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At the present time, the patient is taking Coumadin 7 mg daily.

At present, the patient is taking Coumadin (blood thinner) 7 mg daily.

The patient is currently taking 7mg of Coumadin daily.

He frequently becomes tonic or undergoes tonic-clonic movement and falls with associated loss of consciousness.

He frequently becomes tonic or undergoes tonic-clonic movement and falls with associated loss of consciousness.

They often experience stiffness or jerking movements and fall down with loss of consciousness.

FOLLOWUP: The patient to hold Coumadin through weekend.

FOLLOWUP: The patient is to hold Coumadin (used to treat blood clots) through the weekend.

FOLLOW-UP: The patient should stop taking Coumadin for the weekend.

The patient was recently admitted to Hospital with lower extremity cellulitis.

The patient was recently admitted to the Hospital with a common bacterial skin infection of both legs.

The patient was recently in the hospital for an infection in both lower legs.

PAST MEDICAL HISTORY: Hypertension, hypothyroidism, degenerative joint disease, GERD, anxiety disorder, Morton neuroma of her feet bilaterally, and distant history of migraine headaches some 30 years ago.

PAST MEDICAL HISTORY: high or raised blood pressure, underactive thyroid, chronic process of wear and tear on the joint, condition in which the stomach contents move up into the mouth and stomacha benign (non-cancerous) tumor of a nerve in her both feetand a distant history of migraine headaches some 30 years ago

Medical History: High blood pressure, underactive thyroid, joint disease, acid reflux, anxiety disorder, nerve growth in her feet, and migraines 30 years ago.

Chemistries were within normal limits.

The blood test result was within normal limits.

Her other blood tests were also normal.

Sponge, needle, and instruments counts were correct.

Sponge, needle, and instrument counts were correct.

All sponges, needles, and instruments used in the surgery were properly counted and none were left behind.

However, a 2/28/96 MRI brain scan revealed new increased signal on T2 weighted images in a gyriform pattern from the left precentral gyrus to the superior frontal gyrus.

However, a 2/28/96 MRI brain scan revealed a new increased signal on T2-type images from the left precentral gyrus to the superior frontal gyrus.

Another brain scan showed more damage on the left side of the brain, which may have been caused by inflammation.

['left_precentral_and_superior_frontal_gyruses']

Single viable intrauterine pregnancy with an estimated gestational age of 16 weeks, 5 days (+/-) 1 week, 1 day variability.

Viable intrauterine pregnancy with one baby and an estimated age of the baby of 16 weeks, 5 days (+/-) 1 week, 1 day variability.

There's one healthy baby in the womb, and it's about 16 weeks and 5 days old, give or take about a week.

The patient was transfused with 2 units of autologous blood postoperatively.

The patient had donated her blood. Then she was provided with 2 units of her blood after the surgery.

After the surgery, she received 2 units of her own blood.

CRP was reportedly "too high" to calibrate.

It was impossible to take the C-reactive protein test (which is used to find inflammation in a body) due to too high values.

A test showed that her C-reactive protein levels were high.

DESCRIPTION OF PROCEDURE: The patient was brought to the operating room, prepped and draped in lithotomy position under satisfactory general anesthesia.

DESCRIPTION OF PROCEDURE: The patient was brought to the operating room.Then she was prepared in the standard surgical fashion including the isolation of the sterile area in which a procedure is to be performed from a potentially contaminated area.She was placed in a position that involved lying on her back with her legs flexed 90 degrees at her hips. She was under satisfactory general anesthesia.

Procedure description: The patient was taken to the operating room, positioned on their back with legs raised, and given general anesthesia.

['lithotomy_position']

Then, 4-0 chromic was used to close the scrotal skin.

Then, 4-0 chromic (natural absorbable surgical suture for wound closure) was used to close the scrotal skin.

The incision on the left side of the scrotum was closed using 4-0 chromic thread.

3. Mild, scattered, patchy, chronic small vessel ischemic disease changes.

3. Mild, scattered, patchy, chronic small vessel changes related to a disease in which the brain is not getting enough blood and oxygen.

Some mild changes due to long-term damage to small blood vessels in the brain.

The urinary bladder is normal.

The urinary bladder is normal.

The bladder looks normal.

1. Upper gastrointestinal bleed.

1. Swallowing pipe, stomach, and the first part of the small intestine bleed.

Stomach bleeding.

She began q2month cycles of Cytoxan (1,575mg IV on 2/29/96).

