EFTA00282998.pdf

Fax Name: Sarah Do!ezal, ARNP Phone: Fax: Address: Bruce W. Moskowitz, M.D 1411 North Flagler Dr. Suite 7100 West Palm Beach. FL 33401 .• . Fax #: # ofipages: Regarding' Messages: -9- Les1ci NOTE: This fax may contain confidential information which is intended only for the use of the person(s) named above. If you are not the intended recipient you are hereby advised that any disclosure, copying, distribution or the taking of any action in reliance on the contents of this information is prohibited. If you have received this transmission in error. please notify the sender. Thank You. EFTA00282998 Report Status: Partial EPSTEIN, JEFFREY LIPID PANEL CHOLESTEROL, TOTAL HDL CHOLESTEROL TRIGLYCERIDES LDL-CHOLESTEROL j Quest It; Diagnostics- Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 63 Gender M Phone: 561.366.0084 Patient ID: 19530120MJE Health ID: 8573003290851249 Specimen: TM037241L Requisition: 0000315 Collected: II/25/2016 Received : 11/25/2016 / 20:16 EST Reported: 11/28/2016 / 18:47 EST Client 4: 78300020 56W5265 MOSKOWITZ, BRUCE W BRUCE MOSKOWITZ, MD Attn: NATIONWIDE ACCOUNT 1411 N FLAGLER DR STE 7100 WEST PALM BEACH. FL 33401-3418 Test Name In Range PROTEIN, TOTAL AND PROTEIN ELECTROPHORESIS PROTEIN, TOTAL, SERUM PROTEIN, TOTAL PROTEIN ELECTROPHORESIS ALBUMIN ALPHA 1 GLOBULIN ALPHA 2 GLOBULIN BETA 1 GLOBULIN BETA 2 GLOBULIN GAMMA GLOBULIN INTERPRETATION 7.2 4.3 0.3 0.7 0.6 0.3 1.0 Normal Electrophoretic Pattern 143 74 Out Of Range Reference Range 30 L 197 H Desirable range <100 mg/dL for patients with diabetes and <70 mg/dL for diabetic patients known heart disease. CHD or with CHOL/HDLC RATIO 4.8 NON HDL CHOLESTEROL 113 Target for non-HDL cholesterol is 30 mg/dL higher than LDL cholesterol target. HS CRP 0.9 Lower relative cardiovascular risk according to Ama/cnc guidelines. FOr ages >17 ha-CRP mg/L <1.0 1.0-3.0 3.1-10.0 >10.0 Years: Risk According to ARA/CDC Guidelines Lower relative cardiovascular risk. Average relative cardiovascular risk. Higher relative cardiovascular risk. Consider retesting in 1 to 2 weeks to exclude a benign transient elevation in the baseline CRP value secondary to infection or inflammation. Persistent elevation, upon retesting, may be associated with infection and inflammation. 6.1-8.1 g/dL 3.8-4.8 g/dL 0.2-0.3 g/dL 0.5-0.9 g/dL 0.4-0.6 g/dL 0.2-0.5 g/dL 0.8-1.7 g/dL 125-200 mg/dL > OR = 40 mg/dL <150 mg/dL <130 mg/dL (talc) < OR = 5.0 (talc) mg/dL (talc) mg/L HOMOCTSTEINE 15.2 H <11.4 umol/L Homocysteine is increased by functional deficiency of folate or vitamin 812. Testing for methylmelonic acid differentiates between these deficiencies. Other Causes of increased homocysteine include renal failure, folate antagonists such as methotrexate and phenytoin, and Lab MI TP MI MI MI MI MI . MI TP MI CLIENT SERVICES: 866.697.8378 SPECIMEN: TM037241L own, Quest Dissatedts, the teselsted legs aad dl aneelated Oars IXmmostla mule are the Inaloarks of Qiestillemantlta. PAGE 1 OF 5 EFTA00282999 raj Quest - Diagnostics- Report Status: Partial EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOD: 