HARRY Fl CH M.D.

HARRY Fl CH M.D. tel: fax: FACSIMILE TRANSMISSION Date: Y\qIIL r5 re i Ai PLEASE DELIVER ATTACHED MESSAGE TO: Ze__-_Q-c,g,ei FAX #: TEL #: Regarding: Number of pages (including cover Remarks: page): Vt9L896Z121. LPsti L ieH LSdL£' L abed EFTA00582641 115.0 allev ',VT. bwri label Na RAW <AN raftl•st••••••••• • • •••• rwrxr • h. v j • I ..r.•• Ft PA army, e. A . wariot* lMaimis 3,•24 tam:ha. Bea Liked med te.to d fie bzr Anorat .r.A.M.O. :ary • miler gfir ;WAX Do., ' EFTA00582642 M9 09 2016 0a37RI Harry Fitt' 12129881630 page 3 Qyavv?-7yryy ki-vvn ineyb vs>f 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-kJ 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 PDate 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, •,' 'IeitFINAL 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 BioReferenceFINAL LABORATORIES a.;:;,,:. ,FAIqk EPSTEIN, )1000:01/28/1953 ':: • '' Address:] NEW YORK P: ;,.gg :• .i„'"cREPORT 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 :41R, 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