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Monday, September 18, 2006

Tests and Results

January 19, 2016
currently taking the following medications:
-- (presc) Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
-- (presc) 137 mcg synthroid (hypothyroidism)
-- (presc) 0.75 mg diclofenac (psoriatic arthritis)
-- (presc) YAZ and YASMIN birth control (to regulate hormones, headaches)
-- 3 days per week, equate stool softener
-- 4 days per week, Metamucil fibre capsules
-- Vitamin D 2000 mg
-- Vitamin B12 500 mg
-- Centrum Chewables from the USA, 2 per day
-- Calcium Citrate Bariatric Advantage 1000 mg per day
-- potassium 3 days per week, 99 mg (for leg cramping)


Heart Rate: 66
Blood Pressure: 122/78
Weight: 177.6 lbs


RESULTS
Ferritin -- 66 (11-307)
TSH -- 2.26 (0.3-5.6)
Na (sodium) -- 138 (136-145)
K (potassium) -- 4.1 (3.5-5.1)
Cl (chloride) -- 102 (98-107)
CO2 (bicarbonate) -- 28 (21-32)
AGAP (anion gap) -- 8 (5-12)
Ca (calcium)  -- 2.18 (2.12-2.52)
Mg (magnesium) -- 0.87 (0.74-1.03)




June 2, 2015 (16 months post VSG bariatric surgery)

currently taking the following medications: 
--(presc) Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
--(presc.) 150 mcg synthroid (hypothyroidism)
--(presc.) 0.75 mg diclofenac (psoriatic arthritis)
--docusate sodium with senna (stool softener/laxative 1 per day)
--Metamucil capsules (1 per day)
--Vitamin D 2000 mg
--Vitamin B12 (500 mcg)
--(presc.) Yaz birth control pills (to regulate hormones, stem loss of iron and reduce flow)
--2 multivitamins per day (Centrum Chewables from the USA)
--Calcium citrate (Bariatric Advantage 500-1000 mg per day)
--Ferrous Sulfate (325 mg)
--Vitamin C (500 mg, with the Ferrous Sulfate)
--potassium (99 mg per week as needed, to help with leg cramping)



RESULTS


Ferritin -- 64 (11-307) docs say it's "okay"
Vitamin B12 -- 530 (133-675) docs are really happy
TSH -- 0.79 (0.3-5.6) prescription refilled at 150 mcg





January 5, 2015 (11 months post VSG bariatric surgery; *fasting*)

currently taking the following medications: 
--(presc)Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
--(presc.) 137 mcg synthroid (hypothyroidism)
--(presc.) 0.75 mg diclofenac (psoriatic arthritis)
--docusate sodium with senna (stool softener/laxative 1 per day)
--Metamucil capsules (1 per day)
--Vitamin D 2000 mg
--Vitamin B12 (500 mcg)
--(presc.) Seasonique birth control pills (to regulate hormones, stem loss of iron and reduce flow)--2 multivitamins per day (Centrum Chewables from the USA)
--Calcium citrate (Bariatric Advantage 500-1000 mg per day)
--Ferrous Sulfate (325 mg)
--Vitamin C (500 mg, with the Ferrous Sulfate)
--potassium (99 mg per week as needed, to help with leg cramping)

RESULTS
Na (Sodium) -- 140 (136-145)
K (Potassium)  --  3.8 (3.5-5.1)
Cl (Chloride) -- 107 (98-107)
Glucose Fasting -- 4.5 (3.8-6.0) 10 hours fasting
HbA1C -- 5.2 (4.8-6.0)
Urate -- 199 (155-357)
Creatinine -- 80  (22-75)  HIGH
eGFR (MDRD) -- >60 (>/=60)
Ca (Calcium) -- 2.13 (2.12-2.52)
Mg (Magnesium) -- 0.74 (0.74-1.03)
Albumin -- 34 (34-46)
Bilirubin total -- 24 (3-17 ) HIGH
AST -- 16 (15-37)
ALT -- 37 (17-63)
ALP -- 54 (50-136)
GGT -- 22 (5-55)
Ferritin -- 31 (11-307) *docs want to see it higher*
Vitamin B12 -- 491 (133-675)
Serum Folate -- greater than 55 (greater than 10.0)
Cholesterol Fasting -- 4.6 mmol/L (3.5-5.2)
HDL Cholesterol Fasting -- 1.89 mmol/L (>/= 1.3)
LDL Cholesterol Fasting -- 2.0 mmol/L (</= 3.5)
non HDL Cholesterol Fasting -- 2.7 mmol/L (</= 4.5)
Total Cholesterol (TC) : HDL Fasting as a Ratio -- 2.4 mmol/L (</= 6.0)
Triglycerides Fasting -- 1.59 mmol/L (</= 1.70)
TSH -- 2.81 (0.3-5.6)
Vitamin D -- to follow... (75-250)



June 4, 2014 (4 months post VSG bariatric surgery) 
currently taking: 
--Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
--colace (stool softener, 2 per day)
--senna laxative (1 pill per day)
--Metamucil capsules (2 per day)
--vitamin D 2000 mg
--Vitamin B12 (Spring Valley, 500 mcg)
--2 multivitamins per day (Centrum Chewables from the USA) (currenly unavailable)
--Calcium citrate (Opurity 1200 mg)
--inulin fibre (5-6 tsp per day for constipation and fibre intake)
--Ferrous Sulfate (2 x 300 mg)
--Vitamin C (500 mg, with the Ferrous Sulfate)
--1.75 mcg synthroid (hypothyroidism)
--0.75 mg diclofenac (psoriatic arthritis)


