Medical History [Trans9]

Jul 18, 2011 01:53



PATIENT MEDICAL HISTORY

Name: Red Robin
Age: 17 years at time of pod pop
Sex: Male
Height: 167cm/5'6"
Weight: 66kg/145lbs

[ ] Magical by nature/practices magic.
[ ] Can't have magic used on.
[ ] Contagious (see notes).

HUMAN (homo sapiens)

Average Lifespan: approx. 78 years
Rate of Maturity: approx. 18 years
Average age of Puberty: approx. 13 years

Normal Diet: [Note on human diet attached]

Common Ailments: [Note on common human ailments attached]

Specific Notes: N/A

GENERAL HEALTH

All of the following sense-related questions are to be answered in comparison to an average Homo sapiens. Ask your medical provider for assistance in answering this section.

Blood Pressure: [X] Average | [ ] Low | [ ] High

Vision: [X] Fine | [ ] Near Sighted | [ ] Far Sighted | [ ] Enhanced

If Enhanced, further explain: N/A

Hearing: [ ] Deaf | [ ] Low | [X] Average | [ ] High Range | [ ] Low Range | [ ] Extremely Sensitive

If necessary, further explain: N/A

Smell: [ ] Cannot Smell | [ ] Low | [X] Average | [ ] High | [ ] Extremely Sensitive

If Extremely Sensitive, further explain: N/A

Known Allergies: N/A

Are there any potential complications with healing processes we should be aware of when treating you?: N/A

Do you have a healing factor different from the average for your species? If so, explain how here: N/A

Have you recently been screened for species, sex, and age specific cancer risks?: No.

Special notes on care: Prioritize assistance by Rory Williams and Kon-El. Cowl to be undisturbed unless necessary.

Record of Past Injuries: Complete, incomplete and comminuted bone fractures; luxation; second degree burns; ballistic trauma; contusions; lacerations; penetrating trauma; contracted Ebola Gulf-A ("The Clench") [Complete history attached]

Ship Health Records: Fractured ribs, tear in left rotator cuff, minor concussion

SEXUAL HEALTH

Have you ever been sexually active?: No.

Are you currently Sexually Active: No.

Have you recently been screened for STIs?: No.

Species specific sexually related health notes and/or issues: N/A

Reproductive Health (skip if N/A)

Date of Last Menses/Estrus/Equiv: N/A

Number of pregnancies: N/A

Number of pregnancies carried to term: N/A

Age of first birth/hatching/etc.: N/A

Total number of births/hatching/etc.: N/A

DRUGS AND MEDICATION

Are you or should you be on any prescribed medication? If so, list below: No.

Have you taken any recreational or non-prescribed drugs or substances in the past? Is so, please list them and their frequency of use below: Periodic exposure to hallucinogen known as 'fear toxin' and its antidote; exposure to adrenaline-based stimulant known as 'Aramilla'; sedatives; cure for aforementioned disease; hallucinogen similar in makeup to lysergic acid diethylamide [Complete history attached]

Do you currently take any recreational or non-prescribed drugs or substances? Is so, please list them and their frequency of use below: No.

*trans_9

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