She began every other month cycles of Cytoxan (1,575 mg intravenously on 2/29/96).

The patient started receiving medication called Cytoxan every two months.

Creatinine was 0.8, BUN was 8, anion gap was slightly decreased at 5, fasting glucose was 102.

The creatinine test to measure how well the kidneys are performing their job of filtering waste from the blood was performed. It's result was 0.8.To also measure to well the kidneys are performing, Blood Urea Nitrogen was conducted too, with a result of 8. A test that measures how much acid is in your blood showed a slightly decreased result at 5.A test that measures blood sugar after an overnight fast (not eating) showed 102.

Some other blood tests were done and they were normal, too.

She went to sleep with her symptoms on 2/19/96, and awoke with them on 2/20/96.

She went to sleep with her symptoms on 2/19/96 and awoke with them on 2/20/96.

She went to bed with these symptoms on February 19, 1996, and woke up with them on February 20, 1996.

5. To refer this patient to a pediatric dentist for assessment of the dental cavities.

5. To refer this patient to a pediatric dentist for assessment of the dental cavities.

The patient should be referred to a pediatric dentist to assess the dental cavities.

There is no hydronephrosis or hydroureter.

There is no swelling or enlargement related to a condition when urine doesn't drain properly, of kidneys and the tubes that connect the kidney to the bladder.

Your kidney and urinary tubes don't have any extra swelling or water buildup.

There are no abnormal paraspinal masses.

There are no abnormal masses adjacent to the spinal column.

No strange lumps in the back muscles.

24 hours later, the Foley catheter was removed and a bladder scan demonstrated 60 cc of residual urine after approximately eight hours.

24 hours later, the catheter was removed and a bladder scan demonstrated 60 cc of residual urine after approximately eight hours.

A day later, the Foley catheter was removed, and a test showed that there was still about 60 cc of urine left in the bladder after about eight hours.

Degenerative changes are present in the lumbar spine.

Wearing down of spinal disks in the lower back region is present.

Your lower back spine shows signs of wear and tear.

INTERPRETATION: There are no abnormal/unexpected foci of contrast enhancement.

INTERPRETATION: There are no abnormal/unexpected cells that are notably different from the surrounding cells after contrast enhancement.

Interpretation: No abnormal areas that show increased contrast were found.

1. Gastrointestinal bleed, source undetermined, but possibly due to internal hemorrhoids.

1. Stomach and intestines bleed, source undetermined, but possibly due to internal hemorrhoids (piles).

The first one is a stomach or intestinal bleed. We're not sure where it came from, but it might be because of a problem with blood vessels inside the bottom part of the digestive system.

GENERAL EVALUATION:

GENERAL EVALUATION:

Overall health assessment.

BACK: No scoliosis, hairy patch, lipoma, or sacral dimple.

BACK: No sideways curve in the backbone, hairy patch, fatty lump, or sacral dimple.

Back: No abnormal curvature of the spine (scoliosis), hairy patches, lumps of fat (lipomas), or dimples in the lower back.

Probe was taken out.

Probe was taken out.

The probe was removed.

The tourniquet was applied about the right upper thigh.

The device to control the flow of blood (tourniquet) was applied to the right upper thigh.

A tourniquet was placed around the upper thigh to control blood flow.

['tourniquet']

Risks and benefits including recurrence, infection, and problems with anesthesia were discussed at length with the family.

Risks and benefits including recurrence, infection, and problems with anesthesia were discussed at length with the family.

The doctor discussed the risks and benefits of the surgery, including the chance of the problem coming back, infection, and anesthesia-related issues, in detail with the family.

FHX: She did not know her father and was not in contact with her mother.

Family history: She did not know her father and was not in contact with her mother.

She did not know her father and was not in touch with her mother.

Urine demonstrated 4-9 red blood cells per high-powered field with 2+ bacteria.

Urine demonstrated 4-9 red blood cells per high-powered field with 2+ bacteria (tests taken to check for urinary tract infection, kidney disease, or liver disease).

The urine test showed a small amount of red blood cells and some bacteria.

LABORATORY DATA: Laboratory data from 12/30/2007 tacrolimus 3.1 and negative Epstein-Barr, CMV was not detected.

RESULTS OF LABORATORY: Results of laboratory from 30th of December 2007 are tacrolimus (used to decreases the activity of immune system for prevention of the attack of a transplanted liver by the immune system of patient) level is 3.1 and negative Epstein-Barr (type of herpes virus), CMV (an infection caused by a type of herpes virus) was not detected.

