Health Check Reports: When to Consult a Family Physician - Family Medicine

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Health Check Report


If I have undergone a health check at your hospital, should I pursue further examinations for the sections highlighted in red on the health report? Would it be more appropriate to schedule an appointment with a family medicine physician, or should I see a specialist? I have noted low white blood cell count and left ventricular hypertrophy.
Which department would be more suitable for me to consult? Thank you for your response.

Tian Shi, 30~39 year old female. Ask Date: 2008/03/25

Dr. Cai Mengru reply Family Medicine


Dear Ms.
Angel,
Your health examination report shows some abnormalities.
It is recommended that you return to a primary care clinic to recheck the low white blood cell count to confirm whether it is a persistent issue.
Regarding the left ventricular hypertrophy, you can either consult a cardiologist directly or first visit a primary care physician (you can request blood tests during your initial visit for follow-up).
Additionally, it is advisable to bring the report with you to the clinic to minimize any inconvenience during your appointment.
Wishing you peace and health,
Dr.
Tsai Meng-Ju
Attending Physician, Family Medicine
Taoyuan Hospital, Department of Health

Reply Date: 2008/03/25

More Info


When it comes to understanding health check reports and determining when to consult a family physician, it is essential to approach the situation with a clear understanding of the implications of abnormal results. In your case, you mentioned having low white blood cell counts and left ventricular hypertrophy, both of which warrant further investigation.

Firstly, let's discuss the significance of these findings. A low white blood cell count, or leukopenia, can indicate several underlying issues, including bone marrow disorders, autoimmune diseases, or the effects of certain medications. It is crucial to identify the cause of this condition, as it can affect your immune system's ability to fight infections. Therefore, it is advisable to consult a family physician or a hematologist, who specializes in blood disorders, to evaluate the situation further.

On the other hand, left ventricular hypertrophy (LVH) is a condition where the muscle wall of the heart's left ventricle thickens. This can be a response to increased workload on the heart, often due to high blood pressure or other heart conditions. LVH can lead to serious complications, including heart failure or arrhythmias, so it is essential to address this finding promptly. A cardiologist would be the most appropriate specialist to consult for this condition, as they can provide a comprehensive evaluation, including echocardiograms or other imaging studies, to assess the heart's function and structure.

In terms of whether to consult a family physician first, it can be beneficial to start there. Family physicians are trained to handle a wide range of health issues and can provide a holistic view of your health. They can review your health check report in detail, consider your medical history, and recommend the appropriate specialists based on your specific needs. They can also coordinate your care, ensuring that all aspects of your health are considered.

When you visit your family physician, be prepared to discuss your health check report in detail. Bring any previous medical records, a list of medications you are taking, and any symptoms you may be experiencing. This information will help your physician make informed decisions about your care.

In summary, if your health check report shows abnormal results such as low white blood cell counts and left ventricular hypertrophy, it is essential to take these findings seriously. Start by consulting a family physician, who can guide you through the next steps and refer you to the appropriate specialists, such as a hematologist for the low white blood cell count and a cardiologist for the left ventricular hypertrophy. Early intervention can be crucial in managing these conditions effectively and maintaining your overall health.

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