01/20/1963 AGE: 63 Gender: 144 Patient ID: 19530120CE Health ID: 8573003290851249 Specimen: TIWO37241L Collected: 11/25/2016 Received: 11/25/2016 /20:16 EST Reported: 11/28/2016 / 18:47 EST Client tf: 78300020 MOSKOWITZ, BRUCE W zest Name exposure to nitrous oxide. COMPREHENSIVE METABOLIC PANEL GLUCOSE in Range 99 Out Of Rang. Reference Range UREA NITROGEN (BUN) 26 H CREATININE 0.94 For patients >49 years of age, the reference limit for Creatinine is approximately 13% higher for people identified as African-American. eGFR NON-AFR. AMERICAN eGFR AFRICAN AMERICAN ROM/CREATININE RATIO SODIUM POTASSIUM CHLORIDE CARBON DIOXIDE CALCIUM PROTEIN, TOTAL ALBUMIN GLOBULIN ALBUMIN/GLOBULIN RATIO BILIRUBIN, TOTAL ALKALINE PH0SPHATASE AST ALT 86 100 138 4.6 106 20 9.9 7.2 4.5 2.7 1.7 1.1 53 19 20 28 H HEMOGLOBIN Ale 5.9 a According to ADA guidelines, hemoglobin Ale <7.0% represents optimal control in non-pregnant diabetic patients. Different metrics may apply to specific patient populations. Standards of Medical Care in Diabetes-2013. Diabetes Care. 2013;36:211-366 For the purpose of screening for the presence of diabetes <5.7% 5.7-6.4% 65-99 mg/dL Fasting reference interval 7-25 mg/dL 0.70-1.25 mg/c11. Consistent with the absence of diabetes Consistent with increased risk for diabetes (prediabetes) >or-6.5% Consistent with diabetes This assay result is consistent with an increased risk of diabetes. Currently, no consensus exists for use of hemoglobin Alc for diagnosis of diabetes for children. 1711/C ACID 0.7 H Therapeutic target for gout patients: <6.0 mg/dL TSH T4 (THYROXINE), TOTAL FREE T4 INDEX (T7) T3 UPTAKE PARTIAL THROMBOPLASTIN 2.33 7.4 2.4 32 > OR e 60 midnin/1.73n2 > OR w 60 mL/min/1.73m2 6-22 (talc) 135-146 mmol/L 3.5-5.3 mmol/L 98-110 mmol/L 20-31 mmol/L 8.6-10.3 mg/dL 6.1-8.1 g/elL 3.6-5.1 g/dL 1.9-3.7 g/dL (talc) 1.0-2.5 (talc) 0.2-1.2 mg/dL 40-115 U/L 10-35 U/L 9-46 U/L <5.7 % of total Hgb 4.0-8.0 mg/dL 0.40-4.50 mIU/L 4.5-12.0 mcq/dt 1.4-3.8 22-35 % Lab MI MI MI m: CLIENT SERVICES: 866.697.8378 Quest. Quite Disigheine& the Mil1OCleed ktto ad all stRocinted Quest Distnostics marks are the trallemark3 of Quest Dlagnoetics. SPECIMEN: 714103724IL PAGE 2 OF S EFTA00283000 (0)Quest Diagroocs- Report Status: Partial EPSTEIN, JEFFREY Patient information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 63 Gender: M Patient ID: 19530120MJE Health ID: 8573003290851249 Specimen: TM03724IL Collected: 11/292016 Received: 11/25/2016 / 20:16 EST Reported: 11/28/2016 118:47 EST Client 0: 78300020 MOSKOWITZ, BRUCE W est Rile TIME, ACTIVATED In Range Out of Range Reference Range 28 22-34 sec This test has not been validated for monitoring unfractionated heparin therapy. For testing that is validated for this type of therapy, please refer to the Heparin Anti-Ka assay (test code 30292). For additional information, please refer to http://education.QuestDiagnostics.com/fag/FA4159 (This link is being provided for informational/educational purposes only.) PROTHROMBIN TIME-INR INR 1.1 Reference Range 0.9-1.1 