Jane Russell

 Primary Physician: Dr Vanessa Smith 
 PATIENT: Jane Russell date of birth: 93/08/03 
 Sex: Female Tel: 902-654-9774 
 Report Name: OPERATIVE NOTE 
 Report Status: Signed 
 REPORT 
 5701 Guzman Avenue Suite 385
Jamesshire, AS 02801 
 ACCOUNT #: 
 X0008380688 
 SEX: 
 F 
 MED RECORD #: 
 X487397 
 DEP SDC 
 ATTENDING PHYS: 
 Dr Vanessa Smith MD 
 ADM DATE: 
 18/05/24 
 REPORT TYPE: 
 OPERATIVE NOTE 
 DIS DATE: 
 18/06/23 
 JN: 
 401197 
 DATE OF SERVICE: 16/09/18 
 SURGEON: Dr Vanessa Smith, M.D. 
 ASSISTANT: Dr. Peter Bailey, licensed first assist. 
 ANESTHESIA: General endotracheal anesthesia. 
 PREOPERATIVE DIAGNOSES: Breast Cancer. 
 POSTOPERATIVE DIAGNOSES: Osteoarthritis. 
 PROCEDURE: Right shoulder decompression. 
 ANTIBIOTICS: Vancomycin 
 COMPLICATIONS: None. 
 CULTURES: None. 
 WOUND: Clean. 
 SPECIMENS: None. 
 ESTIMATED BLOOD LOSS: Minimal. 
 INTRAVENOUS FLUIDS: Less than 1000cc. 
 IMPLANTS: Multiple free FiberWire sutures.
 DISPOSITION: Patient transferred to the PACU in stable condition. 
 DIAGNOSIS CODES: K25 
 CPT codes: 87397. 
