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Old 01-16-2008, 07:58 PM   #1
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Unhappy I think my doctor is doing everything wrong; what do you think?

Hello, everyone, this is my first post. I'm a 56-year old woman who just went through menopause (my last period was over a year ago), and I just had a DEXA. The results show that my spine is normal (T-score -0.1), but the T-scores for my hip femoral neck is -1.2 for my left and -1.1 for my right (my total left femoral T-score was -0.8 and right was -0.6) . So, based on my lowest T-scores, I was diagnosed with osteopenia. My doctor took a blood test for my Vitamin D level, prescribed calcitriol and told me to come back in 4 weeks to test my Vitamin D level again. This is what I'm questioning:

1. The vitamin D test he ordered was for 1,25-(OH)2D. Shouldn't he have ordered the test for 25-OH-D instead? Should he have checked my calcium level also?

2. He started me on the calcitriol before he even got my test results back. Should he have waited?

3. He didn't say anything to me about not taking Vitamin D supplements while I'm taking the calcitriol. I take calcium supplements, but they all contain Vitamin D. The calcitriol RX summary sheet said I shouldn't be taking other Vitamin D. I sent my doctor an e-mail asking him about this, but his reply only stated that he wanted to check my Vitamin D level in 4 weeks to see how well I'm absorbing it (although, as I mentioned, he seems to be ordering the wrong test).

I'm uncomfortable with this and I'm considering just stopping the calictriol and upping my Calcium and Vitamin D supplement dosage. I do weight bearing exercise regularly and I have no other physical conditions.

Many of you are so knowledgeable on this subject, I'd love to hear your opinion of my doctor's plan. He's a new family doctor and I like him, but I'm not sure he's doing the right thing here.

Thank you, everyone. It's so wonderful having a forum like this where I can reach out to other women for their advice.

Edited to add that I got the results of the 1,25(OH)2D test: It is 35.

Last edited by Ruthie84; 01-16-2008 at 08:04 PM.

 
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Old 01-17-2008, 05:34 AM   #2
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Re: I think my doctor is doing everything wrong; what do you think?

Hi Ruthie, welcome to the board . First of all let me say that if i had your scores i'd be one happy camper. I'm not familiar with calcitrol or why he prescribed it before seeing the test results, but someone here will be able to answer those for you. It sounds like hes like many doctors who believe you have to do something when there is something thats needs to be fixed. He has also probably already learned that if you don't do anything and something happens a patient could come back and sue, all drs. are afraid of malpractice suits. If it were me (and this is my opinion) with the scores you have i'd keep up the supplements and the weight bearing exercise. You might want to add some weight training as well, its the pull of the muscle on bone that makes them strong. A healthy diet that includes both dairy and non dairy calcium sources is a good idea too. I'd try all these things and them be tested again in a year. In the meantime do your own research, learn all you can about what to do and options and then make a decision that you can happily live with.

You're right there are alot of people here that are very knowledgeable and well informed. Glad you found the bopard, you'll find lots of help and good info here. take care...phyllis

 
Old 01-17-2008, 07:27 AM   #3
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Re: I think my doctor is doing everything wrong; what do you think?

Hi Phyllis,
Thank you very much for your warm welcome and for your good advice. I've been flipflopping back and forth over making an appointment and discussing my feelings with my doctor or just stopping the calcitriol. I want to have a good relationship with him and I'm not sure how he'd feel if I went against his agenda for me. Until I decide, though, I will stop the calcitriol for the time being and will increase my vitamin D and calcium intake. Thank you again.

 
Old 01-17-2008, 12:28 PM   #4
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Re: I think my doctor is doing everything wrong; what do you think?

Hi Ruthie: Welcome to the board... Your t-scores are very good!!! I don't understand why the Dr would put you on D, before he checked your levels. Did you have some other tests, like PTH (parathyroid) levels? You're correct, about testing D levels, they do a D 25 for that and a 125 if you have some other problem like low/high cal, low/high PTH etc.

What dose did the dr rx on the calcitriol? Your D 125 is in the normal range, but on the low end. My lab considers anything between 25.1 pg/ml through 66.1 pg/ml as normal, so 35 is in the normal range.

I can't tell you what to do, but I don't think taking scripted D for 4 weeks is going to hurt anything, unless you are on a super high dose, but even if that is the case it takes a long time to raise your D that way.

