24 hour urine and ridiculous lab techs

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cured4real?
Veteran Member


Date Joined Dec 2005
Total Posts : 1944
   Posted 11/1/2007 9:19 PM (GMT -7)   
Hi--
I hope you are all doing relatively well.  I think my cortisol was off so the new endo asked for a 24 hour urine for cortisol.  So I go to the hospital lab to pick up the container to store my urine and the lab tech working on me said she didn't have the boric acid to put in it.  The other lab tech who was clocking out, said that it was right upstairs, no big deal but didn't offer to get it for her, and my lab tech kept saying she didn't know where it was and she would not be able to find it.  The leaving lab tech just clucked and shook her head and left.  Meanwhile, my lab tech called someone and asked if she had to put the boric acid in or could they do it when I brought the urine back, after the 24 hour period.  Well finally she got the answer she wanted after transferring a few times and handed me the empty container.  I asked her how the person who was receiving the container would know to put the boric acid in, and she said they would know from the orders, even though she never wrote anything down about not putting the boric acid in or requesting that it be put in when I returned the container.  I finally, getting nowhere, left and when I got home and read the instructions, it said "Do not accept this container if the Boric Acid preservative is not inside!"  So then I was really frustrated.  I go through the 24 hours peeing in the container and return to the hospital lab with it.  I had to go through registration again because they screwed that up and had to wait about an hour to return the urine.  When I saw the lab tech to give her the urine, I told her she needed to put the boric acid in because the other lab tech didn't do it.  Well, she refused to do it, she said it was not her job and they would do it upstairs.  Well, I was flipping out because again, how would the lab people upstairs know it needed to be done, and would the specimen even be good with no preservative in it?  So we went round and round and eventually someone called the supervisor who apparently had been called the first time and said that it was ok to not put the boric acid in it now, that it would be done upstairs.  I showed them the note that said, "Do not accept this jug without the boric acid in it!" and she remarked that I never should have been given that.  I was surprised at the total laziness and lack of regard or care that they were following proper procedure, let alone not even knowing what the boric acid was for yet feeling comfortable leaving it out.  All because someone was too lazy to go upstairs and get some more preservative.  It was absolutely ridiculous and now I don't trust the results of the test and if it comes out normal I want to take it again and will tell my endo what happened in the lab.  No wonder so many people are misdiagnosed or problems are missed.  It has taken me so long to get this test run (13 years) and I resent these lazy lab techs screwing it up for me.  Sorry to vent, but this is American health care and its only going to get worse.  People just don't care anymore.  It's truly sad.  My crime was coming in for the test.  Had I known it would be such a hassle, I never would have gone there.  Now my insurance will have to pay to have a second one run, possibly.  Well, I hope you all have better experiences with labs and stuff.  I just wonder sometimes when you are really sick and the labs come out all normal, whether they get run right, or at all sometimes.  It just makes you wonder.
Love, Marji
--Doctors are men who prescribe medicines of which they know little, to cure diseases of which they know less in human beings of whom they know nothing.--Voltaire (1694-1778)
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Klonopin, Soma, Ultram, Vicodin, Restasis, Albuterol,steroid injections, Protopic & Triamcinolone Acetonide ointments


AlwaysRosie
Veteran Member


Date Joined Jan 2005
Total Posts : 8616
   Posted 11/2/2007 6:35 AM (GMT -7)   
Hi Marji,

I think I would have left the first one there and told them I'd go somewhere else or come back later when they got their stuff together . . . you are right, you wait a long time to be taken seriously enough to get these tests and your health is on the line.

Please call the center where you had it done and ask to talk to the personal in charge of patient issues . . . I be they will be REALLY interested in your story. I know you are frustrated, but I wouldn't throw the whole health system out the window for it. I have actually noticed things getting way better because the centers around here WANT patient input and have been actively seeking feedback. If you don't let someone know about that careless employee(s), they can't fix it. If the supervisor doesn't care, I wouldn't go back to that facility. I have become very choosy where I go for my testing when I have a choice. Actually, I didn't realize how much choice I have sometimes . . . even when the doctor sends me to a certain place, the orders have been accepted and processed at the centers I like.

Let us know how this turns out.

Blessings!

In His Grip

AlwaysRosie           "We can't control the waves, but we can learn how to surf!!"

Psalms 139

Co-Moderator - Lupus Forum

UCTD, Hashimotos, Inflammatory Bowel, Inflammatory Arthritis

Clickable Links:  Lupus Resources    Lupous.Org   Lupus Criteria (4 of 11)   Lupus Chapter Locator


okie
Veteran Member


Date Joined Dec 2006
Total Posts : 2818
   Posted 11/2/2007 8:43 AM (GMT -7)   
Hi Marji, I know you were worried about what would happen with this test. Now if you get your results back you won't know weather to believe them or not! I do have a good pCP who really listens if that happened to me she would be on the phone eating someones lunch. I hope you explain it to your doctor what happened maybe he can get the test redone somwhere else?
let us know
love ya
carol
God Bless
Lupus like symptoms, with pbc symptoms,but of course that is subject to change in a moments notice! End Stage COPD w/CHF, Cervical Cancer survivor.  Osteoporosis,osteoarthritis
Prednisone,Plaquanil800mg,vicodin 3x5mg,Evista60mg, Effexor 150mg, HCTZ25/Triamterene37.5mg,Xanax x3 
Only two defining forces have ever offered to die for you: 1. Jesus Christ 2. The American G. I
 
