CONTACTS
SUBJECTS
VA Lab WBC Martinez Clinic
0603 -
0603 - ..
0604 - Summary/Objective
0605 -
060501 - Follow up ref SDS 30 0000. ref SDS 28 0000.
060502 -
060503 -
060504 -
060505 -
060506 - [On 131016 1632 submit letter for agenda meeting to review
060507 - lab results scheduled 131017 1000. ref SDS 32 X45G
060508 -
060509 -
060510 -
060512 - ..
0606 -
0607 -
0608 - Progress
0609 -
060901 - Blood draw today for meeting with Doctor Egan Thursday on 131017 at
060902 - 1000, scheduled.
060904 - ..
060905 - Last full lab was on 130529 0818. ref SDS 30 RP4N
060907 - ..
060908 - Prior full lab was on 121130 0846, ref SDS 24 RP4N, 120831 1400.
060909 - ref SDS 20 RP4N, following up 120509 1108, ref SDS 19 X45G; and before
060910 - that on 110727 1238, ref SDS 9 RP4N, and this was to prepare for
060911 - meeting in Primary Care a few weeks later on 110803 1400. ref SDS 10
060912 - U24I
060914 - ..
060915 - Last partial lab to resolve skewed results from dehydration was on
060916 - 121212 0941. ref SDS 26 KK9M
060918 - ..
060919 - Prior partial for lipid panel testing cholesterol and for glucose,
060920 - sodium, and total bilirubin was on 120831 1400. ref SDS 20 IM9N and
060921 - ref SDS 20 KK9M
060922 -
060924 - ..
060925 - Blood Tests Evaluate Health 8 Months After Surgery
060926 -
060927 - Follow up ref SDS 30 RP4N, ref SDS 28 RP4N.
060929 - ..
060930 - Prior CBC on 120509 1108. ref SDS 19 RP4N
060931 - Prior CBC on 120831 1524. ref SDS 20 RP4N
060932 - Prior CBC on 121130 1001. ref SDS 24 RP4N
060933 - Prior CBC on 130529 0818. ref SDS 30 RP4N
060935 - ..
060936 - For some reason test results do not include WBC. The nurse who drew
060937 - blood said the doctor ordered a "full" lab, required for a physical
060938 - examination.
060939 -
060941 - ..
060942 - CBC........... 2013 10 15 0825 130529
060943 - Blood Results Results Units Range
060944 - WBC 7.4 K/cmm 4.8 - 10.8
060945 - RBC 5.09 M/cmm 4.7 - 6.1
060946 - HGB 15.0 g/dL 14 - 18
060947 - HCT 46.2 % 42 - 52
060948 - MCV 90.7 fL 80 - 99
060949 - MCH 29.5 uug 27 - 34
060950 - MCHC 32.5 gm/dL 32 - 35.2
060951 - RDW 14.4 % 11.5 - 14.5
060952 - PLT 279 K/cmm 130 - 400
060953 - MPV 8.8 fL 7 - 10.4
060954 - NEUT % 69.9 % 40 - 80
060955 - LYMPH % L 19.7 % 20 - 51
060956 - MONO % 7.8 % 2 - 13
060957 - EOS % 1.9 % .5 - 7
060958 - BASO % 0.7 % 0 - 2
060959 - NEUT # 5.2 K/cmm 1.5 - 7.9
060960 - LYMPH # 1.5 K/cmm 1.2 - 3.4
060961 - MONO # 0.6 K/cmm .2 - 1.2
060962 - EOS # 0.1 K/cmm .1 - .5
060963 - BASO # 0.1 K/cmm 0 - .2
060964 - ESRmVES mm/hr 0 - 10
060965 - ESRxCYT mm/hr 2 - 10
060966 - RETIC % % .66 - 2.85
060967 - RETIC # k/uL 27.9 - 121.6
060969 - ..
