I don't think the transplant doctor is the right person anymore. Maybe back a few years, post transplant, but now he just seems more interested in his next transplant patient and considers me a success for his next research paper.
I have no idea if he looked at the labs, but the nurse always just drops them in the mail to me and generally I get them done at NW, so they don't always have all the results when I see the doctor. Of course the only thing I asked about was my platelets, which were down 100k, from 250 to 140's back in Feb, so I was really wondering where they were. I was not too concerned, but with a 100k drop, after months in the 250's, I was alerted to the change. Platelets are good, at 246, so I never asked about anything else.
Regarding the lupus tests....another story there. I had tests run here and sent to NW, but there were some tests run at NW. When I went to NW, they said the lupus tests never arrived. Upon review of what was run here, I realized the nurse didn't even put the lupus tests on the script, so I think I assumed the labs would be run at NW. The only thing they collected at NW were the research tubes, but since I didn't have the script with me, I didn't know that the lupus tests were left off from the local labs. We all assumed they were just lagging behind. The nurse sent me the other labs and she called to remind me to ask about lupus tests, that's when I pulled the script and told her she did't order them from my local lab and since NW didn't do them either, seems they were not done. You'd think she would keep a copy of what she ordered from local labs and what was ordered at NW, but apparently not. She completely forgot to order the lupus labs, so she emailed me a script to get them done, but I have not had them done. So, with this over sight and no one actually looking at the 24 hour urine collection and see the high protein, I don't think follow up with them makes any sense. She's not the nurse I had during transplant and I don't think as good at the one I had during transplant and for the first year post transplant follow up. The other nurse would make a point to go over labs with me and she related better with the transplant doctor, pointing out what labs were and she would really interview me and relate that back to the doctor. I wonder if he's still working on the notion that the nurse will point these things out and then they would be addressed. I really miss the other nurse, because she would never have just dropped results in the mail, without good follow up.
I've got to go get the lupus tests, but I think I'd rather just have it ordered from my current treating rheumatologist, so I'm sure he gets results. If it's ordered from doctor at NW, my rheumatlogis won't get it unless I get it from NW and give it to him. I tried to get the lab results before I went to NW, but the lab said it was sent out and the results sent directly to NW and they didn't have them. I didn't want to push, because I had all the tests done at the same hospital Jim works at, so I don't want to be a huge pest. I figured I'd just wait until I see the doctor and get the results then. They also said it wouldn't go to my local treating doctors, since it was ordered by a NW doctor. I had initially pushed to get the tests done locally, because I figured all my local treating doctors would have easy access to them, but that was not the case, so it's just made it harder on me to get all the results. Crazy... But at least I'm in network and it won't cost me more. That was another reason why I wanted them locally.
My protein was 216mg - normal range is 0-140, so I'm clearly out of range, but what is too high and what is borderline, or of no real significance? The other urine protein test was at 12mg and normal is 0-12, so that's smack on borderline high. I think they don't get real concerned unless it's upwards of a gram, but not sure. I have noticed kind of a change in urine. It's kind of foamy and I know that's a sign of protein. I did notice that before the 24 hour urine test, but I guess I was just pretending it was nothing and I'd find out soon enough, but when nothing was said, I guess I just forgot. I was so focused on the dam hives and those symptoms which were making me nuts and I started on all those new drugs, so I didn't know if that has anything to do with it. .
I am so sick and tired of this crap... really I just want to pretend it's no big deal, but then there's that nagging in my brain.