tokens: 699905656 SC 06100044 921737 1/17/1993 12:00:00 AM Discharge Summary Signed DIS Admission Date : 01/17/1993 Report Status : Signed Discharge Date : 01/21/1993 DISCHARGE DIAGNOSIS : 1. RIGHT SIDED SCIATICA PROCEDURE : Right laminectomy and discectomy by Dr. Small , Neurosurgery . HISTORY OF PRESENT ILLNESS : The patient is a 42 year old gentleman who suffered lower back pain during an accident at work in 1990 . This gradually increased until June 1992 where he had recurrent severe right sided sciatica . In September 1992 CT myelogram showed a lateral L-1 S-1 disc bulge and small L-4-4 bulge . He has had no change in pain in the last few months . PAST MEDICAL HISTORY : Negative . ALLERGIES : None . MEDICATIONS : None . PHYSICAL EXAMINATION : He was found to be healthy . His examination was completely unremarkable . He had 5 out of 5 strength diffusely , normal deep tendon reflexes and normal sensation . HOSPITAL COURSE : He was admitted , taken to the operating room where he underwent L5-S1 right hemilaminectomy and discectomy . He tolerated the procedure well , was taken to the floor in stable condition . Over the next three days he increased his activity gradually , was able to do stairs with Physical Therapy and had pain which could be controlled with oral analgesics . DISPOSITION : MEDICATIONS : He is discharged on Percocet , Colace and Motrin . Dictated By : NASA R. SMALL , M.D. IX97 Attending : VIENNIEZUTACHANT WAVE , M.D. NN08 QM838/6096 Batch : 8704 Index No. AFUFB928WZ D : 01/20/93 T : 01/22/93