CONTACTS
SUBJECTS
CBC Lab WBC 6.2 Labcorp Blood Test Results
1403 -
1403 - ..
1404 - Summary/Objective
1405 -
140501 - Follow up ref SDS 32 0000. ref SDS 30 0000.
140502 -
140503 - Blood test today shows excellent progress by the VA prescribing
140504 - continued weight loss, exercise, diet control and statin medications.
140505 - Lipid profile shows LDL-P well below 1000, ref SDS 0 IM9N, and LDL-P
140506 - size indicates large bouyant particles that protect against
140507 - arterialsclorosis and cardiovascular disease. ref SDS 0 IM9N Statin
140508 - drugs lowered LDL-C making patient concordant, higher risk for CVD
140509 - adverse events than for discordant condition. ref SDS 0 3V4N
140510 -
140511 -
140512 -
140514 - ..
1406 -
1407 -
1408 - Background
1409 -
140901 - On 131016 1632 submit letter for agenda meeting to review lab results
140902 - scheduled 131017 1000. ref SDS 33 X45G
140904 - ..
140905 - On 140131 0815 ordered another lab - cbc, electrolytes, lipid with NMR
140906 - - from Labcor to get LDL-P. ref SDS 42 X45G
140907 -
140908 -
140909 -
140911 - ..
1410 -
1411 -
1412 - Progress
1413 -
141301 - Blood draw today at non-VA health care facility for meeting at VA with
141302 - Doctor Alba on 140213, planned in the meeting on 131219 0930.
141303 - ref SDS 41 XF4O
141305 - ..
141306 - Blood draw today follows up previous partial lab on 131015 0724.
141307 - ref SDS 32 KK9M
141309 - ..
141310 - Planned for blood draw Monday or Tuesday next week, but injury
141311 - yesterday, perhaps from excessive hiking the past few months, reported
141312 - in case study on 120101 0900, ref SDS 14 WQ4I, prevents hiking today,
141313 - and possibly tomorrow as well. Since had a good hike yesterday, and
141314 - weight is near 165, decided to get blood draw today, so there is
141315 - correlation between labs, exercise, and weight.
141317 - ..
141318 - Last full lab was on 130529 0818. ref SDS 30 RP4N
141320 - ..
141321 - Prior full lab was on 121130 0846, ref SDS 24 RP4N, 120831 1400.
141322 - ref SDS 20 RP4N, following up 120509 1108, ref SDS 19 X45G; and before
141323 - that on 110727 1238, ref SDS 9 RP4N, and this was to prepare for
141324 - meeting in Primary Care a few weeks later on 110803 1400. ref SDS 10
141325 - U24I
141327 - ..
141328 - Partial lab to resolve skewed results from dehydration was on 121212
141329 - 0941. ref SDS 26 KK9M
141331 - ..
141332 - Prior partial for lipid panel testing cholesterol and for glucose,
141333 - sodium, and total bilirubin was on 131015 0724, ref SDS 32 KK9M,
141334 - following up partial lab on 120831 1400. ref SDS 20 IM9N and
141335 - ref SDS 20 KK9M
141337 - ..
141338 - Yesterday, placed lab order # 27716 with Health Testing Centers,
141339 - reported on 140131 0815, ref SDS 42 ZM5F, and confirmed with the
141340 - letter later that day, also shown on 140131 0815. ref SDS 42 XW7M
141342 - ..
141343 - Another letter from Health Testing Centers lists locations where blood
141344 - draws can be performed by Labcor. The only location where the work
141345 - can done on the weekend is...
141346 -
141347 - LABCORP
141348 - 1450 TREAT BLVD. WALNUT CREEK, CA 94595
141349 - Phone:925-937-1954 Hours:MONDAY-FRIDAY 6:30AM-9:00PM
141350 - SATURDAY 8:00AM-5:00PM
141351 - SUNDAY 9:00AM-5:00PM
141353 - ..
141354 - Called and talked to Janel.
141356 - ..
