EFTA01733939.pdf

ti, 901.000 1.8V1 HARRY FISCH. M.D. tel: (212) 879-0800 fax: (212) 988-1634 FACSIMILE TRANSMISSION Date: 7 \COIL PLEASE DELVER ATTACHED MESSAGE TO: Z-e--f-C`Pt e 6 re 11 I FAX #: TEL #: Regarding: Number of pages (including cover page): Remarks: abed 4£9L886ZLZL LPsu H kuLE SO 9 LOZ 60 EFTA01733939  bity/I, • tlr, • ...YON. , ••••••••, trollwit Max +NW br,rne ..Yinavill trim Mar Noel tempi' v.' AO t!, Miramar. L ism m.,:a.W.2 .ttiat,rat. irrar: ammardar irararammilimat M.Priabt IDat 2.0arar oraniaramitetri iraris bar L Hit II44, Oirri i d to tar limbrutrOwnIkbh I/Its banns, tow ,~ 3110PM,I1,60 etmbecw. Opplanit VW) , 801.12.0.70 • EFTA01733940 EFTA01733941 kg 09 2016 0937FII Harry Hach 12129861634 e teetireni A L'422 ., r e-Y-nernA" EFTA_R1_00010816 L490L000- fti- V133 FINAL REPORT MANJA.IMWAII"\WAAAI'ml LABORATORIES n FISCH, HARRY - EPSTEIN, JEFFREY S Specimen ID: 105819158 0 HARRY FISCH, M.D. ) D08:01/29/1953 Age:63 Y Sex:/1 A Date Of Report: 07/23/2016 944 PARK AVENUE Address:3 E 71ST STREET M Date Collected: 07/20/2016 New York, NY 10028 w NEW YORK, NY 10021 Time Collected: 08:52 i) Acct I: (C1720-1) Si P: (212) 772-9415 Date Received: 07/20/2016 0 L P: (212) 879-0800 Time Received: 23:20 P, C , North America Eastern Time C_INICA'_ REPOt: Clinical Abnormalities Suarnary: ;may ra :ortaw ae aoname [ewes.eau ve toots may rot babe aonnat laps muse 'mew tome report) Creatinine 0.62 LO BUN/Creat Ratio 33.9 HI ALT 42 HI Cholesterol 210 HI Triglycerides 950 HI HDL CHOL., DIRECT 28 LO HDL as % of 13 Chol/HDL Ratio 7.5 Cholesterol MDC 35.2 HI Hemoglobin A1c 5.9 HI NON FASTING CHEMISTRY -t"' - .syk'ilitirga,:a.hiata,.. ?,*-V,TirL:T.1-,AAK::£11;02.9);,:n).::::::2447.1AOM4., total Protein 7.0 5.9-8.4 g/dL 6.7 .01/27/2016 ,Albumin 4.7 3.5.5.2 g/dL 4.2 01/27/2916 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 70-99 mg/dL 99 01/27/2016 Sodium 140 135-147 msol/L 141 01/27/2016 Potassium 4.6 3.5-5.5 esol/L 4.2 rE /W Chloride 97 96-188 mmol/L 102 01/27/2016 CO2 24 22-29 msol/L 26 01/27/2016 BUN 21 8-23 mg/dL 22 01/27/2016 Creatinine 0.62 LO 6.89-1.30 mg/dL 1.11 81/27/2016 e-GFR 106 >orm68 mi/min 70 01/27/2816 e-GFR, African American 123 x)rm60 et/min 81 01/27/2016 BUN/Crest Ratio 33.9 HI 10.9-28.0 19.8 01/27/2016 Calcium 9.8 8.6.18.4 mg/dL 9.8 01/27/2016 Uric Acid 7.4 3.4-8.5 mg/dL 7.5 81/27/2016 Iron 96 45-160 ug/dL 75 01/27/2016 Bilirubin, Total 0.6 <1.2 mg/dL 0.5 81/27/2816 LD 286 135-225 U/L 171 01/27/2016 Alk Phas 70 40-156 U/L 43 01/27/2016 AST 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 01/27/2016 GGTP 19 10-71 U/L 18 81/27/2016 C:4RDT0',./SClili,R TPT0c- , : „. ( Cholestero 220 HI <200 •L 143 01/27/2016 Triglycerides 958 HI <150 mg/di 459 HI 01/27/2016 ROTE: The result for Triglycerides has been confirmed by repeat analysis. HDL CHOL., DIRECT 28 LO >40 mg/dL 24 LO 101/27/2016 HDL as % of Cholesterol 13 >14 X ! 17 01/27/2016 Evaluation: MOVE AVG.