CONTACTS
SUBJECTS
Examination Planning Physical Review High Cholesterol Esophegeal Sur
0803 -
0803 - ..
0804 - Summary/Objective
0805 -
080501 - Follow up ref SDS 32 0000.
080502 -
080503 -
080504 -
080505 -
080506 -
080507 -
080509 - ..
0806 -
0807 -
0808 - Progress
0809 -
080901 - Cholosteral High from Test 050801 Prescribe Exercise Diet Drugs
080902 -
080903 - Follow up ref SDS 32 MA6I, ref SDS 20 MA6I.
080904 -
080905 - Background...
080906 -
080907 - 1. Physical examination ordered lab which
080908 - was performed later the same
080909 - day....................................... 050629 1000, ref SDS 7 G69K
080911 - ..
080912 - 2. Lab follow up ordered to test elevated
080913 - WBC....................................... 050816 0830, ref SDS 8 G540
080915 - ..
080916 - 3. WBC still elevated doctor prescribed
080917 - Amoxicillin Antibiotics................... 050818 1452, ref SDS 9 DG8G
080919 - ..
080920 - 4. Cholesterol high reported for 3 blood
080921 - tests a year earlier; doctor orders
080922 - follow up lab............................. 060505 0830, ref SDS 20 MA6I
080924 - ..
080925 - 5. Cholesterol; high in follow up blood test
080926 - doctor prescribes treatment with Lovastatin;
080927 - there is no record of receiving nor
080928 - taking Lovastatin......................... 060623 0840, ref SDS 26 UO6K
080930 - ..
080931 - 6. Blood test for cholesterol ordered
080932 - by Doctor Sandhu.......................... 090812 1030, ref SDS 32 236F
080934 - ..
080935 - 7. Blood test performed...................... 090813 1500, ref SDS 0 439L,
080936 -
080938 - ..
080939 - After fasting for 12 hours, went to VA and had blood drawn for the lab
080940 - ordered yesterday. The nurse said the doctor ordered urnialysis, so
080941 - this was added to the lab.
080942 -
080944 - ..
080945 - Laboratory blood test ordered on 090812.
080946 -
080961 - ..
080962 - Log#: 090813 15:09
080963 - <--------------------VETERANS ADMINISTRATION----------------->
080964 - Type Results Units Normal
080965 - Urinalysis
080966 - Report Released Date/Time: Aug 13, 2009 @ 1559
080967 - Provider: Sandhu Harkesh S
080968 - Specimine: urine
080969 - Specimine collection date: 08/13/2009 1509
080970 - PH 6.0 5.00 - 9.00
080971 - PROTEIN NEG mg/dL NEG - TRACE
080972 - GLUCOSE NEG mg/dL Ref: NEG
080973 - KETONES NEG mg/dL Ref: NEG
080974 - BILIRUBIN NEG Ref: NEG
080975 - BLOOD TRACE Ref: NEG
080976 - NITRITE NEG Ref: NEG
080977 - UROBILINOGEN 0.2 EU/dL 0.10 - 1.00
080978 - LEUKOCYTE ESTERASE NEG Ref: NEG
080979 - SPECIFIC GRAVITY 1.025 1.000 - 1.030
080980 - COLOR YELLOW
080981 - APPEARANCE CLEAR
080983 - ..
080984 - HYAINE CASTS Normal (0 - 1)
080985 - CASTS/LPF 0 - 1
080986 - GRANULAR CASTS Normal (0 - 1.
080987 - CASTS/LPF 0 - 1
080988 - WBC/HPF Normal (0 - 5)
080989 - WBC/HPF 0 - 5
080990 - RBC/HPF H FEW (6 - 10)
080991 - RBC/HPF 0 - 5
080992 - CRYSTALS Normal (0 - 1)
080993 - CRYSTALS/LPF 0 - 1
080994 - EPITHELIAL CELLS Normal (0 - 1)
080995 - CELLS/HPF 0 - 1
080996 - YEAST Moderate (2 - 5)
080997 - YEAST/HPF 0 - 1
080998 - BACTERIA Normal (0 - 1)
080999 - BACT/HPF 0 - 1
081000 - MUCOUS Moderate
081001 - AMORPHOUS SEDIMENT None
081002 - TRICHOMONAS None OBS
081004 - ..
