Ray's hospital discharge summary - September 2019
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6000 Arbor Bluff Parkway
Madison, WI 53719
Arbor Bluff Medical Center (608) 555-0130
arborbluffhealth.example
Discharge Summary
Patient: Raymond C. Ostrander, date of birth 05/30/1953
Admitted: September 10, 2019. Discharged: September 13, 2019.
Attending physician: Miriam Valdivia, MD, Cardiology
Allergies recorded on admission: Penicillin (hives). Sulfa: patient not sure; "it upset my
stomach once."
Diagnosis
Heart attack without ST elevation (NSTEMI). Coronary artery disease of one vessel. Type 2
diabetes. High blood pressure.
Procedure, September 12, 2019
Left heart catheterization through the right radial artery. A 90% narrowing was found in the
middle part of the left anterior descending artery and was opened with one drug-eluting stent,
3.0 mm by 18 mm. The right coronary artery has a 30% narrowing and the circumflex 20%;
neither needs treatment. Pumping function is normal (ejection fraction 55%).
Medicines at discharge
Medicine Dose Note
Aspirin 81 mg daily for life
Clopidogrel 75 mg daily for 12 months; do not stop without asking cardiology
Atorvastatin 40 mg at bedtime new
Metoprolol succinate 25 mg daily new
Lisinopril 10 mg daily continue
Metformin 1000 mg twice daily restart 48 hours after the procedure
Instructions
No driving for one week. Do not lift more than 10 pounds for two weeks.
Cardiac rehabilitation, 36 sessions, to begin October 1, 2019.
Cardiology clinic in two weeks.
Stent card: the stent is safe for MRI at 1.5 and 3 tesla. Carry the card and show it before any
procedure.
Call 911 for chest pain that does not ease within five minutes of rest.
Results during this stay
Test Result
Troponin, highest 0.38 ng/mL (normal under 0.04)
LDL cholesterol on admission 118 mg/dL
Creatinine at discharge 0.98 mg/dL
Ejection fraction 55%
Appointments made for you
When With Where
September 26, 2019, 10:40 Dr. Valdivia Arbor Bluff Heart Center
a.m.
October 1, 2019, 8:00 a.m. Cardiac rehabilitation, first Arbor Bluff Medical Center, lower
session level
Within four weeks Dr. Raghavan Arbor Bluff Clinic West; please call to
arrange
A lipid panel is to be drawn eight weeks after discharge. Your cardiologist will write to your
primary physician with the results.
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The record values this file is made from: the ones its text names with {{record.field}}, and the fields its template reads. A value here is in the file's source; whether it is readable depends on the look.
| Value | Now |
|---|---|
| ray.date_of_birth | 1953-05-30 |
| hr-ray-2019-09-stent.date | 2019-09-12 |
The values at render time were not recorded: the file was rendered before files/rendered.json existed. Rendering it again records them.