Sunday, 10 October 2010 21:10

A conversation at the lab

Written by  Kamal Shah
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"I asked for 1,25 dihydroxy cholecalciferol. The invoice also says that. The report you gave me, however is for 25 hydroxy cholecalciferol."

"Hmmmm. Ok. Let me check."

(Calls someone.)

"Madam. There's a patient here. He says he asked for 1,25 dihydroxy cholecalciferol but we gave him the report for 25 hydroxy cholecalciferol. They are the same? Ok. I will let him know."

"No, no, one second, let me speak to her."

(hands over the phone to me)

"They are not the same ma'am. 1,25 dihydroxy cholecalciferol is the active form of Vitamin D3 while 25 hydroxy cholecalciferol is the inactive form. I want the level of the active form, not the inactive form."

"Hmmmm. But the bill said Vitamin D."

"Ma'am, I asked for 1,25 dihydroxy choilecalciferol and that is what the bill also says"

"Ok sir, please give me an hour and I will call you back"

This is the state of our labs. I paid a huge Rs. 2290 for this test and I wasn't going to accept a mistake someone else made. I asked for the correct test. I actually made the receptionist making the bill show me the monitor and made sure the correct test was chosen because I knew this could happen. And inspite of all this, I get a wrong test report!

For the last time, here is a summary of Vitamin D3:

25 hydroxy cholecalciferol is the inactive form of Vitamin D3. It is not of much use to the body. What the body needs is the active form - 1,25 dihydroxy cholecalciferol. 25 hydroxy cholecalciferol is what we get from our food and sunlight etc. The kidney converts this inactive form to the active form - 1,25 dihydroxy cholecalciferol. This is the form that is useful in our body. This is what absorbs Calcium from our guts into the blood. In people with impaired renal function, obviously, the active form will be less because the inactive form is not being converted into the active form. So, people with kidney disease need to take a supplement of the active form.

... http://www.kamaldshah.com/2010/10/conversation-at-lab.html

Kamal Shah

Kamal Shah

Hello, I'm Kamal from Hyderabad, India. I have been on dialysis for the last 13 years, six of them on PD, the rest on hemo. I have been on daily nocturnal home hemodialysis for the last four and half years. I can do pretty much everything myself. I love to travel and do short weekend trips or longer trips to places which have dialysis centers. Goa in India is a personal favorite. It is a great holiday destination and has two very good dialysis centers.

E-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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