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SUBJECTS
CBC Lab WBC 12.8 Elevated Blister Big Toe Left Foot VA for Meeting D
2903 -
2903 - ..
2904 - Summary/Objective
2905 -
290501 - Follow up ref SDS P3 0000. ref SDS O9 0000.
290502 -
290503 -
290504 -
290505 -
290506 -
290507 -
290509 - ..
2906 -
2907 -
2908 - Background
2909 -
290901 - On 170925 ordered lab from Health Testing Centers (HTC) performed by
290902 - Labcorp, ref SDS B1 8K4H, following up prior lab ordered at HTC and
290903 - performed at Labcorp on 170216 1005. ref SDS 95 3M6I
290905 - ..
290906 - On 171001 1246 went to John Muir Hospital and got blood draw in Urgent
290907 - Care by Labcorp. 171001 1246, ref SDS B3 X45G
290909 - ..
290910 - On 171003 1519 received letter from Shannon at Health Testing Centers,
290911 - ref SDS B4 PZ3T, transmitting results for lab 2 days ago on 171001
290912 - 1246. ref SDS B3 X45G
290914 - ..
290915 - On 171003 1519 sent letter to Shannon at Health Testing Centers (HTC)
290916 - advising HDL cholesterol lower than expected, ref SDS B4 EN3Y, and
290917 - that triglycerides are much lower that patient history indicates is
290918 - possible, indicating lab error. ref SDS B4 EN42
290920 - ..
290921 - On 171009 0926 called HTC and talked to Shannon. She agreed that
290922 - triglycerides are much too low, indicating lab error. Shannon ordered
290923 - make-up lipid lab #
290924 - at no charge. She offered cross-check lab at Quest
290925 - at half price. ref SDS B5 IK5F
290927 - ..
290928 - On 171218 1044 received letter from HTC saying patient has paid for
290929 - blood test at Quest Labs. ref SDS B6 FK6L
290931 - ..
290932 - On 180222 1500 went to Quest lab for blood draw. ref SDS B7 XC4F
290934 - ..
290935 - On 180410 0842 ordered labs and NMR lipid study at Labcorp from HTC
290936 - (Shannon). 180410 0842, ref SDS B8 AP6H
290938 - ..
290939 - On 180410 1444 after hiking 15 miles blood draw at Labcorp John Muir
290940 - Hospital on Cherry Lane and Treat in Pleasant Hill. ref SDS B9 XC4F
290942 - ..
290943 - On 180411 0750 blood draw at VAMCSF after hiking 12 miles. ref SDS C0
290944 - ZW7G
290946 - ..
290947 - On 180510 0936 ordered labs at Quest and Labcorp. ref SDS C2 ZY9N
290949 - ..
290950 - On 180514 1538 lab at Quest. ref SDS C3 FK6I
290952 - ..
290953 - On 180823 0840 called Shannon at HTC and ordered labs for 180824.
290954 - ref SDS C5 AP6H
290956 - ..
290957 - On 180824 1140 got blood draw at Quest for lipid test. ref SDS C6 N63G
290959 - ..
290960 - On 180913 1350 got blood draw at VAMCSF for lipid test after hiking
290961 - Half Dome. ref SDS C7 U45J
290963 - ..
290964 - On 181015 0908 ordered labs from HTC at Labcorp and at Quest. Only
290965 - for lipids, reported on 181015 0908. ref SDS C9 AP6H
290967 - ..
290968 - On 181021 1541 blood draw at Labcorp, reported HDL 66. ref SDS D0 U45J
290970 - ..
290971 - On 181029 1438 blood draw at Quest, reported HDL 69. ref SDS D1 OB7N
290973 - ..
290974 - On 181107 0000 called Shannon at Health Testing Centers and ordered
290975 - test for telomeres. ref SDS D3 NE9N
290977 - ..
290978 - On 181112 0938 ordered online from HTC labs at Labcorp for CBC,
290979 - electrolytes, and NMR Lipids. ref SDS D4 AP6H
290981 - ..
290982 - On 181112 1720 went to Labcorp for blood draw to test CBC,
290983 - electrolytes and NMR lipids - this yielded LDL P 902, and HDL 83.
