Author Pei ChungAnderson HealthcareMay 9th, 2024 9:57am

Note Date/Time May 9th, 2024 9:57am

Anderson Hospital 6800 State Route 162 Maryville, IL 62062 Discharge Summary SignedPatient: Towell,Alexander R MR#: M000499848 DOB: 08/04/1975 Acct:V00003663948Age: 48 ADM Date: 05/08/24 Loc: ANH3MEDSUR 327-01 Attending Dr: Pei Chang Chung M.D.cc: Chung, Pei Chang MD; Gaudreault, Rachel N. PA-C; Suthan***, Nanthini MD~DS: Admitting DiagnosisDischarge Date5/9/2024Admitting Diagnosis Small-bowel obstructionDS: Discharge DiagnosisDischarge Diagnosis(1) Small bowel obstruction: Code(s):K56.609 - Unspecified intestinal obstruction, unspecified as to partial versus complete obstruction Status: Acute Assessment and

Plan: resolved, small-bowel series normal, tolerating diet, exam benign, follow-up 2 weeks post discharge(2) History of colon cancer: Code(s):Z85.038 - Personal history of other malignant neoplasm of large intestine Status: Acute Assessment and

Plan: status post sigmoid colectomy and adjuvant chemotherapy, doing well, follow-up with OncologyDS: SummaryHospital CourseReason for hospitalization: small-bowel obstructionHospital Course: The patient is a 48-year-old male presenting from an outside hospital with a small-bowel obstruction. CT from outside hospital was significant for small bowel obstruction with transition point in the right lower quadrant. The patient was transferred to Anderson Hospital and admitted to the surgical service. Upon evaluation, conservative management with bowel rest and NG decompression was initiated. On hospital day 1., a small bowel series was ordered with water-soluble contrast through the NG tube. The small bowel serieswas noted to be unremarkable with noted passage within 15 minutes to the colon. Given these findings, the NG tube was clamped and subsequently removed. The patient was started on a clear liquid diet. On hospital day 2. , the patient was tolerating a clear liquid diet and his abdominal exam was benign. The patient reported multiple bowel movements after the small-bowel series. His diet was then advanced to a regular diet. He was able to tolerate a regular diet without issue and will now be discharged home. He will follow up with me in 2 weeks.Status at DischargeFunctional status at discharge: independent ambulationOverall status at discharge: patient is back to baselineTime Spent with PatientTime attestation: Total time spent providing and/or coordinating discharge services:Time spent: Less than 30 minutesExamConst: General: cooperative, comfortable and no acute distress Resp: Auscultation: clear to auscultation bilaterally Cardio: Rate: regular rate Rhythm: regular rhythm GI: Inspection: normal to inspection and non-distended GI Palp: No abdominal tenderness, Yes Soft to palpation and No Tenderness to palpation present (GI) Discharge PlanDischargeAttending physician on discharge: Chung,Pei Chang Consulting providers: Gaudreault,Rachel N.Discharging Clinician: Chung,Pei Chang Anticipated Discharge Date/Time: 05/09/24 14:00Patient Disposition: Home, Self-CareActivity: as toleratedDiet: as toleratedPatient Instructions: Antibiotic FormStand Alone Forms: General Discharge InformationFollow-up/Referrals:Chung,Pei Chang, MD [Physician] - 2 WeeksDischarge Medications:Continued levothyroxine 100 mcg tablet 100 mcg PO DAILY multivit with min-folic acid [Adult Multivitamin Gummies] 200 mcg Tablet,Chewable 1 tablet PO DAILY cholecalciferol (vitamin D3) [Vitamin D3] 25 mcg (1,000 unit) Tablet 25 mcg PO DAILY Date of admission: 05/08/24 09:11Primary Care Provider: Suthan***,NanthiniAdmitting Provider: Chung,Pei ChangAttending physician on admission: Chung,Pei ChangCondition: StableThis 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.Report Initialized date/time: Chung, Pei Chang MD 05/09/24 / 0957Electronically signed by: Chung, Pei Chang MD 05/09/24 0957