060970 - Comments:
060971 -
060972 - a. TEST PERFORMED BY VA MARTINEZ, 150 MUIR ROAD, MARTINEZ CA.
060973 -
060974 -
060975 -
060976 -
060977 -
060978 -
060979 -
0610 -
SUBJECTS
VA Lab Electrolytes Chem Profile Glucose 108 Sodium NA 139 Potasium
1103 -
110401 - ..
110402 - Total Bilirubin 1.7 Due to Rosuvastatin Recovery Failing
110403 - Salt Sodium Decreases Within Range Still Higher than Expected
110404 - Glucose Decreases Within Range Still Higher than Expected
110405 -
110406 - Follow up ref SDS 30 KK9M, ref SDS 28 KK9M.
110407 -
110408 - Prior CHEM PROFILE on 120509 1108. ref SDS 19 KK9M
110409 - Prior CHEM PROFILE on 120831 1524. ref SDS 20 KK9M
110410 - Prior CHEM PROFILE on 130228 1140. ref SDS 28 KK9M
110411 - Prior CHEM PROFILE on 130529 0818. ref SDS 30 KK9M
110412 -
110413 - ELECTROLYTES
110415 - ..
110416 - CHEM PROFILE... 2013 10 15 0825 130529
110417 - PLASMA Results Results Units Range
110418 - GLUCOSE 108 H 120 mg/dL 74 - 118
110419 - GLUfast mg/dL Ref: <=99
110420 - NA (salt) 139 139 mmol/L 136 - 144
110421 - K (potasium) 4.3 H 4.9 mmol/L 3.4 - 4.8
110422 - CL 105 105 mmol/L 98 - 106
110423 - CO2 37.0 30.0 mmol/L 23 - 33
110424 - BUN 24 18 mg/dL 8 - 26
110425 - CREAT 0.83 0.83 mg/dL .5 - 1.1
110426 - eGFR >60 >60 mL/min Ref: >=60
110427 - CALCIUM 9.2 9.2 mg/dL 8.7 - 10.2
110428 - CA CORR mg/dL 8.7 - 10.2
110429 - PO4 mg/dL 2.4 - 4.5
110430 - MG mg/dL 1.8 - 2.5
110431 - ALK PHO 84 87 IntUnits/L 37 - 107
110432 - ..
110433 - T. BIL H 1.7 H 1.3 mg/dL .3 - 1.2
110434 - D. BILI < 0.1 mg/dL .1 - .4
110435 - AST 20 22 IntUnits/L 8 - 42
110436 - ALT 17 19 IntUnits/L 5 - 55
110437 - ALBUMIN 3.9 4.0 g/dL 3.3 - 4.8
110438 - PROTEIN 7.1 7.2 g/dL 6.5 - 8.1
110439 - LDH IntUnits/L 90 - 208
110440 - AMYLASE Units/L 28 - 100
110441 - LIPASE Units/L 7 - 58
110442 - NH3 mcmol/L 15 - 56
110443 - URIC AC mg/dL 4.8 - 8.7
110444 - Comments: a
110446 - ..
110447 - a. TEST PERFORMED BY VA MARTINEZ, 150 MUIR ROAD, MARTINEZ CA.
110449 - ..
110450 - b. Evaluation for CREAT:
110451 -
110452 - Effective 7/2/08, new standardized method for
110453 - creatinine in place. Note reference range change.
110454 - Previous range 0.5-1.2 mg/dL.
110456 - ..
110457 - c. Evaluation for ALK PHO:
110458 -
110459 - The normal range is for an adult population less than
110460 - 50 years old. Alk Phos increases with age over 50 to
110461 - about 60% higher values by ages greater than 75 years
110462 - old.
110464 - ..
110465 - d. Evaluation for eGFR:
110466 -
110467 - eGFR Units = mL/min/1.73 square meters
110469 - ..
