Jul 20, 2011 20:32
PATIENT MEDICAL HISTORY
Name: Sasami Masaki Jurai
Age: 8 years (+700)
Sex: Female
Height: 48 inch
Weight: 75 lbs
[X] Magical by nature/practices magic.
[ ] Can't have magic used on.
[ ] Contagious (see notes).
JURAIAN
Average Lifespan: ~10,000 Years (Earth-related)
Rate of Maturity: ~18-20 (educated)
Average age of Puberty: ~13-15
Normal Diet: List [Here]
Common Ailments: List [Here]
Specific Notes: Usage of healing magic "Curara" via connection to crewmate Aqua. Connection to deity-like being "Tsunami" (Effect unknown due to possibly on-ship effects)
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:
Hearing: [ ] Deaf | [ ] Low | [ ] Average | [ ] High Range | [ ] Low Range | [ ] Extremely Sensitive
If necessary, further explain:
Smell: [ ] Cannot Smell | [ ] Low | [X] Average | [ ] High | [ ] Extremely Sensitive
If Extremely Sensitive, further explain:
Known Allergies: None
Are there any potential complications with healing processes we should be aware of when treating you?: None
Do you have a healing factor different from the average for your species? If so, explain how here: No
Have you recently been screened for species, sex, and age specific cancer risks?: No
Special notes on care: None
Record of Past Injuries: Killed as a young child. Resurrected by deity "Tsunami" (OOC: This is what she believes, not what actually happened)
Ship Health Records: Attacked by Mei-Xing while possessed. Assaulted by Ohm on Zokez II. Attacked by Alessa under virus influence.
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: None
Reproductive Health (skip if N/A)
Date of Last Menses/Estrus/Equiv (skip if n/a): [insert date here]
Number of pregnancies: 0
Number of pregnancies carried to term: 0
Age of first birth/hatching/etc. (if applicable):
Total number of births/hatching/etc.:
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: No
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,
ooc