[quote]gregron wrote:
[quote]ADvanced TS wrote:
You got Stu and the Prof saying to find a new doc.
/thread[/quote]
I know right? I should print this page out and point it out to her. “Ok you see the monster of a man in that pic? No no thats not a grizzle bear but yeah that pic. he’s not an actual professor but he is a doctor. Ok and you see that other guy? Ok he’s a Professional bodybuilder… enough said” hahaha 
.greg.[/quote]
grizzle bear
my face
Get this.
170 (desired bw by your dr)
x1.25 (25%)
=212 (close to your current bw)
So 100% kidney function
-25% of your extra body weight she doesn’t approve of
=75%
TADA.
I work for an insurance company. We evaluate 1000s of applicants daily and reject several for poor kidney function, renal failure, end stage renal disease, chronic kidney disease, etc, you name it… whatever the diagnosis the Dr. wants to give. The only kidney function test we are concerned with is the MAYO Quadtric GFR. This a HUGE insurance company by the way, with several underwriters and a Director of Medicine on staff. I recommend another Dr.
[quote]ADvanced TS wrote:
[quote]gregron wrote:
[quote]ADvanced TS wrote:
You got Stu and the Prof saying to find a new doc.
/thread[/quote]
I know right? I should print this page out and point it out to her. “Ok you see the monster of a man in that pic? No no thats not a grizzle bear but yeah that pic. he’s not an actual professor but he is a doctor. Ok and you see that other guy? Ok he’s a Professional bodybuilder… enough said” hahaha
.greg.[/quote]
grizzle bear
my face[/quote]
You should suggest that picture for that kids thread on a Hollywood haircut
.greg.
[quote]therajraj wrote:
I did a quick google and found a page advising you to tell your doctor if you are on creatine because it will affect the results. Not sure how legit it is however.
Does creatine affect the kidneys?
In the clinical setting, creatinine levels are measured to assess kidney function. Creatine supplementation raises creatinine levels, although it is completely non-toxic to the kidneys (Robinson, et al 2000). If you are supplementing with creatine and your doctor is running some blood tests, it is imperative that you inform him that you are using creatine otherwise this could give misleading information.
My bloodwork is happening on Sunday, I think I will go off it until then.
[/quote]
Something like that.
Doctors look for smoke (creatinine) to see if there’s a fire (disease). Creatine will up creatinine and all that smoke will make it look like there’s one hell of a fire going on.
The doc should understand if you tell her/him. They should have learned this in med school.
The creatine issue is almost certainly what is going on, and you do not need to lose weight.
What your DOC sees, as others have said, is that you have a BMI of 29.3 (30+ is obese), and have elevated creatinine levels meaning poor renal (kidney) function.
So, your doc not knowing that you are both taking creatine (and even if she did, many docs I have talked to do not even know the false positive for renal distress associated with creainte use), AND that you are an athlete meaning the BMI is worthless, she is only using a formulaic approach.
If you meet with her and she still approaches you via ignorance and formula, ditch her.
Good luck to you, and to all of us deemed obese (my BMI is 31.5) and with elevated creatinine levels in the new age of formulaic medicine.
MID
Thanks a lot MID! Good info for sure.
.greg.
If all else fails when you see this doc and your still worried about kidney function I would see a nephrologist. This is a doctor that specializes in renal function. Most doctors would react the way she did so…if you do decide to see another general practice doc…find one accosiated with athletes and sports medicine. Everyone knows BMI isnt all that accurate so shes prolly a doc from the “old school” lol
Yeah, it sounds like the doc was using an old Met Life height/weight chart from 1958.
I had a doc tell me I was overweight, I said “True”
He said for my height I should be ,at most 181lbs, I said “False”
[quote]Nards wrote:
Yeah, it sounds like the doc was using an old Met Life height/weight chart from 1958.
I had a doc tell me I was overweight, I said “True”
He said for my height I should be ,at most 181lbs, I said “False”
[/quote]
hahaha exactly! I was 5’11" 170 when I graduated highschool. I couldnt imagine being that small again.
.greg.
You should show up to your appointment topless and flash her the most muscular before she utters a word.
I think the fact that she told you to lose 10 lbs so quickly completely ruins her credibility on the issue. 15 days isn’t enough to lose 10 lbs without dehydrating yourself and I’m pretty sure that’s not great for the kidneys. She probably thinks that if you stop taking protein, you’ll drop to a “healthy”, albeit vegan-esque, weight.