141357 - Janel found on Labcorp computer lab order # 27716 associated with
141358 - Labcorp documentation identified with...
141359 -
141360 - LabCorp
141361 - COR ORDER
141362 -
141363 - Account....................... 09419602
141364 - Req/Control................... 9619620
141366 - ..
141367 - Physican Information
141368 -
141369 - Name.................. Dlugos, Scott
141370 - NPI................... 1790748234
141371 - UPIN.................. F81666
141373 - ..
141374 - Patient Identification
141381 - ..
141382 - Order Code
141383 -
141384 - 001545 Alanine Aminotransferase (ALT/SGPT)
141385 - 319417 CMP12 + 8AC + CBC/D/Plt + UA
141386 - 884247 NMR LipoProfile
141387 -
141389 - ..
141390 - Total cost................ $188 .... 140131 0815, ref SDS 42 DY40
141392 - ..
141393 - Post expense ledger...
141396 -
141398 - ..
141399 - Drove to Labcorp and met with Janel.
141401 - ..
141402 - Blood draw for following labs...
141403 -
141404 - [On 140203 1147 obtained blood draw at VA to cross check
141405 - Labcorp blood test. 140203 1147, ref SDS 43 KK9M
141406 -
141408 - ..
141409 - Blood Tests Evaluate Health 4 Years After CABG x4 Surgery
141410 -
141411 - Follow up ref SDS 32 RP4N, ref SDS 30 RP4N.
141412 -
141413 - Labcorp
141414 - Telephone............................... 954 485 3322
141416 - ..
141417 - For inquiries, the physician may contact....
141418 -
141419 - Branch....................... 800-762-4344
141420 - Lab.......................... 858-668-3700
141422 - ..
141423 - Rte..................................... 28
141425 - ..
141426 - Patient Report
141427 - Specimen ID............................. 032-544-3972-0
141428 - Control ID.............................. 9619620
141429 - Account................................. 09419602
141436 - ..
141437 - Health Testing Centers
141438 - 2760 W Oakland Park Boulevard
141439 - Fort Lauderdale, FL 33311
141441 - ..
141442 - Patient Details
141443 -
141444 - 1. DOB............................... 1945 03 01
141445 - 2. Age (y/m/d)....................... 068/11/00
141446 - 3. Gender............................ M
141447 - 4. SSN...............................
141450 - ..
141451 - Specimen Details
141452 -
141453 - 1. Date collected.................... 2014 02 01 1231 Local
141454 - 2. Date entered...................... 2014 02 01
141455 - 3. Date reported..................... 2014 02 05 1808 ET
141457 - ..
141458 - Physician Details
141459 -
141460 - 1. Ordering.......................... S DLUGOS
141461 - 2. Referring.........................
141462 - 3. ID................................ F81666
141463 - 4. NPI............................... 1790748234
141465 - ..
141466 - Ordered Items
141467 - CMP12+8AC+CBC/D/Plt+UA; NMR LipoProfile; ALT (SGPT); Venipuncture;
141468 - Cardiovascular Risk Assessment
141470 - ..
141471 - Prior VA CBC on 120509 1108. ref SDS 19 RP4N
141472 - Prior VA CBC on 120831 1524. ref SDS 20 RP4N
141473 - Prior VA CBC on 121130 1001. ref SDS 24 RP4N
141474 - Prior VA CBC on 130529 0818. ref SDS 30 RP4N
141476 - ..
141477 - Labcorp performed blood test today...
141479 - ..