Moderate-intensity Warfarin Therapy 2.0-3.0 Higher-intensity warfarin Therapy 3.0-4.0 PT 10.8 For more information on this test, go to: http://education.questdiagnostics.com/fag/FAO104 SED RATE BY MODIFIED WESTERGREN 6 CBC (INCLUDES DIFF/PLT) WHITE BLOOD CELL COUNT 6.4 RED BLOOD CELL COUNT 5.10 HEMOGLOBIN 14.5 HEMATOCRIT 44.0 MCV 86.1 MCH 28.4 MCHC 33.0 RDW 14.0 PLATELET COUNT 277 MPV 8.0 ABSOLUTE NEUTROPHILS 3296 ABSOLUTE LYMPHOCYTES 2221 ABSOLUTE MONOCYTES 454 ABSOLUTE EOSINOPHILS 390 ABSOLUTE BASOPHILS 38 NEUTROPHILS 51.5 LYMPHOCYTES 34.7 MONOCYTES 7.1 EOSINOPHILS 6.1 BASOPHILS 0.6 URINALYSIS, COMPLETE COLOR YELLOW APPEARANCE CLEAR SPECIFIC GRAVITY 1.023 PH < OR 5.0 GLUCOSE NEGATIVE BILIRUBIN NEGATIVE KETONES NEGATIVE OCCULT BLOOD TRACE PROTEIN NEGATIVE NITRITE NEGATIVE 9.0-11.5 sec < OR = 20 mm/h 3.8-10.8 Thousand/uL 4.20-5.80 Million/EL 13.2-17.1 g/dL 38.5-50.0 % 80.0-100.0 ft 27.0-33.0 pg 32.0-36.0 g/dL 11.0-15.0 % 140-400 Thousand/EL 7.5-11.5 fL 1500-7800 cells/EL 850-3900 cells/UL 200-950 cells/uL 15-500 cells/uL 0-200 cells/uL YELLOW CLEAR 1.001-1.035 5.0-8.0 NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE NEGATIVE Lab HI HI MI MI CUENTSERNICES:866.697$373 SPECINIEN:TNI037241L Q011M. QS* Dindllosties. the ammiated logo 'Ind all avtodaled Outs, Diagnoilkt mark', are the trademarks of Quest olagnosuct. PAGE 3 OF 5 EFTA00283001 eliou Quest • 'agnosticf Report Status: Partial EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 63 Gender: M Patient ID: 19530120MJE Health ID: 8573003290851249 Specimen: TM037241L Collected: 11/25/2016 Received: 11/25/2016 /20:16 EST Reported: 11/28/2016 / 18:47 EST Client if: 78300020 MOSKOWITZ, BRUCE W Test Name LEUKOCYTE ESTERASE IOC RBC SQUAMOUS EPITHELIAL CELLS BACTERIA HYALINE CAST VITAMIN B12 C-REACTIVE PROTEIN <0.10 <0.80 mg/dL Please be advised that patients taking Carboxypenicillins may exhibit falsely decreased C-Reactive Protein levels due to an analytical interference in this assay. PROLACTIN 3.0 2.0-18.0 ng/m1, MI TESTOSTERONE, TOTAL MI MALES (ADULT), IA TESTOSTERONE, TOTAL, MALES (ADULT), IA 185 L 250-827 ng/dL Net with clinically significant hypogonadal symptoms and testosterone values repeatedly less than approximately 300 ng/dL may benefit from testosterone treatment after adequate risk and benefits counseling. In hypogonadal males, Testosterone, Total, LC/MS/HS, is the recommended assay due to the diminished accuracy of immunoassay at levels below 250 ng/dL. This test code (15983) must be collected in a red-top tube with no gel. Two morning (8-10 a.m.) specimens obtained on different days are recommended by The Endocrine Society for screening for hypogonadism. PSA, TOTAL 0.5 < OR - 4.0 ng/mL MI In Range NEGATIVE NONE SEEN NONE SEEN NONE SEEN NONE SEEN NONE SEEN 496 Out Of Range Reference Range NEGATIVE < OR = 5 /HPF < OR - 2 /HPF < OR - 5 /HPF NONE SEEN /HPF NONE SEEN /LPF 200-1100 pg/mL Lab This test was performed using the Siemens chemiluminescent method. Values obtained from different assay methods cannot be used interchangeably. PSA levels, regardless of