tokens: 143748600 SC 43243309 095342 09/30/2000 12:00:00 AM atypical chest pain DIS Admission Date : 09/30/2000 Report Status : Discharge Date : 10/01/2000 ****** DISCHARGE ORDERS ****** FALC , COLL 891-57-52-0 T37 Room : 53X-785 Service : CAR DISCHARGE PATIENT ON : 10/01/00 AT 03:30 PM CONTINGENT UPON ETT WILL D / C ORDER BE USED AS THE D / C SUMMARY : YES Attending : KOTEZUSTLEEB , LIJO LIFLE , M.D. CODE STATUS : Full code DISPOSITION : Home DISCHARGE MEDICATIONS : ALBUTEROL INHALER 2 PUFF INH QID Instructions : PLEASE USE WITH SPACER ( PLEASE INSTRUCT PATIENT ) ECASA ( ASPIRIN ENTERIC COATED ) 325 MG PO QD WELLBUTRIN ( BUPROPION HCL ) 150 MG PO BID GEMFIBROZIL 600 MG PO BID ZESTRIL ( LISINOPRIL ) 20 MG PO QD ZANTAC ( RANITIDINE HCL ) 150 MG PO BID SERZONE ( NEFAZODONE ) 300 MG PO QHS ZYPREXA ( OLANZAPINE ) 5 MG PO QHS Number of Doses Required ( approximate ) : 4 GLUCOPHAGE ( METFORMIN ) 850 MG PO TID Starting ON 10/03/00 ( 10/03 ) ACTOS 30 MG PO QD DIET : House / ADA 2100 cals / dy RETURN TO WORK : Immediately FOLLOW UP APPOINTMENT ( S ) : Dr. Rotrysbreunkorc 1-2 weeks , ALLERGY : Penicillins ADMIT DIAGNOSIS : atypical cp PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) atypical chest pain OTHER DIAGNOSIS ; Conditions , Infections , Complications , affecting Treatment / Stay dm ( diabetes mellitus ) anxiety ( anxiety ) htn ( hypertension ) gerd ( esophageal reflux ) OPERATIONS AND PROCEDURES : OTHER TREATMENTS / PROCEDURES ( NOT IN O.R. ) BRIEF RESUME OF HOSPITAL COURSE : 41 yo man with CRFs of DM Type II , high cholesterol , smoking history , family hx , HTN p / w episodes of atypical CP x 1 week , with rest and exertion . also has h / o anxiety and GERD . No assoicated Sx . Here , had T wave flattening laterally and inferiorly with pain that resolved pain free , but not clear that lead placement is the same . Had Chest CT to r / o dissection ( due to back pain ) which was neg. Ruled out for MI . Will plan on ETT . Holding Metformin until Friday due to CT with contrast . ADDITIONAL COMMENTS : smoking cessation group will contact you at home DISCHARGE CONDITION : Stable TO DO / PLAN : you will be contacted at home by the smoking cessation program No dictated summary ENTERED BY : WIERST , STO L. , M.D. ( RR86 ) 10/01/00 02:33 PM ****** END OF DISCHARGE ORDERS ******