141480 - CBC........... 2014 02 01 1231 130529
141481 - Labcorp VA VA Labcorp
141482 - Blood Results Results Units Range Range
141483 - WBC 6.2 7.4 K/cmm 4.8 - 10.8 3.4 - 10.8
141484 - RBC 5.13 5.09 M/cmm 4.7 - 6.1 4.14 - 5.80
141485 - HGB 15.2 15.0 g/dL 14 - 18 12.6 - 17.7
141486 - HCT 44.2 46.2 % 42 - 52 37.5 - 51.0
141487 - MCV 86.0 90.7 fL 80 - 99 79.0 - 97.0
141488 - MCH 29.6 29.5 uug 27 - 34 26.6 - 33.0
141489 - MCHC 34.4 32.5 gm/dL 32 - 35.2 31.5 - 35.7
141490 - RDW 13.7 14.4 % 11.5 - 14.5 12.3 - 15.4
141491 - PLT 303 279 K/cmm 130 - 400 155.0 - 379.0
141492 - MPV 8.8 fL 7 - 10.4
141493 - NEUT % 69 69.9 % 40 - 80 40.0 - 74.0
141494 - LYMPH % 21 L 19.7 % 20 - 51 14.0 - 46.0
141495 - MONO % 8 7.8 % 2 - 13 4.0 - 12.0
141496 - EOS % 1 1.9 % .5 - 7 0.0 - 5.0
141497 - BASO % 1 0.7 % 0 - 2 0.0 - 3.0
141498 - NEUT # 4.3 5.2 K/cmm 1.5 - 7.9 1.4 - 7.0
141499 - LYMPH # 1.3 1.5 K/cmm 1.2 - 3.4 0.7 - 3.1
141500 - MONO # 0.5 0.6 K/cmm .2 - 1.2 0.1 - 0.9
141501 - EOS # 0.1 0.1 K/cmm .1 - .5 0.0 - 0.4
141502 - BASO # 0.1 0.1 K/cmm 0 - .2 0.0 - 0.2
141503 - ESRmVES mm/hr 0 - 10
141504 - ESRxCYT mm/hr 2 - 10
141505 - RETIC % % .66 - 2.85
141506 - RETIC # k/uL 27.9 - 121.6
141507 - Immature Granulocytes 0.0 % 0.0 - 2.0
141508 - Immature Grans (Abs) 0.0 % 0.0 - 0.1
141510 - ..
141511 - Comments:
141512 -
141513 - a. Test Performed at...
141514 - Health Testing Centers
141515 - 2760 W. OAKLAND PARK BLVD.
141516 - FORT LAUDERDALE FL 33311
141517 -
141518 -
141519 -
141520 -
1416 -
SUBJECTS
Urinalysis Gross Exam Laboratory Test Satisfactory Within Range Labc
2303 -
230401 - ..
230402 - Urinalysis Gross Exam Laboratory Test Satisfactory Within Range
230403 -
230404 - Follow up ref SDS 19 0X72, ref SDS 8 0X72.
230405 -
230406 - Prior Urinalysis test on 101207 0906. ref SDS 8 0X72
230407 - Prior Urinalysis test on 120509 1108. ref SDS 19 0X72
230409 - ..
230410 - URINALYSIS.....2014 02 01 1231 120509
230411 - Labcorp VA VA Labcorp
230412 - Results Results Units Range Range
230413 - PH 5.5 6.0 5 - 9 5.0 - 7.5
230414 - PROTEIN NEG NEG mg/dL NEG - TRACE NEG - TRACE
230415 - GLUCOSE NEG NEG mg/dL Ref: NEG NEG
230416 - KETONES NEG NEG mg/dL Ref: NEG NEG
230417 - BILI NEG NEG Ref: NEG NEG
230418 - BILIcnf Ref: NEG
230419 - BLOOD TRACE TRACE Ref: NEG
230420 - NITRITE, URINE NEG NEG Ref: NEG NEG
230421 - UROBILI 0.2 0.2 EU/dL .2 - 1 0.0 - 1.9
230422 - LEU EST NEG Ref: NEG
230423 - SP.GRAV 1.026 1.025 1.003- 1.035 1.005 - 1.030
230424 - COLOR YELLOW YELLOW
230425 - APPEAR CLEAR CLEAR
230426 - WBC ESTERASE NEG
230427 - OCCULT BLOOD NEG NEG
230429 - ..
230430 - Comments:
230431 -
230432 - a. Test Performed at...
230433 - Health Testing Centers
230434 - 2760 W. OAKLAND PARK BLVD.
