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Tag: Electrocardiography

  • Understanding Your Health Check Up Results.

    Health Tests.
    Health Checkup.

    People when they do a Master Health Check up, are often stumped when trying to understand the results.

    Though the Doctor is the competent person to interpret the Data, it is in our interest to understand what the Health Check Results say.

    The reason is many Doctors often willingly misinterpret or distort facts , taking advantage of our ignorance and put you on medication, for which they are being compensated by the the Pharmaceutical Companies(Please read my post on Hoe Doctors have been paid by these companies, filed under ‘Health/Consumer information)

    This understanding of the Data gives you a chance to discuss your health issues with the Doctor, and as I have seen’ the Doctors are wary of people who seem to know, not necessarily know,some thing about the subject.

    Now to Health Check up Preparation.

    1,Fix an appointment for the Health Check Up, preferably in the morning, say around 8 pm.

    2.Take your last food (the day before the test) around 8 pm(12 hours should be allowed to test Fasting Sugar after taking Food)

    3.Do not take anything after the last food, save water.

    4.Have a sterilized bottle/container from the Hospital one day earlier to collect your Stools.

    5.In the morning, collect your first Stool.

    6.At the Hospital, test the Blood first. Pre- prandial for sugar

    7.Take a lot of water, not less than one liter.

    8.Ensure that your bladder is full and have the ECG and Ultra sound scan done.

    9.Have your eyes checked.

    10.Take normal breakfast and not the time.

    11 Between one and a half hour and two hours from the time of taking breakfast have your Sugar level tested,post -prandial.

    12.Give your urine Sample.

    The Reports should be ready in about three hours.

    Now understanding the Health Check Up Report.

    Parameters.

    a)Hematology.(about Blood) Male.

    Hemoglobin                                                                                              13-18gm%

    Total Count .                                                                                              4000-1000/cells/cu

    Neutrophils.                                                                                               40-75%

    Lymohocytes                                                                                              20-45%

    Eosionphils                                                                                                    0-8

    Monocytes                                                                                                     1-10%

    ESR(one Hour)                                                                                               5-15mm/hr.

    Platelet Count                                                                                                1.50-4.50 Lakhs/c

    RBC Count                                                                                                       4.50-6.50 Million/c

    PCV                                                                                                                    39-55%

    Read the note on Peripheral Smear,it can be understood if there is an anomaly.

    Bio Chemistry.                                                                                                           Parameters.

    Fasting Blood Sugar.                                                                                                  70-99mg/dl.

    Urine Sugar                                                                                                                    NIL.

    Serum Creatinine.                                                                                                       0 .50-1.40mg/dl.

    Uric Acid Male .                                                                                                             3.50-7.20mg/dl.

    Blood Urea Nitrogen.                                                                                                    5-21/mg/dl.

    Thyroid Profile.

    1. If your doctor ran a test called Total T4 or Total Thyroxine, normal range is approximately 4.5 to 12.5. If you had a low reading, and a high TSH, your doctor might consider that indicative of hypothyroidism.
    2. If your doctor ran a test called Total T4 or Total Thyroxine, normal range is approximately 4.5 to 12.5. If you had a low reading, and a low TSH, your doctor might look into a pituitary problem.
    3. If your doctor ran a test called Free T4, or Free Thyroxine, normal range is approximately 0.7 to 2.0. If your result was less than 0.7, your doctor might consider that indicative of hypothyroidism.
    4. If your doctor ran a test called Total T3, normal range is approximately 80 to 220. If your result was less than 80, your doctor might consider that indicative of hypothyroidism.
    5. If your doctor ran a test called Free T3, normal range is approximately 2.3 to 4.2. If your result was less than 2.3, your doctor might consider that indicative of hypothyroidism.
    6. If your test results are ‘normal’ but you have many symptoms or risk factors for thyroid disease, ask for an antibodies test. Some doctors treatg thyroid symptoms in the presence of elevated antibodies and normal TSH levels.

     

    Alkaline Phosphate.                                                                               120(IU/L.

    Cholesterol- Bio Chemistry.

    Parameters.

    Total Cholesterol.                                                                                    140-200mg/dl.

    Triglycerides .                                                                                             35-165 mg/dl.

    High Density Lipoprotein. HDL.                                                                30-63mg/dl.

    Low Density Lipoprotein LDL.                                                                    15-30mg/dl.

    Total Cholesterol. ‘According to the American Heart Association (AHA), you should keep your cholesterol ratio at or below 5:1. The ideal cholesterol ratio is about 3.5:1.”