I just had my blood work and Dr. appointment. My Creatinine, Serun is 1.40 Normal range is (.76 - 1.27). First thing out of his mouth was your this says your kidneys are not functioning properly, I knew this would come up, so I was well prepared to explain it to him. He also assumed I was overweight until he met me, his words. My liver function was at AST 67 and ALT 59 I’m sure Dbol don’t help this, but this can also be explained by my body weight 270lbs, he gave me all kinds of shit about that. Bottom line is I feel confident my kidney’s and Liver are functioning properly after I spoke with my wife’s Dr. and he agreed with me on all points (now my new Dr). Most Dr’s are not used to this stuff because the majority of people are fat slobs. Find a Dr that understands you and what you are doing.
Glad to hear that you’re doing good and that you’re blood work didnt come back with anything that was alarming to you.
Thanks for the info on the creatine everyone. I’m gonna do some research and have some facts ready for her if she says anything about my new blood test results. Hopefully not since I’m not taking any supps till then.
Therajraj: Good idea. I hit the gym right before so I’ve got a sweet jersey shore bi pump going on then just walk in there. Give her the MM, throw some techno on my iphone (gotta download some first) and then start fist pumping till she tells me everything looks normal and apologizes for hurting my feelings
.greg.
[quote]gregron wrote:
Glad to hear that you’re doing good and that you’re blood work didnt come back with anything that was alarming to you.
Thanks for the info on the creatine everyone. I’m gonna do some research and have some facts ready for her if she says anything about my new blood test results. Hopefully not since I’m not taking any supps till then.
Therajraj: Good idea. I hit the gym right before so I’ve got a sweet jersey shore bi pump going on then just walk in there. Give her the MM, throw some techno on my iphone (gotta download some first) and then start fist pumping till she tells me everything looks normal and apologizes for hurting my feelings
.greg.[/quote]
you’re still alive?
Wanted to put my 2 cents since I have some experience in this area. I’m 10 yrs. post kidney transplant and over the years have gone through all types of tests.
So here’s my take. Get the results. The ‘75% function’ your doc is talking about is likely the eGFR which is a calculated value of how well you kidney is filtering waste. This value is obtained from a formula using your serum creatinine, age, sex and race. To be honest this value is, to a certain degree ‘useless’. I’ve seen a person with normal creatinine level (so a good eGFR) have a bad actual GFR, and a person with a less than desirable creatinine & eGFR with a good actual GFR.
Getting the actual hard copy results of your labs and looking at the creatinine will give you an good idea of what is happening. If it is within the normal range, that’s a good start. You can get ready to start arguing with your doc. If it isn’t you may or may not have issues with your kidney. So you may want to at least give her a listen.
If your creatinine isn’t in the normal range you will probably want to check to verify if something is really happening. This can be done by getting a 24 hr creatinine clearance where you pee and collect urine for 24 hours, or via nuclear GFR which gets your actual GFR and is not a calculated value. The first is cheaper but really a pain in the ass. The second takes about 5 minutes but is considerably more expensive. You may also want to see your urinalysis if there is protein in your urine. Protein in urine may be a sign your kidney isn’t functioning as well as you’d want, because it has ‘holes’ that is allowing protein to spill out of it and into your urine.
As I said a bit back, your kidneys may be ok even if creatinine is above normal. The reason? Being heavier you have more muscle mass, which does make creatinine for some people go above the normal range, thus look abnormal (so less than desirable kidney %). Many big bodybuilders experience this, but have normal kidney health. Problem is unless you further check you can’t be sure. Also eating tons of protein, or taking creatine or drugs like certain pain killers can increase the level. This is why your doc wants you to cut back.
You may want to be careful on taking in excessive protein, and creatinine until you get to the bottom of things (this may be a false alarm or it may be an early warning). If one’s kidneys are healthy, no problem, they can adjust and take a high protein diet. But if they happen to be weaker or predisposed genetically, the high protein and creatine intake can destroy the kidneys. Problem is, one can never know if they born with weaker than normal kidneys, unless they do regular tests because the way it behaves is it starts out at an ok level, and slowly deteriorated over time . The weird thing about kidneys are, if they are healthy, high protein diet is ok and doesn’t hurt them, but if the kidneys have even slight issues, the high protein diet will slowly cause the kidneys to deteriorate.
