OOC: Medical Notes for [livejournal.com profile] trans_9

Jul. 20th, 2011 08:32 pm
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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
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