Medical Evals

PERSONNEL DIRECTORY

((#Information Post))

A


Akaela, Tala

B


Barron, Maikull
Barron-Stern, Jessica
Ban, Writ
Blake, Kara

C


Cochrane, Rachel

D


E


Eviess t’Cyklaas

F


Felenn, Renaah
Finney, Muirgen
Flynn, Matthew

G


H


Heart, Rhoxie

I


Izly, Josi Kimur

J


J’Vox

K


Kasra, Drew
Khet, Mossic

L


L’sherra
Loxton, Nicholas

M


Macginnis, Quinn
MacLeod, James
Mah’ren’, Daelis
Marinov, Ulysses
Meadows, Rebecca
Morrailles, Kevin

N


Niraj, Alexandria

O


P


Pohl, Maxmillian

Q


R


Rahn, Naderi

S


Sabira, Zex
Saddaan
Salene, Na’Toth
Sedai, Katriel
Seonu, Asura
Seroh, Kelak
Shin, Hen
Skye, Fiona
Sovum, Veneela
S’Tokker Ralaa

T


Targerth, Keeni
Ten of Sixteen
Tungsten, Drake
Tzedek, Alariya

U


V


Valeros, Rain
Valore, Sera
Vebek, Jorat
Vemok
Vorik

W


Warner, Ruke
Wilminuo, Timeer
Wind-People, Ansha Bast

X


Y


Yont

Z


zh’Kerro, Thani

In order to carry out their duties successfully, Starfleet officers and their allies/associates need to be in tip top physical shape and Starfleet Medical is here to help with that. From routine physical checkups to treatment of medical injuries, there is plenty of potential RP to be had and, of course, paperwork to go along with it.

Please feel free to use the report template below as a formal reporting on any medical RP that your medical character has recently performed. After you’ve posted your report to the topic, you may edit the first post in this topic to include the name of the officer and a link to the report you’ve added. If an officer has more than one report associated with them, add the link as a number. (e.g. Jal'Shan, Corsanolith 1, 2).

If you’d like to request a medical appointment, the correct topic to use on the forums would be the Appointment Requests topic. Feel free to also ping the @medical in Discord.

Report Template and Explanation
EVALUATOR
CMDR Yourname, Here
AUTHORITY
Evaluator's Job
MEDICAL FILE

PATIENT’S NAME: (name here)
APPOINTMENT STARDATE: (stardate here)

PURPOSE AND CONTEXT OF EVALUATION

Physical evaluations tend to fall in one of four 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 Incident: An exam that has been prompted by the patient, due to an injury or concern they have regarding their own health. These exams will focus on specifically diagnosing and treating the problem that the patient is having.

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. If a treatment was performed, the summary of that should go here.

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. (If not applicable, just delete this header or write n/a.) If a treatment was prescribed for after the appointment, the details of that should go here.

LENGTH OF APPOINTMENT: # hrs
END OF EVALUATION.

Template Code
<div class="report"><div class="logo"><img src="https://i.imgur.com/HiXaNWJ.png" /></div>

<div><mark>EVALUATOR</mark><br />
CMDR Yourname, Here

</div><div><mark>AUTHORITY</mark><br />
Evaluator's Job

</div><div><mark>MEDICAL FILE</mark><br />
<span class="clearance confidential"></span>

</div></div>

[color=#239edd][font="Ubuntu Mono"]PATIENT'S NAME: [/font][/color] (name here)
[color=#239edd][font="Ubuntu Mono"]APPOINTMENT STARDATE: [/font][/color] (stardate here)

#### PURPOSE AND CONTEXT OF EVALUATION

Baseline Medical Assessment
Medical Routine Exam
Medical Incident
Medical Fitness Evaluation


#### CONCLUSION

The evaluator's final assessment of the patient goes here. Includes fitness for duty and/or any relevant diagnoses. If a treatment was performed, the summary of that should go here. 

#### 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. (If not applicable, just delete this header or write n/a.) If a treatment was prescribed for after the appointment, the details of that should go here. 


