Testosterone intake
Michael Martinez, 53yo male
Tuesday, June 22, 1971
(567) 277-3269
zmichaelmartin@yahoo.com
Current Testosterone use
A: Potential Hypogonadism.
P: Labs: Pending. (Pt requested I would like a paper copy to print and take to the lab)
Will meet with patient after return of labs.
Attached: Low T screening
| How would you rate your libido? | Good |
|---|---|
| How would you rate your Energy Level | Poor |
| How would you rate your Strength/Endurance | Poor |
| How would you rate your Enjoyment of Life | Good |
| How would you rate your Happiness Level | Excellent |
| How would you rate your Erection | Average |
| How would you rate your work performance over the last 4 weeks | Average |
| How would you rate your sports ability over the last 4 weeks | Poor |
| How often do you fall asleep after dinner? Excellent:Never; Good 1-2x/wk; Average 3-4x/wk; Poor: 5-6x/wk; Terrible:every night | Average |
| How much height have you lost? Excellent: None-0.4in; Good: 0.5-0.9in; Average: 1-1.4in; Poor: 1.5-1.9in; Terrible: 2 inches or more | Good |
Short Medical History
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