EFTA00727570.pdf

Quest Diagnostics, PATIENT INFORMATION REPORT STATUS PARTIAL EPSTEIN,JEFFREY REPRINT QUEST DIAGNOSTICS INCORPORATED ORDERING PHYSICIAN CLIENT SERUICE 800.631 .1390 DOB: 01/20/1953 AGE: 57 GENDER: M FASTING: SPECIMEN INFORMATION CLIENT INFORMATION SPECIMEN: X46712534 T11886 10013650 REQUISITION: PHONE: 212.750.9895 WOODSON MERRELL, M D. 44 E 67TH STREET NEW YORK. NY 10065 COLLECTED: 03/03/2010 11:50 RECEIUED: 03/03/2010 21:07 REPORTED: 03/09/2010 17:30 The original copy of this report was printed on: 03/09/2010 at 08:16 Patient results contained In a facsimile or electronic medical report are provided only upon the request of the physician or authorized person. Facsimile or electronic medical reports that are created before the final results aro reported are considered to be INTERIM RESULTS ONLY and are subject to change by the laboratory. Test Name In Range Out of Range Reference Range Lab 1GF-I 151 87-Z25 ng/mL TBR FSH 3.7 1.6-8.0 mIU/nL TBR LH 4.1 1.5-9.3 miU/mL TBR PROLACTIN 2.6 2.0-18.0 ng/nL 7BR PROGESTERONE 1.1 <1.4 ng/nL TBR DHEA SULFATE 182 25-240 mcg/dL TBR TESTOSTERON,FR/TOT,LCMSMS QNI TESTOSTERONE, TOTAL 188 L 250-1100 ng/dL Total Testosterone was measured by LCMSMS. The LCMSMS method correlates well with our extraction/RIA method. % FREE TESTOSTERONE 1.94 1.5-2.2 h TESTOSTERONE, FREE ,36.5-) 35.0-155.0 pg/mL MTHER,DNA MUTATION,NY see note A AMD RESULT: POSITIUE FOR 2W0 COPIES OF THE C677T ) MUTATION DNA testing indicates this individual is homozygous for the C6777 mutation and does not have the A1298C mutation. This has been associated with an increased risk for hyperhomocysteinemia and vascular diseases. Consider genetic counseling and DNA testing for at-risk members. EPSTE1N,JEFFREY - K4671284 Page 1 - Continued on Page 2 lint, ken liassistics, Ins nil •I anictotnt hint /tannins ,,,,, art thr it hilt auy.Nal Inentsgan4 Ill save. er 11N1 CM, aveva P b Iltitillt6 2/3 EFTA00727570  Quest Diagnostic PATIENT INFORMATION REPORT STATUS PARTIAL EPSTE1N,JEFFREY REPRINT QUEST DIAGNOSTICS INCORPORATED ORDERING PHYSICIAN DOB: 01/20/1953 AGE: 57 GENDER: M FASTING: SPECIMEN INFORMATION CLIENT INFORMATION SPECIMEN: X4671284 T11686 10013650 COLLECTED: 03/03/2010 11:50 REPORTED: 03/09/2010 17:30 Test Name In Range Out of Range Reference Range Lab Laboratory testing supervised and results monitored by U.M. Pratt, Ph.D., FACIIIG. Director. Molecular Genetics. Hyperhomocysteinemia is a risk factor for arterial disease and venous thrombosis. Homocystelne levels are affected by nutritional and genetic factors. Since NTHFR is involved in methyiation of homocysteine to methionine, individuals with MTHFR gene mutations that reduce enzyme activity may develop hyperhoncystelnemia and thus be at risk for vascular disease. The C677T and A1298C mutations are detected by signal amplification of the MTHFR gene by allele- specific hybridizations and cheniluninescent detection of hybridized probes. Since genetic variation and other factors can affect the accuracy of direct mutation testing, these results should be interpreted in light of clinical and familial data. This test was developed and its performance characteristics have been determine-it by Quest Diagnostics Nichols Institute, Chantil ly, UA. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test. ESTRADIOL.ULTRASEN.LCKSMS PENDING PERFORMING LABORATORY INFORMATION: AMD Quest Diagnostics Nichols Chantilly 14225 Newbrook ➢rive Chantil ly UA 20151 Laboratory Director: Kenneth Sisco. MD,PhD CLIA No: 4900221801 QNI Quest Diagnostics, Nichols Institute 33608 Ortega Highway San Juan Capistrano CA 92690 Laboratory Director: Dr. Jon M. Nakamoto CLIA No: 05110643352 IBR Quest Diagnostics One Malcolm Avenue Teterboro NJ 07608 Laboratory Director: William E. Tarr, M.D. CLIA No: 3100696246 EPSTEIN,JEFFREY - K4671284 Page 2 - End of Report twit Loll Oily..ha, tie iiiitsilr1 Iry1 lit ill isse ittilii.11 Ciiiicsipti arks in 1$ IntInarli *I twit DIIIMIIICS it Fa Il niatt Priniod IM 111X. /II i141/11 1) 11 115/l/Ili 1/1 EFTA00727571  Quest Diagnostics PATIENT INFORMATION REPORT STATUS FINAL ESPSTEIN,JEFFREY REPRINT QUEST DIAGNOSTICS INCORPORATED ORDERING PHYSICIAN CLIENT SERUICE 800.631.1390 DOB: 01/20/1953 AGE: 57 GENDER: M FASTING: Y SPECIMEN INFORMATION CLIENT INFORMATION SPECIMEN: X4666434 T11886 10013650 REQUISITION: PHONE: 212.772.9416 WOODSON MERRELL, M.D. 44 E 67TH STREET NEW YORK, NY 10065 COLLECTED: 03/03/1010 08:20 RECEIUED: 03/03/2010 20:43 REPORTED: 03/08/2010 08:32 The original copy of this report was printed on: 03/05/2010 at 08:16 Test Name In Range Out of Range Reference Range Lab LEAD,BL000 <3 <10 mcg/dL TBR Blood lead levels in the range of 5-9 mcg/dL have been associated with adverse health effects in children aged 6 years and younger. Industrial Exposure: <40 mcg/dL ncg/dL = mcg/100g for OSHA (refer to current governmental regulations for exposure criteria) MERCURY,BLOOD 5 <=10 mcg/L AMU ARSENIC,BL00D 4 <23 mcg/L AMD Urine is usually the best specimen for the analysis of Arsenic in body fluids. Blood levels tend to be low even when urine concentrations are high. PERFORMING LABORATORY INFORMATION: AND Quest Diagnostics Nichols Chantilly 14025 Newbrook Drive Chantilly VA 20151 Laboratory Director: Kenneth Sisco, MD.PhD CLIA No: 49D0221801 TOR Quest Diagnostics One Malcolm Avenue Teterboro NJ 07608 Laboratory Director: William E. Tarr, M.D. CLIA No: 31D0696246 ESPSTEIN,JEFFREY - K4666434 Page 1 - End of Report Ill ritIII risrtiti. OI.OPIt4 2/1I It'll, lout Itiliostics, IM asseciilif 10$0 Ahl aIsociatid Putt tia,,eslu, , Ital".0" , IC 14O 0,,,,,IIIrs :flOrIN,rIt$ CC2 evivit BIN ionsia 7/7 EFTA00727572  ak Quest fa? Diagnostic: PAT I FAIT INFORMATION REPORT STATUS FINAL