290984 - ref SDS D5 XC4F
290986 - ..
290987 - On 190512 1625 went to Labcorp at John Muir Urgent Care and got blood
290988 - draw for labs. ref SDS D7 XC4F
290990 - ..
290991 - On 191008 0736 tried ordering labs from HTC online. ref SDS D8 AP6H
290992 - This failed, so called HTC. Autumm helpf place order for another lab.
290993 - Total cost $208. ref SDS D8 K58K Received requisition for the lab.
290994 - ref SDS D8 R66O
290996 - ..
290997 - On 191120 1018 called HTC and ordered another lab to evaluate HDL
290998 - again, since it seemed to be artifically lowered by taking hydrocodone
290999 - with half dose (325 mg) acetaminophen, for the lab on 191008.
291000 - ref SDS D9 AP6H Same thing occurred for lab at VA on 191030.
291002 - ..
291003 - On 191122 1519 went to Labcorp in John Muir Hospital Urgent Care on
291004 - Cherry Lane and Treat in Pleasant Hill, and got blood draw, to test
291005 - for elevated HDL, ref SDS E0 XC4F, after test at VAMCSF on 191030,
291006 - reported HDL 52, which conflicted with hiking levels, and was
291007 - corrupted by taking acetaminophen with hydrocodone for 5 days before
291008 - the lab.
291010 - ..
291011 - On 191128 1220 received letter yesterday on 191127, from Health
291012 - Testing Center (HTC) offering 50% off on all labs. So, ordered
291013 - standard lab. ref SDS E1 AP6H
291015 - ..
291016 - On 191128 1220 ordered labs from HTC, 191128 1220. ref SDS E1 AP6H
291018 - ..
291019 - On 191223 1845 after hiking 21 miles, 22 the day before, and 20 the
291020 - day before that, went to John Muir Hospital on Treat Boulevard;
291021 - Labcorp drew blood for NMR lipid test evaluating HDL rising.
291022 - ref SDS E2 XC4F
291024 - ..
291025 - On 191228 0932 ordered labs again from HTC. ref SDS E3 AP6H
291027 - ..
291028 - On 191228 1508 got blood draw at John Muir Hospital on
291029 - Cherry Lane in Pleasant Hill. ref SDS E4 XC4F
291031 - ..
291032 - On 191227, results of blood test on 191223, showed HDL 64, just 1
291033 - point higher than prior lab on 191122 1519. ref SDS E0 U45J Expected
291034 - this to be higher, but review of the record shows took a lot of time
291035 - off after the lab on 191122. This indicates HDL fell considerably
291036 - from 63, and so major effort the past week, only restored the prior
291037 - level. Since the lab on 1223, have hiked consistently and at high
291038 - levels +/- 20 miles per day.
291040 - ..
291041 - On 191228 093220 ordered another lab to evaluate the effect of
291042 - increased hiking and effect of rising paroxysmal atrial fibrillation.
291043 - 191228 0932, ref SDS E3 CN4M
291045 - ..
291046 - On 200826 0815 had blood draw at VAMCSF. ref SDS E7 7Y5I
291048 - ..
291049 - On 200826 0930 Doctor Pellegrinni advised results of lab show HDL 53.
291050 - 200826 0930, ref SDS E8 Y145
291052 - ..
291053 - On 200830 102020 ordered lab at HTC to cross check lab at VAMCSF while
291054 - taking Metoprolol, which lowers HDL. ref SDS E9 0488 This lab
291055 - produced HDL 63.
291057 - ..
291058 - On 200927 105205 ordered lab at HTC to check HDL after hiking
291059 - interrupted, then increased. ref SDS F0 0488
291061 - ..
291062 - On 201029 1015 ordered lab at HTC to check HDL after resuming hiking,
291063 - and after poor HDL lab at VAMCSF on 201028. ref SDS F1 0488
291065 - ..
291066 - On 201102 1836 research found report that gabapentin lowers HDL and
291067 - raises LDL. ref SDS F2 UB4J
291069 - ..
