitamin D (25 Hydroxy), Phosporus, Calcium, PTH, Vitamin A, Vitamin E, Vitamin K, Lipid Panel, Zinc, Magnesium, Selenium, Copper, Vitamin B1 (Whole Blood), TSH,T4 and T3, HemA1C

 

Brandy K.
on 4/8/10 12:28 am - Garland, TX
My surgeon sent me the following list:

1)COMPLETE CHEM
2)COMPLETE BLOOD COUNT
3)COAGULATION TIMES
4)PROTHROMBIN TIME
5)THROMBOPLASTIN TIME
6)GROUP AND RH
7)EKG
8)TOTAL ABDOMINAL ULTRASOUND
9)CHEST X RAY
10)BLOOD PREGNANCY TEST ON ALL WOMEN BETWEEN 15 AND 45

But, like everything else, I'm sure they're all different.
 
Brandy K.
on 4/8/10 12:59 am - Garland, TX
Oh... nevermind. My list is preop. You're talking postop. Hee.
 
Andrea U.
on 4/8/10 12:32 am - Wilson, NC

*80053          Comprehensive Metabolic profile: (sodium, potassium, chloride, glucose,BUN, creatinine, calcium, total protein, albumin, total bilirubin, alkaline phosphatase, aspartate aminotransferase)  (10231)

* 84134          Pre-albumin:

* 7600            Lipid profile: (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio)

* 10256          Hep panel: includes ALT (SPGT) & GGT)

* 84100          Phosphorous – Inorganic:  (718)

* 83735          Magnesium:

* 84550          Uric Acid:  (905)

* 7444            Thyroid panel: (T3U, T4, FTI, TSH)  (84437; 84443; 84479; 84480)

* 85025          Hemogram with platelets:  (1759)

* 7573            Iron: TIBC, % sat

* 83550          Ferritin:  (457)

* 84630          Zinc:  (945)

* 84446          Vitamin A:  (921)

* 82306          Vitamin D: (25-hydroxy)   (680)

* 84052          Vitamin B-1: (Thiamin)  (4052)

* 84207          Vitamin B-6: (Pyridoxine)

* 7065            Vitamin B-12 & Folate:  (82607; 82746)

* 83970          Serum intact: PTH

* 83937          Osteocalcin:

* 84597          Vitamin K:

* 85610          PT:

* 85730          PTT:

 

2ND GROUP

 

* 593              LDH:

* 31789          Homocysteine, Cardio:

* 83921          MMA:

* 367              Cortisol:

* 84255          Selenium:

* 84590          Vitamin E:

* 82525          Copper:

 

 

For diabetics: *496 - HEMOGLOBIN A1C   
babagrlshell
on 4/8/10 12:38 am - Columbus, GA
Just curious- why do you have it split into 1st and 2nd groups?
Andrea U.
on 4/8/10 12:43 am - Wilson, NC
I don't, normally.  But I pulled this directly out of an email.  This is Vitalady's list directly.

The first group is her "every 6 month" list.
The second group is her "every 12 month" addition list.


babagrlshell
on 4/8/10 6:40 am - Columbus, GA
Ah, okay. Cool, thanks! 
vitalady
on 4/8/10 5:54 am - Puyallup, WA
RNY on 10/05/94
I split it because docs get nervous. However, as long as those numbers still need tweaking, still do them every 6 months.

Here's the other 2 pages:

***





POSSIBLE DIAGNOSIS CODES





269.2 Hypovitaminosis



268 Vitamin D deficiency



275.40 Calcium deficiency



266.2 Cyanocobalamin deficiency (B12)



281.1 other B12 deficiency anemia



281.0 Pernicious anemia



280.9 Iron-deficiency anemia



281.2 Folate deficiency anemia



285.9 Anemia, unspecified



269.3 Zinc deficiency



244.9 Hypothryoidism



250.0 Diabetes



401.9 Hypertension



276.9 Electrolyte and fluid disorders



272.0 Hypercholesterolemia

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -



*579.3 Surgical malabsorption*



*579.8 Intestinal malabsorption *





* Bands or sleeves should not use these codes as they are not accurate.



*Some insurance companies will not pay for any procedure that uses these codes.





LAB TARGETS





This is NOT medical advice, just my own targets for the main blood levels I watch.



Protein: 7's

Albumin: 4's

Pre-Albumin: 20-30's



Iron: 80-100

Ferritin: 200-300

HGB: 12+

HCT: 36+



Vit A: 60- 80

Vit D: 80-120



Calcium: 9.0-9.4

PTH: 20-40



Vit B1: Mid to top of range

Vit B6: Mid to top of range

Magnesium: Mid range (but also go by if we have leg/foot cramping)

Zinc: Mid range



Vit B12: 1000 +

Folate: Top of range



AST (sgot): Below 40

ALT (sgpt): Below 40



We usually want to "meet or beat" pre-op levels. In some cases, higher is better, and in other cases (Cholesterol, PTH for example), lower is better.



The only things *I* don't mind being on the high end of out of range are Ferritin and B12. But that applies to ME.



My doctors don't show interest in any of these until I am out of range. *I* am interested when I begin heading that direction.





Michelle
RNY, distal, 10/5/94 

P.S.  My year + long absence has NOTHING to do with my WLS, or my type of WLS. See my profile.

babagrlshell
on 4/8/10 6:45 am - Columbus, GA
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