Could you talk to the Dr or nurse and ask what caused him to put you on the D?

Usually when they check your D they also check calcium, phosphorous, cortisol, pth, thyroid etc., but some Drs do things differently, and maybe he's just waiting for more info, although I have no idea what that would be. Do you have anyother dx besides the osteopenia that you were tested for?

I think you could have this straigthened out by talking to him, but I'm a little confused as well.

If you have anything to add that might explain this repost-Good Luck...

 
Old 01-17-2008, 12:54 PM   #5
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Re: I think my doctor is doing everything wrong; what do you think?

Hi DesertBloom,
Thank you for your comprehensive response. The doctor has me on the lowest dose of calictriol, 0.25mcg once daily. My understanding is that he wants to see in a month how well I absorb Vitamin D and then he'll take it from there. One of my biggest concerns was taking the calcitriol along with the Vitamin D in my calcium supplements, so I called his office today and he said that it's okay to keep taking my D with the calicitriol (I didn't talk to him directly). So, as you mentioned, taking it for a month shouldn't hurt anything, so I'll continue to do that. As far as the blood test he ordered, from my research I've found articles that said some doctors just don't know that D25 tests the levels of Vitamin D in your blood better than D,125 so maybe that's the situation with my doctor. I'll ask him why he ordered this test when I go back in 4 weeks for another blood test. To answer your question, I don't have any other issues going on except for high blood pressure and cholesterol, for which I'm taking medication.

Thank you for the vote of confidence with my scores. The doctor made me feel like I was on my way to a fracture. I am thin (which I know is a risk factor), but I've been working out with weights for the past 20 years, so I'm hoping that that slows down my bone loss.

Thank you for sharing your knowledge. You really have made me feel better and a lot less anxious. Ruthie

 
Old 01-17-2008, 02:06 PM   #6
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Re: I think my doctor is doing everything wrong; what do you think?

Hi again... I'm glad I could ease your fears I agree that some Drs don't know to check D 25 for levels of D, because I have a Dr that does the same thing. Luckily he'll order the test I ask for so I've solved that problem to a certain extent. I have slightly high Ca levels so my Endo does the 125 test a lot, but he's also checking for other possible probs too.

Taking 25 mcgs with your daily D isn't going to hurt anything, I thought maybe he had you on a high dose, over 3,000 miligrams, which wouldn't hurt "if" your D 25 was low, but since you are on a really low dose everything should be fine. I do understand that you can check absorbtion levels with a therapeutic dose (like yours) so I wouldn't worry. I'm taking 1,400 IU's of D a day, but I just had a low reading on my D 25, so when I see my specialist, I'll find out if this is okay to continue with slightly elevated Ca. The RDA has changed on D recently to 1,000 IU's, since many believe that the previous RDA was too low at 400-800 IU's a day.

Being thin is one of the risk factors for osteo, but if that's all you have again I wouldn't worry. Usually if you have 4-5 risk factors combined that would be a red flag, but still treatable.

You must be doing something right to have such good scores As long as you can get good weight bearing exercises, diet, vitamins, minerals etc that should maintain your scores. Of course no one can promise that, but keep an eye on everything so you don't have any problems. Have you ever fractured a bone, from a non traumatic accident? If not I wouldn't worry about that either, but get some good balancing exercises in too and that will really help. Standing on one leg for as long as you can and alternating that to the other leg will help your balance. When you do these make sure you are near a chair or counter top for support if you need it. I do these when I'm doing the dishes, brushing my teeth etc. If you can do them with your eyes closed you've got excellent balance.

Good luck to you and keep us posted on your D absorption results, and don't worry about taking the 2 vitamin D's at once it won't hurt.

Last edited by DesertBloom; 01-17-2008 at 02:27 PM.

 
Old 01-17-2008, 02:28 PM   #7
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Re: I think my doctor is doing everything wrong; what do you think?

Please pardon my ignorance, DesertBloom, but Ca levels...is that Calcium? If not, can you tell me what it is and what it means that yours is elevated?

