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Re: Testing K

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I had thought the ish Dr. patient interaction was better than what you tell

me.

There is a nurses group that speicalizes in BP prolems. They have a nice BP

manual at the British HTN society web site. Maybe you can contact that group to

see if there is one of them in your area who works in a Drs office and can help.

--

May your pressure be low!

CE Grim MD

Clinical Professor of Internal Medicine

Professor of Epidemiology

Board Certified in Internal Medicine, Geriatrics and Hypertension

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Sorry to disappoint with the interaction between patients and Drs.It

depends on who you are seeing but most treat you like you are

mentally subnormal. Having worked for many years in NMR medical

research I know " a lot " about statistical results from ELISA and

rapid test systems. I know about false positives and negatives but

the Drs say if something is negative it is negative and the other way

round. I try to explain about optimisation for true positive or true

negative having an impact on false negatives and positives but they

don't want their certainities upset. Guess none of us do really.......

There are " specialist " BP nurses in the area and even one at my Drs

surgery but she is the worst of the lot at giving results to

patients. Absolutely refuses point blank as " you would not understand

the numbers " my response of " try me " does not go down well. When I

told her I had been treated for PA she didn't blink (or ask

questions - too demeaning for a patient to give you medical

information) and when I mentioned an adrenal tumour told me that

wasn't Conn's disease and could not possibly be related to high blood

pressure as she had never heard of such a thing. I gave her a lot of

literature about PA but think she probably put it in the trash. I

now try to see other staff members - She does not do the blood draws

that is done by others including the reception staff who have been

trained to take the standard tests.

> I had thought the ish Dr. patient interaction was better than

what you tell me.

>

> There is a nurses group that speicalizes in BP prolems. They have

a nice BP manual at the British HTN society web site. Maybe you can

contact that group to see if there is one of them in your area who

works in a Drs office and can help.

>

> --

>

>

> May your pressure be low!

>

> CE Grim MD

> Clinical Professor of Internal Medicine

> Professor of Epidemiology

>

> Board Certified in Internal Medicine, Geriatrics and Hypertension

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Sounds like arrogance run wild, or fear of legal problems, or both.

Helen, this is a nightmare. Is all Scotland medicine like this? Why

do you think so?

Dave

On Wednesday, October 27, 2004, at 04:50 AM, helenmpearson wrote:

>

>

> Do you automatically get told what the blood draw is for? We don't

> here you just get sent along to the nurse for the bloods and when you

> ask what the tests are for the answer is always " just routine stuff "

> and you don't get to know it was for K until the results come in.

> Even then you usually get told " all in the normal range " and have to

> really push to find out what tests were done and what the values are.

> Sometimes even then you don't get a straight answer. You also don't

> get told your BP reading, it is " for the doctor to consider " . It is

> like it is a state secret - they hold your notes so you can't read

> them as well, I have no idea why they do this.

>

> My scan came back " within usual parameters " . I spoke to the

> specialist who says he has no further ideas. He is really a GI man

> but it is him or no one. Looks like it is no one as he is out of his

> depth except to say everything is within normal limits but I am

> obviously unwell. Guess I have to live with it like I did last time

> until the point comes when I collapse and hope that immediate action

> is taken this time round.

>

> Pretty pathetic really.

>

> Helen in the wilds of rural Scotland

>

>

>

>

>

>

>

>> Tell him you have been learning about pitfalls of testing K on the

> Internet

>> and wanted to know their opinion about what happens when you have

> blood drawn

>> here or at other places.

>>

>> Since keeping your of your K is critical to your health you should

> not feel

>> embarrassed about mentioning this. He may not know how his

> phlebotomies is

>> drawing your blood-or may not even be aware of the problems and

> precautions.

>>

>> You could just comment about his phelb draws blood and state that

> what you

>> read the technique may be affecting your K.

>>

>>

>>

>> CE Grim, BS (Chem and Math), MS (Biochemistry), MD.

>> Clinical Professor of Medicine and Epidemiology

>> Board Certified in Internal Medicine, Geriatrics and Hypertension

>

>

>

>

>

>

>

>

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Time for a Scot's revolt I would say.

CE Grim, BS (Chem and Math), MS (Biochemistry), MD.

Clinical Professor of Medicine and Epidemiology

Board Certified in Internal Medicine, Geriatrics and Hypertension

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