transcript: 2008-08-08 summary:low...
TRANSCRIPT
ur IVIICnaer l::lsteinBA, HOE, MBBCH, GRAD Dip. PSYCH. COUNS.
·F.A.C.N.E.M. F.A.C.A.M.
Provider Number: 010499TJWholistic Medical Practitioner
{--- <V/ 'IfI 'f;:7'/7Sanctuary of Health
nit 8. Capital Business Centre. Block BNorwest Business Park
38-40 Brookhollow Avenue.Baulkham Hills. NSW 2153.
Phone 8883 3655 Fi=lY O*'-:lA ACon
88833655
~kuon-ffn"" g~JPDBM, Dip Herbs, Dip Nutrition, DRT, DTM, DRM,
DNOT, Dip I, Dip Aromatherapy, Dip Clinical Nutrition.
NATURAL THERAPIST
Candida Control Diet:
Foods you can eat:
Vegetables Meats Nuts, & seeds.• Asparagus • Beef • Almollds• Beans • Chicken • Brazil• Beets • Turkey • Cashews• Broccoli • Lamb • Coconut• Brussel • Veal • Macadamia
sprouts • Eggs • Pecans• Cabbage • Fish. • Pumpkin• Carrots (especially seeds• Cauliflower deep sea) • Pepitas• Celery Fruits • Seafood ~• Cucumber • Apple • Rabbit• Eggplant • Avo.cado • Quail• Capsicum • Apn~ots • Duck• Lettuce • Bemes (all
kinds) 0'1• Legumes ~
O. • Cherries Cold pressed onlv
• mons .• ~ AI nd• Parsley • mo• Parsnip • .Maa%O • Apricot
R d· h • Nectarines • Avocado
• a IS esS
. h • Oranges • Linseed• pll1ac Beverages
S h• Peaches • Canola
• quas P • Soya milk .• Sweet potato • ears 0 'Ik • OliveP' ~ • at 1'111 • - •• Turnip • ~~ R' 'lk • Safflowel
• Paw- aw • Ice ml ,• Tomatoes p • Water • Sesame
~....'.l' .......P....lu....m.s... ... (til . d \ • Sll Il.flower.. ' ~~. •. . 1 tete -:.". Cl ~. ~:~:g~aterj ....
. ~-. Spreads ~/ " Irk, 11 • Butter ~~ ~ ~~() 11173 Ji~ • Almond \\(C~ClQ)))
• Macadamia (- ._-- --.-'""
88833655
DBM, Dip Herbs, Dip Nutrition, DRT, DTM, DRM,DNOT, Dip I, Dip Aromatherapy, Dip Clinical Nutrition.
NATURAL THERAPISTSanctuary Of HealthYeast Free Diet.
Candidiasis.Candida albicans is a type of parasitic yeast like fungus that inhibits the intestines, genitaltract, mouth, oesophagus, and throat. Normally this fungus lives in balance with other bacteriaand yeasts in our body, however certain conditions can affect this and can cause it to multiply,weakening the immune system and causing an infection called candidiasis. The fungus cantravel throughout the body and produces many symptoms some of these are; constipation,diarrhoea, colitis, abdominal pain, headaches, bad breath, rectal itching, impotence, memoryloss, mood swings, prostatitis, canker sores, persistent heartburn, muscle and joint pain, sorethroat, congestion, nagging cough, numbness, PMS symptoms, tingling sensations, acne,night sweats, severe itching, clogged sinuses, extreme fatigue, vaginitis, kidney and bladderirritation/infection, depression, hypothyroidism, adrenal problems, and thrush of the mouth or
vagina.
Improvinq Diet and Environment:Avoid Sugars these include.
Avoid Yeast And Moulds
• Honey • Vegemite and promite
• Sugar white and brown • Mushrooms
• Golden syrup, treacle, molasses, maple • Cheese
syrup • Fermented products including vinegar
• Maltand soy sauce, tomato sauce and olives
• Jam • Peanuts and peanut butter I, - ~ee+are'""-2A-li-d ~all:cs -- c-;\icoholic JI il'Ks i"vludil,g-beerand \t.ir,,~ .!
• Fruit juices even the 100% ones • Bread including Lebanese and rolls
• Biscuits • Pizza
• Cakes • Peel all vegetables and fruit
• Dried fruit • Do not eat bruised or over ripe fruit or
• Breakfast cerealsvegetables.
• Soft drinks • Watch Vitamin B can be from a yeast
• Alcoholic drinkssource
• puddings/desserts • Do not use supplements with yeast these
• Ice-creaminclude brewers, torula,
• Sugared drinks like Milo, ovaltine, horlix • Avoid antibiotics
• Artificial sweeteners • Stock cubes, barbecue sauce
• Fructose• Sauerkraut
• Fruit fresh and canned • Pickles
• Dairy food• Anything labelled 'hydrolysed vegetable
• Baked beansprotein
• Melons and grapes• Any left over food unless eaten within 24
• Mayonnaisehrs.
• Processed meats including smoked
• Tea, including herbal, coffee.
