Jul 15, 2011 11:19
[ooc note: Zouichi is obviously not telling the medics EVERYTHING.]
PATIENT MEDICAL HISTORY
Name: Kanoe Zouichi
Age: 1 year
Sex: male
Height: 5'10"/178 cm
Weight: 143lbs/65kg (without armor)
[ ] Magical by nature/practices magic.
[ ] Can't have magic used on.
[ ] Contagious (see notes).
SPECIES NAME HERE
Average Lifespan: Unknown (See file.)
Rate of Maturity: N/A (See file.)
Average age of Puberty: N/A
Normal Diet: Normal human diet. Nutritional needs extremely minimal; patient has stated he can survive for up to five years on small amounts of water.
Common Ailments: Blunt force trauma, burns, lacerations, puncture wounds, poisons. No naturally occurring health issues.
Specific Notes: Healing factor addresses severe injury in a matter of days. Known bacterial and virus infections, poisons, and foreign substances are quickly neutralized. Extremely high pain tolerance.
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: [ ] Average | [ ] Low | [x] High
Vision: [x] Fine | [ ] Near Sighted | [ ] Far Sighted | [x] Enhanced
If Enhanced, further explain: Patient possesses visual enhancements giving him above-human visual acuity.
Hearing: [ ] Deaf | [ ] Low | [ ] Average | [x] High Range | [x] Low Range | [x] Extremely Sensitive
If necessary, further explain: Patient can detect sounds at frequencies above and below average human hearing, claims to be capable of identifying make and model of conventional weapons fire from several kilometers away.
Smell: [ ] Cannot Smell | [ ] Low | [ ] Average | [x] High | [ ] Extremely Sensitive
If Extremely Sensitive, further explain:
Known Allergies: N/A
Are there any potential complications with healing processes we should be aware of when treating you?: See file.
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: Patient's biological systems are closely integrated with cybernetic systems. Significant divergence from human internal structure. Details [here].
Record of Past Injuries: [incredibly long and exhaustive injury list follows]
Ship Health Records: No injuries reported, minor or major.
Psychological notes:
Will correct health professional if referred to as 'human'.
May refuse medical treatment. Claims to prefer healing 'on his own'.
SEXUAL HEALTH
Date of Last Menses/Estrus/Equiv (skip if n/a):
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
DRUGS AND MEDICATION
Are you or should you be on any prescribed medication? If so, list below:
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.
medical form