RESULTS:
HGB (Hemoglobin) --  144 (120-160)
HCT (Hematocrit) --  0.43 (0.350-0.450)
WBC (White Blood Cell) --  5.4 (4.0-11.0)
RBC (Red Blood Cell) --  5.06 (4.0-5.10)
MCV --  85.4 (80.0-100.0)
MCH --  28.5 (27.5-33.0)
MCHC --  333 (305-360)
RDW --   14.0 (11.5-14.5)
Plaetelet Count --  165 (150-400)

Neutrophil --  3.3 (2.0-7.5)
Lymphocyte --  1.5 (1.0-3.5)
Monocyte -- 0.3 (0.2-1.0)
Eosinophil -- 0.2 (0.0-0.5)
Basophil --  0.0 (0.0-0.2)

Vitamin B12 -- 582 (198-615)
Serum Folate -- greater than 30 (greater than 10.3)

Glucose Fasting -- 4.5 (3.6-6.0) 13 hours fasting
Creatinine -- 72  (45-97)
eGFR (MDRD) --76 (60-89)

Na (Sodium) -- 139 (135-147)
K (Potassium)  --  4.1 (3.5-5.5)
Cl (Chloride) -- 107 (100-110)
Urate 331 (150-390)
Bilirubin total -- 29 (less than 22 ) HIGH
AST -- 18 (7-31)
ALT -- 23  (10-44)
ALP -- 69  (45-129)
GGT -- less than 10 (12-43) LOW

Calcium -- 2.26 (2.15-2.60)
Albumin -- 41 (35-50)

Cardiovascular Risk Assessment
Triglycerides -- 1.01 mmol/L
Cholesterol -- 3.38 mmol/L
HDL Cholesterol Ratio -- 1.12 mmol/L
Cholesterol / HDL Ratio -- 3.0 mmol/L
LDL Cholesterol -- 1.8 mmol/L
non HDL Cholesterol -- 2.26 mmol/L

TSH -- 0.84 (0.30-4.0)
Ferretin -- 38 (10-291)
Hydroxy Vitamin D -- 102 (75-250)


March 26, 2014 (7 weeks post VSG bariatric surgery) 
currently taking: 
--colace (stool softener, 2 per day)
--Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
--Vitamin B12 (Swiss Natural) 1000 mcg
--2 multivitamins per day (Centrum Chewables from the USA)
--Calcium carbonate (to change to calcium citrate) + Vitamin D 1500 mg
--inulin fibre (5-6 tsp per day for constipation and fibre intake)
--1.75 mcg synthroid (hypothyroidism)
--0.75 mg diclofenac (psoriatic arthritis)

Blood Pressure = 112/70

WBC -- 6.3 (3.5-10.5)
RBC -- 4.63 (3.5-5.0)
HGB -- 133 (115-155)
HCT -- 0.411 (0.380-0.500)
MCV -- 88.8 (80.0-100.0)
MCH -- 28.7 (25.0-34.0)
MCHC -- 324 (315-355)
RDW -- 13.3 (11.5-15.5)
Plat -- 183 (130-380)
MPV -- 11.0 (9.0-14.0)
Neutrophil -- 4.2 (2.0-7.5)
Immature Granulocyte -- 0.0 (less than 0)
Lymphocyte -- 1.3 (0.8-3.3)
Monocyte -- 0.5 (0.1-1.0)
Eosinophil -- 0.4 (0.0-0.5)
Basophil -- 0.0 (0.0-0.1)
Na -- 142 (136-145)
K -- 3.9 (3.5-5.1)
Cl -- 107 (98-107)
CO2 -- 26 (21-32)
Anion Gap -- 9 (5-12)
Creatinine -- 70 (22-75)
eGFR (MDRD) -- greater than 60 (greater than 60)
Urea -- 5.8 (2.1-8.0)
Bilirubin total -- 18 (3-17 HIGH)
AST -- 17 (15-37)
ALT -- 46 (17-63)
ALP -- 69 (50-136)
GGT -- 5 (5-55)
Ferritin -- 32 (11-307)
Vitamin B12 -- 556 (133-675)
TSH -- 0.51 (0.30-5.6)

Feb. 5, 2014 (two days post-VSG in hospital)
WBC -- 7.0 (3.5-10.5)
HGB -- 111 (115-155 LOW)
HCT -- 0.343 (0.380-0.500 LOW)
RBC -- 3.76 (3.5-5.0)
MCV -- 91.2 (80.0-100.0)
MCH -- 29.5 (25.0-34.0)
MCHC -- 324 (315-355)
RDW -- 12.6 (11.5-15.5)
Plat -- 167 (130-380)
MPV -- 10.2 (9.0-14.0)
Neutrophils -- 4.3 (2.0-7.5)
Immature Granulocytes -- 0.0 (less than 0)
Lymphocytes -- 1.8 (0.8-3.3)
Monocytes -- 0.5 (0.1-1.0)
Eosinophils -- 0.4 (0.0-0.5)
Basophils -- 0.0 (0.0-0.1)
NA -- 139 (136-145)
K -- 3.9 (3.5-5.1)

