Generic DS Lab order

[Susan in Tennessee]

I think the selenium is one of the more expensive tests. If it were me pre-op, @Susan in Tennessee I'd skip this one until 3 month post-op labs.

I don't see selenium on this "generic lab list". I see it listed under the Diagnosis list where the codes are listed though. Dang, I was liking the idea of removing an expensive test to lower the estimate! I used to think I was relatively competent but the last day or so I'm beginning to wonder.

 

[southernlady]

I don't see selenium on this "generic lab list". I see it listed under the Diagnosis list where the codes are listed though. Dang, I was liking the idea of removing an expensive test to lower the estimate! I used to think I was relatively competent but the last day or so I'm beginning to wonder.

Star based he price on the list I gave her...so if selenium isn't there, I didn't have it added.

 

[Clematis]

@BebeZed got a lab order via Star and selenium was on that. Maybe she can shed more light on this.

 

[CaraOC]

Who is Star and how do they do the labs?

 

[Clematis]

star0210 is with a company who contracts with a doc in each state to write lab orders (for anything not just DS labs) to be drawn at Quest (I think).

 

[southernlady]

Who is Star and how do they do the labs?

@star0210 is a member here who owns Direct Labs: http://bariatricfacts.org/threads/did-you-know-you-can-order-your-own-labs.2068/

 

[harrietvane]

How important is Thiamine to test for? I've sent the surgeon's requests to my local doctor, who said the lab at the hospital doesn't perform that test.

 

[DSRIGGS]

How important is Thiamine to test for? I've sent the surgeon's requests to my local doctor, who said the lab at the hospital doesn't perform that test.

I don't have mine tested

 

[-Flo-]

What is the schedule for labs. I'm about a month out now. When and how often should I start checking?

 

[DSRIGGS]

Most surgeons will want to do a 3, 6 and 12 month check first year and then depending on your results probably every 6 months the next year

 

[-Flo-]

Thanks @DSRIGGS !

 

[Spiky Bugger]

What is the schedule for labs. I'm about a month out now. When and how often should I start checking?

Subjective. I'd say that once absolutely everything is normal, it might be okay to do two or three times a year.

But we each COULD have specific values that need closer supervision. For example, I was in a hospital, IVs in my arm, getting prepped for shock wave treatment on my kidneys...so no incisions needed, no actual surgery. But the procedure was cancelled because my PT/INR was a teensy bit too high...which meant that my blood took almost a second too long to clot, and any bleeding in the kidney (like bruises from the shock waves) might fill the kidney with blood and cause a bunch of other trouble.

All of that was related to my malabsorption of Vitamin K, and insufficient supplementation.

And now I need to do the procdure again and the clotting time is too long again.

Sooo....to me, this means that I need to get it to normal and check maybe every two or three months...because I don't want to bleed out at some critically important but more invasive procedure.

My PTH and serum calcium need frequent watching, too. So I can keep my teeth.

However! Some of us have perfectly normal lab results and can do less frequnt testing than I can.
[
%
¥

 

[DSRIGGS]

As sue mentioned we are all different. I am monthly due to malabsorption and nutritional deficiencies. My is K is also very low but my inr is in range. I am going to be getting surgery very soon so I might start chugging k.

 

[FloridaJen]

If you don't have one from your surgeon (hell, even if you do), take this one to a GOOD PCP/Endo/Hemo, whatever...someone willing to pull all needed labs.

This was compiled based on two different surgeon's lab orders, the Vitalady suggested list and run by MajorMom.

There is a word copy located here: https://www.dropbox.com/s/7yajtt1u72klrba/Generic Bariatric Lab Order ICD10.doc?dl=0
There is a PDF copy attached below.

Is this current/still accurate?

 

[DianaCox]

I use Dr. Rabkin's list, supplemented by my own specific issues (thyroid tests, CRP).
http://www.paclap.com/downloads/annualdslaborders.pdf