230435 - FORT LAUDERDALE FL 33311
230436 -
230437 -
230438 -
230439 -
2305 -
SUBJECTS
Lab Electrolytes Chem Profile Glucose 98 Sodium NA 140 Potasium K 4.
3203 -
320401 - ..
320402 - Total Bilirubin 1.6 Due to Rosuvastatin Recovery Failing
320403 - Salt Sodium Decreases Within Range Aligns Level Exercise
320404 - Glucose Decreases Within Range Still Higher than Expected
320405 -
320406 - Follow up ref SDS 32 KK9M, ref SDS 30 KK9M.
320407 -
320408 - Prior CHEM PROFILE on 120509 1108. ref SDS 19 KK9M
320409 - Prior CHEM PROFILE on 120831 1524. ref SDS 20 KK9M
320410 - Prior CHEM PROFILE on 130228 1140. ref SDS 28 KK9M
320411 - Prior CHEM PROFILE on 130529 0818. ref SDS 30 KK9M
320412 - Prior CHEM PROFILE on 131015 0724. ref SDS 32 KK9M
320414 - ..
320415 - On 140131 0815 ordered another lab - cbc, electrolytes, lipid - from
320416 - Labcorpto get NMR test for LDL-P added to lipid panel. ref SDS 42 X45G
320418 - ..
320419 - ELECTROLYTES
320421 - ..
320422 - CHEM PROFILE...2014 02 01 1231 131015 130529
320423 - Labcorp VA VA VA Labcorp
320424 - PLASMA Results Results Results Units Range Range
320425 - GLUCOSE 98 108 H 120 mg/dL 74 - 118 65.0 - 99.0
320426 - GLUfast mg/dL Ref: <=99
320427 - NA (salt) 140 139 139 mmol/L 136 - 144 134.0 - 144.0
320428 - K (potasium) 4.8 4.3 H 4.9 mmol/L 3.4 - 4.8 3.5 - 5.2
320429 - CL 102 105 105 mmol/L 98 - 106 97.0 - 108.0
320430 - CO2 37.0 30.0 mmol/L 23 - 33
320431 - BUN 20 24 18 mg/dL 8 - 26 10.0 - 22.0
320432 - CREAT 0.81 0.83 0.83 mg/dL .5 - 1.1 0.76 - 1.27
320433 - eGFR INA 91 >60 >60 mL/min Ref: >=60 >59
320434 - eGFR IA 106 mL/min >59
320435 - CALCIUM 9.4 9.2 9.2 mg/dL 8.7 - 10.2 8.6 - 10.2
320436 - CA CORR mg/dL 8.7 - 10.2
320437 - PO4 mg/dL 2.4 - 4.5
320438 - MG mg/dL 1.8 - 2.5
320439 - ALK PHO 105 84 87 IntUnits/L 37 - 107 39.0 - 117.0
320440 - ..
320441 - T. BIL H 1.6 H 1.7 H 1.3 mg/dL .3 - 1.2 0.0 - 1.2
320442 - D. BILI 0.34 < 0.1 mg/dL .1 - .4 0.00 - 0.40
320443 - Bilirubin, Indir H 1.26 H mg/dL 0.10 - 0.80
320444 - AST 21 20 22 IntUnits/L 8 - 42 0.0 - 40.0
320445 - ALT 19 17 19 IntUnits/L 5 - 55 0.0 - 44.0
320446 - ALBUMIN 4.4 3.9 4.0 g/dL 3.3 - 4.8 3.6 - 4.8
320447 - PROTEIN 6.5 7.1 7.2 g/dL 6.5 - 8.1 6.0 - 8.5
320448 - Globulin, Total 2.1 g/dL 1.4 - 4.5
320449 - A/G Ratio 2.1 1.1 - 2.5
320450 - LDH 180.0 IntUnits/L 90 - 208 0.0 - 225.0
320451 - GGT 9.0 IU/L 0.0 - 65.0
320452 - Iron, Serum 114.0 ug/dL 40.0 - 155.0
320453 - AMYLASE Units/L 28 - 100
320454 - LIPASE Units/L 7 - 58
320455 - NH3 mcmol/L 15 - 56
320456 - URIC AC mg/dL 4.8 - 8.7
320457 - Cholesterol, Total 162.0 mg/dL 100.0 - 199.0
320458 - Triglycerides 64.0 mg/dL 0.0 - 149.0
320460 - ..