I'm just getting over the denial that I can't do everything I used to do as I experience all the changes we women go through in our mid 50's (can't say that I like any of it..well I don't mind not getting my period every month). I've never fractured a bone, fortunately, and I do know what you mean about balance. That is something I need to work on so thank you for bringing it to my attention. Are you taking anything other than supplements? My Mother was diagnosed with osteoporosis when she was 72 (her t-scores were in the -3 area) and the doctor put her on Fosamax. Three years later she actually fell off the roof of her garage (I'm still mad at her for going up there...she wanted to clean the gutters on a rainy day and she slipped). Believe it or not, she only slightly cracked a couple of ribs. And when she had another DEXA her t-scores were in the normal range. So, Fosamax has worked well for her. Still, I really don't want to take it in the future.

Thank you again, DesertBloom. You obviously take good care of yourself and take control of your health. I know a lot of people (my sister for one) who would never tell her doctor what she thinks he or she should do. Part of the reason is that my sister knows nothing about what her numbers should be regarding her bones, her blood pressure, etc. The other part is that she puts all her faith in her doctor. I've learned that's not always the right thing to do.

So, thank you again. Take care and God Bless you!

 
Old 01-17-2008, 03:16 PM   #8
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Re: I think my doctor is doing everything wrong; what do you think?

Hi Ruthie: Sorry, I'm a true ancronym lover, so I use them a lot. Ca is Calcium Your next question is tough to answer since no one, seems to know why my calcium is slightly elevated. I'm on forteo, because I was dx'd (diagnosed) with severe osteoporosis (-3.6) in the spine, 4 years ago. Well I actually knew I had osteoporosis in my early 30's (early meno) but I didn't have a dxa until years later, and I wasn't on any estrogen so I suffered bone loss from that, or so I'm told. My grandmother also had severe osteoporosis with the dowagers hump, and lost height so I have a family history of it. On top of those things I was in a bad car accident in the late 70's and fractured my spine. I've had 7 spinal fusion/laminectomies, and 6 of those surgeries were failures from non unions (of the fusion) along with cracks and seperations in the bone they used to fuse the spine. At the time they didn't know why all my surgeries kept failing, and only knew they had to redo them to prevent paralysis. Anyway this is a really long story, but the good news is the last surgery is holding (rods/screws/bone) but I have chronic pain from many degenerative spinal probs. Two of the surgeries failed because the hardware fell out, so I guess I know why, my bone just won't hold anything. I'm fused from L1-S1, and hope there are no more surgeries in my future. I'm dealing with a neck problem now (5 bulging discs), and going to PT 3 times a week, which is helping my range of motion. One thing I want to add, is that I've always taken vitamins-mega doses-from a very early age due to my mothers influence on health and diet. Even though I did all this and was constantly involved in recreational and team sports, I still got osteo. I think the biggest mistake was that I, and Drs wouldn't supplement me with HRT when I first went through meno.

Back to the calcium, I take forteo (daily shot of parathyroid hormone) which can cause an elevation in calcium, D 125, and a lowering of D 25. I can't say that is why I have hypercalcemia, because I found out about my count before I started the forteo. I'm seeing several specialist at a Univ Hosp, and so far no one can say why I have a elevated count. The two things that cause this, biologically, are hyperparathyroid (which I don't have) and cancer, which we're still looking at. I don't have cancer, as far as I know, but the issue is still under consideration. The forteo has raised my t-score to -2.5 so I'm doing fantastic on that and it's working very well, with no problems.

Because of all these probs, many I didn't mention, I decided to educate myself as much as possible. I love to read, so it's not a chore, plus it helps me to deal with all of it.

I've been to too many Drs that don't know what they are doing, so I never give them my sole trust. I do like the mineral metabolism Dr I'm seeing now, but like any human she has her limitations as well. I try to stay on top of all this, to protect myself and to aid them, when no one can come up with an answer.

I'm sorry to hear about your mother falling off the roof, that sounds like something I would have done years ago, no one has been able to ever tell me what not to do-my husband is infuriated most of the time. I try not to do really risky things, but sometimes I do, like the rest of the world. Your mom is really lucky she didn't have more severe injuries from that fall with her t-scores. It just goes to show that t-scores aren't the only determinent of fractures, there are many other variables, like bone strength, architecture and plain ole luck.

My biggest challenge is the constant pain, but somehow I get through it.

Your sister sounds like most of my relatives who trust their Drs way too much. My relatives also think I'm nuts because I try to memorize all my counts so I don't have to look them up constantly, and my Drs find it very helpful and dumbfounding since they quickly try to catch me with a wrong answer and are always surprised when I can tell them what my calcium reading was 2 years ago. Yeah I'm really strange, but good at remembering numbers and dates.

