# Profoundd archive — Epstein Files # Bates number: EFTA00804474 # Title: (0)Quest Diagnostics Report Status: Final # Dataset: 9 # Pages: 6 # Images: 6 detected # Tags: epstein, doj, dataset-9, image-described # Source PDF: https://profoundd.com/epstein-docs/EFTA00804474/download # Doc viewer: https://profoundd.com/epstein-docs/EFTA00804474 # # Text below is what Profoundd has extracted from the source PDF. # 'ocr-enriched' tag means OCR was applied to scan-only pages. # Image descriptions are AI-generated factual captions (llava:13b). #---------------------------------------------------------------------- === SUMMARY === (0)Quest Diagnostics Report Status: Final EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 65 Gender: M Phone: 561.366.0084 Patient ID: 19530120MJE Health ID: 8573003290851249 Specimen: MR8391 ION Requisition: 0006872 Collected: Received: Reported: 11/23/2018 11/27/2018 109:51 EST 11/28/2018 109:22 EST Client #: 78300020 56W5265 MOSKOWITZ, BRUCE W BRUCE MOSKOWITZ, MD Attn: NATIONWIDE ACCOUNT 1411 N FLAGLER DR STE 7100 WEST PALM BE === EXTRACTED TEXT === (0)Quest Diagnostics Report Status: Final EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 65 Gender: M Phone: 561.366.0084 Patient ID: 19530120MJE Health ID: 8573003290851249 Specimen: MR8391 ION Requisition: 0006872 Collected: Received: Reported: 11/23/2018 11/27/2018 109:51 EST 11/28/2018 109:22 EST Client #: 78300020 56W5265 MOSKOWITZ, BRUCE W BRUCE MOSKOWITZ, MD Attn: NATIONWIDE ACCOUNT 1411 N FLAGLER DR STE 7100 WEST PALM BEACH, FL 33401-3418 Test Hams In Range Out Of Range PROTEIN, TOTAL AND PROTEIN ELECTROPHORESIS PROTEIN, TOTAL, SERUM Reference Range Lab MI PROTEIN, TOTAL 7.1 6.1-8.1 g/dL PROTEIN ELECTROPHORESIS ALBUMIN 4.2 3.8-4.8 g/dL TP 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 0.4 0.2-0.5 g/dL GAMMA GLOBULIN 1.0 0.8-1.7 g/dL INTERPRETATION Normal Electrophoretic Pattern The above test was performed; however, the specimen was lipemic. LIPID PANEL, STANDARD CHOLESTEROL, TOTAL 216 H <200 mg/dL MI HDL CHOLESTEROL 23 L >40 mg/dL MI TRIGLYCERIDES 935 H <150 mg/dL MI LDL-CHOLESTEROL mg/dL (talc) MI LDL cholesterol not calculated. Triglyceride levels greater than 400 mg/dL invalidate calculated LDL results. Reference range: <100 Desirable range <100 mg/dL for primary prevention; <70 mg/dL for patients with CHD or diabetic patients with > or = 2 CHD risk factors. LDL-C is now calculated using the Martin -Hopkins calculation, which is a validated novel method providing better accuracy than the Friedewald equation in the estimation of LDL-C. Martin SS et al. JAMA. 2013;310(19): 2061-2068 (http://education.QuestDiagnostics.com/faq/FAQ164) CHOL/HDLC RATIO 9.4 H NON HDL CHOLESTEROL 193 H For patients with diabetes plus 1 major ASCVD risk factor, treating to a non-HDL-C goal of <100 mg/dL (LDL-C of <70 mg/dL) is considered a therapeutic option. HS CRP 1.1 <5.0 (talc) <130 mg/dL (talc) mg/L The above test was performed; the specimen was lipemic. Average relative cardiovascular risk according to AHA/CDC guidelines. however, MI MI TP CLIENT SERVICES: 866.697.8378 SPECIMEN: MR8391 ION Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGEI0F6 EFTA00804474 Quest —• Diagnostics Report Status: Final EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 65 Gender: M Patient ID: 19530120MJE Health ID: 8573003290851249 Specimen: MR8391 ION Collected: 11/23/2018 Received: 11/27/2018 / 09:51 EST Reported: 11/28/2018 / 09:22 EST Client #: 78300020 MOSKOWITZ, BRUCE W Test Name For ages >17 hs-CRP mg/L <1.0 1.0-3.0 3.1-10.0 >10.0 In Range Out Of Range Reference Range Years: Risk According to AHA/CDC Guidelines Lower relative cardiovascular risk. Average relative cardiovascular risk. 