291070 - On 201209 0900 VA lab reported HDL 50. ref SDS F3 4Q8M This was lower
291071 - than expected for miles hiked since prior lab, and so aligned with
291072 - prior research that reported gabapentin lowers HDL and raises LDL.
291073 - 201209 0900, ref SDS F3 UY6O
291075 - ..
291076 - On 201218 1024 ordered 2 labs at HTC. ref SDS F4 PM4I
291078 - ..
291079 - On 201227 1542 after hiking 228 miles in 17 days, and after ending
291080 - gabapentin on 201010, went to Labcorp for blood draw standard lipid
291081 - panel reported HDL 56. ref SDS F6 0488 NMR lipid panel reported HDL 66
291083 - ..
291084 - On 201231 0707 letter to Health Testing Center (HTC) explains lab on
291085 - 201227, intended to identify effect of gabapentin on HDL, ref SDS F7
291086 - 0488, ask Shannon to request explanation from Labcorp why HDL 56 in
291087 - standard test, and 10 points higher in NMR test. ref SDS F7 PW88
291089 - ..
291090 - On 210126 0953 letter to Shannon at HTC reports 5 cardiac ablations
291091 - last year curtailed hiking, so HDL dropped from 83 to 50, then hiked
291092 - over 500 miles in December. ref SDS G1 0488 Lab on 210104 showed HDL
291093 - 60 increased 4 points on Labcorp standard test, but HDL 62 reported it
291094 - decreased 2 ponts, which is impossible after hiking 157 miles. Follow
291095 - up lab on 210118 Labcorp reported standard test HDL 57 dropped 3
291096 - points, and NMR reported HDL 69 increased 5; wide variances indicate
291097 - confusion in the lab. ref SDS G1 NO93 Request suggestions for
291098 - consistent labs that instill confidence guiding hiking/HDL clinical
291099 - trial. ref SDS G1 NO96
291101 - ..
291102 - On 210126 0953 at 1452 letter from Shannon offers to order
291103 - recollection blood draw to test HDL again toward correcting errors in
291104 - prior lab on 210118. ref SDS G1 OW69
291106 - ..
291107 - On 210128 1503 letter to Shannon at HTC requesting recollection for
291108 - Labcorp standard lipid panel, and the NMR Lipids. ref SDS G2 0488
291110 - ..
291111 - On 210128 1503 at 1551 letter from Shannon at HTC agreeing to
291112 - recollection for problematic lab on 200118. ref SDS G2 8U6K
291114 - ..
291115 - On 210128 1503 at 1553 letter from HTC ordering another lab for
291116 - standard and for NMR lipids. ref SDS G2 OX7F
291118 - ..
291119 - On 210128 1503 at 1553 letter from HTC, ref SDS G2 P13O, submitting
291120 - requisition for another lab to test HDL in standard and NMR protocols.
291121 - ref SDS G2 P24H
291123 - ..
291124 - On 210415 0900 Doctor Grunfeld requested NMR lipid lab. ref SDS G5
291125 - TF8H Prior NMR lab at Labcorp ordered through HTC was on 210207 1709.
291126 - ref SDS G3 0488
291128 - ..
291129 - On 210420 082629 ordered NMR lipid lab from HTC for blood draw at
291130 - Labcorp in John Muir Urgent Care, Walnut Creek. ref SDS G6 RR5I
291132 - ..
291133 - On 210515 1631 ordered NMR lipid lab from HTC for blood draw at
291134 - Labcorp in John Muir Urgent Care, Walnut Creek. ref SDS G7 I436
291136 - ..
291137 - On 210521 1023 lab at VAMCSF ordered by Doctor Grunfeld testing
291138 - without hiking any miles Sed Rate and CRP-HS for inflammation,
291139 - ref SDS G8 AA4F, and lipids to evaluate HDL. ref SDS G8 PO5I
291141 - ..
291142 - On 210630 0815 lab at VAMCSF ordered by Doctor Grunfeld testing after
291143 - hiking 13 miles Sed Rate and CRP-HS for inflammation, ref SDS H1 AA4F,
291144 - and lipids to evaluate HDL. ref SDS H1 PO5I
291146 - ..