[color=#239edd][font="Ubuntu Mono"]LENGTH OF APPOINTMENT: [/font][/color] # hrs
[font="Ubuntu Mono"]END OF EVALUATION.[/font]
</div>
Review of Physiological Systems table (OPTIONAL; should go in "Objective Findings" if used)
#### [font="Ubuntu Mono"]Review of Physiological Systems[/font]
| Section | Status | Comment |
|-----------|-----------|-------------|
| HEENT | [color=#6cdd23] NAD [/color] | Responses normal. *(or add your own comment)* |
| Respiration | [color=#6cdd23] CTA [/color] | Responses normal. |
| Cardiovascular | [color=#6cdd23] NAD [/color] | Pulse and pressure within normal limits. |
| Abdominal | [color=#6cdd23] NAD [/color] | NBS, all scans clear. |
| Extremities | [color=#6cdd23] NAD [/color] | Responses normal. |
| Neurological | [color=#6cdd23] NAD [/color] | Patient was coherent, coordinated and responsive WNL. |
3 Likes

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PATIENT: Valore, Sera
RFV: Annual Evaluation
STARDATE: 96879.4
EVALUATOR: Castillo, Victor LT
OUTCOME: Cleared for Active Duty

VITALS

Section Status Comment
HEENT: NAD Responses normal.
Respiration: CTA Responses normal.
Cardiovascular: NAD Pulse and pressure within normal limits.
Abdominal: NAD NBS, all scans clear.
Extremities: NAD Responses normal.
Neurological: NAD Patient was coherent, coordinated and responsive WNL.

SUMMARY

LT Valore is in excellent health. Despite having a sedentary occupation, she engages in sufficient exercise to exceed all fitness requirements. She was seen by a JSI physician earlier in the year, but her slight injury (a tumble down a slope) did not require treatment. Her evaluation was overdue, but in this physician’s opinion this oversight was not intentional.

LT Valore is suffering from moderate fatigue and complains of trouble sleeping. Further questioning suggests this condition is aggravated by long work hours and considerable personal stress.

PLAN OF CARE

It is the opinion of this physician that LT Valore would benefit from two weeks of scheduled leave to resolve personal matters and, if the sleeplessness persists, to seek counseling. Given the sensitive nature of her work, she has elected to delay that leave to begin two weeks from this date.

Additionally, this office has authorized the following medications for LT. Valore, to be used at need:

  • Improvoline, 2% (Function: Mild sedative), 4 doses
  • Cordafin, 4% (Function: Mild stimulant), 4 doses

This limited availability reflects the limited time remaining before the patient has access to her scheduled leave. Patient requires more evaluation by Medical or Counseling personnel before more medication may be dispensed.

V. CASTILLO

2 Likes
2aMOxVj.png
Patient:
T'Cyklass, Eviess
RFV:
Annual Evaluation
Stardate:
495528.7
Evaluator:
Jarnefelt, Charlotte. CMDR
Outcome:
Cleared for Active Duty

VITALS
SECTION
STATUS
COMMENT
HEENT:
NAD
Responses normal.
Respiration:
CTA/NAD
Responses normal.
Cardiovascular:
AD
Pulse within normal limits.
Abdominal:
NAD
NBS, all scans clear.
Extremities:
NAD
Responses normal.
Neurological:
NAD
Patient was coherent, coordinated and responsive WNL.

SUMMARY

Eviess T'Cylklaas physical health is in good condition, through the evaluation there were little to no abnormalities found, all her vital signs remained normal and standard for her species. The only note was at times the patients breathing was slightly elevated, and they were taking longer breaths rather than shorter ones which can be put down to nerves and anxiousness of the evaluation.

The patient does take some pain medicine for headaches or as a result of a sparring session, for now the patient should continue to take the pain medication when necessary, however if the headaches become more severe the patient should seek assistance and guidance from medical staff who can increase the dosage or find more suitable treatment regarding headaches.

C. Jarnefelt
3 Likes

PATIENT: zh’Kerro, Thani
RFV: Annual Evaluation
STARDATE: 96985.5
EVALUATOR: Castillo, Victor LT
OUTCOME: Cleared for Active Duty

VITALS

Section Status Comment
HEENT: NAD Responses normal.
Respiration: CTA Responses normal.
Cardiovascular: NAD Pulse and pressure within normal limits.
Abdominal: NAD NBS, all scans clear.
Extremities: NAD Responses normal.
Neurological: NAD Patient was coherent, coordinated and responsive WNL.

