AFTER VISIT SUMMARY

Muhammad Intesar MRN: 6893188    3/8/2022   AMITA Health SFH 5 South 

What's Next

Instructions
Your medications have changed
START taking:
docusate sodium (COLACE) 
HYDROcodone-acetaminophen (NORCO) 
Review your updated medication list below.

Your Next Steps

Do
Pick up these medications from any pharmacy with your printed prescription
• docusate sodium
• HYDROcodone-acetaminophen

What's Next
       Schedule an appointment with Phillip H Zaret, MD as soon as 1101 Howard St
possible for a visit in 2 week(s) Ste 105
For wound re-check Evanston IL 60202
847-353-8802

Muhammad Intesar (MRN: 6893188) • Printed at 3/8/22  2:23 PM Page 1 of 8  

Medication List

Medication List
Morning Afternoon Evening Bedtime As Needed
docusate sodium 100 MG capsule
Commonly known as: COLACE
Take 1 capsule by mouth 2 (two) times daily for 30
days.
Quantity: 30 capsule
Refills: 0

HYDROcodone-acetaminophen 5-325 MG
per tablet
Commonly known as: NORCO
Take 1 tablet by mouth every 6 (six) hours as
needed for Pain.
Quantity: 15 tablet
Refills: 0

Where to pick up your medications

Pick up these medications from any pharmacy with your printed prescription
docusate sodium • HYDROcodone-acetaminophen

Pain Medication Information

 

Pain affects everyone differently. Your provider has developed a plan to manage your pain. It is very important to regularly
talk with your doctor about your pain and work together on a plan that works for you. Contact your health care provider if
your pain becomes worse or if your pain is no longer controlled with your current treatment.

Your provider may have prescribed medications as part of your plan. Your provider may have prescribed an opioid (also
called ‘narcotic pain medication’) which is a strong medication that can be used to relieve pain. Medications are just one
way to manage your pain.

What are some of the side effects of pain medications?*

Common Serious

Nausea / Vomiting Difficult Breathing

Upset Stomach Severe Rash

Headache Liver Failure

Constipation Kidney Failure

Drowsiness  

 
 
* Talk to your health care provider or pharmacist about the side effects of your prescribed medication.

Muhammad Intesar (MRN: 6893188) • Printed at 3/8/22  2:23 PM Page 2 of 8  

Pain Medication Information (continued)
Important Information About Taking Pain Medication Safely:

• Take only the amount your doctor prescribes and only as often as he or she tells you to. Talk to your doctor if you
think your pain medication is not helping enough with your pain.

• Do not drink alcohol while taking pain medications.

• Avoid driving, using dangerous machinery or other risky activities while taking opioids as they can make you feel
tired or have trouble thinking clearly.

• Never take prescription pain medication that is not prescribed to you. Do not let other people use your prescribed
pain medication.

• Make sure all of your doctors know every medication you are currently taking including non-prescription (“over-the-
counter”) medications or supplements.

• Long term use of opioids can lead to addiction. If you have a history of drug abuse, contact your physician. He or
she may recommend seeing a ‘pain specialist’ who is an expert in understanding and treating pain.

Storing Your Medications

• Store your medication away from children, pets and anyone who should not handle the medication. A locked
cabinet or lock box may be needed if you feel those around you may take or sell your medication.

• Store your medication according to the instructions provided by your pharmacist. Most medications should be kept
at room temperature (68 to 77 degrees Fahrenheit) and kept away from heat and moisture.

How to Safely Dispose of Opioids at Home

• It is important to get rid of medication when it is no longer needed or has expired to help keep the people and pets
in your home safe. Almost all medications can be thrown into your house hold trash. Follow these steps:

1. Remove the drugs from their original containers and mix them with something undesirable, such as used
coffee grounds, dirt, or cat litter. This makes the medicine less appealing to children and pets and
unrecognizable to someone who might intentionally go through the trash looking for drugs.
2. Put the mixture in something you can close (a re-sealable zipper storage bag, empty can, or other
container) to prevent the drug from leaking or spilling out.
3. Throw the container in the garbage.
4. Scratch out all your personal information on the empty medicine packaging to protect your identity and
privacy. Throw the packaging away.
 
• Some prescription drugs — such as opioids and other controlled substances — have instructions for flushing to
reduce the danger of overdose from unintentional or illegal use.

• If you have any questions about your medication or how to dispose of your medication, ask your pharmacist.

 
 

Muhammad Intesar (MRN: 6893188) • Printed at 3/8/22  2:23 PM Page 3 of 8  

Additional Information
CONTACT 911 IF YOU ARE EXPERIENCING CHEST PAIN OR SHORTNESS OF BREATH.
 
IF YOU ARE A SMOKER OR HAVE SMOKED IN THE LAST 12 MONTHS, WE ENCOURAGE YOU TO EXPLORE OPTIONS
FOR QUITTING.
 
 
SUICIDE PREVENTION INFORMATION AND HELP FOR ANYONE WITH THOUGHTS OF SUICIDE OR HARMING
THEMSELVES.
24-HOUR HOTLINE: 1-800-272-TALK (1-800-272-8255)
 

MyChart Sign-Up
Send messages to your doctor, view your test results, renew your prescriptions, schedule appointments, and more.
Go to https://mychart.presencehealth.org/mychart/, click "Sign Up Now", and enter your personal activation code:
2KVB7-K6BFC. Activation code expires 5/6/2022.

