Medical Evals (aka Physicals) are an optional part of the post-recruitment process handled by the DS13 Medical Department. It acts as a prompt and opportunity for one-on-one character-focused interaction, for those who want to expound more on their character’s medical history and physical condition.
A written evaluation (on our part, not yours!) is usually the result of these exams. They usually take about 1 to 1.5 hrs (see template report for more info) and are by appointment only. To have one scheduled, contact the Chief Medical Officer (Soa zh’Lindresko@lobstertan) or another doctor of your choice.
Note that any advance information on your character that would be found in a Starfleet dossier on the nets would be highly appreciated. :geek:
Physical evaluations tend to fall in one of three categories.
Baseline Medical Assessment: An initial assessment to develop a baseline for a patient's physical condition, taking into account past medical history, preexisting conditions, and previous injuries.
Medical Routine Exam: The standard 'physical'. This examination checks on the general physical health and wellness of the officer, where the focus is usually determining whether or not there are any new ailments since the most recent exam or changes from the baseline assessment.
Medical Fitness Evaluation: An examination requisitioned by a command authority to evaluate an officer's fitness for duty. These evaluations are more intensive and tend to focus on the specific incidents that led to the mandate. Evaluation results are often directly utilized by command authorities to assist in decisions regarding the officer's career. Failure to meet certain standards in these evaluations may negatively impact an officer's career in a variety of ways.
CONCLUSION
The evaluator's final assessment of the patient goes here. Includes fitness for duty and/or any relevant diagnoses.
SUBJECTIVE FINDINGS
Notes on the patient's own perception of their condition, including complaints, symptoms, and impressions.
OBJECTIVE FINDINGS
Notes on the patient's condition observed or measured by the evaluator. This includes observations, vital signs, test results.
PLAN OF CARE
If applicable, the evaluator's recommendations or orders for further care.
LENGTH OF EVALUATION: # hrs
END OF EVALUATION.
Please note that medical evaluations are different from getting sick visits / seeking treatment. Incidental medical exams and doctor's appointments will be more focused on the 'problems' ailing the officer, and they do not necessarily result in filed reports.
Once finished, the evaluator should post his/her report as a reply to this thread, which will then be merged into the alphabetized list.
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Old version medical evaluations thread can be found here.
EVALUATOR'S NAME: CMDR Gov Hlolsh AUTHORITY: Chief Medical Officer, U.S.S. Shackleton PATIENT'S NAME: CMDR Tala Katja Akaela EVALUATION STARDATE: 96035.4
PURPOSE AND CONTEXT OF EVALUATION
Medical Routine Exam: The standard 'physical'. This examination checks on the general physical health and wellness of the officer, where the focus is usually determining whether or not there are any new ailments since the most recent exam or changes from the baseline assessment.
CONCLUSION
Patient is healthy and fit for duty.
SUBJECTIVE FINDINGS
Patient reports no issues with their own health and wellness beyond some aches in the lower back due to overexerting herself during sports activities. Patient also noted she is of an age where she is in the risk group for early-onset Star-Shading Syndrome, though did not expect the condition to manifest for several years.
OBJECTIVE FINDINGS
Patient scans returned with no issues to report. Respiration, heart rate, brain activity all scan normal for a Stellameran of the patient's age. A gene scan showed the T-S24 gene, responsible for Star-Shading Syndrome remains normal.
PLAN OF CARE
I have recommended the patient alter her exercise regimen to strengthen the muscles in her lower back to help avoid repeats of her overexertion. I also recommend future annual examinations make scans of the T-S24 gene a regular test, as the patient's risk of acquiring this condition will only increase as she gets older.
Patient was coherent, coordinated and responsive WNL.
SUMMARY
CAPT Derenzis presented with elevated levels of cortisol and other neurological evidence of recent critical emotional and mental stress, exacerbated by pre-existing post-traumatic stress syndrome.
CAPT Derenzis confirmed ongoing treatment with Counselor Naismith and accepted a prescription for a limited-use cortisol inhibitor to use in times of extreme distress until she can be treated by a qualified medical professional. Advised CAPT Derenzis to make immediate contact with myself, Counselor Naismith or another qualified medical professional after each use.
CAPT Derenzis also presented with a shoulder sprain, an injury sustained during overexertion while exercising. Advised two days’ rest to permit the sprain to resolve itself and administered a mild analgesic.
CAPT Derenzis is rated capable of active duty without reservation at this time.
EVALUATOR'S NAME: CMDR. Novak, Mei AUTHORITY: Physician DS13 PATIENT'S NAME: Capt. Flynn, Matthew EVALUATION STARDATE: 95716.3
PURPOSE AND CONTEXT OF EVALUATION
Baseline Medical Assessment
CONCLUSION
Patient seems to be in perfect health after conclusion of all tests and questions asked. Nothing out of the ordinary.