Think of your kidneys as big fishing nets, and all protein and other stuff you ingest go in. If the kidneys are healthy, the fish net has no holes, so even a big inflow of protein from a high protein diet, the kidney is strong enough to handle (but to also only to a certain degree before it starts to get overburdened). But if your kidneys aren’t totally healthy, be it from birth, or from trauma (being hit hard) or anything else. It is like a fishing net with a hole. The hole will be very small at the start, but like a net where you keep pushing a lot of protein in it will slowly keep tearing at the hole and you will see the kidney function slowly come down year by year as the ‘hole’ increases.
The only way to know if you have weak kidneys is to do the labs. Because kidney trouble is silent, like high blood pressure. Unless you get checked by the time you feel the effects it’s already quite bad.
Getting the results will tell you what your next move is. As for your weight, it will only come to play if your kidneys aren’t ok.
Hope this helps.
[quote]ADvanced TS wrote:
[quote]gregron wrote:
Glad to hear that you’re doing good and that you’re blood work didnt come back with anything that was alarming to you.
Thanks for the info on the creatine everyone. I’m gonna do some research and have some facts ready for her if she says anything about my new blood test results. Hopefully not since I’m not taking any supps till then.
Therajraj: Good idea. I hit the gym right before so I’ve got a sweet jersey shore bi pump going on then just walk in there. Give her the MM, throw some techno on my iphone (gotta download some first) and then start fist pumping till she tells me everything looks normal and apologizes for hurting my feelings
.greg.[/quote]
you’re still alive?[/quote]
Barely hanging on these days. Working my way though my bucket list
.greg.
[quote]gregron wrote:
[quote]ADvanced TS wrote:
[quote]gregron wrote:
Glad to hear that you’re doing good and that you’re blood work didnt come back with anything that was alarming to you.
Thanks for the info on the creatine everyone. I’m gonna do some research and have some facts ready for her if she says anything about my new blood test results. Hopefully not since I’m not taking any supps till then.
Therajraj: Good idea. I hit the gym right before so I’ve got a sweet jersey shore bi pump going on then just walk in there. Give her the MM, throw some techno on my iphone (gotta download some first) and then start fist pumping till she tells me everything looks normal and apologizes for hurting my feelings
.greg.[/quote]
you’re still alive?[/quote]
Barely hanging on these days. Working my way though my bucket list
.greg.
[/quote]
You’re in my prayers.
I thought military “doctors” were bad enough. Now I trust no one.
hahaha its funny that you say this but this is a doctor from the VA (cause i just got out) so its pretty much a military doctor
.greg.
[quote]midnightamnesia wrote:
Good luck to you, and to all of us deemed obese (my BMI is 31.5) and with elevated creatinine levels in the new age of formulaic medicine.[/quote]
I’ll x2 on the formulaic medicine thing. I had my first and only appointment with a new doc in a new HMO, and I could clearly see him “running the numbers” based on the bloodwork and measurements done in advance.
“Oh, your BMI is 0.5 over 25, you need to lose weight”
“Your creatinine is just over baseline, you need to eat less protein”
(actually, he didn’t say anything about the creatinine test… but you get the idea).
And, you know, the doc was in an HMO that was trying to save money, he was in a hurry, and he didn’t have any real history, so I can’t completely blame him for his McDiagnosis.
[quote]EasyRhino wrote:
[quote]midnightamnesia wrote:
Good luck to you, and to all of us deemed obese (my BMI is 31.5) and with elevated creatinine levels in the new age of formulaic medicine.[/quote]
I’ll x2 on the formulaic medicine thing. I had my first and only appointment with a new doc in a new HMO, and I could clearly see him “running the numbers” based on the bloodwork and measurements done in advance.
“Oh, your BMI is 0.5 over 25, you need to lose weight”
“Your creatinine is just over baseline, you need to eat less protein”
(actually, he didn’t say anything about the creatinine test… but you get the idea).
And, you know, the doc was in an HMO that was trying to save money, he was in a hurry, and he didn’t have any real history, so I can’t completely blame him for his McDiagnosis.
[/quote]
Surprisingly, many patients seem to want “McDiagnosis” as well as “Quarterpounder treatment”.
They want to be treated NOW with no waiting…whether the doc is doing surgery or not. They want CHEAP work done and they would love it if you could work overtime and stay late after hours because they were 45min late for their appointment.
Either way, telling a patient to lose 10lbs over the phone without knowing their actual physical state aside from some numbers is something I personally would either have a long talk with her about and/or would simply go elsewhere.
