The results for the blood tests done on February 20 showed marked improvement in my cholesterol levels. At the same time, I do not seem to be suffering any side effect of Lipitor as evident from the renal and liver profiles. This is good news indeed. I am to continue with the 10mg daily dosage. The doctors scheduled another blood test in June just to be sure.
Since I started on the cholesterol-reducing medicine, I have cut down dramatically on pork in my diet and replaced that with fish, either salmon or threadfin. Additionally, it is supplemented with folic acid, Vitamin B complex, cordyceps, Omega-3 fish oil and CoenzymeQ10.
It may appear like I am taking too many pills and turning into a supplement junkie. Anything to keep my frail kidneys at it current functional levels. Besides, these supplements do not seem to be doing any damage to my health apart from making a big dent in my bank account.
Renal profile for February 20, 2012
Sodium 140 (139) mmol/L
Potassium 4.8 (4.8) mmol/L
Chloride 106 (105) mmol/L
Total CO2 25.6 (26.0) mmol/L
Anion Gap 13 (13) mmol/L
Urea 7.5 (7.8) mmol/L
Creatinine 273 (272) umol/L
Liver profile for February 20, 2012
Total Protein 78 (76) g/L
Albumin 39 (38) g/L
Globulin 39 (37) g/L
Total Bilirubin 7 (8) umol/L
Conjugated Bilirubin 2 (2) umol/L
Alk Phosphatase 78 (86) IU/L
ALT (GPT) 18 (17) IU/L
AST (GOT) 10 (15) IU/L
Gamma GT 13 (12) IU/L
Lipid profile for February 20, 2012
Triglyceride 1.0 (1.4) mmol/L
Total cholesterol 3.1 (4.7) mmol/L
HDL 1.01 (0.97) mmol/L
LDL 1.64 (3.09) mmol/L
Tags: atorvastatin calcium, CoQ10, cordyceps, Crystalline Atovarstatin Calcium, folic acid, high cholesterol, kidney failure, lipid profile, Lipitor, liver profile, Omega-3 fish oil, renal parenchymal disease, renal profile, ubidecarenone, ubiquinone, Vitamin B complex
I went for my schedule medical checkup at the University Malaya Medical Centre Spinal Rehabilitation Clinic on Wednesday. The good news is that the renal and liver profiles did not show significant changes. Serum creatinine has gone down to 272 umol/L from 291 umol/L in July 2011.
Renal profile for November 18, 2011
Sodium 139 mmol/L
Potassium 4.8 mmol/L
Chloride 105 mmol/L
Total CO2 26.0 mmol/L
Anion Gap 13 mmol/L
Urea 7.8 mmol/L
Creatinine 272 umol/L
Liver profile for November 18, 2011
Total Protein 76 g/L
Albumin 38 g/L
Globulin 37 g/L
Total Bilirubin 8 umol/L
Conjugated Bilirubin 2 umol/L
Alk Phosphatase 86 IU/L
ALT (GPT) 17 IU/L
AST (GOT) 15 IU/L
Gamma GT 12 IU/L
The cholesterol levels are not too encouraging though, especially when there is a history of heart problem in the family. My father passed away from congestive heart failure. I was advised to go on the lowest dosage of Lipitor (atorvastatin calcium) which is 10mg to keep the cholesterol levels in check.
Lipid profile for November 18, 2011
Triglyceride 1.4 mmol/L
Total cholesterol 4.7 mmol/L
HDL 0.97 mmol/L
LDL 3.09 mmol/L
The ultrasound of the kidneys, ureters and bladder report is somewhat similar although the length of the left kidney size was measured at 8.9cm this time as compared to 9.1cm in December 2010 and 6.89cm in February 2004. There is an inconsistence in the three reports, with the 2010 report being the odd one regarding size of both kidneys and the position of the cyst.
KUB Ultrasound Report for November 18, 2011
Comparisons made previous ultrasound dated 27.12.10
Both kidneys are normal in size but with increased echogenicity
The right kidney measures 9.5cm in BPL and 0.6cm in cortical thickness
The left kidney measures 8.9cm in BPL and 0.5cm in cortical thickness
There is a small cyst seen in the upper pole of the left kidney measuring 1.0cm
The bladder wall is trabeculated
Prostate is normal in size with smooth outline
Renal parenchymal disease
Left renal cyst
Trabeculated bladder secondary to neurogenic bladder
Electrocardiograph (ECG) for November 30, 2011.
Photo by Wuan with Samsung Galaxy S II.
I also had an electrocardiogram (ECG) done on the same day as the checkup. According to the doctors, the results did not show any problem which is a relief.
ECG figures for November 20, 2011
Overall, I am happy with the blood test results except for my cholesterol levels. Renal and liver profile tests will be done two months after I have started on Lipitor to check whether these organs are effected by it. A urodynamics study is also scheduled in the first quarter of next year to determine the pressure in my bladder. It was last done in 2008 at Subang Jaya Medical Centre.
Tags: atorvastatin calcium, ECG, echogenic kidney, electrocardiogram, electrocradiography, high serum creatinine, lipid profile, Lipitor, liver function test, liver profile, neurogenic bladder, PPUM, Pusat Perubatan University Malaya, renal cyst, renal function test, renal parenchymal disease, renal profile, trabeculated bladder, ultrasound, UMMC, University Malaya Medical Centre, urodynamics
The needles no longer give me the jitters anymore. It could be that I have become hardened to the pain or the phlebotomists (individuals trained to draw blood samples for medical testing) that I encountered were very good at what they do. I used to turn my face away to avoid seeing the needle going into the skin. Now, I watch the entire blood extraction process.
Renal function test, liver function test and lipid profile results.
I went for a blood test last Friday and then for the scheduled appointment at the UMMC spinal rehab clinic on Wednesday. Serum creatinine has gone up a little to 291 umol/L, nothing to be unduly worried about as it has been hovering around this level for a while now. On the other hand, the low-density lipoprotein level is above normal at 3.09 mmol/L.
The doctor advised me to watch my diet. Admittedly, I have been rather reckless with what I eat lately. I am scheduled for another blood test in November and also a KUB (kidneys-ureters-bladder) ultrasound at the same time. Hopefully, by going on a healthier diet now, the results then will be more favourable.
Tags: blood test, drawing blood, fasting blood glucose, high serum creatinine, kidney failure, lipid profile, liver function test, Pusat Perubatan University Malaya, renal function test, renal profile, spinal cord injury, UMMC