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Author Topic: Itemized Statement for Labs  (Read 1147 times)

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Offline Oceanbeach

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Itemized Statement for Labs
« on: December 24, 2010, 05:57:14 PM »
I had mentioned earlier the first set of labs from my new medical service provider was the most thorough I have seen in 16 years of blood draws.  They took 8 vials and urine.  The statement came in today's mail.  There were 28 charges ranging from $54.21 for Cholesterol Serum Total to $1063.00 for HIV 1 RNA by BDNA bring the total to $4414.26 with no share of cost, the forms were marked "Routine Labs."

Doctor called recently because he was concerned my VL had gone from undetectable to 200.  I have had about 1 blip per year since 1998 and usually in November and these labs were in November.  He is ordering another set of labs when we have our follow-up appointment in January and asked I make the appointment with him instead of another physician. 

I made the appointment in time to have a date at the Legion museum before the closing the Japanesque exhibit, which features the influences of Japanese print on western artists in the late 20th century.  Following appointments until June with  Picasso exhibit at the DeYoung are Pat Steir: After Hokosai, After Hiroshige with the focus on Japanese print in the era of impressionism, and the Reclaimed old masters paintings from the collection of Jacques Goudstikker.  Mr. Goudstikker was a prominent art dealer/collector in Amsterdam who was killed during his escape from the Nazis.  Most of his collection was returned in trust to the National Museum and his wife spent over 40 years reclaiming 200 more paintings to their private collection, which can be seen at the New Jewish Contemporary Museum on Market Street.

In October, Sonic Shadows which features sculpture which play music will end it's showing at SFMOMA.  That appointment day will end with a take-out dinner to be enjoyed at a pier built om wreckage from the 06 quake with many tombstones under water and tubs running through the pier which play music at high tide, these will compliment each other.  When I transferred my health care to San Francisco, my promise to myself was an afternoon of art.   ;D  Have the best day
Michael 

Offline eric48

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Re: Itemized Statement for Labs
« Reply #1 on: December 27, 2010, 05:13:55 PM »
I have had about 1 blip per year since 1998 and usually in November and these labs were in November. 


Hi just reflecting on this...

If he is correct Dr Siliciano believe that blips are due to dormant CD4 that are reactivated due to some other infection.

Also,  had been told that VL monitoring can be screwed if yo have a flue of flue vaccine.

The fact that you are having seasonal blips would be in line with the above...

Interesting

Cheers Eric 
NVP/ABC/3TC/... UD; CD4 > 1000; CD4/CD8 ~ 2.0   safety stock : 2 months

Offline leatherman

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Re: Itemized Statement for Labs
« Reply #2 on: December 27, 2010, 05:44:54 PM »
When I transferred my health care to San Francisco, my promise to myself was an afternoon of art.
Since there weren't too many museums in Hicks-burg Ohio, or here in Hicks-ville SC, I've always just treates myself to a bag of candy and a computer magazine after having blood drawn or seeing the doctor. LOL

at least you're consistent with the blips LOL although I'd be hard pressed to call a VL of 200 in my labwork a blip. I tend to think of blips more in the 1000+ range. ;) if paying for this test in Jan is a problem, do you have paperwork to prove this annual November blip? If so I'd use that to tell the doc not to bother with another test too soon. :D good luck with the next test whenever you decide to have it. And enjoy the art next time too. ;)

The fact that you are having seasonal blips would be in line with the above...
or seasonal bad results from lab techs enjoying the holiday season (too much turkey or partying LOL) too much. :D ;D Never rule out lab-error for a one-off odd test result ;)
leatherman (aka mIkIE)


chart from 1992-2013; updated 2/09/13  Reyataz/Norvir/Truvada

Offline Hoover

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Re: Itemized Statement for Labs
« Reply #3 on: December 27, 2010, 05:55:52 PM »
Does your receipt show the cost for CD4 and CD8?
I pay about $100 for both of them and wondered what normal cost was.

Hoover
Infection date: March 16, 2010
20/05/10 - CD4 348  VL 58,000  Lymph nodes in jaw painful!  Antioxidants started.
01/06/10 - CD4 428  VL?
24/06/10 - CD4 578  VL 9,800
13/07/10 - CD4 620  VL?
04/09/10 - CD4 648  VL?
01/11/10 - CD4 710  VL?   CD8 972
16/12/10    CD4 738  VL?  CD8  896   
02/02/11    CD4 520 (month of parasites and new lab)
14/03/11 started Truvida and Sustiva (Efavirenz)
04/07/11 CD4 686 VL 75 CD8 588  41%
10/10/11 CD4 757  45%  VL UD

Offline Oceanbeach

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Re: Itemized Statement for Labs
« Reply #4 on: December 27, 2010, 06:51:05 PM »
Does your receipt show the cost for CD4 and CD8?
I pay about $100 for both of them and wondered what normal cost was.

Hoover

My statement shows 1 charge for CD4 & CD8 at $451.00, you are getting a bargain in Costa Rica.  Here in California, mine is paid in full by Medicare.  Medicare is government insurance paid in advance by by the disabled and the elderly during their working years.  Medi-Cal is state aid for people with no assets and if there are any assets at time of death, they are the first in line to collect.  Except for 1 little detail, if a person on Medi-Cal dies owing any creditor, if that creditor sends a new bill after the death, the creditor claim is paid by the trustee ahead of the governmental agencies such as the internal revenue service   ;D  Have the best day
Michael

Offline Oceanbeach

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Re: Itemized Statement for Labs
« Reply #5 on: December 27, 2010, 07:20:34 PM »
Since there weren't too many museums in Hicks-burg Ohio, or here in Hicks-ville SC, I've always just treates myself to a bag of candy and a computer magazine after having blood drawn or seeing the doctor. LOL

We have no museums and only 1 movie theater here on the Russian River.  The movie house is one of those surplus WWII Quonset huts with seating resurrected from the great depression.  Not the great depression from the Reagan years, the other one from the 20th century.  I went there once.  7 bucks for a little bag of gummi bears?   ;D  Have the best day
Michael

Offline natthai

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  • The truth is not determined by majority vote.
Re: Itemized Statement for Labs
« Reply #6 on: December 28, 2010, 01:02:56 AM »
$1063.00 for HIV 1 RNA by BDNA

to clarify, is this a Viral load test like PCR?
Infection date: February 14, 2010 (yeah really)
08/03/2010 - CD4 621 (27%) VL 72,250
25/03/2010 - CD4 981 (28%) VL 122,719 <-started anti-oxidants (ABCDE, Se, ALA, NAC)
11/08/2010 - CD4 1,365 (31%) VL 5,451

Offline Matty the Damned

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Re: Itemized Statement for Labs
« Reply #7 on: December 28, 2010, 03:09:17 AM »
to clarify, is this a Viral load test like PCR?

Yus. Branch DNA is another method of counting VL.

MtD

Offline Oceanbeach

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  • Posts: 3,565
Re: Itemized Statement for Labs
« Reply #8 on: December 28, 2010, 08:20:33 PM »
Hicks-burg Ohio
or here in Hicks-ville SC

Mikie oh Mikie,

There I was thinking how unusual it would be for a person to live in two towns, with similar name in two states.   I bet they are both in the County of Metaphor   ;D  Have the best day
Michael

 


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