EFTA00601533.pdf

Fax Name: Sarah Dolezal, ARNP Phone: 561-833-6110 ext. 24 . 351- ROC:41433-6 Address: Bruce W. Moskowitz, M.D 1411 North Flegler Dr. Suite 7100 West Palm Beach, FL 33401 LCS dry Fax*: (04(4 - - 034 attiOes: Regarding: Messages: person(s) named above. NOTE: This fax may contain confidential information which is Intended only for the use of the 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. EFTA00601533  Report Status: Partial j Quest It; Diagnostics- EPSTEIN, JEFFREY Patient Information Specimen Information Client Information Specimen: TM037241L Client 4: 78300020 56W5265 EPSTEIN, JEFFREY Requisition: 0000315 MOSKOWITZ, BRUCE W DOB: 01/20/1953 AGE: 63 BRUCE MOSKOWITZ, MD Gender M Attn: NATIONWIDE ACCOUNT Collected: II/25/2016 Phone: 561.366.0084 1411 N FLAGLER DR STE 7100 Received: 11/25/2016 / 20:16 EST Patient ID: 19530120MJE WEST PALM BEACH. FL 33401-3418 Reported: 11/28/2016 / 18:47 EST Health ID: 8573003290851249 Test Name In Range Out Of Range Reference Range Lab PROTEIN, TOTAL AND PROTEIN ELECTROPHORESIS PROTEIN, TOTAL, SERUM MI PROTEIN, TOTAL 7.2 6.1-8.1 g/dL PROTEIN ELECTROPHORESIS TP ALBUMIN 4.3 3.8-4.8 g/dL ALPHA 1 GLOBULIN 0.3 0.2-0.3 g/dL ALPHA 2 GLOBULIN 0.7 0.5-0.9 g/dL BETA 1 GLOBULIN 0.6 0.4-0.6 g/dL BETA 2 GLOBULIN 0.3 0.2-0.5 g/dL GAMMA GLOBULIN 1.0 0.8-1.7 g/dL INTERPRETATION Normal Electrophoretic Pattern LIPID PANEL CHOLESTEROL, TOTAL 143 125-200 mg/dL MI HDL CHOLESTEROL 30 L > OR = 40 mg/dL MI TRIGLYCERIDES 197 H <150 mg/dL MI LDL-CHOLESTEROL 74 <130 mg/dL (talc) MI Desirable range <100 mg/dL for patients with CHD or diabetes and <70 mg/dL for diabetic patients with known heart disease. CHOL/HDLC RATIO 4.8 < OR = 5.0 (talc) MI NON HDL CHOLESTEROL 113 mg/dL (talc) . MI Target for non-HDL cholesterol is 30 mg/dL higher than LDL cholesterol target. HS CRP 0.9 mg/L TP Lower relative cardiovascular risk according to Ama/cnc guidelines. FOr ages >17 Years: ha-CRP mg/L Risk According to ARA/CDC Guidelines <1.0 Lower relative cardiovascular risk. 1.0-3.0 Average relative cardiovascular risk. 3.1-10.0 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. >10.0 Persistent elevation, upon retesting, may be associated with infection and inflammation. HOMOCTSTEINE 15.2 H <11.4 umol/L MI 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 CLIENT SERVICES: 866.697.8378 SPECIMEN: TM037241L PAGE 1 OF 5 own, Quest Dissatedts, the teselsted legs aad dl aneelated Oars IXmmostla mule are the Inaloarks of Qiestillemantlta. EFTA00601534  ra-j Quest Diagnostics- Report Status: Partial EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY Specimen: TIWO37241L Client tf: 78300020 Collected: 11/25/2016 MOSKOWITZ,BRUCE W DOD: 01/20/1963 AGE: 63 Received: 11/25/2016 /20:16 EST Gender: 144 Reported: 11/28/2016 / 18:47 EST Patient ID: 19530120CE Health ID: 8573003290851249 zest Name in Range Out Of Rang. exposure to nitrous oxide. Reference Range Lab COMPREHENSIVE METABOLIC PANEL MI GLUCOSE 99 65-99 mg/dL Fasting reference interval UREA NITROGEN (BUN) 26 H 7-25 mg/dL CREATININE 0.94 0.70-1.25 mg/c11. 