Subject: Fwd: GL discharge
From: "Hagerman,Chris" <[email-masked]>
To: "Hunter Biden" <[email-masked]>
Date: Fri, 3 Apr 2015 18:34:38 +0000

Hunter,

Cheryl Martin asked me to forward this to you.

I hope you and your family have a good Easter weekend.

Chris

Chris Hagerman
Director, Patient Affairs
UT MD Anderson Cancer Center
(713) 745-4731

Begin forwarded message:

From: "Martin,Cheryl L" <[email-masked]<mailto:[email-masked]>>
Date: April 3, 2015 at 11:37:43 AM CDT
To: "Hagerman,Chris" <[email-masked]<mailto:[email-masked]>>
Subject: Fw: GL discharge

Hi
Would you mind, please, forwarding a copy of this to Hunter?
Thank you
Cm

From: Martin,Cheryl L
Sent: Friday, April 03, 2015 09:07 AM
To: Martin,Cheryl L
Subject: GL discharge

Decadron (dexamethasone) Taper Schedule   2 mg tablets                April 2015

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

 1

 2

 3
Take 4 mg
(2 tablets)
4 times a day

 4
Take 4 mg
(2 tablets)
4 times a day

 5
Take 4 mg
(2 tablets)
4 times a day

 6
Take 2 mg
(1 tablet)
4 times a day

 7
Take 2 mg
(1 tablet)
4 times a day

 8
Take 2 mg
(1 tablet)
4 times a day

 9
Take 2 mg
(1 tablet)
3 times a day

 10
Take 2 mg
(1 tablet)
3 times a day

 11
Take 2 mg
(1 tablet)
3 times a day

 12
Take 2 mg
(1 tablet)
twice a day

 13
Take 2 mg
(1 tablet)
twice a day

 14
Take 2 mg
(1 tablet)
twice a day

 15
Take 2 mg
(1 tablet)
daily

 16
Take 2 mg
(1 tablet)
daily

 17
Take 2 mg
(1 tablet)
daily

 18
Take 1 mg
(1/2 tablet)
daily

 19
Take 1 mg
(1/2 tablet)
daily

 20
Take 1 mg
(1/2 tablet)
daily

 21
stop

 22

 23

 24

 25

DISCHARGE MEDICATIONS: Called in to Rose 2 pharmacy, near elevator C
Decadron (dexamethasone), 2 mg tablets, taper as above, do not stop abruptly, take with food
Protonix (pantoprazole), 40 mg, Take 1 tablet oral once a day while taking steroids
Keppra (levetiracetam), 1000 milligram tablets, Take 1/2 tablet by mouth twice a day
Bactrim DS 1 tablet twice a day x 3 days
Regular Tylenol (Acetaminophen), Take 325 mg Oral every four hours scheduled
Tylenol #3, (Tylenol / Codeine), 300/30mg Take 1 every 4 hours as needed for moderate pain
Norco (hydrocodone/Tylenol) 5/325 take 1 tablet every 4 hours if needed for severe pain
(Maximum of 4000 mg of Tylenol a day please, so if he needs more stop the regular Tylenol)
Ambien 5 mg at bedtime if needed for sleep
Baclofen, Take 5 mg Oral daily, take only if hiccups are severe
Senna-S (sennosides-docusate sodium), 8.6-50 mg, Take 2 tablet twice a day if constipation
Adderall, Take 5 mg by mouth twice a day as needed
Namenda, 10 milligram, Take 1 tablet by mouth every morning and night
DISCHARGE INSTRUCTIONS:
1.       No heavy lifting, bending or straining
2.       Do not apply anything to the incisions (no oils, creams, lotions).
3.       May gently shampoo hair/incisions, report any drainage what so ever.
4.       Regular diet
5.       Activity as tolerated, encourage ambulation, fall precautions
6.       Follow up with Dr. Lang on 4/15/15 at 10 am, with MRI brain.
7.    See handout for signs and symptoms to monitor and report

Cheryl Martin, MS, RN, FNP-C
Nurse Practitioner to Dr. Raymond Sawaya and Dr. Frederick Lang
Department of Neurosurgery
office: 713-563-8707
pager: 713-404-4629

Come join us at “Together in Hope:  A Conference for Brain Tumor Patients & Their Families”
A Conference for Brain Tumor Patients and Their Families
<http://www.mdanderson.org/education-and-research/education-and-training/schools-and-programs/cme-conference-management/conferences/together-in-hope-2015.html>April 24-26, 2015
Crowne Plaza Houston Northwest - Houston, Texas
Conf. #X11408