Administrative Professional with Healthcare Experience
Resume:
COMER, CHELSEY MARIE Admin Sex: Female DOB: **/**/1990
Continuity of Care Document
Summarization of Episode Note 12/23/2025 to 12/23/2025 Source: Indiana Regional Medical Center
Created: 12/23/2025
Demographics
Contact Information:
702 RACCOON RD, SALTSBURG, PA 156812424, US
Tel: 724-***-**** (Mobile)
Previous Address(es):
--
Marital Status: Married
Religion: None/No Preference
Race: White
Previous Name(s):
SCHULTZ, CHELSEY MARIE
Schultz, Chelsey Marie
COMER, CHELSEY MARIE
SCHULTZ, CHELSEY MARIE
COMER, CHELSEY MARIE
SCHULTZ, CHELSEY MARIE
COMER, CHELSEY MARIE
SCHULTZ, CHELSEY MARIE
COMER, CHELSEY MARIE
SCHULTZ, CHELSEY MARIE
Date of Death: //
Ethnic Group: Not Hispanic or Latino
Language: English
ID: M00258354, 100051292, URN:CERNER:IDENTITY-FEDERATION:REALM:1031A3CD-9903-4995-BAA5-734895A3E2A2- CH:PRINCIPAL:8734B454-209A-4B53-BEE0-2485479BE4B8, 1048817 Care Team
Type Name
Represented
Organization
Address Phone
primary care
physician
Wahba,
Haney N
-- (Work): 29 Saltsburg Rd, Clarksburg, PA
15725-, US
Tel: (724)726-
0300 (Work)
Related Persons
Relationship Name Address Phone
spouse SCHULTZ, DANIEL E -- --
child SCHULTZ, OLIVIA LEE -- --
spouse SCHULTZ, DANIEL E -- --
Document Details
Source Contact Info
835 Hospital Road, Indiana, PA 15701-3629, US
Tel: 724-***-****
Author Contact Info
12/23/2025 12:30 PM
Indiana Regional Medical Center
Recipient Contact Info
--
Healthcare Professionals
No Data to Display
IDs & Code Type Data
Document Type ID: 2.16.840.1.113883.1.3 : POCD_HD000040 Document Template ID: 2.16.840.1.113883.10.20.22.1.1 : --, 2.16.840.1.113883.10.20.22.1.1 : 2015-08-01, 2.16.840.1.113883.10.20.22.1.2
: 2015-08-01
Document ID: 2.16.840.1.113883.3.7867.1.1.999362 : 73361238 Document Type Code: 2.16.840.1.113883.6.1, 34133-9 Document Language Code: en-US
Document Set ID: --
Document Version Number: --
Primary Encounter
Encounter Information
Registration Date: 12/23/2025
Discharge Date: 12/23/2025
Visit ID: --
Location Information
Indiana Regional Medical Center
(Work): 835 Hospital Road, Indiana, PA 15701-3629, US Providers
Type Name Address Phone
Admitting Hojat, Rod A (Work): 841 Hospital RoadSuite 2500, Indiana, PA 15701-, US Tel: 724-***-**** (Work) Attending Hojat, Rod A (Work): 841 Hospital RoadSuite 2500, Indiana, PA 15701-, US Tel: 724-***-**** (Work) Encounter
12/23/25 - 12/23/25
Indiana Regional Medical Center 835 Hospital Road Indiana, PA 15701-3629 US 724-***-**** Encounter Diagnosis
Abnormal uterine bleeding (AUB) (Discharge Diagnosis) - 12/23/25 Discharge Disposition: Home
Attending Physician: Hojat, Rod A MD
Admitting Physician: Hojat, Rod A MD
Encounter Type: Day Surgery
Reason for Visit
surgery
Allergies, Adverse Reactions, Alerts
No Known Medication Allergies
Author: Lang, Martha D, ICR-Occupational Health Services Last Modified: 09/9/2022 5:38 PM
Treatment Plan
Future Appointments
Appointment Date: 01/14/2026 10:00:00 AM
Scheduled Provider: Hojat, Rod A MD
Location: IRMC-WH
Appointment Type: IRMC GYN Post-Op Visit 15
Immunizations
No data available for this section
Medications
hydrOXYzine (hydrOXYzine hydrochloride)
Status: Ordered
Start Date: 6/5/25
25 Milligrams Oral (given by mouth) 2 times a day. Author: Harsh, Denise L, ICR-Occupational Health Services Last Modified: 12/15/2025 6:11 PM
ibuprofen (ibuprofen 600 mg oral tablet)
Status: Ordered
Start Date: 12/23/25
Stop Date: 1/26/26
1 Tablet Oral (given by mouth) every 6 hours as needed pain, mild. Refills: 1. Ordering provider: Hojat, Rod A MD
Author: Hojat, Rod A, Indiana Regional Medical Center Last Modified: 12/23/2025 3:02 PM
Indy Drug Co
841 Hospital Rd, Ste 1100 Indiana, PA 157013660
sertraline (Zoloft)