Well that's enough about me, a subject I don't particularly like to discuss, but will if it will help someone else. All the best to you, and keep up your good research and what ever else you're doing to have great bmd (bone mineral density). Sorry if I went too far explaining all the acronyms

Last edited by DesertBloom; 01-17-2008 at 03:35 PM.

 
Old 01-17-2008, 03:30 PM   #9
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Re: I think my doctor is doing everything wrong; what do you think?

I'm so sorry about your health issues, DesertBloom! You've been through so much and you continue to have pain, yet you don't sound bitter in the least. I know I wouldn't be able to say the same for myself if I were in a similar situation. As far as your elevated Ca, is it possible that that is normal for you? My husband has always had elevated liver enzymes since I've known him (25 years), and the doctors now say that's normal for him. You are an inspiration, DesertBloom, and I can't thank you enough. I wish you the best and hope your meds, faith and strong constitution continue to help you improve.

 
Old 01-17-2008, 04:41 PM   #10
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Re: I think my doctor is doing everything wrong; what do you think?

Ruthie: You are absolutely correct on the Ca issue!!! I've heard this many times on various probs I've had and some Drs believe that some individuals, just don't fit into the normal range they come up with on lab tests. My mineral metabolism Dr feels that my body has adapted to the Ca, since I don't have any of the symptoms of hypercalcemia. My Endo and PCP, on the other hand, think quite differently and that there has to be an explanation for it. I'm not sure who's correct, but I do know this isn't the first time in my life that I had a situation like this. Actually it has happened so many times I constantly get the question, are you from Mars-which they think is funny.

Like your husband, my husband has elevated potassium and he's going through the same thing, since that can cause cardiac arrest. He thinks that he is just one of those who is elevated, but to keep the Drs happy he has his potassium checked once a month. The only problem with that is if your Potassium goes above 5, you are suppose to go to the hospital for immediate potassium lowering procedures-since it's become a law. That procedure is really awful, and luckily he hasn't had to do it, but he's real stubborn like me, and won't go to a hospital unless he thinks he's dying. We are both the same way, and I've never been to an emergency room ever, even though there were times I probably should have gone-gall stones!!

I hope you are right on this, since they can't explain it anyway... But I will put up with a certain amount of testing to make sure there isn't any obvious problem that I'm letting go untreated-I've done that a lot-and it's not always the smart thing to do.

I don't worry about it, but I will continue to search for an answer, to a certain extent, as long as it doesn't involve constant or even often testing.

I asked my Drs wouldn't cancer manifest in some way other than Ca readings at some point, and of course they always say-maybe, maybe not. I have a long history of cancer in my family, so I've checked all the normal things and everything is okay. I haven't decided if I will proceed any further in an answer to this "unless" the count goes much higher then I would have no choice, since hypercalcemia can be very deadly, since it regulates "every" organ, in your body. The only symptom I have at times is the brain fog-but that could just be memory loss from aging. If I ever get to the point that I don't know where I am I'll go to the hospital, but won't worry about it before that.

I had to learn early on that you either sink or swim with any problem and I choose to swim, so that means not dwelling on it, and laughing as much as possible even when that hurts real bad. I was blessed with a good sense of humor or should I say an ability to laugh, and I think it's got me through a lot.

When I was dx'd with osteo, it didn't freak me out or throw me into a tail spin, because I have so many other probs that I have to keep in perspective. I completely understand those who panic with this dx, because I had that happen with so many other things, but osteo wasn't one of them for whatever reason. I'm extremely far from perfect, but I know when to worry and when NOT to. That's why I don't pay a lot of attention to ever new study that comes out, since there will be a contradictory one coming next week I do love to read about the new medical studies and discuss them, but it's mostly for educational reasons (education junky) and to try and help others if I can because it keeps my mind of my probs.

I definitely have my "oh woe is me" days, but I learned a long time ago, most people around you hate that, and you quickly loose them, if you keep it up. Most people don't understand most things until they go through them personally so trying to explain them to people for support is usually futile, so I don't do it much. I would rather talk to others about their lives not mine; I have to live with this but I don't have to constantly talk about it.

Staying positive really helps, which is why I'm not drawn to all the negative press you read about medical issues.

Don't ever think that you wouldn't be able to do something like I have, because you are just selling yourself short. I constantly hear that from people and before you know it they are dealing-quite successfully-with the very thing they were convinced they would never be able to handle. You never know how you will deal with something until it's put right in front of you.