- --_._--- ---_._-_._., - _.Avoiding MoldslYeast in the Home Environment.• Take steps to eliminate damp in the home.• Ventilate all rooms and cupboards.• Cover pans when cooking to reduce the steam.• Keep bathroom free of mould.• Discard any clothes, furniture, and carpets, furnishings that have become mildew.
IDOUGLASSHANLY MOIRPATHOLOGY
"rve take it personally"
14 Giffnock Avenue, Macquarie Park, NSW, AUSTRALIA 2113
All hours: 98 555 222 Potholog'"'' 98 555 150Toll Free: 1800 222 365 Re"lt" 98555 100
Dr leo FEAINDr William FELBElOr Colin GOLDSCHMIDTOr Frances HANLYOr Richard HASKELLDr' '"010101Dr .. _ ...... _Dr Robyn LEVINGSTONDr Alan LLOYDDr Katie LOHDr Fiona MACLEANDr Ray McKINLEY
Dr Denis MDIRDr Steve MORANDr Anita MULJONODr Helen OGLEOr Simon PALFREEMANDr Miriam PAULOr Paul RICHMONDOr Elizabeth SINCLAIROr Vera STOERMEROr Andrew TANOr Nick TAYLORDr Jeanne TOMLINSONDr Cate TREBECKDr Mark WILSHERDr Tina YEN
DR MICHAEL ELSTEINETERNAL HEALTH MED CTRSHOP 60130 LEVEL 6WESTFIELD SHOPPING TOWNBONDI JUNCTION 2022
DOCTOR FPS/FPS/STV/FPSE2325
PATIENT
MR MARKO KRSMANOVICD.O.B. (Age) : 20-04-1989 (19) PH: 9835040015 VALLINGBY AVE .HEBERSHAM NSW 2770
Requested: 1284/XDTE/25842/4728/
ClinicalNotes:
CA,URINE 24HR;CATECHOLAMINE BILLING HEADER;K,URINE;MG,URINE;NA,URINE[ADH,PLASMA{TF);ZINC,24HR URINE;CATS,URINE;DOPAMINE,24HR URINE;CORTISOL,URINE 24HR
NO HISTORY
Date of Service: 18-07-08 14:45 10No.: 98159716 Sex: MDate Printed: 19-07-08 Your Reference: Page: 1
Magnesium, 24 Hr UrineTotal Urine Volume 3810 mUdCreatinine 9.0 mmol/d ( 8.8 -180Magnesium 5.1 mmol/d ( 3.0 -7.0
URINE, 24HR COLLECTIONTotal Volume 3810 mUdCreatinine 9.0 mmol/d ( 88 - 18.0Sodium 202 mmol/d ( 25 - 285Potassium 65 mmol/d ( 25 - 125Calcium * 2.3 mmol/d ( 2.5 -7.5
E!J(ther report to follow Thank yOll for referring this patient
KRSMANOVIC, MARKO 18-07-08 MG,URINE FILE I PHONE I APeT: I NOTES I4222/D1 03 02/08
08/08/2008 15:04 51-2-9887-2930 VDRLAB__ AU~I~AL1HVInnL UI/,,\UI'4UQ 11\.1J"\1'4Unc.r1::M.Mf\L. LAOVHAI Urn
R~FERRING LABORATOr::lY
Fresh Therapeutics (Pharmacy)DR. MlCHAEL ELSTEIN, l0499UX
ABN ~7 00l 777 Z91
Definitive Identlfic/iltion of vIruses and GenfJral serologica.l testing9A AVON ROAD, NORiH AYDE, N,S,W. 2113
TEL-E;PHONE: (02) 988B 34.44 FAX: (02) 9887 2930Approved Pathology Authority & NATNRCPA RcglstMld Medical pathology Laborat?J~ / 13 576
C:£;.I'o/ . PATHOLOGY REPORT No.PATIENT
~SMANOVIC, Marko
SEXM
D.O.B.20/04/1989
REFERRING LAB'S to. NO'on U/07/200B
SPECIMEN TYPE SERUM
RESULTS 8 August 2008
.albicans Ig~ antibodies ; positive 39 ~
~.albicans IgG antipodies ; Positive l83 ~
~andida sp. IgG antibodies (including; C.albicans) : positive 2S
(C.glabrata, c.parapsilosis and c.tropicalis) ~9
tommenta:he~e ~esults suggest a recent C,albicans infection._a~bi~~n~ l~O antibodies, UnjtG ~30 suSgest a C_&lbi~~ns infection.
~lease sUb~it a fu~ther specimen in 14 d~YG cor.confirmation.
