Barbara Buckley, NP

 

  lab results

I want all of my patients to have a file of their lab results, either a paper copy or a digital file. Please keep good medical files on yourself!!

  • I am so happy that our new website at www.grapevineob.com now has your lab results online. Our new electronic medical records system communicates directly with both Quest Diagnostics and Labcorp for immediate delivery of your test results. Saliva results from ZRT will still arrive via fax to me. Read the instructions below to learn about our new website. It is very easy to master, and greatly decreases the time it takes to get your lab results to you. Once you see your lab results, feel free to call for me quick questions. Any lengthy discussions should be done at an appointment, as I have very limited phone time. If I email you a message about your lab results, you will find that in your Inbox under Contact our Office.

    You must log on to our website at www.grapevineob.com with your user name and password. Your user name is the email address we have on file, and your password has to be generated by our system and emailed to you by our office staff.

     Once you log in with your user name and password, on the left hand side you will see four options, My Health Record, Make an Appointment, Contact our Office and Log Out. Under My Health Record, please complete all the information under each tab. My Personal Information, My Contact Information, My Provider, My Medications, My Pharmacy (list both local and mail order pharmacies here), My Medical History, and My Social History. You can skip My Insurance, we'll enter that for you. My Test Results is where your labs will be when they are ready. My Account Information allows you to change your user name and password. My Information Printout is a great summary of all this information that you could use to share your medical information with other offices.

    Under Contact Our Office you will find your Inbox where the office can send you secure messages. Refill is where you can send a refill request to our office. Billing is where you can send our billing department a message. Clinical is where you can send a clinical question to the nurse, but most of the nurses prefer voicemails. And Question should be used for general office questions like hours, directions and holiday schedule.

 

Interpreting your lab results is a challenging task. I'm going to give you some information below to help guide you through where your lab results should be, and things you can do to improve your lab results. 

  interpreting your lab results

Total Cholesterol <200 Cholesterol is a fatty substance your body uses to build cells and make hormones. Too much can build up along the vessel walls and form a plaque. Exercise, B vitamins, fiber and omega fatty acids are important in cholesterol reduction. Numerous studies show that lifestyle changes such as exercise, smoking cessation, weight loss and following a healthy diet can reduce cholesterol levels and thus the risk of heart disease.

HDL (Good Cholesterol) >40 HDL (high-density lipoprotein) cholesterol helps remove fat from the body by binding with it in the bloodstream and carrying it back to the liver for disposal. A high level of HDL cholesterol may lower your chances of developing heart disease or stroke. Cruciferous vegetables, fiber, calcium and omega fatty acids can help raise your HDL. Avoiding carbohydrates, transfats and smoking also help boost HDL.

LDL (Bad Cholesterol) <130 LDL (low-density lipoprotein) cholesterol carries mostly fat and only a small amount of protein from the liver to the other parts of the body. A high LDL cholesterol level may increase your chances of developing heart disease. Exercise, B vitamins, fiber and eating more chicken, fish and turkey instead of red meat can lower your LDL. Latest research suggest that cholesterol lowering foods such as avocados, almonds, olive oil, soy beans, garlic, shiitake mushrooms, chili peppers, oat bran, beans (kidney, pintos, black, navy, ect), onions, fatty fish, and flax seed play a crucial role in lowering LDL and sometimes raising HDL levels.

Triglycerides < 150 Triglycerides are a type of fat the body uses to store energy. Only small amounts are found in the blood. Having a high triglyceride level along with a high LDL cholesterol may increase your chances of having heart disease more than having only a high LDL cholesterol level. Exercise, B vitamins, fiber, omega fatty acids can lower your triglycerides. Reducing red meat intake, sweets, carbohydrates, and alcohol consumption can also lower triglycerides.

Thyroid (TSH) .3-3.0 Thyroid stimulating hormone, a pituitary hormone, signals the thyroid, a gland that produces hormones that regulate metabolism, to produce T4 (Thyroxine) which converts to active T3 (triiodothyronine). Your thyroid needs iron, selenium, copper, zinc, and iodine to function correctly, as well as vitamins B & C.

Glucose (blood sugar) <100 fasting Glucose, a type of sugar, is the main source of energy used by the body. Higher glucose levels can be a sign of diabetes. Always eat natural sugars with protein to aid in sugar metabolism. Use plant based sweeteners such as Stevia and Xylitol to sweeten your foods, or organic raw sugar, honey, agave syrup, brown rice syrup. Avoid refined sugar and artificial sugars such as Equal, Splenda, Nutrasweet.