SUMMARY

LCDR zh’Kerro is in good health and meets all standards of physical fitness; however, this physician notes that she has extensive scar tissue resulting from many injuries sustained over a period of years. LCDR zh’Kerro claims these scars do not inhibit or impair her ability to fulfill her duty in any way and declined the removal process.

As with most Starfleet officers, LCDR zh’Kerro carries a large workload, some of which are physically taxing, and may not be getting enough sleep. The effects do not yet merit medical intervention, but if LCDR zh’Kerro returns to sickbay for any reason, this physician recommends updating the appropriate data to determine if the situation has improved or worsened.

PLAN OF CARE

It is the recommendation of this physician that if LCDR zh’Kerro does return to have her scars removed that the procedure be done in two phases rather than at once to avoid more discomfort than necessary.

V. CASTILLO

2 Likes

PATIENT: Targerth, Keeni
RFV: Annual Evaluation
STARDATE: 97121.5
EVALUATOR: Castillo, Victor LT
OUTCOME: Cleared for Active Duty

VITALS

Section Status Comment
HEENT: NAD Responses normal.
Respiration: CTA Responses normal.
Cardiovascular: NAD Pulse and pressure within normal limits.
Abdominal: NAD NBS, all scans clear.
Extremities: NAD Responses normal.
Neurological: NAD Patient was coherent, coordinated and responsive WNL.

SUMMARY

ENS Targerth is in good health and meets all standards of physical fitness. He was recently treated for injuries sustained to his skull and ribcage during a physical altercation with a Jem’Hadar, but all scans indicate the bone knitting and tissue repair was effective and the subject is progressing to a complete recovery.

PLAN OF CARE

ENS Targerth is rated capable of active duty without reservation at this time.

V. CASTILLO

3 Likes

PATIENT: Izly, Josi Kimur
RFV: Annual Evaluation
STARDATE: 97122.1
EVALUATOR: Castillo, Victor LT
OUTCOME: Cleared for Active Duty

VITALS

Section Status Comment
HEENT: NAD Responses normal.
Respiration: CTA Responses normal.
Cardiovascular: NAD Pulse and pressure within normal limits.
Abdominal: NAD NBS, all scans clear.
Extremities: NAD Responses normal.
Neurological: NAD Patient was coherent, coordinated and responsive WNL.

SUMMARY

ENS Izly is in good health and meets all standards of physical fitness. She has passed all testing and evaluation necessary for medical personnel and has no significant medical conditions that bear review.

PLAN OF CARE

ENS Izly is rated capable of active duty without reservation at this time.

V. CASTILLO

3 Likes

PATIENT: MacLeod, James
RFV: Annual Evaluation
STARDATE: 96147.5
EVALUATOR: Jarnefelt, Charlotte CMDR
OUTCOME: Cleared for Active Duty

VITALS

Section Status Comment
HEENT: NAD Responses normal.
Respiration: CTA Responses normal.
Cardiovascular: NAD Pulse and pressure within normal limits.
Abdominal: NAD NBS, all scans clear.
Extremities: NAD Responses normal.
Neurological: NAD Patient was coherent, coordinated and responsive WNL.

SUMMARY

Captain James MacLeod is in good health and meets all standards of physical fitness. He was recently treated for plasma burns with a dermal regenerator but upon further inspection the treatment has been successful and he will suffer no issues in the future but the skin will continue to be tender for several days

PLAN OF CARE

CAPT MacLeod is rated capable of active duty without reservation at this time.

C.Jarnefelt

3 Likes

PATIENT: J’Vox
RFV: Annual Evaluation
STARDATE: 97164
EVALUATOR: Jarnefelt, Charlotte CMDR
OUTCOME: Cleared for Active Duty

VITALS

Section Status Comment
HEENT: NAD Responses normal.
Respiration: CTA Responses normal.
Cardiovascular: NAD Pulse and pressure within normal limits.
Abdominal: NAD NBS, all scans clear.
Extremities: NAD Responses normal.
Neurological: NAD Patient was coherent, coordinated and responsive WNL.

SUMMARY

Commander J’Vox is in good health and meets all standards of physical fitness. The patient was born deaf in his left ear, but has been treated with a subdermal implant that has granted him normal hearing. He should seek regular check-ups for this implant to ensure that it is is working properly and is not causing any issues.