M1
I
Dr SIeve MORANDr Anita MULJONODr Helen OGLEDr Simon PALFREEMANDr Miriam PAULDr Paul RICHMONDDr Elizabeth SINCL6.IRDr Vera STOERMERDr Andrew TANDr Nick TAYLORDr Jeanne TOMLINSONDr Cate TREBECKDr Mark WILSHERDr Tina YEN
Sex:Page:
Dr Leo FEAINDr William FELBELDr Colin GOLDSCHMIDTDr Frances HANLYDr Richard HASKELL
g~bY~k~~~~ARDDr Richard JAWORSKIDr Debra JENSENDr Ken KNEALEDr Robyn LEVINGSTONDr Alan LLOYDDr KalieLOHDr Fiona MACLEANDr Ray McKINLEY
62934951
MR MARKO KRSMANOVICD.O.B. (Age) : 20-04-1989 (19)15 VALLINGBY AVEHEBERSHAM NSW 2770
ID No.:
Your Reference:
PATlENT
I 5536!XDTt!56509! II", ani
Dr EricaAHNDr Tina BAILLIEDr Karl BAUMGARTDr Elizabeth BERNALDr Jonathan BL6.CKWELLDr David BLAXL6.NDDr Fiona BONARDr Ivan BURCHETIDr Inny.BUSMANISDr Grahame CALDWELLDr Ian CHAMBERSDr Warick DELPRADODr Joanna DINGDr Stephen FAIRYDr Annabelle FARNSWORTH
E2326PSTIII
11-07-0817-07-08
ADRENAL AB;VIT AMIN A;CRP-HS;HOMOCY STEINE,PL6.SMA;VIT AMIN D;COELIAC SEROLOGY; E2;TSH+FT 4;MTHFR;EUC
;FREE T3;FREE T4;HDLNO HISTORY
Redirection
DR MICHAEL ELSTEIN.ETERNAL HEALTH MED CTRPO BOX 2365BONDI JUNCTION 1355
Date of Service:Date Printed:
Requested:
ClinicalNotes:
All hours: 98 555 222 Pathologists: 98 555 150Toll Free: 1800 222 365 Results: 98555 100
DOUGLASSHANLY MOIRPATHOLOGY
"We take it personally"
14 Giffnock Avenue, Macquarie Park, NSW, AUSTRALIA 2113
" DOCTOR
<4.0 mmol/L<2.0 mmol/L>1.0 mmol/L<2.5 mmol/L or<3.5 mmol/L if lower risk
135 - 1453,5 - 5.699 - 10823 - 332.1-9.050 - 110
mmol/Lmmol/Lmmol/Lmmol/Lmmol/Lµmol/L
1404.2103236.9110
LIPID STUDIES - INCLUDING HDLTotal Cholesterol· * 2.4 mmol/L ( 3.9 - 5.5Triglycerides 0.5 mmol/L ( 0.5 - 1.7HDL Cholesterol * 0.6 mmol/L ( 0.8 - 1.7Calc LDL Cholesterol * 1.6 mmol/L ( 1.7 - 3.5According to current Lipid Management Guidelines, there is an increased risk ofCHD if Total Cholesterol >6.0 mmol/L or LDL Cholesterol >4.0 mmol/L and two ormore of the following apply - HDL Cholesterol <1.0mmoI/L, age =>45, significantfamily history, hypertension, overweight, smoking, glucose dysregulation,microalbuminuria and/or renal impairment.Suggested targets are: Total Cholesterol
TriglyceridesHDL CholesterolLDL Cholesterol
RENAL FUNCTIONSodiumPotassiumChlorideBicarbonateUreaCreatinine
--
C-Reactive Protein(High sensitivity)
3.3 mg/L ( 0.0 - 5.0
Values >= 60 mUmin/1.73 m2 by the MDRD formula do not necessarilyexclude the presence of renal disease. For further information please refer toKidney Health Australia (www.kidney.org.au).
-- eGFR (IDMS-aligned/175 formula) 76 mUmin/1.73 m2
25-0H Vitamin 0(DiaSorin CLIA Method 2)
96 nmol/L( Reference # )( 51 - 140 )
# Please note new reference limits.# According to the position Statement "Vitamin 0 and adult bone health in
Australia and New Zealand" MJA, 182(6):281-285,2005, Vitamin 0 status isdefined as: Mild Deficiency 25 - 50 nmol/L
Moderate Deficiency 12.5 - 25 nmol/LSevere Deficiency <12.5 nmol/L
Page 1 Continued OVE
## FINAL COpy - FOR FILING ##KRSMANOVIC, MARKO: 11-07-08 EUC, HDL, CRP-HS, eGFR BY MDRD, VITAMIN 0
M2
Dr uenls MUlnDr Steve MORANDr Anita MULJONODr Helen OGLEDr Simon PALFREEMANDr Miriam PAULDr Paul RICHMONDDr Elizabeth SINCLAIRDr Vera STOERMERDr Andrew TANDr Nick TAYLORDr Jeanne TOMLINSONDr Cate TREBECKDr Mark WILSHERDr Tina YEN
Sex:Page:
Dr Leo FEAINDr William FELBELDr Colin GOLDSCHMiDTDr Frances HANLYDr Richard HASKELL
g~br~k~~6'$ARDDr Richard JAWORSKIDr Debra JENSENDr Ken KNEALEDr Robyn LEVINGSTONDr Alan LLOYDDr Katie LOHDr Fiona MACLEANDr Ray McKINLEY
62934951
MR MARKO KRSMANOVICD.O.B. (Age) : 20-04-1989 (19)15 VALLINGBY AVEHEBERSHAM NSW 2770
ID No.:
Your Reference:
PATIENT
I 55371XDTEJ5650g7,lu,~ J
