Going in for labs - QUEST. The last 2 times they did not do the ultrasensitive test. Dr isn't happy
What do I ask for? I saw a lot of lab test numbers floating around - is there something I can do to make it idiot proof for them? Seems that they should able to read instructions - oviously not.
That is a very good question, to make test request idiot proof.
And we are dealing with best laboratory available.
Other are less or no transparent at all.
The system lends it self to screw ups.
Large part of request if not all is written on all kind of forms provided by Quest, each different.
I went thru three different forms before I got request that I went with to Quest.
Some tests are bundled so when checking a box with a name of some panel nobody really know for sure what is selected
We here discuss all kind of tests and while discussing them we discover that Quest is doing tests at lest three different ways while testing the same item.
At the moment I think we can divide tests into two groups
Testosterone and Estrogene testing
everything else
Use available form for everything else
Use doctor's script for Testosterone and Estrogene
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Tests at Quest can be done three different ways
1. The undesirable way, low sensitivity (do not know the name)(dialysis method???)
2. RIA, Radioimmunoassay
Radioimmunoassay - Wikipedia, the free encyclopedia
3. (LC/MS/MS) The newest and greatest
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Quest have a number of laboratories thru out USA.
Each laboratory have a list of tests that they do.
If nearest laboratory is not performing certain reaquest it can be send out to laboratory that is able to do it. Hence waiting time up to 3 or 4 weeks to complete some tests.
No easy way to look at the list, but get Test Menu:
Quest Diagnostics: Test Menu
Type (partial) name of test
use pulldown menu and select one of the laboratories
result will show available tests (most of the time).
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I think script should include request that only complete report should be send to a requesting doctor. That is, do not send partial reports.
I ended up with over 20 pages of gibberish that had to be decoded latter. Report that would normally fit on 2 or 3 loosely written pages.
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Quest have does bussiness in other countries;
Quest Diagnostics: International Facilities & Operations
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Use available form for everything else
Use doctor's script for Testosterone and Estrogene
Here is a list of estrogen and testosterone tests as done at three different Quest labs.
CA -San Juan Capistrano (Nichols Institute)(SJC)
NJ- Teterboro (QTE)
VA-Chantily (Nichols Institute) (AMD)
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CA -San Juan Capistrano (Nichols Institute) (SJC)
• ESTRADIOL & ESTRONE - (9299)
• Estradiol, Free, LC/MS/MS (36169X) - (41772N)
•
Estradiol, Ultrasensitive, LC/MS/MS (30289X) - (30289N)
• Estriol, Amniotic Fluid - (6568X)
• Estriol, Serum (34883X) - (22517P)
• Estrogen Receptor (ER), IHC with Interpretation (36160X) - (13011N)
• Estrogen Receptor (ER-IHC) with Photomicrograph (10736X) - (10736N)
• Estrogen, Total, Serum (439X) - (22541P)
• Estrogens, Fractionated, LC/MS/MS (36742X) - (5314N)
• Estrone Sulfate (37104X) - (153551P)
• Estrone, Amniotic Fluid - (15067X)
• Estrone, LC/MS/MS (23244X) - (22582P)
• FSH & ESTRADIOL - (85670N)
• Lepidoglyphus destructor (D71) IgE (2723X) - (61606N)
/=============================================================
• Dihydrotestosterone (204X) - (67751P)
• Dihydrotestosterone, Free, Serum (36168X) - (12997N)
• Testosterone, Free and Total, LC/MS/MS - (36170X)
•
Testosterone, Free, Bioavailable, and Total, LC/MS/MS - (14966X)
• Testosterone, Total - (873X)
• Testosterone, Total & Free and Sex Hormone Binding Globulin - (54502N)
• Testosterone, Total (Women and Children), LC/MS/MS - (15983X)
• Testosterone, Urine (874X) - (29892P)
/=============================================================
NJ- Teterboro (QTE)
• 17-OH-PROGESTRN RESP,ACTH - (17682X)
• COMPMETPNL/CBD/T3/ESTR/IGF-1/PROG/TESTOS/DHEA/PREG/TSH/T4/HCY - (P12450)
• ESTRADIOL - (22434R)
• ESTRADIOL,FREE,LC/MS/MS - (41772N)
• ESTRADIOL,ORAL HRT,RIA - (429T)
•
ESTRADIOL,ULTRA-SENSITIVE - (30289T)
• ESTRIOL,FREE - (22509W)
• ESTRIOL,SERUM - (22517P)
• ESTROGENS,FRACT,LC/MS/MS - (36742X)
• ESTROGENS,FRACT,LC/MS/MS - (5314F)
• ESTROGENS,TOTAL,SERUM - (22541P)
• ESTRONE SULFATE - (153551P)
• ESTRONE,LC/MS/MS - (22582P)
• IGF-I/SHBG/TESTOS T+F/DHEA/ESTRAD,EXTRAC/CBD - (P2213)
/=============================================================
• COMPMETPNL/CBD/T3/ESTR/IGF-1/PROG/TESTOS/DHEA/PREG/TSH/T4/HCY - (P12450)
• DIHYDROTESTOSTERONE - (67751P)
• FREE TESTOSTERONE(EIA) - (K57003)
• IGF-I/SHBG/TESTOS T+F/DHEA/ESTRAD,EXTRAC/CBD - (P2213)
• TESTOS/FSH/LH - (P435)
• TESTOSTERON,FR/TOT,LCMSMS - (36170X)
• TESTOSTERONE 3 TEST - (K40752)
• TESTOSTERONE,24HR URINE - (29892P)
•
TESTOSTERONE,FREE,BIO/TOT - (14966X)
• TESTOSTERONE,TOTAL - (29868W)
• TESTOSTERONE,TOTAL/FREE - (4960A)
• TESTOSTERONE,TOTAL/PROLACTIN - (P5555)
/=============================================================
VA-Chantily (Nichols Institute) (AMD)
• Apple (Malus sylvestris) IgG* [38257X] - (38257)
• Estradiol [4021X] - (3062)
• Estradiol, Free, LC/MS/MS [36169X] - (118162)
• Estradiol, Rapid [15577X] - (21882)
•
Estradiol, Ultrasensitive, LC/MS/MS [30289X] - (30289)
• Estriol [34883X] - (34883)
• Estrogen Receptor (ER), IHC without Interpretation [19197X] - (19197)
• Estrogens, Fractionated, LC/MS/MS [36742X] - (36742)
• Estrone & Estradiol, Serum - (70652)
• Estrone Sulfate [37104X] - (61772)
• Estrone, LC/MS/MS [23244X] - (1272)
• Total Estrogen [439X] - (28032)
/=============================================================
• DIHYDROTESTOSTERONE [204X] - (69962)
• Dihydrotestosterone, Free, Serum [36168X] - (36168)
• Testosterone [873X] - (4412)
• Testosterone, Free and Total, LC/MS/MS [36170X] - (15988)
•
Testosterone, Free,Bioavailable,and Total [14966X] - (15985)
• Testosterone, Total, (Women and Children) LC/MS/MS [15983X] - (15983)
• TESTOSTERONE, URINE [874X] - (15401)
• Total Testosterone,Baseline - (441500)
/=============================================================
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