Vermont Synergy Initiative
Patient Visit Preparation · No one is ever turned away
Prototype v0.2
© Fred Schwacke

You’re here.
That’s the whole requirement.

Take as much space as you need.
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Let me make sure I have the timing right. When did you first notice something had changed?
10+ years agoVery recently
About 3–4 years ago
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And how has it moved since then?
Something I could see or measure
Foam in urine · Swelling · A reading that changed · Something concrete and observable
A slow drift I only noticed looking back
Energy, clarity, stamina — gradually less. Only clear in comparison to years before.
Fine, then something shifted
A clear before and after — illness, medication, procedure. Things were different on the other side.
Up and down, no clear pattern
Good stretches and bad ones, unpredictably. Hard to describe to anyone.
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Tap anything below that sounds familiar. More than one is fine — and nothing here is a wrong answer.
Exhaustion
Tired regardless of sleep · Brain fog · Need to rest more than before
Fluid & Swelling
Puffy ankles or feet · Swelling around eyes in the morning · Weight shifting without diet changes
Blood Pressure
Told it’s high or hard to control · Erratic readings · Worse after eating
After Eating
Energy crash after meals · Abdominal discomfort · Nausea without clear cause
Urine Changes
Foam or froth · Told there’s “a little” protein · Color or appearance changed
Bone & Back Pain
New or unexplained back pain · Aching bones · Fatigue with the pain
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Now let’s look at any numbers you might have. If you don’t have them, skip ahead — what you’ve already shared is enough to work with.
Creatinine kidney filter waste
Look for: CREAT — in the Metabolic Panel section
Your kidneys filter a waste product called creatinine. When kidneys slow down, it builds up. The important thing most people aren’t told: “normal” ranges are set for a general population, not for your age or body size. A number that looks fine on paper can mean significant kidney function loss in an older adult or smaller woman.
Normal: 0.5–1.1
eGFR estimated kidney function %
Look for: eGFR or GFR — right next to Creatinine
The lab’s estimate of how well your kidneys are filtering. What labs don’t say: this estimate can be misleading in older adults or anyone who has lost muscle mass, making kidneys appear healthier than they are.
Normal: >60
Total Protein all proteins in blood
Look for: Total Protein or TP — Metabolic Panel section
By itself this doesn’t say much — but compared to albumin (below), it can reveal whether an unusual protein is present. Abnormal proteins don’t always push this number out of range, but they widen the gap between these two values.
Normal: 6.3–8.2
Albumin your main carrier protein
Look for: Albumin or ALB — right near Total Protein
The most important protein in your blood — it carries nutrients and holds fluid in your vessels. When albumin drops while total protein stays the same or rises, something else is filling that space. That something is worth identifying.
Normal: 3.5–5.0
C3 Complement immune system activity
Look for: C3 — NOT on a routine panel. You may not have it.
Part of your immune system’s rapid-response pathway. When it gets stuck “on,” C3 levels drop. A low C3 combined with kidney symptoms can point toward specific conditions that standard panels miss entirely. If you’ve never had this test, that is itself important information to bring up.
Normal: 90–180
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Two more things that change how every number above is read.
Age 55
Sex

You’re ready for that conversation.

Your concerns are real. The information here is meant to turn your fears into the reassurance of an informed plan of action you can bring to your doctor.

Here’s what your observations are pointing toward — and exactly what to ask.

Clinical context for your doctor▼ show
This tool helps you prepare for a conversation with your physician. It does not diagnose, and is not a substitute for medical evaluation. All observations surfaced here should be discussed with a qualified clinician who can properly evaluate your individual situation.