EPSTEIN, JEFFREY OMs: : ACUIOSIA CS INCORPORATED ORDERING PHYSICIAN CLIENT SERVICE PO O. G31 . I j 90 DOB: 01/20/1953 AGE: 57 GENDER: M FASTING: Y SPECIMEN INFORMATION CL: ENT INFORMATION SPECIMEN: F7579815 T11886 10013650 REQUISITION: PHONE: 212.750.9895 WOODSON MERRELL, M.D. 44 F. 67TH STREET NEW YORK, NY 10065 COLLECTED: 03/03/2010 11:50 RECEIVED: 03/03/2010 21:49 REPORTED: 03/05/2010 10:31 Test Name In Range Out of Range Reference Range Lab CALCIUM FTR,INTACT 6) H H 8.6-10.2 mg/dL 10-65 pg/mL TSR TBR Interpretive Guide Intact PT Calcium Normal Parathyroid Function Normal Normal Hypoparathyroidism Low or Low Normal Low Primary Hyperparathyroidism Normal or High High Secondary Hyperparathyroidism High Normal or Low Tertiary Hyperparathyroidism High High Non-Parathyroid Hypercalcemia Low or Low Normal High PERFORMING LABORATORY INFORMATION: YBR Ousel Diagnostics one Malcolm Avenue Teterboro NJ 07608 Laboratory Director: William E. Tarr. MIA NO; 3100696246 EPSTEIN,JEFFREY - F7579815 Page 1 - End of Report On.' OHS C.W404. 71• owe roc isso •••t ANOPNI Omatomften M, au um eyNoN•ittaumeDerma• t(Wu Oontscs WOCIWOW =NON% knee SOB $01. ANN 'Wt.taro*, EFTA00727573  Quest O4 (Lest Diagnostics 4 Diagnostics One Malcolm Avenue Teentoro, New Jersey 076C6-1070 uest Tar ch. 8CC1.631.B90 Intact Parathyroid Hormone Date of Report 03/06/2010 1 -11886 10013650 Patient Name: WOODSON MERRELL, M.D. Ordering Physician: Jeffrey Epstein 44 E 67th Street Identification Number: New York, NY 10065 Route: I001.4,50 Account Number. Age: 57 Sex: M I'I INK6 10003 Intact Parathyroid 0000 0000 Hormone 7000 Test No. 1222A 0303 Date Received: 03/03/2010 5000 Accession a F7579815 4000 Results (Please refer to the official Medical Report) Intact PTH 88.90 pg/mL (Normal Range 10 - 85 pg/mL) Total Calcium 10.40 mg/dL (Female Range 8.5. 10.3 mg/dc• NCO Male Range 8.7 • 10.4 mg/cIL• I 900 000 700 NO S00 Legend 400 Normal E 'v. 300 en a. e 200 Indeterminate 0 Secondary I 1 Hyperparathyroidism os C a° 70 Primary 60 Hyperparathyroidism GO «pg 40 Hypoparathyroidism ti Non-Parathyroid Hypercalcemia to 9 8 Note: The reference range on the graph may 6 differ from the reference range cited for this 5 patient. The comparison data set on the back 4 of this report includes both male and female patients. The reference ranges for calcium on 3 the graph are those that would be applied to an adult patient where sex was unspecified. 10 40 60 10 10.0 140 16,0 C 9201 Quest Diagnostics Incorporated. All rights reserved. Calcium (mg/dL) Guest Quest Diagnostics, the associated logo end NI associated Quest Dognostics marks are the vedemerks of Quest Diagnostics Margo/aced. EFTA00727574  A ark Quest ‘W Diagnostics ATIHNT :NFOHMAT:ON REPORT STATUS FINAL EPSTEIN, JEFFREY QUEST DIAGNOSTICS INCORPORATED ORDERING PHYSICIAN CLIENT SERVICE 000.611.1390 DOB: 01/20/1953 AGE: 57 GENDER: M FASTING: Y