tchill

Six weeks ago, a 55 year-old white male had surgery for cervical spondylolysis. Since discharge from the hospital, he has started feeling intermittently lightheaded. Who should he see? He describes multiple episodes of lightheadedness since his hospital discharge. These have occurred with standing, and improved with bending forward. Separately, he has had three episodes of chest pain and paliptations. The chest pains have occurred while sitting, lasted about five minutes, and improved slightly with combivent. During hospitalization, the patient experienced several complications. These included, successively, cervical myelopathy, ulcerative esophagitis, and urinary retention. He received, respectively, prednisone, omeprazole, and tamsulosin. During his final week in-hospital, he received mirtazepine for depression. Discharge medications included those mentioned, oxycodone, cyclobenzaprine, iron and stool softeners. He had underlying COPD before admission, and during his hospitalizati