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Jan 23, 2007 12:53

Tabula Rasa Medical History

Name: Dylan Sanders
Gender: F
Age, or approximate age of human body: 26 (27 on February 22)
Length of time on island (in months): Just over 12 months
Date and Place of Origin: July, 2000 - Los Angeles, California, Earth
Were you human before coming to TR: Yes

Living Situation

Where on the island do you live? Currently, basement room in the compound (Will soon be in the New Atlantis Settlement)
Number of roommates: 5 (Soon only 1)
Do you live with children under the age of 18: No

General Health

Do you consider yourself healthy now: Yes
What, if any, medications did you take regularly before coming to Tabula Rasa: None
Are you allergic to any medications: No
Have you experienced any new health problems since arriving? If so, please describe: No
When was your last tetanus shot? 1999
Were you vaccinated for smallpox as a child? Yes
What is your blood type, if known: O

Have you had any of the following:
Chicken pox
Malaria

If you contracted other diseases before arriving, that are not on this list, please list them, and their symptoms: N/A

To the best of your knowledge, have you ever been exposed to any of the following: N/A

Are there other health conditions that you want the clinic staff to know about? Tubal ligation, done Fall of 1997

For Those Who Can Bear Children - N/A, see above

Are you currently pregnant (if so, when are you due): No
Date of your last menstrual period if known: First week of January
List any previous pregnancies, and the approximate date(s): N/A
Do you have children, either on the island or not, if so, list their ages: No
Have you miscarried, aborted a pregnancy, or had a still birth? If so, list date(s): N/A
What birth control methods have you used in the past, and currently: Condom, the Pill, Sterlization (see above)

Family History

Do you have any blood relatives here, if yes, list names: No
Do any of the following run in your immediate family (mother, father, sisters, brothers): Unknown

Lifestyle

Do you smoke: No
Tobacco, or marijuana: N/A
If yes, how often: N/A

Do you drink alcohol? Y
If yes, how much: Socially (Read: Whenever it is available)

Do you drink caffinated beverages such as coffee or tea? Not often
If yes, how much: Apx. 1 x week

Mental Health (If you answer yes to any of these, please list symptoms, dates and treatments.)

Have you experienced a serious head injury, either on the island or before: No, although she has had a number of minor concussions
Have you been treated for depression with medication or herbs: No
Have you experienced manic episodes: Yes, typically stress-related, untreated
Have you had unexplained mood swings: No
Have you been diagnosed with serious mental illness, such as schizophrenia, multiple personality disorder, obsessive-compulsive disorder, or psychosis: No

medical history

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