February 22, 2013 (CD8)
currently taking:
--1.75 mcg synthroid (hypothyroidism)
--0.75 mg sandoz-diclofencac (psoriatic arthritis)

Glucose Fasting -- 5.3 (3.6-6.0)
HbA1C -- 0.054 (0.040-0.060: normal, non-diabetic)
TSH (sensitive TSH) -- 0.76 (0.35-5.0)
Creatinine -- 68 (45-97)
eGFR -- 82 (normal)
Uric Acid -- 330 (150-390)
Sodium -- 141 (135-147)
Potassium -- 4.5 (3.5-5.5)
Chloride -- 105 (100-110)
Ck (aka Creatine Kinase) -- 61 (29-165)
ALT -- 26 (10-44)
Alkaline Phosphatase -- 75 (45-129)
Bilirubin -- 20 ( less than 22)
Albuminin -- 43 (35-50)
Hemoglobin -- 140 (120-160)
Hematocrit -- 0.44 (0.35-0.45)
White Blood Cell Count -- 6.7 (4.0-11.0)
Red Blood Cell Count -- 4.87 (4.0-5.1)
MCV -- 89.5 (80-100)
MCH -- 28.7 (27.5-33.0)
MCHC -- 321 (305-360)
RDW -- 12.8 (11.5-14.5)
Platelet Count -- 193 (150-400)
Absolute Neutrophils -- 4.0 (2.0-7.5)
Lymph -- 1.9 (1.0-3.5)
Mono -- 0.4 (0.2-1.0)
Eos -- 0.3 (0.0-0.5)
Baso -- 0.0 (0.0-0.2)

Lipid Assessment 
Cholesterol -- 5.25 (HIGH; less than 5.2)
HDL Cholesterol -- 1.63 (greater than 1.3)
Triglycerides --3.34 (HIGH; less than 2.3)
LDL Cholesterol -- 2.10
Cholesterol/HDL-C ratio -- 3.2 (Low risk less than 10%)


June 15, 2012 (CD3)
currently taking 1.75 mcg synthroid (hypothyroidism)
0.75 mg sandoz-diclofenac (psoriatic arthritis)
1500 mg metformin (PCOS prior to cycling)

Fasting glucose -- 5.1 (3.6-6.0 normal)
HbA1C -- 0.055 (0.40-0.60 non diabetic)
TSH -- 1.0 (0.35-5.0 normal; McGill wants less than 2.5 or optimally, less than 2.0)
Creatinine --  73 (50-100 normal)
(eGFR) -- 76 (>= 60 normal)
Uric Acid (Urate) -- 399 (HIGH; normal is 140-340)
Sodium -- 139 (135-145 normal)
Potassium -- 4.1 (3.3-5.1 normal)
Chloride -- 102 (95-108 normal)
Albumin -- 42 (35-52 normal)
Lipid Assessment
  -Cholesterol -- 4.95 (less than 5.2 desired)
  -HDL-C -- 1.46 (greater than 1.3 normal)
  -Triglycerides -- 2.37 (HIGH; less than 2.3 normal)
  - LDL-C -- 2.4 (normal)
  - Chol HDL-C ratio (TC/HDL-C Ratio) -- 3.4 (low risk)
Hematology
  - Hemoglobin -- 134 (115-155 normal)
  - Hematocrit -- 0.39 (0.33-0.45 normal)
  - RBC -- 4.35 (3.6-5.01 normal)
RBC Indices
  - MCV -- 89 (80-99 normal)
  - MCH -- 31 (27-32 normal)
  - MCHC -- 346 (320-360 normal)
RDW -- 12.7 (11.5-15.5 normal)
WBC -- 5.8 (4.0-11.0 normal)
Platelets -- 172 (145-500 normal)
MPV -- 8.3 (7.4-11.3 normal)
Differential WBCs 
  - Neutrophils -- 3.42 (1.8-7.0 normal)
  - Lymphocytes -- 1.86 (1.0-3.2 normal)
  - Monocytes -- 0.29 (0.0-0.8 normal)
  - Eosinophils -- 0.17 (0.0-0.4 normal)
  -  Basophils -- 0.06 (0.0-0.2 normal)
Prenatal
  -ABO & RHD (Blood group and RH factor) -- A Positive
  -Antibody Screen (titre and ident if positive) -- No clinically significant antibodies detected.
Prolactin -- 6.0 (<24 normal)

LH -- 1.0 (LOW for Follicular phase; 2-13 = normal)
FSH -- 6 (6-9 = good... while under 6 is excellent)
Estradiol -- 138 (a little low; local RE hoping for 150)

HIV test --
Hep B S Ag --
HCV serology --
Rubella --

Pelvic Ultrasound Report: (June 15, 2012; CD3)
Day 3 -- check cysts (LMP June 13, 2012)
Uterus:
Position -- anteverted
Dimensions -- Length 8.2 x 5.0, Transverse diameter 5.4 cm
Shape -- Regular
Endometrial Lining -- 5.1 cm
Other -- endometrial cyst of 1.2 x 1.0 xx 0.9 vs. myometrial cyst
Right Adnexa: seen
Dimension 2.8 x 4.2 x 2.9 cm; showing a cyst measuring 2.4 x 2.1 x 1.6 cm
AFC -- 6
Left Adnexa: seen
Dimension 3.1 x 3.0 x 2.7 cm
AFC -- 4
**YAY! 10 antral follicles!)
Free fluid in pelvis: No
Day 3 of cycle. The uterus is anteverted and regular with a length of 8.2 x 5.9 cm with a transverse diameter of 5.4 cm. The endometrium is 5.1 mm thick with no polyps or hyperplasia. ?? Endometrial cyst of 1.2 x 1.0 x 0.09 vs. Myometrial cyst.
The right ovary is 2.8 x 2.4 x 2.9 cm with an AFC of 6.
The left ovary is 3.1 x 3.0 x 2.7 cm with an AFC of 4.
No free fluid noted.
Scheduled for SIS on June 19, 2012.