Dr Erica AHNDr Tina BAILLIEDr Karl BAUMGARTDr Elizabeth BERNALDr Jonathan BLACKWELLDr David BLAXLANDDr Fiona BONARDr Ivan BURCHETIDr Inny BUSMANISDr Grahame CALDWELLDr Ian CHAMBERSDr Warick DELPRADODr Joanna DINGDr Stephen FAIRYDr Annabelle FARNSWORTH
pmol/L121
11-07-0817-07-08
,.n,U I
ADRENAL AB;VIT AMIN A;CRP_HS;HOMOCYSTEINE,PLASMA;VITAMIN D;COELIAC SEROLOGY;E2;TSH+FT 4;MTHFR;EUC
;FREE T3;FREE T4;HDLNO HISTORY
Oestradiol(Roche Method)
Redirection
Date of Service:Date Printed:
DOCTOR PSTfflDR MICHAEL ELSTEIN.ETERNAL HEALTH MED CTRPO BOX 2365BONDI JUNCTION 1355
Requested:
ClinicalNotes:
DOUGLASSHANLY MOIRPATHOLOGY
"We take it personally"
14 Giffnock Avenue, Macquarie Park, NSW, AUSTRALIA2113
All hours: 98555 222 Pathologists: 98555 150Toll Free: 1800 222 365 Results: 98555 100
FemaleFollicular phasePreovulatory phaseLuteal phasepost-menopausal1st trimester2nd trimester3rd trimester
MaleChildren
<400600 - 2500150 - 1700
<200650 -18000
18000 - 3100031000 - 87000
<160<90
COELIAC SEROLOGY
Gliadin IgAGliadin IgG
63
U/mLU/mL
0-200-20
Serologic markers normalise with gluten restriction and areunreliable in IgA deficiency. Gliadin IgA and tTG IgA-lgG may beelevated without coeliac disease. Very elevated gliadin (>100)and moderately elevated tTG (>50) strongly suggest coeliac disease.Most undiagnosed coeliacs have tTG >300.Coeliac tissue typing excludes coeliac disease risk when HLA-D02or 008 are absent.
Methylene tetrahydrofolate reductase gene mutation
Mutation TestedAla222Vai
ResultHeterozygousUp to 40% of the population may be heterozygous (carriers) for the MTHFRAla222Vai mutation. In the abscence of elevated homocysteine levels in acarrier for this mutation, vascular disease risk is not increased. The findingof an elevated homocysteine in a carrier may be a consequence of an additional,uncommon mutation not identified in the test, or reflect folate deficiency.
Homocysteine 8.1 µmol/L ( 6.0 - 14.0
THYROID FUNCTION TESTS
Free T3 (FT3)Free Thyroxine (FT4)TSH
* 2.410* 0.26
pmol/Lpmol/LmIU/L
( 2.5 - 6.0( 8 - 22(0.30 - 4.00
? History of (treated) thyroid disease.TSH is borderline. Suggest review in one month.
Vitamin A
Clinical Notes: NO HISTORY Page 2 Continued OVE
Vitamin A
KRSMANOVIC, MARKO
M3
VI LlOII .... ••• .....·,·
Dr Steve MORANDr Anita MULJONODr Helen OGLEDr Simon PALFREEMANDr Miriam PAULDr Paul RICHMONDDr Elizabeth SINCLAIRDr Vera STOERMERDr Andrew TANDr Nick TAYLORDr Jeanne TOMLINSONDr Gate TREBECKDr Mark WILSHERDr Tina YEN
Sex:Page:
Dr Leo FEAINDr William FELBELDr Colin GOLDSCHMIDTDr Frances HANLYDr Richard HASKELL
g~br~k~~~~ARDDr Richard JAWORSKIDr Debra JENSENDr Ken KNEALEDr Robyn LEVINGSTONDr Alan LLOYDDr Katie LOHDr Fiona MACLEANDr Ray McKINLEY
62934951
0.7 - 3.0
MR MARKO KRSMANOVICD.O.B. (Age) : 20-04-1989 (19)15 VALLINGBY AVEHEBERSHAM NSW 2770
ID No.:
your Reference:
umollL
PATIENT
I 5538f)<DTEf56509f1 ~921
Dr EricaAHNDr Tina BAILLIEDr Karl BAUMGARTDr Elizabeth BERNALDr Jonathan BLACKWELLDr David BLAXLANDDr Fiona BONARDr Ivan BURCHETTDr Inny SUSMANISDr Grahame CALDWELLDr Ian CHAMBERSDr Warick DELPRADODr Joanna DINGDr Stephen FAIRYDr Annabelle FARNSWORTH
1.7
PSfTlT
11-07-0817-07-08
J"'L.o'
ADRENAL A8;VITAMIN A;CRP_HS;HOMOCYSTEINE,PLASMA;VITAMIN D;COELIAC SEROLOGY;E2;TSH+FT4;MTHFR;EUC
;FREE T3;FREE T4;HDLNO HISTORY
Retinol
Redirection
DR MICHAEL ELSTEIN.ETERNAL HEALTH MEo CTRPO BOX 2365BONDI JUNCTION 1355
Date of Service:Date Printed:
DOCTOR
ClinicalNotes:
Requested:
All hours: 98 555 222 Pathologists: 98 555 150Toll Free: 1800 222 365 Results: 98 555 100
DOUGLASSHANLY MOIRPATHOLOGY
"We lake it personally"
14 Giffnock Avenue, Macquarie Park, NSW, AUSTRALIA211 3
TH
Reported by Sullivan and Nicolaides Pathology,a member of the Sonic Healthcare Group.
