CDL or invitro which laboratory is better. Invitro - the opinion of a specialist on the quality of analyzes. What determines the speed of analysis

Analyzes in independent laboratories in Moscow

Many of us sooner or later come to the conclusion that it is more convenient, faster, and sometimes more truthful to pass the necessary tests in an independent laboratory.
I see two reasons for this:

• The first is that if we are talking about services in a city free clinic, then long queues and inconvenient times for taking tests (and, I must say, some of the tests there are paid!) Are not very suitable for a working person who does not have the opportunity to spend extra time .

The number of medical enterprises, as independent analysis laboratories in Moscow, is constantly increasing. I became interested in this topic, studied a little. I will try to compile a list not only of the best analysis laboratories in Moscow, but, perhaps, just a list of the most famous of these medical enterprises.

List of analysis laboratories in Moscow

Invitro

The Invitro Laboratory has officially existed since 1998 and was one of the first such institutions. It has an extensive network in Moscow and the region and cities of Russia (more than nine hundred in total) and in the CIS countries. The first branch was opened in Obninsk (Kaluga Region) in 2000. In 2013, Invitro became the first domestic company to open a radiology center in Moscow. The company has a number of prestigious awards, including the national award in the nomination of the network of diagnostic centers - "Brand number one" in 2015. In Invitro, a large number of tests are carried out, various types of diagnostic studies are performed. The company is trusted not only by ordinary people, but also by movie, television, science and sports stars. They leave their reviews on the site, often saying that "it's convenient, close to home, accurate and on time."

Laboratory Invitro, prices for tests in Moscow

Of the advantages of the laboratory, everyone notes a huge number of laboratory centers (you can always find it close to home), average prices, the fact that they start taking tests early (many already at half past seven) and, naturally, a maximum of 2-3 people in line in front of you . After reading some reviews, I found out that some of the centers work on a franchise system and, supposedly, the price tag for analyzes is lower there. I didn't encounter it myself. I noticed, however, that recently prices in Invitro have increased slightly. This is almost nothing if we rarely take tests. But those who regularly have to take a whole list of tests can, of course, reconsider their albeit very trusting attitude towards the laboratory in favor of a "cheaper" one. But the current flexible discount system and ongoing promotions with a price reduction for certain groups of analyzes can become a way out. With timely information about such promotions regular customers won't go anywhere.

There are also negative feedback, but almost all of them are related to the work of the staff (they are rude, rude), but this is the level of service, we have it in many places, oh, how lame. I have not come across any complaints from patients about the analyzes themselves, and I myself (I wrote above) use Invitro, just close to home: already tomorrow I receive a form by mail (in PDF) with a printout based on the results of simple analyzes, according to different analyzes - different terms.

Laboratory Gemotest

The reviews of those who take tests in the Hemotest laboratory are, in principle, positive. The centers are conveniently located, inside everything is comfortable and cozy. Everyone notes the friendly attitude of the staff towards customers. Light analyzes are done on time, with more complex ones, it happens that they take a little time. My friend works in a beauty salon, be sure to regularly take tests (for a medical book), pass in Hemotest, to the question - why exactly there, and not somewhere else, the answer is - close to home, quickly and at plus or minus prices, like everywhere. Still, if you use the system of discounts or promotions, you can save. Note - again close to home, now no one really wants to go anywhere, time is money.

Moscow Research Institute of Epidemiology and Microbiology named after G.N. Gabrichevsky

This is an old medical institution, founded on the basis of the Imperial Medical University. The institute has clinical departments, laboratories, and a consulting and diagnostic center. The institute is located next to the metro " water stadium", has no branches, but many go there to take tests, because they are used to and trust. Retrograds say that this is a" laboratory with history ", and not some kind of one-day thing. So, basically, people of the older generation argue. But sometimes clients note that the premises are not in the best condition (you understand, this "smell" of Soviet "research institutes), the slowness of the staff, and even part of the area - under commercial lease(store) and a pharmacy with prices above the average for Moscow.

