Pre-op: Understanding Your Lab Results
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- Опубликовано: 5 мар 2023
- Not sure why we need your lab work before plastic surgery? What do the lab results mean? In this video, Dr. William will walk you through lab results, so you can understand why they are needed and what your lab results actually mean.
#labresults #labwork #bbl #drwilliam
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How many of us paused the video over and over to check their lab work as he went down the list? 😂 the stress of getting medical clearance is just whewww I never wanna do another surgery again because of all the bs I had to go through
Meeeeee 😂
😂😂😂😂😂
Girl me lmao .
Me lol 😂
Surgery scheduled for the 9th jus got my lab work. According to him I’ll get a green light 😂😂
This is really the number 1 video to watch a few months prior to surgery! I’m scheduled for surgery in May 2024 and I just had labs completed few days ago. I can’t wait to get my results so I can re-watch this video. I’m also having those same labs rechecked again 1 month prior to surgery.
I am also having surgery May 2024 and I am traveling out of state for it, my Dr. still has not told me anything about having labs done.
Thank you for being such an amazing person, teacher and doctor. I wish I could be your patient. Be blessed!
OMG, what a lovely thing to say! Thank you! That's very nice of you. Have a great day--you made mine.
I'm sorry for asking this but I have to,if someone is having a HIV aids, it's a problem If she get BBL,, hips and tummy tuck
I agreee! Me as well
thank you so much for this!! i couldn't find a single video that was comprehensive and easy to understand
Thanks 🙏🏾 for sharing your knowledge on the labs I didn’t understand all of them now it made perfect sense
Thank you for this! I was wondering why I needed to get certain labs and this made so much sense! I’ll be seeing you in December!
Gunna have my labs next weekend and watching this for prep! Thank you for your video!
This was so helpful. Thank you. I have my breast reduction surgery booked for 14th June and now I understand what they will be looking for in my pre op data.
I love love love your videos! As an RN, I really appreciate your education videos. Not all surgeons do this kind of education for their patients ❤
Thank you. Please let me know if you have any questions I can address for you.
As ALWAYS, you educate and explain things like no other! THANK YOU!!!
Thanks again!
Thank you for your time Dr. It’s always good to know
My pleasure!
Such good information, thanks‼️
They way you explain cbc is wonderful 🎉Thank you !
Thank you for all the information you're truly appreciated ❤
Thank you very much.
I love all your videos Dr. William and thank you so much for taking the time and dedication to make all these videos. It’s truly helping me since I’m considering on getting a BBL.
That is just so nice of you to say. Thank you. I love to educate and I am happy you are finding it helpful. It's a tough subject to try to make interesting.
@@DrWilliamMiami Your very welcome Dr. William 😊. Yes, I agree that it tough but you make it so interesting. Keep up the good work. Looking forward to another lesson 😊
Okay i understand I'm glad u doing this to explain to us thank u . Not all doctors do this but this is helpful
Tremendously helpful and very interesting. Thank you for this info.
Very interesting!!!! I fell asleep myself watching it! 😂 But there was a lot of information and no good way to make it interesting other than to just try and get all the information out.
Awesome video. I'll have to pull my last lab results and watch your video again. Thank you for taking time out of your day to explain lab numbers 🙏🙂
Thank you for thanking me!
That was very insightful. I'm having my surgery in 2 weeks. The surgery center called today to get my info, etc. and they asked specifically about my potassium level. I had to fax them by lab results. So to then have your RUclips video pop up was perfect timing because since then I've been wondering which lab results carried more weight concerning fitness for surgery.
I love when things like that happen.
I needed this video so much-- thank you! I just got my labs back, and as usual, I need help interpreting them. I hate that Kaiser releases results with ranges but no explanations. All my labs look good except for my MPV. At 8.7, it is slightly lower than the average range. Since you didn't go over MPV during the video, I hope it's one of those categories that doesn't matter. I really don't want my surgery to be delayed for one category.
I live in Maryland, but boy, oh boy, do I wish I were near you. You provide fantastic information that is easy to understand, and your patients look fabulous.
If the hemoglobin and platelets and white bloods cells are all within normal limits than the other values are not as important when it comes to surgery but you should always review your labs with your primary care doctor.