Insulin - used in conjunction with blood glucose levels to look for insulin resistance, diabetes, or hypoglycemia.

Cardio CRP - C reactive protein is a protein produced by the liver in response to inflammation in the body. It can be useful to predict risk of cardiovascular disease.

Complete Blood Count (CBC) A CBC gives important information about the kinds and numbers of cells in the body, especially red blood cells, white blood cells, and platelets. It helps diagnose anemia, infections and other disorders.

Ferritin 30-150 Ferritin is an iron storage protein, the iron you have stored away for future uses. Low levels lead to anemia, and greatly affects thyroid function. Eat iron rich foods or supplements every day.

Vitamin D > 30, 60 ideal Vitamin D is actually a pro-hormone that helps prevent cancer, heart disease and osteoporosis, lowers blood pressure and prevents SAD (seasonal affect disorder). You can get from sunlight (30 minutes a day without sunscreen to arms and legs, or from salmon, tuna, fortified milk and orange juice or supplements. Vitamin D 1000-2000 IU will maintain normal levels, but if you are low, you will need more to boost up with higher doses for about 6 months, such as a prescription strength dose of 50,000IU weekly, then maintain with 1000-2000 IU a day.

 What's Your Number?

In medicine, we tend to focus a lot on numbers, but i think our priority of numbers is off. Below is a general list of your most important numbers, Keep this in mind as you evaluate your lab results, I do.

  #1 Your Weight

Your single most important number is probably your weight. People with normal weight usually have normal blood pressure, normal blood sugar, normal cholesterol....Of course, there are always exceptions, some thin people have high blood pressure, but that is more the exception than the rule. Our weight should be our number one focus, and the rest of our numbers will usually follow to be normal. The Eat Clean Diet or Dr Oz diet is a great way to have a healthy eating routine, it is basically the best pre-diabetes or diabetic diet I've seen, and would help you naturally lower your cholesterol.

  #2 Your Blood Pressure

 More focus needs to be paid on having regular blood pressure checks and keeping blood pressure in the normal range. The old 120/80 normal is now 115/75. The reason for this is elevated blood pressure causes microscopic damage to the lining of your blood vessels. This damage leads to inflammation and gives floating cholesterol and triglycerides something to stick to, resulting in a blockage, causing a heart attack, stroke or sudden death.

  #3 Your thyroid hormone

For most people the next most important number is probably your thyroid hormone levels. I say this because your thyroid is a gland that is like the master computer chip to your entire body, if it is not functioning properly, your sugar can be elevated, your cholesterol can be elevated, you'll gain weight, or have difficult losing weight, you'll be tired. It affects so many different things, that is probably the next most important value for your overall health and well being.

  #4 your female hormones

Adequate levels of estrogen, progesterone and testosterone are critical for fertility, cycle control, and symptom control throughout your entire life. As your hormones decrease with age, these lowering values tend to cause a lot of symptoms in women. Like your thyroid, when the hormones are not in appropriate balance, your sugar can be elevated, your cholesterol can be elevated, your blood pressure can be elevated, you can feel tired, have difficulty sleeping, have hot flashes, night sweats,,,the list is endless. Testing your hormones and keeping them in balance to each other is very important to overall health and well being.

  #5 your cholesterol panel

Don't tell the makers of Lipitor and Zocor, but I really think there has been an overemphasis on our cholesterol numbers. Firstly. most cholesterol and triglyceride levels can be decreased with diet, exercise, and adding vitamins. Secondly, the importance of having lower cholesterol numbers really falls into a group of people with other risk factors, like diabetes, obesity, and high blood pressure. If you are in that group, then your cholesterol values are probably the second or third most important numbers to your health. But a majority of women have fairly normal weight, normal blood pressure and normal blood sugars, so we need to retrain ourselves to focus on our weight and normal thyroid and hormone balance, and the cholesterol values will usually fix themselves without medication. Remember, I said most, there is a part of the population that has genetic high cholesterol, but that is the exception, not the rule. Remember, don't tell the makers of Lipitor; they have a lot to lose if you eat oatmeal, exercise, take fiber, and B vitamins everyday and keep your thyroid and female hormones in balance.