(HODERATE RISK) Chol/HDL Ratio 7.5 <7.4 6.0 81/27/2016 BioReference Laboratories, Inc. lames Heisberger, N.D. Clinical Page 1 of 6 481 tdward H. Ross Dr I Elmwood Park, N2 07407 I (800) 219-5227 Laboratory Director Printed 07/25/2016 07:01 a6ed 4£91926ZI.a. L-Pstd kueH WdL£SO 9I.62 60 5rY EFTA01733942 9490L000 L2!—V.Ld3 FINAL REPORT J-11,01NA,w1kwl1 / 4 4.1%.As e ''W LABORATORIES I RISCH, HARRY EPSTEIN, JEFFREY s Specimen ID: 105819158 • • ', , HARRY FISCH, M.D. .3 D08:01/20/1953 Age:63 Y Sex:M A Date Of Report: 87/23/2016 C 944 PARK AVENUE Address:9 E 71ST STREET M Date Collected: 07/20/2016 New York, NV 10028 NEW YORK, NY 10021 Time Collected: 08:52 T Acct *: (C1720-1) SI P: (212) 772-9416 P Date Received: 07/20/2016 P: (212) 879-0800 t ...e l Time Received: 23:20 . E Ti North America Eastern Time —s.t. CLINICAL REPORT $ a .1 ...40 ., $4: :1004440072‘111dIR - IWO ' r, ,iir Evaluation: ABOVE AVG.(MODERATE RISK) LDL/HDL Rat10 Can't Calc <3.56 I Can't Calc 01/27/2016 LDL Cholesterol Can't Calc <100 mg/dl. Can't Calc 01/27/2016 NOTE: Unable to calculate LOL due to a Triglyceride .evel of greater than 400 mg/dL. VLDL, CALCULATED Can't Calc 7-32 mg/dL Can't Calc 01/27/2016 Can't Calc: One or more components was outside the measurable range. We are unable to calculate. HENA1OLOGY Wit'-t--; :!;-?:;It•;.:•14: • ,,,:14.4(4n _. ' - 4., ' ...,:it..t. :,142:',:: -31.:.; • • • . ...3LX:S1,„Z WBC 7.79 3.66-11.99 x10(3)/uL 7.12 01/27/2816 RBC 5.18 4.20-5.90 x10(5)/ut 4.96 01/27/2016 HGO 15.4 12.3-17.0 gm/di. 14.3 01/27/2016 HCT 43.8 39.3-52.5 % 41.3 01/27/2016 MCV 84.6 80.0-100.0 fL 83.3 01/27/2016 MCH 29.7 25.0-34.1 pg 28.8 01/27/2016 MCHC 35.2 HI 29.0-35.0 gm/dL 34.6 01/27/2016 ROW 14.8 10.9-16.9 % 13.9 01/27/2016 POLYS 45.8 36.0-78.0 % 49.2 01/27/2016 LYMPH5 39.0 12.0-48.0 % 36.2 01/27/2016 MON05 8.9 0.0-13.0 % 7.6 01/27/2016 E05 5.4 0.0-8.0 X 6.5 02/27/2016 BASOS 0.6 0.0-2.0 X 0.4 01/27/2016 IMMATURE GRANULOCYTES 0.0 0.0-1.6 % 0.1 91/27/2016 PLATELET COUNT 281 144-400 x10(3)/uL 222 01/27/2016 MPV 8.9 8.2-11.9 fL 9.5 01/27/2016 NOTE: New reference ranges for WBC and Absolute coun.s are effective 4/2S/2016. PT Ttf? 9.1-11.9 sec 10.1 01/27/2016 Test Not Performed: Specimen REJECTED for testing due to GROSS LIPEMIA. INTR.NORM.RATIO(INR) TNP 2.00-3.00 0.97 10 01/27/2016 PTT TNP 23.6-31.6 sec 26.5 01/27/2016 URINIILYSIS itiglaShiiiiS,azo.L.:-. ,:ilktittabittLT1;$'4' ' Color YELLOW 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 mg/dL sioReference Laboratories, Inc. lames Weisberger, M.D. Clinical Page 2 of 6 481 Edward H. Ross Dr I Elmwood Park, N3 07407 I (800) 2: 9-5227 Laboratory Director Printed 07/25/2016 07:01 g abed 4£9L886ZLZ1 LIDsH /URN Wd8£:50 9L02 60 6rr EFTA01733943 6480 L000L8Thild3 Dieference FINAL REPORT LABORATORIES O gISCH, HARRY EPSTEIN, JEFFREY c Specimen ID: 105819158 c HARRY FISCH, M.D. DOB:01/20/1953 Age:63 Y5ex:M A Date Of Report: 07/23/2816 944 PARK AVENUE ‘.1 Date Collected: 07/20/2016 C yy Address:, E 71ST STREET New York, NY 10028 e NEW YORK, NY 10021 P Time Collected: 08:52 Acct It: (C1720-1) 51 P: (212) 772-9416 Date Received: 07/20/2016 0 .' ' Time Received: 23:20 P: (212) 879-0800 P. .4 E 4 North America Eastern Time Cr_INIC:4•1 REPORT ....Thi ilitZYA•fgOic.i4;:nt • eu Bilirubin, Urine NEGATIVE NEGATIVE Blood, Urine NEGATIVE NEGATIVE Nitrites Urine NEGATIVE NEGATIVE Leukocyte Esterase NEGATIVE NEGATIVE Crystals Urine NONE NONE Crystal Amt. Urine NONE NONE WBC, Urine 0-4 0-4 PER HPF RBC, 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 VITCRORTOECCN kigit...,t;ai;V.44-4:„.