March 23, 2012 (CD3)
currently taking 1.0 mcg synthroid (hypothyroidism) and 0.75 mg sandoz-diclofenac (psoriatic arthritis)

LH -- 1.0 (LOW for Follicular phase; 2-13 = normal)
FSH -- 6 (6-9 = good... while under 6 is excellent)
TSH -- 3.06 (personally too high for me)
Estradiol -- 185 (70-530 normal) * Note for my American readers: This converts to 50 in the USA.
Ferritin -- 42 (31-72 indicateds REDUCED iron stores, but it's better than where I was!)



December 8, 2011
currently taking 1.0 mcg Eltroxin (hypothyroidism)

Ferritin -- 53 (31-79 indicates reduced iron stores)
TSH -- 2.45 (0.35-5.0) *a little too high to undertake IVF; needs to be under 2.0 or 1.5 to be optimal*
Hemoglobin -- 143 (115-155)
Hematocrit -- 0.43 (0.33-0.45)
RBC -- 4.83 (3.6-5.01)
RBC indices MCV -- 89 (80-99)
RBC indices MCH -- 30 (27-32)
RBC indices MCHC -- 331 (320-360)
RDW -- 12.9 (11.5-15.5)
WBC -- 9.0 (4.0-11.0)
Platelets -- 226 (145-400)
MPV -- 8.1 (7.4-11.3)
Differential WBC's Neutrophils -- 4.86 (1.8-7.0)
Differential WBC's Lymphocytes -- 2.88 (1.0-3.2)
Differential WBC's Monocytes -- 0.81 (0.0-0.8) ABNORMAL
Differential WBC's Eosinophils -- 0.45 (0.00-0.40) ABNORMAL
Differential WBC's Basophils -- 0.09 (0.0-0.2)

December 22, 2010 - bloodwork (CD 15)
HbA1C = 0.056 (normal = non diabetic)

December 13, 2010 - endometrial biopsy
Clinical Information: polycystic ovary syndrome. Endometrium thickness increased.
Clinical Diagnosis: polycystic ovary syndrome. Thick endometrium.
Specimen: Endometrium
Gross Description: The specimen is received in formalin in one container labelled with patients name. It consists of fragments of pinkish grayish tissue with blood clots measuring 2.5 x 1.2 x 0.3 cm in aggregate. Submitted in toto in one cassette.
Diagnosis: Endometrium Biopsy - Proliferative-type endometrium, slightly disorganized, with breakthrough bleeding
CODE 1

November 6, 2010- bloodwork (CD21)
1.0 mcg synthroid, +/- 150 mg iron supplements, 1500 mg metformin, b/c pills for cyst

Progesterone -- 1.0 (LOW for Luteal phase; 5.3-86.0)


October 20, 2010 - bloodwork (CD 3; Fasting since 11 p.m. night previous)
1.0 mcg synthroid, +/- 150 mg iron supplements


Fasting Glucose -- 5.5 (3.6-6.0)
TSH -- 1.19 (needs to be under 2.5)
Free T3 -- 4.4 (2.6-5.7)
Free T4 -- 16 (12-22)
Iron (Ferritin) -- 29 (LOW: 12-30 = depleted iron stores; currently taking iron supplements but anemia is still present)
FSH (may be affected by the cyst) --4.0 (4-13)
LH -- 1.0 (LOW for Follicular phase; 2-13 = normal)
Estradiol (aka E2) -- 489 (aka 113 in US measures) (46-607, somewhat HIGH for follicular; could be the presence of the functional cyst that is causing the high E2 levels)
Prolactin -- 7.0 (less than 24)
Progesterone -- 1.1 (0.6 - 4.7)
Free Testosterone -- 2.1 ((ND - 7.0)
Testosterone -- 0.6 (less than 2.0)
DHEAS -- 4.1 (1.65-9.15)
HIV -- negative
Hemoglobin -- 137 (115-155)
Hematocrit -- 0.4 (0.3-0.45)
RBC -- 4.64 (3.6-5.01)
RBC indices MCV -- 87 (80-99)
RBC indices MCH -- 30 (27-32)
RBC indices MCHC -- 339 (320-360)
RDW -- 12.9 (11.5-15.5)
WBC -- 8.9 (4.0-11.0)
Platelets -- 223 (145-400)
MPV -- 8.3 (7.4-11.3)
Differential WBC's Neutrophils -- 5.79 (1.8-7.0)
Differential WBC's Lymphocytes -- 2.31 (1.0-3.2)
Differential WBC's Monocytes -- 0.53 (0.0-0.8)
Differential WBC's Basophils -- 0.09 (0.0-0.2)
Blood group and RH Factor -- A positive
Rheumatoid Factor -- less than 20 (less than 20)
HIV1/HIV2 screen -- Negative (non-reactive)
HIV Final Interpretation -- No HIV1/HIV2 antibodies detected
Hep B Surface Antigen -- Non-reactive
Hep B Surface Antibody -- Non-reactive
Hep B Core Total (IgG+IgM) Antibody -- Non-reactive
Hep B Virus interpretation -- No evidence of Hep B infection; No evidence of immunity to Hep B Infection
Hep C Antibody -- Non-reactive
Hep C Virus Interpretation -- No evidence of antibody
Rubella IgG -- Reactive
Rubella Interpretation -- Evidence of past infection/vaccination; evidence of immunity.
Rubella (immunity) -- Reactive; evidence of immunity