291147 - On 211109 1232 called HTC; ordered from Karen 4 blood draws to perform
291148 - clinical trial correlating HDL with hiking. ref SDS H7 0488
291150 - ..
291151 - On 211110 1825 blood draw lab at Labcorp testing only lipids to
291152 - correlate hiking with HDL. ref SDS H8 0488
291154 - ..
291155 - On 220126 1232 called HTC and ordered 2 more lipid tests to evaluate
291156 - HDL after pausing Gabapentin, and LDL after pausing Atorvastatin.
291157 - ref SDS I8 0488
291159 - ..
291160 - On 220419 1337 letter notified Doctor Pellegrini LDL 92 on 220110,
291161 - increased to LDL 268 on 220415, after pausing Atorvastatin on 220115.
291162 - ref SDS J1 UF90
291164 - ..
291165 - On 220813 0914 blood draw at Labcorp reported HDL 65. ref SDS J3 VF7L
291167 - ..
291168 - On 220824 0650 blood draw at VAMCSF reported HDL 64. ref SDS J4 VF7L
291170 - ..
291171 - On 220926 1432 blood draw at Labcor John Muir Urgent care in Concord.
291172 - ref SDS J6 VF7L
291174 - ..
291175 - On 221019 1023 blood draw at Labcorp John Muir UIrgent Care in
291176 - Concord. ref SDS J9 JV3H
291178 - ..
291179 - On 221104 0730 blood draw at VA Medical Center in San Francisco.
291180 - ref SDS K0 0488
291182 - ..
291183 - On 230130 1228 blood draw at VA Medical Center in San Franicsco.
291184 - ref SDS K2 VF7L
291185 -
291186 -
291187 -
291189 - ..
2912 -
2913 -
2914 - Progress
2915 -
291501 - Lab Blood Draw Test Lipids, Inflammation, CBC and Electrolytes
291502 -
291503 - Follow up ref SDS P3 0488, ref SDS O9 0488.
291505 - ..
291506 - Lab follows up prior lab on 250305 1103. ref SDS P3 0488
291508 - ..
291509 - Lab ordered to test for issues following review of medical deficits
291510 - possibly arrising from dysfunctional autonomic nervous system,
291511 - reviewed in the record on 250114 1202. ref SDS P2 NA4H
291513 - ..
291514 - Inability to hike normally the past 5 months may have increased risk
291515 - of diabetes, with record of increased urination overnight, shown in
291516 - case study on 200101 0701. ref SDS E5 F29N
291518 - ..
291519 - Past few weeks have been hiking more regularly since 250215, shown in
291520 - case study on 200101 0701. ref SDS E5 XI3K
291522 - ..
291523 - HDL is primary concern. HDL 64 on 240806 1104. ref SDS O2 XK7M -
291524 - somehow fell to HDL 50 a month later on 240910 1348. ref SDS O5 XK7M
291525 - This seems like an erroneous lab, because HDL is largely stable.
291526 - Since the test today, reported HDL 61, this indicates there may have
291527 - been an error in the blood draw at the VA Medical Center in
291528 - Sacramento. Another possibiity is that severe colitis symptoms, e.e.,
291529 - bloating, reported to Doctor Pellegirni at VAMCSF in Cardiology on
291530 - 240905 0830, ref SDS O3 NZ3H, may have impeded liver production of
291531 - HDL.
291533 - ..
291534 - HGBa1c 5.7 on 240910 1348. ref SDS O5 M46J is at pre-diabetic levels,
291535 - has this declined?
291536 -
291538 - ..
291539 - Stephanie did the blood draw, very professional, taking only 1 stick.
291540 -
291541 -
291576 -
291577 -
291585 - ..
291586 - Order
291587 - xxxxx xxxxx xxxxx xxxxx xxxxx xxxxx xxxx xxxx xxx
291588 - ..
