radiancy: (☆ faux fur coats are totally in.)
Hikari Hoshi ([personal profile] radiancy) wrote2011-07-15 09:39 am
Entry tags:

[OOC/IC] -- Patient History Form.

PATIENT MEDICAL HISTORY
Name: Hikari Hoshi. Age: 16 years Sex: Female. Height: 170 cm (5'7'') Weight: 75 kg (165 pounds)
[X] Magical by nature/practices magic. Beyblader and Kamen Rider. [ ] Can't have magic used on. [ ] Contagious (see notes).
HUMAN
Average Lifespan: ~80-85 years Rate of Maturity: Mentally around 23/24. Physically sixteen. Average age of Puberty: 11.

Normal Diet: Standard human dietary needs. See full documentation [here]. Has a faster than normal metabolism and will need to consume more food to keep metabolic rate up.

Common Ailments: Colds, fevers, see file on [Common Human Illnesses]

Specific Notes: Patient has titanium plates, rods, and screws in right arm. Must be in warm environment to keep the limb from irritation. Currently has ~70% of original range of motion. Pain tolerance is very high. Patient is also a Kamen Rider and claims that her powers grant her increased strength and acceleration.
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: No known allergies to medication, food, or fauna at this time.

Are there any potential complications with healing processes we should be aware of when treating you?: Rider powers may interfere only when patient strains self while using them. See patient supplied Rider powers [here].

Do you have a healing factor different from the average for your species? If so, explain how here: Not necessarily, Rider suit allows for extra durability.

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

Special notes on care: Needs to keep arm mobile and active, as well as be kept in a room temperature or higher environment to be able to fully use right arm.

Record of Past Injuries: Major fracture to arm, has sought out reconstructive surgery to repair the fracture. Severe scarring remains. All other scars have been acquired from earlier on in life.

Ship Health Records: Fractured wrist, mild burns and exhaustion.
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: Follows human sexual health standards. No known issues at present.
Reproductive Health (skip if N/A)
Date of Last Menses/Estrus/Equiv (skip if n/a): On ship.
Number of pregnancies: 0.
Number of pregnancies carried to term: 0.
Age of first birth/hatching/etc. (if applicable): N/A.
Total number of births/hatching/etc.: 0.
DRUGS AND MEDICATION
Are you or should you be on any prescribed medication? If so, list below: Yes -- 400 mg of NSAIDs three times a day.

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:
N/A.

Do you currently take any recreational or non-prescribed drugs or substances? Is so, please list them and their frequency of use below:
N/A.

Post a comment in response:

This account has disabled anonymous posting.
If you don't have an account you can create one now.
HTML doesn't work in the subject.
More info about formatting