Elevated cortisol level- what does it mean? - page 2

I will try to be brief here: I went to the endocrinologist and had an extensive workup done for polycystic ovarian syndrome because I am fat, hairy, have bad skin and have a mom and sister with... Read More

  1. by   P_RN
    You have been given some very good advisce here, but I am concerned that the doctor just blew you off. Is it ethical? Don't doctors have a duty to treat once a patient is accepted...and yours accepted by ordering the lab test. If the doctor doesn't want to or can't treat, then isn't there a duty to refer?

    I wonder if the doctor actually knew you were dismissed. Sometimes staff (and I have worked for a doctor) make up their own "rules."
  2. by   vwgirl
    Quote from P_RN
    You have been given some very good advisce here, but I am concerned that the doctor just blew you off. Is it ethical? Don't doctors have a duty to treat once a patient is accepted...and yours accepted by ordering the lab test. If the doctor doesn't want to or can't treat, then isn't there a duty to refer?

    I wonder if the doctor actually knew you were dismissed. Sometimes staff (and I have worked for a doctor) make up their own "rules."

    Yeah, I thought the same thing. I asked to speak to a nurse when I called and the nasty receptionist told me, "We don't have any nurses here," and I thought, well, THAT explains a lot right there! I have an appointment with a new endo doc for 12/29, so I will see. Meanwhile, my hands are out of sight swelling and now my feet and hands are randomly tingling bizarrely. My PC doc ordered me some HCTZ, so we'll see if that helps.
  3. by   Altra
    Quote from vwgirl
    Yeah, I thought the same thing. I asked to speak to a nurse when I called and the nasty receptionist told me, "We don't have any nurses here," and I thought, well, THAT explains a lot right there! I have an appointment with a new endo doc for 12/29, so I will see. Meanwhile, my hands are out of sight swelling and now my feet and hands are randomly tingling bizarrely. My PC doc ordered me some HCTZ, so we'll see if that helps.
    If it were me, I would call my primary doc NOW and describe the symptoms, including the recent lab result. He/she may very well want you to come in, or may advise some other action.

    Hope you get some answers soon. Take care
  4. by   BBFRN
    Quote from vwgirl
    Yeah, I thought the same thing. I asked to speak to a nurse when I called and the nasty receptionist told me, "We don't have any nurses here," and I thought, well, THAT explains a lot right there! I have an appointment with a new endo doc for 12/29, so I will see. Meanwhile, my hands are out of sight swelling and now my feet and hands are randomly tingling bizarrely. My PC doc ordered me some HCTZ, so we'll see if that helps.
    Was your Calcium level high? Did you have a Dexamethasone suppression test done with your urine cortisol?
  5. by   BadBird
    It is normal to have backward cortisol levels when you work night shift, let your new doctor know you sleep days and work nights, then he/she will interpret the results properly.
  6. by   vwgirl
    Quote from lgflamini
    Was your Calcium level high? Did you have a Dexamethasone suppression test done with your urine cortisol?
    My calcium was fine, and no, they did not do a dexamethasone suppression test. I know that cortisol levels can be elevated at different times of the day and that these times will be different than normal for night workers, but this is the overall 24 urinary free cortisol, so shouldn't that total out the same?
  7. by   Altra
    Quote from BadBird
    It is normal to have backward cortisol levels when you work night shift, let your new doctor know you sleep days and work nights, then he/she will interpret the results properly.
    I understand there are many lab tests measuring hormones, etc. which fluctuate cyclically. However, I'm confused - this test was a 24-hour urine test. Even for a night-shift worker whose body processes are affected by odd hours, shouldn't a 24-hour test result "even out" and have a normal result? I could see the results of a single UA or blood specimen being affected by the time of day of the collection of the specimen ...

    Confused ... any insight would be appreciated.

    vwgirl, hope you're soon feeling better.

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