Isn't that odd? I have never seen an insurance company ask for a
ferritin here as part of a battery of "routine" tests. They have yet to
cop on to that one!
Declan
<<sorry - i should have been clearer - the ferretin was part of the
battery of tests requested by the insurance company so i had no
discretion in this. just exemplifies the harm of ordering a test with no
underlying question behind it (other than an insurance company fishing
trip for poorly justified higher premiums).
probably worth doing ferretins in diabetic patients given the
haemachromatosis link with diabetes
adrian
On 26/08/07, Declan Fox < [log in to unmask]> wrote:
But why do the Ferritin in the first place? I know a colleague who
seems
to think that a Hb much over 15 in a male is abnormal and orders a
Ferritin right away---his explanation being that it might be
haemochromatosis. I think he's off his head but am too polite to say
that to him.
But I never do Ferritins unless pt is anaemic (and usually only if
micro
hypo) or has some barn door symptom or sign pointing to
haemochromatosis
tho I would check, I suppose, with abnormal LFTs without obvious
reason.
Declan
<<insurance medicals are often a problem - i had a patient with a
mildly
raised ferretin that contibuted to a higher premium but was extremely
difficult to attribute to any significant pathology after a round of
follow up tests etc. >>
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