081005 - Comment: Test Performed by VA 150 Muir Road, Martinez CA
081006 -
081008 - ..
081009 - Log#: 090813 15:09
081010 - <--------------------VETERANS ADMINISTRATION----------------->
081011 - Type Results Units Normal
081012 - Cancer
081013 - Report Released Date/Time: Aug 24, 2009 @ 1216
081014 - Provider: Sandhu Harkesh S
081015 - Specimine: SERUM MAC 0813 437
081016 - Specimine collection date: 08/13/2009 1509
081017 - ..
081018 - TSH 2.03 uIUnits/mL 0.34 - 5.60
081019 -
081020 - Thyroid Stimulating Hormone (TSH)
081022 - ..
081023 - TSH is produced by the pituitary gland and is part of the
081024 - body's feedback system to maintain stable amounts of the
081025 - thyroid hormones T4 and T3 in the blood. When concentrations
081026 - decrease in the blood, the pituitary is stimulated to
081027 - release TSH. The TSH in turn stimulates the production and
081028 - release of T4 and T3 by the thyroid gland. When the system
081029 - is functioning normally, thyroid production turns on and off
081030 - to maintain constant blood thyroid hormone levels
081032 - ..
081033 - PSA 1.53 ng/ml 0.00 - 4.00
081034 -
081035 - Prostate cancer evaluation.
081036 -
081037 - A prostate-specific antigen (PSA) blood test measures the
081038 - amount of prostate-specific antigen in the blood. PSA is
081039 - released into a man's blood by his prostate gland. Healthy
081040 - men usually have low amounts of PSA in the blood. The amount
081041 - of PSA in the blood normally increases as a man's prostate
081042 - enlarges with age. PSA may increase as a result of an
081043 - injury, a digital rectal exam, recent (24 hours) sexual
081044 - activity (ejaculation), inflammation of the prostate gland
081045 - (prostatitis), or prostate cancer. When combined with a
081046 - digital rectal exam at your doctor's office, the test
081047 - increases the chance of detecting prostate cancer. A PSA
081048 - level within the normal ranges does not mean that prostate
081049 - cancer is not present. Also, some men with prostate cancer
081050 - have normal PSA levels.
081052 - ..
081053 - Comment: Test Performed by VA 150 Muir Road, Martinez CA
081054 -
081056 - ..
081057 - Log#: 090813 15:09
081058 - <--------------------VETERANS ADMINISTRATION----------------->
081059 - Type Results Units Normal
081060 - CBC with DIFF & PLT CT
081061 - Report Released Date/Time: Aug 13, 2009 @ 1538
081062 - Provider: Sandhu Harkesh S
081063 - Specimine: BLOOD HR 0813 76
081064 - Specimine collection date: 08/13/2009 1509
081065 - WBC COUNT 10.5 K/cmm 4.80 - 10.80
081066 - RBC COUNT 5.14 M/cmm 4.70 - 6.10
081067 - HEMOGLOBIN 15.7 g/dL 14.00 - 18.00
081068 - HEMATOCRIT 45.2 % 42.00 - 52.00
081069 - MCV 87.9 fL 80.00 - 99.00
081070 - MCH 30.6 uug 27.00 - 34.00
081071 - MCHC 34.8 gm/dL 32.00 - 35.20
081072 - RDW 12.9 % 11.50 - 14.50
081073 - PLATELETS 350.0 K/cmm 130.00 - 400.00
081074 - MPV 7.6 fL 7.00 - 10.40
081075 -
081076 - [On 091019 1300 follow up lab at VA in San Francisco for
081077 - angiogram test. ref SDS 33 EQP7
081079 - ..
081080 - LYMPHS % L 15.4 % 20.00 - 51.00
081081 - MONOS % 5.4 % 2.00 - 13.00
081082 - ..
081083 - (NEUTS x 1000 = ANC for Kaiser)
081084 - Neutrophils % 77.0 % 40.00 - 80.00
081086 - ..
081087 - EOS % 1.7 % 0.50 - 7.00
081088 - BASO % 0.05 % 0.00 - 2.00
081090 - ..
