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Posts by vividsailor7

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wiredcanyon2 said:It’s incredibly difficult to pin down exactly what this means for you specifically, but I can certainly outline the possibilities. An elevated M-protein isn't a diagnosis on its own; it can show up in a wide range of scenarios, from various autoimmune disorders and hematological issues to inflammatory liver conditions, like viral hepatitis, for instance. Sometimes, it even pops up without any clear trigger at all, which usually means you'll be looking at regular check-ups several times a year just to monitor it. Given that you're dealing with recurring Candida, we really need to investigate whether there's an underlying immune deficiency at play—something that might be secondary to one of those disease groups I mentioned. To give you any real insight, I need more data. How old are you? What other symptoms are you experiencing? And most importantly, I need your actual lab work. Just saying "M-protein" is nowhere near enough information. I need to see your white blood cell count, red blood cell count, ESR (sedimentation rate), calcium levels, CRP, differential, ferritin, and so on. Bottom line: these results alone are far too vague. It could be a precursor to many different conditions, or it could end up being absolutely nothing. That's about as much help as I can offer without the full picture. Maybe someone else will actually have a clue.

When you aren't getting any straight answers from the professionals, everyone suddenly thinks they’re a world-class expert thanks to a quick Google search. It's unbelievable.
Sandra Morris47 said:What other diagnoses are we even talking about?? There aren't any conspiracies going on here, oh my god... ............. For example, I had slight fevers during the second half of my cycle—that's when yeast infections flare up and I get exhausted (I think I still have some lingering issues there, but I stopped tracking them). And let's say twice after getting my flu shot, I experienced the exact same thing. If someone claims that can't happen, they're either lying or they simply don't have a clue. I haven't been vaccinated in two years now and everything is fine. Anyway, I just finished all those tests and I'm waiting for my follow-up appointment.

Is it really that hard to just write it out clearly???? (The way "he wrote" was phrased was totally pointless)
Back in 2010, I was referred to Gastroenterology due to a diagnosis of *E. coli* abundance; symptoms included epigastric pain and diarrhea under a K29 diagnosis, so they ordered blood work and an EGD.
The initial results for C3 and C4 were requested by GI back in 2011 due to suspicion of SLE.
I was then referred to an immunologist under the SLE diagnosis, and in 2012, he requested the aforementioned tests under a specific diagnosis and noted .............
Or something along those lines????
Olivia Anderson10 said:Vinogradska Hospital doesn't test for copper, and Fran Mihaljević doesn't run ceruloplasmin—at least, that's what I found out when I checked.
Since I'm not from Washington, D.C., it would be way easier if I could just get everything done at one hospital instead of running back and forth between two places. I honestly don't know my way around the city very well.
I need to get my rib checked.

Definitely check the rib.
Olivia Anderson10 said:Which hospital in Washington, D.C. can I get both tests done:

24-hour urine copper and
blood ceruloplasmin?

Vinogradska Hospital, Rebro.
John Adams6 said:What could it be when every few minutes I feel my heart just thudding harder? Like, you just feel that sudden skip or beat, and then everything goes back to normal. I’m not sick, and my thyroid isn't an issue...

Why on earth would it even be anything at all?
Sandra Morris47 said:An immunology clinic... why? My gastroenterologist actually wrote down that I should see an immunologist. Does anyone know if that finding actually means anything?

Read the first post!
Now, let me add a little more to this and speak as a respected colleague of Dr. Richter: you're being suspiciously vague about your referral diagnosis and everything else.
Let me help you out here. First: 1. Why were you sent to GI and hematology in the first place?
2. What symptoms are you actually having?
3. Give me ALL your diagnoses and medications.
4. Post the full lab results.
And let me say it again, just once more: lab results are meant to be interpreted alongside clinical history and physical exams. They are tools for doctors—ideally for the one who ordered them—not for patients to decipher on their own.
Linda Perez50 said:That’s exactly the problem—the numbers just keep climbing higher and higher, yet nobody offers a single reason why. 🤷
If I tried to list every medication, diagnosis, and symptom my mom is dealing with... honestly, I’m afraid there wouldn't be enough room on this forum 😁 ,not that I have the time to type it all out anyway.
Anyway, thanks.

The real issue here is that you're withholding information; I honestly don't know what else to call it.
Why? For instance, you failed to mention that her kks levels were already elevated previously—this isn't some isolated incident.
Look, the forum doesn't matter, it's trivial, but this is how things are handled "in person" at an American clinic, and frankly, it happens more often than you'd think.
Let me give you an example: you walk into a doctor's office seeking a second opinion regarding a specific lab result, and the physician tells you the tests need to be repeated because you can't make a snap judgment based on one reading. Then, suddenly, they're ordering twenty different follow-up tests for her CK levels.
Kate Reed63 said:Is this okay? CEA is 0.5, with a reference range up to 5.