value, should not be interpreted as absolute evidence of the presence or absence of disease. MX MI CLIENT SERVICES: 866.697.2378 SPECIMEN: Th40372411, Quasi. Quoit Itlagneadca, the insociatid Into and an associntrd Qunt Marnostio mark' an the indemarks of Quest Dlegnankr, PAGE 4 OF 5 EFTA00283002 r Quest DagnostIts' Report Status: Partial EPSTEIN, JEFFREY Patient Information Specimen Information ClketInfortnation EPSTEIN, JEFFREY Specimen: TM0372411. Client #:78300020 t1018:01/2(#1953 AGE: 63 Collected: 11/25/2016 Received: 11/25/2016 120:16 EST MOSICCM11-4BRUCE/V1 Gender: M Reported: 11/28/2016 / 18:47 EST Paficnt11): 19530120MlE limit:111M 8573003290851249 Envothnology Test Name Result Reference Range Lab VI ITIN •, -•N', • - . A t 30-10370-1:_ MI Vitamin D Status 25-OH Vitamin 0: Deficiency: <20 :We, Insufficiency: 2C - 29 ng/mL Optimal: > or .. 30 ng/mL For 25-0H Vitamin C testing on patients on D2-supplementation and patients for whom qtantitation of D.2 a❑d D3 fractions is required, the QuestAssureD(SH) 25-0H VIT D, (D2,03), LC/MS/MS is recommended: order cede 9288e (patients >2yrs) . For more information on this test, go to: http://education.questdiagnostics.com/feq/Snis2 (This link is being provided for informational/educational purposes only.) Physician Comments: PENDING TESTS: CALCIUM, CN1ZED MERCURY. BLOOD IMMUNOFMATION, SERUM PERFORMING SITE: M: QUEST DIAONOSTICS311.kML 102011 COMMERCE PARKWAY. MIRAMAR. FL 33025403S Laboratory Director GLEN L. MARTIN MD rilD. CL1A ItIOA271.114 IP QUEST DIAONOSTICSTAMPA,0.75 E. FOWLER AVE, TAMPA, FL33617-2026 Laboratoty Oirceor 01.01 I. HORTIMMD,PHD.CUA: 100029: 120 CLIENT SERVICES: 866.697.8378 SPECIMEN: TM037241L Quest. Quest Diagnostic,, the immtlitittl Ion• ond all associated Quint Napostks ranks ore Me trademarks of Quest DI•imoetk, . PAGE 5 OF 5 EFTA00283003 eil l) ()Mg Diagnostics Report Status: Final EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 111/20/1953 AGE: 63 Oender M Phone: 561.366.0084 Patina ID: 19530120MJE Health ID: 8573003290851249 Specimen: TM037242L Requisition: 0000314 Collected: 11/25/2016 Received: 11/25/2016 120:23 EST Reported: 11128/2016 / 11:05 EST Client //: 78300020 56W5265 MOSKOWITZ, BRUCE W BRUCE MOSKOWITZ, MD Ann: NATIONWIDE ACCOUNT 1411 N FLAGLER DR STE 7100 WEST PALM BEACH, FL 33401-3418 Teat Name PTH, INTACT AND CALCIUM PTH, INTACT PARATHYROID HORMONE, INTACT In Range Interpretive Guide Intact PTH Out Of Range Reference Range 77H Calcium 14-64 og/mL Lab MI Normal Parathyroid Normal Normal Hypoparathyroidiam Low or Low Normal Low Hyperparathyroidism Primary Normal or High High Secondary High Normal or Low Tertiary High High Non-Parathyroid Hypercalcemia Low or Low Normal High CALCIUM 9.7 8.6-10.3 mg/di MI PERFORMING SITE: MI QUEST DIMIWOICEICI.MIRMI. men COMMERCE PARK WAY. MIRAMAR_ FL 3)02.‘,Ol Woven Deane GUN I. MARTO: MO PHD, CLIA: I LOCOMPI CLIENT SERVICES: 866.697.8378 SPECIMEN: TM037242L Quest. Quest Diagnostics, the mandated lop mad all associated Quat Dlagentica marks are the trademnics at Quist Disgenstics. PAGE 1 OF 1 EFTA00283004