SUBJECTIVE FINDINGS
Patient stated that he's 'fine' his subjective opinion on my evaluation has stated that he has no aches or pains and claims to be in perfect health.
OBJECTIVE FINDINGS
The patients Heart Rate, Blood pressure seem to be at appropriate levels for the patients age, height, weight.
BP - 119/77, Sinus rhythm is 70, Respiratory Rate 18@99% SpO2, BGL 99 mg/dL, Eye testing to be well within recommendations by all definitions the patient is in perfect health for his age, height, weight.
EVALUATOR'S NAME: S'Slaask AUTHORITY: Physician, Deep Space 13 PATIENT'S NAME: Kermit, James EVALUATION STARDATE: ((11 Oct 2018))
PURPOSE AND CONTEXT OF EVALUATION
Baseline Medical Assessment
CONCLUSION
Patient in good overall health and fit for active duty without reservation.
SUBJECTIVE FINDINGS
Patient reports no physical complaints. RFV routine only.
OBJECTIVE FINDINGS
Patient appears healthy for his species with no obvious signs of injury or disease. Bioscan confirms no active diseases or injuries. Organ function tests WNL. Labs attached, findings WNL. Previous injuries noted as healed appropriately: left rib fractures, left hemopneumothorax. Patient possesses antibodies for Kamaraazite flu, consistent with pediatric medical records.
H: 178 cm, W: 77 kg
BP 118/74, NSR @ 68, RR 16 @ 98% SpO2, BGL 103 mg/dL, PERRLA.
PLAN OF CARE
Scans recorded in patient's file for future comparison. No treatment recommended at this time.
EVALUATOR'S NAME: Commander Mei Novak AUTHORITY: Surgeon, DS13 Medical PATIENT'S NAME: Niazov, Sonya EVALUATION STARDATE: 95826.1
PURPOSE AND CONTEXT OF EVALUATION
Baseline Medical Assessment: An initial assessment to develop a baseline for a patient's physical condition, taking into account past medical history, preexisting conditions, and previous injuries.
CONCLUSION
This doctor has found that the subject is in average health, I have advised she should go to the gym twice a week due to an apparent poor diet. Other than that she is in good acceptable health.
SUBJECTIVE FINDINGS
The patient feels like she is average health, Out of 1 - 10 she stated "6".
OBJECTIVE FINDINGS
The tests results conducted by this officer came back well within acceptable limits. She did mention high blood pressure in the family and this officer has made a note to check on it from time to time in case it is a family related illness.
PLAN OF CARE
I've advised she visit the gym more times a week and change her diet, other than that this officer does not feel she is in ill health.
EVALUATOR'S NAME: CMDR Gov Hlolsh AUTHORITY: Chief Medical Officer, U.S.S. Shackleton PATIENT'S NAME: LT James Thurston EVALUATION STARDATE: 96041.0
PURPOSE AND CONTEXT OF EVALUATION
Medical Routine Exam: The standard 'physical'. This examination checks on the general physical health and wellness of the officer, where the focus is usually determining whether or not there are any new ailments since the most recent exam or changes from the baseline assessment.
CONCLUSION
Aside from increased blood pressure and higher than normal cholesterol levels, the patient's health is within acceptable levels, and this doctor pronounces him fit for duty.
SUBJECTIVE FINDINGS
Patient noted that he sometimes overexerts himself during exercises; and has at times waited to have mild injuries treated.
OBJECTIVE FINDINGS
Scans revealed scarring due to delayed treatments for numerous minor fractures (this doctor notes the patient admitted to waiting on treatments if they were not, in his opinion, severe enough). Cilia damage was observed in the inner ear, not enough to affect hearing, but enough to warrant further monitoring. Scans also revealed elevated blood pressure and higher than baseline cholesterol and salt levels in the blood, confirmed by detailed blood analysis. This doctor administered an injection of 5 cc of a basic HMG CoA Reductase Inhibitor to counter the excess cholesterol. The patient is at increased risk of hypertension and may face a heart attack within three years if the cholesterol levels are left untreated.
PLAN OF CARE
I recommend the patient adjust his diet to get his cholesterol levels back under control; I have referred him to Dr. Coulson, our resident nutrition specialist. I have also recommended a follow-up examination in two months, with a second examination six months after that. Should either of those examinations show the patient's cholesterol levels or blood pressure increase, we may have to consider medication.
EVALUATOR'S NAME: Commander Mei Novak AUTHORITY: Surgeon, DS13 Medical PATIENT'S NAME: Niazov, Sonya EVALUATION STARDATE: 95826.1
PURPOSE AND CONTEXT OF EVALUATION
Baseline Medical Assessment: An initial assessment to develop a baseline for a patient's physical condition, taking into account past medical history, preexisting conditions, and previous injuries.