110470 - Bilirubin increased, and is 25% high even after ending Rosuvastatin 10
110471 - months ago on 121206 0900, ref SDS 25 OS5L, indicating chornic side
110472 - effects. Peripheral neuropathy has declined from most severe effects,
110473 - but continues with mild symptoms sometimes when standing or walking
110474 - slowly, reported during meeting at VA on 121206 0900. ref SDS 25 H766
110476 - ..
110477 - Background on Rosuvastatin causing elevated T Bilirubin with
110478 - associated severe side effects is reported on 121206 0900, ref SDS 25
110479 - NI9L, and further explained in the record on 121130 0846. ref SDS 24
110480 - ER4K
110481 -
110482 - [On 131017 1000 doctor explained patient history of
110483 - intermittant and mild peripheral neuropathy that correlates
110484 - with persistent elevated T Bilirubin in lab on 131015,
110485 - ref SDS 0 015M, and further reported with vitals, diet and
110486 - exercise since prior meeting at VA on 130603, see case
110487 - study on 120101 0900, ref SDS 14 X14N, suggests
110488 - intervention is not required at this time to improve
110489 - recovery from side effects taking Rosuvastatin. ref SDS 34
110490 - LV5J
110492 - ..
110493 - [On 131017 1000 VA medical chart Progress Notes assessment
110494 - report doctor concerned about chronic hyperbilirubinemia.
110495 - ref SDS 34 PSXT
110496 -
110497 -
110498 -
110499 -
110500 -
110501 -
110502 -
110503 -
1106 -
SUBJECTS
VA Lab Lipid Cholesterol 321 Increases without Medication Despite Hi
1603 -
160401 - ..
160402 - LDL 249 Rises Despite Hike 1200 Miles Weight Lose 15 Pounds
160403 -
160404 - Follow up ref SDS 30 IM9N, ref SDS 28 IM9N.
160405 -
160406 - Lab results today conflict with increased hiking and weight loss past
160407 - few months, reported in case study on 120101 0900, ref SDS 14 P85O,
160408 - including Half Dome hike on 130918 0620. ref SDS 31 0001
160410 - ..
160411 - Prior LIPID PANEL 120509 1108. ref SDS 19 IM9N
160412 - Prior LIPID PANEL 120831 1525. ref SDS 20 IM9N
160413 - Prior LIPID PANEL 130228 1140. ref SDS 28 IM9N
160414 - Prior LIPID PANEL 130529 0818. ref SDS 30 IM9N
160416 - ..
160417 - LIPID PANEL.... 2013 10 15 0825 130529
160418 - PLASMA Results Results Units Range
160419 - CHOL 321 H 307 mg/dL Ref: <=200
160420 - TRIGLYC 109 85 mg/dL Ref: <=150
160421 - HDL 50 50 mg/dL Ref: >=40
160422 - LDL 249 H 240 mg/dL Ref: <=160
160423 - LDL Dir mg/dL Ref: <=160
160424 - TRIG NF mg/dL Ref: <=150
160425 - Comments: a
160427 - ..
160428 - a. TEST PERFORMED BY VA MARTINEZ, 150 MUIR ROAD, MARTINEZ CA.
160430 - ..
160431 - b. Evaluation for LDL-CHO:
160432 -
160433 - RISK CATEGORY LDL GOAL
160434 - CHD and CHD risk equivalents <100 mg/dL
160435 - Multiple (2+) risk factors <130 mg/dL
160436 - 0-1 risk factor <160 mg/dL
160438 - ..
160439 - HDL Chol. greater than/equal to 60 mg/dL counts as "negative" risk
160440 - factor; its presence removes 1 risk factor from the total count.
160442 - ..
160443 - Ref: Adult Treatment Panel III (ATP III) JAMA 5/16/01 Vol. 285 #19.
160445 - ..
160446 - Follow up prior lipid history on 121130 0846. ref SDS 24 W25L.
160448 - ..
