Hamad - silo attitude

same to you , mr. moo

Sister PollyJ, I guess we are on the wrong channel of communication. You are either not able to understand what I am saying or I'm not able to explain what you want to know.

I think, its good to end this conversation here... Do as you wish.

Maxmoo, i dont want to get into the definition of lying with you. for me its quite straight ... but apparently you have shades of lying. ...

who are you to decide what makes sense and what doesn't

may be you developed teh s/w , am i supposed to be in awe of you. you did your job , very good,

anyways i burn my calories in the gym and so i dont need to go big in my response to you.

BUT I CAN UNDERSTAND THAT YOU ARE BEING DEFENSIVE BECAUSE YOU ARE ATTACHED TO THE ORG. commendable

if she/he does not know what it is best.

From what I know, the lab techs in Hamad are licensed and registered Medical Technologists in their own countries and the reason why they are lab techs here, because positions higher than lab techs are either reserved for Qataris or Arabic speaking medical professionals.

I'm a registered Med Tech back in my country and though fasting is not required for hormone tests...asking you to do fast is just a precautionary measures and eliminate any false positive or false negative results.

From what I can remember, lab techs get your blood sample, let it settle and the plasma (white part) will be used for the test.

If you had snack, or ate a meal 3 hours before the test was taken, there would be fat formation (lipids) together with the plasma and extracting pure plasma would be harder...and may cause false positive/negative results.

Lab techs can not make any mistakes in the laboratory tests...coz a single mistake will result to (1)MISDIAGNOSIS (2) WRONG DOSAGE or MEDICATION and THAT WOULD BE DETRIMENTAL to a patient.

Just follow what they said...a little inconvenience but if it's about your health...you won't take chances, would you?

Dear Polly,

I hope you must have completed your lab tests by now and I wish all is well with you and with your results.

Just to reply to your post about,

1. I did not ask you to LIE. I said, if you think and know what you are doing is correct, then act accordingly. That does not mean, you LIE to somebody.

2. I did not say not to QUESTION, the Lab Tech, asked you to FAST, you argued not to. In any situation, either you are right or he is right. But final decision is up to you to decide what is the right path to choose.

3. Lab test is done by one tech and not by many, so there is no question of one guy asking something and other guy asking for something else. Yes, it’s possible Doctor might have requested you to undergo multiple tests, in which case, some might require fasting and some may not. In that case, the lab tech will ask you to come on two separate days.

4. QL is public forum and everyone is free to ask what they want or share what they want. Who am I to stop you. But what you were asking does not make sense. You are going to a professional medical service and not willing to follow the procedures.

5. Well, I'm in to Medical Field from past 8.5 years, apparently all your medical reports are published throughout the corporation using the software I have developed. So, please learn to follow procedure before pointing it to others. It is seriously no big deal if you simple have your food early and fast overnight for better results as requested by the Lab Tech...

FRANKLY SPEAKING, THANKS TO YOU I HAVE BURNT QUITE ENOUGH CALLORIES IN REPLYING TO YOUR POST.

DON'T BE ANGRY, AS I DON'T INTEND TO MAKE YOU FEEL ONE.

On that point Polly i agree with u they should have a better communication and better if the preparation guidelines are displayed so that there is no controversy.

And i just commented about the comments bc everybody here seems to be convinced that we can tell lies to get the things we want .

Unfortunately you're in the right place but not the right Dr.

Polly, sometimes it has nothing to do with "who knows more" - unfortunately some knowledgeable people are lacking some attention to detail, including their customers.

Nazli , i couldnot agree with you more that one should not lie to medical practitioners. in fact one should not lie to anyone. !

However,i was not telling the lab tech that i know more than him, i was clarifying a doubt and i was informing him that the doctor hasnot advised me for a fasting result. the point of my post is that even after i got my query clarified , the nurse and the lab technician did not communicate to each other cause it seems there is a silo culture in hamad. as a result - here i was a patient getting 2 different kinds of advice and i think i am well within my rights to question that. is my point clear now ?

I know cherukkan all tests dont need fasting but u never know what ur doctor has added up in the list without ur knowledge, specially in this part of world( may be language problem) and wrong results can lead to wrong diagnosis and wrong medicine.

and why a person who dont even know u, will tell u something wrong ,may be bc he is overworked, still better to come back next time when he is fresh and can do ur work better,After all he is a human and can be tired.:)

nazliambreen, It is not necessary that all the blood tests are to be done while fasting. Sugar, Cholestrol (Lipids)etc. are to be tested on fasting as both sugar and cholestrol level will varry if a person is not fasting. Normally for testing hormones I don't think it is a must.

Reading all this forum i want to interfere here.

guys plz be reminded

Never tell lie to your Doctor or Lawyer that could have fatal results and only you will be the one responsible.

And dear polly i think u will not like to risk ur life to save one visit I guess.

We are always trying to bypass procedures and that lead to fatal incidences like the one in villagio.

and just put urself in the labtecs shoes and think of someone walking to ur office table and tell u that I know ur work more than you even if he is ur boss ,I bet u will feel angry.

Thanks flor and mike...i guess thats what i need to next time

Thing is i was 95% sure .... however there is another aspect which i wanted to highlight, the reluctance of two departments to communicate with each other to resolve a patient query or to develop a more robust protocol for future.

I have prefered Hamad over other establishments because it has best success rates in some of their procedures across the world. I thought if other have gone through the same it will be great to know what needs be done to save another visit.

(actually it is in the request form signed by the doctor), you can start fasting at least 8 hours, no food, no water. Sugar, cholesterol and anything they regularly monitor will have a better result if you go fasting before the test.

Polly, I had the same experience at the Doha Clinic. Don't argue, if you are sure that fasting is not needed just tell them what they need to hear and carry on.

so maxmoo if i understand correctly, your advice is as follows : -

1) Firstly lie

2) dont question anyone

3) one lab tech may ask me for fasting and another one may not and i should still not question

4) not share my experience on a public forum

5) decide what is a big deal as per your definition of "big deal" and therefore learn it first

maxmoo, i dont need to say more

which is standard for them Ask the doctor if you need to be tested for sugar level.

Well, whats the problem... If you think and sure about what you need, then tell him you are fasting and finish your test...

Said that, the Lab Tech, knows it better what needs fasting and what does not... trust me, sometimes even doc's don't know much about lab test, they are only concerned about results. I would personally recommend you to fast if its requied by the lab tech... should not be a big deal, for you to post it in the public forum and take public opnion...

what has fasting to do with hormones??

for glucose, cholesterol tests OK, but hormones?

blood , whole lot of hormones etc which i have been doing regularly w/o bing asked for fasting results ever.

ya right !

It sounds like you were inconviencing these people with your unreasonable demands.

You should have told the lab tech that you took only water.

what tests?