Laboratory Litekh

The Litekh laboratory was founded on the basis of the Research Institute of Physical and Chemical Medicine, back in 1992. Produces all types of laboratory diagnostics. Customers note comfortable prices, and when ordering (not paying!) Through the website (pay on the spot), there is an opportunity to save 10%. There are few offices in Moscow. The general impression of the institution is different for everyone: in principle, everything is fine, the test results are reliable, but the level of service and the interiors of the premises could be improved. And there are complaints about the professional level of the staff.

Efis laboratory

The Efis laboratory was created by biochemists from the Research Institute of Physical Culture and Sports in 1994. Again NII! Performs about 300 various kinds laboratory research. They have a Med&Care partner, these centers are like partners. Everyone notes the convenience of obtaining results, the ability to receive test results by mail, with SMS informing by phone about readiness. But without a seal, in order to put a seal, you will have to drive to the office not far from the Krasnye Vorota metro station. Celebrate more low prices than in other well-known laboratories in Moscow. There are queues! But everything is done quickly. You can take tests at home, by appointment (but this is in almost any laboratory).

Archimedes laboratory, analyzes

Archimedes Laboratory is a growing laboratory in the medical services market, it has existed for about ten years, constantly expanding the list of services, introducing advanced laboratory research technologies (mass spectrometry, molecular genetics, which allow attending physicians to adjust the dosage of prescribed drugs for each patient) and is very flexible in its approach to pricing.

But according to reviews, not everything is smooth. Some complain about (!) queues, as in a regular polyclinic, sometimes not very friendly attitude towards clients, and there are those who complained about unreliable tests.

State laboratories of analyzes in Moscow

One of them is the Center for Molecular Diagnostics CMD at the Central Research Institute of Epidemiology.

My head was spinning - Moscow laboratories, testing, diagnostics !!!
But, in general, seriously, having studied this topic, I understand that it will not work to compile my own Rating of analysis laboratories in Moscow, where it will not work to single out “the best, the best, good, satisfactory, bad”. Because each personal relationship is made up of a combination, and everything is important here - specialists, equipment, prices, deadlines, reliability. It happened to me with Invitro, maybe I just didn’t do research and didn’t take blood tests in Moscow in other laboratories ...

Ministry of Health, according to which patients during a physical examination can donate blood only to determine the level of glucose and a couple of other indicators. Many public clinics no longer accept tests to determine hormonal levels and biochemistry. Thus, the patient, who will now go to private laboratories, must pay for everything. The Village compared the prices of standard tests at six online healthcare companies, then asked the experts why some metrics cost more than others and take longer to research.

We took for comparison the prices for analyzes in the following clinics: Invitro, Citylab, Hemotest, ArchiMed, KDL and CMD are the companies with the longest history of existence on the market or the most popular and having good reputation according to word of mouth. In them, we studied the prices for the most common tests, the preparation time and the form of notification of the results.

Network "Invitro"

Readiness of results: clinical, biochemical, HIV, hepatitis, sex hormones - one working day, 17-OH* - up to two working days, DHT** - up to four working days.

Urgent results: can be obtained in two or four hours under certain conditions. The price increases by two or 1.5 times, respectively.

Taking biomaterial: 199 rubles. The online calculator on the center's website immediately adds this amount to the amount of the tests themselves.

Clinical analysis: 720 rubles

Biochemical analysis: 1 920 rubles

HIV: 470 rubles

Hepatitis A: 720–900 rubles

sex hormones: 5 435 rubles

SENDING THE RESULTS: free sms notification e-mail, by phone using a code word, by fax, in any office.

Network "Hemotest"

Readiness of results: clinical, biochemical, HIV, hepatitis, sex hormones - one working day, DHT - five working days.

Urgent results: can be obtained in four hours under certain conditions. The price increases by 1.3 times.

Taking biomaterial: 200 rubles. The final cost on the site includes the price of delivery of biomaterial.

Clinical analysis: 670 rubles

Biochemical analysis: 1 870 rubles

HIV: 470 rubles

Hepatitis A: 720–940 rubles

sex hormones: 5 340 rubles

Sending results: free sms notification personal account on the website, in the office, by phone, by fax, by courier (500 rubles) and by e-mail.

CMD network

Readiness of results: clinical, biochemical analysis of blood, HIV, hepatitis, sex hormones - one working day, 17-OH - one to two working days, DHT - one to five working days.

Urgent results: can be obtained in three to five hours. The price is doubled.