Status: Ordered
Start Date: 6/5/25
200 Milligrams Oral (given by mouth) every day.
Author: Harsh, Denise L, ICR-Occupational Health Services Last Modified: 12/15/2025 6:11 PM
Problem List
Condition Confirmation Course
Effective
Dates
Status
Health
Status
Informant
Acne vulgaris
Author: IPG-Dermatology
Last Modified: 10/10/2022 1:30 PM
Confirmed Active
Author: IPG-Dermatology
Last Modified: 10/10/2022 1:30 PM
Chronic back pain
Author: Scholl, Jonathan E, IH-Center for
Spine and Pain Management
Last Modified: 04/18/2024 8:09 PM
Confirmed Active
Author: Scholl, Jonathan E, IH-Center
for Spine and Pain Management
Last Modified: 04/18/2024 8:09 PM
Chronic pain
Author: Scholl, Jonathan E, IH-Center for
Spine and Pain Management
Last Modified: 04/18/2024 8:10 PM
Confirmed Active
Author: Scholl, Jonathan E, IH-Center
for Spine and Pain Management
Last Modified: 04/18/2024 8:10 PM
Chronic thoracic back pain
Author: IH-Center for Spine and Pain
Management
Last Modified: 11/28/2023 3:09 PM
Confirmed Active
Author: IH-Center for Spine and Pain
Management
Last Modified: 11/28/2023 3:09 PM
Myofascial pain
Author: Scholl, Jonathan E, IH-Center for
Spine and Pain Management
Last Modified: 04/18/2024 8:10 PM
Confirmed Active
Author: Scholl, Jonathan E, IH-Center
for Spine and Pain Management
Last Modified: 04/18/2024 8:10 PM
Pregnancy
Author: Sarver, Maggi E, Indiana Regional
Medical Center
Last Modified: 09/12/2025 1:50 PM
Confirmed 8/20/11 -
4/28/12
Resolved
Author: Sarver, Maggi E, Indiana
Regional Medical Center
Last Modified: 09/12/2025 1:50 PM
Pregnancy
Author: Sarver, Maggi E, Indiana Regional
Medical Center
Last Modified: 09/12/2025 1:51 PM
Confirmed < 7/12/16 Resolved
Author: Sarver, Maggi E, Indiana
Regional Medical Center
Last Modified: 09/12/2025 1:51 PM
Cervical stenosis of spine
Author: Scholl, Jonathan E, IH-Center for
Spine and Pain Management
Last Modified: 02/13/2024 4:24 PM
Confirmed Active
Author: Scholl, Jonathan E, IH-Center
for Spine and Pain Management
Last Modified: 02/13/2024 4:24 PM
Procedures
Procedure Date Related Diagnosis Body Site Status
Ablation Hysteroscopy Endometrium 1
Author: Fulton, Alyssa L, Indiana Regional Medical Center Last Modified: 12/23/2025 2:55 PM
12/23/25 Completed
Decompression Nerve Ulnar (Left, Elbow)2
Author: Huey, Jennifer L, Indiana Regional Medical Center Last Modified: 09/9/2024 4:49 PM
9/9/24 Completed
Carpal tunnel 3
Author: Shankle, Diane M, Indiana Regional Medical Center Last Modified: 08/28/2024 12:48 PM
Completed
Carpal tunnel release
Author: Westbrook, Jocelyn A, IH-Center for Spine and Pain Management Last Modified: 11/28/2023 2:39 PM
Completed
Decompression of ulnar nerve at elbow4
Author: Harsh, Denise L, Indiana Regional Medical Center Last Modified: 12/15/2025 6:12 PM
Completed
Tubal ligation
Author: Westbrook, Jocelyn A, IH-Center for Spine and Pain Management Last Modified: 11/28/2023 2:39 PM
Completed
Tubal ligation
Author: Shankle, Diane M, Indiana Regional Medical Center Last Modified: 08/28/2024 12:48 PM
Completed
Procedure Date Related Diagnosis Body Site Status
1 auto-populated from documented surgical case
Author: Fulton, Alyssa L, Indiana Regional Medical Center Last Modified: 12/23/2025 2:55 PM
2 auto-populated from documented surgical case