Laboratory data: From a previous test on December 30, 2007, the levels of tacrolimus were 3.1, and tests for Epstein-Barr and CMV were negative (not detected).

DISPOSITION: The patient tolerated the procedure well and was transferred to recovery in stable condition.

The destination of a patient after medical treatment: The patient tolerated the procedure well and was transferred to the recovery room in stable condition.

Outcome: The patient did well during the surgery and was moved to the recovery area in a stable condition.

PREOPERATIVE DIAGNOSIS: Right spermatocele.

DIAGNOSIS BEFORE SURGERY: Right smooth fluid-filled swelling in a coil-like structure behind the testicles that helps to store and transport sperm.

Before Surgery Diagnosis: The patient had a problem with their right sperm sac.

Mild free fluid is seen in the lower pelvis.

Mild free-flowing fluid is seen in the lower pelvis.

There is a small amount of fluid in the lower pelvis.

COMPLICATIONS: None.

COMPLICATIONS: None.

Complications: No issues or problems happened during the surgery.

INDICATIONS FOR SURGERY: This is a young gentleman with soccer injury to his left ankle and an x-ray showed displaced lateral malleolus fracture with widening of the mortise now for ORIF.

REASONS FOR SURGERY: This is a young gentleman with a soccer injury to his left ankle and an x-ray showed a displaced broken lower part of the ankle with the widening of the "hinge" that connects the ankle and foot. Now the patient undergoes a surgical procedure to fix severely broken bones.

The surgery was needed because a young man injured his left ankle while playing soccer, and an X-ray showed that the bone was broken and out of place. The surgery was necessary to fix it.

The patient was given a regular diet after his colonoscopy today.

The patient was given a regular diet after his bowel examination with a tube today.

After the colonoscopy today, the patient was allowed to eat a regular diet.

Unremarkable general and neurologic exam.

He was generally OK during the exam and problems with nerves were not found.

The general and neurological examination didn't reveal anything unusual.

There is no abdominal free fluid or pathologic adenopathy.

There is no abdominal fluid or enlarged or swollen lymph nodes.

No abnormal fluid in the belly or swollen lymph nodes.

Smokes one pack of cigarettes every three days and has done so for 10 years.

Smokes one pack of cigarettes every three days and has done so for 10 years.

She smokes one pack of cigarettes every three days for 10 years.

EEG showed "minimal spike activity during hyperventilation, as well as random sharp delta activity over the left temporal area, in drowsiness and sleep.

EEG showed: "Minimal signs were found during a test during fast breathing for finding a sign of seizures. Similarly, another test during drowsiness and sleep wasn't supportive for seizures.

An EEG showed minimal spike activity when hyperventilating, as well as random sharp delta activity over the left temporal area during drowsiness and sleep.

AC: 11.2cm consistent with 17 weeks, 0 days

Abdominal circumference (AC): 11.2 cm consistent with 17 weeks, 0 days.

The baby's abdomen size (AC) is like that of a baby at 17 weeks.

3. Left atrial appendage is clean without any clot or smoke effect.

3. A pouch-like structure in the left chamber that receives blood into the heart is clean without any clot or smoke effect.

The left atrial appendage (a part of the heart) is clean and does not have any blood clots or abnormalities.

Deep tissue was closed with 2-0 Vicryl.

Deep tissue was closed with 2-0 Vicryl (used in general soft tissue approximation and/or ligation).

The deep tissues were closed using special sutures.

Transverse incision was then made at the base of thumb.

A transverse cut was then made at the base of the thumb.

Then, a horizontal cut was made at the bottom of the thumb.

Local evaluation included an unremarkable carotid duplex scan.

Local evaluation included a negative result of scanning for narrowed neck arteries (which may increase the risk of stroke).

A test showed that her carotid artery was normal.

LABORATORY STUDIES: At the time of admission, his white blood cell count was 8200 with a normal differential, hemoglobin 13.6, hematocrit 40.6 with normal indices, and platelet count was 250,000.

LABORATORY STUDIES: At the time of admission, his white blood cell count was 8200 with a normal differential (can help to diagnose a wide range of illnesses, infections, and diseases), hemoglobin 13.6 (to check delivery of oxygen to the tissues), hematocrit 40.6 with normal indices (can help detect anemia and other blood disorders), and platelet count was 250,000 (used to monitor or diagnose conditions that cause too much bleeding or too much clotting).

