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Medical Forum / Diseases and Disorders / Prostate BPH / June 2006Blood in Urine--Update
This is an effort to update the information related to red blood cells that were found in my urine. I would appreciate your comments. Blood was found in my urine during a routine urine test. My doctor referred me to a urologist and he decided to deal with the problem by conducting three separate urine tests on three separate days. The urol. told me that he would examine each urine sample under the microscope to determine if any blood cells were present. He checked that first sample under the microscope and told me that there were NO blood cells in the first sample. I went to the office about an hour ago and provided the second urine sample. The doctor's technician measured my weight and took my blood pressure. I asked her to have the urol. do a dip test on the urine sample after he checked the urine under the microscope. This is what the tech. told me. She said that the doctor method was to do a urine dip stick test and did not bother to check the urine under the microscope if the dip stick test indicated that there was no blood in my urine. It's my GUESS that the doctor did check my urine under the microscope during my first visit to his office since he left the room for about 15 minutes and when he returned--he actually stated that he "checked my urine under a microscope and did not see any blood cells." However, based upon what the tech told me today--I don't believe that the doctor checked my urine under the microscope today. Either the tech or the doctor done a dip stick test--when the dip stick test indicated there was no blood in my urine--the urine was not examined under the microscope. Of course, I can't prove it since the door was closed and I was not able to observe any tests that were done related to my urine. One of the posters told me that urine test strips rarely ever indicate trace amounts of blood cells in urine even when blood cells are in that urine. That poster told me that he worked in a hospital lab. Do you think that my urol. is or is not dropping the ball in regard to determining whether or not I have blood in my urine? Jason > This is an effort to update the information related to > red blood cells that were found in my urine. I would appreciate [quoted text clipped - 44 lines] > to determining whether or not I have blood in my urine? > Jason Welcome to the real world of doctors Jason. This sh.t goes on all the time. Jason Johnson wrote: > This is an effort to update the information related to > red blood cells that were found in my urine. I would appreciate [quoted text clipped - 44 lines] > to determining whether or not I have blood in my urine? > Jason Welcome to the real world of doctors Jason. This sh.t goes on all the time. Pete, Thanks for your post. I have read posts about "bad doctors" that do not provide proper medical care but this is only the second time that it happened to me. The sad truth is that the urol. probably believes that he had done a great job related to my case of "blood in the urine". Various posters have told me about three other tests that he should have done. I purchased some urine test strips at a local drug store and it's probably the same brand of urine test strips that the tech. or doctor used to test today's urine sample. In other words, I did the same urine dip test that the doctor done. Today's urine test was a waste of my time and he probably charged my medical insur. company over a hundred dollars for conducting a urine dip test. I should note that I did not even talk to the doctor today. I only talked to the doctor's tech. I wish I knew how much the bill was related my visit to the urol. office today. Jason > In article <e61u0f02u6q@enews3.newsguy.com>, "Pete" <pete@nospam.net> > wrote: [quoted text clipped - 67 lines] > talked to the doctor's tech. I wish I knew how much the bill was > related my visit to the urol. office today. Jason I always get reports with cost info from my insurer: United Health as AARP Medicare supplement.  SignatureUntie the two knots to email me A politician thinks of the next election; a statesman, the next generation. James Freeman Clarke jason@nospam.com (Jason Johnson) wrote in news:jason-0506061221460001@66-52-22-1.lsan.pw-dia.impulse.net: > In article <e61u0f02u6q@enews3.newsguy.com>, "Pete" <pete@nospam.net> > wrote: [quoted text clipped - 66 lines] > talked to the doctor's tech. I wish I knew how much the bill was > related my visit to the urol. office today. Jason I always get reports with cost info from my insurer: United Health as AARP Medicare supplement. I never get reports from my insurance company--Blue Shield HMO > jason@nospam.com (Jason Johnson) wrote in > news:jason-0506061221460001@66-52-22-1.lsan.pw-dia.impulse.net: [quoted text clipped - 74 lines] > > I never get reports from my insurance company--Blue Shield HMO Jason...you must be kidding. They are called "explanation of benefits" and I have boxes of them going back to 1992, along with a copy of every friggen test report for everything scan and procedure, as well as all my blood tests. I doubt whether you bought the same dip sticks that your uro uses at a local drug