This was very informative! I’m doing my research and according to some of the numbers you discussed I’m dying!! Not really but I had a bunch of tests done just a few weeks ago and some of them are crazy high like my cbc, creatinine and protime. My hemoglobin was also low. I’m not a candidate and back to depression I go. 😢
Wow. I love how u took ur time to come explain for us. Thanku.
I am glad you watched it! There is really no way to explain it in an interesting way!
Please make a video interpreting all lab results!! I love how simple and easy you make it. Im a student wanting to learn how to explain every lab value to any kind of patients (not just plastic surgery). I would love to learn more from you!
Thank you but I really only know plastic surgery at this point of my career--it has been a while since I went through all of the labs like for rheumatology patients or pregnant patients so I am not the best to discuss these types of labs. But thank you! Glad you found it helpful.
Thank you Dr! As a person with diabetes the discussion of A1C was so informative, I just had blood work done and was told my A1C was a 8, i definitely have some work to do if I want to see Dr. Cannon in October ❤
Yes get is as close to normal as you can before surgery and then after surgery maintain a strict diet because the higher the glucose level the greater the chance of infection.
@@DrWilliamMiami mine is 171 the ac1 is 7.8 and I’m seeing Dr William this month. Should I cancel or?
I’ll be having my lab drawn the end May. Thanks for information
Absolutely PERFECT!!!!!!DO MORE OF THESE
Thank you! What else would you like to see? Give me a topic and I am happy to make a video on that topic.
Thank you Dr. William for always informing us. If you were based in Europe I would’ve chosen you for my tummy tuck and lipo 360 procedure but because of your information I decided to take blood tests from my GP a week before my surgery to understand where I’m at before my surgery on Monday. (The surgeon i’m going to will take blood tests on Monday morning before the surgery) From the reading today my haemoglobin I’m at risk of needing a blood transfusion afterwards. I’ll try to eat as much greens as possible between today and Monday with the hope that I’ll have a better value.
I wouldn’t have known all this without the information you post here and for that I’ll forever be grateful. If I end up going through with the procedure I’ll probably fall into my deep sleep saying “If only I’d wake up with the OGEE line” 😂
Thank you a lot!
Thank you! Best of luck with your surgery and recovery!
Thank you so much for this video help me a lot with my lab results
Glad it helped!
Thank you for this video. Easily explained and understood!
Glad it was helpful!
I díd listen!! Thank you so much! You're such a caring person! I wished that we had surgeons like you here in England. I hate flying otherwise I would have done my tummy tuck and breast augmentation at your clinic
Love you Dr. William 🤗🤗
Thanks for explaining this❤👍🏽
Happy to help!
Thank u doc see u soon 🎉
Im having a breast augmentation this upcoming June. Extremely nervous, but this video was very educational and made me feel so much better! Thank you!
That's what it is there for! Glad you found it helpful. Here is a video about breast augmentation you may find helpful: ruclips.net/video/pW5ytE0lg1g/видео.html
Wow you’re incredible and saving lives! I opened up my my chart and followed through with the entire video. Thanks so much Doctor for breaking this down. You are worth every dollar 😂❤
You are so welcome. You are a good student!! Any questions let me know.
@@DrWilliamMiamiwhat all labs are needed?
Should this be mentioned to my primary physician?
Does it have to be less than 90 days before surgery?
I’m watching again and make notes you are amazing
I don't know how you could get through it twice--it is a little on the boring side! I admire your tenacity!
I hope everything comes back good I have surgery w you at the end of this month 😊😊😊
Thank you so much.
You’re awesome thank you!
Thank you! You're welcome. Please let me know if you have any topics you wish discussed.
-Can you get elective surgery with high blood pressure?
-How long do you have to have normal blood pressure readings before being cleared for surgery?
-What is the cutoff range for too high?
Thank you!!!❤❤❤
You can but the hypertension needs to be well controlled and get medical clearance from your physician.
Yes thank you so n much ❤
I am wondering are ecg done at all before surgery ?
Every patient gets an EKG before surgery.
thank you 🙏
Thank you for this information much appreciated, I have hypothyroidsm can I still do BBL and LIPO SURGERY?.
