AF.33. Manikanta Thota - Thomas Sheffield

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Dr Jeffery Taylor Community Cardiologist

21 January 2020

Re:Mr Thomas Sheffield,aged 73

Dear Dr Taylor

This is to update the health status of Mr Thomas Sheffield,who has been recuperating after Permanent Pacemaker Placement secondary to complete heart block. He requires ongoing care and management and is being discharged back to your care today.

On 21 January 2020,Mr Sheffield was admitted after syncopal attack while playing golf. On examination, electrocardiogram and inducement of medicine revealed diagnosis. Consequently, his heart rate showed 30-40 beats per minute. Therefore, he underwent aforementioned procedure. Post-operatively,ibuprofen 800mg thrice per day as needed prescribed for pain. Daily dressing was performed. He has been advised to use arm sling and avoid lifting less than 10 pounds if weight for three days and two weeks respectively. Currently, he is able to walk without support. Despite, minimal pain, he has been advised to discharge on non-narcotic pain medication.

Mr Sheffield has had

myocardial infarction since 2015. Additionally, he has a history of hypertension and dyslipidemia. Therefore, he is on medication.

Up on discharge, kindly monitor Mr Sheffield pain level. He has been advised physiotherapy after three weeks. Education has been recommended regarding details of remote monitoring of pacemaker and discharge medication prescription. Please provide cardiology nurse before discharge and follow-up with cardiologist in 7-10 days to inspect the pacemaker site.

In case you require any additional information please do not hesitate to contact me.

Yours sincerely

Discharge Nurse

Cardiac unit

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