Author: Huey, Jennifer L, Indiana Regional Medical Center Last Modified: 09/9/2024 4:49 PM
3 Right
Author: Shankle, Diane M, Indiana Regional Medical Center Last Modified: 08/28/2024 12:48 PM
4 left
Author: Harsh, Denise L, Indiana Regional Medical Center Last Modified: 12/15/2025 6:12 PM
Results
Laboratory List
Name Date
Hcg, Qual (Urine) 12/23/25
12/23/25:
Test Result Reference Range Specimen
Source
Laboratory
Diastolic Blood Pressure
Author: Schrecongost, Michelle L, Indiana Regional Medical Center
Last Modified: 12/23/2025 3:48 PM
53 mmHg (Normal is 38-71 mmHg)
Heart Rate Monitored
Author: Schrecongost, Michelle L, Indiana Regional Medical Center
Last Modified: 12/23/2025 3:48 PM
58 bpm (Normal is 60-100 bpm)
Respiratory Rate
Author: Schrecongost, Michelle L, Indiana Regional Medical Center
Last Modified: 12/23/2025 3:48 PM
16 br/min (Normal is 14-20 br/min)
Systolic Blood Pressure
Author: Schrecongost, Michelle L, Indiana Regional Medical Center
Last Modified: 12/23/2025 3:48 PM
125 mmHg (Normal is 90-120 mmHg)
Heart Rate Monitored
Author: Snickles, Jenna M, Indiana Regional Medical Center Last Modified: 12/23/2025 3:17 PM
56 bpm (Normal is 60-100 bpm)
Diastolic Blood Pressure
Author: Snickles, Jenna M, Indiana Regional Medical Center Last Modified: 12/23/2025 3:17 PM
74 mmHg (Normal is 38-71 mmHg)
Respiratory Rate
Author: Snickles, Jenna M, Indiana Regional Medical Center Last Modified: 12/23/2025 3:17 PM
18 br/min (Normal is 14-20 br/min)
Systolic Blood Pressure
Author: Snickles, Jenna M, Indiana Regional Medical Center Last Modified: 12/23/2025 3:17 PM
115 mmHg (Normal is 90-120 mmHg)
Body Mass Index Measured
Author: Little, Beth A, Indiana Regional Medical Center Last Modified: 12/23/2025 11:54 AM
32.03
kg/m2
Height/Length Measured
Author: Little, Beth A, Indiana Regional Medical Center Last Modified: 12/23/2025 11:54 AM
160 cm (Normal is 124.5-243.8
cm)
Weight Measured
Author: Little, Beth A, Indiana Regional Medical Center Last Modified: 12/23/2025 11:54 AM
82 kg
hCG Urine
Author: Indiana Regional Medical Center
Last Modified: 12/23/2025 11:55 AM
Negative 1 (Normal is Negative) Urine IH Laboratory 1 Result Comment: False negative results may occur when levels of hCG are below the sensitivity of the test. When pregnancy is suspected, a first morning urine specimen or a serum should be collected at least 48 hours later and retested. Laboratory Information
IH Laboratory
CLIA Number: 39D0181492
835 Hospital Road
Indiana, PA 15701- US
Pending
12/23/25
Diastolic Blood Pressure
Author: Schrecongost, Michelle L, Indiana Regional Medical Center Last Modified: 12/23/2025 4:41 PM
Vital Signs
No data available for this section
Social History
Social History Type Response
Tobacco Smoking tobacco use: Uses a vape daily. Type: Vape. Ready to change: Yes. Author: Little, Beth A
Last Modified: 12/23/2025 6:53 AM
Birth Sex
Author: Indiana Regional Medical Center
Last Modified: 12/23/2025 5:06 PM
Female
Sex Representation
Author: Indiana Regional Medical Center
Last Modified: 12/23/2025 5:06 PM
Female (finding)
Goals
No data available for this section
Hospital Discharge Instructions
Section Author: Schrecongost, Michelle L, Indiana Regional Medical Center, 12/23/2025 3:29 PM Patient Education
