Juan Mitchell
 
 
 A&Y REHABILITATION MEDICAL CENTER, CORP. 
 8326 SW 8TH STREET MIAMI, FLORIDA 33144 PHONE 786-899-0908 FAX 786-899-0920 EMAIL: AYREHABILITATION@GMAIL.COM 
 PREOPERATIVE MEDICAL EVALUATION 
 AND CLEARANCE FOR SURGERY 
 Date of Examination November 14, 2017 
 Must be completed 
 3 Days 
 7 Days (Major Surgery) Before Surgery 
 Patient Name Juan Mitchell 
 Age 26 
 Sex 
 M 
 Date of Surgery March 09, 2018 
 Location of Surgery (If Known) 
 Surgeon Dr. Jaeobson 
 Proposed Surgery Date 
 Type of Surgery Lumbar discectomy 
 Medical Problems 
 None 
 1. 
 BPH 
 2. 
 Panic Disorder. 
 Smoker 
 YES 
 NO 
 Alcohol 
 YES 
 NO 
 Medications: Finasleide 1mg QD, Paroxetine 20mg Q TamsulosiNormpaD 
 Allergies 
 NONE NKA 
 Prior 
 Surgeries NONE Appendectomy cervical /Lumbas disnectomy 
 Previous Surgery Complications 
 NONE 
 History of Excessive Bleeding 
 NONE 
 PRESENT 
 FAMILY 
 PHYSICAL EXAM: 
 BP 132/90 HR 86 Ht 5'11 Wt 182 
 Extremities NO Edema, clubbing OR cyanosis 
 Neuro/Mental Status Alert, oriented, normal gait, motor stranght, S/S bilaterally 
 Other Findings