CA 19-9 is 8.33, with a reference up to 37...?

The results are perfectly clear.

Sandra Morris47 said:What would these results mean:

IgG 20.9 (range 7-16)
IgA and IgM are fine
Total kappa light chains 1.37 (ref 1.7-3.7)
Total lambda light chains 4.67 (ref 0.9-2.1)
Kappa/lambda ratio 0.29 (ref 1.35-2.65)
Confirmed M protein of IgG heavy chain and lambda light chain class
Albumin 54.5 (ref 59.8-72.4)
alpha1, alpha2, beta are all fine
Gamma 23.8 (ref 8-15.8)
M-spike in the gammaglobulin fraction
Total protein 80 (ref 66-81)
A/G 1.25 (0.80-2.00)
Eosinophils 7.8 (ref 0-7)
MPV 10.8 (ref 6.8-10.4)
ALP 45 (ref 54-119)
Urine leukocytes 1-3
Blood sugar is normal
HIV negative
Pap smear and swabs are normal

I'm having issues with Candida... I just can't get rid of it no matter what... I'm seeing an immunologist soon.

Meene is incredibly interested to know who you are and under what specific diagnostic referral or working diagnosis you were sent for such intense testing.

Linda Perez50 said:Could someone please explain my mom's lab results? CK 323 H U/L (ref L (ref She suffers from dilated cardiomyopathy and has a device implanted (I think it's CRT, but I'm not 100% sure)—something like a pacemaker!
I don't understand these abbreviations and I'm wondering what such an elevated CK level could roughly indicate!
Thanks!

It doesn't work that way. First off, a lab report isn't for the patient—it’s for the doctor who ordered it, ideally.
Furthermore, you need to provide your mother's age, EVERY single medication she is taking, ALL her diagnoses, and her specific symptoms.
shadowjackal12 said:I need to get some bloodwork done—specifically my thyroid hormones (TSH and T4)—because I have an appointment coming up this Friday. My doctor, who isn't based here in Washington, D.C., gave me the referral, so now I’m looking to find a lab right here in the city to get it over with. Does anyone know a good spot around town where I can go? 🤷

I was planning on heading over to Vinogradska Hospital tomorrow, so does anyone know if I can just walk in for lab diagnostics, or do I absolutely have to go to the endocrinology lab specifically? Also, do I need to make an appointment? Ideally, I'd love to find somewhere a bit closer since I'm staying over by Knežija.

Just so you know, if you're looking to get those hormone tests done, you can't just walk in. You absolutely have to book an appointment in advance.
You can try heading over to St. Spirit Hospital. Their lab is located right downstairs in the basement, straight ahead from the main entrance.
Vinogradska Hospital – first floor, right across from the Emergency Room.
...or at the Cancer Clinic over on Broadway.
Chloe Gray5 said:About 10 days ago, I dealt with a bladder infection. I didn't have any pain when peeing or any blood, just that constant, nagging urge to hit the restroom. I went for a urinalysis and found quite a bit of bacteria, mucus, leukocytes, erythrocytes, squamous epithelial cells, and some calcium oxalate. My leukocyte esterase was also positive.
I was prescribed Macrobid and took it for seven days along with some cranberry supplements. After a three-day break, I went back for another test.
The constant trips to the bathroom have stopped, and I feel totally fine—like the infection is gone. But I just picked up my results today and they show:
some bacteria, mucus, squamous epithelial cells, and 1-3 small epithelial cells. Leukocytes are 0-2, which means they are within the normal range.

Basically, the red blood cells, crystals, and squamous epithelium are all gone. All that's left is a tiny trace of bacteria, mucus, and those few epithelial cells, but everything has significantly decreased and I'm feeling zero symptoms.
Do I need to go back on antibiotics, or can I just expect this to clear up if I drink plenty of fluids? Even though I don't actually have any issues, the lab report still shows these traces.

Edit: I honestly do not have the patience to spend my life trekking to doctors' offices and lugging urine samples around. If I start feeling sick again, obviously I'll go, but I'm asking just for peace of mind so I don't waste my time sitting in a waiting room for nothing. Last time, I sat there for two hours just for the doctor to tell me my culture was technically "normal" even though some bacteria showed up, saying it was nothing to worry about anyway.

Hopefully someone can find a moment to get back to me 🙂.

Those results look clean to me.
hiddensailor192 said:Can someone please give me some info,
how many days until the EKG and urine test results are ready? And for the blood type... how many days before tonsil surgery can I get those done? One of my surgical recommendation forms says they can't be older than 15 days. I'm confused about what date actually counts—is it when the results are officially released or the actual day the tests were performed?
I appreciate the help.