Muhammad Intesar (MRN: 6893188) • Printed at 3/8/22  2:23 PM Page 4 of 8  

Instructions
Please call the clinic to schedule an appointment with you surgeon, Dr. Zaret within 1-2 weeks.
You may take acetaminophen/ibuprofen for mild pain, norco for severe pain. You can shower 48 hours after surgery. No
scrubbing the wounds.
Your incisions are covered in sterile glue that will fall off with time.
No heavy lifting for 4-6 weeks (nothing more than 10-15 lbs). No soaking in tubs or pools for 4 weeks, until the wounds
are fully healed.
 
Appendicitis
WHAT YOU NEED TO KNOW:
What is appendicitis? Appendicitis is inflammation of your appendix. The appendix is a small pouch. It is attached to the
large intestine on the lower right side of the abdomen. The appendix may get blocked by food or by part of a bowel
movement that becomes hard. The appendix can become infected with bacteria or a virus. Appendicitis can also be caused
by a parasite or tumor. You will need immediate care to prevent a ruptured appendix. A ruptured appendix can cause
bacteria to leak into the abdomen. This can lead to a serious infection called peritonitis.

What are the signs and symptoms of appendicitis? Symptoms may start suddenly. The most common symptom is pain
that starts at the belly button and moves to the lower right side of your abdomen. The pain worsens when you touch your
abdomen, move, sneeze, cough, or take a deep breath. You may also have any of the following:

• Abdomen that feels hard

 

• Diarrhea or constipation
 

• Loss of appetite
 

Muhammad Intesar (MRN: 6893188) • Printed at 3/8/22  2:23 PM Page 5 of 8  

Instructions (continued)
• Nausea or vomiting
 

• Fever
 
How is appendicitis diagnosed? Your healthcare provider will examine you and check for pain or tenderness in your
abdomen. You may also need any of the following:

• Blood tests may show if you have an infection.

 

• A urine test may be used to check for a urinary tract infection or kidney stone.
 

• CT or ultrasound pictures of your abdomen may be used to check your appendix. You may be given contrast liquid
to help your appendix show up better in the pictures. Tell the healthcare provider if you have ever had an allergic
reaction to contrast liquid.
 
How is appendicitis treated?

• Medicines may be given to fight an infection or to manage pain. Ask your healthcare provider how to take pain
medicine safely.
 

• Drainage may be needed if you develop an abscess after a burst appendix. To drain the abscess, your healthcare
provider guides a tube through your skin and into the abscess. Infected fluid drains through the tube.
 

• An appendectomy is surgery to remove your appendix. Your appendix may be removed through small incisions in
your abdomen. If your appendix has burst, you may need an open appendectomy. A single, larger incision is made to
remove the appendix and clean out the abdomen.
 
When should I call my doctor?

• You have a fever.

 

• You have severe pain in your abdomen.

 

• You are vomiting and cannot keep food down.

 

• You have abdominal pain that does not go away, even after you take medicine.
 

Muhammad Intesar (MRN: 6893188) • Printed at 3/8/22  2:23 PM Page 6 of 8  

Instructions (continued)
• You have chills, a cough, or feel weak and achy.
 

• You have trouble having a bowel movement, or you have diarrhea.

 

• You have questions or concerns about your condition or care.

 
CARE AGREEMENT:
You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment
options with your healthcare providers to decide what care you want to receive. You always have the right to refuse
treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions
or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and
effective for you.
© Copyright IBM Corporation 2021 Information is for End User's use only and may not be sold, redistributed or otherwise
used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of
A.D.A.M., Inc. or IBM Watson Health
 
 
 
 
 
 
 
 
 
 

 
AMITA Health SFH 5 South  
355 RIDGE
EVANSTON IL 60202
Phone: 847-316-2317
 
 
To whom it may concern,
 
Mr. Muhammad Intesar was admitted to St. Francis Hospital on 3/8/2022. Mr. Intesar is cleared for discharge home and
may return to work on 3/12/2022. Mr. Intesar is cleared for light office duties, with the following restrictions:
 
• No heavy lifting (more than 10-15 pounds for 4-6 weeks)
• Time off as needed to attend his follow-up doctor's appointment
 
Please call with any questions or concerns.
 

Muhammad Intesar (MRN: 6893188) • Printed at 3/8/22  2:23 PM Page 7 of 8  

Instructions (continued)
Sincerely,
 
Jennifer Li, MD
Department of Surgery
AMITA St. Francis Hospital
 
 
 

Patient Belongings
Most Recent Value
Patient Belongings at Bedside
Belongings at Bedside None
Patient Belongings Sent Home
Belongings Sent Home None
Patient Belongings Sent to Security
Patient Home Medication
Patient's Medication stored: No

Patient Signature: _____________________________________________   Date: _________________________

Our goal is to always provide you with excellent care. We value your thoughts and feedback in order to continually
improve the patient experience. To learn more from you we have partnered with Press Ganey to call patients to complete a
patient satisfaction survey. If you are called it is our hope you will take a few minutes to share your opinions. Thank you.

Muhammad Intesar (MRN: 6893188) • Printed at 3/8/22  2:23 PM Page 8 of 8