August 18, 2010 - bloodwork (Fasting since 10 p.m. night previous)
1.0 mcg synthroid, anti-inflammatory for heel bursitis (to run out in five days)

Fasting Glucose -- NOT DONE (grrr!)
TSH -- 1.5
CK -- 116 (less than 190)
ALT -- 29 (less than 36)
Lipid Assessment
Cholesterol -- 4.27 (less than 5.2)
HDL-C -- 1.4 (>1.3)
Triglycerides -- 2.04 (less than 2.3)
LDL-C -- 1.93
Cholesterol/HDL-C ratio -- 3.1 (Low Risk less than 10%)
Vitamin B12 -- 272 (>220)
Ferritin -- 25 (DEPLETED IRON STORES, doctor recommended 300 mg iron supplement daily; -12 iron deficient, 12-30 Depleted, 31-79 Reduced, 80-300 Normal, 300+ Overload)
CBC
Hemoglobin -- 128 (115-155)
Hematocrit -- 0.38 (0.33-0.45)
RBC -- 4.3 (3.6-5.01)
RBC indices: MCV -- 88 (80-99)
MCH -- 30 (27-32)
HCHC -- 338 (320-360)
RDW -- 13.1 (11.5-15.5)
WBC -- 7.0 (4.0-11.0)
Platelets -- 169 (145-400)
MPV -- 8.9 (7.4-11.3)
Neutrophils -- 4.2 (1.8-7.0)
Lymphocytes -- 2.03 (1.0-3.2)
Monocytes -- 0.35 (0.0-0.8)
Eosinophils -- 0.35 (0.0-0.4)
Basophils -- 0.07 (0.0-0.2)
Free T3 -- 5.4 (2.6-5.7)
Free T4 -- 15 (12-22)

March 17, 2010 - bloodwork
0.75 mcg synthroid only

Glucose - 5.1 (3.6 - 6.0=normal)
Hemoglobin A1C - 0.054 (non-diabetic = 0.040-0.060)
TSH - 2.3 (0.35-5.0 = normal; I subsequently asked to increase synthroid to 1.0 as I wasn't feeling quite right)
LD - 142 (110-215 = normal)
CK - 62 (less than 190 = normal)
ALT - 16 (less than 36 = normal)
Alk Phosphatase - 3 (33-122=normal)
Hemoglobin - 131 (115-155 = normal)
Hematocrit - 0.38 (0.33-0.45 = normal)
RBC - 4.42 (3.6-5.01 = normal)
RBC indices
MCV - 86 (80-99 = normal)
MCH - 30 (37-32 = normal)
MCHC - 343 (320-360 = normal)
RDW - 13.4 (11.5-15.5 = normal)
WBC - 8.1 (4.0-11.0 = normal)
Platelets - 166 (145-400 = normal)
MPV - 8.4 (7.4-11.3 = normal)
Differential WBCs
Neutrophils - 5.02 (1.8-7.0 = normal)
Lymphocytes - 2.27 (1.0-3.2 = normal)
Monocytes - 0.49 (0.0-0.8 = normal)
Eosinophils - 0.24 (0.0-0.4 = normal)
Basophils - 0.08 (0.0-0.2 = normal)
Lipid Assessment - NOT DONE
Cholesterol
HDL-C
Triglycerides
LDL-C
Chol/HDL-C ratio


August 20, 2009 G (Dr. Black) 39 weeksHeartrate 140s
My weight +1.5 lbs (+9.5 lbs total)
Blood pressure = 136/76
Protein/Glucose = negative
Petit's head is still far down against my cervix and still engaged
Cervix is "far forward" and dilated a fingertip; stripping of the membranes offered but I declined

August 13, 2009 G (Dr. Black) 38 weeks
Group B strep treatment = 3 x 500 penicillin per day until labour; 1 every four hours during labour
Heartrate = 148
My weight = +3 lbs (+8 lbs total)
Blood pressure = 136/78
Protein/Glucose = negative
Petit's head is far down and engaged (based on abdominal palpitation)

August 6, 2009 G (Dr. Black)
Group B strep = POSITIVE (argh!!! How to avoid the IV?!)
Heartrate = 150s
My weight = -2 lbs (+5 lbs total)
Blood pressure = 130/86
Protein/Glucose = negative
Ultrasound:
Petit was moving and the tech said the baby is obviously "happy" with all the movement he/she does. In the last 24 hours, Petit's movements have decreased but I'm still counting and so far, all is good.
Petit's estimated weight = 5 lbs 14 oz(low normal range)
Petit's head circumference = 32.1 cms
Petit's head is engaged and very low
Petit's abdominal circumference = 32 cms
Amniotic fluid normal
Femur length = 6.6 cms
Score 8/8
Gestational age = 37.3 weeks

July 30, 2009 G (appt. with Dr. Newton)
(Dr. Black on vacation)
Group B strep taken
Heartrate = 144
My weight = +4 lbs (+7 lbs total)
Blood Pressure = 136/80
Protein/Glucose = negative

July 22, 2009 G (appt. with Dr. Rousseau)
Heartrate = 144
My weight = +3 lbs (+3 lbs gained total)
Blood Pressure = 136/84
No protein or glucose in my urine
Measuring (as usual) 4 weeks ahead at 39 cms.

