SC NOVA VITA HOSPITAL S.A Sectia Chirurgie Str Liviu Rebreanu Nr 294 Tg Mures, Romania Semnatura si parafa DISCHARGE INSTRUCTIONS Morbid Obesity (BMI=35.2). Gastric Sleeve; Post-op Hemoperitonewm. Surgery Date June 9", 2015. Patient Marius I. Gradinaru is discharged on June 15", 2015 with following recommendations: 1, Avoid stannous physical activities for a month; walking is encouraged. 2. Avoid contact sports and physical traumas. 3. Avoid lifting weights more than 10 Ibs. 4, Follow a liquid diet for 1-2 weeks; you can advance to pureed diet for weeks 3-4 after surgery. You can introduce solid foods one by one after 1-st month. 5. Avoid plane trips. Rest well. You can perform light duties for at least 3 weeks, depending upon rate of recovery, Pacient will receive letter of clearance when ready to re-assume normal load of duties. 7. You can drive, but not more than 20 miles/day. 8. Treatment with Clexane (Enoxaparin) 40 mg subQ daily for 30 days, Tavanic (Levaquin) ‘500 mg po daily x5 days and Nexium 10 mg 2 caps BID for 3 weeks. Dr. BODGAN SUCIU, Date: June 22nd, 2015 Semnatura si parafa