320461 - Comments:
320462 -
320463 - a. Test Performed at...
320464 - Health Testing Centers
320465 - 2760 W. OAKLAND PARK BLVD.
320466 - FORT LAUDERDALE FL 33311
320468 - ..
320469 - Bilirubin remains 50% high after ending Rosuvastatin 14 months ago on
320470 - 121206 0900, ref SDS 25 OS5L, indicating chornic side effects.
320471 - Peripheral neuropathy has declined from most severe effects; there
320472 - have been no symptoms for past 9 months, since 130614, reported in
320473 - case study on 120101 0900. ref SDS 14 TSUY Prior to 130614, there
320474 - were no episodes for several months reported on 130402, ref SDS 14
320475 - RURT, until episode occurred on 130210. ref SDS 14 PV8I Major
320476 - peripheral neuopathy both feet on 130107. ref SDS 14 8H5F
320478 - ..
320479 - Background on Rosuvastatin causing elevated T Bilirubin with
320480 - associated severe side effects is reported on 121206 0900, ref SDS 25
320481 - NI9L, and further explained in the record on 121130 0846. ref SDS 24
320482 - ER4K
320484 - ..
320485 - On 131017 1000 doctor explained patient history of intermittant and
320486 - mild peripheral neuropathy that correlates with persistent elevated T
320487 - Bilirubin in lab on 131015, ref SDS 32 015M, and further reported with
320488 - vitals, diet and exercise since prior meeting at VA on 130603, see
320489 - case study on 120101 0900, ref SDS 14 X14N, suggests intervention is
320490 - not required at this time to improve recovery from side effects taking
320491 - Rosuvastatin. ref SDS 35 LV5J
320493 - ..
320494 - On 131017 1000 VA medical chart Progress Notes assessment report
320495 - doctor concerned about chronic hyperbilirubinemia. ref SDS 35 PSXT
320496 -
320497 -
320498 -
320499 -
320500 -
320501 -
320502 -
320503 -
3206 -
SUBJECTS
Labcorp Lab Lipid Cholesterol 156 Decrease with Medication Hiking 10
4203 -
420401 - ..
420402 - LDL-C 81 LDL-P 861 LDL Size Large Hike 1000 Miles Weight Lose 15 Pounds
420403 -
420404 - Follow up ref SDS 32 IM9N, ref SDS 30 IM9N.
420405 -
420406 - Results today reported by Labcor using NMR technology align with
420407 - increased hiking and weight loss past 3 months, reported in case study
420408 - on 120101 0900, ref SDS 14 LO5O, and reflect changes in diet and
420409 - medication, reported on 140202, in the same study. ref SDS 14 GH4M
420411 - ..
420412 - Prior LIPID PANEL 120509 1108. ref SDS 19 IM9N
420413 - Prior LIPID PANEL 120831 1525. ref SDS 20 IM9N
420414 - Prior LIPID PANEL 130228 1140. ref SDS 28 IM9N
420415 - Prior LIPID PANEL 130529 0818. ref SDS 30 IM9N
420416 - Prior LIPID PANEL 131015 0724, ref SDS 32 IM9N
420418 - ..
420419 - LIPIDS
420420 -
420421 - 2014 02 01 1231 131015 130529
420422 - Labcorp VA VA VA Labcorp
420423 - NMR LipoProfile Results Results Results Units Range Range
420424 - LDL
420425 - LDL-P 861.0 nmol/L < 1000
420426 - <ow < 1000
420427 - Moderate 1000 - 1299
420428 - Borderline High 1300 - 1599
420429 - High 1600 - 2000
420430 - Very High > 2000
420432 - ..