160449 - Collection DT CHOL TRIGL HDL LDL-CHO
160450 - 10/15/2013 08:25 321 H 109 50 249 H ..... ref SDS 0 BE6O
160451 - 05/29/2013 08:18 307 H 85 50 240 H ..... ref SDS 28 BE6O
160452 - 02/28/2013 08:39 310 H 73 47 248 H ..... ref SDS 28 BE6O
160453 - 11/30/2012 10:01 173 53 57 105 ..... ref SDS 24 BE6O
160454 - 08/31/2012 15:25 176 94 47 110 ..... ref SDS 20 U89N
160455 - 05/09/2012 11:24 155 76 49 94 ..... ref SDS 19 U89N
160456 - 02/09/2012 11:18 285 82 41 228 H ..... ref SDS 15 2A4G
160457 - 11/17/2011 14:27 260 84 43 200 H ..... ref SDS 13 2A4G
160458 - 07/27/2011 12:58 163 81 45 102 ..... ref SDS 9 E19L
160459 - 12/07/2010 09:17 151 41 47 96 ..... ref SDS 8 E19L
160460 - 07/21/2010 08:54 261 H 87 35 L 209 H ..... ref SDS 4 E19L
160461 - 06/10/2010 10:33 217 H 83 36 L 164 H ..... ref SDS 3 QV4F
160462 - * 12/14/2009 11:10 241 H 136 44 170 H ..... 100928 0706, ref SDS 5 VW6J
160463 - 08/13/2009 15:09 233 H 118 30 L 179 H ..... 100610 1046, ref SDS 3 U45G
160464 - 06/16/2006 10:59 238 H 68 32 L 192 H ..... 091002 0900, ref SDS 1 LJ5H
160465 -
160466 - * Lab at VA San Francisco Medical Center reported on 100928 0706.
160467 - ref SDS 5 VW6J
160469 - ..
160470 - Graph of LDL history shown on 120209 1118. ref SDS 15 7M42
160472 - ..
160473 - Research on cholesterol reported on 091002 0900. ref SDS 1 2F8K
160474 -
160475 - [On 131016 1632 submit letter for agenda meeting to review
160476 - lab results scheduled 131017 1000. ref SDS 32 X45G
160477 -
160478 - [On 131017 1000 meeting Doctor Egan determined that since
160479 - patient is very active phyically, hiking 1200 miles past 5
160480 - months, including Half Dome on 130918, and since the
160481 - patient remain asymptomatic, there is no need to perform
160482 - another treadmill stress test to evaluate for blocked
160483 - arteries due to elevated cholesterol in the lab on 131015.
160484 - ref SDS 35 ZZ6N
160486 - ..
160487 - [On 131017 1000 meeting Doctor Egan at VA on increasing
160488 - exercise and evaluate new drugs on clinical trials to
160489 - manage cholesterol. ref SDS 33 D95H
160491 - ..
160492 - [On 131103 1739 received letter from SFVA schedule meeting
160493 - on 131120 1000, to develop clinical trial care for lowering
160494 - cholesterol. ref SDS 36 Q27Z
160495 -
160497 - ..
160498 - Cholesterol LDL Lowered Heavy Exercise
160499 - Research indicates exercise Lowers Cholesterol Including LDL
160500 -
160501 - Lab today showing cholesterol increased over past 5 months, since
160502 - prior lab on 130529 0818, ref SDS 30 IM9N, appears conflicting with
160503 - research...
160504 -
160505 - Webmd
160506 - Cholesterol & Triglycerides Health Center
160508 - ..
160509 - Exercise To Lower Cholesterol
160510 -
160511 - By Susan Davis
160512 -
160513 - http://www.webmd.com/susan-davis
160515 - ..
160516 - Reviewed on November 14, 2008
160517 - by Cynthia Dennison Haines, MD
160518 -
160519 - http://www.webmd.com/cynthia-dennison-haines
160521 - ..
