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Location:
Fort Myers, FL
Posted:
September 01, 2024

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Resume:

**** ********* ***

JUPITER, FL *****-****

866-***-****

Client: ANY LAB TEST NOW - FORT M 22697

***** ********* ****

SUITE 9

COLLEGE PARKWAY, FL 33919

Phys: SCHARDT, MITZI 239-***-****

Patient: WINSOR, DONALD

Phone: - DOB. 03/27/1979 Age:45 Sex:M

Address 1: 53331 Summerlin Road Fasting: Y

Address 2:

City: FORT MYERS State: FL Zip: 33919 Page:1

Acc# 004997114 Coll. Date: 08/14/24

Chart# 240************ Coll. Time: 02:03 PM

Recv. Date: 08/15/24

Recv. Time:10:02 AM

Print Date: 08/19/24

Print Time: 08:02

First reported on: 08/15/24 15:49 Final report date: 08/17/24 Report Status: FINAL

Test Name Results Reference Range Units

MICROBIOLOGY

Culture, Urine, Void Final

Source: URINE

FINAL REPORT:

GROWTH ORGANISMS ISOLATED

1. 25 - 50,000 CFU/ML Staphylococcus haemolyticus

ORGANISM SUSCEPTIBILITY:

ANTIBIOTICS MIC 1

GENTAMICIN <=0.5 S

CIPROFLOXACIN <=0.5 S

LEVOFLOXACIN <=0.12 S

LINEZOLID 2 S

VANCOMYCIN 1 S

NITROFURANTOIN <=16 S

Rifampicin <=0.5 S

Trimethoprim/Sulfamethoxa <=10 S

Benzylpenicillin >=0.5 R

Oxacillin >=4 R

TETRACYCLINE >=16 R

LEGEND: S=Susceptible, R=Resistant, I=Intermediate COMMENTS: Fasting,

END OF REPORT Lab address: 5151 Corporate Way, Jupiter, FL, 33458 All tests are performed at Access Medical Laboratories unless otherwise noted. CLIA #: 10D1016867 Director: Alan Sara, M.D 5151 CORPORATE WAY

JUPITER, FL 33458-3101

866-***-****

Client: ANY LAB TEST NOW - FORT M 22697

13401 SUMMERLIN ROAD

SUITE 9

COLLEGE PARKWAY, FL 33919

Phys: SCHARDT, MITZI 239-***-****

Patient: WINSOR, DONALD

Phone: - DOB. 03/27/1979 Age:45 Sex:M

Address 1: 53331 Summerlin Road Fasting: Y

Address 2:

City: FORT MYERS State: FL Zip: 33919 Page:1

Acc# 004997114 Coll. Date: 08/14/24

Chart# 240************ Coll. Time: 02:03 PM

Recv. Date: 08/15/24

Recv. Time:10:02 AM

Print Date: 08/19/24

Print Time: 08:02

First reported on: 08/15/24 11:56 Final report date: 08/17/24 Report Status: FINAL

Test Name Results Reference Range Units

OUT OF RANGE SUMMARY WHITE BLOOD CELL 11.6 H 3.9 - 11.4 K/ul

RED BLOOD CELL 3.85 L 4.20 - 6.00 M/ul

MCV 125 H 83 - 103 fl

Results verified by repeat analysis.

MCH 37.6 H 26.0 - 34.0 pg

Results verified by repeat analysis.

MPV 13.6 H 7.5 - 11.6 fl

The reference range reflects change to Siemens Advia 2120i instrumentation. DIFFERENTIAL

Neutrophil % 76.0 H 38.0 - 75.0 %

Neutrophil # 8.8 H 1.6 - 8.4 K/ul

COLOR Dark Yel YELLOW

APPEARANCE Cloudy CLEAR

BILI Large NEGATIVE

PROTEIN 30 NEGATIVE mg/dl

UROBILINOGEN 1.0 NORMAL E.U./dL

NITRITE Positive NEGATIVE

LEUKOCYTES Small NEGATIVE

Results verified by repeat analysis.