Life is filled with challenges, you just need to find the strength, that you have to deal with it. My greatest hope is that I could wake up tomorrow without pain, but that may or may not happen so what am I going to do, other than take it one step at a time, I don't want to loose my loved ones from being a constant complaining nag.

Well that's it, no more about me today, just remember nothing is written in stone, and all medical problems only have the power that "you" give them, don't let them rule your life, or happiness. Keep up your good work, and come back to the board whenever, there's usually some one around, and it looks like were getting more new posters which has been my wish for a "long" time...

Last edited by DesertBloom; 01-17-2008 at 05:28 PM.

 
Old 01-17-2008, 05:30 PM   #11
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Re: I think my doctor is doing everything wrong; what do you think?

I hope you can stand one more reply, DesertBloom. This is off-topic but I must reply to something you wrote in your last post. You did say no more about you today, so I will say that this is about your husband's potassium issue, but I just need to say first that you're an amazing person and an inspiration. Okay, the potassium. My Mother again....she's currently in Florida for the winter and her doctor is up here in NJ. Her last blood test showed a potassium level of 5.9. Her doctor was concerned as were we, but she didn't tell her to go to the hospital (is it a state law where you live?). The doctor prescribed Kionex which is used to lower potassium levels in the body. It's usually given in the hospital or in a clinic setting where the patient can be monitored, but my Mother took the medication at home by herself, and I was extremely nervous, especially since the doctor also had taken her off her blood pressure medicine which can cause elevated potassium levels (Lotrol). You probably already know this, but Kionex is a powder that you mix with a small glass of water and drink. It's supposed to flush the potassium out of your system. The doctor told my Mother to take it every other day, so after three days (2 doses) my Mother had a followup blood test for potassium. The results took a week to come in so she continued to take the powder for that week. Meanwhile, I did research on high levels of serum potassium and I found that the number one cause of high levels of potassium is lab error! And another common cause is improper technique in drawing the blood. What I read was that the patient is not supposed to clench their fist while the blood is being drawn because if they do, it can result in false elevated potassium readings (something about the blood cells spill too much potassium...can't remember the exact reason). So, I asked my Mother if the tech had her clench her fist while she took blood and my Mother said, yes, that the tech had her squeeze a rubber ball during the procedure. I was convinced that that's what caused the elevated reading, which would mean it was a false high. I told my Mother NOT to squeeze her fist the next time. So, even though the tech gave my Mother the rubber ball, she didn't squeeze and her postassium level came back perfectly normal. I read that techs were always taught to have the patient squeeze their fist but that has changed. No more fist clenching because of the false high potassium readings. The patient can squeeze their fist before blood is drawn to show the vein better, but they should relax their hand as soon as the vein is located. I'm just wondering if your husband has a tendency to squeeze his fist during blood tests. If so, I would say that it's not a true high potassium level. Okay, I took up enough of your time for today. I so appreciate your taking the time to converse with me and sharing your experiences, DesertBloom. Have a wonderful evening.

 
Old 01-18-2008, 04:01 PM   #12
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Re: I think my doctor is doing everything wrong; what do you think?

Hi Ruthie: You're absolutely correct again!! I'm glad you are doing your research, and your mom should be thankful as well, as I'm sure she probably is.

First I want to say, that anyone with hypo/hyperkalemia (high/low postassium) be very careful with your postassium intake, both dietary and supplements. Potassium is one of those minerals that is in so many things, the list is really long, and includes most of the things that everyone eats; for that reason, our supplements have very little potassium in them. If you are concerned about this topic have it checked out. I know that most of us are taking Potassium, because it's in our multiple vitamins, but also it's good for your muscles and everyone here is concerned with improving their bones and muscles, so just be careful. If your levels are normal than you shouldn't have a problem, but many people have this without knowing it. We have to watch everything we take, not just the meds from drug cos, but also all vitamin and minerals have in many cases even more serious side effects than the prescription drugs we take. Never assume that because a supplement is from the earth or the plants that it's safe in all doses, because it isn't.

