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THE Q & A
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Welcome to The Q&A with Elaine Moore. Registered members are invited to ask any question of Elaine Moore on autoimmune diseases, Graves' disease, other thyroid diseases and subconditions, laboratory work, traditional and complementary medicine, triggers and environmental influences, thyroid and immune disorders in pets and animals, and other relevant areas of inquiry.
Each thread represents one question with one answer and will only appear at the time it is answered. Once answered, further replies cannot be made to the same thread since each thread represents only one question. A new thread will need to be started for additional questions.
Questions are answered solely by Elaine Moore, a medical writer and clinical laboratory scientist, MT, CLS, with more than 30 years of experience in immunology. Moore has also authored and edited over a dozen books in the area of health sciences and is an editor for McFarland Publisher's Health Topics Series.
Copying of any posts is prohibited without permissions.
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Notice: No notices today.
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| JES |
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Joined: 8/31/2008
Posts: 50
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Dearest Elaine,
Thank you again so much, we are very very grateful for your eduational site, you are changing lives out here!
Now for my question, this is on behalf of a friend and co-worker who is struggling with HypoT, (she writes you too, but I am going ahead to ask this for both of us) -
her doctor has not been cooperative about taking her FT3, FT4 and TSH when she tells him she is not feeling well, and that she wishes to see her blood counts (so she can see what's goin' on.)
So my question is, does a patient have the right to demand a FT3, FT4 and THS blood test, even if the doctor doesn't want to ? And if the doctor won't comply with the patient's request to get labwork, is there any legal recourse the patient can take to challenge his refusal, (versus having to go to the time and trouble to find a new doctor) ?
You saved me from RAI and a life of permanent HypoT, I owe you Elaine Moore, thank you so much again, and we will await your reply ..
Very Sincerely, JES
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| Elaine |
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Joined: 8/1/2008
Posts: 3174
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Hi JES,
Your friend does have a right to get copies of all her lab results and other medical records except for psychiatric notes. This is a provision of HIPAA and a physician who doesn't comply can be reported.
Doctors are sometimes limited by insurance providers, HMO groups, etc. as to what tests they can order. Approved tests are based on diagnostic codes and the guidelines follow the ones designed by medicare/medicaid services. It's set up to discourage laboratory panels and screening tests. But once someone has a diagnosis, they should be approved for FT4, FT3 and TSH tests. But if a doctor is in an HMO group that covers labs, ordering too many labs may be frowned upon. This may not be the case. It could be that this doctor is just stubborn or doesn't understand the limitations of the TSH test.
Unless you're in NY, NJ, or RI, you can always have direct access testing performed through my lab testing or healthcheck USA. Some patients do this and then show their doctors how meaningful the results are. Best, Elaine
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TO USERS: Q&A posts are visible to all readers. Users can delete their own threads at any time. Users must provide information which is true and correct to the best of their knowledge as well as provide sources or references to any health / medical information if not taken from personal experience. All users including the moderator must behave at all times with respect and honesty. Advertising and self-promotion is not allowed. The moderator or site administrator has the right to ban users with or without warning for not following the basic rules of this site. All posts by default are not to be considered that of medical professionals unless otherwise indicated. As sole moderator, Moore has no conflicts of interest in the sponsorship of this forum.
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