SQUAMOUS EPITHELIAL CELLS 11-20 0 - 2 /HPF

CAST 5-7 NONE /LPF

HYALINE CAST Present NONE /LPF

GLUCOSE 109 H 65 - 100 mg/dl

BUN 5 L 6 - 20 mg/dl

CREATININE, SERUM 0.6 L 0.7 - 1.3 mg/dl

POTASSIUM 2.5 CL 3.5 - 5.1 mmol/L

Results verified by repeat analysis.

Called to and read back by: Samantha

on 8/15/24 @ 11:56,AM

CHLORIDE 94 L 100 - 110 mmol/L

CO2 33 H 20 - 31 mmol/L

CALCIUM 8.2 L 8.3 - 10.6 mg/dl

ALBUMIN 2.9 L 3.2 - 4.8 g/dl

BILIRUBIN, TOTAL 9.1 H 0.3 - 1.2 mg/dl

ALKALINE PHOSPHATASE 519 H 45 - 115 U/L

ALT 86 H 0 - 48 U/L

AST 345 H 0 - 38 U/L

(Continued on Next Page)

5151 CORPORATE WAY

JUPITER, FL 33458-3101

866-***-****

Client: ANY LAB TEST NOW - FORT M 22697

13401 SUMMERLIN ROAD

SUITE 9

COLLEGE PARKWAY, FL 33919

Phys: SCHARDT, MITZI 239-***-****

Patient: WINSOR, DONALD

Phone: - DOB. 03/27/1979 Age:45 Sex:M

Address 1: 53331 Summerlin Road Fasting: Y

Address 2:

City: FORT MYERS State: FL Zip: 33919 Page:2

Acc# 004997114 Coll. Date: 08/14/24

Chart# 240************ Coll. Time: 02:03 PM

Recv. Date: 08/15/24

Recv. Time:10:02 AM

Print Date: 08/19/24

Print Time: 08:02

First reported on: 08/15/24 11:56 Final report date: 08/17/24 Report Status: FINAL

Test Name Results Reference Range Units

OUT OF RANGE SUMMARY (Continued) IRON 177 H 65 - 175 ug/dl

VITAMIN B12 1437 H 211 - 911 pg/ml

TRIGLYCERIDES 368 H <150 mg/dl

CHOLESTEROL, TOTAL 382 H <200 mg/dl

HDL CHOLESTEROL 10 L >40 mg/dl

LDL CHOLESTEROL, calc.. 285 H <100 mg/dl

CHOL/HDL RATIO 38.2 H <5.0

The higher the Ratio,the higher CHD risk.

TSH 20.251 H 0.550 - 4.780 uIU/ml

COMPLETE BLOOD COUNT

WHITE BLOOD CELL 11.6 H 3.9 - 11.4 K/ul

RED BLOOD CELL 3.85 L 4.20 - 6.00 M/ul

HEMOGLOBIN 14.5 13.2 - 18.0 g/dl

HEMATOCRIT 47.9 43.0 - 60.0 %

MCV 125 H 83 - 103 fl

Results verified by repeat analysis.

MCH 37.6 H 26.0 - 34.0 pg

Results verified by repeat analysis.

MCHC 30.2 29.5 - 35.5 g/dl

RDW 13.6 11.0 - 15.5 %

PLATELET COUNT 192 140 - 400 k/ul

MPV 13.6 H 7.5 - 11.6 fl

The reference range reflects change to Siemens Advia 2120i instrumentation. AUTOMATED DIFFERENTIAL

DIFFERENTIAL

Neutrophil % 76.0 H 38.0 - 75.0 %

Lymphocyte % 19.3 15.0 - 49.0 %

Monocyte % 2.7 2.0 - 13.0 %

Eosinophil % 0.9 0.0 - 8.0 %

(Continued on Next Page)

5151 CORPORATE WAY

JUPITER, FL 33458-3101

866-***-****

Client: ANY LAB TEST NOW - FORT M 22697

13401 SUMMERLIN ROAD

SUITE 9

COLLEGE PARKWAY, FL 33919

Phys: SCHARDT, MITZI 239-***-****

Patient: WINSOR, DONALD

Phone: - DOB. 03/27/1979 Age:45 Sex:M

Address 1: 53331 Summerlin Road Fasting: Y

Address 2:

City: FORT MYERS State: FL Zip: 33919 Page:3

Acc# 004997114 Coll. Date: 08/14/24

Chart# 240************ Coll. Time: 02:03 PM

Recv. Date: 08/15/24

Recv. Time:10:02 AM

Print Date: 08/19/24

Print Time: 08:02

First reported on: 08/15/24 11:56 Final report date: 08/17/24 Report Status: FINAL

Test Name Results Reference Range Units

AUTOMATED DIFFERENTIAL (Continued)

Basophil % 1.1 0.0 - 2.0 %

Neutrophil # 8.8 H 1.6 - 8.4 K/ul

Lymphocyte # 2.2 1.0 - 3.6 K/ul

Monocyte # 0.3 0.0 - 0.9 K/ul

Eosinophil # 0.1 0.0 - 0.6 K/ul

Basophil # 0.1 0.0 - 0.2 K/ul

URINALYSIS GROSS EXAMINATION

COLOR Dark Yel YELLOW

APPEARANCE Cloudy CLEAR

GLUCOSE Negative NEGATIVE mg/dl

BILI Large NEGATIVE

KETONES Negative NEGATIVE mg/dl

SPECIFIC GRAVITY 1.021 1.001 - 1.045

BLOOD Negative NEGATIVE

pH 6.0 5 - 8

PROTEIN 30 NEGATIVE mg/dl

UROBILINOGEN 1.0 NORMAL E.U./dL

NITRITE Positive NEGATIVE

LEUKOCYTES Small NEGATIVE

Results verified by repeat analysis.

URINE MICROSCOPIC EXAMINATION

WBCS 0-2 0 - 2 /HPF

RBCS 0-3 0 - 3 /HPF

SQUAMOUS EPITHELIAL CELLS 11-20 0 - 2 /HPF

BACTERIA NONE SEEN NONE /HPF

CAST 5-7 NONE /LPF

HYALINE CAST Present NONE /LPF

GENERAL CHEMISTRY

GLUCOSE 109 H 65 - 100 mg/dl

BUN 5 L 6 - 20 mg/dl

CREATININE, SERUM 0.6 L 0.7 - 1.3 mg/dl

SODIUM 136 136 - 145 mmol/L

POTASSIUM 2.5 CL 3.5 - 5.1 mmol/L

Results verified by repeat analysis.

Called to and read back by: Samantha

(Continued on Next Page)

5151 CORPORATE WAY

JUPITER, FL 33458-3101

866-***-****

Client: ANY LAB TEST NOW - FORT M 22697

13401 SUMMERLIN ROAD

SUITE 9

COLLEGE PARKWAY, FL 33919

Phys: SCHARDT, MITZI 239-***-****

Patient: WINSOR, DONALD

Phone: - DOB. 03/27/1979 Age:45 Sex:M

Address 1: 53331 Summerlin Road Fasting: Y

Address 2:

City: FORT MYERS State: FL Zip: 33919 Page:4

Acc# 004997114 Coll. Date: 08/14/24

Chart# 240************ Coll. Time: 02:03 PM

Recv. Date: 08/15/24

Recv. Time:10:02 AM

Print Date: 08/19/24

Print Time: 08:02

First reported on: 08/15/24 11:56 Final report date: 08/17/24 Report Status: FINAL

