EFTA00582641.pdf
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HARRY Fl CH M.D.
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FACSIMILE TRANSMISSION
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EFTA00582643
BioReference
<EPSTEIN,
1M08:01/23/1953
Address:3
' NEW YOR‹.
P:
2
ott at
'r$ `.r
FINAL REPORT
r
---,..,,,r
LABORATORIES
0
Mai, HARRY
.. 0
FARRY FISCH, M.O.
544 PARK AVENUE
C
hew Ye-k J NY 10028
Acct 4'
C1720-1)
Si
0
P:
R
lErrREY
Age:63 V Sex:M
E 71ST ST'CET
NV 10021
5 Specimen ID: 105819158
A
Date Of Report: 07/23/2016
m
Date Collected: 07/2012016
Time Collected: 08:52
P
Date Received: 07/20/2016
L
Time Received: 23:20
E
No-th America Eastern Tine
C_INIIC,AL RE-)OR—
Clinical Abnormalities Summary: Maynci3OlawallebnortremSullSmeaffirta.AsmiynNaMe$08M41188flabUenewelnempon)
Creatinine
0.6210
EON/Great Ratio
Cholesterol
210 HI
Triglycerides
HDL as % of
13
Chol/HDL Kati)
Cholesterol
MCHC
35.2 HI
Hemoglobin Alc
5.9 HI
33.9 HI
ALT
42 NI
950 NI
HDL CHOL., DIRECT 28 LO
7.5
NON FASTINS
'<"?
.171.. '
- e
,.
l'I'ql.'t,t
Total Protein
7.0
5.9-H.4
g/d1
6.7
01/27/2016
Albumin
4.7
3 5 5.2
g/dL
4.2
01/27/2016
Globulin
2.3
1.7-3.7
g/dL
2.5
01/27/2016
A/G Ratio
2.0
1.1-2.9
1.7
01/27/2016
Glucose
93
78-99
mg/dL
99
01/27/2016
Sodium
140
135-147
mtol/L
141
01/27/2016
Potassium
4.6
3.5-5.5
meol/L
4.2
01/27/2016
Chloride
97
96-108
meol/L
102
01/27/2016
CO2
24
22-29
miol/L
26
01/27/2016
BUN
21
8-23
mg/di.
22
01/27/2016
Creatinine
0.62 tO
0.80-1.30
mg/dL
1.11
01/27/2816
e-GFR
106
>or 60
mL/min
70
01/27/2016
e-GFR, African American
123
>or-60
mL/min
81
01/27/2016
OUN/Creat Ratio
33.9 HI
10.0-28.0
19.8
01/27/2816
Calcium
9.8
8.6.10.4
mg/dL
9.8
01/27/1016
Uric Acid
7.4
3.4-8.5
mg/dL
7.5
01/27/2016
Iron
96
45-160
ug/dL
75
01/27/2016
8111rubin, Total
0.6
<1.2
mg/dL
0.5
81/27/2818
LD
206
135-225
U/L
171
01/27/2016
Alk Phos
79
40-156
U/L
43
01/27/2016
13T
32
<40
U/L
29
01/27/2016
Phosphorus
3.8
2.7.4.5
mg/dL
3.4
01/27/2016
ALT
42 HI
<41
U/L
29
81/27/2816
GGTP
19
10-71
U/L
18
01/27/2016
Cholestero
210 Al
<200
•L
143
li-
01/27/2016
Triglycerides
950 HI
NOTE: The result for Triglycerides has been confirmed
<150
mg/dL
by repeat analysis.
459 HI
01/27/2016
NEIL COL., DIRECT
28 LO
>40
mg/dL
24 LO
01/27/2016
HDL as % of Cholesterol
13
Evaluation: ABOVE AV6.(MODERATE RISK)
>14
X
17
01/27/2016
Chol/HDL Ratio
7.5
<7.4
6.0
01/27/2016
BioReference Laboratories, Inc.
481 Edward H. Ross Dr
Elmwood Park, N7 07407 I (800) 2 9-5227
lames 4eisberger,
Laboratory Director
Clinical Page 1 of 6
Printed 07/25/2016 07:01
p gad
b£91.886ZLZ1. ipsu LueH itILE:CO 91.12 60 6nV
EFTA00582644
BioReference
I . ABORATORIES
• Of.--EPSTEIN,
.1",.:It:D06:01/20/1953
%
,IAddress:)
i,
.NEW YORK,
YORK,
•,' 'Ie
it
FINAL IC t PUN I
D
. 0
CT
0
R
FISCH, HARRY
HARRY EISCF, M.D.
q44 PARK AVCNU:
fie4 York NY 10028
Acct t:
C1720-1)
51
).
