tokens: 839999049 YC 59242403 431924 11/01/2000 12:00:00 AM Obstructive Sleep Apnea DIS Admission Date : 11/01/2000 Report Status : Discharge Date : 11/04/2000 ****** DISCHARGE ORDERS ****** BREUNCLONTSTREAUAYLES , BINTRIREE 766-50-79-4 H55 Room : 42Z-770 Service : MED DISCHARGE PATIENT ON : 11/04/00 AT 03:00 PM CONTINGENT UPON Not Applicable WILL D / C ORDER BE USED AS THE D / C SUMMARY : YES Attending : AISTAKEFLICHSKI , TAINE D. , M.D. CODE STATUS : Full code DISPOSITION : Home DISCHARGE MEDICATIONS : WELLBUTRIN ( BUPROPION HCL ) 150 MG PO BID FOLATE ( FOLIC ACID ) 1 MG PO QD ATIVAN ( LORAZEPAM ) 1 MG PO Q12H X 1 Days ATIVAN ( LORAZEPAM ) 1 MG PO QHS X 7 Days Starting on 11/5 MVI THERAPEUTIC W / MINERALS ( THERAP VITS / MINERALS ) 1 TAB PO QD Alert overridden : Override added on 11/03/00 by TWADA , STASTERL ETHESHI , M.D. POTENTIALLY SERIOUS INTERACTION : SIMVASTATIN and NIACIN , VIT. B-3 Reason for override : indicated THIAMINE ( THIAMINE HCL ) 100 MG PO QD SIMVASTATIN 40 MG PO QHS Override Notice : Override added on 11/03/00 by TWADA , STASTERL ETHESHI , M.D. on order for MVI THERAPEUTIC W / MINERALS PO ( ref # 90299469 ) POTENTIALLY SERIOUS INTERACTION : SIMVASTATIN and NIACIN , VIT. B-3 Reason for override : indicated LISINOPRIL 10 MG PO QD NICOTINE PATCH ( NICOTINE ) 21 MG/DAY TP Q24H DIET : House / NAS / Low chol / low sat. fat &lt; FDI &gt; RETURN TO WORK : Immediately FOLLOW UP APPOINTMENT ( S ) : Firmert Hospital 11/6 at 9am scheduled , Cialneinsisters Hospital And Medical Center 11/16 at 8:15pm scheduled , Dr. Condnort 12/04 at 2pm scheduled , Dr. Lila Spielbjaque 12/01 at 1:50pm scheduled , No Known Allergies ADMIT DIAGNOSIS : r / o MI PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) Obstructive Sleep Apnea OTHER DIAGNOSIS ; Conditions , Infections , Complications , affecting Treatment / Stay HTN tobacco EtOh abuse sinus bradycardia OPERATIONS AND PROCEDURES : OTHER TREATMENTS / PROCEDURES ( NOT IN O.R. ) BRIEF RESUME OF HOSPITAL COURSE : 50 yo M from Taheimpromong admitted w / CP for r / o MI . Has significant cardiac RF : FH , HTN , tobacco . Presented w / epigastric pain , SOB at work . ETT was negative for ischemia . Echo showed ef 45-50% , with mild dilatation and no significant valvular disease , and nl PAP . ACE team consulted who arranged for pt to have outpt follow up . During this hospitalization , pt was noted to have sinus bradycardia and pauses , associated with desaturations in the 70 &apos;s . CPAP at 5 was attempted , but pt did not tolerate this . He will have outpt fitting at the sleep center in Sabo . Pt also counselled re : quitting smoking , and he appears motivated to do so , as well as to cut down on his drinking . ADDITIONAL COMMENTS : 1. llame a su doctor y haga cita para verlo dentro de 1 semana . 2. llame a la clinica the Wake Valley Hospital 442/961-2446 , si tiene que cambiar la cita . DISCHARGE CONDITION : Stable TO DO / PLAN : No dictated summary ENTERED BY : LARDES , COLNKAY , M.D. ( IP09 ) 11/04/00 03:34 PM ****** END OF DISCHARGE ORDERS ******