SPECIMEN INFORMATION C!JENT INFORMATION SPECIMEN: 92116012 T11886 10013650 REQUISITION: PHONE: 212.772.9416 WOODSON MERRELL, M.D. 44 E 67TH STREET NEW YORK, NY 10065 COLLECTED: 03/03/2010 08:20 RECEIVED: 03/03/2010 19:57 REPORTED: 03/08/2010 08:16 Test Name In Range Out of Range Reference Range Lab MAGNESIUM 1.8 1.5-2.5 mg/dL TBR TSH,3RD GENERATION 1.77 0.40-4.50 mIU/L TBR THYROID PANEL TBR T4,TOTAL 9.4 4.5-12.5 mcg/dL Please note new reference range. T3 UPTAKE 32 22-35 Percent T4,FREE,CALCULATED 3.0 1.4-3.8 Units CR,TOTAL 44-196 U/L TBR EPSTEIN,JEFFREY - 92116012 Page 1 - Continued on Page 2 3.mt Oary On.mmc nn mm wed ov..km al onmom Cum flummt‘i mats am omPOOMMSOOmmlOmmefles C. Gant Datcrom cmommi Al miltunemd OLMMILML elm les MX SCH. MCA) EFTA00727575  li nk Quest Diagnosticsi ,RMATICti PAIIEN't :Nr. REPORT STATUS FINAL EPSTEIN,JEFFREY DIAGNOSTICS INCORPORATED ORDERING PHYSICIAN DOB: 01/20/1953 AGE: 57 GENDER: M FASTING: Y MEN INFORMATION CLIENT INFORMATION CIHEN: 92116012 T11886 10013650 LECTED: 03/03/2010 08:20 ORTED: 03/08/2010 08:16 est Name In Range Out of Range Reference Range Lab !S/HDL/TIBC W FER RFX/FRUCTOSAMINE TBR GLUCOSE,PASTING (.104 H 65-99 mg/dL FRUCTOSAMINE 246 190-270 umol/L SODIUM 140 135-146 mmol/L POTASSIUM 4.4 3.5-5.3 mmol/L CHLORIDE 105 98-110 mmol/L CARBON DIOXIDE 24 21-33 mmol/L UREA NITROGEN 18 7-25 mg/dL CREATININE 0.94 0.76-1.46 mg/dL BUN/CREATININE RATIO NOTE 6-22 Bun/Creatinine ratio is not reported when the Bun and Creatinine values are within normattld itS. URIC ACID 8.6 H 4.0-8.0 mg/dL PHOSPHORUS 3.3 2.5-4.5 mg/dL CALCIUM 10.0 8.6-10.2 mg/dL CHOLESTEROL,TOTAL 200 125-200 mg/dL HDL CHOLESTEROL >=40 mg/dL l?.) CHOLESTEROL/HDL RATIO 6.1 H < = 5.0 LDL CHOL, CALCULATED 111 <130 mg/dL See footnote 1 TRIGLYCERIDES <150 mg/dL PROTEIN,TOTAL 7.4 6.2-8.3 g/dL ALBUMIN 4.6 3.6-5.1 g/dL GLOBULIN,CALCULATED 2.8 2.1-3.7 g/dL A/G RATIO 1.6 1.0-2.1 BILIRUBIN,TOTAL 0.7 0.2-1.2 mg/dL BILIRUBIN,DIRECT 0.1 < = 0.2 mg/dL ALKALINE PHOSPHATASE 64 40-115 U/L GGT 12 3-85 U/L AST 21 10-35 U/L ALT 19 9-60 U/L LD 152 120-250 U/L IRON,TOTAL 70 45-170 mcg/dL TIBC 314 250-425 mcg/dL TRANSFERRIN SATURATION 22 20-50 t ;TEIN,JEFFREY - 92116012 Page 2 - Continued on Page 3 O,1µ Omni Ougromk nrosioon vo •••••:(al Omni0••••••••• vantttttusfeowat or• WetPermits vIlastastanias Norway! Linos eimmil ODY0110.0111. RIMS %Of Sat I IWO EFTA00727576  A nk Quest Diagnosti9 PAT I ENT INFORMATION REPORT STATUS FINAL EPSTEIN,JEFFREY QUEST DIAGNOSTICS INCORPORATED ORDERING PHYSICIAN DOB: 01/20/1953 AGE: 57 GENDER: M FASTING: Y SPECIMEN I NPORMAT 70N CL IN INFORMATION SPECIMEN: 92116012 T11886 10013650 COLLECTED: 03/03/2010 08:20 REPORTED: 03/08/2010 08:16 Teat Name In Range Out of Range Reference Range Lab CBC (INCLUDES DIFF/PLT) TBR WBC 5.3 3.8-10.8 Thous/mcL RBC 5.06 4.20-5.80 Mill/mcL HEMOGLOBIN 15.0 13.2-17.1 g/dL HEMATOCRIT 44.8 