Mission Impossible : My Medical No is... - Pernicious Anaemi...

Pernicious Anaemia Society

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Mission Impossible

Narwhal10•

8 months ago•6 Replies

My Medical No is 112624120. (sequence of factorials).

My doctor can ring me on is 0112358132134. (Fibonacci code)

I am 48 years old, 169 cm tall, weigh 54 kg, I have 6 children.

My vital statistics are………..Sorry, I thought I was Angelina Jolie for a moment.

In 2023, The World Health Organisation (W.H.O) brought out their 11th Revision of the International Classification of Disease (ICD).

05 Endocrine, nutritional or metabolic diseases is :-

5B5F Vitamin B12 deficiency

3A01 Megaloblastic anaemia due to vitamin B12 deficiency

3A01.2 Vitamin B12 deficiency anaemia due to low intake

3A01.3 Due to Intrinsic Factor Deficiency.

3A01.4 Due to intestinal disease

3A01.5 Drug-induced vitamin B12 deficiency anaemia

3A01.Y Other specified megaloblastic anaemia due to vitamin B12 deficiency

3A01.Z Megaloblastic anaemia due to vitamin B12 deficiency, unspecified

Now this classification system seems to go a bit awry

6D85Y Dementia due to vitamin B12 deficiency

and continues……..

6D86 Behavioural or psychological disturbances in dementia 

6D86.0 Psychotic symptoms in dementia 

6D86.1 Mood symptoms in dementia………… 

For me the answer is the same : 697 [ no units ]?

Using the formula of C63H88CoN14O14 (vitamin B12)

Using the periodic table, Carbon’s atomic is 6. Hydrogen’s is 1. Etc.

Therefore :-

(6 x 63) + (1 x 88) + 27 + (7 x 14) + (8 x 14) = 697.

The frequency we receive our vitamin B12 tends not to be variable. Generally, it is mean (average in mathematics). When B12 is administered at speed it Hertz. 😂🤣 you are funny. Okay, my jokes need W = F s cos θ (Work)

youtube.com/watch?v=hNFM2f4...

Impossible - I’m possible

🤓

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Narwhal10

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6 Replies

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Treesong20238 months ago

I will look straight into this... ! Thank yooooo !

helvella8 months ago

It appears that the subordinate entries to 3A01 Megaloblastic anaemia due to vitamin B12 deficiency imply that they ONLY occur in conjunction with Megaloblastic anaemia.

But we have seen the suggestion that Megaloblastic anaemia is relatively rare (at least in some parts of the world) because of the amount of folate (in whatever form) we consume.

Therefore, any such implication about the six subordinates is very questionable.

And does "street" use of nitrous oxide fall within 3A01.5 Drug-induced vitamin B12 deficiency anaemia? While anaesthetic use of nitrous oxide would appear an obvious inclusion, street use is unclear.

My! The list goes on and wraps itself in ever more ridiculous layers of "except", "other", and questionable definitions.

Narwhal10• in reply tohelvella8 months ago

So, helvella,

What is the role of a a Clinical Coder ? They know naff all about biochemistry, folate, B12, anaemia, blastowotsits.

They translate medical notes. Each illness has a code, each procedure has a code, each investigation has a code. Why ? To work out the Cost.

It all boils down to money. Lastly, what does Harris translate to in Cockney rhyming slang ?

😉

helvella8 months ago

This coding should help with statistical analysis. Finding the percentage of patients with 3A01 and each of the subtypes. But any numbers derived have their utility questioned when the types and subtypes do not make sense.

We see repeated assertions that B12 absorption decreases with age. If someone maintains their same diet but reduces what they can absorb, slowly, year by year, does that mean 3A01.2 because it is too low an intake for them? Life-long mildly impaired B12 absorption due to a particular genetic composition changes from insignificance to significance due solely to age - while that exact same ageing and reduced B12 absorption in someone with a different genetic composition might have no impact.

Anyway, far more important:

Plaster?

Though that is already used for posterior.

Or reverse it with "weed"?

April in Paris? Me old Aristotle.

Narwhal108 months ago

A Statistical Analysis Unit work these out, some are for Internal use and others are sent externally to the corresponding organisations :-

Clinical Aspects of :-

• Clinical Governance

• Clinical AUDIT

• Outcome and Effectiveness of Patient’s Care and Treatment

Statistical Aspects :-

• Payment by Results

• Cost Analysis

• Commissioning

• Aetiology Studies

• Health Trends

• Epidemiology Studies

• Clinical Indicators and Casemix Planning

Several days ago, I asked a Member of the Community what is Metadata and they did not know.

helvella, you are on the ThyroidUK thread and do so much of your own work too. Right, time for me to wriggle, ‘av a Jimmy, sort out pearly whites.

What software language is HealthUnlocked programmed in ?

Ta-Raaaaaaa

helvella• in reply toNarwhal108 months ago

Metadata is data about data.

For example, posts about the vitamin here might be assigned a metadata tag of "cobalamin" - despite only rare examples actually containing that word as such. Or even an invented tag like "cobalamin-metadata-tag".

They might contain words such as the following:

B12. Hydroxocobalamin. (Hydroxycobalamin.) Cyanocobalamin. Adenosylcobalamin. Methylcobalamin. Corrinoids. Haptocorrin. Transcobalamin.

And mistyped, misunderstood, and in other ways erroneous references. Or implied references to B12, or inferences, like "self-injection".