Just guessing, but the doctor likely did a CBC (testing white, red cell size, number, shape and ability to clot.) Also she probably checked cholesterol, liver function, thyroid. And probably a urinalysis. She should certainly have recommended a fasting glucose for the future at the very least as you cannot tell if somebody has diabetes by a general blood test. One has to have a fasting glucose or other test.
Amber seems to have gone in complaining about depression, so got the Wellbutrin. The doctor should want to monitor blood values and her progress and have Amber come back. It’s one of those things that if it’s bad, it’s probably bad, but if it’s good it doesn’t mean anything.
In some EMR software, a doctor will put in diagnostic IDC Codes. She may have put one in for the skin condition which is why Amber saw it, but there are likely others Amber did not show us, like for morbid obesity. Anything the doctor diagnoses her with will appear there. Amber took that as a good thing- that it wasn’t diabetes, which is not necessarily true. It may be a sign that the doctor is suspecting diabetes and wants to do a fasting glocose test or A1C and is documenting it.
I don’t believe that email from the doctor was real. An exclamation point, no capitalization, the word ok-it just doesn’t look like en educated person wrote it. However, you never know I suppose. The fact that she’s not anemic or doesn’t have an infection could account for the good results but it’s meaningless for her concerns. The best part would be that she had normal cholesterol but she didn’t mention that.
She doesn’t understand those tests. Yes, they are fine, but it doesn’t mean she’s healthy and it doesn’t mean she doesn’t have diabetes. I bet she never looked at the numbers.
Amber is a cash customer. So pushing past her denial to pay for further testing may be difficult. She really doesn’t understand the basics, such as a therapist won’t contact her she has to call one.
She’s legit stupid.
For our UK friends: my physician has called me with medical news, although I also get test results through a patient portal. We have a ten year relationship. But he told me that he prefers to give news in person to be of support and answer questions as well as monitor emotional response. (He’s a specialist). My PCP has called me too, so it does happen. I have never received an email though, from anybody except for office staff, who identified themselves. So my guess is that an assistant wrote that email.
if she continues seeing a doctor she'll get a better reading on those.
