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tions, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. BEAUDOUIN, ROBERT MD 7-24-2019 Coun
rs /re NYM-NEW YORK MCC 1 EFTA00049727 BP-A0618 JUN 16 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) FEDERAL BUREAU OF PRISONS ;04 2 1 2 3 4 5 6 7 6 0 10 11 1213 t4 15 18; E-2 32 31 30 20 28 27 2625 2423 22 21 20 10 18 ccifil 4f1"111. Occlusion: OralHygiene: Goo
78 Hemoglobin 4.5.6 13.6-17.6 g/dL Hematocrit 47.8 40.2-51.4 MCV 88.2 82.5.96.5 fL MCH 28.8 27.1-34.9 P9 MCHC 32.6 33.0-37.0 g/dL RDW-CV 12.8 12.0-14.0 Platelet 338 130-374 K/uL FLAG LEGEND L=Low LI.=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 1
ions, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. NYM-NEW YORK MCC EFTA00110436 BP-A
/uL Hemoglobin 15.6 13.6-17.6 g/dL Hematocrit 47.8 40.2-51.4 MCV 88.2 82.5-96.5 n_ MCH 28.8 27.1-34.9 Pg MCHC 32.6 33.0-37.0 g/dL RDW-CV 12.8 12.0-14.0 Platelet 338 130-374 K/uL FLAG LEGEND L=Low L!=Low Critical H=High H!=High Critical A=Abnormal Al =Abnormal Critical Page 1 o
ions, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed w irections. MD 7-24-2019 Counseled b' Dale NYM--NEW YO
/uL Hemoglobin 15.6 13.6-17.6 g/dL Hematocrit 47.8 40.2-51.4 MCV 88.2 82.5-96.5 n_ MCH 28.8 27.1-34.9 P9 MCHC 32.6 33.0-37.0 g/dL RDW-CV 12.8 12.0-14.0 Platelet 338 130-374 K/uL FLAG LEGEND L=Low L!=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 1 o
tions, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental con 'don, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. BEAUDOUI , ROBERT MD 7-24-2019 Coun
emoglobin 15.6 13.6-17.6 g/dL Hematocrit 47.8 40.2-51.4 ok MCV 88.2 82.5-96.5 IL MCH 28.8 27.1-34.9 PO MCHC L 32.6 33.0-37.0 g/dL RDW-CV 12.8 12.0-14.0 ok Platelet 338 130-374 KJul FLAG LEGEND La-Low LI=Low Critical H=High HI=HIgh Critical A=Abnormal Al =Abnormal Critical Page
s, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental condition, and { release the Bureau of Prisons and Its employees from any and all liability for respecting and following my expressed wishes and directions . . b)(6); (b)(7)(C) r )(6); (b)(7)(C
Therefore the LDL is not calculated. HDL Cholesterol L 31 40-60 mg/dl Chol/HDL Ratio WBC NRBC¾ RSC Hemoglobin Hematocrit MCV MCH MCHC RDW-CV Platelet FLAG LEGEND H L 6.9 HEMATOLOGY 7.6 0.0 5.42 15.6 47.8 88.2 28.8 32.6 12.8 338 0.0-4.0 4.3-11.1 4.46-5.78 13.6-17.6 40.2
ns, listed above1 and still_ refuse recommended treatment. I" hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and 'an llablllty for respecting and following my expressed wishes and directions. I · b)(6); (b)(7XC) /'] I -----
Therefore the LDL is not calculated. HDL Cholesterol L 31 40-60 mg/dl Chol/HDL Ratio WBC NRBC¾ RSC Hemoglobin Hematocrit MCV MCH MCHC RDW-CV Platelet FLAG LEGEND H L 6.9 HEMATOLOGY 7.6 0.0 5.42 15.6 47.8 88.2 28.8 32.6 12.8 338 0.0-4.0 4.3-11.1 4.46-5.78 13.6-17.6 40.2
tions, listed above, and still refuse recommended treatment l hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expresso• • -rectlons. Counseled by 7-24-2019 Date Siffiature of W
g/dL mg/dL mg/dL mg/dL U/L U/L U/L mg/dL g/dL g/dL g/dL mg/dL mg/dL HEMATOLOGY WBC NRBC% RBC Hemoglobin Hematocrit MCV MCH MCHC RDW-CV Platelet L 7.6 0.0 5.42 15.6 47.8 88.2 28.8 32.6 12.8 338 4.3-11.1 4.46-5.78 13.6-17.6 40.2-51.4 82.5-96.5 27.1-34.9 33.0-37.0 12
tions, listed above, and still refuse recommended treatment l hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. 7-24-2019 Counseled by Date is Sig
g/dL mg/dL mg/dL mg/dL U/L U/L U/L mg/dL g/dL g/dL g/dL mg/dL mg/dL HEMATOLOGY WBC NRBC% RBC Hemoglobin Hematocrit MCV MCH MCHC RDW-CV Platelet L 7.6 0.0 5.42 15.6 47.8 88.2 28.8 32.6 12.8 338 4.3-11.1 4.46-5.78 13.6-17.6 40.2-51.4 82.5-96.5 27.1-34.9 33.0-37.0 12
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