Taking biomaterial: 180 rubles. The online calculator does not take into account the cost of taking biomaterial.

Clinical analysis: 599 rubles

Biochemical analysis: 1 658 rubles

HIV: 400 rubles

Hepatitis A: 630–760 rubles

sex hormones: 4 815 rubles

Sending results: in the office, through the Internet service, by e-mail, by phone and by mail.

KDL network

Readiness of results: clinical, biochemical blood test, HIV, hepatitis, sex hormones - one working day, 17-OH - three working days, DHT - four working days.

Urgent results: no such service

Taking biomaterial: 199 rubles. The final cost on the site includes the price of delivery of biomaterial.

Clinical analysis: 450 rubles + 215 rubles ESR

Biochemical analysis: 1 830 rubles

HIV: 450 rubles

Hepatitis A: 660–920 rubles

sex hormones: 4 990 rubles

Sending results: in the office, on the website, by e-mail, by phone, by giving the code word, by courier (300 rubles).

Citylab network

Readiness of results: clinical, biochemical blood test, HIV, hepatitis, sex hormones - one working day, 17-OH - two working days, DHT - four working days.

Urgent results: can be obtained in two to five hours under certain conditions. The price is doubled.

Taking biomaterial: venous blood - 170 rubles, capillary - 220 rubles. The online calculator on the center's website does not add this amount.

Clinical analysis: 560 rubles

Biochemical analysis: 1 760 rubles

HIV: 380 rubles

Hepatitis A: 540–760 rubles

sex hormones: 4 980 rubles

Sending results: on the website, by e-mail, in the office, by courier (550 rubles).

ArchiMed network

Readiness of results: clinical, biochemical blood test, HIV, hepatitis, sex hormones - one working day.

Urgent results: there is no such service.

Taking biomaterial: 180 rubles. There is no information on the site.

The company's website lists prices for legal entities. Below are prices for individuals.

Clinical analysis: 450 rubles

Biochemical analysis: 1 050 rubles

HIV: 320 rubles

Hepatitis A: 380–450 rubles

sex hormones: 3 960 rubles

Sending results: by email, in the office and by phone.

* 17-OH - the regulator of sexual function and the menstrual cycle in women. ** DHT is responsible for the development of the male reproductive system.

Results

Most of the most expensive analyzes in the medical company "Invitro". For a clinical and biochemical blood test, you will have to pay 919 and 2,119 rubles, respectively, for an analysis for hepatitis A - from 919 to 1,099 rubles, and for an analysis of sex hormones - 5,634 rubles. But Invitro has the widest network of clinics in Moscow.

For the determination of antibodies and HIV antigen, the largest amount, 870 rubles, will be taken in the Gemotest. But in this network, the cost of urgent analyzes increases only 1.3 times (in others - one and a half to two times).

The cheapest analyzes in the company "ArchiMed". However, in Moscow, the company is represented by one laboratory, which may affect the number of those wishing to save money, which means that there may be queues.

What determines the cost of analysis?

The price of the analysis includes the cost of reagents, which are also purchased in foreign countries, the cost of depreciation of devices, salaries of medical personnel, and rental of premises. “Russian reagents are sometimes cheaper than foreign analogues, but, unfortunately, they are not always comparable in quality. The higher the qualification of the personnel, the more expensive it is and, consequently, the higher the price of the analysis,” says Elena Tivanova, head of the analytical planning group, leading expert of the Center for Molecular Diagnostics of the Central Research Institute of Epidemiology of Rospotrebnadzor. Private labs are also spent on maintaining marketing services, websites, their own treatment rooms and call centers. The cost also depends on the demand for analysis among patients.

There are popular tests, such as biochemical or clinical, their results are usually ready the next day. There are rare tests. For them, in order not to use the reagents several times, increase the research time.

In laboratories, biomaterial sampling is usually paid separately. You can take several tests, paying only once for taking blood from a vein. The material for analysis is taken by the procedural sister in the clinic. A separate payment for taking biomaterial is a payment for her work.

What determines the accuracy of the analysis?