12/23/2025 10:29:39
MODERATE SEDATION - Discharge Care
Moderate Sedation
WHAT YOU NEED TO KNOW:
Moderate sedation, or conscious sedation, is medicine used during procedures to help you feel relaxed and calm. You will be awake and able to follow directions without anxiety or pain. You will remember little to none of the procedure. You may feel tired, weak, or unsteady on your feet after you get sedation. You may also have trouble concentrating or short-term memory loss. These symptoms should go away in 24 hours or less.
DISCHARGE INSTRUCTIONS:
Call your local emergency number (911 in the US) or have someone call if: You have sudden trouble breathing.
You cannot be woken.
Seek care immediately if:
You have a severe headache or dizziness.
Your heart is beating faster than usual.
Call your doctor if:
You have a fever.
You have nausea or are vomiting for more than 8 hours after the procedure. Your skin is itchy, swollen, or you have a rash.
You have questions or concerns about your condition or care. Self-care:
Have someone stay with you for 24 hours. This person can drive you to errands and help you do things around the house. This person can also watch for problems.
Rest and do quiet activities for 24 hours. Do not exercise, ride a bike, or play sports. Stand up slowly to prevent dizziness and falls. Take short walks around the house with another person. Slowly return to your usual activities as directed by your provider. Do not drive or use dangerous machines or tools for 24 hours. You may injure yourself or others. Examples include a lawnmower, saw, or drill. Do not return to work for 24 hours if you use dangerous machines or tools for work. Do not make important decisions for 24 hours. For example, do not sign important papers or invest money. Drink liquids as directed. Liquids help flush the sedation medicine out of your body. Ask how much liquid to drink each day and which liquids are best for you.
Eat small meals often to prevent nausea and vomiting. Start with clear liquids such as juice or broth. If you do not vomit after clear liquids, you can eat your usual foods.
Do not drink alcohol or take medicines that make you drowsy. This includes medicines that help you sleep and anxiety medicines. Ask your healthcare provider if it is safe for you to take pain medicine. Follow up with your doctor as directed: Write down your questions so you remember to ask them during your visits.
© Copyright Merative 2024 Information is for End User’s use only and may not be sold, redistributed or otherwise used for commercial purposes.
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. 12/23/2025 10:29:27
ENDOMETRIAL ABLATION - Discharge Care
Endometrial Ablation
WHAT YOU NEED TO KNOW:
Endometrial ablation is a procedure to remove the endometrium (lining of your uterus). You may need this procedure if you have heavy or abnormal vaginal bleeding.
DISCHARGE INSTRUCTIONS:
Call 911 for any of the following:
You feel lightheaded, short of breath, and have chest pain. You cough up blood.
Seek care immediately if:
Your arm or leg feels warm, tender, and painful. It may look swollen and red. You feel dizzy, weak, and confused.
You cannot stop vomiting.
You have severe pain.
You are not able to urinate.