    Stools Test check out the Link web MD .

    Ultra Sound, Heart,Lung X ray results have to be analysed by the Doctor.

    Liver Function Test.

    • ALT. 7 to 55 units per liter (U/L)
    • AST. 8 to 48 U/L
    • ALP. 45 to 115 U/L
    • Albumin. 3.5 to 5.0 grams per deciliter (g/dL)
    • Total protein. 6.3 to 7.9 g/dL
    • Bilirubin. 0.1 to 1.0 mg/dL
    • GGT. 9 to 48 U/L
    • LD. 122 to 222 U/L
    • PT. 9.5 to 13.8 second.
    • Urine Analysis.
    • Urine Test.
      Urine Test Analysis. Click on the individual urinalysis parameters (except for volume) in the image for information on the performance and meaning of the test..

       

    • Sources.
    • http://thyroid.about.com/cs/testsforthyroid/ht/interpretresult.htm

    http://www.webmd.com/cholesterol-management/finding-the-ideal-cholesterol-ratio?page=2

    http://www.mayoclinic.com/health/liver-function-tests/MY00093/DSECTION=results

    https://ahdc.vet.cornell.edu/clinpath/modules/ua-rout/ua-rout.htm

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  • Most Medical Tests unnecessary,involves Health Risks.

    Main complications of persistent high blood pr...
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    Most Medical Diagnostic tests are unnecessary and they are being done to fill the pockets of the Diagnostic Centers , a percentage of which goes to unscrupulous Doctors(not all Doctors).

    Patients are best advised to seek detailed information from Doctors on Tests on the necessity and relevance of the tests before they take the tests.

    They rate cars. They rate electronics. And now Consumer Reports is hoping its product-rating system will better inform consumers about why they should avoid some common heart-disease screening tests.

    Most of the nine types of medical screenings for cardiovascular risk are actually unnecessary and possibly harmful for otherwise healthy people, themagazine said on its Web site Thursday.

    Blood pressure and cholesterol screenings are definitely helpful, the nonprofit group said in the report. But electrocardiograms and C-reactive protein testing are not a good idea for healthy people, it concluded.

    “It’s worrisome that healthy people are getting tests they may not need because a prevention test that is not reliable can lead to a cascade of unnecessary, costly, and in some cases risky follow-up tests and treatment,” Dr. John Santa, director of the Consumer Reports Health Ratings Center, said in a statement about the report.

    “It’s easier to understand the benefits than the risks,” he said in an interview Wednesday.

    The magazine’s ratings are based on advice from the U.S. Preventive Services Task Force, a government-sponsored group of physicians without medical industry ties. The task force reviews and rates the scientific evidence behind some proposed procedures. (Task force recommendations on mammograms and prostate tests have been controversial the past few years.) Consumer Reports updated and added to the task force advice on cardiovascular screening tests.

     

    Consumer Reports is also providing a heart-risk calculator on its Web site. People who type in their age, gender and cardiovascular risk profiles, such as hypertension or high cholesterol, can see their 10-year risk of having a heart attack, stroke or other cardiovascular event, and the suggested screenings.

    Most healthy people, the magazine said, should only test for blood pressure, cholesterol and possibly blood glucose. But it was uncertain whether benefits outweigh risks in screening healthy people for C-reactive protein or clogged peripheral arteries. And it said risks almost certainly outweigh benefits in testing healthy people for clogged carotid arteries, abdominal aortic aneurysms and heart EKGs.

    In the interview, Dr. Santa described one example of the cascade effect.

    “Let’s say a nonspecific finding on an EKG that suggests you could have a problem,” he said. “The next thing you know, a CT scan is going to be suggested, so you’re going to be exposed to some significant radiation. And let’s say that the CT scan doesn’t completely exclude a problem. Well, now you’re talking about an angiogram that has a 1 or 2 percent significant side effect.

    “And then of course, if you had an angiogram, let’s say you had a coronary artery that’s 50 percent blocked. Well, now wait a minute, we now know that blockage itself is not significant. There’s a lot more to having a heart problem. But it’s awful hard to look at that blockage and tell a cardiologist not to do something. But in fact all the evidence for angioplasty and heart surgery is that they help people who have chest pain, and the degree to which they help people with no symptoms at all is very, very limited, and it may not help at all. This cascade can happen quickly.”

    http://prescriptions.blogs.nytimes.com/2011/02/03/rating-heart-risk-tests/