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 86 > OR e 60 midnin/1.73n2 eGFR AFRICAN AMERICAN 100 > OR w 60 mL/min/1.73m2 ROM/CREATININE RATIO 28 H 6-22 (talc) SODIUM 138 135-146 mmol/L POTASSIUM 4.6 3.5-5.3 mmol/L CHLORIDE 106 98-110 mmol/L CARBON DIOXIDE 20 20-31 mmol/L CALCIUM 9.9 8.6-10.3 mg/dL PROTEIN, TOTAL 7.2 6.1-8.1 g/elL ALBUMIN 4.5 3.6-5.1 g/dL GLOBULIN 2.7 1.9-3.7 g/dL (talc) ALBUMIN/GLOBULIN RATIO 1.7 1.0-2.5 (talc) BILIRUBIN, TOTAL 1.1 0.2-1.2 mg/dL ALKALINE PH0SPHATASE 53 40-115 U/L AST 19 10-35 U/L ALT 20 9-46 U/L HEMOGLOBIN Ale 5.9 a <5.7 % of total Hgb MI 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% Consistent with the absence of diabetes 5.7-6.4% 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 4.0-8.0 mg/dL Therapeutic target for gout patients: <6.0 mg/dL TSH 2.33 0.40-4.50 mIU/L MI T4 (THYROXINE), TOTAL 7.4 4.5-12.0 mcq/dt m: FREE T4 INDEX (T7) 2.4 1.4-3.8 T3 UPTAKE 32 22-35 % PARTIAL THROMBOPLASTIN CLIENT SERVICES: 866.697.8378 SPECIMEN: 714103724IL PAGE 2 OF S Quest. Quite Disigheine& the Mil1OCleed ktto ad all stRocinted Quest Distnostics marks are the trallemark3 of Quest Dlagnoetics. EFTA00601535  (0)Quest Diagroocs- Report Status: Partial EPSTEIN, JEFFREY Patient information Specimen Information Client Information EPSTEIN, JEFFREY Specimen: TM03724IL Client 0: 78300020 Collected: 11/292016 MOSKOWITZ, BRUCE W DOB: 01/20/1953 AGE: 63 Received: 11/25/2016 / 20:16 EST Gender: M Reported: 11/28/2016 118:47 EST Patient ID: 19530120MJE Health ID: 8573003290851249 est Rile In Range Out of Range TIME, ACTIVATED Reference Range Lab 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 HI 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 9.0-11.5 sec For more information on this test, go to: http://education.questdiagnostics.com/fag/FAO104 SED RATE BY MODIFIED WESTERGREN HI 6 < OR = 20 mm/h CBC (INCLUDES DIFF/PLT) WHITE BLOOD CELL COUNT MI 6.4 3.8-10.8 Thousand/uL RED BLOOD CELL COUNT 5.10 4.20-5.80 Million/EL HEMOGLOBIN 14.5 13.2-17.1 g/dL HEMATOCRIT 44.0 38.5-50.0 % MCV 86.1 80.0-100.0 ft MCH 28.4 27.0-33.0 pg MCHC 33.0 32.0-36.0 g/dL RDW 14.0 11.0-15.0 % PLATELET COUNT 277 140-400 Thousand/EL MPV 8.0 7.5-11.5 fL ABSOLUTE NEUTROPHILS 3296 1500-7800 cells/EL ABSOLUTE LYMPHOCYTES 2221 850-3900 cells/UL ABSOLUTE MONOCYTES 454 200-950 cells/uL ABSOLUTE EOSINOPHILS 390 15-500 cells/uL ABSOLUTE BASOPHILS 38 0-200 cells/uL NEUTROPHILS 51.5 LYMPHOCYTES 34.7 MONOCYTES 7.1 EOSINOPHILS 6.1 BASOPHILS 0.6 URINALYSIS, COMPLETE MI COLOR YELLOW YELLOW APPEARANCE CLEAR CLEAR SPECIFIC GRAVITY 