Contact your healthcare provider if:
You have a fever.
You have vaginal bleeding and it is not time for your monthly period. The bleeding during your monthly period has not decreased. You have pain when you urinate or see blood in your urine. You have questions or concerns about your condition or care. Medicines:
Medicines can help decrease pain, calm your stomach, and control vomiting. Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell your provider if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency. Activity: Ask when you can return to your usual activities. Do not have sex or use tampons or douches for 6 weeks after your procedure, or as directed.
Birth control: You may still need to use birth control to prevent pregnancy. Pregnancy risks, such as a miscarriage and tubal pregnancy, are higher after this procedure. Talk to your healthcare provider about birth control or pregnancy after endometrial ablation. Follow up with your doctor as directed: Write down your questions so you remember to ask them during your visits.
© Copyright Merative 2024 Information is for End User’s use only and may not be sold, redistributed or otherwise used for commercial purposes.
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. 12/15/2025 13:39:31
IRMC Preoperative Patient Instructions (SH) (CUSTOM) IRMC Preoperative Patient Instructions
Please follow your preoperative instructions
- The evening before your surgery, (or Friday for a Monday surgery), the Ambulatory Care Unit will call between the hours of 3:00 pm and 7:00 pm with your arrival time
- Final instructions will be given at that time
- If you wish to contact us during these hours, please call 724-***-****. After 8:00pm please call the main hospital number 724-***-**** and ask for the shift coordinator Eating and Drinking
- No solid foods or dairy products (milk, yogurt, creamers) after midnight
- You may have clear liquids up to 4 hours prior to your arrival time Water, apple juice, white grape or cranberry juice Coffee or tea with NO creamer/milk
Clear electrolyte drinks-Powerade, Gatorade/Pedialyte-no red or purple drinks Medications-continue meds as usual except for restrictions below
- You SHOULD take the following medications with a sip of water the day of surgery - if this is a medication that you normally take in the morning
none
- Contact prescribing physician for stopping and restarting the following medication; and then inform your surgeon
n/a
- Stop all vitamins/minerals/herbals/supplements for 7 days unless otherwise instructed.
- All other medications can be resumed after surgery unless otherwise instructed by your physician
- Do not take over the counter pain medications/NSAIDS-including ibuprofen/Motrin, naprosyn/Aleve 7 days prior to your surgery date. You may take Tylenol/Acetaminophen if it is not contraindicated for you.
Other Reminders
- Leave valuables at home
- Do not wear any make up - especially eye make-up and mascara
- Trim nails and remove nail polish (including toe nail polish if you are having surgery from the hip down)
- If you have acrylic nails, you MUST remove one from each hand, preferably the middle finger NOTE: If you are having hand/wrist/elbow surgery you MUST removal all acrylic nails from the side you are having surgery on
- Remove ALL jewelry and body piercings
- Remove contacts - you may wear your glasses
- Do not wear any creams, lotions, perfume/cologne, aftershave, hair care products containing alcohol. If you are having breast surgery, do NOT wear any deodorant
- Wear loose/comfortable clothing. If you are having eye/breast/shoulder surgery, we recommend a button up shirt
- You MUST have someone responsible to drive you home - for your safety we strongly recommend a responsible person to stay with your overnight, or be easily accessible by phone.
- Do NOT use any alcohol for 24 hours before and after surgery
- Do NOT use any tobacco products - including chewing tobacco for 24 hours before and after surgery. We prefer that you stop using ALL tobacco products
- No Chewing gum, mints or hard candies 4 hours prior to arrival time
- If you wear Dentures, do not use adhesive paste the Day of Surgery
- If you have been give cleansing soap (Hibiclens) to prevent infection, please use as directed
- Do NOT shave from the chin down for 48 hours prior to your procedure.
- If you have been ordered any equipment/supplies, you will need to bring with you to the hospital
-crutches/walker
-incentive spirometer
-Ted hose/support stockings
-surgical bra
-special braces/supplies
- Please notify your surgeon/procedure physician if you have ANY change in your health condition prior to your procedure-example fever, sore throat, cough, rashes, visit to emergency department or new medication.