ADRENAL CORTEX ABS
Clinical Notes: NO HISTORY
Autoantibodies
Adrenal Cortex AntibodiesComments on Lab Id: 571539148
Negative <1:10
Incidence of anti-adrenal antibodies:idiopathic Addison'sdisease 65%; insulin dependent diabetes (100M) 2%; 100M andautoimmune thyroid disease 6%; idiopathic hypoparathyroidism25-30%; normal people 0.5%.
BA
Reported by Sullivan and Nicolaides Pathology,a member of the Sonic Healthcare Group.
Final Page.
NAtA II,CC.RWII \TION NO n 78~ PHONE] APPT: I-N-O-T-ES-J
4222/D1 03 02/08
FOR I=ILlNG #### FINAL CbPYKRSMANOVIC, MARKO: 11-07-08 ADRENAL AB
All results have been reported.Thank you for referring this patient.
MR MARK KRSMANOVICD.O.B. (Age) : 20-04-1989 (19)15 VALLINGBY AVEHEBERSHAM NSW 2770
DOUGLASSHANLY MOIRPATHOLOGY
"We take it personally"
14 Giffnock Avenue, Macquarie Park, NSW, AUSTRALIA 2113
All hours: 98 555 222 Pathologists: 98 555 150Toll Free: 1800 222 365 Results: 98555 100., DOCTOR FPS/FPSISTV/FPS
DR MICHAEL ELSTEIN E232ETERNAL HEALTH MED CTRSHOP 6013D LEVEL 6WESTFIELD SHOPPING TOWNBONDI JUNCTION 2022
DrEricaAHNDrTinaBAILUEDrKarlBAUMGARTDrElizabethBERNALDrJonathanBLACKWELLDr DavidBlAXLANDDrFionaBONARDr IvanBURCHmDr InnyBUSMANISDrGrahameCALDWELLDr IanCHAMBERSDrWarickDELPRADODrJoannaDINGDrStephenFAIRYDrAnnabelleFARNSWORTH
PATIENT
Dr LeoFEAINDrWilliamFELBELDrColinGOLDSCHMIDTDrFrancesHANLYDr RichardHASKELLg~bY~k~~~S1ARDDrRichardJAWORSKIDr DebraJENSENDr KenKNEALEDr RobynLEVINGSTONDrAlanLLOYDDr KatieLOHDrFionaMACLEANDrRayMcKINLEY
UI Ut;::IU;;;'1\j'IV'"
DrSteveMORANDrAnitaMULJONODrHelenOGLEDr SimonPALFREEMANDrMiriamPAULDr PaulRICHMONDDrElizabethSINCLAIRDrVeraSTOERMERDrAndrewTANDr NickTAYLORDrJeanneTOMUNSONDrCateTREBECKDr MarkWILSHERDrTinaYEN
1221XDTE/42285/1231
Requested: DNA AB;FAI.TESTOSTERONE & SHBG;RCF;VITAMIN B12;FE STUDIES
( 776-1784
ClinicalNotes: NO HISTORY
Date of Service: 11-07-08Date Printed: 14-07 -08
Folate Red Cell
14:30
1482 nmol/L
10 No.:Your Reference:
62934975 Sex:Page:
M1
Folate measured by Roche method.
Vitamin B12 * 1260Vitamin B12 measured by Roche method.
pmol/L ( 145 - 637
Testosterone * 33.5 nmol/L
(Roche Method)
Sex Hormone Binding * 52 nmol/L
Globulin(Roche Method)
Free Androgen Index 64 %
( 12.0 - 32.0
( 15 - 50
( 15-100
Please note change of analytical methods andreference limits.
ANTI-ds DNA (RIA) <5 IU/mL 0-6
Antibodies to dsDNA have high specificity for SLE and utility in monitoringdisease activity. Occasionally clinically normal persons may have low levelantibodies «9). Chromatin (nucleosome) antibodies may also be useful formonitoring SLE, including dsDNA-negative patients.