July 9, 2009 G (ultrasound and then appt. with Dr. Black)
Heartrate = 152
My weight = down 7 lbs (0 lbs gained/lost over the pregnancy)
Blood Pressure = 136/74
No protein or glucose in my urine
Ultrasound:
Petit was moving as usual. Cyst on the outside of the uterus on the right side, measuring 8x6 cms. Fibroid no longer visible.
Cervix length = 3.5 cms
Petit's estimated weight = 4.7 lbs
Petit's head circumference = 30 cms (10 front to back, 8 side to side)
Petit's head is low, near the cervix
Petit's abdominal circumference = 29 cms
Amniotic fluid is high, within the range of normal
Femur length = 6.2 cms
Score 8/8
Gestational age = 33.3 weeks


June 26, 2009 G (with Dr. Haebe)
Heartrate is good, in the 140s range (listened on the doppler)
My weight = up 6.5 lbs (+7 lbs total over the pregnancy)
Blood Pressure = 138/78 (normal for me)
some trace protein in my urine, attributed to the cold, sinus infection and pinkeye infection endured over the last week

June 11, 2009 G
Heartrate is good, in the 150s range (listened on the doppler)
My weight = up 2.0 lbs. (+0.5 lbs total over the pregnancy)
Blood Pressure = 130/82

May 28, 2009 G
Heartrate is good, no rate given (listened on the doppler)
My weight = down 4.5 lbs. (-1.5 lbs total over the pregnancy)

May 12, 2009 G
Blood sugars as measured by sister in West Virginia with glucometer
Fasting = 80
2 hours post-prandial = 96
*Sis asked that numbers be below 100.

May 6, 2009 G
Bloodwork after fasting; taking prenatal vitamin, 0.75 synthroid, 3x500 metformin, docusate sodium, low-dose aspirin, 1000 mg Vitamin D
Glucose serum (fasting) - 4.7 (3.6-6.0)
TSH - 1.32 (under 2.5 is needed for pregnancy)
T4 free - 10 (10-20)
Free T3 - 4.5 (2.6-5.7)
Hemoglobin A1C - 0.048 *The presence of HB S or C may interfere with the results of this assay.
Hemoglobin - 120 (115-155)
Hematocrit - 0.35 (0.33-0.45)
RBC - 3.94 (3.6-5.01)
RDW - 13.3 (11.5-15.5)
WBC - 10 (4.0-11.0)
Platelets - 172 (145-400)
MPV - 8.2 (7.4-11.3)
Differential WBCs:
Neutrophils - 7.9 (1.8-7.0) HIGH *frequent with p/g women
Lymphocytes - 1.3 (1.0-3.2)
Monocytes - 0.6 (0.0-0.8)
Eosinophils - 0.10 (0.0-0.40)
Basophils - 0.10 (0.0-0.20)
RBC indices:
MCV - 89.7 (80-99)
MCH - 30.4 (27-32)
MCHC - 339 (320-360)

May 1, 2009 G (23 wks 3 days; Petit measuring 23 wks 2 days)
BP = 135/85
Weight = -1 lb (+3 total)
Petit's Heartrate 146
Cervix Length = 3.5 cm
Small cyst on the brain; usually a soft marker for Down Syndrome but after the amnio, we know it's no problem. This is common and frequently disappears before birth.
Got some great shots of the face; we can see cheeks and a chin now! And it looks to me like Petit is gonna be wearing PINK although I can't be 100% sure.
Petit moved, flipped, got a great profile and side view. Felt lots of movement. Tech says the baby is just gorgeous!

April 9, 2009 G (20 wks 3 days)
BP = 138/78 (first was 140/80)
Weight = +2.4 (+4 total)
Petit's Heartrate = 154
Petit was moving, punching, kicking but wouldn't flip for the spinal measurement; another ultrasound is scheduled for May 1)

March 7, 2009 G (15 wks 4 days)
AFP level = 10.9 ug/L (0.54 MoM... **LOW**)
uE3level = 2.47 nmol/L (1.02 MoM... normal)
Total hCG level = 28.7 kiu/L (1.45 MoM... **HIGH**)
NT measurement = 1.7 mm (1.06 MoM... normal)
PAPP-A level = 0.38 iu/L (0.39 MoM... **LOW**)

Risk of Down Syndrome = 1:75
Amniocentesis scheduled for Tuesday, March 17, 2009
*High hCG could be because of IVF.
*TSH is not regulated at the moment; it's high at 3.3.
*OGTT not yet done.