 
 


cured4real?
Veteran Member


Date Joined Dec 2005
Total Posts : 1944
   Posted 11/2/2007 7:54 PM (GMT -7)   
This hospital can be the pits and I've complained there before about ER docs given me injections and not telling me what they are giving me and putting me into severe allergic reaction and several times have complained about serious infractions in the ER and though all the docs quit they got a new batch of less experienced docs who are making all the same mistakes, so whoever is running the er is the problem. Also, I did complain to the lab supervisor and she was called twice about whether the test would be good. They are trying hard to make their hospital not an option for me by providing crappy care, maybe because I'm medicare, I don't know. The whole thing is just awful, and they were rated best small hospital in the region? Ugh. But its all we have so I have to make do. Thanks for the helpful replies and support. I think talking to the doc will be the best route, but she will probably call the supervisor of the lab who will tell her the same thing they've been saying all along, that the preservative doesn't matter. Crazy. Well thanks again.
Love, Marji
--Doctors are men who prescribe medicines of which they know little, to cure diseases of which they know less in human beings of whom they know nothing.--Voltaire (1694-1778)
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Klonopin, Soma, Ultram, Vicodin, Restasis, Albuterol,steroid injections, Protopic & Triamcinolone Acetonide ointments


okie
Veteran Member


Date Joined Dec 2006
Total Posts : 2818
   Posted 11/3/2007 7:44 PM (GMT -7)   
Just wanted to check in and let you know I'm thinking of you. I hope your feeling a little better today and will try to get this straightened out with your doctor. I know what you mean about options. I live in an area where you don't have alot. Most of what I have to have done means I have to travel a long distance. I can put gas in the car to makes these appts or I can eat. That's pretty much the choices. eyes
love ya
carol
God Bless
Lupus like symptoms, with pbc symptoms,but of course that is subject to change in a moments notice! End Stage COPD w/CHF, Cervical Cancer survivor.  Osteoporosis,osteoarthritis
Prednisone,Plaquanil800mg,vicodin 3x5mg,Evista60mg, Effexor 150mg, HCTZ25/Triamterene37.5mg,Xanax x3 
Only two defining forces have ever offered to die for you: 1. Jesus Christ 2. The American G. I
 
 
 


cured4real?
Veteran Member


Date Joined Dec 2005
Total Posts : 1944
   Posted 11/3/2007 10:45 PM (GMT -7)   
You got that right, carol. I'm doing better and I'm just going to let my doc deal with it, at least at first. I hope your doing ok and not too fatigued. I get so tired sometimes, that's the worst part. Well, take care and love back.
Love, Marji
--Doctors are men who prescribe medicines of which they know little, to cure diseases of which they know less in human beings of whom they know nothing.--Voltaire (1694-1778)
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Klonopin, Soma, Ultram, Vicodin, Restasis, Albuterol,steroid injections, Protopic & Triamcinolone Acetonide ointments


Audrey Ann
Veteran Member


Date Joined Jul 2005
Total Posts : 815
   Posted 11/4/2007 8:28 AM (GMT -7)   
Greetings Marji!

I know exactly how you feel! My experience with my last 24 hour urine was very similar. I actually had to repeat the test three times! The first time my sample was "lost". The second time they put my sample on the wrong cart and a tech poured it out BEFORE it was evaluated. My rhuemy was furious (to say the least) and I was treated extremely well the third time. I share this with you because I don't think medicaid/medicare (I get these mixed up all the time) is the issue here. I have very good insurance. I think we are victims of employee apathy and/or job fatigue. Scary, isn't it?
Prayers,
Audrey Ann
 
Lupus and RA and LOTS of Medications!
 


 


cured4real?
Veteran Member


Date Joined Dec 2005
Total Posts : 1944
   Posted 11/4/2007 7:50 PM (GMT -7)   
It is scary Audrey Ann, because in my case, speaking with the techs, they would much rather spend a hour on the phone with their supervisor than walk their you know what's upstairs and do what is right. It's sad what's going on in the medical field, people I guess just don't paid enough to care or something. My sister left the field after being a neonatal RN for a long time due to changes in the way things were being done, she said health care would do nothing but get really bad with the changes they are making,which apparently are driving the really experienced and dedicated staff out the doors in droves. I don't know what she was talking about but I think Isee the effects.
Love, Marji
--Doctors are men who prescribe medicines of which they know little, to cure diseases of which they know less in human beings of whom they know nothing.--Voltaire (1694-1778)
Ills--Sjogrens-Lupus-like AI Disease, Hashis, Vitiligo, spinal stenosis/fusion with plate, salivary/lymphectomies, Diabetes, NAFLD, COPD, RLS, neuropathy, trigonitis, hystero, diffuse brain atrophy
Meds--Plaquenil, Evoxac, Metformin, Synthroid, HCTZ, Estradiol patch, Prosed, Klonopin, Soma, Ultram, Vicodin, Restasis, Albuterol,steroid injections, Protopic & Triamcinolone Acetonide ointments

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