Can I Request an Additional Blood Test for an Unsuspected Infection During a Routine Visit?

When a doctor orders a blood test, it typically includes a set of standard tests that can provide a wealth of information about a patient's health. However, there may be instances where a patient suspects an infection that was not tested for. This article explores the possibility of requesting additional tests during a routine visit to a lab, focusing on when, how, and why to make such a request. Additionally, it discusses the role of the phlebotomist and the importance of having a physician's order.

The Role of the Phlebotomist

The phlebotomist, whose primary role is to collect blood samples, plays a crucial part in the process. If a patient suspects an infection that was not included in the initial order, they can ask the phlebotomist during the blood draw to add additional tests. The phlebotomist will then follow up with the doctor to ensure that the additional tests are added to the order. This is why blood samples are often collected in large vials and stored for a week; this allows time for proper communication and order updates.

Why Can't I Request Additional Testing?

While a patient can certainly ask the phlebotomist to add additional tests, these requests cannot be fulfilled by the laboratory technicians alone. It is essential to have a physician's order to proceed with any additional tests. This is a necessary protocol to ensure that all medical procedures are properly documented and authorized.

What If I Suspect an Infection in a Specific Area?

If a patient suspects an infection in a specific area, such as the urogenital region, the phlebotomist may be able to collect samples for specific tests. For instance, if a male patient suspects a Gonorrhea infection, a gram stain for Neisseria gonorrhoeae and a culture for both Neisseria gonorrhoeae and chlamydia might be requested. If the area is infected, a Complete Blood Count (CBC) can indicate the presence of an infection through elevated white blood cell (WBC) counts and neutrophil levels.

Why Didn't My Doctor Order the Specific Test?

There are several reasons why a doctor may not have ordered a specific test, such as the presence of Neisseria gonorrhoeae. The doctor might base their decision on the clinical presentation, symptoms, and other diagnostic tests already ordered. It is essential to communicate your concerns to the doctor and explain why you believe the additional test is necessary. For example, a sed rate (sedimentation rate) test may be ordered to assess inflammation, which can be a sign of an infection. Different types of infections require different tests, such as a throat swab for strep or blood cultures.

A CBC can provide a broad overview of the body's overall health and may indicate the presence of an infection. Elevated white blood cell counts, particularly neutrophils, can suggest the body is fighting an infection. If you suspect an infection but your doctor has not ordered a specific test, it is crucial to inform them of your concerns and ask for the appropriate test to be ordered. Not all tests are ordered routinely; they are based on the clinical presentation and the suspicion of a specific condition.

Advocating for Your Health

Being an active advocate for your health is essential. When visiting a doctor or a lab, it is your responsibility to communicate any symptoms or concerns you may have. Explain why you believe a specific test is necessary and provide any relevant information that can aid the doctor in making an informed decision. If your doctor declines the test initially, you can follow up to ensure that the test is run if you still believe it is necessary.

Some patients may have blood work drawn every 90 days due to chronic conditions. During these visits, it is not uncommon to request additional tests based on your current symptoms and concerns. If you are concerned about an infection or any other condition, mention it to the phlebotomist and explain why it is important to you. If the doctor sees the benefit of running the test, they may update the order accordingly. Some tests, such as a B12 measurement, may be ordered initially and later discontinued if the doctor deems it unnecessary.

Ultimately, being proactive about your health and working closely with your healthcare providers can lead to better health outcomes. Always be prepared to discuss your ideas and provide input into the treatment plan devised by your doctor. This collaborative approach can improve your compliance with the plan and help you achieve optimal health.