store. You would have to send away for them (I have a good supplier that sells a generic type version). The uro probably uses Multistix (by Bayer - checks 10 things). You may have bought azo strips (or something like that), that just checks for leukocytes and nitrites. My uro bills my insurance company $110 for an OV and $22 for a urinalysis (which includes the dipstick plus the microscope). Naturally the insurance company only pays a portion of that for PPO's. Pete Jason Johnson wrote: > In article <Xns97D9A934EC8EFkenkderucom@140.99.23.22>, Ken Knecht > <kenkknot@deruknot.com> wrote: [quoted text clipped - 78 lines] > > I never get reports from my insurance company--Blue Shield HMO Jason...you must be kidding. They are called "explanation of benefits" and I have boxes of them going back to 1992, along with a copy of every friggen test report for everything scan and procedure, as well as all my blood tests. I doubt whether you bought the same dip sticks that your uro uses at a local drug store. You would have to send away for them (I have a good supplier that sells a generic type version). The uro probably uses Multistix (by Bayer - checks 10 things). You may have bought azo strips (or something like that), that just checks for leukocytes and nitrites. My uro bills my insurance company $110 for an OV and $22 for a urinalysis (which includes the dipstick plus the microscope). Naturally the insurance company only pays a portion of that for PPO's. Pete Pete, One of local stores that is NOT part of any chain sells all sorts of test strips. I copied this information from the side of the container: Bayer Multistix 10 SG Reagent Strips for Urinalysis. 10 items in the urine are tested including Blood and Protein. One of the posters that works in a hospital blood/urine lab told me that he checks urine every day under the microscope and by use of urine dip sticks. He said that on a regular basis that he will find blood in urine under the microscope but when he checks that same urine with the test strips that it shows there is NO blood in that urine. He said that the test strips only show that there is blood in the urine when it's more than a trace amount of blood. Of course, I know that I can't trust every post but I believed him. I was pissed off when the tech. in the urol. told me that the Urol. does not bother to test hardly any urine samples (except the first one) if the urine dip stick test indicates there was no blood cells in the urine. In my case, I believe the technician was the one that done the dip stick test since the doctor did not talk to me and I did not see him anywhere in the area when I entered and left the office. My insur. company does NOT send me any info. related to any bills. Jason > Jason Johnson wrote: >> In article <Xns97D9A934EC8EFkenkderucom@140.99.23.22>, Ken Knecht [quoted text clipped - 122 lines] > My insur. company does NOT send me any info. related to any bills. > Jason Jason...that is extremely hard to believe (about your insurance company), and have never heard of such a thing, and it doesn't sound right. I have had various insurance companies since 1971 with my federal employment (I'm now retired), and have always gotten an explanation of benefits (EOB) for everything that has ever happened to me (I told you I have boxes of them). The EOB is one good way of keeping your provider honest (ie so you can check it from the insurance company side also). You need to call your Blue Health and ask them what the hell is going on. I can see you don't have a lot of experience in dealing with doctors and other providers. Pete Jason Johnson wrote: > In article <e6335n02nnm@enews2.newsguy.com>, "Pete" <pete@nospam.net> > wrote: [quoted text clipped - 123 lines] > My insur. company does NOT send me any info. related to any bills. > Jason Jason...that is extremely hard to believe (about your insurance company), and have never heard of such a thing, and it doesn't sound right. I have had various insurance companies since 1971 with my federal employment (I'm now retired), and have always gotten an explanation of benefits (EOB) for everything that has ever happened to me (I told you I have boxes of them). The EOB is one good way of keeping your provider honest (ie so you can check it from the insurance company side also). You need to call your Blue Health and ask them what the hell is going on. I can see you don't have a lot of experience in dealing with doctors and other providers. Pete Pete, It's my guess that my Blue Sheild HMO does not send out that information so as to save money. For example, if my Blue Shield HMO has 100,000 HMO customers, it would cost them about $300,000 per year just for the postage. My bank no longer sends me the checks that I write each month--instead they photocopy those checks on both sides of one or two pages. They said the reason is to save the cost related to postage since some people write over 50 checks each month. Perhaps they would send me copies of those bills if I requested it. I am losing my trust in doctors and will try to get a PPO later this year since my doctor does not refer me to specialists when I request a referral--he needs a medical reason for a referral. Jason |
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