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[[James]] is a comm/ops officer aboard the [[USS Discovery-C]].[[image:Medicallogo-blacknwhite.png‎|right]]
{{James/Nav-Horizontal}}


<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Medical record: general information</h2>
<br />


*'''Full name:''' James
{|style="max-width:700px; margin:auto;"
*'''Age:''' 20
|style="background:teal;" width="100"|
*'''Species:''' Terran (2/3rd)/Vulcan (1/3rd)
|width="600" colspan=2|[[File:Starfleet Medical.png|right|150px|link=Category:Medical Records]]
===James===
*'''[[StarFleet Serial Number Register|Patient Reference Number:]]''' ZP - 314 - 159
*'''Date of Birth:''' 30th April, 2367
**'''Age:''' {{age|2367|04|30}}
*'''Sex:''' Male
*'''Species:''' Terran (3/4ths)/Vulcan (1/4th)
|-
|style="background:teal; border-radius: 0 0 0 14px; border:0px solid #AFA3BF"|
|style="background:teal" |
!width=180 align=right|<font size="4" color=teal>MEDICAL RECORD</font>
|-
|style="background:teal; border-radius: 14px 0 0 0; border:0px solid #AFA3BF"|
|colspan=2|
*'''Height:''' 220 cm (7'2")
*'''Weight:''' 90 kilos (197 lbs)
*'''Blood Type:''' AB+, Copper
*'''[[T/E Rating]]:''' Weak, erratic T5
|-
|style="background:teal;"|
|colspan=2|
===PAST MEDICAL HISTORY===
*'''Chronic Illnesses:'''
** Weakened heart due complications from 239102.01 surgical procedure and subsequent 239101.26 coronary failure.
** Neurological damage from 239101.26 coma causing limited mobility on both sides of the body - with affects more acute on the left side, stuttering (which is now more under control thanks to physiotherapy), some memory issues, and issues with concentration although progress from physiotherapy has been promising.
*'''Medications:''' Beta Blockers, Antiplatelets, and various prescribed aids for things such as walking.
*'''Allergies and Reactions:''' None as of 239106.26
*'''Sexual/Reproductive History:''' None.
|-
|style="background:teal;"|
|colspan=2|


*'''Blood category (specify if applicable):''' Hot blooded
===PAST HOSPITALIZATIONS/SERIOUS ILLNESS===
*'''Blood type (specify if applicable):''' Copper based, green
* '''SD 239102.01''': Hospital stay while recovering from surgery.
*'''Body temperature:''' 32.78°C on average, internally regulated
* '''SD 239101.26''': Treatment for coronary failure, combined with several miscellaneous injuries of various severities including partial reconstruction of the spine from injuries sustained from a fall down a turbo lift shaft during patient transfer for the aforementioned coronary failure due to extenuating circumstances. Patient was left in a coma which lasted approximately two months.


*'''Allergies:''' None as of 238906.02
===PAST SURGICAL HISTORY===
* '''SD 239010.09''': Removal of damaged teeth. Severe nerve damage was detected before procedure.
* '''SD 239102.01''': Surgical correction of broken bones - both arms -, broken ribs and various internal damage. Heart stopped shortly before procedure, had to be manually restarted.


<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Antecedents</h2>
|-
|style="background:teal;"|
|colspan=2|
===PSYCHIATRIC HISTORY===


===Physicals/Checkups===
===SUBSTANCE USE HISTORY===
*'''238906.02:''' Mandatory checkup after graduation with Starfleet Academy. Performed by Academy physician.
*'''Alcohol:''' None.
 
*'''Recreation Drugs:''' None.
===Surgeries===
*'''Other:''' None.
*None
|-
 
|style="background:teal;"|
===Dietary===
|colspan=2|
*'''Special requirements:''' Mostly vegetarians. Can process meat.
===FAMILY MEDICAL HISTORY===
 
*'''Mother:''' Clean bill of health
<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Observations/Notes</h2>
*'''Father:''' Clean bill of health
 
*'''Siblings:''' None
===Doctors===
|-
 
|style="background:teal;"|
===Nurses===
|colspan=2|
 
===SOCIAL HISTORY===
 
*'''Marital status:''' Single
<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Drug prescriptions</h2>
*'''Children:''' None
 
*'''Occupation/Assignment:''' Chief of Engineering, {{USS|Darwin|A}}
*N/A
*'''Diet:''' Mostly vegetarian and pescetarian. Can process meat.
 