291589 - Dates........................................ 250428 1000 250305 1124 241219 1127 241008 1126 240910 1353 240806 1131 240703 1238 240611 0733 240524 1026 240517 0731 240426 0813 240411 1129?? 240329 1140?? 240229 1130?? 240216 1130?? 240212 0949 240131 1142 240105 0908 231227 1146 231213 1240 231207 1115 231128 1008 231115 1141 231103 11__ 231027 11__ 231005 1123 230928 0748 230830 0802 230215 0823 230130 1320
291590 - Laboratory................................... VAMCSF Quest Quest Quest VAMC Sac Quest VAMCSF VAMCSF Quest VAMCSF VAMCSF Quest Quest Quest Quest VAMCSF Quest Quest Quest VA Martnz Quest Quest Quest Quest Quest Quest VAMCSF VAMCSF VAMCSF Labcopr
291591 -
291592 - [On 250430 1538 letter from Lauren in Primary Care
291593 - submitting some of the blood test results and some
291594 - comments. ref SDS P5 MM5M
291596 - ..
291597 - Lipids
291598 -
291599 - Follow up ref SDS P3 UY9G, ref SDS O9 UY9G.
291601 - ..
291602 - LDL P...................... NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
291604 - ..
291605 - LDL C............... < 100 103 91 123 115 103 112 83 111 H 84 98 108 101 102 111 93 92 103 H 121 H 125 137 H 117 H 123 H 106 H 118 H 110 H 91 115 110 129 H
291606 - Desirable range <100 mg/dL for
291607 - primary prevention; <70 mg/dL
291608 - for patients with CHD or diabetic
291609 - patients with > or = 2 CHD
291610 - risk factors.
291611 -
291612 -
291614 - ..
291615 - HDL.................>= 40 56 62 57 61 50 64 61 60 62 60 63 56 62 66 67 62 58 57 58 61 59 60 55 5 55 51 55 55 52
291617 - ..
291618 - HDL 56 falling 5 since 250305, aligns
291619 - increased inflammation from injuries
291620 - that was paritally resolved by magnesium
291621 - hiking the past 2 months.
291622 -
291624 - ..
291625 - Triglicerides........< 150 95 65 70 72 53 86 77 67 67 65 74 70 59 60 53 109 70 81 43 71 85 60 70 66 92 107 131 83 87
291627 - ..
291628 - Increased triglicerides conflicts with hiking
291629 - 20+ miles the past 8 days???
291630 -
291631 -
291632 - Cholesterol Total....< 200 178 168 196 192 164 195 159 186 160 171 187 173 178 192 170 176 177 196 192 215 194 198 177 193 185 163 197 182 197 H
291633 - HDL-P (Total).............. NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
291634 - Small LDL-P................ NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
291635 - LDL Size................... NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
291636 - VLDL....................... NA NA NA NA NA NA NA NA NA NA NA NA NA NA 16
291637 -
291639 - ..
291640 - LP-IR Score................ NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA
291642 - ..
291643 - Chol/HDL ratio.......< 5... 3.2 2.7 3.4 3.0 3.1 2.5 2.8 3.1 3.4 3.5 3.3 3.3 3.2 3.3 3.4 ___ ___ ___ ___
291644 - Non-HDL Cholesterol..< 130 106 139 131 H 126 113 119 139 H 154 H 135 H 138 H 122 134 H 130 H
291645 - LDL/HDL Ratio.... 2.78 - 7.13 1.88 1.47 1.75 1.9
291647 - ..
291648 - Reporting 1.9, well below the bottom of
291649 - the range, seems to indicate very low
291650 - risk for cardiovascular afflictions.
291651 -
291652 -
291654 - ..
291655 - CRP-HS 0.2 - 7.5 mg/L no report 5.5 1.7 ____ ____ ____ ____ ____ ____ ____ ____ 12.1 H NA
291656 - C Reactive Protein HS
291658 - ..
291659 - Measures inflammation that blocks liver from
291660 - producing HDL; test today, indicates HDL should
291661 - rise with miles hiked. Since HDL dropped 5,
291662 - something is an issue that is unknown??? Today,
291663 - effect of inflammation is unknown, because CRP-HS
291664 - was not performed. Equally, magnesium that lowers
291665 - inflammation was not tested.
291666 -
291668 - ..
291669 - Bilirubin Direct 0.5
291670 - Range...... 0.1 - 0.5
291671 -
291673 - ..