1.023 1.001-1.035 PH < OR 5.0 5.0-8.0 GLUCOSE NEGATIVE NEGATIVE BILIRUBIN NEGATIVE NEGATIVE KETONES NEGATIVE NEGATIVE OCCULT BLOOD TRACE NEGATIVE PROTEIN NEGATIVE NEGATIVE NITRITE NEGATIVE NEGATIVE CUENTSERNICES:866.697$373 SPECINIEN:TNI037241L PAGE 3 OF 5 Q011M. QS* Dindllosties. the ammiated logo 'Ind all avtodaled Outs, Diagnoilkt mark', are the trademarks of Quest olagnosuct. EFTA00601536  eliouQuest • 'agnosticf Report Status: Partial EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY Specimen: TM037241L Client if: 78300020 Collected: 11/25/2016 MOSKOWITZ, BRUCE W DOB: 01/20/1953 AGE: 63 Received: 11/25/2016 /20:16 EST Gender: M Reported: 11/28/2016 / 18:47 EST Patient ID: 19530120MJE Health ID: 8573003290851249 Test Name In Range Out Of Range Reference Range Lab LEUKOCYTE ESTERASE NEGATIVE NEGATIVE IOC NONE SEEN < OR = 5 /HPF RBC NONE SEEN < OR - 2 /HPF SQUAMOUS EPITHELIAL CELLS NONE SEEN < OR - 5 /HPF BACTERIA NONE SEEN NONE SEEN /HPF HYALINE CAST NONE SEEN NONE SEEN /LPF VITAMIN B12 496 C-REACTIVE PROTEIN 200-1100 pg/mL MX <0.10 <0.80 mg/dL MI 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, TESTOSTERONE, TOTAL MI MALES (ADULT), IA MI 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 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. CLIENT SERVICES: 866.697.2378 SPECIMEN: Th40372411, PAGE 4 OF 5 Quasi. Quoit Itlagneadca, the insociatid Into and an associntrd Qunt Marnostio mark' an the indemarks of Quest Dlegnankr, EFTA00601537  r Quest Report Status: Partial DagnostIts' EPSTEIN, JEFFREY Patient Information Specimen Information ClketInfortnation EPSTEIN, JEFFREY Specimen: TM0372411. Client #:78300020 Collected: 11/25/2016 MOSICCM11- 4BRUCE/V1 t1018:01/2(#1953 AGE: 63 Received: 11/25/2016 120:16 EST 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 PAGE 5 OF 5 Quest. Quest Diagnostic,, the immtlitittl Ion• ond all associated Quint Napostks ranks ore Me trademarks of Quest DI•imoetk, . EFTA00601538  Report Status: Final eil l)()Mg Diagnostics EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY Specimen: TM037242L Client //: 78300020 56W5265 Requisition: 0000314 MOSKOWITZ,BRUCE W DOB: 111/20/1953 AGE: 63 BRUCE MOSKOWITZ, MD Oender M Collected: 11/25/2016 Ann: NATIONWIDE ACCOUNT Phone: 561.366.0084 Received: 11/25/2016 120:23 EST 1411NFLAGLER DR STE 7100 Patina ID: 19530120MJE Reported: WEST PALM BEACH, FL 33401-3418 11128/2016 / 11:05 EST Health ID: 8573003290851249 Teat Name In Range Out Of Range Reference Range Lab PTH, INTACT AND CALCIUM PTH, INTACT MI PARATHYROID HORMONE, INTACT 77H 14-64 og/mL Interpretive Guide Intact PTH Calcium 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 PAGE 1 OF 1 Quest. Quest Diagnostics, the mandated lop mad all associated Quat Dlagentica marks are the trademnics at Quist Disgenstics. EFTA00601539