160522 - 1. You may have heard that exercise is one of the best ways to
160523 - lower your cholesterol. But how does it work? And what type of
160524 - exercise is most effective?
160526 - ..
160527 - 2. The Exercise-Cholesterol Link
160528 -
160529 - Researchers aren't entirely sure how exercise lowers
160530 - cholesterol, but they are beginning to have a clearer idea.
160531 - "Lots of people, even lots of doctors, assume that exercise
160532 - lowers cholesterol," says Amit Khera, MD, director of the
160533 - University of Texas, Southwestern, Medical Center's Program in
160534 - Preventive Cardiology. "But until recently, most of us weren't
160535 - sure just what the connection was."
160537 - ..
160538 - 3. One way exercise can help lower cholesterol is by helping you
160539 - lose -- or maintain -- weight. Being overweight tends to
160540 - increase the amount of low-density lipoprotein (LDL) in your
160541 - blood, the kind of lipoprotein that's been linked to heart
160542 - disease.
160544 - ..
160545 - 4. Part of the confusion about the effect of exercise on
160546 - cholesterol stems from the fact that most early cholesterol
160547 - studies focused on both exercise and dietary changes, making it
160548 - hard to tease out which of these factors was actually making
160549 - the difference. But recent studies have more carefully
160550 - examined the effect of exercise alone, making it easier to
160551 - evaluate the relationship between exercise and cholesterol.
160553 - ..
160554 - 5. Researchers now believe there are several mechanisms involved.
160555 - First, exercise stimulates enzymes that help move LDL from the
160556 - blood (and blood-vessel walls) to the liver. From there, the
160557 - cholesterol is converted into bile (for digestion) or excreted.
160558 - So the more you exercise, the more LDL your body expels.
160560 - ..
160561 - 6. Second, exercise increases the size of the protein particles
160562 - that carry cholesterol through the blood. (The combination of
160563 - protein particles and cholesterol are called "lipoproteins;"
160564 - it's the LDLs that have been linked to heart disease). Some of
160565 - those particles are small and dense; some are big and fluffy.
160566 - "The small, dense particles are more dangerous than the big,
160567 - fluffy ones because the smaller ones can squeeze into the
160568 - [linings of the heart and blood vessels] and set up shop
160569 - there," says Khera. "But now it appears that exercise increases
160570 - the size of the protein particles that carry both good and bad
160571 - lipoproteins."
160573 - ..
160574 - 7. How Much Exercise Does It Take To Lower Cholesterol?
160575 -
160576 - Exactly how much exercise is needed to lower cholesterol has
160577 - been a matter of some debate. In general, most public health
160578 - organizations recommend, at a minimum, 30 minutes per day of
160579 - moderate to vigorous exercise , such as walking, jogging,
160580 - biking, or gardening.
160582 - ..
160583 - 8. But a 2002 study by researchers at Duke University Medical
160584 - Center found that more intense exercise is actually better than
160585 - moderate exercise for lowering cholesterol. In a study of
160586 - overweight, sedentary people who did not change their diet, the
160587 - researchers found that those who got moderate exercise (the
160588 - equivalent of 12 miles of walking or jogging per week) did
160589 - lower their LDL level somewhat. But the people who did more
160590 - vigorous exercise (the equivalent of 20 miles of jogging a
160591 - week) lowered it even more.
160593 - ..
160594 - 9. The people who exercised vigorously also raised their levels of
160595 - high-density lipoprotein (HDL) -- the "good" kind of
160596 - lipoprotein that actually helps clear cholesterol from the
160597 - blood. "We found it requires a good amount of high intensity
160598 - exercise to significantly change HDL," says William Kraus, MD,
160599 - an assistant professor of medicine at Duke and the lead author
160600 - on the study. "Just walking is not enough."
160602 - ..
160603 - 10. According to Kraus's findings, however, even though moderate
160604 - exercise was not as effective in reducing LDL or increasing
160605 - HDL, it did keep cholesterol levels from rising.