FAILURE TO FOLLOW THE INSTRUCTIONS COULD LEAD TO DELAY/CANCELLATION OF YOUR SURGERY. Formulated: 3/27/2020; Revised 3/15/2023
Follow Up Care
12/08/2025 11:50:27
With: Hojat, Rod A MD
Address:
841 Hospital Road Suite 2500
Indiana, PA 15701-
When: 1 month
Reason for Referral
No data available for this section
Health Concerns
No data available for this section
Implantable Device List
No data available for this section
History and physical note
Hojat, Rod A MD: PERFORM
Event Display: History and Physical
Authored Date: 20251223083222-0500
History of Present Illness
Pt pr3esenting with heavy, unpredictable bleeding since Apr 2025. She says that she changes pads every 2-6 hours and that it lasts about 5 days. She does not have bad pain/cramping with her periods though. She says that with the increasing heaviness she also has been getting very bad emotional symptoms. She says that she becomes dizzy and sweaty and has panic attack symptoms. This has interfered with her work as a schoolbus driver and she has been very worried. She says that she has the symptoms throughout the whole menstrual period and even right before it starts. Review of Systems
Neg except as above
Physical Exam
Vitals & Measurements
T: 36.2 C (Temporal Artery) HR: 78(Peripheral Pulse) RR: 16 SpO2: 98% HT: 160 cm HT: 160.02 cm WT: 82 kg(Measured) WT: 81.64 kg(Estimated) WT: 82 kg(Dosing) BMI: 32.02 BMI: 32.03
General - no acute distress. Awake, alert, and oriented. Neck - symmetric, no thyromegaly.
Skin - N
Heart - regular rate and rhythm, no murmurs.
Lungs - clear to auscultation bilaterally.
Abdomen - soft, nontender, nondistended. No rebound, guarding, or tenderness. Ext - N
Uterus - normal contour, nontender.
Assessment/Plan
35 y/o G2P1102 with abnormal uterine bleeding and dysmenorrhea Ultrasound was unremarkable. Pap was negative. CBC and CMP unremarkable. Cultures negative. Thyroid studies within normal limits.
Risks, benefits, and alternatives were reviewed with patient. Patient desires endometrial ablation. Written informed consent was obtained. Pt preparing for ablation. Problem List/Past Medical History
Ongoing
Acne vulgaris (MEDICAL)
Cervical stenosis of spine (MEDICAL)
Chronic back pain (MEDICAL)
Chronic pain (MEDICAL)
Chronic thoracic back pain (MEDICAL)
Myofascial pain (MEDICAL)
Historical
Pregnancy (MEDICAL)
Pregnancy (MEDICAL)
Procedure/Surgical History
•Carpal tunnel release•Decompression of ulnar nerve at elbow•Tubal ligation Medications
Inpatient
Lactated Ringers 1,000 mL, 1000 mL, IV
Home
hydrOXYzine hydrochloride, 25 mg, Oral, BID
Zoloft, 200 mg, Oral, daily
Allergies
No Known Medication Allergies
Obstetric History
Pregnancy History G2 P2(1,1,0,2)
Pregnancy # 1
Baby 1
Outcome Date: 04/28/2012 Outcome or Result: Vaginal Birth Gest Age: 36 weeks Birth Outcome: Live Birth
Birth Sex: Female
Pregnancy # 2
Baby 1
Outcome Date: 07/12/2016 Outcome or Result: Vaginal Birth Gest Age: Fullterm Birth Outcome: Live Birth
Birth Sex: Female
Social History
Alcohol
Current, Liquor, 1-2 times per month, 12/15/2025
Home/Environment
Injuries/Abuse/Neglect in household: No. Feels unsafe at home: No., 12/23/2025 Sexual
Sexually active: Yes., 09/12/2025
Substance Use
Never, 12/15/2025
Tobacco
Smoking tobacco use: Uses a vape daily. Type: Vape. Ready to change: Yes., 12/23/2025 Family History
Family history is negative
Electronically Signed on 12/23/25 08:32
Hojat, Rod A MD
Author: Hojat, Rod A, Indiana Regional Medical Center Last Modified: 12/23/2025 3:01 PM
Hojat, Rod A MD: PERFORM
Event Display: History and Physical
