If it wasn’t for me noticing the words ‘renal insufficiency” in the report of my angiogram and investigating it, I could well be in much deeper trouble than I am now. My GFR has been dropping since 2017, and not one doctor thought it was worth mentioning. I went from a GFR of 90 to a GFR of 29, and not until I printed out that report and every lab I’d had done during those years, (getting them from the patient portal services), and dropped them on my doctor‘s desk demanding to know what it meant did anyone even raise an eyebrow at those numbers. By the time I saw the nephrologist, that GFR was down to 27 and my Creatinine was rising with every lab. Not one doctor thought that I should know. So instead of catching my kidney disease at Stage 1 or 2 when we could have done something, I didn’t find out until I was at Stage 4. And if I hadn’t pushed, would I have continued that steady drop until I hit that horrible GFR of 15, where the usual treatment becomes dialysis or transplant? It feels awful to believe that just because I’m old, I’m unimportant and disposable.
I’m a pretty savvy patient as a rule. I’ve become even more so since Kendra was born with all her medically complex issues. But it’s not my job to interpret lab results. I can ask what is being ordered and why, and I do. But interpretation of stuff like that should not be left to Dr. Google.