JEFFREY
Specimen ID: 105819158
Age:63 V Sex:M
Date Of Report: 07/23/2016
E 71ST STREET
Date Collected: 07/20/2016
NY 10221
Time Collected: 08:52
Date Received: 07/20/2016
Time Received: 23:70
north America Eastern Time i
CLINICAL REPORT
(F.P.A
—r:
_
Evaluation: ABOVE AVG.(MOCIERATE RISK)
..:&
`7.43-frAtroWIteci;
,:-.
... i
Itoi;e
LDL/HOL Ratio
Can't Calc
<3.56
Can't Calc
01/27/2016
LOL Cholesterol
Can't Calc
NOTE: Unable to calculate LOL due to a Triglyceride 'evel
<100
mg/di
Can't Calc
of greater than 400 mg/d1.
01/27/2016
VLDL, CALCULATED
Can't Celt
7-32
mg/dL
I
Can't talc
01/27/2016
Can't Calc: One or more components was outside the measurable
range. We are unable to calculate.
I ICL i ;',
7.79
3.66-11.99 x10 3 /LA
7.12
01/27/2016
R8C
5.18
4.20-5.90
x10(6)/uL
4.96
01/27/2016
HUT
15.4
22.3-17.0
ge/di.
14.3
01/27/2016
HCT
43.8
39.3-52.5
%
41.3
01/27/2016
MCV
84.6
80.0-100.0 fL
83.3
01/27/2016
NCH
29.7
25.0-34.1
pg
28.8
01/27/2016
MCHC
35.2 HI
29.0-35.0
ge/dL
34.6
01/27/2016
ROW
14.8
10.9-16.9
%
13.9
01/27/2016
POLYS
45.8
36.0-78.0
%
49.2
01/27/2016
LYMPHS
39.0
12.0-48.0
%
36.2
01/27/2016
MONOS
6.9
0.0-13.0
%
7.6
01/27/2016
EOS
5.4
0.0-8.0
%
6.5
01/27/2016
BASOS
0.6
0.0-2.0
%
0.4
01/27/2016
IMMATURE GRANULOCYTES
0.0
0.0.1.6
%
0.1
01/27/2016
PLATELET COUNT
281
144-400
x10(3)/UL
222
01/27/2016
MPV
8.9
NOTE: New reference ranges for WIC and Absolute coun:s
8.2-11.9
fL
are effective 4/25/2016.
9.5
01/27/2016
PT
TNP
Test Not Performed: Specimen REJECTED for testing du!
9.1-11.9
sec
10.1
01/27/2016
to GROSS LIPEMIA.
INTR.KORN.RATIO(INR)
TNP
2.08-3.00
0.97 LO
01/27/2016
PTT
TNP
I P.IN,H.S1-IS
.S.1_ ... .., .'
.. _.,,
„.,4gaiebit.=5)tagglitCum...-;.:‘,4•C;
Co or
YELLOW
23.6-31.6
sec
;4.;
26.5
"-<"":—. ""i7"
01/27/2016
en
Ci.• ,
YELLOW,
STRAW, AMBER
Character
CLEAR
CLEAR
Specific Gravity Ur
1.025
1.003 -
1.030
pH urine
6.5
5.0 - 8.0
Protein, Urine
NEGATIVE
NEGATIVE
Glucose, Urine
NEGATIVE
NEGATIVE
Ketone, Urine
NEGATIVE
NEGATIVE
Urobilinogen Urine
0.2
0.2 - 1.0
eg/dL
BioReference Laboratories, Inc.
481 Edward H. Rcss Dr I Elredood Park, m1 07407 I (Bee) 2
lames Weisberger, ill.
Clinical Page 2 of 6
-5227
Laboratory Director
Printed 07/25/2016 07:01
g abed
VE9L886Z2L ipsu GBH 14:18E:50 9102 60 find
EFTA00582645
BioReference
FINAL
LABORATORIES
a.;:;,,:.
,FAIqk EPSTEIN,
)1000:01/28/1953
':: • '' Address:]
NEW YORK
P:
;,.gg
:
•
.i„
' "c
REPORT
D
0
C
0
R
FISCH, HARRY
HARRY FISCH, H.D.
944 PARK AVENuL
Neo York, NY 10028
Acct e:
C1720-1)
SI
P:
%
../
JEFFREY
Specimen ID: 1050191S:I
Age:63 Y Sex:M
Date Of Report:07/23/2016
E 71ST STREET
Date Collected: 07/20/2016
NY 1x021
Time Collected: 08:52
Date Received: 07/20/2016
Time Received: 23:20
North America Eastern Time
.."