If a person's thyroid labs are normal then they can have surgery.
I’m having a TT in September and I was wondering how far in advance could I get labs Just to see where I’m at. I know I have to get them a few weeks before surgery also but I was wondering when could I get them just to check them.
Thank you for explaining everything so well up to what age do you do a bbl 360 being in a good health
There isn't a specific cut off--it really depends on the health of the patient. Health is more important in determining your candidacy for a BBL then age is.
Hi Dr. William,
I had my BBL with you on 2/16, recovering well and very happy with my results.. thank you 🙏
I have heard that because there are less fat cells in the liposuctioned areas, it is less likely to gain fat in those areas in the future. Is there any truth to this?
Many Blessings.
Yes that is exactly right. The results of lipo are permanent--so where the fat cells were removed you can no longer gain fat because the cells are simply not there.
How long is the wait for procedure if levels are not aligned?
Question, if yiu have a UTI will this postpone your surgery and or can yiu be on antibiotics a week before/during surgery?
Hi, do I need to make an appointment to get my lab test done? How do I go about it, please?
Thanks so much for this! What does it mean if a CRP level is at a 9?
I don't use CRP (C-reactive protein) as a plastic surgeon. I never order it for my patients. It is a test that came out when I was in medical school and it was thought at that time to be a big break through, but it is quite non-specific--meaning it doesn't mean if you have an elevated CRP than you have this problem. It is elevated under a lot of very different circumstances so it doesn't reflect just one thing. It is a general marker of inflammation but one could have inflammation from an infection or from the liver which are two totally different things so I have never really found it that useful. I would speak to your primary care doctor about it.
What you are taking Hormone therapy for menopause can you still have a bbl surgery done
Once AGAIN another informative detailed breakdown of labs and HOW important they truly are🩸🧬🦠. Thank you Dr.Williams 🫶🏾💯👌🏾🇨🇦 (AKA) Ottawa😉
So nice of you--thank you! 🇨🇦💪🏻💪🏻
Can I have surgery for bbl if tsh is .053 and t4 free is 2.14? I had papillary thyroid carcinoma and had my entire thyroid removed. No more cancer and as far as I know thyroid is under control.
I gotta wait till my hemo blood gets back to normal for my liposuction
Hi what about urinalysis test do you check that as well and if it shows bacteria in urine will that not be good for surgery ?
We do require a preoperative urinalysis (UA). There is not supposed to be any bacteria in the urine but there are other factors on the urinalysis like leukocyte esterase and WBCs that can indicate infection so I would see your family doctor and have them review your UA to make sure you don't have an untreated urinary tract infection.
Hi Dr, Can a person who has Thalassemia trait get a lipo 360 and BBL? (Female, Hemoglobin is at 11. Iron level is above standard. )
Not with me but I would ask other surgeons if they feel comfortable with patients who have Thalassemia.
Where do you get lab work done? At the plastic surgeon or at primary doctor?
Either one works fine.
Hi there! Thanks for this video! My partner is planning on have lipo this month and was a little alarmed when he saw his ECG results. The test stated that v1 is blocked. Should we be worried? Will we have to cancel the surgery? TIA
I would ask the ordering physician to review the EKG with you. Hard to answer it here.
Hi Dr William. What is considered high for ALT ? Mine came back at 35 so it’s showing in red but I see the average is different on the paper you’re using as a reference. Would this prevent me from getting surgery?
All labs have different values so you have to use the normal reference values for your lab. I would ask your physician why your ALT is high.
A great video
Thank you. Glad you enjoyed it.
I am having a tt in July and my surgeon does not typically order pre-op labs. The surgery center will do some bloodwork the day of surgery. That's what I was told. I was surprised as the doctor has really good reviews and has over 20 years of experience.
I am still getting labs on my own just to be safe.
Is it normal for a surgeon not to order labs?
Technically if you follow the American Anesthesia Guideline for preop screening they don't suggest getting labs in young, healthy patients undergoing cosmetic surgery. I do order labs routinely because I have seen patients who I thought would be fine, but they had a surprisingly low hemoglobin. So I order them on all my patients, but not every plastic surgeon does and they are not wrong. Surgery centers do because ironically Anesthesia always wants them!
can you have surgery with an incomplete right brantel bunch block.