CONCLUSION
This doctor has found that the subject is in average health, I have advised she should go to the gym twice a week due to an apparent poor diet. Other than that she is in good acceptable health.
SUBJECTIVE FINDINGS
The patient feels like she is average health, Out of 1 - 10 she stated "6".
OBJECTIVE FINDINGS
The tests results conducted by this officer came back well within acceptable limits. She did mention high blood pressure in the family and this officer has made a note to check on it from time to time in case it is a family related illness.
PLAN OF CARE
I've advised she visit the gym more times a week and change her diet, other than that this officer does not feel she is in ill health.
Patient was coherent, coordinated and responsive WNL.
SUMMARY
CAPT Derenzis presented with elevated levels of cortisol and other neurological evidence of recent critical emotional and mental stress, exacerbated by pre-existing post-traumatic stress syndrome.
CAPT Derenzis confirmed ongoing treatment with Counselor Naismith and accepted a prescription for a limited-use cortisol inhibitor to use in times of extreme distress until she can be treated by a qualified medical professional. Advised CAPT Derenzis to make immediate contact with myself, Counselor Naismith or another qualified medical professional after each use.
CAPT Derenzis also presented with a shoulder sprain, an injury sustained during overexertion while exercising. Advised two days’ rest to permit the sprain to resolve itself and administered a mild analgesic.
CAPT Derenzis is rated capable of active duty without reservation at this time.
EVALUATOR'S NAME: CMDR Gov Hlolsh AUTHORITY: Chief Medical Officer, U.S.S. Shackleton PATIENT'S NAME: CMDR Tala Katja Akaela EVALUATION STARDATE: 96035.4
PURPOSE AND CONTEXT OF EVALUATION
Medical Routine Exam: The standard 'physical'. This examination checks on the general physical health and wellness of the officer, where the focus is usually determining whether or not there are any new ailments since the most recent exam or changes from the baseline assessment.
CONCLUSION
Patient is healthy and fit for duty.
SUBJECTIVE FINDINGS
Patient reports no issues with their own health and wellness beyond some aches in the lower back due to overexerting herself during sports activities. Patient also noted she is of an age where she is in the risk group for early-onset Star-Shading Syndrome, though did not expect the condition to manifest for several years.
OBJECTIVE FINDINGS
Patient scans returned with no issues to report. Respiration, heart rate, brain activity all scan normal for a Stellameran of the patient's age. A gene scan showed the T-S24 gene, responsible for Star-Shading Syndrome remains normal.
PLAN OF CARE
I have recommended the patient alter her exercise regimen to strengthen the muscles in her lower back to help avoid repeats of her overexertion. I also recommend future annual examinations make scans of the T-S24 gene a regular test, as the patient's risk of acquiring this condition will only increase as she gets older.
EVALUATOR'S NAME: CMDR Gov Hlolsh AUTHORITY: Chief Medical Officer, U.S.S. Shackleton PATIENT'S NAME: LT James Thurston EVALUATION STARDATE: 96041.0
PURPOSE AND CONTEXT OF EVALUATION
Medical Routine Exam: The standard 'physical'. This examination checks on the general physical health and wellness of the officer, where the focus is usually determining whether or not there are any new ailments since the most recent exam or changes from the baseline assessment.
CONCLUSION
Aside from increased blood pressure and higher than normal cholesterol levels, the patient's health is within acceptable levels, and this doctor pronounces him fit for duty.
SUBJECTIVE FINDINGS
Patient noted that he sometimes overexerts himself during exercises; and has at times waited to have mild injuries treated.
OBJECTIVE FINDINGS
Scans revealed scarring due to delayed treatments for numerous minor fractures (this doctor notes the patient admitted to waiting on treatments if they were not, in his opinion, severe enough). Cilia damage was observed in the inner ear, not enough to affect hearing, but enough to warrant further monitoring. Scans also revealed elevated blood pressure and higher than baseline cholesterol and salt levels in the blood, confirmed by detailed blood analysis. This doctor administered an injection of 5 cc of a basic HMG CoA Reductase Inhibitor to counter the excess cholesterol. The patient is at increased risk of hypertension and may face a heart attack within three years if the cholesterol levels are left untreated.
PLAN OF CARE
I recommend the patient adjust his diet to get his cholesterol levels back under control; I have referred him to Dr. Coulson, our resident nutrition specialist. I have also recommended a follow-up examination in two months, with a second examination six months after that. Should either of those examinations show the patient's cholesterol levels or blood pressure increase, we may have to consider medication.