291674 - Bilirubin, Total 1.6 H NA NA NA NA NA NA NA NA NA NA NA
291675 - Range...... 0.1 - 1.2
291676 -
291678 - ..
291679 - xxxxx xxxxx xxxxx xxxxx xxxxx xxxxx xxxxx xxxxx xxxxx xxxxx
291680 - ..
291681 - Diabetes
291682 - HGBA1c 4.0 - 6.0 % 5.6 5.9 H 5.9 H 5.8 H 5.7 6.1 H 5.5 NA NA NA NA NA NA NA NA 6.0 6.0
291683 - Glycohemoglobin Hgb A1c
291684 - HEMOGLOBIN A1C
291685 - Quest range < 5.7
291686 -
291687 -
291688 - eAG 74 - 118 117
291689 - estimated average glucose
291690 -
291692 - ..
291693 - See also glucose below. ref SDS O7 XV3N
291694 -
291696 - ..
291697 - Prostate Specific Ag (PSA)
291698 - PSA 0 - 4................. 1.04
291699 -
291700 -
291702 - ..
291703 - VITAMIN B12 170 - 950 232
291704 -
291706 - ..
291707 - VITAMIN D,25-HYDROXY 20 - 50 31.6
291708 -
291709 -
291710 -
291712 - ..
291713 - TSH 0.35 - 5.00 4.7 2.08
291714 - Thyroid Stimulating Hormone
291715 -
291716 -
291717 -
291719 - ..
291720 - Metabolic Panel
291721 - Endocrine Health
291722 - Electrolytes
291723 -
291724 - Follow up ref SDS P3 QQ3H, ref SDS O9 QQ3H.
291726 - ..
291727 - ANION GAP 5 - 20 mmol/L.......... 6 10 9 9 NA NA NA NA NA NA NA NA 9 7
291728 -
291730 - ..
291731 - GLUCOSE 65 - 115 mg/dL 106 105 H 110 H 102 H 107 104 108 102 H 113 101 103 99 103 H 107 H 106 H NA NA NA NA 94 116
291732 - Quest range 85 - 99
291734 - ..
291735 - VAMC Sacramento reported...
291736 -
291737 - eAG - estiamted average glucose 74-118 117
291739 - ..
291740 - Quest comments - someone without known
291741 - diabetes, a glucose value between 100
291742 - and 125 mg/dL is consistent with
291743 - prediabetes and should be confirmed
291744 - with a follow-up test.
291746 - ..
291747 - Have been prediabetes based on A1c for
291748 - many years, per above, ref SDS L3 2P6O,
291749 - citing last A1c ordered by Dctor
291750 - Pellegrini on 230215 0745. ref SDS K3 2P6O
291752 - ..
291753 - Frequent urination is associated with
291754 - diabetes, which was significant a week
291755 - ago, after not hiking for 4 days, shows
291756 - in case study on 200101 0701.
291757 - ref SDS E5 5R6F May indicate hiking
291758 - helps avoid diabetes symptoms arising
291759 - from IHD.
291761 - ..
291762 - UREA NITROGEN 10 - 24 mg/dL 18 18 23 NA NA NA NA NA NA NA 26 H 20
291764 - ..
291765 - CALCIUM 8.5 - 10.5 mg/dL 9.1 9.1 9.0 9.0 NA NA NA NA NA NA NA 8.9 9.6
291767 - ..
291768 - SODIUM 135 - 145 mmol/L 137 136 144 143 NA NA NA NA NA NA NA 141 143
291770 - ..
291771 - POTASSIUM 3.3 - 4.8 4.5 4.3 4.6 4.2 NA NA NA NA NA NA NA 4.2 5.2 H
291772 -
291774 - ..
291775 - IRON 57
291776 - Reference range: 50 - 150
291778 - ..
291779 - Iron at low end of range aligns with low ferritin
291780 - and low transferrin
291782 - ..
291783 - FERRITIN 28.7 L
291784 - Reference Range: (29-371)
291785 - Ferritin enables level of
291786 - iron to increase
291787 -
291788 - [On 250430 2137 research with Microsoft
291789 - AI on ferritin 28.7 low blood
291790 - count. ref SDS P6 N96F
291792 - ..