420433 - Lipids
420434 - CHOL 156 321 H 307 mg/dL Ref: <=200 < 200
420435 - TRIGLYC 68 109 85 mg/dL Ref: <=150 < 150
420436 - HDL-C 61 50 50 mg/dL Ref: >=40 >= 40
420437 - LDL-C 81 249 H 240 mg/dL Ref: <=160 < 100
420438 - LDL Dir mg/dL Ref: <=160
420439 - TRIG NF mg/dL Ref: <=150
420440 - non-HDL-C 95 0 - 129
420442 - ..
420443 - LDL and HDL Particles
420444 - HDL-P (Total) 31.4 umol/L >= 30.5
420445 - Small LDL-P < 90.0 umol/L <=527.0
420446 - LDL Size 21.3 nm > 20.5
420448 - ..
420449 - --------------------------------------------------------
420450 - ** INTERPRETATIVE INFORMATION**
420451 - PARTICLE CONCENTRATION AND SIZE
420453 - ..
420454 - LDL AND HDL PARTICLES Percentile in Reference Population
420455 - HDL-P (total) High 75th 50th 25th Low
420456 - >34.9 34.9 30.5 26.7 <25.7
420457 - ..
420458 - Small LDL-P Low 25th 50th 75th High
420459 - <117 117 527 839 >839
420461 - ..
420462 - LDL Size <- Large (Pattern A)-> <- (Pattern B) ->
420463 - 23.0 20.6 20.5 19.0
420465 - ..
420466 - --------------------------------------------------------
420467 - Insulin Resistance Score
420468 - LP-IR Score < 25.0 <= 45.0
420469 -
420470 - The LP-IR Score combines information from lipoprotein
420471 - particle concentration and size to give improved
420472 - assessment of insulin resistance and diabetes risk.
420473 - Small LDL-P, LDL Particle Size, HDL-Particle, and
420474 - LP-IR Score have been validated by LipoScience
420475 - but not cleared by US FDA; the clinical utility
420476 - of these test results has not been fully established.
420478 - ..
420479 - INSULIN RESISTANCE MARKER
420480 -
420481 - <--Insulin Sensitive Insulin Resistant-->
420482 - Percentile in Reference Population
420483 -
420484 - Insulin Resistance Score
420485 - LP-IR Score Low 25th 50th 75th High
420486 - <27 27 45 63 >63
420487 -
420489 - ..
420490 - Comments:
420491 -
420492 - a. Test Performed at...
420493 - Health Testing Centers
420494 - 2760 W. OAKLAND PARK BLVD.
420495 - FORT LAUDERDALE FL 33311
420497 - ..
420498 - b. Medical Director's Note: On November 12, 2013, the ACC/AHA
420499 - released new guidelines on cholesterol treatment in adults
420500 - (Stone NJ et al. 2013 ACC/AHA guideline on the treatment of
420501 - blood cholesterol to reduce atherosclerotic cardiovascular
420502 - risk in adults: a report of the American College of
420503 - Cardiology/American Heart Association Task Force on
420504 - Practice Guidelines. Circulation. 2013; 00:000-000.) The
420505 - new guidelines do not make a recommendation for or against
420506 - use of LDL-C or non-HDL-C targets, but instead identify
420507 - patient groups who would benefit from statin therapy.
420508 - Until a consensus has been reached, the suggestions in this
420509 - report continue to reflect the ATP III guidelines. For
420510 - Interpretations, please refer to Litholink CDS Patient
420511 - Report.
420513 - ..
420514 - c. VA Evaluation for LDL-CHO:
420515 -
420516 - RISK CATEGORY LDL GOAL
420517 - CHD and CHD risk equivalents <100 mg/dL
420518 - Multiple (2+) risk factors <130 mg/dL
420519 - 0-1 risk factor <160 mg/dL
420521 - ..
420522 - HDL Chol. greater than/equal to 60 mg/dL counts as
420523 - "negative" risk factor; its presence removes 1 risk factor
420524 - from the total count.
420526 - ..