160607 - ..
160608 - 11. Bottom line? Some exercise is better than none; more exercise
160609 - is better than some.
160611 - ..
160612 - 12. How Much Will It Help?
160613 -
160614 - Just how much of an effect exercise has on cholesterol is also
160615 - a matter of debate. "We've found that the people who benefit
160616 - the most are those who had the worst diet and exercise habits
160617 - to begin with," says Roger Blumenthal, MD, director of the
160618 - Ciccarone Preventive Cardiology Center at Johns Hopkins
160619 - University. "Some of those people reduce their LDL by 10-15%
160620 - and increase their HDL by 20%."
160622 - ..
160623 - 13. Getting Started
160624 -
160625 - If you haven't been exercising regularly already, it's
160626 - important to start slowly. Be sure to check in with your
160627 - doctor, so that he or she can evaluate your current
160628 - cardiovascular health. This could mean blood tests or a
160629 - treadmill test to see how your heart reacts when you exercise.)
160631 - ..
160632 - Once you're cleared to begin working out, follow these
160633 - guidelines:
160634 -
160635 - 1. Choose a form of exercise you can do for 10-20 minutes at a
160636 - time, with at least moderate intensity, such as walking,
160637 - biking, swimming, jogging, or using an exercise machine at
160638 - low speed).
160640 - ..
160641 - 2. Know that while the intensity may be moderate, the
160642 - "exercise volume," which means the amount of time you spend
160643 - exercising, has to be pretty high. The American Heart
160644 - Association recommends working up to 30 minutes of physical
160645 - activity per day, or 60 minutes per day if you're also
160646 - trying to lose weight. Remember: you can get your exercise
160647 - in 10 minutes increments if need be, as long as it adds up
160648 - to 30 minutes by the end of the day.
160650 - ..
160651 - 3. Find an activity you love, whether it's walking your dog,
160652 - playing tag with your kids, swimming laps at a pool, or
160653 - bicycling through your community. Finding a buddy to
160654 - exercise with can be helpful, too, both for moral support
160655 - and to help make exercise more enjoyable.
160657 - ..
160658 - 4. Even better, find several activities you love, so you can
160659 - vary your routine. This helps you exercise more than one
160660 - set of muscles, as well as enjoying different work-out
160661 - environments.
160663 - ..
160664 - 14. Of course, exercise alone won't guarantee a low cholesterol
160665 - level. Genetics, weight, age, gender, and diet all contribute
160666 - to an individual's cholesterol profile. The most effective way
160667 - to ensure a healthy cholesterol level is to modify your diet
160668 - and, if need be, take cholesterol-lowering medications.
160670 - ..
160671 - 15. But exercise has many advantages beyond lowering cholesterol.
160672 - Exercise has been shown to keep bones strong, reduce the risk
160673 - of cancer, diabetes, stroke, and obesity, and to improve mood.
160674 - "Even if the improvements in your cholesterol profile are
160675 - modest, there are many, many other benefits," says Blumenthal.
160676 -
160677 - [On 131017 1000 meeting Doctor Egan determined that since
160678 - patient is very active phyically, hiking 1200 miles past 5
160679 - months, including Half Dome on 130918, and since the
160680 - patient remain asymptomatic, there is no need to perform
160681 - another treadmill stress test to evaluate for blocked
160682 - arteries due to elevated cholesterol in the lab on 131015.
160683 - ref SDS 35 ZZ6N
160685 - ..
160686 - [On 131017 1000 meeting Doctor Egan at VA on increasing
160687 - exercise and evaluate new drugs on clinical trials to
160688 - manage cholesterol. ref SDS 33 D95H
160689 -
160690 -
160691 -
160692 -
160693 -
160694 -
160695 -
1607 -
SUBJECTS
Default Null Subject Account for Blank Record
2003 -
200401 - ..
