Roses are red, Violets are blue, Ferritin reference ranges are garbage, And sex based hemoglobin ones are too. - ThreadSky

shematologist.medsky.social • 20 days ago

Roses are red,
Violets are blue,
Ferritin reference ranges are garbage,
And sex based hemoglobin ones are too.

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juliebray.bsky.social•20 days ago

I would have been anemic for years if I were a man! 😭

elishevashanes.bsky.social•20 days ago

I have a friend whose ferritin is 11, symptomatic (severe exercise intolerance, she's an athlete), and PCP just says it's fine bc her hgb is normal 😭 Even told her not to take oral iron (which doesn't seem to be helping anyway), won't consider anything else. I suggested she see a hematologist!

shematologist.medsky.social•20 days ago

I hate these stories 😭

solarbird.bsky.social•20 days ago

What do you recommend for screening? (Peds focus would be a bonus!)

angelam.bsky.social•20 days ago

If you don’t use the reference ranges, do you diagnose based on symptoms and past history?

shematologist.medsky.social•20 days ago

We have a lot of good evidence in adults that ferritin should be >30 if not >50

amanda182.bsky.social•20 days ago

Totally agree!

uuuvvv.bsky.social•20 days ago

What about the polycythemic end of the scale and if so, what should be the definition?

shematologist.medsky.social•20 days ago

The upper end of normal should be different based on hormonal effects (testosterone)

yolabgirl.bsky.social•20 days ago

This is my absolute favorite poem!

annieevans.bsky.social•20 days ago

Yes! Yes! Yes!
Thank you!

sarahp911.bsky.social•20 days ago

Our lab’s lower limit of normal is 10! 10!!!!!!

shematologist.medsky.social•20 days ago

😭😭😭

alytheteafiend.bsky.social•20 days ago

This one got me. Ha! YES!

tripdazey.bsky.social•20 days ago

Mine is 14. More labs tomorrow. I've previously had bloodwork lined up with the start of my cycle, not knowing that could throw things off. Learned that from here.

rahallclifford.bsky.social•20 days ago

Mine was 30 recently. Not flagged, but thanks to you, I knew that wasn't cool!

mishkabot.bsky.social•20 days ago

Mine is 28 and been told it’s fine. It’s not?! Oof.

mishkabot.bsky.social•20 days ago

(The highest it’s ever been, I’ve been anemic before)

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