tokens: Admission Date : 2012-01-07 Discharge Date : 2012-03-10 Date of Birth : Sex : M Service : Since 2012-02-26 , the patient has been stable . The Whidden Memorial Hospital hospital course has been smooth with the patient progressively improving . The patient was initially on several antibiotics included Cefepime , Vancomycin , Ciprofloxacin , Ambazone and Flagyl . The patient 's HSV antibody titer was found to be negative and the patient 's Acyclovir was not restarted . Infectious disease continued to follow and on 2012-02-29 , the patient spiked again which at that time was felt to be due to his central line and the central line was resited on the left side and the patient was started on intravenous Vancomycin . Over the following days until discharge , the patient remained afebrile and on 2012-03-09 , in fact all the patient 's antibiotics were discontinued . As for the patient 's ALL and AML , the patient was started on a new chemotherapy protocol called hyper-CVAD on 2012-03-06 . After the patient began on this protocol , his white blood cell count steadily began to climb . The patient became no longer neutropenic . The patient 's also began to climb and the percent blasts in his differential decreased significantly . The patient had no further complaints and on 2012-03-10 , his white blood cell count was 2.3 , neutrophils 50% , bands 2% , lymphocytes 5% , monocytes 40% , and blasts 1% . Platelet count was 759,000 . The patient was discharged to home with instructions to return to the hospital on Monday , 2012-03-12 , for follow-up and laboratory checks . The patient was also given instructions to be prudent and stay away from public places as well as small children . The patient was also told to continue on a neutropenic diet . The patient was also told that he would have to be admitted for several days during his next cycle of CVAD . The patient was discharged to home in good condition . MEDICATIONS ON DISCHARGE : 1. Bactrim double strength one tablet q. Monday , Wednesday and Friday . 2. Compazine 10 mg p.o. q 6hours p.r.n. nausea . 3. Anzemet 100 mg p.o. once daily p.r.n. nausea . The patient is to return to the hospital on Monday for follow-up . DR. Esparza , Gail 18-714 Dictated By : Cristobal C. Reid , M.D. MEDQUIST36 D : 2012-03-10 22:44 T : 2012-03-11 10:08 JOB #: 24313 1 1 1 OMR Signed electronically by : DR. Brenda C. Massey on : MON 2012-04-23 1:02 PM ( End of Report )