200402 - Rosuvastatin Switch from Simvastatin Myopathy Side Effects Decline
200403 - Simvistatin Side Effects Myopathy Muscle Pain Decline Switch to Rosuvastatin
200404 - Myopathy Muscle Pain Side Effects Simvistatin Decline Switch to Rosuvastatin
200405 -
200406 - Follow up ref SDS 19 D26G, ref SDS 15 D26G.
200407 -
200408 - Prior Cardiac Enzymes Profile on 120209 1118. ref SDS 15 D26G
200409 - Prior Cardiac Enzymes Profile on 120509 1108. ref SDS 19 D26G
200410 -
200411 - CARDIAC ENZYMES.2013 10 15 0825 120509
200412 - PLASMA Results Results Units Range
200413 - CK 110 152 IntUnits/L 36 - 340
200414 - TRPONIN ng/ml 0 - 0.07
200415 - CK-MB ng/ml 0.6 - 3.5
200416 - MYOGLOB ng/ml 20 - 82
200418 - ..
200419 - a. TEST PERFORMED BY VAMC SACRAMENTO, 10535 HOSPITAL WAY,
200420 - MATHER CA.
200422 - ..
200423 - Research on 111013 explains Creatine Kinase CK, relates to muscle
200424 - disorders caused by cholesterol medications with statins. 111013 1404,
200425 - ref SDS 12 J54K
200427 - ..
200428 - Decrease in CK lab may align with reduced side effects of muscle pain
200429 - in left shoulder.
200430 -
200431 -
200432 -
200433 -
200434 -
200435 -
2005 -
SUBJECTS
Default Null Subject Account for Blank Record
4003 -
400401 - ..
400402 - HGBA1c Diabetes Blood Test
400403 - Diabetes Blood Test HGBA1c
400404 -
400405 - Follow up ref SDS 8 IL4N, ref SDS 4 IL4N.
400406 -
400407 - Prior HGBA1c Profile on 100721 0800. ref SDS 4 IL4N
400408 - Prior HGBA1c Profile on 101207 0906. ref SDS 8 IL4N
400409 -
400410 - HGBA1c......... 2013 10 15 0825 101207
400411 - BLOOD Results Results Units Range
400412 - HGBA1c 5.5 5.7 % 4.1 - 6
400413 - eAG 111 mg/dL 74 : - 118
400415 - ..
400416 - Comments:
400417 -
400418 - b. TEST PERFORMED BY VA MARTINEZ, 150 MUIR ROAD, MARTINEZ CA.
400419 -
400420 - eAG = Calculated Estimated Average Daily Glucose and may be
400421 - easier for patients to understand than an A1c result.
400422 - Calculation: 28.7 x HGBA1c - 46.7
400424 - ..
400425 - Ordering Provider: Harkesh S. Sandhu MD
400426 - Report Released: Oct 15, 2013 @ 1309
400428 - ..
400429 - Reporting Lab: MARTINEZ OPC/CREC
400430 - 150 MUIR ROAD MARTINEZ, CA 94553-4668
400432 - ..
400433 - Performing Lab: MARTINEZ OPC/CREC
400434 - 150 MUIR ROAD MARTINEZ, CA 94553-4668
400435 -
400437 - ..
400438 - This test for diabetes was ordered by Doctor Abrams during a meeting
400439 - at the San Francisco VA Medical Center on 130227 0930. ref SDS 27 8T5L
400440 - However, it is not reported for the lab performed the next day on
400441 - 130228 1140, ref SDS 28 RP4N, nor in the follow up lab 3 months later
400442 - on 130529 0818. ref SDS 30 RP4N
400444 - ..
400445 - HGGA1c was performed previously on 101207 0906, ref SDS 8 IL4N, and 5
400446 - months earlier on 100721 0800. ref SDS 4 IL4N
400448 - ..
400449 - Report today shows no evidence of diabetes.
400450 -
400451 -
400452 -
400453 -
400454 -
400455 -
400456 -
400457 -
4005 -