Keebler
Honored Contributor (25K+ posts)
Member # 12673
posted
- A little context would help.
Medical results? Testing? For you?
If testing, some kind of imagining such as a CT scan or MRI?
Images are the most likely to have "interpretative" narratives or explanation in writing.
Interpretive guidelines written on a medical scan report page are likely for medical staff who will write the narrative of the report for someone who will then read it, and not see the actual scan.
Most doctors don't see the actual scans. Although, now with computers, I think more doctors have access to more images. Still, they would not see the entire group that most radiologist would see - and they are the ones who interpret the pictures for the doctors to read.
Most often, a scan will not say "this says that" but will "interpret" and state something like "as seen in . . . " or "MAY indicate . . . "
That sort of language, with any guidelines that the radiologist might offer, are to "guide" the doctor in the specifics of that picture at that point in time.
A scan, the person who interprets the scan (usually radiologist) does NOT diagnose. With the interpretation from the radiologist, and with other key diagnostics, the doctor will diagnose.
My guess, anyway. Best to ask the person involved with your care about it, though. -
Posts: 48021 | From Tree House | Registered: Jul 2007
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Keebler
Honored Contributor (25K+ posts)
Member # 12673
posted
- Seems it might also have to do with insurance coverage but, that is just another guess. Tomorrow, you can call the office of the document you question. Just ask their receptionist if someone there can answer that question for you.
Some more clues can be found by a cross search at Google for both:
"MRI" "Interpretive Guidelines"
&
"CT scan" "Interpretive Guidelines" -
Posts: 48021 | From Tree House | Registered: Jul 2007
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posted
Sorry guys. I'm a nervous wreck. Esp after suffering so much this past month with every kidney failure symptom there is. I've been hit hard. Anyway while at my new home - the er the other day for severe back pain and complaining to doc I needed further testing bc something was seriously wrong she of course looked at me like I was crazy, ran a quick gfr, and left me more lifeless, traumatized, and pained than before.
I was so certain / am certain that I cried bc yet another doc who won't run a single test for me despite very abnormal results. (My eosinphils were 21 ....21! 2 weeks ago and a week later were at 1 percent, my lymphs at 15 and neutrophils near 90 (unrelated but yeah)
So yesterday via email from the hospital i found out she wound up running a much more detailed test. Possibly had a heart for a minute after watching me stumble out in tears telling her I'd go to see another doc for another opinion. I can't screen shot the results so here they are typed out word for word. I'm so worried
-------------------- Back At It Posts: 203 | From NJ | Registered: Feb 2015
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What do interpretive guidelines mean ?! Are those for me bc if so id be in renal failure, right?!
And why does it give a kidney damage measurement. I've never seen this before. Only gfr (this shows stage 2 from what I can tell) Please help. I am so scared. I tried researching exactly what it means bUT couldn't find or maybe just can't exactly understand as my brain is foggy and my mind is clouded with anxiety. Also there are 2 asterisks by both Egfr calculation which is scaring me even more.
-------------------- Back At It Posts: 203 | From NJ | Registered: Feb 2015
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TF
Frequent Contributor (5K+ posts)
Member # 14183
posted
"Interpretive Guidelines" just means how to interpret your test results.
It appears to me that your score on the eGFR (estimated glomular filtration rate) is 85. Is that correct?
If so, then you are normal.
To have chronic kidney disease (CKD) you would have to have a score of less than 60 over a 3 month period of testing.
These tests are estimates. When my husband was tested this way, it showed him in stage 3 kidney disease. So, his doctor sent him to a kidney specialist--and not just any old one either. This guy was the head of the department in a major teaching hospital.
He ordered a 24 hour urine test to get an accurate reading. (The eGFR is exactly that--an estimate). (We had to collect all of hubby's urine for a 24 hour period.)
The 24 hour urine test showed that my husband was normal.
So, to make their estimates from blood tests, they assume that you have an average amount of muscle and various other assumptions based on your age and weight. My husband had more muscle than the average guy his age and weight. That is how the eGFR ended up saying that he was in stage 3 Kidney Failure.
Meanwhile he is perfectly normal.
You really should take something for anxiety so that you can have a better quality of life. With lyme, many folks have horrendous anxiety. Until you get rid of the lyme and coinfections, an anti-anxiety medication can make all the difference in the world.
This is no way to live--no way. Please do something about the anxiety.
Posts: 9931 | From Maryland | Registered: Dec 2007
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posted
I already talked to others in kidney forums. There are 4 ways to determine kidney function, and the formula they used for this result was the best one. It's infallible.. and reads differently than others.
It puts me at stage 2 kidney disease which isn't even what I'm worried about because I know I had kidney issues and am seeing a nephrologist due to many many kidney issues.
I'm worried about kidney damage results which can be found in my urine from what I've heard. Basically The stuff found in my urine puts me at a reading of renal FAILURE.
BUT I have to of course wait and check with nephrologist when he's back from vacation on the 24th to be sure of what the 'damage' means
Thanks I do take anxiety meds
-------------------- Back At It Posts: 203 | From NJ | Registered: Feb 2015
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TF
Frequent Contributor (5K+ posts)
Member # 14183
posted
Tell us what the nephrologist says. That's what matters.
Once you do the 24 hour urine collection test, then you will know what is really going on. And, not before that. That is when they measure the stuff in your urine (creatinine) that tells how well your kidneys are working.
Posts: 9931 | From Maryland | Registered: Dec 2007
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posted
Could you tell us whether or not you are eating a diet heavy in oxalates? Very important to monitor oxalates if you are having kidney problems.
-------------------- --Lymetutu-- Opinions, not medical advice! Posts: 96223 | From Texas | Registered: Feb 2001
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Keebler
Honored Contributor (25K+ posts)
Member # 12673
posted
- Re: upcoming 24 hour urine collection test
As you've asked for herbal suggestions in another thread today, it's really important to not be taking anything other than exactly what your doctor has suggested.
[Well, probiotics MIGHT be fine - spaced apart from antibiotics and you do need that protection while taking antibiotics. If you stop the abx a day or two prior to the urine collection test, also stop the probiotics and start again after the test collection. You might ask about that - for the two days prior to the test, especially.]
Any kinds of herbs and some over the counter items, too, could interfere with the PICTURE of how your kidneys are doing mostly on their own. That's the baseline that you need right now. On their own, what's the story?
Of course, if you take any Rx each day for a certain medial diagnosis, you'd talk with the doctor first. Some Rx should not be stopped. -
Posts: 48021 | From Tree House | Registered: Jul 2007
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TF
Frequent Contributor (5K+ posts)
Member # 14183
posted
Keebler, HK never said she was going to have or has had a 24 hour urine collection test.
I am telling her that that is what a nephrologist ordered for my husband since the eGFR is NOT an accurate test.
My husband had an eGFR rate that was considered 3rd stage kidney failure but it turned out his kidneys were fine once a nephrologist ordered the 24 hour urine test which is the more accurate test.
From what I can gather, HK has normal results. But, she doesn't answer my question of what her score was. It appears her score was 85 which is fine.
If you recall, she has a serious infection in her mastoid bone. Such an infection can be life-threatening. See this thread:
And, in that thread she said she is not taking the Augmentin as prescribed because she is afraid of antibiotics. She evidently had some bad reaction in the past, but that is not clear.
Posts: 9931 | From Maryland | Registered: Dec 2007
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