CLINICAL REPORT
."-
. ,t,,;
sfa
:41
R ,
Bilirubin, Urine
NEGATIVE
NEGATIVE
Blood, Urine
NEGATIVE
NEGATIVE
Nitrites Urine
NEGATIVE
NEGATIVE
Leukocyte Esterase
NEGATIVE
NEGATIVE
Crystals Urine
NONE
NONE
Crystal Mt. Urine
NONE
NONE
WIC, Urine
0-4
0-4
PER HPF
R2C, Urine
NONE SEEN
NONE SEEN
PER HPF
Epithelial Cells, Ur
NONE
FEW
Cast, Hyaline, Urine
0-4
0-4
PER LPF
Cast, Granular, Ur
NONE SEEN
0-1
PER LPF
Cast, RBC, Urine
NONE SEEN
0-1
PER LPF
Bacteria, Urine
NONE
FEW
.I " (
OGY
i
.....
...
CULTURE,
SITE:
M1SCILLANLOUS
ri:71:4:0:i:(41414fiditrei*.=4.-kar
Hemoglobin
HEMOGLOBIN
NOTE:
URINE
NO GROWTH
URINE
‘"
Alc
5.9 HI
A1c AND eAG REFERENCE RANGES
A1c(%)
DIABETES CATEGORY*
<5.7
Normal (nom
5.7-6.4
Increased
.>6.5
Consistent
AIC(X)
eAG(ESTIMATED AVERAGE
6
126
7
154
8
183
9
212
10
240
11
269
12
298
*recommended ranges-American Diabetes
Hemolysis, rare hemoglobin variants and thalassemia
NO GROWTH
W.r.4,11:::::=ViiiiirLaarigaTZ2=C7.31, illiat,W4
24:
<5.7
6.0 HI
lin/27/2016
-diabetic)
risk of diabetes
with diabetes
PLASMA GLUCOSE)(mg/dL)
Association(2010)
major may affect glycemic results.
TSH
TNP
Test Not Performed: Specimen rejected for testing due
hemolysis.
0.178-4.530 uIU/s0.
I
1.790
101/27/2016
to moderate or marked
Thyroxine(T4)
TNP
Test Not Performed: Specimen rejected for testing duo
4.9.12.9
ug/dE
I
6.3
181/27/2016
to moderate or marked
BloRefe-ence Laboratories, Inc.
Tares Weisoerger, III.
Clinical Page 3 of 6
481 Edward H. Ross Dr I Eltmood Park, N7 07407 I (800) 2 -5227
Laboratory Director
Printed 07/25/2016 07:01
g abed
17£91286Z121, I-PsH fLueH 14:16E:SO 9102 60 6ny
EFTA00582646
tt
f ...,
ence
LABORATORIES
FINAL REPORT
0,
FISCH, HARRY
\
0
HARRY FISCH, M.D.
(
944 PARK AVENUE
New York, NY 10028
Acct P:
(C1720-1)
Si
C
P:
R
EPSTEIN,
D08:01/20/1953
Address:9
s 'OM YORK
IP:
gliNS
JEFFREY
Specimen ID: 105819158
Age:63 Y Sex:Pt
Date Of Report: 07/23/2016
E 71ST STREET
Date Collected: 87/20/2016
NY 10021
Time Collected: 08:52
Date Received: 07/20/2816
Time Received: 23:20
North America Eastern Time ,/
CLINICAL REPORT
hemolysis.
.
T3 Uptake(T3U)
TNP
Test Not Performed: Specimen rejected for testing due
hemolysis.
24.3.39.0
%
to moderate or marked
29.3
101/27/2016
THYROXINE, FREE(FT4)
TNP
lest Not Performed: Specimen rejected for testing due
hemolysis.
0.80-1.73
ng/dL
to moderate or marked
0.93
101/27/2016
FREE T4 INDEX
TNP
1.5-3.8
1.8
01/27/2016
113(THYRONINE), TOTAL
TNP
Test Not Performed: Specimen rejected for testing due
hemolysis.
72-180
ng/dL
to moderate or narked
127
01/27/2016
PSA Total
TNP
Test Not Performed: Specimen rejected for testing due
hemolysis.
NOTE: The PSA assay should not be the only test used
Additional evaluation using DRE, ultrasound, T
be used for this purpose. Predictions of disease
based solely upon values obtained from serial PSA
Patient.
NOTE: Values obtained with different assay methods or
used interchangeably.
NOTE: Results cannot be interpreted as absolute evidence
absence of malignant disease.
ASSAY INFORMATION: Method Electrochemiluminescence Immunoassay
<4.00
ng/mL
to moderate or marked
for diagnostic purposes.
R or similar procedures may
recurrence should not be
values obtained on the
kits cannot be
of the presence or
(Roche Diagnostics)
0.70
101/27/2816
PSA, FREE
TNP
Test Not Performed: Specimen rejected for testing du►
hemolysis.
