There are 1 0 errors in this document that you must correct. Patient ’ s Name: J . Randy Rolen Patient ID: 1 1 5 0 3 7 Date of Surgery: 1 2 / 1 0 / Admitting Physician: Leon Medina, MD , Internal Medicine Surgeon: Simon Williams, MD Pulmonary and Thoracic Services Preoperative Diagnosis: Pneumothorax, loculated, with marked respiratory distress. Postoperative Diagnosis: Pneumothorax, loculated, with marked respiratory distress. Operative Procedure: Second right chest tube insertion. Anesthesia: Lidocaine 1 % . Specimen Removed: None. Procedure done at bedside under emergent conditions. Patient was placed in the left lateral decubitus position, and the right lateral chest wall was prepped with Betadine solution and draped in the usual manner. The 1 0 th intercostal space in the posterior axillary line was anesthetized using plain 1 % lidocaine. A small nick in the skin was made, after which a Heimlich percutaneous chest tube was inserted without difficulty. This was attached appropriately to the Heimlich valve, and this was subsequently placed to suction. A previous chest tube was left in place at the 5 th intercostal space on the right in the anterior axillary line. A stat portable chest X – ray showed improvement with full inflation of the lower lobe of the right lung that previously had remained collapsed after insertion of the upper chest tube. The chest tube was sutured in place and appropriate dressing was applied. No complications observed at the time of this dictation. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Simon Williams, MD Pulmonary and Thoracic Services SW:xx D: 1 2 / 1 0 T: 1 2 / 1 0
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