„1 . y CULTURE, URINE NO GROWTH NO GROWTH SITE: URINE nisciLLPNLcus ,+.?..,*,24:Tifd4W1816.4,L ,-,. . ....:-.4 •,n'?..-.. ..... .- :.."*.'xr —"C ,:' 7.-' ," ir/' --" Hemoglobin Alc 5.9 HI <5.7 6.0 HI 101/27/2016 HEMOGLOBIN A1c AND eAG REFERENCE RANGES Alc(%) DIABETES CATEGORY* <5.7 Normal (nos-diabetic) 5.7-6.4 Increased risk of diabetes .>6.5 Consistent with diabetes Aic(%) eAG(ESTimATED AVERAGE PLASMA GLUCCGE)(mg/dL) 6 126 7 154 8 103 9 212 10 240 11 269 12 298 'recommended ranges-American Diabetes Association(2010) NOTE: Hemalysis, rare hemoglobin variants and thalavemia major may affect glycemic results. TSH TNP 0.178-4.530 uIU/ml. i 1.790 101/27/2016 Test Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. Thyroxine(T4) TNP 4.9-12.9 ug/dL 6.3 101/27/2016 Test Not Performed: Specimen rejected for testing due to moderate or marked BioReference Laboratories, Inc. lames Weisberger, A.D. Clinical Page 3 of 6 481 Edward N. Ross Dr I Elmwood Park, N3 07407 I (800) 2 -5227 Laboratory Director Printed 87/25/2016 07:01 g abed 4£9L886ZLZL LPsY AlleH Wd6E:g0 9LOZ 60 6w EFTA01733944 OSSOL000 1.8Thild3 BioReference FINAL REPORT LABORATORIES OIscm, HARRY EPSTEIN, 3EFFREY S Specimen ID: 105819158 HARRY FISCH, M.D. D08:01/20/1953 Age:63 V Sex:M A Date Of Report: 07/23/2016 944 PARK AVENUE Address:9 E 71ST STREET td Date Collected: 07/20/2016 New York, NY 10028 NEW YORK NY 10021 Time Collected: 08:52 Acct It: (C1720-1) Si P: (212) 772-9416 Date Received: 07/20/2016 L P: (212) 879-0800 Time Received: 23:20 F North America Eastern Time IIIII herolysis. T3 Uptake(T3U) TNP 24.3-39.0 % 29.3 101/27/2016 Test Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. THYROXINE, FREE(FT4) TNP 0.80-1.73 ng/dL 101/27/2016 Test Not Performed: Specimen rejected for testing dut to moderate or marked heaolysis. FREE T4 INDEX TNP 1.5-3.8 1.8 101/27/2016 T3(THYRONINE), TOTAL TNP 72-180 ng/dL 127 01/27/2016 Test Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. PSA Total TNP <4.00 ng/ml. 0.70 101/27/2016 Test Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. NOTE: The PSA assay should not be the only test used for diagnostic purposes. Additional evaluation using ORE, ultrasound, TUR or similar procedures may be used for this purpose. Predictions of disea e recurrence should not be based solely upon values obtained from serial PSA values obtained on the patient. NOTE: Values obtained with different assay methods or kits cannot be used interchangeably. NOTE: Results cannot be interpreted as absolute evidence of the presence or absence of malignant disease. ASSAY INFORMATION: Method Electrochemiluminescence Immunoassay (Roche Diagnostics) PSA, FREE TNP Not Estab. ng/mL 0.33 T01/27/2016 Test Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. NOTE: Results cannot be interpreted as absolute evidence of the presence or absence of malignant disease. values obtained with different assay methods or kits cannot be used interchangeably. ASSAY INFORMATION: Method ElectrochemilumineSCence IamunOaSSay (Roche Diagnostics). % FREE PSA TNP See Below % 47 161/27/2016 FREE PSA RISK ASSESSMENT The probability of prostate cancer for men with non-suspicious DRE results, by age group, using PSA values between 4.000 and 10.080 ng/mL and percent FREE PSA values is sumarized in the table below: BioReference Laboratories, Inc. lames Weisberger, N.D. Clinical Page 4 of 6 481 Edward H. Ross Dr I Elmwood Park, NI 07407 I (800) 2:9-5227 Laboratory Director Printed 07/25/2016 07:01 L abed 4E9LS86ZLZI WSJ £ueH kHOP:SO 9142 60 6ny EFTA01733945 LS801.000laVid3 FINAL KEPOKI BioReference ?...-4cSZSI.er LABORATORIES FISCH, HARRY .iEPSTE/N, JEFFREY 5 Specimen ID: 105819158 HARRY FISCH, M.D. 9 '1000:01/20/1953 Ago:63 YSOX:M 4 Date Of Report: 07/23/2016 944 PARK AVENUE 4address:1 E 71ST STREET Date Collected: 07/20/2016 New York, NY 10028 NEW YORK NY 10021 Time Collected: 08:52 Acct 0: (C1720-1) Si P: (21t) 772-9416 P Date Received: 07/20/2016 6 I P: (212) 879-0800 Time Received: 23:20 • —ji F T North America Eastern Time CLINICAL REPORT PROSABILIIY OF CANCER. %free PSA (50-59 yrs) (60-69 yrs) (>or=70 yrs) cor.10 49.2% 57.5% 64.5% 11-18 26.9% 33.9% 40.8% 19-25 18.3% 23.9% 29.7% >25 9.1% 12.2% 15.8% 'probability of finding prostate cancer by need e biopsy NOTE: Calculation of percent FREE PSA may not be pos ible when the value for TOTAL PSA is in the low mammal range. These gu delines are for assays performed using the Roche E602 immunoassay syS em.(8/2015;V8.0) TESTOSTERONE, TOT.,S. TNP 193.0-740.0 ng/dL 296.0 101/27/2016 Test Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. TESTOSTERONE, BIOAVAIL. TNP 72.0-460.0 ng/dL 183.8 01/27/2016 SEX HORM.BIND.GLOB. TNP 10-57 nmol/L 18 01/27/2016 Test Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. FREE TESTOSTERONE TNP 30.00-150.00 pg/mt 80.18 101/27/2016 LH TNP 1.7-8.6 mIll/ml 6.8 01/27/2016 Test Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. FSH TNP 1.5-12.4 mIU/mt fl 6.8 01/27/2016 Test Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. PROLACTIN, SERUM TNP 4.0-15.2 ng/mL 3.0 LO 101/27/2016 lest Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. ESTRADIOL INF, 7.02-49.06 pg/ml 48.93 01/27/2016 Test Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. FIBRINOGEN TNP 176-441 mg/a 276 101/27/2016 DIHYDROTESTOSTERONS(7) 146.0 106-719 pg/m1 278.0 01/27/2016 Reference Intervals for Males age 20 years and above: 106.0-719.0 pg/mL Analysis by High Performance Liquid Chromatography/ TandemMass Spectrometry (LC-MS/MS) (7) Performed by: National Medical Lab 2300 Stratford Ave. Willow Grove, PA 19090 eioeeference Laboratories, Inc. Jones Weisberger, M.D. Clinical Page 5 of 6 481 Edward H. Ross Dr I Elmwood Park, Nl 07467 I (800) -5227 Laboratory Director Printed 07/25/2016 07:01 8 abed VE9L886ZLZL ku8H l'HOVS0 9LOZ 60 find EFTA01733946