Luckily my husband is seeing a dr that knows about the handling of potassium, so when they draw it they make sure that he doesn't pump the ball after the needle is inserted. It also has to be processed as a stat order if you have this, and that was what I was referring to about the law. According to the Dr the law states the way it has to be handled and how soon the results are returned, usually the same day. The patient has to be notified if its high and at that point they can either go to the hospital for the med you mentioned, or take it at home, although I never personally heard a recommendation of doing it at home because it needs to be administered rapidly. Did you mom have any trouble administering this at home? I know it doesn't take long for the flushing to start after you take it and it's quite unpleasant. I can't imagine her taking it for an additional week, that must have been rough. I hope that was the end of her problems with this, has it stabilized now, and was it only that one reading that wasn't done correctly that prompted the Dr to do the Kionex? If you go to the hospital for admin, they also do a follow up draw to make sure it's dropped fast enough to prevent cardiac arrest (heart attack with no symptoms), your heart just stops beating.

Thanks for the info on this, and it's obvious you're doing your reading on many things, which is great for you, your husband and anyone who benefits from it.

My husband has been dealing with this for a long time, with no real answer why it's happening. Luckily the last 6 or so readings were all in the 4's so it's not a problem right now, but he has a standing order for it every 30 days, when he can't make it to the Drs office where they have an in-house lab. Potassium can start leaching from the red blood cells if the sample isn't put in a centrifuge immediately after the draw, which was what you were referring to.

This is a very tricky and seriously dangerous problem if you don't know you have it. With so many of us taking this for combined reasons on "bone health" just be careful, and don't "ever" go over the RDA on it, because you get so much of it in your diet. Of course if you have low potassium, then the Dr would put you on a rx for it, but that's the only way you can get it in a high dose. I talked to someone who had osteoporosis and she was trying to find it in a high dose thinking more is better for your muscles/bones, and doing the same thing on calcium. Luckily she couldn't find a high dose OTC because it doesn't exist, but she was getting ready to quadruple dose a OTC potassium, until several people, including myself explained how very dangerous that was.

It's been great talking to you as well, and I hope you plan on sticking around.

Thanks again, and God Bless you as well.

Last edited by DesertBloom; 01-18-2008 at 04:25 PM.

 
Old 01-19-2008, 01:16 PM   #13
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Re: I think my doctor is doing everything wrong; what do you think?

Thank you, again, DesertBloom, for all your helpful information and concern. This was the first time my Mother ever had a high potassium blood test result. They should have put a "stat" on her second blood test, but it took an entire week to get the results. My Mother says the medical profession does not treat the elderly well in Florida, which really upsets me. Anyway, in my mind the test was in error especially since she told me that she was squeezing her fist during the entire blood draw. She just had another blood test yesterday to confirm everything is okay, and I'm sure we'll have to wait at least a week again for the results.

I'm glad your husband's tests are coming back normal. I'm sure it's a hassle having to go for a blood test every month, but I guess you can't be too careful. The hardest part for my Mother was giving up her Lays Baked Sour Cream & Onion potato chips, which she ate constantly. Too much potassium, unfortunately.

The best to you and your husband!

 
Old 01-19-2008, 03:16 PM   #14
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Re: I think my doctor is doing everything wrong; what do you think?

Hi Ruthie: I hope your mom gets her test results soon, and that they are normal. I know how it is when they put you on a low potassium diet, it's miserable. I our case just about every vegetable and fruit we eat has potassium in it.

I don't know when they enacted this law about handling the blood sample, but luckily my husbands dr knows about it. He told us that he has to rec the sample results within 24 hours and if it's elevated contact the patient right then and there. We've gotten a few phone calls from him after midnight when it was high, and it really scared us at first, because the dr wanted my husband to go to the ER. Of course he didn't do that but he agreed to go in the morning, first thing to have it redrawn. He wasn't having any feelings of being sick, so the dr agreed. The only problem is if your heart is effected, there are no symptoms other than low blood pressure. I think there were quite a few deaths from this in our state which prompted them to enact the law. The dr also mentioned he could loose his liscense if he didn't call the minute he rec's a high reading. Has your mom every seen a Nephrologist (kidney Dr)? My husband went to one and had all the test to see what was causing it, but like I said they couldn't find anything so they put him on a low pot diet and a daily med, can't remember the name.

Sorry that her health care is so bad in her state, isn't that just incredible that any state could treat the elderly in a sub par manner!!! If her others complain about the same thing in that state, so you would think something could be done about it

Good luck with the results and hope they are normal!!!

Last edited by DesertBloom; 01-19-2008 at 03:35 PM.

 
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