The accuracy of the analysis by 50% depends on preanalytics, that is, the stage before blood donation, says Larisa Samohodskaya, head of the laboratory diagnostics department of the Medical Research and Education Center of Lomonosov Moscow State University, doctor of the highest category, associate professor, candidate of medical sciences. Some tests are taken on an empty stomach, for some there are prohibitions on certain medications. Before analysis, it is necessary to clarify the requirements, although they are usually posted on the laboratory website.

The results may be inaccurate due to violations of sample delivery: according to Elena Tivanova, here “it is important to observe the correctness of sample transportation - delivery time, correct temperature conditions, absence of physical damage and other external factors". If it takes five or six hours to deliver the material, then the reliability of the results can be argued.

It is better to donate blood in the morning so that it can be delivered to the laboratory on the same day. But don't be first in line. For example, if blood is left in a test tube at room temperature for more than three hours to determine the level of glucose, then the glucose level will begin to drop sharply, explains Larisa Samohodskaya. This will significantly affect the results.

What determines the speed of analysis?

The timing of obtaining test results depends on their rarity and the complexity of the procedure. “The time to complete the study is made up of many factors, and the main one is the duration of the analytical process itself, which, depending on the analyte and process automation, can be several minutes or several days. The delivery time of the biomaterial from the point of its collection to the laboratory also contributes, and it can be carried out from a neighboring medical office, from another district of the city or from another city, ”comments Tatiana Ponkratova, head of the Invitro expert group.

A service that almost every medical laboratory, - urgent results. To obtain quick results, they use the "dry chemistry" technology - it does not need to dilute reagents and use containers. These are test strips that help make an express procedure, but such a system is more expensive than usual.

Not all analyzes can be obtained in the near future. “There are indicators that can be done simply, quickly and inexpensively, there are analyzes consisting of two stages of an hour each, and it is not possible to speed up the process,” says Larisa Samohodskaya. In this case, you will not be able to get an analysis within an hour or two.

For example, a rare test for the level of dihydrotestosterone (DHT - responsible for the development of the male reproductive system) requires up to three days. According to Samohodskaya, "laboratories have been collecting sera for some time, which may ultimately help reduce the cost of research per patient." Some companies send material for such analyzes to specialized laboratories, which also takes time. This is why DHT is so expensive and time consuming.

______________________________GOOD AFTERNOON____________________________

I want to dedicate this review to the network diagnostic laboratories KDL. This network was recommended to me by my gynecologist when I needed to get tested. Before that, I used a network of laboratories INVITRO. But after comparing the prices on the site, I realized that the tests in KDL are significantly cheaper.

For many years now, if I need to take tests, I use private laboratories, because. it's fast and without queues + the results are sent by e-mail.

For OM: All screenshots and photos in the review are agreed with the site support service.

This network of diagnostic laboratories has Internet WEBSITE , where you can get acquainted with the addresses of clinics, types of tests, preparation for them, prices and other useful articles in the field of health.

Also on the site in the section "STOCK" you can get acquainted with the ongoing promotions on different types analyzes that are constantly being menued, and it is possible to pass certain types of complex analyzes with great savings. For people who care about their health, these are very advantageous offers.

The site also has a search for BUT alphabet, or search in a line with a selection of words. And that and that is quite convenient.

When you find the name of a particular analysis, you can get acquainted with the price, due date, description and proper preparation for the analysis.

Discount system

So I really like, KDL diagnostic labs have flexible system discounts.

On my first visit, they gave me a discount card, which they call "Health card", it is nominal, issued at will after filling out the questionnaire. Its great advantage is that it can be combined into a so-called FAMILY. The point is that one card, for example mine, is the main one and you can add up to 10 people to it (relatives, friends, acquaintances). From each analysis passed, the amount drips onto it and the% of the discount grows. In order for another person to be able to use the discount on your card and be tied to it, it is enough to name the 16-digit card code and the full name of the cardholder.

My husband and I have already accumulated almost 15,000 rubles on the card in this way. By the way, the card is already issued with a 5% discount, and even on the first visit to the clinic, you can use the discount.

Below you can find the % discount.

Personal Area

The site has a convenient personal account where your personal data, test results and information on discounts and savings on the health card are stored, it is convenient that everything is at hand in one place.