Blood tests when the patient was admitted showed normal white blood cell count, hemoglobin, hematocrit, and platelet count.

EXAM: Lumbar spine CT without contrast.

MEDICAL EXAMINATION: Computed tomography scan of the lower spine and surrounding tissues. The CT scan was done without using a special substance for better organ visualization.

TEST: A special X-ray of the lower back without dye.

LUNGS: Clear to auscultation.

LUNGS: Clear according to the result of listening to the internal sounds with a stethoscope.

The lungs sound clear when listened to with a stethoscope.

3. Probable left simple renal cyst.

3. Probable left fluid-filled kidney cyst.

Maybe a fluid sac on the left kidney.

An elevator was used to expose the fracture.

A special device was used to expose the fracture.

Special tools were used to expose the fracture.

['periosteal_elevator']

Then, 0.25% Marcaine without epinephrine was used to anesthetize the scrotal skin.

Then, 0.25% Marcaine without epinephrine (used to produce numbness during the medical procedure for patients with high blood pressure or glaucoma, pregnant women, patients taking medicines that interact with epinephrine, and patients with a known sensitivity to epinephrine) was used to anesthetize the scrotal skin.

The scrotal skin was numbed using a medication called Marcaine without epinephrine.

This record also showed moderate amplitude asymmetry (left greater than right) over the frontal central and temporal areas, which is a peculiar finding."

This record also showed moderate amplitude asymmetry (left greater than right) over the frontal central and temporal areas of a brain, which is a peculiar finding."

The EEG also showed moderate asymmetry (the left side being more active than the right) in the frontal central and temporal areas, which is a peculiar finding.

['brain']

PREOPERATIVE DIAGNOSIS: Right trigger thumb.

DIAGNOSIS BEFORE SURGERY: The right thumb is stuck in a bent position as if the patient is squeezing a trigger.

PREOPERATIVE DIAGNOSIS: Right trigger thumb.

The gallbladder was then grasped via the epigastric port and removed without difficulty and sent to pathology.

The gallbladder was then grasped via the cut near the gallbladder itself removed without difficulty and sent to a follow-up study.

Taking Out the Gallbladder: The gallbladder was held using one of the tubes and taken out without problems. It was sent for testing.

BPD: 3.5cm consistent with 16 weeks, 6 days gestation

The diameter of the head, distance from the left temple area to the right one (BPD): 3.5 cm consistent with 16 weeks, 6 days pregnancy.

The baby's head size (BPD) is like that of a baby at 16 weeks and 6 days.

If this patient has not had a recent catheterization, correlate for signs and symptoms of urinary tract infection.

If this patient has not had a recent tube inserted into the body, correlate for signs and symptoms of urinary tract infection.

If the patient hasn't had a recent catheter, check for signs of a urinary tract infection.

He has a history of a trigger thumb.

He has a history of a thumb stuck in a bent position.

He has a history of a trigger thumb.

ANESTHESIA: Local anesthesia 1% Xylocaine with epinephrine.

ANESTHESIA: Local anesthesia 1% Xylocaine with epinephrine (used to numb part of the body for surgical operations or to provide pain relief).

Type of anesthesia used: Local anesthesia with numbing medication.

EXTREMITIES: 1+ lower extremity edema bilaterally.

ARMS AND LEGS: Both legs swelling up to 2 mm in size, rebounding immediately after a finger pressure.

LEGS: There's slight swelling in both legs.

HISTORY OF PRESENT ILLNESS: The patient is a 61-year-old white female status post right total knee replacement secondary to degenerative joint disease performed by Dr. A at ABCD Hospital on 08/21/2007.

HISTORY OF PRESENT ILLNESS: The patient is a 61-year-old white female after right total knee replacement because of the chronic process of wear and tear on the joint performed by Dr. A at ABCD Hospital on 08/21/2007.

Story: A 61-year-old woman had surgery on her right knee on 08/21/2007 because of joint disease.

There is a questionable vague region of low density in the left anterior mid pole region, this may indicate a tiny cyst, but it is not well seen given the lack of contrast.

There is a questionable vague region of low density in the front surface of the middle part of the left kidney, this may indicate a tiny cyst, but it is not well seen given the lack of a special substance used for better organ visualization.