*'''Exercise:''' Work in Engineering.
<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Physical/Checkup results</h2>
|-
 
|style="background:teal;" colspan=3 height=4|
*'''238906.02:''' Perfect physical shape, prime for duty.
|-
 
|style="background:teal;"|
<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Counseling Information</h2>
|colspan=2|
 
===PHYSICIANS' NOTES===
*'''Important Sessions:'''
*'''Medical Officer:'''
 
*'''Medical Assessment:'''
 
|-
<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Recommendations</h2>
|style="background:teal;"|
 
|colspan=2|
 
===COUNSELORS' NOTES===
<h2 style="margin:0; background:#000080; font-size:120%; font-weight:bold; border:1px solid #F0E68C; text-align:center; color:#ffffff; padding:0.2em 0.4em;">Attending physician</h2>
*'''Counselor:'''
 
*'''Psychological Assessment:'''
*<center>[[Shagan, Telice|Telice Shagan]]
|}
[[image:DrShagan_signature.png|right]]</center>
__NOTOC__
[[Category:Medical Records]]

Latest revision as of 17:57, 30 March 2019

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James

  • Patient Reference Number: ZP - 314 - 159
  • Date of Birth: 30th April, 2367
    • Age: 34
  • Sex: Male
  • Species: Terran (3/4ths)/Vulcan (1/4th)
MEDICAL RECORD
  • Height: 220 cm (7'2")
  • Weight: 90 kilos (197 lbs)
  • Blood Type: AB+, Copper
  • T/E Rating: Weak, erratic T5

PAST MEDICAL HISTORY

  • Chronic Illnesses:
    • Weakened heart due complications from 239102.01 surgical procedure and subsequent 239101.26 coronary failure.
    • Neurological damage from 239101.26 coma causing limited mobility on both sides of the body - with affects more acute on the left side, stuttering (which is now more under control thanks to physiotherapy), some memory issues, and issues with concentration although progress from physiotherapy has been promising.
  • Medications: Beta Blockers, Antiplatelets, and various prescribed aids for things such as walking.
  • Allergies and Reactions: None as of 239106.26
  • Sexual/Reproductive History: None.

PAST HOSPITALIZATIONS/SERIOUS ILLNESS

  • SD 239102.01: Hospital stay while recovering from surgery.
  • SD 239101.26: Treatment for coronary failure, combined with several miscellaneous injuries of various severities including partial reconstruction of the spine from injuries sustained from a fall down a turbo lift shaft during patient transfer for the aforementioned coronary failure due to extenuating circumstances. Patient was left in a coma which lasted approximately two months.

PAST SURGICAL HISTORY

  • SD 239010.09: Removal of damaged teeth. Severe nerve damage was detected before procedure.
  • SD 239102.01: Surgical correction of broken bones - both arms -, broken ribs and various internal damage. Heart stopped shortly before procedure, had to be manually restarted.

PSYCHIATRIC HISTORY

SUBSTANCE USE HISTORY

  • Alcohol: None.
  • Recreation Drugs: None.
  • Other: None.

FAMILY MEDICAL HISTORY

  • Mother: Clean bill of health
  • Father: Clean bill of health
  • Siblings: None

SOCIAL HISTORY

  • Marital status: Single
  • Children: None
  • Occupation/Assignment: Chief of Engineering, USS Darwin-A
  • Diet: Mostly vegetarian and pescetarian. Can process meat.
  • Exercise: Work in Engineering.

PHYSICIANS' NOTES

  • Medical Officer:
  • Medical Assessment:

COUNSELORS' NOTES

  • Counselor:
  • Psychological Assessment:
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