Re: dr. Popplewell/was:Andy-recent blood work

June 29, 2006

Yes, thank you Dr. Jim, we have already reduced it. However, the high calcium

levels were there, prior to any thyroid supplementation. It is interesting to

note the correlation with the fatigue.

As to the alternative hypothesis for the elevations, should this correct itself

with the reduction?

Can you tell me if this ammonia test was supposed to be a " fasting " test and if

it was not, would that skew the results?

Thank you,

I appreciate your comments.

[ ] Andy-recent blood work

Would you take a look at this recent bloodwork? Appreciate any comments.

RBC 4.81 3.9-5.3

WBC 8.0 6.0-17.0

HGB 13.5 11.5-13.5

HCT 40.8 H 34.0-40.0

HGB and HCT still elevated, wth? She appears to have no breathing

problems. How do we get more oxygen?

MCV 84.4 75-87

MCH 28.1 24-30

MCHC 33.1 31-37

RDW 12.3 11.5-14.5

RDW-SD 37.7 34.7-51.0

MCH reduced due to B-12 and folic acid.

Platelets 370 140-440

MPV 11.6 9.4-12.4

Bun 19 6-19

Creatinine 0.4 0.3-1.3

Sodium 141 136-145

Potassium 4.6 3.5-5.0

Chloride 104 101-111

Co2 28 22-30

Anion Gap 14 10-20

Calcium 10.7 H 8.5-10.5

Parathyroid, Intact 17 10-64

Calcium 10.7H 8.5-10.5

CA, IONIZ PH/ADJ 1.32H 1.12-1.23

CA, IONIZ Ph/Meas 1.37H 1.12-1.23

Calcium is down from 11.4 on previous test, dr also not concerned about

the elevations.

Free T4 1.9 0.9-1.9

T3 Free 8.1H 1.5-4.1

TSH 0.01 0.27-4.20

This is on 1 3/4 grains Armour, now reduced to 1 grain, she took the

Armour on the day of the test, should we have given it to her on that

day?

Glucose Timed 100 70-110

Lactic Acid 2.0 H 0.5-1.6

Dr said this was fine, but this worries me, should it? What can be done

to reduce it? She does appear to be slightly fatigued.

Bilirubin Total 0.1 0.1-1.5

Alk Phos 290 117-390

SGOT 29 0-31

SGPT 22 0-45

First time liver values have been in normal range.

Protein Total Serum 7.0 6.0-8.5

Albumin 4.6 3.4-4.8

Globulin (Calc) 2.4 1.65-3.90

Ammonia 45 9-33

The dr said anything under 50 was not problematic, I found normal ref

range online to 57. Is this anything diet related or is it fine?

Behaviorally doing well, cognitive and social are excellent,

consistently NT, now, thorough psychological exam revealed no cognitive

deficits and no diagnosis. But what we appear to have still......is a

physically ill child.

Any comments, suggestions appreciated.

June 29, 2006

Ammonia need not be a fasting test. Normalization of lactate and

ammonia, assuming this is the cause, should occur in a few months

following return to 'normal' thyroid function (whatever that is). Jim

________________________________

From:

[mailto: ] On Behalf Of Cochran

Sent: Thursday, June 29, 2006 5:56 PM

Subject: Re: [ ]dr. Popplewell/was:Andy-recent blood work

Yes, thank you Dr. Jim, we have already reduced it. However, the high

calcium levels were there, prior to any thyroid supplementation. It is

interesting to note the correlation with the fatigue.

As to the alternative hypothesis for the elevations, should this correct

itself with the reduction?

Can you tell me if this ammonia test was supposed to be a " fasting " test

and if it was not, would that skew the results?