tokens: Admission Date : 2016-08-08 Discharge Date : 2016-08-15 Date of Birth : 1978-08-02 Sex : F Service: PROCEDURE : Cadaveric pancreas transplantation . HISTORY OF PRESENT ILLNESS : The patient is a 37 year old lady with type 1 diabetes mellitus , who is four months postcadaveric kidney transplantation and now has good graft function . She presents for cadaveric pancreas transplantation . Her diabetes mellitus has been complicated by retinopathy and nephropathy as well as peripheral neuropathy . She takes 14 units of NPH insulin twice a day supplementing with a sliding scale . PHYSICAL EXAMINATION : On examination , she is in no apparent distress and is alert and oriented . Her chest and cardiovascular examinations are unremarkable . She is afebrile with stable vital signs . Her abdomen is soft and nontender with a well healed left lower quadrant incision from her kidney transplantation . She has good femoral pulses bilaterally . HOSPITAL COURSE : She underwent cadaveric pancreas transplantation without complication . She received induction therapy with thymoglobulin intraoperative and postoperatively for five days . She was kept on a similar immunosuppressive regimen as with her kidney transplant . She had excellent pancreas graft function immediately . Her renal function also remained stable in the perioperative period . She was quickly placed on a diet and advanced to regular diet . She was discharged home in stable condition on postoperative day six . CONDITION ON DISCHARGE : Stable . DISCHARGE INSTRUCTIONS : She will begin weekly follow-up in the Transplant Center . She is to not lift anything greater than ten pounds for six weeks . She is to continue monitoring her blood sugar twice a day . She has undergone full teaching in regards to immunosuppressant medications . In addition , she will take Valganciclovir for three months posttransplant . DISCHARGE DIAGNOSES : 1. Status post cadaveric pancreas transplant . 2. Type 1 diabetes mellitus . 3. End stage renal disease , status post kidney transplantation . Dictated By : Jon O Shappy , M.D. MEDQUIST36 D : 2016-11-10 18:28 T : 2016-11-12 11:51 JOB # : 63429 Signed electronically by : DR. Jacob Butler on : WED 2016-11-16 7:45 AM ( End of Report )