March 5, 2009 G (15 wks 2 days)
BP = 138/78
Weight = +1.5
Easy to hear heart on fetal doppler

February 18, 2009 G (13 wks 2 days; IPS testing, Part 1)
Crown to rump = 7.08 cms
Heartrate = 154 bpm
Moving, wriggling, flipping; I could see fingers and the spine, the nasal bridge as well as major bones, the brain and a number of facial structures.
NT = 1.7 mm (excellent; low-risk)

same day, blood work
TSH - 3.33 (0.35-5.0)
T4 Free - 12.0 (10-20)
Free T3 -insufficient sample!
Hemoglobin -129 (115-155)
Hematocrit - 0.37 (0.33-0.45)
Red blood cell - 4.19 (3.6-5.01)
RBC indices
-- MCV - 88.3 (80-99)
-- MCH - 30.7 (27-32)
-- MCHC - 348 (320-360)
RDW - 13.9 (11.5-15.5)
WBC - 11.6 (4.0-11) **HIGH**Platelets - 225 (145-400)
MPV - 7.7 (7.4-11.3)
Differential WBCs
-- Neutrophils - 8.35 (1.80-7.0) **HIGH**-- Lymphocytes - 2.44 (1.0-3.2)
-- Monocytes - 0.46 (0.0-0.8)
-- Eosinophils - 0.23 (0.0-0.4)
-- Basophils - 0.0 (0.0-0,2)
HIV screen - non reactive HIV 1 & 2; no antibodies detected
Hep B - non reactive Hep B; no detectable Hep B surface antigen
Rubella IGG - Reactive Rubella; evidence of past infection/vaccination. Evidence of immunity.
T.palladium (IgG/IgM) - non reactive
Syphilis - Negative Syphilis; no serological evidence of current or past infection.

February 6, 2009 G (IPS testing, Part 1)
Crown to rump = 4.29 cms (needs to be 4.5 cms min to do the test; postponed)
Heartrate = 171 bpm
Moving legs and arms

February 5, 2009 G (Dr. Black, OB/GYN)
BP = 136/80
Weight = + 3 (+1.5 from original weight; first time with digital scale)
No ultrasound

February 4, 2009 G (Dr. B's)
BP = 128/80
Weight = -1.5
Crown to rump = 4.08 cms
Heartrate 168= bpm
Bouncing up and down!

January 20, 2009 G (Dr. B's)
BP = 134/82
Weight = maintained
Crown to rump = 2.05 cms (8 wks 4 days +/- 4 days)
Heartrate = 164 bpm
Recommended 3 weeks stress leave (3 days taken)

Bloodwork:
Glucose Serum Random - 4.0 (3.6-7.0)
Ferritin - 41 (31-79= reduced iron stores, 80-300=normal iron stores)
T4 Free - 13 (10-20)
Free T3 - 4.1 (2.6-5.7)
Hemoglobin - 135 (115-155)
Hematocrit - 0.39 (0.33-0.45)
RBC - 4.43 (3.60-5.01)
RBC indices: MCV - 88.6 (80-99)
RBC indices: MCH - 30.5 (27-32)
RBC indices: MCHC - 344 (320-360)
RDW - 14.1 (11.5-15.5)
WBC - 13.1 (4.0-11.0) **HIGH**
Platelets - 264 (145-400)
MPV - 8.3 (7.4-11.3)
Differential WBCs: Neutrophils - 9.69 (1.8-7.0) **HIGH**
Differential WBCs: Lymphocytes - 2.49 (1.0-3.2)
Differential WBCs: Monocytes - 0.66 (0.0-0.8)
Differential WBCs: Eosinophils - 0.26 (0.0-0.4)
Differential WBCs: Basophils - 0.0 (0.0-0.2)
Folate, RBC - >3000 (>775)
MISSING TSH!!!

January 16, 2009 G (Dr. F, family doc)
BP = 122/76
Recommended 2 weeks stress leave

January 13, 2009 G (ultrasound clinic)
Heartrate = 175 bpm
Only one embryo (VTS?)

January 5, 2009 G (Dr. B's)
BP = 130/90
Weight = initial weight taken
Heartbeat visible; possibly two embryos!

December 22, 2008 G
17dp3dt; synthroid (50), metformin (1500), prenatal vitamins, low-dose aspirin, B6/12 + folic acid complex, estrace, PIO injection, folic acid 5mg
Beta HCG - 355 (still p/g), doubling time of 55.92 hours


December 18, 2008 G
13dp3dt; synthroid (50), metformin (1500), prenatal vitamins, low-dose aspirin, B6/12 + folic acid complex, estrace, PIO injection, folic acid 5mg
Beta HCG - 108 (p/g!!!)


August 29, 2008 G
CD7; synthroid (50), metformin (1500)
TSH - 1.74 (0.30-4.70) Recommended for P/G is under 2.5
T4 Free - 13.4 (9.1-23.8)
T3 Free - 4.6 (2.5-5.7)
Cholesterol (Random) - N/A


August 27, 2008 G
CD5; synthroid (50), metformin (1500)
Blood pressure - 114/92


May 7, 2008 G
CD23; synthroid (50)
TSH - 2.0 (0.30-4.70)
T4 Free - 13.5 (9.1-23.8)
T3 Free - 3.0 (2.5-5.7)


