How Labs Affect the Medical Professionals

Kent Holtorf and Yusuf Saleeby
Dr. Yusuf Saleeby and Dr. Kent Holtorf

How Labs Affect the Medical Professionals

All the standard labs suck. So that's a problem. You're causing us to misdiagnose all these patients and who are going to be missing out on treatment. I had a patient who was a vet and she was totally sick, post-traumatic stress, traumatic brain, and Lyme disease; and her labs were normal. And I go, this is impossible. I said this should be elevated. 

I have been underwhelmed with the number of biomarkers in folks who come in the office that are super sick, chronically ill for months to years, going on with an assortment of things like viral burdens, maybe COVID or spiked out like crazy. Their spike antibody titers are really high and maybe they have underlying Lyme disease. I'm looking at their panel of maybe five or six biomarkers of inflammation and they're all normal. And I'm looking at them, they're sick as poo, they're slumped over, they can't walk, they can't utter, they're drooling on themselves and their biomarkers are completely normal. And I think that it can work both ways. I mean, you can have a really healthy-looking patient and their biomarker numbers are through the roof. They're all whacked. 

I think it's also the preparation of the sample. I mean, if a sample stays on the tube tray and it's not in a controlled temperature that is required, sometimes the sample goes bad. I mean, I've had MPOs come back through the roof and it's because the sample degraded. 
You have to realize labs are a piece of information. Treat the patient, not the numbers.