Authored Date: 20251223100105-0500
A/P Diagnosis should be abnormal uterine bleeding and emotional dysphoria Electronically Signed on 12/23/25 10:01
Hojat, Rod A MD
Surgical operation note
Hojat, Rod A MD: PERFORM
Event Display: Operative Report
Authored Date: 20251223100004-0500
Indication for Surgery
This is a 35-year-old gravida 1 para 1-0-0-1 with heavy, unpredictable bleeding since Apr 2025. She says that she changes pads every 2-6 hours and that it lasts about 5 days. She says that she becomes dizzy and sweaty and has panic attack symptoms. This has interfered with her work as a school bus driver and she has been very worried. She says that she has the symptoms throughout the whole menstrual period and even right before it starts. Testing was negative. Risks, benefits, and alternatives were reviewed with patient. Patient desires endometrial ablation. Written informed consent for ablation, hysteroscopy, and D&C was obtained. Preoperative Diagnosis
AUB, emotional dysphoria
Postoperative Diagnosis
Same
Operation
Novasure endometrial ablation, hysteroscopy, and D&C Surgeon(s)
R. Hojat, MD
Assistant
N/A
Anesthesia
MAC
Estimated Blood Loss
2 mL
Urine Output
N/A
IV Fluids
1200 mL
Findings
Normal size uterus. < 1st degree uterine prolapse. Perfect hemostasis at conclusion of procedure. Specimen(s)
Endometrial curettings
Complications
None
Technique
Patient was brought to the operating room and placed in dorsal lithotomy. MAC anesthesia was found to be adequate. She was prepped and draped in the normal sterile fashion. Pelvic exam was done under anesthesia with aforementioned findings. Weighted speculum was placed. Single-tooth tenaculum was placed on the anterior lip of the cervix. 1% plain lidocaine was injected into the 4 quadrants of the cervix. The cervix was dilated to approximately 13 French using Hank dilators. Hysteroscope was introduced and ostia were noted bilaterally. The hysteroscope was removed. Then the sharp curette was used to curette all around the uterus until a good uterine cry was heard. The uterus was sounded and cavity length was obtained. Novasure device was introduced, and the device was set to the appropriate settings of 5.5 cm length and 2.5 cm width. After passing the integrity test, Novasure was enabled and ablation was carried out. After 40 seconds the device stopped, and it was removed. Hysteroscopy was carried out once again, and good char and ablation effect were noted all around. All instruments were removed and perfect hemostasis was noted. Sponge, lap, and instrument count were correct. Patient was revived from anesthesia and taken to the postoperative recovery area in stable condition having tolerated the procedure well. Electronically Signed on 12/23/25 10:00
Hojat, Rod A MD
Author: Hojat, Rod A, Indiana Regional Medical Center Last Modified: 12/23/2025 3:00 PM
Anesthesiology Preoperative evaluation and management note Park, Kyung W MD: PERFORM, MODIFY, SIGN, VERIFY
Event Display: PreAnesthesia Note
Authored Date: 20251219172718-0500
Patient: COMER, CHELSEY MARIE MRN: 100051292 FIN: 200-***-**** Age: 35 years Sex: Female DOB: 9/18/1990
Associated Diagnoses: None
Author: Park, Kyung W MD
Preoperative Information
Nurse Documented Anesthesia Information: Nurse Documented Anesthesia History (ST) Anesthesia History: Prior general anesthesia (12/15/25 13:10:00) Anesthesia/Blood Histsory: No family history (12/15/25 13:10:00)
