tokens: 915093496 RWH 0802338 045989 2923113 12/13/2002 12:00:00 AM Discharge Summary Signed DIS Report Status : Signed DISCHARGE SUMMARY NAME : GIENGBEENEA , NAA UNIT NUMBER : 799-54-08 ADMISSION DATE : 12/13/2002 DISCHARGE DATE : 12/14/2002 ADMITTING DIAGNOSIS : 1. Undesired fertility . 2. Undesired adiposity . HISTORY OF PRESENT ILLNESS : The patient is a 30 -year-old Gravida III , Para II who presented desiring definitive surgical sterilization . She was extensively counseled regarding other methods of birth control and desired to proceed with definitive surgical therapy . In addition , the patient desired liposuction of varying areas as well . The patient was consented for both procedures and brought to the Operating Room . PAST MEDICAL HISTORY : None . PAST SURGICAL HISTORY : Appendectomy at the age of 14 , open . PAST OBSTETRIC HISTORY : Spontaneous vaginal delivery x 2 . PAST GYN HISTORY : Regular menses , on Ortho-Tri-Cyclen . No history of sexually transmitted disease , no history of domestic violence . MEDICATIONS ON ADMISSION : 1. Ortho Tri-Cyclen . ALLERGIES : No known drug allergies . PHYSICAL EXAMINATION : Height 5 &apos; 1 &quot; , weight 138 lb. Blood pressure : 130/82 and heart rate 80 . Breasts : no masses . Lungs : clear to auscultation and percussion bilaterally . Heart : regular rate and rhythm , S1-S2 . Abdomen : soft , nontender , nondistended . Extremities : within normal . Pelvic exam revealed normal vulva , vagina normal , cervix normal , uterus anteverted , small , nontender . Adnexa : no masses or tenderness . Rectal : deferred . HOSPITAL COURSE AND TREATMENT : The patient was admitted to the Operating Room where she underwent an unremarkable laparoscopic tubal ligation . This was done with Falope rings . The estimated blood loss was minimal and the patient received 600 cc. of intravenous fluid . Of note , the patient had a negative urine pregnancy test prior to the surgery . The patient then underwent liposuction of her abdomen , inner thighs , hips , flanks , chest and arms with Dr. Chain . She did well and was admitted to the GYN Service postoperatively because the patient had persistent pain . On postoperative day #one , she was then stable with no complaints . She remained afebrile . Her Foley was removed . Her diet was advanced without difficulty and the patient was stable for discharge . The patient was to follow up in several days time with Dr. Chain of the Plastics Clinic . DISCHARGE MEDICATIONS : Motrin and Percocet as needed . PADA MARONNESSGRE CHAIN , M.D. DICTATING FOR : Electronically Signed PADA MARONNESSGRE CHAIN , M.D. 04/25/2003 09:50 _____________________________ PADA MARONNESSGRE CHAIN , M.D. TR : wwi DD : 04/17/2003 TD : 04/18/2003 8:28 A 045989 cc : PADA MARONNESSGRE CHAIN , M.D.