291793 - [On 250430 2137 research with Microsoft
291794 - AI reported low ferritin levels can
291795 - significantly impact exercise
291796 - performance, especially for endurance
291797 - activities. ref SDS P6 GW9J
291799 - ..
291800 - Low ferritin and transferrin saturation, below,
291801 - ref SDS 0 UE6F, may explain significant energy
291802 - drops that slowed hiking pace, and required
291803 - taking interim magnesium and CoQ10, e.g., on
291804 - 250419 shown in case study on 250101 0704.
291805 - ref SDS P0 RVUT at line 103471
291807 - ..
291808 - [On 250430 2137 research with Microsoft
291809 - AI reported dysfunctional autonomic
291810 - nervous system (ANS) can influence
291811 - various bodily functions, including
291812 - iron metabolism and ferritin levels.
291813 - The ANS regulates processes like
291814 - digestion, circulation, and stress
291815 - responses, which can indirectly affect
291816 - iron storage and utilization. Chronic
291817 - stress or dysregulation of the ANS
291818 - might lead to altered inflammatory
291819 - responses or hormonal imbalances,
291820 - potentially impacting ferritin levels.
291821 - ref SDS P6 6852
291823 - ..
291824 - [On 250501 1526 letter to Lauren in
291825 - Primary Care and to Doctor Pellegrini
291826 - in Cardiology notes low Ferritin
291827 - correlates with very low energy
291828 - during hiking that required additional
291829 - Magnesium and CoQ10. ref SDS P7 527G
291831 - ..
291832 - Lab report continues...
291833 -
291834 - MAGNESIUM 1.6 - 2.7 no report 2.5
291835 -
291836 - ..
291837 - 4.1
291838 - ALBUMIN 3.5 - 5.2 4.2
291839 -
291841 - ..
291842 - PROTEIN TOTAL 6.0 - 8.5 7.2 6.7
291843 -
291845 - ..
291846 - BILIRUBIN, DIRECT 0.1 - 0.5 0.4
291847 -
291849 - ..
291850 - BILIRUBIN, TOTAL 0.1 - 1.2 1.9 H
291851 -
291853 - ..
291854 - CHLORIDE 101 - 112 mmol/L 102 97 L 106 104 NA NA NA NA NA NA NA 105 107
291856 - ..
291857 - CARBON DIOXIDE CO2 22 - 30 mmol/L 29 29 29 30 NA NA NA NA NA NA NA 27 29
291859 - ..
291860 - CREATININE 0.6 - 1.3 mg/dL 1.14 1.09 1.07 0.95 NA NA NA NA NA NA NA 0.94 1.01
291861 -
291862 -
291863 - eGFR > 60 mL/min 65 69 71 82 NA NA NA NA NA NA 83 70
291864 -
291865 - Relates to Kidney disease
291866 -
291868 - ..
291869 - ALKALINE PHOSPHATASE 40 - 125 109 94
291870 -
291872 - ..
291873 - SGPT 5 - 56 33 30
291874 - Transferase Alanine Amino
291875 -
291876 - ..
291877 - 45 H
291878 - SGOT 5 - 35 26
291879 -
291880 -
291882 - ..
291883 - Transferase Aspartate
291884 -
291886 - ..
291887 - TRANSFERRIN 268
291888 - Reference Range: (181-335)
291889 -
291891 - ..
291892 - TRANSFERRIN SATURATION 15 L
291893 - Reference Range: (16-60)
291894 -
291895 - [...above on 250428 0940 ferritin low.
291896 - ref SDS 0 VP5H
291897 -
291898 - [On 250430 2137 research with Microsoft
291899 - AI reported low ferritin levels can
291900 - significantly impact exercise
291901 - performance, especially for endurance
291902 - activities. ref SDS P6 GW9J
291904 - ..
291905 - Research found chronic inflammation can lead to
291906 - decreased transferrin saturation, even if iron
291907 - stores are normal. There has been increased
291908 - inflammation in recent weeks hiking with feet
291909 - injuries.
