Diagnostic®

analQuest Diagnostic® GUEST DIAGNOSTICS INCORPORATED CLIENT SERVICE 800.631.1390 SPECIMEN INFORMATION SPECIMEN: AH294966 REQUISITION: COLLECTED: 11/18/2010 RECEIVED: 11/19/2010 REPORTED: 12/01/2010 11:30 03:05 08:16 PATIENT INFORMATION EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 57 GENDER: M FASTING: N PHONE: 212.750.9895 REPORT ST 'ATI:S FINAL ORDERING PHYSICIAN CLIENT INFORMATION T11886 WOODSON MERRELL, M.D. 44 E 67TH STREET NEW YORK, NY 10065 10013575 Test Name LIPID PANEL CHOLESTEROL, TOTAL HDL CHOLESTEROL CHOLESTEROL/HDL RATIO LDL CHOL, CALCULATED See footnote 1 TRIGLYCERIDES FSH LH PROGESTERONE CORTISOL,III. CORTISOL (AM) DHEA SULFATE CARDIO CRP (R) Low relative guidelines. See footnote 2 HEMOGLOBIN Ale In Range Out of Range Reference Range 199 125-200 mg/dL 26 h >=40 mg/dL 7.7 N < = 5.0 <130 mg/dL LDL is not calculated when Triglycerides are >400 mg/dL. A direct measure of LDL Cholesterol may be ordered on this specimen by calling Quest Diagnostics Incorporated Client Service Department at 1-800-631-1390 within the next five days. 679 H <150 mg/dL. 4.3 1.6-8.0 mIU/mL 5.6 1.5-9.3 mIU/mL <0.5 <1.4 ng/mL 12.4 222 0.9 cardiovascular Reference Range: 4.0-22.0 mcg/dL 25-240 mcg/dL mg/L risk according to AHA/CDC < 5.7% 5.7-6.0% 6.1-6.4% > OR = 6.5% 5.8 N Percent Decreased risk of diabetes Increased risk of diabetes Higher risk of diabetes Consistent with diabetes Lab TBR TBR TBR TBR TBR TBR TBR TBR EPSTEIN,JEFFREY - AH294966 0•010.14•01/ I. I tv): MC 1. • ..... D.rynooll ',el. ate re rric•-vis u'0truCioarasif. r Page 1 - Continued on Page 2 MiflOMS rm.) 003100)1411. Re.ed LO Uri 11552, EFTA00727565 A4ipik Quest i‘R;f 1)iagnostici,; QUEST DIAGNOSTICS INCORPORATED SPECIMEN INFORMATION SPECIMEN: AH294966 COLLECTED: 11/18/2010 11:30 REPORTED: 12/01/2010 08:16 FAT'ENT INFORMAT:ON EPSTEIN,JEFFREY- DOB: 01/20/1953 AGE: 57 GENDER: M FASTING: N REPORT STATUS FINAL ORDERING PHYSICIAN CLIENT INFORMATION T11886 10013575 Teat Name In Range Out of Range Reference Range Lab VITAMIN D,25-0H,LC/MS/MS TBR VITAMIN D, 25-OH, TOTAL 35 30-100 ng/mL VITAMIN D, 25-OH, D3 35 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 a or = 30 ng/mL. MAGNESIUM,RBC 4.7 4.0-6.4 mg/dL ESTRADIOL, LC/MS/MS ESTRADIOL,LC/MS/MS c2 < OR = 29 pg/mL TESTOSTERON,FR/TOT,LCMSMS TESTOSTERONE,TOTAL 1/-(1-1. 250-1100 ng/dL TESTOSTERONE,%,FREE 3.28 H 1.50-2.20 % TESTOSTERONE,FREE 45.9 35.0-155.0 pg/mL POOTNOTE(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 <1.0 1.0 - 3.0 3.1 - 10.0 >10.0 Risk according to AHA/CDC guidelines Low cardiovascular risk Average cardiovascular risk High cardiovascular risk Persistent elevations may represent non-cardiovascular inflammation EPSTEIN,JEFFREY - AH294966 Page 2 - Continued on Page 3 AMD QNI AMD at ....m 244.nil r• • tt tt yea ,,,,, It awl :;•41. ct ke.• n.. rho 1,1tro it tat Cufrpnion vow-wed Nu"... town, 00esill Emu. Ea SCE OSSEO EFTA00727566 9 Quest Diagnostics QUEST DIAGNOSTICS INCORPORATED SPECIMEN INFORMATION SPECIMEN: AH294966 COLLECTED: 11/18/2010 11:30 REPORTED: 12/01/2010 08:16 PATIENT INFORMATION EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 57 GENDER: M FASTING: N REPORT STATUS FINAL ORDERING PHYSICIAN CLIENT INFORMATION T11886 10013575 PERFORMING LABORATORY INFORMATION: AND Quest Diagnostics Nichols Chantilly 14225 Newbrook Drive Chantilly VA 20151 Laboratory Director: Kenneth Steno, MD.PhD CLIA No: 49D0221801 0' Quest Diagnostics. Nichols Institute 33608 Ortega Highway San Juan Capistrano CA 92675 Laboratory Director: Dr. Jon M. Nakamoto CLIA No: 0600643152 TBR Quest Diagnostics One Malcolm Avenue Teterboro NJ 07608 Laboratory Director: William E. Tarr, M.D. CLIA NO: 31D0696246 EPSTEIN,JEFFREY - AM294966 Page 3 - End of Report Nestauro 0*. ItitiCS thip etinCliNt •1 Mtn salad Ownt 0.11000 writs aoli .