Test Name Results Reference Range Units

GENERAL CHEMISTRY (Continued)

on 8/15/24 @ 11:56,AM

CHLORIDE 94 L 100 - 110 mmol/L

CO2 33 H 20 - 31 mmol/L

CALCIUM 8.2 L 8.3 - 10.6 mg/dl

TOTAL PROTEIN 6.5 5.7 - 8.2 g/dl

ALBUMIN 2.9 L 3.2 - 4.8 g/dl

GLOBULIN 3.6 2.1 - 3.6 g/dl

BILIRUBIN, TOTAL 9.1 H 0.3 - 1.2 mg/dl

ALKALINE PHOSPHATASE 519 H 45 - 115 U/L

ALT 86 H 0 - 48 U/L

AST 345 H 0 - 38 U/L

Albumin/Globulin Ratio 0.8 0.8 - 2.0

BUN/CREAT RATIO N/A 7.3 - 21.7

GFR, estimated 155 ml/min

If African-American, result is: >60

Calculation of estimated GFR is based on the MDRD Study prediction equation

Five Stages of Chronic Kidney Disease

*Stage* *GFR Level* *Description*

Stage 1 90 ml/min or more Healthy Kidneys or Kidney damage with normal or high GFR

Stage 2 60 to 89 ml/min Kidney damage and mild decrease in GFR

Stage 3 30 to 59 ml/min Moderate decrease in GFR

Stage 4 15 to 29 ml/min Severe decrease in GFR

Stage 5 < 15 ml/min Kidney failure, or on dialysis DIABETES EVALUATION

HEMOGLOBIN A1C 4.5 < 5.7 %

***Diagnosis*** ***HbA1c Level***

Normal < 5.7 %

Prediabetes 5.7 - 6.4 %

Diabetes = or > 6.5 %

Having prediabetes is a Risk Factor for getting type 2 diabetes. Within the prediabetes range(5.7-6.4), the higher the HbA1c,the greater the risk of diabetes. HbA1c target for diabetics depend on their history and health.

(Continued on Next Page)

5151 CORPORATE WAY

JUPITER, FL 33458-3101

866-***-****

Client: ANY LAB TEST NOW - FORT M 22697

13401 SUMMERLIN ROAD

SUITE 9

COLLEGE PARKWAY, FL 33919

Phys: SCHARDT, MITZI 239-***-****

Patient: WINSOR, DONALD

Phone: - DOB. 03/27/1979 Age:45 Sex:M

Address 1: 53331 Summerlin Road Fasting: Y

Address 2:

City: FORT MYERS State: FL Zip: 33919 Page:5

Acc# 004997114 Coll. Date: 08/14/24

Chart# 240************ Coll. Time: 02:03 PM

Recv. Date: 08/15/24

Recv. Time:10:02 AM

Print Date: 08/19/24

Print Time: 08:02

First reported on: 08/15/24 11:56 Final report date: 08/17/24 Report Status: FINAL

Test Name Results Reference Range Units

IRON/ANEMIA EVALUATION

IRON 177 H 65 - 175 ug/dl

VITAMIN B12 1437 H 211 - 911 pg/ml

FOLATE, SERUM 9.6 5.38 - 24.0 ng/ml

CORONARY RISK

TRIGLYCERIDES 368 H <150 mg/dl

CHOLESTEROL, TOTAL 382 H <200 mg/dl

HDL CHOLESTEROL 10 L >40 mg/dl

LDL CHOLESTEROL, calc.. 285 H <100 mg/dl

CHOL/HDL RATIO 38.2 H <5.0

The higher the Ratio,the higher CHD risk.

Vitamin D,25-OH,Total 32 30 - 100 ng/ml

Notes:

Therapy is based on the measurement of Total Vitamin D (25-OH). Most experts agree that Vitamin D deficiency should be = or < 20 ng/ml. Vitamin D insufficiency is recognized as 21 - 29 ng/ml. The preferred level for Vitamin D (25-OH)is recommended to be 30 - 100 ng/ml.

Vitamin D > 150 ng/ml is considered potentially toxic. THYROID TESTING

T3, FREE 2.9 2.3 - 4.2 pg/ml

T4, FREE 1.51 0.89 - 1.76 ng/dl

TSH 20.251 H 0.550 - 4.780 uIU/ml

COMMENTS: Fasting,

END OF REPORT Lab address: 5151 Corporate Way, Jupiter, FL, 33458 All tests are performed at Access Medical Laboratories unless otherwise noted. CLIA #: 10D1016867 Director: Alan Sara, M.D



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