Anesthesia/Blood Histsory: No family history (12/15/25 13:10:00) Anesthesia/Blood Histsory: No family history (12/15/25 13:10:00) Moderate Sedation History: Prior sedation for procedure (12/15/25 13:10:00). 35 yo female with PMH of obesity (BMI 32.6), cervical radiculopathy, vaping, now for hysteroscopy and endometrial ablation
Health Status
Allergies:
Allergic Reactions (All)
No Known Medication Allergies,
Allergies (1) Active Severity Reaction
No Known Medication Allergies None Documented
Current medications: (Selected)
Documented Medications
Documented
Zoloft: 200 mg, Oral, daily, 0 Refill(s)
hydrOXYzine hydrochloride: 25 mg, Oral, BID, 0 Refill(s) Problem list:
All Problems
Acne vulgaris / 146927011 / Confirmed
Chronic back pain / 216213018 / Confirmed
Chronic pain / 136713011 / Confirmed
Chronic thoracic back pain / 296-***-**** / Confirmed Myofascial pain / 416180015 / Confirmed
Cervical stenosis of spine / 138587011 / Confirmed, Active Problems (6)
Acne vulgaris
Cervical stenosis of spine
Chronic back pain
Chronic pain
Chronic thoracic back pain
Myofascial pain
Histories
Past Medical History:
Resolved
Pregnancy (128451012): Onset on 8/20/2011 at 20 years. Resolved on 4/28/2012 at 21 years. Pregnancy (128451012): Resolved on 7/12/2016 at 25 years. Procedure history:
Decompression Nerve Ulnar (Left, Elbow) on 9/9/2024 at 33 Years. Comments:
9/9/2024 12:49 EDT - Huey, Jennifer L RN
auto-populated from documented surgical case
Carpal tunnel release (494859016).
Tubal ligation (128720016).
Carpal tunnel (497878013).
Comments:
8/28/2024 8:48 EDT - Shankle, Diane M LPN
Right
Tubal ligation (128720016).
Decompression of ulnar nerve at elbow (266151011). Comments:
12/15/2025 13:12 EST - Harsh, Denise L
left
Family History:
Entire family history is negative.
Social History:
Social & Psychosocial Habits
Alcohol
12/15/2025 Use: Current
Type: Liquor
Frequency: 1-2 times per month
Home/Environment
12/15/2025 Injuries/Abuse/Neglect in household: No Feels unsafe at home: No
Sexual
09/12/2025 Sexually active: Yes
Substance Use
12/15/2025 Use: Never
Tobacco
12/15/2025 Smoking tobacco use: Uses a vape daily
Type: Vape
Ready to change: Yes
Physical Examination
General: Alert and oriented.
Neurologic: No focal deficits.
Airway:
Mallampati: II.
Mouth Opening: Good.
Oral Pharynx: Clear.
Dentition: Intact.
Cervical Range of Motion: Normal.
Airway: Natural.
Cardiovascular: Normal Rate, Normal rhythm.
Respiratory: Lung CTA.
Additional Details: tongue ring.
Assessment and Plan
ASA Classification: Class II.
Anesthetic Plan:
Anesthetic technique: MAC, GA backup.
Risks discussed: Nausea, Vomiting, Sore throat, Dental injury, Hypotension, Serious complications, Patient understands risks, benefits, and alternatives; all questions answered. Patient agrees to proceed with anesthetic plan..
Electronically Signed on 12/23/25 06:40
Park, Kyung W MD
Author: Park, Kyung W, Indiana Regional Medical Center Last Modified: 12/23/2025 11:40 AM
Anesthesiology Postoperative evaluation and management note Park, Kyung W MD: PERFORM, SIGN, VERIFY
Event Display: PostAnesthesia Note
Authored Date: 20251223101909-0500
Patient: COMER, CHELSEY MARIE MRN: 100051292 FIN: 200-***-**** Age: 35 years Sex: Female DOB: 9/18/1990
Associated Diagnoses: None
Author: Park, Kyung W MD
Postoperative Information
Postoperative Information
Anesthesia Recovery Characterized by Patient considered adequate recovery from Anesthesia, Patient meets criteria for discharge and No complications. Post Anesthesia Eval Note characterized by Patient Evaluated After adequate recovery from
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