Margaret Blair

 14/08/2023 52:52am Pre-cert Team 
 67550062828
 p.7 
 Hometown Medical Center
 PEDIATRIC AND ADULT 
 PROCEDURE NOTE 
 ALLERGY 
 patient: Margaret Blair
 Account No: 67550062828
 Jose Peterson, MD 
 DOB: 03/02/1989 
 (614) 67550062828 Columbus 
 D.O.S: 22/10/2015 
 (614) 67550062828 Gahanna 
 Preoperative Diagnosis: Kidney Stones, Congestive Heart Failure. 
 Postoperative Diagnosis: Kidney Stones, Congestive Heart Failure. 
 Procedure: Left myringotomy and tube placement. 
 Attending Surgeon: Dr Charles Cox, M.D. 
 Anesthesia: Topical Phenol. 
 (524) 891-0552 Columbus 
 (652) 766-5203 Dublin 
 Indications for Procedure: The patient is a 52-year-old female who has been experiencing 
 Kidney Stones for a number of years. She is currently pregnant and has severe hearing 
 loss in her left ear. She has extensive pain and Congestive Heart Failure.
 She has been on steroids without improvement. Physical examination demonstrates a serious 
 Arrhythmia. Due to these constellation 
 of symptoms and findings, I recommended brain surgery in 2012. 
 The risks and benefits were reviewed with her. All questions were answered and plan was agreed 
 upon. 

 Procedure in Details: brain surgery in 2012
 D.O.S Dr Charles Cox, M.D., 24/01/2022 8:22 AM 
 Summer Ellison, MD 
 Roberto Stephens, MD 
 Jessica Martin, MD 
 Sherry Ramirez, MD 
 BILLING 
 (652) 67550062828
 you can now request an appointment/consultation at 
 www.ohioentandallergy.com 
 Columbus Delaware - Dublin Gahanna Shanestad Newark ~ Westerville
