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What Does This Blood Report Indicate?
Question: DR. Saha did not answer my other questions in regard to:GFR 25, ALT 53, AST 84, Chloride 101. Any dangers in these blood reading
Brief Answer:
Explanation provided.
Detailed Answer:
Thanks again for writing back.
In my last answer I have already mentioned that the renal compromise is evident courtesy the raised creatinine levels. The normal GFR range is between 90 to 120 mL/min/1.73 sq.m. There is an entity called e-GFR which is calculated based on a number of parameters. That is the reason I mentioned 'Details about the rest can be commented upon only after correlation with the clinical parameters and other investigation reports.'
A simplified calculation of e-GFR can be done using:
http://egfrcalc.renal.org/
The liver enzymes AST and ALT are slightly elevated but that might not be significant. This can be coorelated only after knowing about the other details. That is the reason I mentioned 'Details about the rest can be commented upon only after correlation with the clinical parameters and other investigation reports.'
The chloride level is normal and is not concerning.
Do not hesitate to write back in case of further queries. I would be there to assist you.
Regards
Explanation provided.
Detailed Answer:
Thanks again for writing back.
In my last answer I have already mentioned that the renal compromise is evident courtesy the raised creatinine levels. The normal GFR range is between 90 to 120 mL/min/1.73 sq.m. There is an entity called e-GFR which is calculated based on a number of parameters. That is the reason I mentioned 'Details about the rest can be commented upon only after correlation with the clinical parameters and other investigation reports.'
A simplified calculation of e-GFR can be done using:
http://egfrcalc.renal.org/
The liver enzymes AST and ALT are slightly elevated but that might not be significant. This can be coorelated only after knowing about the other details. That is the reason I mentioned 'Details about the rest can be commented upon only after correlation with the clinical parameters and other investigation reports.'
The chloride level is normal and is not concerning.
Do not hesitate to write back in case of further queries. I would be there to assist you.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I need a medical record reviewer, will I have to have an attorney or could I retain one without an attorney.
Brief Answer:
Things need not be complicated.
Detailed Answer:
Pardon me for not understanding what you just meant. Do you mean to ask whether you can procure and retain the medical records without having an attorney? If that is what you ask, let me mention that you already have parts of the information eg. the values for the lab parameters that you have just shared. I have already given my comments on the same. Surely you can ask your treating physician to correlate. He would be able to suggest you the further plan of action. Once you get an idea about the underlying pathology you can surely come back to me for further discussion and guidance. And that can surely be done without having an attorney.
Regards
Things need not be complicated.
Detailed Answer:
Pardon me for not understanding what you just meant. Do you mean to ask whether you can procure and retain the medical records without having an attorney? If that is what you ask, let me mention that you already have parts of the information eg. the values for the lab parameters that you have just shared. I have already given my comments on the same. Surely you can ask your treating physician to correlate. He would be able to suggest you the further plan of action. Once you get an idea about the underlying pathology you can surely come back to me for further discussion and guidance. And that can surely be done without having an attorney.
Regards
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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