PLAN OF CARE

CMDR J’Vox is rated capable of active duty without reservation at this time.

C.Jarnefelt

2 Likes

PATIENT: Loxton, Nicholas
RFV: Annual Evaluation
STARDATE: 97164.2
EVALUATOR: Jarnefelt, Charlotte CMDR
OUTCOME: Cleared for Active Duty

VITALS

Section Status Comment
HEENT: NAD Responses normal.
Respiration: CTA Responses normal.
Cardiovascular: NAD Pulse and pressure within normal limits.
Abdominal: NAD NBS, all scans clear.
Extremities: NAD Responses normal.
Neurological: NAD Patient was coherent, coordinated and responsive WNL.

SUMMARY
Lieutenant Loxton is in good health and meets all standards of physical fitness. He has passed all testing and evaluation necessary for medical personnel and has no significant medical conditions that bear review.

PLAN OF CARE

Lieutenant Loxton is rated capable of active duty without reservation at this time.

C.Jarnefelt

3 Likes

PATIENT: Macginnis, Quinn Sebastian
RFV: Annual Evaluation
STARDATE: 97264.7
EVALUATOR: Castillo, Victor LT
OUTCOME: Cleared for Active Duty

VITALS

Section Status Comment
HEENT: NAD Responses normal.
Respiration: CTA Responses normal.
Cardiovascular: NAD Pulse and pressure within normal limits.
Abdominal: NAD NBS, all scans clear.
Extremities: NAD Responses normal.
Neurological: NAD Patient was coherent, coordinated and responsive WNL.

SUMMARY

LCDR Macginnis’ unique family history makes even routine evaluations critical to accurately track his condition. He is child of a liberated Borg human mother and carries a significant nanite load. Though the interface to these nanites has been mapped by his medical team, rather than interacting with the nanites directly, they have chosen to focus on suppressing the nanite activity via chemical intervention.

The drug in question, silacorine, is intended for short-term suppression of malfunctioning medical nanites and not for the long-term use to which it has been put. Though the subject does not complain of any undue side effects, this treatment has been administered to him for many years and he may no longer detect these side effects.

With the patient’s consent, I will research the nanite interface and develop an approach to placing them into hibernation via direct communication rather than subjecting him to continued systemic interference. Once we have confirmed the nanites are no longer active, we can proceed with weaning the patient off the silacorine.

Aside from this condition, the patient presents as a healthy and sound individual and is fit for duty.

PLAN OF CARE

LCDR Macginnis is rated capable of active duty without reservation at this time.

V. CASTILLO

2 Likes

PATIENT: Seroh, Kelak
RFV: Annual Evaluation
STARDATE: 97360.3
EVALUATOR: Castillo, Victor LT
OUTCOME: Cleared for Active Duty

VITALS

Section Status Comment
HEENT: NAD Responses normal.
Respiration: CTA Responses normal.
Cardiovascular: NAD Pulse and pressure within normal limits.
Abdominal: NAD NBS. Scans show scarring and cellular degeneration.
Extremities: NAD Responses normal.
Neurological: NAD Patient was coherent, coordinated and responsive WNL.

SUMMARY

LT Kelak was subjected to an Elachi incubation pod and, per the diagnostic scans conducted today, is exhibiting arrested tissue regeneration at a cellular level. The condition has not yet manifested itself in noticeable physical symptoms, but if left unchecked her internal organs will degenerate and fail. If the condition can be corrected the tissues should regenerate on their own, excepting the liver, where the condition has been exacerbated by long-term alcohol abuse.

LT Kelak has also sustained a bruise to her shoulder during recreational exercise.

PLAN OF CARE

A liver transplant will be cultivated, which will take a period of five days. During this time, LT Kelak will refrain from consuming any alcohol or similar substance to avoid any further complications. Once the transplant is performed a long-term plan of care will be outlined to monitor her condition while we find a more permanent solution.

LT Kelak is rated capable of active duty without reservation at this time.

V. CASTILLO

2 Likes

PATIENT: Finney, Muirgen Madb
RFV: Annual Evaluation
STARDATE: 98407.5
EVALUATOR: Izly, Jodi LTJG
OUTCOME: Cleared for Active Duty

VITALS

Section Status Comment
HEENT: NAD Responses normal.
Respiration: CTA Responses normal.
Cardiovascular: NAD Pulse and pressure within normal limits.
Abdominal: NAD NBS, all scans clear.
Extremities: NAD Responses normal.
Neurological: NAD Patient was coherent, coordinated and responsive WNL.