I would see a cardiologist to get their clearance.
Do you recommend Floradix & Hemaplex? As a surgery prep?
I suggest the Folate, Vitamin C and Iron for my patients. Here is a video explaining it better: ruclips.net/video/98C164nqKPI/видео.html
I would like to know why iam not a candidate with you for a lipo 360 bbl if age is not a problem iam in good health only have control high blood pressure my age is 60 I love your work I’ve seen most of you videos you’ve informed me alot about this surgery also about understanding my lab work please explain it to me iam really interested in this surgery with you thank you
You would have to email me at drwilliammiami@icloud.com to discuss. I can't discuss here in an open forum.
Ok sorry about this thank you
If someone has a tsh of 0.03 but t3 and t4 are normal will they get cancelled and they are now on medication
After sending the lab work and medical form how soon after should I be clear for surgery ?
I send mine 3 weeks ago spend thousand of dollars to hear im not clear and they were so rude about it my surgery is supposed to be tuesday i always thought hes my best doctor i couldnt trust noone else with my surgery but how the md was on the phone i literally cried
He said it backward. When WBC” (White blood count) is below the range it means a person is neutropenic. Meaning they can not fight infection and when the “WBC” Is higher (out of normal range) a patient has an infection.
Thank you! You are correct (although not every high white count is indicative of infection in all cases). Thanks for keeping my honest!!
How does this work for people with illnesses like Lupus? Is surgery not allowed are there different types of blood work or is it all on the same baseline? Asking for myself wanting to get my excess skin removed on my belly
Personally I do not operate on patients with Lupus, but there is a completely different set of labs for patients with other diseases. This lab panel is just the very basic you would get for a physical exam, or if you visited the emergency room for example. However, for diagnosis of other types of diseases there are many, many more specialty labs. Many.
is there any providers you recommend that will take patient with Lupus that's been in remission. because my blood work has been normal for over 6 years now, and I've recently been taking off some of my medication. Just trying to see if there is any alternatives because although I've been diagnosed with Lupus I still would like to have a nice body @@DrWilliamMiami
My Alt is 28 low and BUN 19 high does this indicate an unhealthy liver or kidney ? I do have benign simple kidney cyst and thyroid nodule benign.
No it doesn't.
My bbl appointment is coming up soon. I want to know if I need to book an appointment for a lab test and how I can go about it. Please?
Please email me directly at drwilliammiami@icloud.com and I will get someone to reach out to you.
What if my hemoglobin is a .6 lower than what you require? can you increase it within a couple months?
As long as a patient is taking iron and vitamin c and folate they can typically raise their hemoglobin in a couple of months. I always think it is a good idea for a person with anemia to discuss it with their primary care physician to see if they might be a candidate to see a hematologist.
What about the EKG?
That's a good question. I don't read the EKGs myself--Anesthesia looks at the EKGs just to make sure there is not a problem. It is not common to find a problem as most of our patients are healthy but once in a blue moon something shows up that we need to involve cardiology.
I am currently waiting to get my surgery done but I am experiencing some high level AST I am not sure what to do to bring them down does anyone have any suggestions
I would speak with your primary care doctor to determine the cause. Sometimes we see an elevated AST from alcohol consumption, but there are several other causes so I would talk with your family doctor to rule out any other causes.
Hi Dr.William. My FERRITIN shows as high at 336, the normal range shows as 16-232, but my hemoglobin is 12.3. Should I be worried about the Ferritin results, will it stop me from getting lipo/bbl?
Did you get cleared
@@quiarasoto Hello. My surgery is in May but I checked my labs to see what my numbers are prior to taking labs for my surgery. I should receive the surgery lab paperwork in mid April.
Can a high pt/inr test results stop you from getting a bbl lipo 360
Yes it can. A high PT indicates the blood doesn't clot as well as it should and that can lead to more bleeding after a BBL. I only operate on patients with normal PT values. I refer patients to a hematologist if they have a high PT.
Can you get surgery having type 2 diabetes?