Testing at the clinic

The first time I took tests at the clinic for metro station Kuzminki (Moscow) . It was a day off, in the late afternoon, there were almost no people. They issued me quickly enough, the blood was taken from me in less than 5 minutes, painlessly and without bruising. Everything there is somehow very fast, well-coordinated and according to a well-established scheme. This is actually very cool, because. you don't spend a lot of time in queues.

My analyzes were ready within three days. Some in a day, some in two, the last came on the third day.

My husband also took tests in this clinic, they took a urogenital smear from him, according to him, also quickly and painlessly. The analysis was ready in a day.

I cannot be 100% sure that the tests are accurate, BUT the doctors had no questions after we showed the results. I want to believe that the analyzes are really accurate.

Service "Call a doctor at home"

Recently, I learned that KDL has such a service as a doctor's house call. I just had to take hormone tests, and women know that these tests must be taken strictly on day 2-5 of the cycle, otherwise they will be incorrect and inaccurate.

It so happened that I had to take the analysis on Sunday. It was extremely lazy for me to get up at 7 am on a day off and go to the clinic to donate blood on an empty stomach, and in 1 day I called the clinic (the phone number is on the official website) and filed an application for a doctor to visit.

I would like to tell you about all the nuances of this service:

• Applications for the departure of a doctor are accepted the day before until 17:00, after 17:00 a nurse every other day.
• The application can be made both on the website and by phone. A call center specialist will contact you to find out the name of the tests and tell you the final cost.
• Only blood can be taken for analysis, all other tests (urogenital swabs, skin scrapings, etc. are taken only in the clinic). In a jar, you can transfer the biomaterial (nails, hair, urine and callas) to the brigade.
• Cost of departure honey. sisters within the Moscow Ring Road - 490r. If you take tests in the amount of more than 1500r. then check out FREE.
• The doctor's departure is carried out from 6:00 in the morning, you can leave a wish for a certain time - my wishes were taken into account.
• Can be paid in cash or bank card.
• Up to 3 people can be tested at the same time.

Test day

I asked the team to arrive by 7 am, and the nurse was at my place at exactly 7:00 am. Thanks for being punctual.

She undressed, took off her shoes, she had a large red bag with all the necessary devices, she did not wash her hands - she treated them with an antiseptic.

We immediately started donating blood. I sat down at the kitchen table, she took out a roller under her arm and a tourniquet, asked me to work with her fist. At that time she was preparing the instruments herself. For the first time, I saw a special needle with a neck instead of a syringe, and the nurse immediately inserted a blood test tube into it. Very handy thing and no need to poke around with syringes. The needle was in a sterile package. She wiped the crook of my elbow with an antiseptic wipe and inserted a needle. The blood draw lasted less than one minute. In the vein of honey. sister got the first time, completely painless (although I'm still a coward). Blood was taken with disposable gloves.

She applied a cotton swab to the puncture site and bandaged her hand with an adhesive bandage. She put all the used tools and garbage in a bag and wrapped it with branded tape (then she took it with her).

She had a special tablet with her, she asked me to sign it, and separately on the contract. It is better to pay with a bank card, or have the amount to pay without change, because. if you are the first to take tests in the morning, then she has no change. I did not have the required amount, so I paid with a card, she had a payment terminal with her.

After payment, I immediately received an SMS on my phone.

She also warned me that she had a refrigerator bag in her car and she put the tests there. Everything about everything took literally 15 minutes, imagine! By the way, the girl left a very pleasant impression, she was such a talker, she told me everything that interests me, showed her bag, she is young, 25-30 years old, but you can see the pros. the blood took completely painlessly and a bruise, and left.

I received the first tests already in my personal account on the website, and on the same day by mail, the other part on Tuesday. The last tests came on Wednesday, although the site says that some of my tests are made up to 10 days! So thanks for your promptness.

And about the quality of analyzes in this laboratory in the wake of a discussion in one of the social network groups.
I'll quote the entire post here.
***

Medical injury. PART 6. Myth about laboratory tests or the whole truth about INVITRO!

Today we will generally get personal, mentioning the name of the laboratory ... Do you know what prompted me to write this article? But just yesterday, on Facebook, in the promamskoe group, there was a thread in which it was discussed that many doctors do not advise taking tests in vitro. Like, they cheat, their blood coagulates, they lose tests, etc. Vooot, let's take a closer look at what is really happening, otherwise the world of the Internet is full of rumors, yeah .... And these rumors are from allegedly very reputable doctors, yes, yes !!

