The lengths I go to get labs. And a ? about light protection
I write my own lab slip so that I can use the lab of my choice and get all the labs I want. I have my pcp sign off.
So my pcp took my lab request and started checking off the labs. When I explained that I needed ALL of them she said ok and signed it.
I took it to the new lab (I moved) yesterday to give them time to do their work because the lab in NC asked me to bring it the day before to keep from backing up patients behind me.
I told them I needed all the labs.
I went in this morning and they said Medicare won't pay for a lipid panel with the dx code I used. I said fine, and signed that I would pay for it. Again I told them that I needed ALL the labs.
They took me back and she had 4 tubes out. I said she would need a lot more than that and she said no, we called the doctor and she said just do the labs that are checked (the first three on the list).
I was SO pissed. So I called the doctor and they called the lab and said run all the labs. So, now, 90 minutes later, I am finally getting stuck.
I mentioned that some of them needed light protection and she said she knew that. Of course NONE of them got light protected and I complained AGAIN and said that I would have to come back to get those redrawn. She asked the supervisor which ones needed light protection and she started rattling off the list. Ummm... a little late.
Then I asked where to go to get the results and they said I had to get them from the doctor. Well, having been down THAT path I refused that answer. I had written on the lab slip: "Release results to patient" thank God, because that caused her to say I could pick them up from her in one week. We'll see.
So my question is will I be able to tell from the results that the non-light protected vials need to be rerun?
Moral: If you can't advocate for yourself you shouldn't get the DS.
~Becky
So my pcp took my lab request and started checking off the labs. When I explained that I needed ALL of them she said ok and signed it.
I took it to the new lab (I moved) yesterday to give them time to do their work because the lab in NC asked me to bring it the day before to keep from backing up patients behind me.
I told them I needed all the labs.
I went in this morning and they said Medicare won't pay for a lipid panel with the dx code I used. I said fine, and signed that I would pay for it. Again I told them that I needed ALL the labs.
They took me back and she had 4 tubes out. I said she would need a lot more than that and she said no, we called the doctor and she said just do the labs that are checked (the first three on the list).
I was SO pissed. So I called the doctor and they called the lab and said run all the labs. So, now, 90 minutes later, I am finally getting stuck.
I mentioned that some of them needed light protection and she said she knew that. Of course NONE of them got light protected and I complained AGAIN and said that I would have to come back to get those redrawn. She asked the supervisor which ones needed light protection and she started rattling off the list. Ummm... a little late.
Then I asked where to go to get the results and they said I had to get them from the doctor. Well, having been down THAT path I refused that answer. I had written on the lab slip: "Release results to patient" thank God, because that caused her to say I could pick them up from her in one week. We'll see.
So my question is will I be able to tell from the results that the non-light protected vials need to be rerun?
Moral: If you can't advocate for yourself you shouldn't get the DS.
~Becky
I can't answer your question. Just wanted to agree. I tell the same girl the same thing about the light protected ones every 3 months. Hell I am the only one who gets them drawn you would think it would be easy to remember.
Betty
Betty
DS with Daryl Stewart 04/21/10 - SW 306lbs CW 140lbs
Plastic Surgery with Dr. Sauceda 11/06/12 - LBL, Thigh Lift, BL/BA, small Arm lift
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Hey Becky, I just came across this site and thought it was very interesting. In essence it says that for B12 and folate the blood does not need to be protected from light.
It makes interesting reading.
http://labmed.ascpjournals.org/content/40/11/657.full
It makes interesting reading.
http://labmed.ascpjournals.org/content/40/11/657.full
WHAT A PIA ! I have that
VITAMIN A REQUIRES 2 ML FROZEN SERUM VITAMIN B6 REQUIRES PLASMA – FOIL WRAPPED
I always put my fax number on the lab order BEFORE going to get a draw, that way they automatically send it to me as well as the doc.
I will go email you my list and what the diagnosis code.. .maybe you can get the code changed to.... INTESTINAL MALABSORPTION, 579.9
which code did you use ?
VITAMIN A REQUIRES 2 ML FROZEN SERUM VITAMIN B6 REQUIRES PLASMA – FOIL WRAPPED
I always put my fax number on the lab order BEFORE going to get a draw, that way they automatically send it to me as well as the doc.
I will go email you my list and what the diagnosis code.. .maybe you can get the code changed to.... INTESTINAL MALABSORPTION, 579.9
which code did you use ?
Ginger<><
Revision #2 Dr John Rabkin June 21, 2013; First Revision DS - Dr Maguire 5-18-09; First DS 7-15-2003 Dr Clark Warden = Third time is the charm 
when lab work is drawn that is light sensetive (for example Vit K1) it is drawn in routine blood collection tubes, it is the transport that is to be treated differently. After the blood is spun in the centrifuge(as it is not whole blood) it is aliquoted off and transfered to the appropriate tubes for transport/storage till testing and those tubes are wrapped in tin foil. So as a patient you would have no idea if it was protected from light or not, it has nothing to do with the blood drawin, but the processing. light stability testing is about 24 hours. essentially it would be difficult to tell from results if it was stored incorrectly if the results came back as deficient, do you have any symptoms? etc , protect from light is not different than not accepting a hemolyzed sample...
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