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Or any Ace inhibitor [often the statin gets blamed but the Ramipril is at fault]. TIM ************************************************************************ ************* Prof. Tim Reynolds, Queen's Hospital, Belvedere Rd, Burton-on-Trent, Staffordshire, DE13 0RB work tel: 01283 511511 ext. 4035 work fax: 01283 593064 work email: [log in to unmask] home email: [log in to unmask] ************************************************************************ ************** IMPORTANT: This email is intended for the use of the individual addressee(s)named above and may contain information that is confidential privileged or unsuitable for overly sensitive persons with low self-esteem, no sense of humour or irrational religious beliefs [if you want to believe in fairy stories and hug pixies that's up to you]. 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If you have received this eMail in error, please add some nutmeg and egg whites, whisk, and place in a warm oven for 40 minutes. -----Original Message----- From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Colley, Michael Sent: 07 May 2008 12:17 To: [log in to unmask] Subject: Re: DVLA samples Of course the difficulty is that if the patient is on a statin his GGT may be raised as a result of that. I'm currently in discussion with DVLA and will report back. I believe Robert Forrest is on the Advisory Panel, so I'll contact him as well. Michael _____ From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Ian Holbrook Sent: 07 May 2008 12:11 To: [log in to unmask] Subject: Re: DVLA samples We are also asked to do these tests for the DVLA. I always understood that they were for drivers who had been convicted and their licence withdrawn but were coming towards the end of the term of the ban. I assume the tests help the DVLA in deciding if they can have their licence back and are using them as a measure of liver function. The DVLA may be concerned about elevations in AST in "old" samples that may make interpretation of the results more difficult. Kind regards Ian Dr Ian Holbrook Dept. Clinical Biochemistry York Hospital Wigginton Road York YO31 8HE UK 01904 725786 _____ > Date: Sat, 3 May 2008 14:11:05 +0000 > From: [log in to unmask] > Subject: Re: DVLA samples > To: [log in to unmask] > > As a Magistrate often dealing with drink/drive cases, this looks like another one of those where someone has got misinformation off the internet. People arrive in Court now with printouts from dodgy websites, often US based, advising the most outlandish ways of avoiding the charges. If you cannot prove chain of custody on this sample, it would not be admissable in any case. And anyway, normal liver function tests do not mean that the driver was not over the limit on that occasion so I fail to see why any Bench should be influenced by the results in any way. It is the alcohol level that counts. > I hope you are charging private patient rates for this waste of lab resources. > > Mrs. J. Still, > POCT Manager, > Biochemistry Dept, > Watford General Hospital. 01923-217998. > The views expressed in this message are personal and do not reflect West Herts NHS Hospitals Trust policy. > > > ----- Original Message ---- > From: "Colley, Michael" <[log in to unmask]> > To: [log in to unmask] > Sent: Thursday, 1 May, 2008 12:28:36 PM > Subject: DVLA samples > > We process some samples for DVLA on persons who have been convicted of > drink-driving. These are taken by local GPs. > > The tests are LFTs (AST,ALT,GGT,ALP,BILI,TP,ALB) and FBC. > > There appears to be a requirement that the samples must be analysed > within 6 hours of the blood being taken. As it often takes over 4 hours > for the samples to arrive we do not always achieve this in the > hurly-burly of an afternoon's workload. > > Does anyone know why 6 hours? We're using SST tubes and the samples are > centrifuged before 6 hours so there shouldn't be any changes in the > serum. But I'm open to any suggestions re. a justifiable reason. > > Michael > > > Swindon & Marlborough NHS Trust > Great Western Hospital > Marlborough Road > Swindon > SN3 6BB > Tel 01793 60 40 20 > > http://www.swindon-marlborough.nhs.uk > > Find out more details about our Foundation Trust application on our website and register to become a member at http://www.nhs-membership.co.uk/swam > > This message and any files transmitted with it are confidential and intended solely for the individual(s) addressed. > If you believe you have received this e-mail in error, disclosing, copying, distributing or retaining this message, or any part of it, is strictly prohibited; please notify the sender immediately and delete it from your system. > Any views or opinions presented are solely those of the author and do not necessarily represent those of Swindon & Marlborough NHS Trust. > All messages sent by the Trust are checked for viruses but this does not, and cannot, guarantee that a virus has not been transmitted. > The Trust accepts no liability for any damage caused by any virus transmitted with this e-mail. > > > ------ACB discussion List Information-------- > This is an open discussion list for the academic and clinical > community working in clinical biochemistry. > Please note, archived messages are public and can be viewed > via the internet. Views expressed are those of the individual and > they are responsible for all message content. > ACB Web Site > http://www.acb.org.uk > List Archives > http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html > List Instructions (How to leave etc.) > http://www.jiscmail.ac.uk/ > > > > __________________________________________________________ > Sent from Yahoo! Mail. > A Smarter Email http://uk.docs.yahoo.com/nowyoucan.html > > ------ACB discussion List Information-------- > This is an open discussion list for the academic and clinical > community working in clinical biochemistry. > Please note, archived messages are public and can be viewed > via the internet. Views expressed are those of the individual and > they are responsible for all message content. > ACB Web Site > http://www.acb.org.uk > List Archives > http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html > List Instructions (How to leave etc.) > http://www.jiscmail.ac.uk/ _____ Get fish-slapping on Messenger! Play Now <http://clk.atdmt.com/UKM/go/msnnkmgl0010000008ukm/direct/01/> ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ _____ Swindon & Marlborough NHS Trust Great Western Hospital Marlborough Road Swindon SN3 6BB Tel 01793 60 40 20 http://www.swindon-marlborough.nhs.uk Find out more details about our Foundation Trust application on our website and register to become a member at http://www.nhs-membership.co.uk/swam This message and any files transmitted with it are confidential and intended solely for the individual(s) addressed. If you believe you have received this e-mail in error, disclosing, copying, distributing or retaining this message, or any part of it, is strictly prohibited; please notify the sender immediately and delete it from your system. Any views or opinions presented are solely those of the author and do not necessarily represent those of Swindon & Marlborough NHS Trust. All messages sent by the Trust are checked for viruses but this does not, and cannot, guarantee that a virus has not been transmitted. The Trust accepts no liability for any damage caused by any virus transmitted with this e-mail. ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/