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. Persistent elevation, upon retesting, may be associated with infection and inflammation. HONOCYSTEINE 12.7 H Homocysteine is increased by functional deficiency of folate or vitamin B12. Testing for methylmalonic acid differentiates between these deficiencies. Other causes of increased homocysteine include renal failure, folate antagonists such as methotrexate and phenytoin, and exposure to nitrous oxide. COMPREHENSIVE METABOLIC PANEL GLUCOSE 111 H For someone without known diabetes, a glucose value between 100 and 125 mg/dL is consistent with prediabetes and should be confirmed with a follow-up test. UREA NITROGEN (BUN) 20 CREATININE 0.95 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 eGFR AFRICAN AMERICAN BUN/CREATININE RATIO SODIUM POTASSIUM CHLORIDE CARBON DIOXIDE CALCIUM PROTEIN, TOTAL ALBUMIN GLOBULIN ALBUMIN/GLOBULIN RATIO BILIRUBIN, TOTAL ALKALINE PHOSPHATASE AST ALT HEMOGLOBIN Ale 84 97 NOT 138 4.4 105 24 9.9 7.1 4.4 2.7 1.6 0.7 60 23 36 APPLICABLE 5.7 H <11.4 umol/L 65-99 mg/dL Fasting reference interval 7-25 mg/dL 0.70-1.25 mg/dL > OR 60 mL/min/1.73m2 > OR 60 mL/min/1.73m2 6-22 (calc) 135-146 mmol/L 3.5-5.3 mmol/L 98-110 mmol/L 20-32 mmol/L 8.6-10.3 mg/dL 6.1-8.1 g/dL 3.6-5.1 g/dL 1.9-3.7 g/dL (calc) 1.0-2.5 (calc) 0.2-1.2 mg/dL 40-115 U/L 10-35 U/L 9-46 U/L <5.7 % of total Hgb Lab MI MI MI CLIENTSERIIICES:866.6971378 SPECIMEN: MR839110N Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGE 2 OF 6 EFTA00804475 rajQuest Diagnostics Report Status: Final EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 65 Gender: M Patient ID: 19530120MJE Health ID: 8573003290851249 Specimen: MR8391 ION Collected: 11/23/2018 Received: 11/27/2018 109:51 EST Reported: 11/28/2018 / 09:22 EST Client #: 78300020 MOSKOWITZ, BRUCE W Test Name In Range Out Of Range For someone without known diabetes, a hemoglobin Alc value between 5.7% and 6.4% is consistent with prediabetes and should be confirmed with a follow-up test. For someone with known diabetes, a value <7% indicates that their diabetes is well controlled. Alc targets should be individualized based on duration of diabetes, age, comorbid conditions, and other considerations. This assay result is consistent with an increased risk of diabetes. Currently, no consensus exists regarding use of hemoglobin Alc for diagnosis of diabetes for children. CALCIUM, IONIZED URIC ACID Therapeutic target for gout IMMUNOFIXATION, SERUM INTERPRETATION 5.2 6.9 patients: <6.0 mg/dL NO MONOCLONAL PROTEIN DETECTED TSH 2.44 T4 (THYROXINE), TOTAL 7.6 FREE T4 INDEX (T7) 2.3 T3 UPTAKE 30 SED RATE BY MODIFIED WESTERGREN 11 CBC (INCLUDES DIFF/PLT) WHITE BLOOD CELL COUNT 6.0 RED BLOOD CELL COUNT 5.28 HEMOGLOBIN 15.4 HEMATOCRIT 44.3 MCV 83.9 MCH 29.2 MCHC 34.8 RDW 13.0 PLATELET COUNT 273 MPV 10.6 ABSOLUTE NEUTROPHILS 2892 ABSOLUTE LYMPHOCYTES 2298 ABSOLUTE MONOCYTES 492 ABSOLUTE EOSINOPHILS 270 ABSOLUTE BASOPHILS 48 NEUTROPHILS 48.2 LYMPHOCYTES 38.3 MONOCYTES 8.2 EOSINOPHILS 4.5 BASOPHILS 0.8 URINALYSIS, COMPLETE Sim Endhoto I IRON AND TOTAL IRON BINDING CAPACITY Reference Range 4.8-5.6 mg/dL 4.0-8.0 mg/dL 0.40-4.50 mIU/L 4.9-10.5 mcg/dL 1.4-3.8 22-35 % < OR = 20 mm/h 3.8-10.8 Thousand/uL 4.20-5.80 Million/uL 13.2-17.1 g/dL 38.5-50.0 % 80.0-100.0 fL 27.0-33.0 pg 32.0-36.0 g/dL 11.0-15.0 % 140-400 Thousand/uL 7.5-12.5 fL 1500-7800 cells/uL 850-3900 cells/uL 200-950 cells/uL 15-500 cells/uL 0-200 cells/uL Lab TP MI TP MI MI MI MI MI MI MI CLIENT SERVICES: 866.697.8378 SPECIMEN: MR839110N Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGE30F6 EFTA00804476 Quest Diagnostics Report Status: Final EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 65 Gender: M Patient ID: 19530120MJE Health ID: 8573003290851249 Specimen: MR8391 ION Collected: 11/23/2018 Received: 11/27/2018 / 09:51 EST Reported: 11/28/2018 / 09:22 EST Client #: 78300020 MOSKOWITZ, BRUCE W Test Name