Mpv is 12.4 normal range is 8.8-12.1 should that disqualify me and bacteria urine says bacteria trace other than that I’m all good on all the labs and I’m not sick or have uti
For me those would not be exclusionary results, but I would confirm with your surgeon. It takes more than a trace of bacteria to diagnose a UTI. Symptoms and urinalysis finding such as leukocyte esterase and WBCs and significant bacteria are also required.
What if the BUN is 5 points higher than usual can the surgery still be performed?
I would discuss any lab result that is not within the normal lab ranges with your family physician.
Can you have surgery if you tested positive for sickle cell trait and not sickle cell disease
yes
What do you do when a patient’s wbc is low prior to surgery in a otherwise healthy patient?
It depends how low. If it is 0.2 below the normal value that's fine, but if it is significantly low than the patient needs to see a hematologist to find out the cause of their low white blood cell count before having surgery. It is not very common to find a patient with a very low white count when getting labs for surgery because it has usually been picked up already or patients have had problems with infections.
@@DrWilliamMiami ok thank you! I am scheduled with you on May 9th. The coordinator called me and everything was fine except my wbc was 2.8 and its never been low before. I am scheduled to see a hematologists just to see why but i have not had any problems.
@user-lb8bm7rb9t hey. Did you see the specialist? Mines is at 3.78. I just submitted my labs today, so I am assuming I'll hear back from someone soon.
Please let me know what the surgical coordinator says because I’m having the same problem but usually never get sick
@Nico-yy8xw Mia accepted mines. Mines was only. 3.78. I just had my BBL 2 weeks ago. I guess depending on the company and DR they will determine if it's okay or not.
What if your ekg shows abnormal normal rhythm. If it's consistent
I would discuss with your primary care physician and determine if a referral to a cardiologist.
Dr williams my surgery is with u in two weeks my platelets are 510 should I cancel my surgery and my calcium is 1 point high plz rely im worried
It's best to email me directly at drwilliammiami@icloud.com
What if your ALT is at 75 (liver enzymes) is it ok to perform surgery?
Elevated liver function tests should be looked at with your family doctor to see if there is any workup needed before having surgery.
How can you raise hemoglobin levels?
Below is a link to a video that is talking about Iron Deficiency Anemia and it explains how to raise iron levels. Iron Deficiency Anemia is the most common cause of anemia in the US and about 1/3 of women of child bearing age are iron deficient.
This is what I tell my patients: I suggest they see their family doctor and check their iron level which is called a Ferritin level. If it is low than they can take iron along with Vitamin C to increase their iron levels which will fix the anemia. They should do this under the guidance of their family physician. If their ferritin level is normal and they have anemia I recommend discussing with their family doctor ways to potentially decrease the loss of Iron from their body which usually entails an OCP or IUD and making sure they don't have endometriosis or fibroids which their OB/GYN can help with.
Essentially they look at ways to slow the loss of iron from their body (as above: IUD etc) and ways to increase the iron in their body (iron supplemntation). If none of those things are the problem then I suggest seeing a Hematologist (a specialist in the blood) as there are many other causes of anemia that are not related to iron deficiency and they can look at their blood and potentially bone marrow along with a host of other labs and determine the cause of anemia.
Here is the link: ruclips.net/video/cSzwSCniLF8/видео.html
Is the clotting of the blood called the D diner test?
Not exactly. D-dimers is a break down product of a blood clot so it can mean you have a blood clot and the body is dissolving it.
I love your videos! I have type 2 diabetes and I did my lab work in two different places. In Quest I had Ac1 of 7.3 and in labcorp I had 7.7. Which one is right? And which one do you go by? Also, can you make a video about what foods are good to eat with low or no vitamin E. Thank you Doctor.
There will always be differences from lab to lab in their normal values and ranges etc. The main point is with an A1C over 7 you are not fit for surgery and need to get it down below 7, in fact, as close to normal as possible, because over 7 all the risks of surgery are increased especially infection.
Hi just recieved my labs back my protinine is 14.5 and protinine control is 13.3...is there something wrong?