Iron 15.0 µmol/L ( 9.0 - 31.0
Transferrin 2.5 giL ( 2.0 - 3.7
TIBC (Calculated) 56 µmol/L ( 45 - 80
Saturation 27 % ( 16 - 60
Ferritin 177 µg/L ( 30 - 300
## FINAL COpy - FOR FILING ##" r ~~-- ---
KRSMANOVIC, MARK: 11-07-08 RCF, VITAMIN B12, FAI,TESTOSTERONE & SHBG, DNA A~~:Fme;~APPT: 1 NOTES I4222/D103 02/08
All results have been reported.Thank you for referring this patient.
M1
Dr Steve MORANDr Anita MULJONODr Helen OGLEDr Simon PALFREEMANDr Miriam PAULDr Paul RICHMONDDr Elizabeth SINCLAIRDr Vera STOERMERDr Andrew TANDr Nick TAYLORDr Jeanne TOMLINSONDr Cate TREBECKDr Mark WILSHERDrnnaYEN
Sex:Page:
Or Leo t-t:AINDr William FELBELDr Colin GOLDSCHMIDTDr Frances HANLYDr Richard HASKELL
g~bY~kr~~$ARDDr Richard JAWORSKIDr Debra JENSENDr Ken KNEALEDr Robyn LEVINGSTONDr Alan LLOYDDr Katie LOHDr Fiona MACLEANDr Ray McKINLEY
ID No.: 98159716Your Reference:
PATIENTMR MARKO KRSMANOVICD.O.B. (Age): 20-04-1989 (19) PH: 9835040015 VALLINGBY AVEHEBERSHAM NSW 2770
Dr EricaAHNDr Tina BAILLIEDr Karl BAUMGARTDr Elizabeth BERNALDr Jonathan BLACKWELLDr David BLAXLANDDr Fiona BONARDr Ivan BURCHm
g~~~1h~~~~~6'WELLDr Ian CHAMBERSDr Warick DELPRADODr Joanna DINGDr Stephen FAIRYDr Annabelle FARNSWORTH
14:45
6677xoTEf2571 073741
CA,URINE 24HR;CATECHOLAMINE BILLING HEADER;CATS,URINE;DOPAMINE,24HR URINE;K,URINE;MG,URINE;NA,URIN
;CORTISOL,URINE 24HA [ADH,PLASMA;ZINC,24HR URINE - Reports to follow]
NO HISTORY
Date of Service: 18·07-08Date Printed: 23-07-08
DOCTOR FPSIFPSISTVIFPSDR MICHAEL ELSTEIN E2325ETERNAL HEALTH MED CTRSHOP 60130 LEVEL 6WESTFIELD SHOPPING TOWNBONDI JUNCTION 2022
Requested:
ClinicalNotes:
DOUGLASSHANLY MOIRPATHOLOGY
"We take it personally"
14 Giffnock Avenue, Macquarie Park, NSW, AUSTRALIA 2113
All hours: 98 555 222 Pathologists: 98 555 150Toll Free: 1800 222 365 Results: 98 555 100
DOPAMINE, URINETotal Urine VolumeCreatinineDopamine
33909.1624
mUdmmol/dnmolld
8.8 - 18.0400 - 2600
CATECHOLAMINES, URINETotal Urine VolumeCreatinineNoradrenalineAdrenaline
33909.16319
mUdmmol/dnmol/dnmol/d
8.8 - 1845 - 6805 - 80
Further report to follow.Thank you for referring this patient.
KRSMANOVIC, MARKO: 18-07-08 DOPAMINE,24HR URINE, CATS,URINE~ PHONE ] APPT: I NOTES]
4222/D103 02/08
Dr Steve MORANDr Anita MULJONODr Helen OGLEDr Simon PALFREEMANDr Miriam PAULDr Paul RICHMONDDr Elizabeth SINCLAIRDr Vera STOERMERDr Andrew TANDr Nick TAYLORDr Jeanne TOMLINSONDr Cate TREBECKDr Mark WILSHERDr Tina YEN
28507XOTt739746799661
Dr Leo rei""Dr William FELBELDr Colin GOLDSCHMIDTDr Frances HANLYDr Richard HASKELL
g~bY~k\-~~~ARDDr Richard JAWORSKIDr Debra JENSENDr Ken KNEALEDr Robyn LEVINGSTONDr Alan LLOYDDr Katie LOHDr Fiona MACLEANDr Ray McKINLEY
MR MARKO KRSMANOVICD.O.B. (Age) : 20-04-1989 (19)15 VALLINGBY AVEHEBERSHAM NSW 2770
PATIENT
Dr EricaAHNDr Tina BAILLIEDr Karl BAUMGARTDr Elizabeth BERNALDr Jonathan BLACKWELLDr David BLAXLANDDr Fiona BONARDr Ivan BURCHmDr Inny BUSMANISDr Grahame CALDWELLDr Ian CHAMBERSDr Warick DELPRADODr Joanna DINGDr Stephen FAIRYDr Annabelle FARNSWORTH
DOUGLASSHANLY MOIRPATHOLOGY
"We lake it personally"
14 Giffnock Avenue, Macquarie Park, NSW, AUSTRALIA 2113
All hours: 98 555 222 Pathologists: 98 555 150
Toll Free: 1800 222 365 Results: 98555 100
" DOCTOR FPSIFPS/STV/FPSDR MICHAEL ELSTEIN E232ETERNAL HEALTH MED CTRSHOP 60130 LEVEL 6WESTFIELD SHOPPING TOWNBONDI JUNCTION 2022
NO HISTORY
IODINE,URINERequested:
ClinicalNotes:
Date of Service:Date Printed:
11-07-0817-07-08
14:30 IDNo.:
Your Reference:
62934991 Sex:Page:
M1
Iodine Random Urine
URINARY IODINE 128 ug/L
MedianurinaryiodineugllL50-9920-49
<20
Typicalgoiter
prevalence10-30%20-50%30-100%
Cretinismo+++
++++
Clinical FeaturesHypo-
thyroidismoGoiter
++++++
: 0, absent; +, ++, +++. present with +++ being the most severe.