420527 - Ref: Adult Treatment Panel III (ATP III) JAMA 5/16/01 Vol.
420528 - 285 #19.
420529 -
420530 -
420532 - ..
420533 - Follow up prior lipid history on 121130 0846. ref SDS 24 W25L.
420534 - ..
420535 - Small LDL LP-IR
420536 - Collection DT CHOL TRIGL HDL LDL-C LDL-P HDL-P LDL-P SIZE SCORE
420537 - 02/01/2014 12:31 156 H 68 61 81 861 31.4 < 90 21.3 < 25 ..... ref SDS 0 BE6O
420538 - 10/15/2013 08:25 321 H 109 50 249 H ......................................... ref SDS 32 BE6O
420539 - 05/29/2013 08:18 307 H 85 50 240 H ......................................... ref SDS 28 BE6O
420540 - 02/28/2013 08:39 310 H 73 47 248 H ......................................... ref SDS 28 BE6O
420541 - 11/30/2012 10:01 173 53 57 105 ......................................... ref SDS 24 BE6O
420542 - 08/31/2012 15:25 176 94 47 110 ......................................... ref SDS 20 U89N
420543 - 05/09/2012 11:24 155 76 49 94 ......................................... ref SDS 19 U89N
420544 - 02/09/2012 11:18 285 82 41 228 H ......................................... ref SDS 15 2A4G
420545 - 11/17/2011 14:27 260 84 43 200 H ......................................... ref SDS 13 2A4G
420546 - 07/27/2011 12:58 163 81 45 102 ......................................... ref SDS 9 E19L
420547 - 12/07/2010 09:17 151 41 47 96 ......................................... ref SDS 8 E19L
420548 - 07/21/2010 08:54 261 H 87 35 L 209 H ......................................... ref SDS 4 E19L
420549 - 06/10/2010 10:33 217 H 83 36 L 164 H ......................................... ref SDS 3 QV4F
420550 - * 12/14/2009 11:10 241 H 136 44 170 H ......................................... 100928 0706, ref SDS 5 VW6J
420551 - 08/13/2009 15:09 233 H 118 30 L 179 H ......................................... 100610 1046, ref SDS 3 U45G
420552 - 06/16/2006 10:59 238 H 68 32 L 192 H ......................................... 091002 0900, ref SDS 1 LJ5H
420553 -
420554 - * Lab at VA San Francisco Medical Center reported on 100928 0706.
420555 - ref SDS 5 VW6J
420557 - ..
420558 - Graph of LDL history shown on 120209 1118. ref SDS 15 7M42
420560 - ..
420561 - Research on cholesterol reported on 091002 0900. ref SDS 1 2F8K
420563 - ..
420564 - On 131125 0005 research found ezetimibe (zetia) mg added to
420565 - Atorvastatin 20 mg yielded significantly greater changes to HDL and
420566 - Triglycerides (TG), than taking Atorvastatin in higher doses, e.g., 20
420567 - or 40 mg. ref SDS 38 CO56
420569 - ..
420570 - On 131125 0005 research found discordance LDL-P low and LDL-C high
420571 - lipid panel HDL 65 TG 77 healthy patient profile with LDL 246.
420572 - ref SDS 40 MN98 Discordance with LDL-P low and LDL-C high is lowest
420573 - risk for CVD, arterialsclorosis. 131125 0005, ref SDS 38 FM6L
420575 - ..
420576 - On 131125 0005 research further found CT tests can evaluate level of
420577 - plaque build up resulting from elevated cholesterol. ref SDS 39 N73K
420578 -
420579 -
420580 -
420581 -
420582 -
4206 -
SUBJECTS
Default Null Subject Account for Blank Record
4603 -
460401 - ..
460402 - Rosuvastatin Switch from Simvastatin Myopathy Side Effects Decline
460403 - Simvistatin Side Effects Myopathy Muscle Pain Decline Switch to Rosuvastatin
460404 - Myopathy Muscle Pain Side Effects Simvistatin Decline Switch to Rosuvastatin
460405 -
460406 - Follow up ref SDS 32 D26G, ref SDS 19 D26G.
