Change innblood tests?: Does anybody know about... - PMRGCAuk

PMRGCAuk

20,342 members38,113 posts

Change innblood tests?

Brian2000 profile image
9 Replies

Does anybody know about this comment on my blood test results?

+++++++++++++++++++++++++++++++++++++++++++++++++++++++

Erythrocyte sedimentation rate NA

. Please note new ESR method & reference ranges from 18th November 2019. ESR is not clinically indicated for this patient. Please contact. Laboratory Medicine to discuss further if required.

Written by
Brian2000 profile image
Brian2000
To view profiles and participate in discussions please or .
Read more about...
9 Replies
jinasc profile image
jinasc

Ask your GP. In the meantime have ahunt on the net.....................as I will, "new ESR method & reference ranges from 18th November 2019. We will see what comes up. If it does not make sense to us...................then GP should be asked to explain.

Done it, but there are more references and I have no time at present to read through this or the others.

google.com/search?client=fi...

PMRpro profile image
PMRproAmbassador

Your local lab, in their infinite wisdom, does not consider ESR is a relevant test for you. The other bit is telling doctors they have a new method which means the "normal range" has changed.

What is your diagnosis?

Brian2000 profile image
Brian2000 in reply to PMRpro

I was diagnosed with PMR in April and am undergoing a course of steroids, predisolone. I got stuck on 8mg for three months and have just reduced to 7mg. I thought the CRP and ESR counts were effective ways to see if my condition was getting better.

PMRpro profile image
PMRproAmbassador in reply to Brian2000

They are and what you have been using - so your GP should be questioning the lab's decision, I know there are some authorities who are trying to get rid of ESR (it isn't brilliant for several reasons) but I do also know that some have said it is still useful in PMR. If the lab does it - and it was asked for for PMR patient they should do it. But I bet they will argue.

Brian2000 profile image
Brian2000 in reply to PMRpro

OK, back to the doctor then. Thanks for the advice.

Blearyeyed profile image
Blearyeyed in reply to PMRpro

Agree with Pro , you need to query it with the GP ask them to do the test because you have PMR , just in case they didn't write your condition correctly on the blood envelope.

Also , the GP needs to add a note on the envelope details section ( not a separate note they won't read that ) saying they need a test of your inflammatory markers.

This happens all to readily , if the lab does not know why the test was taken or guidelines change and you have had a test in the last year , there are many tests that they refuse to do again , because of NICE or Local Trust laboratory funding. That's why NA is written , it was not tested.

If the test was done but you got improper results they usually write that the GP needs to repeat the sample.

piglette profile image
piglette in reply to PMRpro

I think N/A means not available because they messed up doing the test, probably dropped it under a cupboard. I have it happen every so often and sometimes I have to have the test done again which is infuriating.

PMRpro profile image
PMRproAmbassador in reply to piglette

It also says ESR is not indicated for this patient.

piglette profile image
piglette in reply to PMRpro

Ah missed that. N/A obviously means Not Applicable.

You may also like...

ESR and CRP Tests

measuring these tests? A subsequent blood test, after 2 weeks of preds gave ESR of 1.68, and CRP of...

Tests for adnenal function

start producing cortisol. The only blood tests he orders are ESR and CRP.

Everything is normal on tests

Well, the ESR and CRP results from yesterday are in and are totally normal. ESR 11 < 20mm/h CRP 4.1

Visual change in left eye and headaches

ago; ESR test result pending and I’ll be informed on Friday. All other bloods including full blood...

Good appt. For a change

I don't want to ask anything but so pleased to have a positive call I wanted to share. Had been...