IRON, TOTAL IRON BINDING CAPACITY % SATURATION FERRITIN VITAMIN B12 In Range 91 336 27 57 325 Out Of Range Reference Range 50-180 mcg/dL 250-425 mcg/dL (calc) 15-60 % (calc) 20-380 ng/mL 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 B12 deficiency; less than 1₹ of patients with values above 400 pg/mL will have symptoms. C-REACTIVE PROTEIN MERCURY, BLOOD Lab MI MI 1.3 <8.0 mg/L MI <5 2yrs). For more information on this test, go to: httpJ/education.questdiagnostics.com/faq/FAO163 (This link is being provided for informational/ educational purposes only.) 25-OH Vitamin D: <20 ng/mL 20 - 29 ng/mL > or = 30 ng/mL Physician Comments: PERFORMING SITE: AMD QUEST DIAGNOSTICS/NIOIOLS CHANTILLY. 1422.5 NEWBROOK DRJVE CHANTILL Y. VA 201 SI -2225 Laboratory Ducar PATRICK W. MASONAID.PHD.CLIA: 1900221801 AT QUEST DIAGNOSTICS...JUNTA. 1777 MONTREAL CIRCLE. IIICICER GA 30014.6802 Laboratory Director. ANDREW N YOUNG.AID.PHD.CLIA: 1100255931 MI QUEST DIAGNOSTICS.NIIAMI HMO COMMERCE PARKWAY. MIRAMAR. FL 330254938 Laboratory DUCCIOI: JULIE I. FRIEDMAN.MD.CLIA: If/002773M TP QUEST DIAGNOSTICSTAMPA.1223 E FOWLER AVE TAMPA. It 33617.2026 Laboratory Ihrector GLEN L IIORTIN.MD.PHD. CUA: 1000291120 CLIENT SERVICES: 866.697.8378 SPECIMEN: MR839110N PAGE 6 OF 6 Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. EFTA00804479 === IMAGE DESCRIPTIONS === [Image 1] The image shows a document with text, which appears to be a medical report or a clinical summary. The document is titled "REPORT STATUS FUND" and includes sections such as "Patient Information," "Chief Complaint," "History of Present Illness," "Past Medical History," "Social History," and "Physical Examination." There are also sections for "Assessment and Plan," "Diagnosis," "Treatment," and "Foll [Image 2] The image shows a document that appears to be a laboratory test report. The document is titled "REPORT STATEMENT OF FINDINGS" and includes sections for "Case Number," "Patient Name," "Date of Birth," "Date of Test," and "Test Name." There are tables with numerical data and columns for "Result," "Reference Range," and "Units." The document also includes a section for "Comments" with a note that rea [Image 3] The image shows a document that appears to be a laboratory test report. The document is titled "REPORT STATEMENT OF FINDINGS" and includes a header with the name "BIOCHEMISTRY LABORATORY" and a logo that seems to be a stylized letter 'C'. Below the header, there is a section titled "REPORT NO." followed by a number. The document is dated "12/12/2012" and includes a time stamp "11:55 AM". The body [Image 4] The image shows a document with text and tables, which appears to be a medical report or laboratory test results. The document is titled "REPORT" and includes sections such as "Patient Information," "Test Results," and "Comments." There are tables with columns for "Test," "Result," and "Reference Range," with numerical values and units of measurement. The visible text includes names, dates, and po [Image 5] The image shows a document with a header that includes a logo and text, followed by a table with various columns and rows of data. The visible text includes names, dates, and numerical values. The document appears to be a report or a financial statement, given the structured layout and the presence of numerical data. The logo at the top left corner suggests it might be related to a company or orga [Image 6] The image shows a document with a header that reads "REPORT STATEMENT OF FUNCTIONAL EXPENSES." Below the header, there is a table with columns labeled "REPORT PERIOD," "FUNCTIONAL EXPENSE," and "AMOUNT." The table contains rows with numerical values in the "AMOUNT" column. The document appears to be a financial report or statement, possibly related to expenses incurred during a specific period. Th