The same day. You'll have them in about two hours.
Jessica Bishop63 As I was saying:
Help! I’ve been battling anemia for five years now. I finally went through all the testing my hematologist demanded—gynecological exams, KCC, ten IV ampules of Ferrlecit, and even an endoscopy. For the most part, everything looks fine, but I am completely lost regarding this biopsy result: "...received material consists of three small tissue fragments... which are portions of small intestine mucosa where villi are covered by cylindrical and goblet cells, while denser mononuclear infiltrates and one smaller focal cluster of lymphocytes are found within the lamina propria..." Is this okay, or is it... bad? What on earth are "mononuclear infiltrates" and "lymphocyte clusters"? I'm just sitting here waiting for my follow-up appointment, but until then, please help! Thanks!

You need to transcribe an EGD/gastroscopy report.
Te Complete. Look, I’m looking at these PHD lab results, and there is absolutely no way I can look at these numbers in isolation. You can't just pick one value out of thin air and pretend it tells the whole story. It’s all connected.
Gregory Rogers20 said:Thanks Daisy, I already went to Quest Diagnostics.

Now I’m wondering where else I can go for an ENT exam (besides the Trnje Health Center)?
The scheduling at Trnje and Aurora just doesn't work for me. Does anyone know any other spots where I can get this done for free using my referral?

Any hospital will do.
analogscout74 said:My mother-in-law, [REDACTED]>, is 48 years old. She had blood and urine tests done on July 30, 2012, and now I'm wondering what these results actually mean:
MCV- 101.7- H (83.0-97.2)
MCH- 33.8 - H (27.4-33.9)
RDW 13.9 - L ( 14.6-16.5)
S-AST- 104 (8-30)
S-ALT -103 (10-36)
S-GGT- 738 ( 9-35)
S-NATRIJ - 136.0 - L ( 137-146)

Please, I need your opinions on everything. What tests should she undergo? Where should she go? What kind of specialist referrals do we need? Our doctor told us everything was fine, but I don't believe him.
I don't know why she waited so long, but now I'm just as worried about her as she is.
Two years ago, she had surgery for hemorrhoids—both internal and external. Now, she has to run to the bathroom after every single meal; she eats, waits about 20 minutes, and then she's flying to the toilet. It's bleeding again, though only in the mornings and evenings. She also has pain under her left breast, her arms feel numb/wooden, and she's constantly bloated.
What should she do? What specialists should she see? What medications could help? Please, give us some guidance, we are desperate. She is 5'3" and only weighs 110 lbs.
She wants to gain weight, but it’s impossible.
The abdominal ultrasound showed this:
The liver appears enlarged, measuring about 17 cm along the midclavicular line. The contours are smooth, and there is diffuse hyperechogenicity of the parenchyma, indicating fatty infiltration. No focal lesions were found in the liver parenchyma.
Everything else was normal.

Please answer me! Like I said, what should she do, what meds, which doctors, etc.?

Thanks

You haven't provided the full set of results.
Your mother-in-law needs to see a gastroenterologist immediately for a full GI workup.
Dennis Davis5 said:I’m still going to see a urologist to figure out why I’m constantly running to the bathroom. I spent a week on Cephalexin and now I'm just sipping on cranberry tea. My doctor told me it might be a mild urinary tract infection, but said it’s outside his area of expertise.

Honestly, if a doctor doesn't know how to handle a basic UTI, they should probably quit general practice altogether and go find some mindless job in epidemiology or something equally useless.
If your urinalysis comes back clean, you don't have an infection—period. But that doesn't mean there isn't something else causing this constant urge to pee, like a neurogenic bladder, DM, or other issues.
In my opinion, a urologist probably won't have much more to offer you if the tests are clear.
Dennis Davis5 said:22 years old
I've been dealing with frequent urination lately. Here are my results. I've already booked an appointment with a specialist urologist, so I'll be heading in soon.

URINALYSIS QUALITATIVE ANALYSIS

.........

Everything looks perfectly normal to me.
Dealing with Candida glabrata? in Women's Health ·
restlessbadger2 said:I’ve been reading up on this *Candida glabrata* thing—I haven’t dealt with it myself, so I’m hardly an expert here... but the literature says Amphotericin B and Nystatin are the heavy hitters used as a last resort. I remember my doctor mentioning that Nystatin isn't even stocked in most US clinics anymore, and I haven't heard of anyone actually being put on Amphotericin B either. I assume those two drugs are reserved for systemic candidiasis and are probably only available in a hospital setting. 🤷
What does your sensitivity report say? What is your specific strain actually susceptible to? My *albicans* was technically sensitive to both Diflucan and Itraconazole, and God knows how many times I cycled through them. I lost count. Even though the lab report marked it as "S" (sensitive), I could never, ever get rid of it.

Amphocil is strictly for immunocompromised patients with a confirmed systemic fungal infection, and you have to get approval from a hospital board because it is incredibly expensive.
Any confirmed case of systemic fungal infection is a legitimate reason for an immunological workup.

