DS9 Document EFTA00299397

Quest Diagnostics Report Status: Partial EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 63 Gender: M Phone: 561.366.0084 Patient ID: 19530120MJE Test Name Specimen: KP992895A Requisition: 0842795 Collected: Received: Reported: 11/11/2016 /11:20 EST 11/14/2016 / 16:33 EST 11/15/2016 /15:04 EST SUMMARY OF REPORT CHANGES Client #: 78300020 MAIL992 MOSKOWITZ, BRUCE W BRUCE MOSKOWITZ, BRUCE MD Attn: APAL NATIONWIDE ACT 1411 N FLAGLER DR STE 7100 WEST PALM BEACH, FL 33401.3418 Pkastrefoloaxdx[ydthemixm(uforccapkwidommion In Range Out Of Range Reference Range => REVISED: Change in test result(s) PTH, INTACT AND CALCIUM CALCIUM C -REACTIVE PROTEIN 10.0 8.6-10.3 mg/dL 0.10 <0.80 mg/dL PLEASE DISREGARD PREVIOUSLY REPORTED INFORMATION BELOW: ORIGINALLY REPORTED ON 11/14/2016 at 5:15 PM EST CALCIUM 8.6-10.3 mg/dL PERFORMING LABORATORY INFORMATION QUEST DIAGNOSTICS ONE MALCOLM AVENUE TETERBORO, NJ. 07608 LABORATORY DIRECTOR: LAWRENCE TSAO, M.D. CLIA NO: 31D0696246 ORIGINALLY REPORTED ON 11/14/2016 at 5:03 PN EST C-REACTIVE PROTEIN <0.80 mg/dL Please be advised that patients taking Carboxypenicillins may exhibit falsely decreased C-Reactive Protein levels due to an analytical interference in this assay. PERFORMING LABORATORY INFORMATION QUEST DIAGNOSTICS ONE MALCOLM AVENUE TETERBORO, NJ. 07608 LABORATORY DIRECTOR: LAWRENCE TSAO, M.D. CLIA NO: 31D0696246 CLIENT SERVICES: 866.697.8378 SPECIMEN: KP992895A Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGE I OF 4 EFTA00299397 40) Quest Diagnostics' —0. Report Status: Partial EPSTEIN, JEFFREY Patient Information Specimen Information Clientheonnation EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 63 Gender: M Phone: 561.366.0084 Patient ID: 19530120MJE Specimen: KP992895A Requisition: 0842795 Collected: Received: Reported: 11/11/2016 /11:20 EST 11/14/2016 / 16:33 EST 11/15/2016 /15:04 EST Test Name COMPREHENSIVE METABOLIC PANEL GLUCOSE Client #: 78300020 MOSKOWITZ, BRUCE W BRUCE MOSKOWITZ, BRUCE MD Attn: APAL NATIONWIDE ACT 1411 N FLAGLER DR STE 7100 WEST PALM BEACH, FL 33401.3418 MAIL992 In Range Out Of Range Reference Range Lab QHO 83 UREA NITROGEN (BUN) 24 CREATININE 0.90 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 PTH, INTACT AND CALCIUM PTH, INTACT PARATHYROID HORMONE, INTACT Interpretive Guide Normal Parathyroid Hypoparathyroidism Hyperparathyroidism Primary Secondary Tertiary Non-Parathyroid Hypercalcemia => CALCIUM SED RATE BY MODIFIED 65-99 mg/dL Fasting reference interval 7-25 mg/dL 0.70-1.25 mg/dL 91 105 NOT 139 4.4 102 29 APPLICABLE > 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 20-31 mmol/L 10.0 8.6-10.3 mg/dL 7.3 6.1-8.1 g/dL 4.4 3.6-5.1 g/dL 2.9 1.9-3.7 g/dL (calc) 1.5 1.0-2.5 (calc) 0.5 0.2-1.2 mg/dL 68 40-115 U/L 20 10-35 U/L 20 9-46 U/L QHO 106 H 14-64 pg/mL Intact PTH Calcium Normal Normal Low or Low Normal Low Normal or High High High Normal or Low High High Low or Low Normal High 10.0 8.6-10.3 mg/dL PERFORMING LABORATORY INFORMATION QUEST DIAGNOSTICS ONE MALCOLM AVENUE TETERBORO, NJ. 07608 LABORATORY DIRECTOR: LAWRENCE TSAO, M.D. CLIA NO:31D0696246 QHO QHO CLIENn'SERVWE5:866.697.8378 SPECIMEN: KP992895A Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGE 2 OF 4 EFTA00299398 rajQuest Diagnostics' —60 Report Status: Partial EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY Specimen: KP992895A Client #: 78300020 Collected: 11/11/2016 / 11:20 EST MOSKOWITZ, BRUCE W DOB: 01/20/1953 AGE: 63 Received: 11/14/2016 / 16:33 EST Gender: M Reported: 11/15/2016 / 15:04 EST Patient ID: 19530120MJE Test Name WESTERGREN VITAMIN B12 In Range 1 517 Out Of Range Reference Range < OR = 20 mm/h 200-1100 pg/mL =>C-REACTIVE PROTEIN 0.10 <0.80 mg/dL Please be advised that patients taking Carboxypenicillins may exhibit falsely decreased C-Reactive Protein levels due to an analytical interference in this assay. PSA, TOTAL 0.5 < OR = 4.0 ng/mL This test was performed using the Siemens 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. Lab QHO QHO QHO CLIENTSERIIICES:866.6971378 SPECIMEN: KP992895A PAGE 3 OF 4 Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. EFTA00299399 rajQuest Diagnostics Report Status: Partial EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 63 Gender: M Patient ID: 19530120MJE Endocrinology Specimen: Collected: Received: Reported: KP992895A 11/11/2016 /11:20 EST 11/14/2016 / 16:33 EST 11/15/2016 /15:04 EST Client #: 78300020 MOSKOWITZ, BRUCE W Test Name Result Reference Range Lab VITAMIN D,25.OH,TOTAL,IA Vitamin D Status Deficiency: Insufficiency: Optimal: 25-OH Vitamin D: <20 ng/mL 20 - 29 ng/mL > or = 30 ng/mL 43 30-100 ng/mL For 25-OH Vitamin D testing on patients on 02-supplementation and patients for whom quantitation of D2 and D3 fractions is required, the QuestAssureD(TM) 25-OH VIT D, (D2,D3), LC/MS/MS is recommended: order code 92888 (patients >2yrs). For more information on this test, go to: http://education.questdiagnostics.com/faq/FAQ163 (This link is being provided for informational/educational purposes only.) QHO I Physician Comments: PENDING TESTS: TESTOSTERONEFR(DIALYSIS) AND TOTAL(LC/MS/MS) PERFORMING SITE: QHO QUEST DIAGNOSTICS HORSHAM .900 BUSINESS CENTER DRIVE HORSHAM. PA 19014342 Laboratory Director ANDREW S EDELMAN. MD PHD. CLIA..39DCC141O4 CLIENT SERVICES: 866.697.8378 SPECIMEN: KP992895A Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGE 4 OF 4 EFTA00299400