460407 -
460408 - Prior Cardiac Enzymes Profile on 120209 1118. ref SDS 15 D26G
460409 - Prior Cardiac Enzymes Profile on 120509 1108. ref SDS 19 D26G
460410 - Prior Cardiac Enzymes, 131015 0724, ref SDS 32 D26G
460412 - ..
460413 - This test not performed by Labcorp with blood draw on 140201...
460414 -
460415 - CARDIAC ENZYMES.2013 10 15 0825 120509
460416 - PLASMA Results Results Units Range
460417 - CK 110 152 IntUnits/L 36 - 340
460418 - TRPONIN ng/ml 0 - 0.07
460419 - CK-MB ng/ml 0.6 - 3.5
460420 - MYOGLOB ng/ml 20 - 82
460422 - ..
460423 - a. TEST PERFORMED BY VAMC SACRAMENTO, 10535 HOSPITAL WAY,
460424 - MATHER CA.
460426 - ..
460427 - Research on 111013 explains Creatine Kinase CK, relates to muscle
460428 - disorders caused by cholesterol medications with statins. 111013 1404,
460429 - ref SDS 12 J54K
460431 - ..
460432 - Decrease in CK lab may align with reduced side effects of muscle pain
460433 - in left shoulder.
460434 -
460435 -
460436 -
460437 -
460438 -
460439 -
4605 -
SUBJECTS
Default Null Subject Account for Blank Record
6603 -
660401 - ..
660402 - HGBA1c Diabetes Blood Test
660403 - Diabetes Blood Test HGBA1c
660404 -
660405 - Follow up ref SDS 32 9F4O, ref SDS 8 IL4N.
660406 -
660407 - Prior HGBA1c Profile on 100721 0800. ref SDS 4 IL4N
660408 - Prior HGBA1c Profile on 101207 0906. ref SDS 8 IL4N
660409 - Prior HGBA1c Profile on 131015 0724. ref SDS 32 9F4O
660411 - ..
660412 - This test not performed by Labcorp with blood draw on 140201...
660413 -
660414 - HGBA1c......... 2013 10 15 0825 101207
660415 - BLOOD Results Results Units Range
660416 - HGBA1c 5.5 5.7 % 4.1 - 6
660417 - eAG 111 mg/dL 74 : - 118
660419 - ..
660420 - Comments:
660421 -
660422 - b. TEST PERFORMED BY VA MARTINEZ, 150 MUIR ROAD, MARTINEZ CA.
660423 -
660424 - eAG = Calculated Estimated Average Daily Glucose and may be
660425 - easier for patients to understand than an A1c result.
660426 - Calculation: 28.7 x HGBA1c - 46.7
660428 - ..
660429 - Ordering Provider: Harkesh S. Sandhu MD
660430 - Report Released: Oct 15, 2013 @ 1309
660432 - ..
660433 - Reporting Lab: MARTINEZ OPC/CREC
660434 - 150 MUIR ROAD MARTINEZ, CA 94553-4668
660436 - ..
660437 - Performing Lab: MARTINEZ OPC/CREC
660438 - 150 MUIR ROAD MARTINEZ, CA 94553-4668
660439 -
660441 - ..
660442 - This test for diabetes was ordered by Doctor Abrams during a meeting
660443 - at the San Francisco VA Medical Center on 130227 0930. ref SDS 27 8T5L
660444 - However, it is not reported for the lab performed the next day on
660445 - 130228 1140, ref SDS 28 RP4N, nor in the follow up lab 3 months later
660446 - on 130529 0818. ref SDS 30 RP4N
660448 - ..
660449 - HGGA1c was performed previously on 101207 0906, ref SDS 8 IL4N, and 5
660450 - months earlier on 100721 0800. ref SDS 4 IL4N
660452 - ..
660453 - Report today shows no evidence of diabetes.
660454 -
660455 -
660456 -
660457 -
660458 -
660459 -
660460 -
660461 -