081091 - Log#: 090813 15:09
081092 - <--------------------VETERANS ADMINISTRATION----------------->
081093 - Type Results Units Normal
081094 - NEUTS # H 8.1 K/cmm 1.50 - 7.90
081095 -
081096 - NEUTS (also absolute neutrophils count - ANC) is calculated
081097 - according to the formula on 060810 1330. ref SDS 27 GL4M
081098 -
081099 - ANC = WBC x 1000 x (Neutrophils + Bands)
081100 -
081101 - = 10.5 x (.77 + 0) x 1000 = 8085
081102 -
081104 - ..
081105 - Log#: 090813 15:09
081106 - <--------------------VETERANS ADMINISTRATION----------------->
081107 - Type Results Units Normal
081108 - ELECTROLYTE PANEL
081109 - GLUCOSE 98 mg/dL 70.00 - 118.00
081110 - SODIUM 139 mmol/L 136.00 - 144.00
081111 - POTASSIUM 3.8 mmol/L 3.40 - 4.80
081112 - CHLORIDE H 108 mmol/L 98.00 - 106.00
081113 - CO2 30 mmol/L 23.00 - 33.00
081114 - ANION GAP Not Reported 3.00 - 14.00
081116 - ..
081117 - UREA NITROGEN 11 mg/dL 8.00 - 26.00
081119 - ..
081120 - CREAT with eGFR
081121 - CREATININE 0.86 mg/dL 0.50 - 1.10
081122 -
081123 - Effective 7/2/08, new standardized method for creatinine in
081124 - place. Note reference range change. Previous range 0.5 -
081125 - 1.2 mg/dL.
081127 - ..
081128 - eGFR >60 mL/min ref: >60.00
081129 -
081130 - eGFR Units = mL/min/1.73 square meters
081132 - ..
081133 - Log#: 090813 15:09
081134 - <--------------------VETERANS ADMINISTRATION----------------->
081135 - Type Results Units Normal
081136 - CALCIUM 8.8 mg/dL 8.70 - 10.20
081138 - ..
081139 - MAGNESIUM Not Reported mg/dL 1.80 - 2.30
081141 - ..
081142 - AST 18 IntUnits/L 8.00 - 42.00
081143 - ALT 16 IntUnits/L 5.00 - 55.00
081144 - ALKALINE PHOSPHATASE 102 IntUnits/L 37.00 - 107.00
081145 - BILIRUBIN TOTAL H 1.7 mg/dL 0.30 - 1.20
081146 - BILIRUBIN DIRECT 0.1 mg/dL 0.10 - 0.40
081147 - PROTEIN 7.1 g/dL 6.50 - 8.10
081148 - ALBUMIN 3.9 g/dL 3.30 - 4.80
081150 - ..
081151 - Log#: 090813 15:09
081152 - <--------------------VETERANS ADMINISTRATION----------------->
081153 - Type Results Units Normal
081154 - Cholesterol H 233 mg/dL ref: <= 200.00 - 400
081155 - Triglyceride 118 mg/dL ref: <= 150.00 - 400
081156 - HDL Cholesterol L 30 mg/dL ref: >= 40.00 - 400
081157 - LDL Cholesterol H 179 mg/dL ref: <= 160.00 - 400
081158 -
081159 - Risk category LDL Goal
081160 - CHD and CHD risk equivelents <100 mg/dL
081161 - Multiple (2+) risk factors <130 mg/dL
081162 - 0 - 1 risk factor <160 mg/dL
081163 -
081164 - [On 091021 0716 angiogram test for blood flow
081165 - restrictions was performed at VA in San Francisco;
081166 - discovered 4 blockages; so, heart bypass surgery was
081167 - prescribed. ref SDS 34 7L47
081169 - ..
081170 - [On 091022 0700 quadruple heart bypass surgery
081171 - performed to recover from blood flow restrictions
081172 - discovered in angiogram test the day before.
081173 - ref SDS 35 01F9
081175 - ..
081176 - [On 091104 0718 VA San Francisco ordered Simvastatin
081177 - 20 MG taken every day to control cholesterol,
081178 - ref SDS 36 IA4H; and this duplicates prescription by
081179 - Doctor Sandhu for Simvastatin 40 MG to take one-half
081180 - pill every day to control cholesterol. ref SDS 36 IA5W
081182 - ..