SUMMARY

ENS Finney is in relatively good health and meets general standards of physical fitness. She has passed all testing an evaluation necessary for medical personnel but shows slight signs of previous rheumatoid degradation along with an excessively minor body-mass increase that will handle itself in due-time. For the degradation, Strength Training was issued prior to assessment or knowledge of the patient; and appears to be of exceptional help for her.

PLAN OF CARE

ENS Finney is rated capable of active duty without reservation at this time.

J. Izly

3 Likes

PATIENT: Sovum, Veneela Sorra
RFV: Annual Evaluation
STARDATE: 97524.1
EVALUATOR: Izly, Jodi LTJG
OUTCOME: Cleared for Active Duty

VITALS

Section Status Comment
HEENT: NAD Responses normal.
Respiration: CTA Responses normal.
Cardiovascular: NAD Pulse and pressure within normal limits.
Abdominal: NAD NBS, all scans clear.
Extremities: NAD Responses normal.
Neurological: NAD Patient was coherent, coordinated and responsive WNL.

SUMMARY

ENS Sovum is in excellent health and meets all standards of physical fitness. She has passed all testing and evaluation necessary for medical personnel and has no significant medical conditions that bear review.

PLAN OF CARE

ENS Sovum is rated capable of active duty without reservation at this time.

J. Izly

2 Likes
EVALUATOR
ENS Sovum, Veneela
AUTHORITY
Medical Officer
MEDICAL FILE

PATIENT’S NAME:
CAPT Tungsten, Drake

APPOINTMENT STARDATE:
97529.9

PURPOSE AND CONTEXT OF EVALUATION

Medical Incident:

During the early hours of Stardate 97529.9, I received an incoming call via official fleet communications from the Commanding officer of the U.S.S Dragon, Captain Drake Tungsten to report to the ship at my earliest convenience. Once aboard the vessel, I observed portions of the ship and its crew damaged and wounded from the previous nights engagement as one of the Security Personnel escorted me to Captain Tungsten’s personal quarters.
Once I was admitted in, the Captain began vocalizing discomfort around the left Glenoid. A series of questions revealed that in the ensuring fleet battle the previous night, debris impacted the Scapula, which was further agitated by physically lifting other objects to ensure crewmen survivability. With the use of my Tricorder, I was able to determine that the patient had suffered a torn ligament as well as multiple bruises in accordance with multiple objects impacting the patients chest during the battle.

CONCLUSION

Captain Tungsten sustained non life threatening Injuries and is cleared for Active Duty

SUBJECTIVE FINDINGS

Patient vocalized that they could continue to serve as Commanding officer through the injury.

OBJECTIVE FINDINGS

I noticed swelling on Patients left shoulder and multiple bruises on the patients chest.

Review of Physiological Systems

Section Status Comment
HEENT NAD Responses normal.
Respiration CTA Responses normal.
Cardiovascular NAD Pulse and pressure within normal limits.
Abdominal NAD NBS, all scans clear.
Extremities NAD Responses normal.
Neurological NAD Patient was coherent, coordinated and responsive WNL.

PLAN OF CARE

-Applied Anti-Inflammatory Gel to affected Region
-Administered Asinolyathin via hypo to help with discomfort

I counseled Captain Tungsten to report to Sickbay on DS13 to receive further treatment of the injury after the Captain was unwilling to report to the vessel’s Chief Medical Officer citing “They had enough to deal with” I also informed the Captain that it would be wise to lift no more with the affected limb before further tests to evaluate repair of the damaged ligament.

LENGTH OF APPOINTMENT: 1 hrs 30 Mins

Signed,
Ensign Veneela Sovum
Medical Officer, Deep Space 13

END OF EVALUATION.

6 Likes
EVALUATOR
LTJG Izly, Jodi
AUTHORITY
Station Nurse Pracitioner
MEDICAL FILE

PATIENT’S NAME:
LCDR Mah’ren, Daelis Aelinn
APPOINTMENT STARDATE:
97531.9

PURPOSE AND CONTEXT OF EVALUATION

Baseline Medical Assessment-
LCDR Mah’ren placed a request of a standard Medical Evaluation for service aboard Deep Space 13.