March 25, 2008 G
CD5; synthroid (25), 12-hr fasting
Insulin Fasting - 180 (40-190)
Insulin 2 hour - 1290 (120-1240) **HIGH**
Glucose Tolerance Fasting - 5.0 (3.6-6.0 normal; 6.1-6.9 impaired; >6.9 possible diabetes mellitus)
Glucose Tolerance 2 hour - 7.7 (3.6-7.7 normal; 7.8-11.0 impaired; >11.0 possible diabetes mellitus)
APTT - 34 (26-37)
INR - 1.0 (0.9-1.3)
Homocysteine - 9 (5-15)
Anti dsDNA - 5.0 (0-19.9 negative)
Antinuclear AB (ANA) - 1:40 (**POSITIVE**); Titre - 1:40, Pattern - homogeneous, speckled
Anti-Thyroid peroxidase - negative
Anti-Thyroglobulin - negative
Lupus anticoagulant - negative
Russell Viper Venom - negative
Protein S Free - 1.04 (>0.40)
Protein C Function - 1.35 (0.75-1.60)
Act. Prot. C Resist. Ratio - 2.8 (2.3-3.6)




March 24, 2008 G
CD4; synthroid (25 mg)
TSH - 3.24 (0.3-4.7)
T4 Free - 14.0 (9.1-23.8)
T3 Free - 1.3 (2.5-5.7)
LH Serum - 1.3 (follicular = 2.4-6.6) **LOW**
FSH Serum - 4.4 (follicular = 3.0-22.0)
Testosterone 1.9 (adult female = 0.3-4.0)
Estadiol - 181 (follicular = 0-921)
Prolactin 7.6 (3.3-26.7)


January 25, 2008 G
synthroid started later that day... (25 mg)
TSH - 2.95
T3 Free - 4.0


January 8, 2008 G
Thyroglobulin AB - negative
Microsomal AB - negative
TSH - 5.02 **HIGH**
T4 Free - 11.2


September 12, 2007 G
HIV 1/2 - nonreactive
HIV1 & HIV2 - no antibodies detected
HTLVI & HTLVII - no antibodies detected
Varicella-Zoster IgG EIA - reactive (evidence of past infection/vaccination; evidence of immunity)


March 26, 2007 G
CD23, luteal phase
TSH - 3.82 (0.30-4.70)
T4 Free - 11.2 (9.1-23.8)
Insulin Random 117 (30-1980)
T3 Free - 4.0 (2.5-5.7)
Vitamin B12 - 235 (>131)
RBC Folate - 1516 (>372)
Ferritin - 28 (13-145)
LH Serum - 1.1 (0.9-9.3) **LOW**
FSH Serum - 2.0 (1.0-14.0)
Free Testosterone - 6.8 (<9)>

March 6, 2007 G
CD3, follicular
LH Serum - 1.4 (follicular 2.4-6.6) **LOW**
FSH Serum - 4.8 (3.0-22.0)
Estradiol - 232 (0-921)


April 20, 2004 G
Syphilis Reagin Screen - non reactive, negative


April 17, 2004 G
Free Testosterone - 4.0


March 9, 2004 G
CERVIX CULTURE: No neisseria gonorrhoeae isolated. G.C. Culture reincubated for 24 hours. Further report to follow only if positive.
MYCO/UREAPLASMA GEN CULT: No mycoplasma isolated. No ureaplasma isolated.
CHLAMYDIA URO-GEN SWAB: Negative for Chlamydia trachomatis by Nucleic Acid DNA probe Hybridization.


March 5, 2004 G
HSG
Contrast was introduced into the uterus which showed normal appearances. There was good filling of both fallopian tubes with bilateral peritoneal spill indicating bilateral tubal patency.
CONCLUSION: Normal examination.

~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*


September 12, 2007 D
HIV 1/2 - nonreactive
HIV1 & HIV2 - no antibodies detected
HTLVI & HTLVII - no antibodies detected


September 13, 2007 D
HEP B Antigen - negative
HEP C AB - negative


July 5, 2007 D
Semenanalysis
Colour: Normal
Viscosity: Normal
Sperm count: 0
Viability: N/A
Fructose: Present (Absence of fructose in seminal fluid indicates bilateral absence of the vas deferens and/or seminal vesicles or an obstruction fot he vas deferens distal to the seminal vesicles.)
No spermatozoa noted in the seminal fluid.




Doctors
Urologists
--Dr. Peter Chan (McGill), March 31, 2008: intends to do aspiration near the head of the testes rather than in the vas, 99.9% plus positive that we can use hubby's sperm with no trouble at all. Hubby's testosterone is a little low but won't affect the sperm.
--Dr. Stuart Oake (Riverside), November 2006: reiterated that a second attempt at reversal would likely not work because vas is too short and can feel some scar tissue
--Dr. Collins (Ottawa), October 23, 2003: performed vasectomy reversal. Failed.

OB/Gyns
--Dr. Doug Black (Appletree Medical on Bank), Fall 2005-Spring 2006: agreed to remove cyst via laporoscopy, cyst removed April 2006.
--Dr. Beshara, Fall 2005: refused to do laparoscopy to remove ovarian cyst (right side 5x5 cm)

Bariatric Surgery
-- Dr. J.-D. Yelle (Ottawa Weight Management Centre), February 2014

REs
--Dr. Arthur Leader (Ottawa Fertility Centre), March 2008
--Dr. Seong Tan (McGill), February 2008
--Dr. Norman Barwin (Ottawa, February 2004)

Other
--Dr. Patricia Gervaize (Ottawa Fertility Centre), Infertility Psychologist, May 2008

GP
--Dr. Nicolette Fellegi (Greenboro Medical Centre) 

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