I must say right away that I am not engaged, not affiliated and not lured by invitro, that is, I have nothing to do with this laboratory and never had. Neither direct nor indirect, and people who believe rumors more than a person who has a valid certificate of a doctor of clinical laboratory diagnostics and has worked in one of the largest laboratories in Russia can cool their ardor, intending to accuse me of lobbying someone or something !

Let's start! So, the first myth. Invitro is a small semi-basement laboratory, we have been there more than once, they are sitting in the basement. Cool down, comrades. Invitro is one of the largest players in this segment of medicine, and what you call a semi-basement laboratory are just franchised offices that anyone can open by paying a couple of millions and putting up an INVITRO sign. But this does not mean that the analyzes are done in the same place. Invitro provides its franchisees with consumables, and the courier picks up the biomaterial at a strictly defined time and delivers it to its own laboratory, where the production process itself takes place ... Yes, yes, that's what it's called!

Second myth. In in vitro, they do tests with their hands and it all depends on the change of the doctor. If the guest workers are on shift, they will do it wrong, so the blood coagulates and the results are incomprehensible. This is generally a rare nonsense. Firstly, such a laboratory takes a day, and such laboratories work around the clock, processes tens of thousands of samples, and if everything is done by hand, the laboratory staff will be many thousands, which will lead to the fact that the prices for analyzes will be tens of times higher than they are now. Almost all analyzes are performed on automatic analyzers of the world's leading companies and their measurement accuracy is hundreds of times higher than with manual performance. Only microbiological cultures, antibiotic susceptibility testing and some ELISA, CLLA tests can be done by hand. [In the laboratory now, judging by the "Equipment" section on the website, there are at least 2 microbiological analyzers, and a preanalytical sorting system, i.e. manual work and the "human factor" in mistakes are trying to minimize].

Third myth. They have the wrong test. In the medical textbook, other blood test standards are written. Here is a very common mistake. Anything can be written in the textbook and it will be far from the truth. each laboratory may have its own standards and they may differ from those of other laboratories. Standards or REFERENCE VALUES are not set by the laboratory, but by the manufacturer Supplies that the laboratory uses! unfortunately, many doctors do not know this either and also refer to textbooks of the 60-70s, calling the laboratory and making a scandal that, they say, they do not know how to interpret the analysis, since the references differ from those written in the textbook ... ..

Fourth myth. Invitro saves on analyzes and invents results without doing a real analysis. Well, I'm not going to comment on anything here, sorry. This is more like post-hangover syndrome. This is a matter for jurisdiction, and each tube that is sent to the laboratory is stored for up to 14 days after analysis and can be sent for rework if there is doubt about the result or an additional order is needed for execution from the same tube. This, for example, happens when an analysis is performed, the result comes to the doctor, and he wants to see some more parameters based on the result. Then an additional appointment is made and a new sampling is made from the existing test tube for analysis. By the way, few people know about this, but it can be used!
It cannot be said that everything is going smoothly, there are problems in laboratory diagnostics. So, for example, 2-5% of all analyzes can be performed with errors. and this is not an invitro problem, this is a global practice. Well, unfortunately….
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and now the traditional digression and the whole truth about doctors. The problem, comrades, is not in the laboratory, but in the qualifications of our doctors or, even worse, in the love of our people for self-diagnosis, self-prescription and self-treatment.
Most errors do not occur during the production of the analysis, but at the preanalytical stage, that is, at the stage of taking the analysis. There are certain rules of preanalytics that are violated right and left by our doctors and franchisees, this is due to the low qualification of medical personnel, but they do not want to admit this, it is easier to blame the laboratory.
So, for example, I came across scandalous surgeons who send pus to the laboratory for microbiological culture and sensitivity to antibiotics. There are hundreds and hundreds of such examples. And among these doctors are honored figures, doctors of sciences, professors. But none of them knows what horseradish can be grown from pus, because, by definition, these are dead microorganisms, blood plasma and the same dead leukocytes ... .. And you can grow something only from a living one .... But on the other hand, to argue and yell, and beat your chest, that everyone is bad, but they are doing everything right, they are much!
Even worse things are with gynecologists. These generally like to take tests without really understanding why and for what, and even less understanding the rules for taking tests in gynecology. So, for example, for most gynecological smears, you need to take a discharge from the vagina, urethra, or cervical canal. But it is the separable, not the separable. Can't you hear the difference?? Here, here, gynecologists also do not smell and take just what is excreted, and not what is separated. That is, what the vagina secretes by itself, that is, discharge, while according to the rules, these discharges must be completely removed and scraped from the mucosa, that is, the epithelium should be separated. Most smears are performed by polymerase chain reaction, PCR for short, in which blood and mucus can act as an inhibitor of the reaction and lead to a false negative response.
And so you can continue to tell, but there is a lot to tell. In each technique there are preanalytical rules and it is precisely those who carry out the sampling of the analysis that should know them.