CONCLUSION

LCDR Mah’ren is in excellent health and meets all standards of physical fitness. She has passed all testing and evaluation necessary for medical personnel and has no medical conditions that bear review.

SUBJECTIVE FINDINGS

Patient’s only complaints were general anxiety about a new post. Obviously would not affect readings much or at all and in a short time will be gone once they have a feel for the station.

OBJECTIVE FINDINGS

Patient shows higher readings of psilosynine in the brain than average; however, this high-reading is normal for species with the ability to communicate telepathically. EEG Scan came out to what some would consider a “jumbled mess” but does not seem as if they are affected by this at all, this is most likely due to the ‘Telepathic Buffer’ the patient has installed on the left cheekbone causing distortion in the readings; as the patient is originally part of a species that shares certain parts of thought throughout what they described as ‘The Whole.’ Recommended not to mind such knowledge, nor is it to be something to be worried about.

LENGTH OF APPOINTMENT: 1 hrs
END OF EVALUATION.

2 Likes
EVALUATOR
LTJG Izly, Jodi
AUTHORITY
Station Nurse Pracitioner
MEDICAL FILE

PATIENT’S NAME:
LTJG Niraj, Alexandria
APPOINTMENT STARDATE:
97540.0

PURPOSE AND CONTEXT OF EVALUATION

Medical Routine Exam / Medical Incident

LTJG Niraj requested a Medical Check-Up for their Facial Implant. Stated ‘Mild Discomfort’ and other subjects of irritability.

CONCLUSION

Once all the issues were sorted and more info was given on the implant itself, the decision was made to leave the implant be for now until the Patient decides if she would like some form of surgery rendered in the future; and was prescribed a month-long low level painkiller until then (2cc Morphenolog; once daily if pain occurs.)

SUBJECTIVE FINDINGS

Patient states facial implant has been causing mild discomfort and other minor issues such as headaches and occasional itching that goes away after an uncertain amount of time. Says the issues have only started within the past week or slightly prior with no supposed cause such a blunt force or similar; notes no rolling over in sleep either that could cause an issue. Otherwise, patient is in excellent health and would be considered perfectly healthy if this issue were not present.

OBJECTIVE FINDINGS

Use of a tricorder shows that the implant itself was pressing against the Ocular Nerve; perhaps from a bracket in the implant being tightened too far during installation and slowly digging itself in over time as the skin wears down. Throughout the course of the talk with the patient, she stayed exceptionally calm and agreeable; no signs of duress or aggravation throughout.

PLAN OF CARE

Month-long prescription of Morphenolog (2cc) in the form of a daily dose when pain occurs.

LENGTH OF APPOINTMENT: 1 hrs
END OF EVALUATION.

2 Likes
EVALUATOR
LTJG Izly, Jodi
AUTHORITY
Station Nurse Practitioner
MEDICAL FILE

PATIENT’S NAME:
LTJG Niraj, Alexandria
APPOINTMENT STARDATE:
97540.0

PURPOSE AND CONTEXT OF EVALUATION

Baseline Medical Assessment

During a Medical Check-Up for patient it was found that she didn’t have a Medical Evaluation on file, using this time, we went ahead and rectified this issue as well.

CONCLUSION

Patient is in excellent health and meets all standards of physical fitness. She has passed all testing and evaluation necessary for medical personnel and outside of the current mild implant discomfort discovered just after has no significant medical conditions that bear review.

SUBJECTIVE FINDINGS

Patient has stated a possible allergic reaction to a ‘Aldebarran Mud Flea Virus’ when younger; unknown if this has persisted. Otherwise states feeling in good health and no injuries to note.

OBJECTIVE FINDINGS

Patient’s vitals and statuses all read as normal. No issues outside of implant discomfort which is to be disregarded for the sake of this Eval

PLAN OF CARE

LTJG Nirajis rated capable of active duty without reservation at this time. Implant discomfort is once again being disregarded as of now and will be handled on the patient’s own time; please reference the Above Report for further information

LENGTH OF APPOINTMENT: 1 hrs
END OF EVALUATION.

1 Like