AuthorHannah MorrisonAnderson HealthcareAuthoredJune 12th, 2024 10:08amI have reviewed Dr. Arshad’s office note, colonoscopy report and pathology prior to today’s visit. I discussed the pathology finding with the patient. I have recommended proceeding with HAL right colectomy under general anesthesia as an AM admit. Procedure risks, benefits, and expected outcomes were discussed in detail. Explained this is a hand assisted technique. Discussed the usual length of operation time, need for bowel prep with antibiotics, usual placement of incision and trocars, typical 6-8 week recovery, as well as the length of time spent in the hospital. Potential complications were also discussed in detail which includes conversion to open surgery, bleeding, infection, anastomotic leak, and return to surgery. All questions were answered. Patient would like to proceed. Follow-up 2 weeks postoperatively.AuthorSheena EslingerAnderson HealthcareAuthoredMay 31st, 2024 12:52pm1) Personal Hx of colon cancer/ SBO/ ileum ulcer/chronic constipation/weight loss/appetite loss: Patient had an outpatient CT at St. Anthony’s which showed SBO and patient then presented to Anderson ER 5/07/2024 at which time he was seen by surgery ( Dr. Chung) and NG decompression recommended and there was no indication for surgery at that time. S/P partial sigmoid bowel resection for adenocarcinoma in the sigmoid colon on 12/29/2021, patient completed chemotherapy but did not require radiation. Colonoscopy performed by Dr. Rodriguez 05/29/2024 which revealed a ulcer at the ileum. Unfortunately, bx were consistent with moderately differentiated adenocarcinoma. patient has been taking Dulcolax daily to avoid any slowing of his bowels. Following his hospitalization beginning of May he was doing well until about 12 days ago when he started to experience abdominal cramping and nausea. At that time he may dietary adjustments and switch to more of a liquid based diet that has been slowly advancing his diet and yesterday was able to tolerate solid foods. Today in the office he denied any GI complaints other than appetite loss and weight loss. Patient advised to contact his oncologist Dr. Arshad to discuss his treatment/surgical options He will continue to adjust his diet based on symptoms and ok to continue laxatives at this time as he feels he is dependent on them Patient advised to avoid hard to digest foods such as meats recommended supplemental nutrition such as boost or Ensure to help increase caloric intake 2) IDA: Labs earlier this month showed Hgb 12, Hct 36, MCV 81, platelets 240, iron 35, TIBC 451, iron sat 8% and ferritin 5. patient denies any signs of active GI bleeding at this time. Patient to follow up with Hematology/Oncology for management The patient will follow up in the office on an as-needed basis. This report may have been done utilizing a voice recognition system. Attempts have been made to correct errors. However, there may be uncorrected grammatical, spelling, and recognition errors present.Future Tests Future scheduled test information is unavailable

Pending Tests Pending diagnostic test information is unavailable

Future Visits Future appointment information is unavailable

Referrals to Other ProvidersReason for ReferralReferral Start DateProviderProvider Contact InformationProvider AddressPei Chang Chung , MDWork Phone: +1(618)288-36166810 State Route 162Suite 100MARYVILLE IL 62062As needed.Nanthini Suthan*** , MDWork Phone: +1(618)258-0485TWO TERMINAL DRIVESUITE 8EAST ALTON IL 62024Primary Care Physician SuthanWork Phone: +1(618)258-0485Pei Chang Chung , MDWork Phone: +1(618)288-36166810 State Route 162Suite 100MARYVILLE IL 62062Future ProceduresProcedure NameOrdered DateScheduled DateOutpatient Surgery DischargeMay 29th, 2024 11:46amMay 29th, 2024 12:00amAdmit as InpatientJuly 1st, 2024 3:35pmJuly 1st, 2024 3:35pmDischarge OrderJuly 3rd, 2024 4:36pmJuly 3rd, 2024 4:36pmUrinary Catheter, Place INTRAOPERATIVEJuly 1st, 2024 2:08pmJuly 1st, 2024 2:15pmOutpatient Surgery DischargeJanuary 17th, 2024 1:01pmJanuary 17th, 2024 1:00amOutside images CTMay 7th, 2024 10:15pmMay 7th, 2024 12:00amDischarge OrderMay 9th, 2024 9:50amMay 9th, 2024 9:50amPlacement to ObservationMay 7th, 2024 11:56pmMay 7th, 2024 11:56pmChange Status to InpatientMay 8th, 2024 9:11amMay 8th, 2024 9:11amFuture Medications Future medication information is unavailable

Patient InstructionsAntibiotic FormAnemia (AC)Anemia (AC)Hydrocodone/Acetaminophen (By mouth)Colectomy (DC)