So, the results! The minimum set of knowledge, so to speak!

1. If you do yourself a self-diagnosis, prescribe tests, then take the trouble to read multi-volume works on laboratory diagnostics or at least call the medical department of the laboratory and find out the rules for taking this or that analysis.

2. Reference values. Remember that they may differ for each laboratory, and if you take tests in dynamics, then they should be taken in one laboratory, and not in several, then you can clearly follow the dynamics and evaluate the quality of treatment. [My article about].

3. It is always better to donate blood from a vein, and not from a finger. Unfortunately, many doctors argue that it is better to donate blood from a finger, especially for young children. This is mistake! Modern test tubes are vacuum, which ensures their filling with blood along the pressure gradient and minimal trauma, as well as the safety of blood due to the lack of contact with the external environment and the presence of a preservative inside the test tube, while all these criteria are absent when taking blood from a finger. This procedure is much more traumatic and the degree of reliability of the analysis may be lower than when taking from a vein.

4. Spermogram. Here it is better to take it not at the collection point located far away, in the franchisee's office, but at the collection point located in the laboratory itself, this will ensure minimum term delivery to the laboratory assistant and a more reliable result. By the way, it should also be remembered here that having received not very good results spermograms, a competent doctor is in no hurry to prescribe treatment, but investigates all the reasons, collecting information about the preanalytical stage and concludes that treatment is necessary only based on the results of 2-3 spermograms taken over a certain time interval.

5. Blood culture for sterility. In general, I do not recommend taking this analysis, which doctors love to prescribe so much. This is complete nonsense. Blood is inherently sterile BY DEFINITION! It does not contain bacteria from which colonies can be grown and a microbiological test for sensitivity to antibiotics can be done. If the doctor prescribes this analysis, then he is a complete idiot! IMPORTANT TO REMEMBER! a disease in which the blood ceases to be sterile is called SEPSIS, the mother is killed ... Smoke Google and look at the pictures of how a person with sepsis looks. He does not go to the doctors, he lies and goes to another world ... Here you can take blood from him for sterility, from the rest - it's pointless!

6. Complete blood count. You can take not only in the morning and not only on an empty stomach. If you ate and passed general analysis blood immediately after eating, then you don’t have to worry, its reliability will not decrease, but this does not apply to biochemical analyzes!

7. Hormones! It is very important to know preanalytics! Many hormones have rhythmic production peaks and some hormones should be given strictly at a certain time, as well as at rest. So, for example, prolactin, beloved by gynecologists, tends to increase significantly for almost any reason (I exaggerate, of course). And if you have elevated prolactin, this is already a reason for the doctor to prescribe you an x-ray of the Turkish saddle or an MRI of the pituitary gland, while it is only worth redoing the analysis or taking the trouble to find out under what conditions the analysis was collected. The prolactin value above 800-1000 units may indicate the likelihood of an adenoma (prolactinoma) of the anterior pituitary gland. Do not rush to immediately do an MRI of the brain and faint with your doctor, it is often enough just to retake the analysis to make sure everything is OK.

In general, by tradition, I wish you all good health, Nikita Yuryevich Istomin, doctor of clinical laboratory diagnostics, obstetrician-gynecologist, doctor ultrasound diagnostics, osteopathic doctor. Hi promamskoe group, I hope I answered your questions. If you have any more questions, I'll try to answer!
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