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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
|
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
ENS Sovum, Veneela
AUTHORITY
Medical Officer
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
LTJG Izly, Jodi
AUTHORITY
Station Nurse Pracitioner
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
LTJG Izly, Jodi
AUTHORITY
Station Nurse Pracitioner
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
LTJG Izly, Jodi
AUTHORITY
Station Nurse Practitioner
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
EVALUATOR
LTJG Izly, Jodi
LTJG Izly, Jodi
AUTHORITY
Station Nurse Practitioner
Station Nurse Practitioner
MEDICAL FILE
PATIENT’S NAME:
CMDR Barron
APPOINTMENT STARDATE:
97572.5
PURPOSE AND CONTEXT OF EVALUATION
Baseline Medical Assessment
CMDR Barron placed a request of a Standard Medical Evaluation for service within 38th ‘Argo’
CONCLUSION
CMDR Barron is in excellent health and meets all standards of physical fitness. He has passed all testing and evaluation necessary for medical personnel and has no medical conditions that bear review.
SUBJECTIVE FINDINGS
Patient does speak of having mild insomia; along with muscle cramps in the lower right calf and right mandible. Says it can be handled by light hyper-extension of muscles for ‘a minute or two’ and otherwise states fine.
OBJECTIVE FINDINGS
Patient’s condition during was exceptionally stable; vitals were of no issue, tricorder and bioscans indicated light strain in the areas patient was aware of, but nothing of concern. Injuries themselves may be handled with light painkiller, but that is left up to the patient.
LENGTH OF APPOINTMENT: 1 hrs
END OF EVALUATION.
1 Like
EVALUATOR
ENS Sovum, Veneela
ENS Sovum, Veneela
AUTHORITY
Medical Officer
Medical Officer
MEDICAL FILE
PATIENT’S NAME:
Capt. Tungsten, Drake
APPOINTMENT STARDATE:
97572.1
PURPOSE AND CONTEXT OF EVALUATION
Medical Routine Exam
This is a routine follow-up for Captain Tungsten to check on his healing progress from an injury he sustained prior to Shore leave.
CONCLUSION
Captain Tungsten is fully cleared to return to normal duties
SUBJECTIVE FINDINGS
The Captain expressed slight stiffness in muscles and movement but nothing that prevented day to day activities
OBJECTIVE FINDINGS
Bio bed results were negative for anything that may be the cause of the stiff muscles and was negative on any lingering issues within the afflicted shoulder.
PLAN OF CARE
It is recommended Captain Tungsten perform light stretches for the next week to work out the muscles, and though he is cleared for regular duty again, some daily time on the holodeck or gym may be useful to re-strengthen the limb.
LENGTH OF APPOINTMENT: 1/2 hrs
END OF EVALUATION.
4 Likes