Shelly Valdez

  
 2021 February 07 02:58 PM 
 TO: :16103548944 FROM 8333674944
 Page: 44 
 SIMONS, CHARLES 
 TAMPA BAY 
 C11920 DOB:1997 September 05 
 SURGERY CENTER 
 CASS 
 Kimberly Santos MD 
 SELFPAY 
 Perception of Care - Post-Op Telephone Call / Follow-up Information 
 PATIENT PHONE # xxxxxx 
 Caregiver: Sherry 
 Date of Service: 2021 February 28
 Procedure: Leftc34 laminotomy 
 + Bilat Cervical & Lumber 
 
 laser ablations 
 Comments/Narratives 
 1. Nausea/Vomiting 
 2. Fever >100掳 
 3. Swelling/Numbness/Tingling/Redness 
 4. Difficulty walking/resuming activities 
 5. Drainage from incision 
 If yes, narrative 
 6. Any catheters or drains? 
 Type 
 7. Pain level 
 (Circle One) No Pain=0 123456789 10=extreme pain 
 8. Postoperative complications? 
 Yes 
 No 
 N/A Reported to: 
 Comments: 
 Spoke with 
 No Answer 
 Date: 2021 February 07 Initials: a 
 Left Voicemail Message 
 Other 
 Patient Satisfaction Questionnaire completed 