• barns.. of OunID wean C. Own, Duran. Funcraut Mugmt CDX00)MTL OreutliAil SCM.1116.)0 EFTA00727567 It* Ank Quest Diagnostics PATIENT INFORMATION REPORT STATUS FINAL 94.40440n43 QUEST DIAGNOSTICS INCORPORATED CLIENT SERVICE 900.631.1390 SPECIMEN INFORMATION SPECIMEN: F9284662 REQUISITION: COLLECTED: 11/18/2010 RECEIVED: 11/19/2010 REPORTED: 11/22/2010 NONE 02:42 08:15 EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 57 GENDER: M FASTING: N PHONE: 212.750.9895 ORDERING PHYSICIAN CLIENT INFORMATION T11886 WOODSON MERRELL, M.D. 44 E 67TH STREET NEW YORK, NY 10065 10013575 Test Name CALCIUM PTILINTACT Interpretive Guide Normal Parathyroid Function Hypoparathyroidism Primary Hyperparathyroidism Secondary Hyperparathyroidism , Tertiary Hyperparathyroidism Non-Parathyroid Hypercalcemia PERFORMING LABORATORY INFORMATION: TBR Quest Diagnostics One Malcolm Avenue Teterboro NJ 07608 Laboratory Director; William C. Tart, M.D. CLIA No: 3100696246 In Range 9.4 Out of Range 82 Intact PTH Normal Low or Low Normal Normal or High -4Hig High Low or Low Normal Reference Range 8.6-10.2 mg/dL 10-65 pg/mL Calcium Normal Low High Normal or Low High High Lab TBR TBR EPSTEIN,JEFFREY - F9284662 QOM Qt•R0•prariXt aint.nedsryparyl • 'naiad 0.6610•1•0100 Mt 4,4 f, VOC~A 011LOSt 0 *et Page 1 - End of Report 6 r 00.6 014r>6101.60 ,PV010 Al re, row.** C0Mmointstruasos sem ssm EFTA00727568 icejomibiox Quest Diagnostici Date of Report: 1(/20/2010 Patient Name: EPSTEIN, JEFFREY Specimen: F9284662 Patient ID: NG Age: 57 Sex: M Intact Parathyroid Hormone and Total Calcium Patient Results Intact PTH Nonni Raw I645 print 82.00 (ps/mU Calcium Norma Reap It 41n.2 nal 9.40 (mg/dLI Quest Diagnostics One Malcolm Avenue Teterboro, New Jersey 07608-1070 800.631.1390 111886 10013575 WOODSON MERRELL, M.D. 44 E 67TH STREET NEW YORK, NY 10065 10000 NOD —1000 500 to 'al 00 50 cl$ a I ID 5 Quest Track Ordering Physician: Route: 10013575 Account Number: T11886 _ _ . . - • _ - . . ..._ — . , - — _ . 1 . . -- . __I__. _ __ - . — . _ _ • Normal ..— .. ._ - .._ _____ ... ___. _ _ . 2.0 4.0 6.0 8.0 10.0 12.0 Total Calcium (mg/dL) 14.0 161 Legend A Primary or Tertiary Hyperparathyroidism O Hypercalcemia of Malignancy o Secondary Hypctparathyroidism o Hypoparathyroidism 0 Patient Result °DUN graphwal repreventativin 61101 intended to whniiine for the Clink-al Laboratory Report which may contain mtne ,vmplete information. Rekren.< value. on the graph above am from a proprimaty data Nei Pruin QM'S DiallflOsIk.‘ Nkholvlivaitute. Intact PTII value. pk*icd on the. graph were analyied uving an Watt Mt IRMA away Mime performance chatactetivtics are very similar to the DPC method currently utilized al Quest Diugnomks. Qum'. Que,1 040•70o.tht erwitiol01 too and all awn.iated Quni Disziwnlin maks are Mr iniurrm leaden ...of Quem Iliapcnll., lucutpors101. 0 2010 Queo Olatvevin Inmeponsied. All 'Liens (mind. EFTA00727569