Michael E. Greer, M.D. Holistic, Herbal & Homeopathic Lectures & Consultations 737 Olive Way, Suite 1804, Seattle, WA 98101 Tele (mobile): (206) 383-9072 Fax: (206) 971-7428 (Attn: Dr. Greer) michaelgreermd@comcast.net www.michaelgreermd.com Laboratory Intensive Hour-by-Hour Outline for CMU Certification: 12-Hour Seminar Seminar Overview Basic Laboratory Testing: The Chemistry and CBC Blood Test (2 Hours) Cardiac and Anemia Evaluation Laboratory Testing (2 Hours) Bone Health Testing (2 Hours) Thyroid Testing and Evaluation (2 Hours) The Female Comprehensive Hormone Panel (2 Hours) Male Comprehensive Hormone Panel Blood Test (2 Hours) Basic Laboratory Testing: The Chemistry and CBC Blood Test (2 Hours) HOUR ONE 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) 11) Fasting Glucose (blood sugar) Uric acid BUN (blood urea nitrogen): Measures liver and kidney function Creatinine: A test used to measure kidney function BUN/Creatinine Ratio: For diagnosis of impaired renal function Estimated glomerular filtration rate (eGFR) Sodium Potassium Chloride Calcium Phosphorus HOUR TWO 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) Total Protein Albumin Globulin Albumin/Globulin Ratio Bilirubin: Evaluates kidney and liver function Alkaline Phosphatase: Evaluation of liver and bone diseases LDH (lactic dehydrogenase) AST (SGOT): Evaluates liver function ALT (SGPT): Evaluates liver function Iron (serum) 1 11) Lipid Profile: Evaluates the risk for developing atherosclerosis (arterial plaque) and coronary heart disease. a) Total Cholesterol b) Triglycerides c) HDL Cholesterol d) LDL Cholesterol e) Total Cholesterol/HDL Ratio Cardiac and Anemia Evaluation Laboratory Testing (2 Hours) HOUR THREE 1) 2) 3) 4) 5) 6) Chemistry Profile (Complete metabolic panel with lipids) Complete Blood Count (CBC) C-Reactive Protein (high sensitivity) Fibrinogen Homocysteine Vitamin D 25-OH HOUR FOUR 1) 2) 3) 4) 5) 6) 7) 8) 9) Anemia Panel Chemistry Profile (complete metabolic panel with lipids) Complete Blood Count (CBC) Ferritin Total Iron Binding Capacity (TIBC) Vitamin B12 Folate Reticulocyte Count Complete Blood Count: a) Red blood cell count b) Hemoglobin c) Hematocrit d) Red blood cell indices e) Mean corpuscular hemoglobin f) Mean corpuscular hemoglobin concentration g) Red blood cell distribution h) White blood cell count i) Differential count j) Platelet count Bone Health Testing (2 Hours) HOUR FIVE 1) 2) 3) 4) 5) 6) 7) 8) Historical Perspective of Bone Disease Skeletal Disorders Men vs. Women Osteopenia Osteoporosis DEXA Vitamin D Bone Trace Minerals Zinc 2 HOUR SIX 1) 2) 3) 4) 5) 6) Bone Lab Markers Pyrilinks: Dpd (deoxypyridinoline) and Pyd (pyridinoline) Interleukin-6 (IL-6) Ntx (bone resorption marker) -- Type I Collagen Interpretation of Bone Testing Results Saliva Testing for Bone Markers Thyroid Testing and Evaluation (2 Hours) HOUR SEVEN 1) 2) 3) 4) 5) 6) Thyroid Laboratory Interpretation Historical Perspective about Thyroid Disease TRH (Thyroid Releasing Hormone) TSH T4 (Thyroxine) T3, Free (Triiodothyronine) HOUR EIGHT 1) 2) 3) 4) 5) 6) Thyroid Lab Values – The New Normal Thyroid Antimicrosomal Antibodies Thyroid Thyroglobulin Antibodies Thyroid Peroxidase Antibodies Hashimotos Thyroiditis Clinical Management Case study DAY 2 The Female Comprehensive Hormone Panel (2 Hours) HOUR NINE 1) 2) 3) 4) 5) 6) 7) Chemistry Panel (Complete metabolic panel with lipids) CBC DHEA-S Estradiol Total Estrogen Progesterone Pregnenolone HOUR TEN 1) 2) 3) 4) Total and Free Testosterone Sex Hormone Binding Globulin (SHBG) TSH Free T3 Male Comprehensive Hormone Panel Blood Test (2 Hours) 3 HOUR ELEVEN 1) 2) 3) 4) 5) 6) 7) 8) Chemistry panel (complete metabolic panel with lipids) Complete Blood Count (CBC) DHEA-S DHT Estradiol PSA Pregnenolone Total and Free Testosterone Sex Hormone Binding Globulin (SHBG) HOUR TWELVE 1) 2) 3) 4) 5) 6) 7) TSH Free T3 and T4 Prostate-Specific Antigen (PSA) Estradiol C-reactive protein (High sensitivity) Insulin Sex Hormone Binding Globulin (SHBG) 4