NOTE: Results cannot be interpreted as absolute evidence
presence or absence of malignant disease. Values
with different assay methods or kits cannot be
interchangeably.
ASSAY INFORMATION: Method Electrocheedluninescence Immunoassay
(Roche Diagnostics).
Not Estab.
ng/mi.
to moderate or marked
of the
obtained
used
1
0.33
101/27/2016
% FREE PSA
TNP
FREE PSA RISK ASSESSMENT
The probability of prostate cancer for men with non
age group, using PSA values between 4.000 and 10.00e
values is summarized in the table below:
See Below
%
-suspicious DRE results, by
ng/mt and percent FREE PSA
I
47
101/27/2016
IlioReference Laboratories, Inc.
481 Edward H. Ross Dr I Elmwood Park, N3 07407 I (880) 2
James weisberger, M.D.
Clinical Page 4 of 6
9-5227
Laboratory Director
Printed 07/25/2016 07:01
L B6ed
P€91.886ZLZI. iPsid
H 14:104:SO 91O2 6O End
EFTA00582647
BioReference
LABORATORIES
FINAL REPORT
D FISCH, HARRY
A
HARRY FISCH, H.D.
L
944 PARK AVENUE
York, NY 10028
T
Acct a:
C1720-1)
S1
R
EPSTEIN,
D00:01/20:1953
Address:,
NEW YORK
P:
(212)
JEFFREY
Age:63 Y Sex:m
E 71ST STREET
NY 10021
772-9c16
, ,s STRAKFTC4.4,0*
iifkiiSii
(>or=70 yrs)
64.5%
40.8%
29.7%
15.8%
biopsy
ible when the value for
are for assays
em.(0/2015;V8.0)
s Specimen ID: 105819158
A
Date Of Report: 07/23/2016
v
Date Collected: 07/20/2016
Time Collected: 08:52
P
Date Received: 87/20/2016
Time Received: 23:20
I
North America Eastern Time
CLIN:CAL REPORT
•
PROBABILITY OF CANCER*
%free PSA
(50.59 yrs)
(60-69 yrs)
corral:3
49.2%
57.5%
11-18
26.9%
33.9%
29-25
18.3%
23.9%
>25
9.1%
12.2%
'probability of finding prostate cancer by need :e
NOTE: Calculation of percent FREE PSA may not be post
TOTAL PSA is in the low normal range. These guidelines
performed using the Roche E602 immunoassay sys
TESTOSTERONE, TOT.,S.
TOP
Test Not Pe-formed: Specimen rejected for testing due
hemolysis.
193.0.740.0 ng/dL
to moderate or marked
296.0
101/27/2016
TESTOSTERONE, 8/0AVAIL.
TOP
72.0-460.0
ng/dL
183.8
01/27/2016
SEX HORM.BIND.GLOB.
TOP
Test Not Performed: Specimen rejected for testing du
hemolysis.
18-57
nmol/L
to moderate or narked
I
18
01/27/2016
FREE TESTOSTERONE
TOP
30.00.150.00 pg/mL
80.18
01/27/2016
LH
TOP
Test Not Performed: Specimen rejected for testing due
hemolysis.
1.7.8.6
mIU/Int
to moderate or marked
I
6.8
01/27/2016
FSH
TOP
Test Not Performed: Specimen rejected for testing due
hemolysis.
1.5-12.4
mIU/ral.
1
to moderate or marked
6.8
101/27/2016
PROLACTIN, SERUM
TIP
Test Not Performed: Specimen rejected for testing due
hemolysis.
4.0-15.2
ng/ml.
to moderate or marked
3.0 LO
101/27/2016
ESTRADIOL
TNP
Test Not Performed: Specimen rejected for testing due
hemolysis.
7.02-49.06
pg/mI
to moderate or marked
48.91
101/27/2016
FIBRINOGEN
TNP
176-441
i/dL
276
01/27/2016
DIHYDROTESTOSTERIONE(7)
148.0
Reference Intervals for Males age 20 years and above:
106.0-719.0 pp/mL
Analysis by High Performance Liquid Chromatography/
Tandem:lass Spectrometry (LC-MS/I45)
106-719
pg/st
278.0
01/27/2016
(7)
Performed by: National Medical Lab
2300 Stratford Ave.
Willow Grove, PA 19090
BioReference Laboratories, Inc.
481 Edward H. Ross Dr I Elmwood Park, NJ 07407 I (800)
lames weisberger, M.D.
Clinical Page S of 6
-5227
Laboratory Director
Printed 07/25/2016 07:01
8 abed
61918862 I.2 1-Psij AlmH kUOV40 9102 60 End
EFTA00582648
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| Filename | EFTA00582641.pdf |
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