* Stage* I Mild* II Moderate* III Severe.
* Iodine deficiency severity used by the International Council for the* Control of Iodine Deficiency Disorders (ICCIDD).*
Reported by ICPMR, Westmead
-'
## FINAL COpy FOR FILING ##KRSMANOVIC, MARKO: 11-07-08 10DINE.URINE
All results have been reported.Thank you for referring this patient.
Dr SIeve MORANDr Anita MUWONODr Helen OGLEDr Simon PALFREEMANDr Miriam PAULDr Paul RICHMONDDr Elizabeth SINCU>.iRDr Vera STOERMERDr Andrew TANDr Nick TAYLORDr Jeanne TOMLINSONOr Cale TREBECKDr Mark WILSHEROr Tina YEN
71/XDTB/25298/370521
ur Leo t't:J"\II"Dr William FELBELDr Colin GOLDSCHMIDTDr Frances HANLYDr Richard HASKELL
g~bYgk~~6WARDDr Richard JAWORSKIDr Debra JENSENDr Ken KNEALEDr Robyn LEVINGSTONDr Alan LLOYDDr KatieLOHDr Fiona MACLEANOr Ray McKINLEY
MR MARK KRSMANOVICD.O.B. (Age): 20-04-1989 (19)15 VALLINGBY AVEHEBERSHAM NSW 2770
PATIENT
Or EricaAHNDr Tina BAILLIEDr Karl BAUMGARTDr Elizabeth BERNALDr Jonathan BU>.CKWELLOr David BLPJ(U>.NDDr Fiona BONARDr Ivan BURCHETTDr Inny' BUSMANISDr Grahame CALDWELLDr Ian CHAMBERSDr Warick DELPRADODr Joanna DINGDr Stephen FAIRYDr Annabelle FARNSWORTH
E232$FPS/FPS/STV IFPS
DR MICHAEL ELSTEINETERNAL HEALTH MED CTRSHOP 6013D LEVEL 6WESTFIELD SHOPPING TOWNBONDI JUNCTION 2022
DOCTOR
DOUGLA~~HANLY MOIRPATHOLOGY
"We take it personally"
14 Giffnock Avenue, Macquarie Park, NSW, AUSTRALIA2113
All hours: 98 555 222 Pathologists; 98 555 150Toll Free: 1800 222 365 Results: 98555 100
Requested: FAI,TESTOSTEAONE & SHBG;ACF;VITAMIN B12;FE STUDIES [DNA AB· Report to follow]
NO HISTORY
Folate Red Cell{ 776 - 1784
ClinicalNotes;
Date of Service;Date Printed:
11-07-0814-07-08
14:30
1482 nmollL
10 No.;
Your Reference:
62934975 Sex:Page;
M1
Folate measured by Roche method.
Further report to follow.Thank you for referring this patient.
