Carolyn Rollins

 
 Carolyn Rollins DOB: 14/89/12 (48 yo M) Acc No. 88012 DOS: 03/21/12 
 Carolyn Rollins 
 48 Y old Male, DOB: 14/89/12 
 208 N SILVER MAPLE DR, SLIDELL, LA-70458-5483 
 LA Health Solutions 
 Home: 504-446-8765 
 Surgeon: Ronald C. Segura, M.D. 
 03/21/12 
 Ronald C. Segura, M.D. 
 OPERATIVE REPORT 
 Pre-op. Diagnosis: 
 1.CERVICAL FACET SYNDROME 
 Post-op. Diagnosis: 
 1.THE SAME 
 Operation: 
 1.CERVICAL INTRA-ARTICULAR FACET JOINT INJECTION: RIGHT C5/6, C6/7, & C7/T1 LEVELS 
 Anesthesia: 
 Local 1% Lidocaine & Sodium Bicarbonate 4.2% 
 Indications: 
 Details of Procedure: 
 This procedure was performed at LA Health Solutions in Metairie, Louisiana. The patient was seen and examined in the preoperative 
 area where informed consent was obtained explaining the risks, benefits, and alternative treatments to the patient. Operative site was 
 marked using a skin marker.
 The same exact steps of the procedure were repeated in detail for the Right C6/7 & C7/T1 facet joints. 
 There were no apparent complications. The patient tolerated the procedure well. Band aides were placed over the skin entry sites. The 
 patient was transferred to the recovery area and monitored for approximately 10-15 minutes. The patient was discharged to home in 
 stable condition and is to return to clinic as scheduled. 
 PAIN LEVEL PRIOR TO THE INJECTION: 7/10 
 PAIN LEVEL AFTER THE INJECTION: 0/10 
 Specimens: 
 Complications: 
 Progress Note: Ronald C. Segura, M.D. 18/21/12 
 Note generated by eClinicalWorks EMR/PM Software (www.eClinicalWorks.com)