38.5-50.0 % MCV 88.5 80.0-100.0 fL MCH 29.6 27.0-33.0 pg MCHC 33.4 32.0-36.0 g/dL RDW 13.4 11.0-15.0 % PLATELET COUNT 289 140-400 Thous/mcL MPV 7.9 7.5-11.5 fL TOTAL NEUTROPHILS,% 49.7 38-80 % TOTAL LYMPHOCYTES,% 34.9 15-49 % MONOCYTES,% 7.5 0-13 % EOSINOPHILS,% 7.2 0-8 % BASOPHILS,% 0.7 0-2 % NEUTROPHILS,ABSOLUTE 2634 1500-7800 Cells/mcL LYMPHOCYTES,ABSOLUTE 1850 850-3900 Cells/mcL MONOCYTES,ABSOLUTE 398 200-950 Cells/mcL EOSINOPHILS,ABSOLUTE 3B2 15-550 Cells/mcL BASOPHILS,ABSOLUTE 37 0-200 Cells/mcL DIFFERENTIAL An instrument differential was performed. URINALYSIS,COMPLETE TBR COLOR Yellow Yellow APPEARANCE Cloudy * Clear GLUCOSE,QL Negative Negative mg/dL BILIRUBIN,URINE Negative Negative KETONES Negative Negative mg/dL SPECIFIC GRAVITY 1.024 1.001-1.035 BLOOD (1+) * Negative PH 5.5 5.0-8.0 PROTEIN,TOTAL,QL Negative Negative mg/dL NITRITE Negative Negative LEUKOCYTE ESTERASE Negative Negative SQUAMOUS EPITHELIAL CELLS None Seen cor=6 cells/hpf WBC None Seen <or=5 cells/hpf BACTERIA None Seen None Seen /hpf RBC cor=3 cells/hpf HYALINE CASTS None Seen t ill)i None Seen /lpf EPSTEIN,JEFFREY - 92116012 Page 3 - Continued on Page 4 Oast PupilDepron em stint aelev ...oat 4.etiOinsevc• nits, re in.rafoisarkt C mesa...y.4 viltest Mori CINIXONTI. P.0•01 SCX .1.05 EFTA00727577  oft Quest Diagnostics PATIENT INFORMATION REPORT STATUS FINAL EPSTEIN, JEFFREY QUEST DIAGNOSTICS INCORPORATED ORDERING PHYSICIAN DOB: 01/20/1953 AGE: 57 GENDER: M FASTING: Y SPECIMEN INFORMATION CLIENT INFORMATION SPECIMEN: 92116012 T11886 10013650 COLLECTED: 03/03/2010 08:20 REPORTED: 03/08/2010 08:16 Test Name In Range Out of Range Reference Range Lab VITAMIN B12 . FOLATE TBR VITAMIN B12,SERUM 0 2 /) 200-1100 pg/mL Please note: although the reference range for Vitamin B12 is 200-1100 pg/mL, it has been reported that between 5 and 10% of patients with values between 200 and 400 pg/mL may experience neuropsychiatric and hematologic abnormalities due to occult 812 deficiency; less than 1% of patients with values above 400 pg/mL will have symptoms. FOLATE,SERUM 10.6 > 5.4 ng/mL Normal: >5.4 Borderline: 3.4-5.4 Low: <3.4 CARDIO CRP (R) 0.8 mg/L TBR Low relative cardiovascular risk according to AHA/CDC guidelines. See footnote 2 PSA,TOTAL 0.54 <=4.0 ng/mL TBR See footnote 3 APOLIPOPROTEIN A-1.B TBR APOLIPOPROTEIN Al 117 _. 94-176 mg/dL APOLIPOPROTEIN B 107 52-109 mg/dL APOLIPOPROTEIN B/A1 RATIO 0.91 Below average risk: <0.29 Average risk: 0.29-1.30 Above average risk: >1.30 HEMOGLOBIN A1C H Percent TBR Reference Range: Non Diab 6.0% HOMOCYSTEINE,CARDIO TBR HOMOCYSTEINZ <11.4 MICROmol/L e _1 ) EPSTEIN,JEFFREY 92116012 Page 4 - Continued on Page 5 Own bag D•ren. asm.:0.000 roc 0 ,,,,, 0411,.010.10 .0(. 10 ,4 et 0e PeltankSO 00014.00Cs t. .el0qnneis le0rwilltd AInein Mr.