KRSMANOVIC, MARK: 11-07-08 RCF
..,7
~ PHONE] APPT: J NOTES 14222/0103 02/08
M1
Dr Steve MORANDr Anita MUWONODr Helen OGLEDr Simon PALFREEMANDr Miriam PAULDr Paul RICHMONDDr Elizabeth SINCLAIRDr Vera STOERMERDr Andrew TANDr Nick TAYLORDr Jeanne TOMLINSONDr Cale TREBECKDr Mark WILSHERDr Tina YEN
Sex:Page:
Dr Leo ..tAIl'Dr William FELBELDr Colin GOLDSCHMIDTDr Frances HANLYDr Richard HASKELL
g~\:K~k~~~$ARDDr Richard JAWORSKIDr Debra JENSENDr Ken KNEALEDr Robyn LEVINGSTONDr Alan LLOYDDr Katie LOHDr Fiona MACLEANDr Ray McKINLEY
10 No.: 98159716Your Reference:
PATIENTMR MARKO KRSMANOVICD.O.B. (Age) : 20-04-1989 (19) PH: 9835040015 VALLINGBY AVEHEBERSHAM NSW 2770
Dr Erica AHNDr Tina BAILLIEDr Karl BAUMGARTDr Elizabeth BERNALDr Jonathan BLACKWELLDr David BLAXLANDDr Fiona BONARDr Ivan BURCHETIDr Inny BUSMANISDr Grahame CALDWELLDr Ian CHAMBERSDr Warick DELPRADODr Joanna DINGDr Stephen FAIRYDr Annabelle FARNSWORTH
14:45
563/XDTEJ25732/241
ZINC,24HR URINE;CA,URINE 24HR;CATECHOLAMINE BILLING HEADER;CATS,URINE;DOPAMINE,24HR URINE;K,URINE
;MG,URINE;NA,URINE;CORTISOL,URINE 24HR [ADH,PLASMA - Report to follow]
NO HISTORY
Date of Service: 18-07-08Date Printed: 24-07-08
DOCTOR FPSIFPSISTVIFPS
DR MICHAEL ELSTEIN E2325ETERNAL HEALTH MED CTRSHOP 60130 LEVEL 6WESTFIELD SHOPPING TOWNBONDI JUNCTION 2022
ClinicaiNotes:
Requested:
DOUGLASSHANLY MOIRPATHOLOGY
"We take it personally"
14 Giffnock Avenue, Macquarie Park, NSW, AUSTRALIA2113
All hours: 98 555 222 Pathologists: 98 555 150
Toll Free: 1800 222 365 Results: 98 555 100
Zinc, Urine
Clinical Notes: NO HISTORY
24 Hour Urine Metals
Date commencedDate completedUrine Volume (L)U-CreatinineU-Creatinine ExcretU-Zinc Excr.Comments on Lab Id: 571526082
16/07/200817/07/2008
H 3.77 L2.6 mmol/L9.8 mmol/d
L 2.3 umol/d
0.5 - 2.0
7.0-17.0)8.0 - 18.0 )
Specimen was collected over a 37.5 hour period.
Result has been calculated to give 24 hour value.
PM
Reported by Sullivan and Nicolaides Pathology,a member of the Sonic Healthcare Group.
Further report to follow.Thank you for referring this patient.
KRSMANOVIC, MARKO: 18-07-08 ZINC,24HR URINE
'Ii'·' M~( ~rYT .1'. '} 2 P
~ PHONE J APPT: ]--NO-T-Es-J
422210103 02/08
Dr sfeve MORANDr Anita MULJONODr Helen OGLEDr Simon PALFREEMANDr Miriam PAULDr Paul RICHMONDDr Elizabeth SINCLAIRDr Vera STOERMERDr Andrew TANDr Nick TAYLORDr Jeanne TOMLINSONDr Cate TREBECKDr Mark WILSHERDr Tina YEN
706fXDTEf25765f1550f
PH: 98350400
ur Leo rt::J-\lI~Dr William FELBELDr Colin GOLDSCHMIDTDr Frances HANLYDr Richard HASKELL
8i \f,~kf~~$ARDDr Richard JAWORSKIDr Debra JENSENDr Ken KNEALEDr Robyn LEVINGSTONDr Alan LLOYDDr KatieLOHDr Fiona MACLEANDr Ray McKINLEY
PATIENTMR MARKO KRSMANOVICD.O.B. (Age) : 20-04-1989 (19)15 VALLINGBY AVEHEBERSHAM NSW 2770
Dr EricaAHNDr Tina BAILLIEDr Karl BAUMGARTDr Elizabeth BERNALDr Jonathan BLACKWELLDr David BLAXLANDDr Fiona BONARDr Ivan BURCHETTDr Inny BUSMANISDr Grahame CALDWELLDr Ian CHAMBERSDr Warick DELPRADODr Joanna DINGDr Stephen FAIRYDr Annabelle FARNSWORTH
E2325FPS/FPS/STV/FPS
DR MICHAEL ELSTEINETERNAL HEALTH MED CTRSHOP 60130 LEVEL 6WESTFIELD SHOPPING TOWNBONDI JUNCTION 2022
DOCTOR
DOUGLA~~HANLY MOIRPATHOLOGY
"We take it personally"
14 Giffnock Avenue, Macquarie Park, NSW, AUSTRALIA2113
All hours: 98 555 222 Pathologists: 98 555 150Toll Free: 1800 222 365 Results: 98 555 100
Sex: MPage: 110 No.: 98159716
Your Reference:14:45
CA,URINE 24HR;CATECHOLAMINE BILLING HEADER;K,URINE;MG,URINE;NA,URINE;CORTISOL,URINE 24HR[ADH,PLASMA(TF);ZINC,24HR URINE;CATS,URINE;DOPAMINE,24HR URINE - Reports to follow]
NO HISTORY
Date of Service: 18-07-08Date Printed: 22-07-08
ClinicalNotes:
Requested:
URINARY FREE CORTISOL
Total Urine VolumeUrinary Free Cortisol
3810377
mU24hrsnmol/24hrs ( 70 - 430
Further reoort to follow.Thank vou for referrina this oatient.
KRSMANOVIC, MARKO: 18-07-08 CORTISOL,URINE 24HR4222/D103 02/08