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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by utopizen on November 14, 2002, at 15:20:41
I just saw my first new GP since I was 12 (I'm 19).
He took a physical of me, and took my blood. I told him I ocassionally get sudden shoulder shrug jerks/twictes a few times a week. He said he'll have the lab run the blood ten times over to check things out, but didn't mention what possible treatment options would exist if they found something.
This may, as we both think, have a connection to learning why my anxiety, sleep and maybe even ADD exists. I've already gotten checked out for my thyroid, so what exactly could they be looking for? The doc said he found I was drinking lots of fluid from my urine sample and that I had no glucose (but he wasn't concerned). He said my uri. sample was good.
He said they might find a CNS dysfunction. But he never mentioned what a possible treatment was. Would it be a special pill, or what?
Posted by IsoM on November 14, 2002, at 15:48:59
In reply to What can a blood test prove?, posted by utopizen on November 14, 2002, at 15:20:41
See my post to your question ib PSB too. It may be worth getting a referral to a neurologist if this doctor doesn't find an answer. Neurologists are highly trained to spot problems that a GP wouldn't see. Just in the way you walk, sit, & move, a neurologist can learn much. In fact, some of the best tests neurologists do have nothing to do with expensive machines. Much has to do with trained & careful observation of an individual by questioning their previous history.
Your GP sounds a bit pompous to me saying they're going to test your blood ten times over. That's ridiculous. A CBC (complete blood count) will suffice. Check out this & be sure to folllow the other links after the red "At A Glance" tab:
http://www.labtestsonline.org/understanding/analytes/cbc/glance.html
Posted by IsoM on November 14, 2002, at 16:17:39
In reply to What can a blood test prove?, posted by utopizen on November 14, 2002, at 15:20:41
I don't mean to imply that the only thing that can be done with a blood sample is to run a CBC on it. There's lots of other tests that can bed one - hormone levels, vitamin & mineral levels, etc. I just meant what he said to you sounded strange - like a brush off of any worries of yours. By the way, how many vials of blood were drawn? That could indicate how many tests are being planned.
Posted by utopizen on November 14, 2002, at 19:04:16
In reply to A bit more... » utopizen, posted by IsoM on November 14, 2002, at 16:17:39
> I don't mean to imply that the only thing that can be done with a blood sample is to run a CBC on it. There's lots of other tests that can bed one - hormone levels, vitamin & mineral levels, etc. I just meant what he said to you sounded strange - like a brush off of any worries of yours. By the way, how many vials of blood were drawn? That could indicate how many tests are being planned.
>>>
It's possible he took 4, because I saw 4 vials in his 1940's-esque centrifuge thing... unless some were from other patients.
Posted by IsoM on November 14, 2002, at 19:40:46
In reply to Re: A bit more..., posted by utopizen on November 14, 2002, at 19:04:16
He took did the blood test himself? He didn't send you to a lab to have the blood drawn by a technician & sent away?
Either way, when the needle was put in, did he just take one vial or did he change it & put on other vials (without needing to remove the needle - the vials are just popped off & a fresh one added)?
One vial can do more than one blood test but if a few were taken, it's more likely that multiple tests are being done. To be honest, I know of no doctor who does their own tests - a few do draw the blood themselves, but all I know of, send the samples off to credible labs to test. No one doctor's going to have all the equipment needed to do the testing.
Posted by utopizen on November 15, 2002, at 8:48:50
In reply to Re: A bit more... » utopizen, posted by IsoM on November 14, 2002, at 19:40:46
> He took did the blood test himself? He didn't send you to a lab to have the blood drawn by a technician & sent away?
>no, of course not, he said he was taking it to a lab. He may have taken more vials, I'm not sure.
It was odd though that he said I didn't need to make a fist, that that's just something lab techs think people need to do...
Posted by IsoM on November 15, 2002, at 14:24:44
In reply to Re: A bit more..., posted by utopizen on November 15, 2002, at 8:48:50
Making a fist makes the vein stand out better - easier to take a sample. But if your veins happen to stick out, it's not needed, especially if someone's skilled at drawing blood. Still, few doctors draw blood themselves & then run it to the lab themselves. I've never heard of it but that doesn't mean some don't do such.
Posted by waterlily on November 15, 2002, at 19:03:56
In reply to What can a test prove?, posted by utopizen on November 14, 2002, at 15:20:41
It all depends on what they're testing for. Hormonal and endocrine problems can be detected in tests, as well as a score of other things. It's impossible to tell what he's thinking except that definitely a thyroid test would be included. Hyper- and hypo- thyroidism can cause emotional disturbances. I am a medical technologist (lab tech with a B.S. degree).
Posted by utopizen on November 15, 2002, at 21:20:58
In reply to Re: What can a test prove?, posted by waterlily on November 15, 2002, at 19:03:56
> It all depends on what they're testing for. Hormonal and endocrine problems can be detected in tests, as well as a score of other things. It's impossible to tell what he's thinking except that definitely a thyroid test would be included. Hyper- and hypo- thyroidism can cause emotional disturbances. I am a medical technologist (lab tech with a B.S. degree).
>>>
My p-doc asked me to get a thyroid test after he prescribed my my first AD last year, celexa. (I just added it on to my blood test that I needed for Accutane). It came out fine.So that's what confuses me, I don't know of what else he could find beyond the thyroid that he could fix... and I've also gotten routine blood tests up until August for my Accutane therapy, and they came out fine for cholesterol and minerals and that stuff.
I do get severe dry mouth from antichollinergics, so I have to take Evoxac, which activates the endocrine glands. Which unfortunately causes me to sweat a bit...
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