There's a possible small, unclear area in the left front part of the kidney, which might be a tiny cyst, but it's hard to see without special dye.

CBC revealed microcytic anemia with hemoglobin of 8.9.

Complete blood count (blood test used to look at overall health) revealed anemia (low hemoglobin condition which leads to a lack of oxygen in the body's tissues) with hemoglobin of 8.9.

BLOOD TEST: Showed that she has a type of anemia with low hemoglobin (a part of the blood).

At the time of this dictation, the patient was ambulating minimally, however, not sufficiently to resume independent living.

At the time of this dictation, the patient was ambulating minimally, however, not sufficiently to resume independent living.

Currently, the patient can walk a little bit, but not well enough to live independently.

It was skeletonized.

It was separated from all surrounding tissues, vessels, and nerves.

It was carefully exposed.

1. Continue antibiotics.

1. Continue taking antibiotics.

Continue taking antibiotics.

The Veress needle was removed and a #10 blade trocar was inserted without difficulty.

The needle for gas inflation was removed The sharp and linear blade with the blade shield at its tip of size 10 was also inserted without difficulty.

Using a Camera: A camera was put into the tube to look inside the belly.

['blade_trocar']

The wound was irrigated with copious amounts of normal saline.

The wound was irrigated with more than a sufficient amount (without being excessive) of the normal mixture of salt and water.

The wound was rinsed with a large amount of sterile saltwater.

SOCIAL HISTORY: The patient lives with her parents in Lindsay, California, and has a good environment.

SOCIAL HISTORY: The patient lives with the parents in Lindsay, California and has a good environment.

Social background: The child lives with their parents in Lindsay, California, and has a good home environment.

The gallbladder was then grasped out at its fundus, elevated to patient's left shoulder.

The gallbladder was then grasped out at its base, and elevated to the patient's left shoulder.

Getting the Gallbladder Out: The gallbladder was carefully taken out and lifted up toward the patient's left shoulder.

There is a small hiatal hernia.

The part of the stomach slightly moved up into the chest.

There's a small hiatal hernia (a kind of stomach issue).

There are no diffusion weighted signal abnormalities.

There are no abnormalities found by a method to evaluate water mobility within the tissue.

No abnormalities were seen in the diffusion-weighted images.

No other lesions were noted.

No other lesions were noted.

No other abnormal areas were found.

A dressing was applied, and the child was awakened and taken to the recovery room in satisfactory condition.

A sterile pad was applied, and the child was awakened and taken to the recovery room in satisfactory condition.

A dressing was applied, and the child woke up and was taken to the recovery room in good condition.

The abdomen was otherwise within normal limits.

The abdomen was otherwise within normal limits.

Abdomen was Normal: Everything else in the abdomen looked normal.

The patient was taken to the GI lab and placed in the left lateral supine position.

The patient was taken to the gastrointestinal lab and placed in the left side-lying face-up position.

The patient was taken to a special room for examining the gastrointestinal tract and positioned on their left side.

['left_lateral_supine_position']

The patient was prescribed Flomax 0.4 mg daily.

The patient was prescribed Flomax 0.4 mg daily (to treat the symptoms of an enlarged prostate).

The patient was given Flomax (a medication) to help with urination.

No significant degenerative changes or destructive osseous lesions of the ankle are noted.

No significant changes that causes {<tissue deterioration or loss of its functional ability>, <wearing out>} in the ankle are noted. Also, no significant changes in bones related to abnormal growth of bone or other tissue are found in the ankle.

There are no major signs of wear and tear or harmful bone lesions in the ankle.

Examination of the bladder showed approximately a 3-cm area of erythema and recurrent papillomatosis just above and lateral to the left ureteral orifice.

Examination of the bladder showed approximately a 3 cm area of redness of the skin and recurrent presence of numerous warts just above and to the left side of the opening of the urinary bladder into the urethra.

The doctor saw an area of redness and more tumors on the left side of the bladder near where the tube that drains urine from the kidney enters the bladder.

['urological_organs']

No destructive osseous lesions are seen.

No destructive bone abnormalities are seen.

No signs of bone damage are seen.

No adenopathy.

No large or swollen lymph nodes.

No swollen glands in her neck.

The wound was then irrigated and closed.

The wound was then irrigated and closed.

The wound was cleaned with a liquid and closed.

2. No evidence for acute infarction.

2. No evidence of acute death of tissue.

No signs of recent stroke.

The skin was closed with #5-0 subcuticular Monocryl.