291910 -
291912 - ..
291913 - CBC
291914 - Complete Blood Counts
291915 - Hemogram V
291916 -
291917 - Follow up ref SDS P3 R36L, ref SDS O9 R36L.
291918 -
291919 - WBC 4.8 - 10.8 K/cmm 6.52 8.77 6.15 NA NA NA NA NA NA NA 7.25 7.09
291921 - ..
291922 - RBC 4.7 - 6.1 M/cmm 5.79 5.52 5.5 NA NA NA NA NA NA NA 5.48 5.67
291923 -
291925 - ..
291926 - RDW 35.1 - 43.9 fL 41.8 43.5 41.2 NA NA NA NA NA NA NA 5.48 5.67
291927 -
291929 - ..
291930 - HEMOGLOBIN 14 - 18 g/dl 16.3 15.5 15.5 NA NA NA NA NA NA NA 15.6 16.4
291931 - HGB
291932 -
291934 - ..
291935 - HEMATOCRIT 42 - 52 g/dl 50.1 48.4 49.2 NA NA NA NA NA NA NA 47.8 49.7
291936 - HCT
291937 -
291939 - ..
291940 - MCV 80 - 100 fL 86.5 87.7 89.5 NA NA NA NA NA NA NA 87.2 87.7
291941 -
291943 - ..
291944 - MCH 27 - 32 pg 28.2 28.1 28.2 NA NA NA NA NA NA NA 28.5 28.9
291945 -
291947 - ..
291948 - MCHC 32 - 36 gm/dL 32.5 32.0 31.5 L NA NA NA NA NA NA NA 32.6 33
291949 -
291951 - ..
291952 - PLATELET COUNT 140 - 450 K/cmm 205 278 303 NA NA NA NA NA NA NA 287 303
291953 -
291954 -
291956 - ..
291957 - UREA NITROGEN 10 - 24 16
291958 -
291959 -
291960 -
291961 -
291962 -
291963 -
291964 - X TIME
291965 - ..
291966 - Dates...................... 240611 1503 240524 1026 240517 0731 240426 0813 240411 1129?? 240329 1140?? 240229 1130?? 240216 1130?? 240212 0949 240131 1142 240105 0908 231227 1146 231213 1240 231207 1115 231128 1008 231115 1141 231103 11__ 231027 11__ 231005 1123 230928 0748 230830 0802 230215 0823 230130 1320
291967 - ACTIBATED CLOTTING TIME (ACT)
291968 -
291969 - ACT 74 - 125 seconds 162
291970 -
291971 - 1447
291972 - ..
291973 - ACT 74 - 125 seconds 302
291974 -
291975 - 1404
291977 - ..
291978 - ACT 74 - 125 seconds 352
291979 -
291980 - 1331
291982 - ..
291983 - ACT 74 - 125 seconds 329
291984 -
291985 -
291986 - 1317
291988 - ..
291989 - ACT 74 - 125 seconds 270
291990 -
291991 -
291992 - 1247
291994 - ..
291995 - ACT 74 - 125 seconds 158
291996 -
291997 -
291998 - 1247
292000 - ..
292001 - ACT 74 - 125 seconds 158
292002 -
292004 - ..
292005 - Dates...................... 240611 0733 240524 1026 240517 0731 240426 0813 240411 1129?? 240329 1140?? 240229 1130?? 240216 1130?? 240212 0949 240131 1142 240105 0908 231227 1146 231213 1240 231207 1115 231128 1008 231115 1141 231103 11__ 231027 11__ 231005 1123 230928 0748 230830 0802 230215 0823 230130 1320
292006 - INR 0.9 - 1.1 1.0
292007 -
292008 -
292009 -
292010 - PROTHROMBIN TIME 12.0 - 15.0 13.7
292012 - ..
292013 - THROMBOPLASTIN
292014 - TIME PARTIAL 24.2 - 37.5 28.7
292015 -
292016 -
292017 -
292018 -
292019 -
292020 -
292021 -
292022 -
292023 -
292024 -
292025 -
292026 -
292027 -
292028 -
292029 -
2921 -