081183 - HDL chol greater than/equalto 60 mg/dL counts as
081184 - "negative' risk factor; its presence removes 1 risk factor
081185 - from the total count.
081187 - ..
081188 - Ref: Adult treatment panel III (ATP III) JAMA 5/16/01 Vol
081189 - 285 #19.
081191 - ..
081192 - Comment: Test performed by VA, 150 Muir Road, Martinez CA
081194 - ..
081195 - Performing Lab Sites
081196 - [400] Martinez OPC/CREC
081197 - 150 Muir Road
081198 - Martinez, CA 94553
081199 -
081200 -
081202 - ..
081203 - Cholesterol Study Patient History Decline Without Medication
081204 -
081205 - This record shows progress toward health targets using exercise and
081206 - diet adjustment, and without taking medication...
081208 - ..
081209 - Lab Cholesterol Triglycerides HDL LDL Reported
081210 - Targets <200 <150 >40 <160 090813, 1500, ref SDS 0 4N5H
081211 - 090813.... 233...... 118......... 30.. 179.... 090813, 1500, ref SDS 0 4N5H
081212 - 060605...... 238....... 68......... 32.. 192.... 060623, 0840, ref SDS 26 UO6K
081214 - ..
081215 - Graphs display limited data, view details for more information.
081216 -
081217 - [On 091021 0716 angiogram test for blood flow restrictions
081218 - was performed at VA in San Francisco; discovered 4 blockages;
081219 - so, heart bypass surgery was prescribed. ref SDS 34 7L47
081220 -
081221 - [On 091022 0700 quadruple heart bypass surgery performed to
081222 - recover from blood flow restrictions discovered in angiogram
081223 - test the day before. ref SDS 35 01F9
081225 - ..
081226 - Date Range: All results selected items from 050628 - 090813.
081228 - ..
081229 - Cholesterol plasma Ref High = 200 mg/dL
081231 - ..
081232 - 278 mg/dL
081233 - 277 (050629 1000, ref SDS 7 G69K)
081234 - 276 \
081235 - \
081236 - 274 |
081237 - |
081238 - 272 |
081239 - |
081240 - 270 \
081241 - |
081242 - 268 |
081243 - |
081244 - 266 |
081245 - \
081246 - 264 |
081247 - |
081248 - 262 |
081249 - |
081250 - 260 |
081251 - 257 (050906 1204, ref SDS 10 DG8G)
081252 - 258 \
081253 - \
081254 - 256 \
081255 - \
081256 - 254 |
081257 - |
081258 - 252 |
081259 - |
081260 - 250 |
081261 - |
081262 - 248 \
081263 - |
081264 - 246 |
081265 - |
081266 - 244 \
081267 - |
081268 - 242 |
081269 - \
081270 - 240 |
081271 - |
081272 - 238 238 (060605 reported on 060623 0840, ref SDS 26 UO6K)
081273 - \
081274 - 236 -----------
081275 - \
081276 - 234 -----------------------\
081277 - 233 (090813, ref SDS 0 4N5H)
081278 - 232
081279 - .......
081280 - ..
081281 - 200
081282 - <---2005---><---2006---><---2007---><---2008---><---2009--->
081283 - 1 3 6 9 1 3 6 9 1 3 6 9 1 3 6 9 1 3 6 9
081284 -
081285 -
081286 - [On 091021 0716 angiogram test for blood flow restrictions
081287 - was performed at VA in San Francisco; discovered 4 blockages;
081288 - so, heart bypass surgery was prescribed. ref SDS 34 7L47
081290 - ..
081291 - [On 091022 0700 quadruple heart bypass surgery performed to
081292 - recover from blood flow restrictions discovered in angiogram
081293 - test the day before. ref SDS 35 01F9
081295 - ..
081296 - [On 091104 0718 VA San Francisco ordered Simvastatin 20 MG
081297 - taken every day to control cholesterol, ref SDS 36 IA4H; and
081298 - this duplicates prescription by Doctor Sandhu for Simvastatin
081299 - 40 MG to take one-half pill every day to control cholesterol.
081300 - ref SDS 36 IA5W
081301 -
081302 -
081303 -
081304 -
081305 -
081306 -
081307 -
081308 -
081309 -
0814 -