What do I ask kidney Dr. on next appointment ?

[MSTAUF]

HI

I see my kidney DR. again this Friday Jan 12 th. I had the lab work last Friday , I read the results on my chart on line today.

I see many flags in the tests . I need to be asking questons what they all mean.

My hemoglobin came up to 11,5 it is flaged ,creatinine external 37 mg . creatinine ratio 28 mg, blood urea external 37 mg ,anion gap external 3.9 ,

bun/creat external 21 external hosphorus 4.6 mg. all flaged.there are more flaged but I didnt think there were that bad,

Is there question's I need to ask on any of these tests ?

Was on medformin for 10 years . Was taken off Medfomin 6 months or so ago, and put on glipizide 2.5 mg in place of it.also put on vit. D 3 , and vit B 12.

[BettysMom]

To answer your question one would need to know what the units are and what the normal ranges are. Also, I have no idea what all the "externals" are.

[Darlenia]

Interesting labs! I think I would sit back and ask my doctor to explain why those items are flagged. Some are very low, others high. Is there an explanation? I'd be very curious as to what he/she says. Your doctor may ask you to repeat the tests to check for a trend. I'd definitely keep an eye on it.

[MSTAUF in reply to Darlenia]

I will be ready with questions at my Friday appointment.

[MSTAUF in reply to MSTAUF]

UPDATE FROM TODAYS APPOINMENT WITH KIDNEY DR.

YOUR DIAGNOSIS FROM TODAY'S VISIT

Chronic kidney disease, stage IV (severe) (HCC) - Primary

Essential hypertension

Hypervolemia associated with renal insufficiency

Anemia of chronic renal failure, unspecified CKD stage

Other iron deficiency anemias

Secondary hyperparathyroidism (HCC)

InstructionsOrdered Medications

ferrous sulfate 325 mg (65 mg iron) oral TabletTake 1 Tablet (325 mg) by mouth in the morning.

Follow up in Nephrology clinic in 6 months. in July

DR. said that my lab work was good. and normal for my age 89 years of age .Kidney' s are doing good DR. showed me the chart they are up to 27 now he says that is good for me.

He said he was real worried about me when he had me in the hospital given 2 units of blood be cause my blood was down to 6 it is now up to 9.7 . the 2 infuisions of iron I was given after the hospital stay got it up normal for me.. I will now start on a prescripton of iron and no longer will I need to see him every 3 months, it will be every 6 months.