Thanksgiving 2008!
Anyway, it's gonna be a special Thanksgiving this year because my mom, sister are enroute from Malaysia as we speak. We'll be having dinner this weekend, along with my visiting in-laws. So, our house will see family for company!
One interesting work-related Thanksgiving issue that came up. I saw this guy with flushing and diaphoretic episodes yesterday. Probably nothing I can do from the endocrine standpoint, but I should at least try to rule out carcinoid. Sent him home with a urine container for 24-hour urinary 5-HIAA. And then I did a double take, and told him to do the collection only next weekend. Any other week I would not have made this an issue. Though not listed as one of those things that can interfere with the test, I figured with Thanksgiving and all, I didn't want the tryptophan-laden turkey to give a false positive. Perhaps that would be interesting research study?
4 Comments:
Draw blood to check his CGA and pancreastatin (ISI labs California)....many carcinoid cancer patients don't have abnormal 5HIAA results.
Any abdominal pain? I have carcinoid in my small bowel and havent ever had abnormal lab values. I did have abd pain which led me to am MD who did a CT which id the tumor. A small bowel resection followed and high dose Indium 111 treatment.
still doesnt wanna wear glove?
lol :P
jianbin1214
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