Also creatinine i am see in 85 not a small point number as you referred to...please provide clarity
I can't really advise patients on youtube specifically. I can only speak in general terms so I would have that discussion about your labs with your family doctor.
If my sodium level is off by 1 point would that automatically disqualify me?
No it wouldn't. If you had it checked again I am sure it would be fine. These very, tiny minor lab abnormalities are within lab error.
Rbc 5.41h
hemoglobin 11.8
I dont know if this is safe or not
All labs have different range values depending on the lab so check with your doctor to make sure that your 11.8 is within the normal limits. It most likely will be because most lower cut offs are in the low 11's but check with your physician to make sure.
Hello, thank you for informative breakdown. I had a question about my creatinine and bun/creatinine ratio. My creatinine is low at 0.43 and the bun/creatinine ratio is high at 26. Will this be an issue?
As long as both your BUN and CRT are each within normal limits there is not an issue to undergo surgery.
I wasn't tested for PT/PTT. How critical is that for a local anesthesia facelift?
It is up to each surgeon what labs they prefer. For me personally I like to check the PT/PTT because it tells me if a patient's blood clots normally as I don't want a patient with weak blood clotting to have surgery as they could have excess bleeding.
@@DrWilliamMiami Thank you. I was concerned that this test looks for the opposite, i.e. blood clots, dvt.
There are tests for hypercoagulability that can find genetic mutations like Factor V Leiden for example, but there are many clotting disorders like Protein C deficiency, and it is best to see a hematologist for these tests and counseling.
My red blood cell count was high at 5.82. But everything else was normal/ within range. Would I still be cleared for surgery?
Hi doc! Please respond 😭
Unfortunately I can't give direct medical advice here. I would ask your primary doctor that question. They should review the labs with you.
@@DrWilliamMiami okay so they have the final say?
Your primary doctor will give you an explanation for the labs, but the surgeon will always have the final say because it is the surgeon who takes responsibility for the patient once the patient has surgery. But we rely on family physicians, as well as cardiologists and internists to help us make sure everything is safe before surgery. But it is the final say of the surgeon as to the decision for surgery.
My RBC was 5.33 but the assistant say I cleared for surgery ,you have already done your operation or not yet
Do you revision for tummy tuck
I do but it depends on the problem. I would have to see photos to say. You can always email me at drwilliammiami@icloud.com
What is pt is normal 12.2 but ptt is 38 and INC is 1.0 , is that a risk?
what if* also the rest of blood results are normal its just the ptt at 38. am i at risk?
Are you still able to get surgery with low potassium
This man is like a professor! Lol
If my hemoglobin is 15.1, is that a problem?
That should not be a problem.
My hemo is 14.5 is that good for BBL
Yes, that's great!
My labs are fine, completely normal but I have Raynauds, now the surgeon wants me to see a rheumatologist before surgery. Why?
Also, what can’t somebody with anti phospholipid syndrome have an augmentation?
When patients have a medical problem, such as Raynauds for example, surgeons usually require patients to gain medical clearance from their specialist to ensure it is safe for them to have surgery. There is usually no problem with Raynauds and surgery but it is always good to have clearance to ensure the patient is safe before surgery.
Patients with anti-phospholipid syndrome are at risk for developing blood clots so plastic surgeons typically don't operate on patients with that disorder or any other disorder like Factor V Leiden etc which cause blood clots. We don't want to take the risk a patient will develop a blood clot which can be fatal (PE, Stroke, Heart Attack) or have serious consequences (clot in the liver, kidney or spleen) for an elective procedure. Safety is always priority number one.
Thank you for your answer. Keep up the excellent work!!
What if your Protime level is 10.3? Can you still have surgery??
The level is different with each laboratory but as long as it is within the normal limits for that laboratory it is fine. Occasionally the upper limit will be 10.2 but in that case 10.3 would be fine but if it is significantly outside the range than it would be a problem and a normal value would be needed to proceed with surgery.
My surgery is on the 10th. My hemoglobin is at 11.1. I was told by coordinator that I am good to go and my Kant was reviewed by dr William. Also I was told to take vitamin c and take iron meds. Watching this video gives me two different answers. Please advice.
Probably they would do the cell saver for you based what he said in the beginning