THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rod@welchco.com
S U M M A R Y
DIARY: December 12, 2012 09:41 AM Wednesday;
Rod Welch
VA lab retest for potasium (K), glucose and salt.
1...Summary/Objective
2...Potassium Glucose Sodium Reduced after Ending Rosuvastation Dehydration
3...Salt Glucose Potassium Lower End Rosuvastatin Reduce Dehydration
4...Rosuvastatin Dehydration Lower Glucose Salt Potassium Reduce Good Health
5...BUN Elevated 60% Impaired Kidney Function Dehydration Rosuvastatin
..............
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CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 22 0000. ref SDS 18 0000.
040502 -
040503 -
040504 -
040505 -
040507 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Blood draw today ordered by Doctor Egan to test glucose, sodium, and
040902 - potasium (K), after ending Rosuvastatin which should reduce
040903 - dehydration and thereby show valid labs, reported during meeting at VA
040904 - on 121206 0900. ref SDS 23 6K4J
040906 - ..
040907 - Last full lab was on 121130 0846, ref SDS 22 PQRS, and listing prior
040908 - lab history. ref SDS 22 SG6N
040910 - ..
040911 - Blood draw at VA in Martinez. There was no wait today. On arrival
040912 - OA 1010, was taken into the lab within 5 minutes.
040914 - ..
040915 - Fasted since last night OA 2200.
040917 - ..
040918 - Patient history of exercise diet and medication past week since ending
040919 - Rosuvastatin is shown in case study on 101010 0744. ref SDS 6 GC6N
040921 - ..
040922 - Potassium Glucose Sodium Reduced after Ending Rosuvastation Dehydration
040923 - Salt Glucose Potassium Lower End Rosuvastatin Reduce Dehydration
040924 - Rosuvastatin Dehydration Lower Glucose Salt Potassium Reduce Good Health
040925 - BUN Elevated 60% Impaired Kidney Function Dehydration Rosuvastatin
040926 -
040927 - Follow up ref SDS 22 KK9M, ref SDS 18 KK9M.
040928 -
040929 - Prior CHEM PROFILE on 120509 1108. ref SDS 17 KK9M
040930 - Prior CHEM PROFILE on 120831 1524. ref SDS 18 KK9M
040931 - Prior CHEM PROFILE on 121130 0846. ref SDS 22 KK9M
040932 -
040933 - ELECTROLYTES
040935 - ..
040936 - CHEM PROFILE... 2012 12 12 1013 121130 120831
040937 - PLASMA Results Results Results Units Range
040938 - GLUCOSE 111 115 113 mg/dL 74 - 118
040939 - GLUfast mg/dL Ref: <=99
040940 - NA (salt) 139 144 141 mmol/L 136 - 144
040941 - K (potasium) 4.6 H 5.2 3.8 mmol/L 3.4 - 4.8
040942 - CL 105 H 107 H 109 mmol/L 98 - 106
040943 - CO2 27 28.7 24 mmol/L 23 - 33
040944 - BUN (urea nitrate) 25 21 16 mg/dL 8 - 26
040945 - CREAT 1.03 0.84 1.02 mg/dL .5 - 1.1
040946 - eGFR >60 >60 >60 mL/min Ref: >=60
040947 - CALCIUM 8.9 9.3 9.1 mg/dL 8.7 - 10.2
040948 - CA CORR mg/dL 8.7 - 10.2
040949 - PO4 mg/dL 2.4 - 4.5
040950 - MG mg/dL 1.8 - 2.5
040951 - ALK PHO 80 93 IntUnits/L 37 - 107
040952 - T. BIL H 1.6 2.3 mg/dL .3 - 1.2
040953 - D. BILI 0.2 0.3 mg/dL .1 - .4
040954 - AST 22 33 IntUnits/L 8 - 42
040955 - ALT 21 35 IntUnits/L 5 - 55
040956 - ALBUMIN 4.1 4.3 g/dL 3.3 - 4.8
040957 - PROTEIN 6.8 7.5 g/dL 6.5 - 8.1
040958 - LDH IntUnits/L 90 - 208
040959 - AMYLASE Units/L 28 - 100
040960 - LIPASE Units/L 7 - 58
040961 - NH3 mcmol/L 15 - 56
040962 - URIC AC mg/dL 4.8 - 8.7
040963 - Comments: a
040965 - ..
040966 - a. TEST PERFORMED BY VA MARTINEZ, 150 MUIR ROAD, MARTINEZ CA.
040968 - ..
040969 - b. Evaluation for CREAT:
040970 -
040971 - Effective 7/2/08, new standardized method for
040972 - creatinine in place. Note reference range change.
040973 - Previous range 0.5-1.2 mg/dL.
040975 - ..
040976 - c. Evaluation for ALK PHO:
040977 -
040978 - The normal range is for an adult population less than
040979 - 50 years old. Alk Phos increases with age over 50 to
040980 - about 60% higher values by ages greater than 75 years
040981 - old.
040983 - ..
040984 - d. Evaluation for eGFR:
040985 -
040986 - eGFR Units = mL/min/1.73 square meters
040988 - ..
040989 - Rosuvastatin ended on 121206, to reduce dehydration, and so glucose,
040990 - sodium, and potassium (K) all declined, as Doctor Egan expected during
040991 - the meeting on 121206 0900. ref SDS 23 6K4J
040993 - ..
040994 - Correcting errors in electrolytes lab on 121130, may indicated that
040995 - HDL and LDL cholesterol labs were also impacted by dehydration, and so
040996 - were equally reduced by ending Rosuvastatin, discussed in the record
040997 - meeting with Doctor Egan on 121206 0900. ref SDS 23 QG6F
040999 - ..
041000 - BUN (urea nitrate) has increased 60% along with creatinine rising a
041001 - lessor amount toward high end of health range. This may be due to
041002 - dehydration that can impair kidney function, caused by Rosuvastatin.
041003 - Hopefully, this can be reversed as dehydration declines after ending
041004 - Rosuvastatin on 121206.
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