  Liquid diet x1 week, then advance to pureed and soft as tolerated.  No heavy lifting, greater than 10 pounds x4 weeks.  The patient is instructed to not engage in any strenuous activity, but maintain mobility.  No driving for 1 to 2 weeks.  She must be able to stop in an emergency and be off narcotic pain medicine.  She may shower.  She needs to keep her wounds clean and dry.  She needs to follow up in my office in 1 week for postoperative evaluation.  She is instructed to call for any problems of shortness of breath, chest pain, calf pain, temperature greater than 101.5, any redness, swelling, or foul smelling drainage from her wounds, intractable nausea, vomiting, and abdominal pain.  She is instructed just to resume her discharge medications.