Sam Gray78 said:When I was right in the middle of a massive flare-up, my gynecologist told me that if things didn't calm down, the next time I came in, we'd go for the "IV drug"—which is that Amphotericin B.

I was absolutely falling apart when she said that. Everything. From vaginal issues and gut problems to losing weight and having zero appetite. I was dizzy with every single step, dealing with stabbing pains all over my abdomen and groin, constant ringing in my ears, and feeling like I was going to pass out. My whole body was hysterically itchy, especially my anus😁. Getting a swab taken felt like being butchered—there was blood literally dripping onto the clinic floor, and it was so bad the gynecologist was actually shocked...

Basically, I was on the absolute brink of developing systemic candidiasis (in my opinion); all those symptoms dragged on for about six months. And it's not like I care about the possibility of getting Amphotericin B only after the damage is already done.
I have no idea why they don't prescribe it in cases like mine. And as for Nystatin, I know it's not really used here in the States anymore—maybe they still have it in Mexico or somewhere? I have a nagging feeling they might.
boldfalcon542 said:Symptoms: I get this mild nausea every now and then, usually within two hours after eating (though it's better since I went gluten-free and dairy-free). I also deal with occasional dizziness, intense muscle weakness that gets way worse if I do anything physical, visible muscle twitching under my skin in certain spots, tingling in my hands and feet, and I've been losing weight fast. Here’s what I’ve done so far: MRI of my abdomen and head, an MRI of my cervical spine to check the nerves (one of those specialized scans), a general neurological exam, full blood work—minus adrenal and male hormones—tumor markers for the pancreas were negative, stool tests for parasites were negative, a gastroscopy, and testing for H. pylori (which came back borderline positive, so I treated that in the meantime). Also had an echocardiogram, a celiac test, and a urine culture. Honestly, I’m at a total loss. For the most part, everything looks fine except for high cholesterol (around 240 mg/dL), that borderline H. pylori, potassium being right at the bottom edge of normal, and slightly low hematocrit. What should be my next move? Should I look into food allergies, see an ENT, a pulmonologist, or maybe test for Giardia? What could this actually be pointing toward? Could it just be anxiety, or is the muscle weakness too specific for that? Maybe EBV? I’m out of ideas. I’m seeing private doctors because I simply can't function like this anymore waiting for an appointment through my insurance provider a year from now. It’s somewhat manageable, but this muscle weakness and the weight loss are really starting to freak me out. Thanks so much for any help.

When I first started reading through these test results, I wondered what kind of "person/doctor" would send you for all of this (I won't name names, out of respect for decent communication), and then I read at the end that you're seeing private doctors, which explains everything.
In cases like this, there are almost certainly only two scenarios (99% of the time). One is the one patients stubbornly deny: that nothing is actually wrong with you.
The second is that it's some serious illness (which is quite rare)—something everyone desperately wishes for, so that when the diagnosis comes, whether justified by clinical criteria or not, they can whine and cry even though they knew it all along, or even "fight" for the diagnosis.
As for your questions, velvetmoose9 already confirmed all of that, and you really ought to supplement that "low" potassium.
Elizabeth Sanders24 said:So you're saying these tests won't reveal if there's an underlying predisposition for thrombophilia?
I think I'll head over to Cleveland, I'm from California.

That isn't what I said. I was simply explaining what the blood draw is actually intended to accomplish.
Your doctor surely explained the situation to you.

Elizabeth Fowler46 said:Female, 19.5 years old, diagnosed with PCOS. These labs were done before starting birth control pills. Can someone please tell me if there are any contraindications for taking them and maybe comment on these results in general? Should I be worried about these low values and such?
Thanks in advance. 🙂

............

The results look normal; you could perhaps repeat the CBC just to be safe.

slyfalcon20 said:Is it okay to have a little water before I go in to get my AST, ALT, GGT, ALP, and Bilirubin checked? How much does water affect the results?

You can eat and drink.
Fasting is only required for glucose, iron, and lipid panels—basically standard biochemistry.
For the rest, it's not necessary, even though at the lab they might ask if you've fasted for a KCC panel. I've experienced that personally, but there really is no reason for it.
Elizabeth Sanders24 said:I need some help understanding this. After having two miscarriages, my doctor ordered a full coagulation panel, and these are the tests listed:

23211- P-Fibrinogen
28611- Activated partial thromboplastin time
28621- P- prothrombin time- INR
28695- P-Antithrombin III,...mg/L, ( P-AT III, Pt-n)

What exactly am I looking at here? Can any signs of thrombophilia be spotted from these results, even though I haven't been given a specific referral for those tests yet?

Thanks

It's just your standard blood work. You can head over to either a local Mayo Clinic or a major hospital like Johns Hopkins; I'm certain they handle all of this routinely.