Military Physical Exams: Liver Function Concerns and Costs - Internal Medicine

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When it comes to military physical exams, particularly regarding liver function concerns, it's crucial to understand the implications of elevated liver enzymes and the associated costs for further evaluation and treatment, especially for individuals without health insurance.

Firstly, elevated liver function tests (LFTs), such as alanine aminotransferase (ALT) and aspartate aminotransferase (AST), can indicate liver inflammation or damage. In your case, having liver function indices that are twice the normal range raises concerns for conditions like hepatitis or cirrhosis. The military's medical guidelines often require further evaluation when such abnormalities are detected, which may include additional blood tests, imaging studies (like an ultrasound), and possibly a liver biopsy to ascertain the underlying cause.

In terms of costs at a facility like Keelung Hospital, the expenses can vary based on the specific tests and evaluations performed. For instance, the cost of a liver function test (SGPT) is approximately NT$50, while an abdominal ultrasound may cost around NT$882. Additionally, there are consultation fees, which could be around NT$80 for registration and NT$213 for the doctor's examination. Therefore, if you require a comprehensive evaluation, including blood tests, imaging, and possibly a biopsy, the total cost could range from a few thousand to several thousand New Taiwan Dollars, depending on the extent of the tests conducted.

It's also important to note that if you are diagnosed with a condition like chronic hepatitis or cirrhosis, the management and treatment costs can escalate significantly. Chronic liver diseases often require ongoing monitoring and treatment, which can include medications, lifestyle modifications, and regular follow-ups with a gastroenterologist or hepatologist.

Regarding your specific situation, since you have received a notice indicating that your military status is undetermined due to elevated liver function tests, it is advisable to seek medical attention promptly. A gastroenterologist can help determine the cause of your elevated liver enzymes and guide you through the necessary steps for treatment and management. They may recommend lifestyle changes, such as dietary modifications and exercise, which can significantly impact liver health.

In summary, understanding the implications of elevated liver function tests in the context of military physical exams is essential. The costs for further evaluation and treatment can vary widely, and it is crucial to seek medical advice to address any underlying liver issues. Regular monitoring and appropriate management can help mitigate potential health risks and ensure that you are fit for military service.