*/ momKn. Su,: • IMP: EFTA00727578  A in Quest CP ), Diagnostics S PAT:ENT INFORMATION REPORT STATUS FINAL EPSTEIN, JEFFREY QUEST DIAGNOSTICS INCORPORATED ORDERING PHYSICIAN DOB: 01/20/1953 AGE: 57 GENDER: M FASTING: Y SPECIMEN INFORMATION CLIENT INFORMATION SPECIMEN: 92116012 T11886 10013650 COLLECTED: 03/03/2010 08:20 REPORTED: 03/08/2010 08:16 Test Name In Range Out of Range Reference Range Lab VITAMIN D,25-OH,LC/MS/MS TBR VITAMIN D, 25-OH, TOTAL 42 20-100 ng/mL VITAMIN D, 25-OH, D3 42 ng/mL VITAMIN D, 25-OH, D2 <4 ng/mL 25-OHD3 indicates both endogenous production and supplementation. 25-OHD2 is an indicator of exogenous sources such as diet or supplementation. Therapy is based on measurement of Total 25-OHD, with levels <20 ng/mL indicative of Vitamin D deficiency, while levels between 20 ng/mL and 30 ng/mL suggest insufficiency. Optimal levels are >30 ng/mL. MAGNESIUM,RBC 4.6 4.0-6.4 mg/dL AMD FOOTNOTE(S): 1 Desirable range is <100 mg/dL for patients with coronary heart disease (CHD) or diabetes, and <70 mg/dL for diabetic patients with known CHD. 2 For Ages >17 Years: CCRP mg/L Risk according to AHA/CDC guidelines <1.0 Low cardiovascular risk 1.0 - 3.0 Average cardiovascular risk 3.1 - 10.0 High cardiovascular risk >10.0 Persistent elevations may represent non-cardiovascular inflammation 3 This test was performed using the Siemens (Bayer) 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. PERFORMING LABORATORY INFORMATION: AMD Quest Diagnostics Nichols Chantilly 14225 Newbrook Drive Chantilly VA 20151 Laboratory Director: Kenneth Sisco. PID.PhD CLIA NO: 4900221801 TBR Quest Diagnostics One Malcolm Avenue Teterboro NJ 07608 laboratory Director: William E. Tarr, M.D. CLIA No: 31D0696246 EPSTEIN,JEFFREY - 92116012 Page 5 - End of Report OWE IA.:Our,' • .inn Ohn.,..ni es • leti en u.I int *a I Ilmrats 01..ni0wortasfl Chig ertgrint.• IntetpsOln Mufumrn. xm,n RvAl•O V* SCA ,11)A3 EFTA00727579  441,lk Quest a, Diagnostics e PATIENT INFORMATION EPSTEIN, JEFFREY REPORT STATUS incbutr., QUEST DIAGNOSTICS INCORPORATED ORDERING PHYSICIAN CLIENT SERVICE 800.631.1390 DOB: 01/20/1953 AGE: 57 GENDER: M FASTING: Y SPECIMEN INFORMATICN CLIENT INFORMATION SPECIMEN: F7579848 T11886 10013650 REQUISITION: PHONE: 212.772.9416 WOODSON MERRELL, M.D. 44 E 67TH STREET NEW YORK, NY 10065 COLLECTED: 03/03/2010 08:20 RECEIVED: 03/03/2010 21:52 REPORTED: 03/08/2010 08:16 Teat Name In Range Out of Range Reference Range Lab INSULIN,FREE 7.8 1.5-14.9 uIU/mL QNI Insulin levels vary widely in specimens taken from non-fasting individuals. PREPORIRI140 LABORATORY INFORMATION: QNI Quest Diagnostics, Nichols Institute 33608 Ortega Highway San Juan Capistrano CA 92690 Laboratory Director: Dr. Jon M. Nakaaoto CLIA NO: 0500643352 EPSTEIN,JEFFREY - F7579848 Page 1 - End of Report Ws, Cll 04O0*(1 Pe 41.4%,•Lte NIS (fri (J•r«. Is west aro IN• vsglanaNso/ Gre0horpsocs 0.•ullirencs lwargatom Al ere NSW 0.9 00)1130SPITL Rona i as Sell una EFTA00727580