Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Dyspnoea, Hypertension, Lung opacity, Pyrexia
Clinical narrative: Hospitalized 12/12/2021; COVID-19 positive 12/12/2021; fully vaccinated plus booster  BRIEF OVERVIEW: Primary Care Physician at Discharge: MD   Hematologist/Oncologist: Dr.  Admission Date: 12/12/2021 Discharge Date: 12/14/2021 Patient's Discharge Disposition:  Home in stable condition.   Discharge summary:   This is a 80 y.o. year old patient who was admitted on 12/12/2021 with PMH of HLD, Hx DVT, and multiple myeloma on active tx with DaraCarfilzomib who presented to Hospital with symptoms of weakness, cough, and fever.  Patient fully vaccinated including booster.  COVID testing however in the emergency department was positive.  Chest x-rays done in the emergency department on 12/12/2021 which showed minor atelectasis or opacity of the left lung base.  All other infectious workup remained negative during this admission.  Patient was started on Rocephin and azithromycin in the emergency room empirically however after negative further infectious workup in no further fevers, it was determined that antibiotics were no longer indicated.  Patient was given monoclonal antibody in the emergency department however despite requiring no supplemental oxygen, patient was admitted for further evaluation and treatment of patient's shortness of breath because after receiving monoclonal antibody, patient subsequently became severely hypertensive, short of breath and had wheezing.  Following this reaction, patient was given albuterol, dexamethasone and Benadryl for possible reaction.  Chest x-ray was repeated at that time to ensure no pulmonary edema and this was negative and stable compared to previous chest x-ray.  Patient was given remdesivir and dexamethasone in emergency department and throughout the duration of this admission (two doses of remdesivir given).  Patient continued to remain on room air and having completely recovered from suspected reaction, it was determined clinically stable to discharge home off antibiotics or steroids per my discussion with Dr.  Patient continued to eat, drink, void and ambulate on his own during this admission as per home baseline.  Patient eager to discharge home today though did have significant concerns about infecting his wife.  We did discuss safety measures and quarantine recommendations at great length.  Patient is aware that he may not present back to our office until 10 days of quarantine has elapsed but should call with questions/concerns.  We are pushing his chemotherapy out until 12/22/21. During this admission, patient was evaluated by the physical therapy team and felt that patient was stable to return home with outpatient services.  Physical therapy was consulted for outpatient care upon discharge. Prior to discharge today, patient denies new, worsening or changes in ROS at this time, including no fevers/chills/sweats, no CP/SOB/DOE, no abd pain/N/V/D, and no neuro changes.  Patient eating/drinking/voiding well and ambulating as tolerated.  Patient will plan to follow up in our office as per below.  Patient's discharge medications were discussed and new prescriptions were sent to patient's requested pharmacy prior to discharge as per generated list below.  Patient is aware to call our office should further questions or concerns arise following this discharge.