The skin was closed with #5-0 Monocryl within the layer of the skin.

The skin was closed with stitches placed underneath.

Additionally, she required Ativan and at one point scheduled the doses of Ativan to treat her known history of anxiety disorder.

Additionally, she required Ativan (used to treat anxiety) and at one point scheduled the doses of Ativan to treat her known history of anxiety disorder.

The patient also needed medicine for anxiety.

Findings are as mentioned below.

Findings are as mentioned below.

The findings of the test are described below.

Retroflexion view of the fundus was normal without evidence of abnormality.

Backward viewing of the bottom surface of the first part of the small intestine was normal without evidence of abnormality.

When the camera was pointed back towards the upper part of the stomach, everything looked normal without any signs of problems.

All the layers of the spermatocele were removed.

All the layers of the smooth fluid-filled swelling were removed.

Removing All Layers: They took out all the layers of the lump.

The nasal mucosa is pink and moist.

The nasal mucosa (tissue that lines the nasal cavity) is pink and moist.

The inside of the nose is pink and moist.

His typical spells were described as sudden in onset and without aura.

His typical spells were described as sudden in onset and without unusual sensation or feeling before then.

The typical episodes started suddenly without any warning signs.

There was no evidence of either inflammation or a fistulous opening.

There was no evidence of either inflammation or an abnormal connection between the end of the bowel and the {<skin near the opening of the bottom>, <anus>}.

There were no signs of inflammation or an abnormal opening.

PROCEDURE: Transesophageal echocardiogram.

MEDICAL PROCEDURE: A type of echo test that uses sound waves to create pictures of the heart. The device (probe) is placed down the throat and food tube.

PROCEDURE: The patient underwent a special heart test called a transesophageal echocardiogram.

FLUIDS: Crystalloid.

INTRAVENOUS FLUIDS: Fluid, which contains small molecules of salts and sugar to help maintain the body's fluid balance.

Fluids Given: Gave a special saltwater solution.

The patient was awakened from anesthesia and taken to the recovery room in good condition.

The patient was awakened from anesthesia and taken to the recovery room in good condition.

The patient woke up from anesthesia and was taken to a recovery room in good condition.

There is no intrarenal stone or evidence of obstruction bilaterally.

There are no stones or evidence of blockage in both kidneys.

No kidney stones or blockages in both kidneys.

The patient is advised to continue taking the following medications: Celebrex 200 mg daily, for one month, Colace 100 mg b.i.d. for one month, Protonix 40 mg b.i.d. for one month, Synthroid 137 mcg daily, Diprosone cream 0.05% cream b.i.d. to the right arm and right abdomen, oxycodone SR 20 mg p.o. q.12h. for five days, then decrease to oxycodone SR 10 mg p.o. q.12h. for five days, Percocet 5/325 mg one to two tablets q.6h. to be used p.r.n. for breakthrough pain, trazodone 50 mg p.o. at bedtime p.r.n. for two weeks, Ativan 0.25 mg b.i.d. for two weeks, and Toprol-XL 50 mg daily.

The patient is advised to continue taking the following medications: Celebrex (anti-inflammatory drug) 200 mg daily, for one month, Colace (stool softener) 100 mg two times a day for one month, Protonix (treats indigestion and heartburn by reducing acid in the stomach) 40 mg two times a day for one month, Synthroid (hormone to restore thyroid proper function) 137 micrograms daily, Diprosone cream (to treat skin problems) 0.05% cream two times a day to the right arm and right abdomen, oxycodone (an opioid pain-relief medicine to treat severe pain) with sustained release of 20 mg by mouth every 12 hours for five days, then decrease to oxycodone with sustained release of 10 mg by mouth every 12 hours for five days, Percocet (used to help relieve moderate to severe pain) -- 5 mg of oxycodone and 325 mg of acetaminophen (painkiller) one to two tablets every 6 hours to be used as needed for breakthrough pain, trazodone (antidepressant medication) 50 mg by mouth at bedtime as needed for two weeks, Ativan (used to treat anxiety) 0.25 mg two times a day for two weeks, and Toprol-XL (to lower blood pressure) 50 mg daily.

The patient was told to keep taking certain medications for a period of time.

3. If drainage persists, consider surgical drainage.

3. If fluid flow from the operative site persists, consider draining the fluid using a small plastic tube.

If the drainage continues, consider surgical drainage.

['surgical_drainage']