allergies: patient recorded as having no known allergies to drugs attending: chief complaint: right lower lobe mass major surgical or invasive procedure: mediastinoscopy right lower lobectomy and mediastinal lymph node dissection bronchoscopy foley catheter central line placement epidural placement chest tube placement brief hospital course: mr. was finally discharged to house nursing & rehabilitation center - on . he stayed due to feelings of nausea and dizziness when ambulating on -his originally scheduled discharge date. at discharge, mr. was ambulating without issue around the hospital floor with assistance. furthermore, he had continued episodes of intermittent atrial fibrillation. for continued therapy, his amiodarone was increased to 400mg po tid from . he will then stay on this for one week and then slowly be weaned the following week to 400mg po bid, then 400mg po qd then 200mg po qd as tolerated. in that time, he is to continue having his beta-blocker titrated up for control. he is to follow up with dr. in 6 weeks. also, on , patient's inr was 5.2 and he was kept in-house on fall precautions. on the day of discharge, it had trended down to 4.6 and he was deemed able to go to rehab. he is asked to have daily inr checks at his rehab facility and to have his coumadin dosed daily to maintain a therapeutic inr level between 2 and 3. discharge disposition: extended care facility: hospital - discharge diagnosis: squamous cell carcinoma of the lung atrial fibrillation hypovolemia discharge condition: good md Procedure: Venous catheterization, not elsewhere classified Fiber-optic bronchoscopy Arterial catheterization Systemic arterial pressure monitoring Biopsy of lymphatic structure Division or crushing of other cranial and peripheral nerves Regional lymph node excision Suture of artery Mediastinoscopy Diagnoses: Esophageal reflux Tobacco use disorder Cardiac complications, not elsewhere classified Atrial fibrillation Atrial flutter Hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (LUTS) Accidental puncture or laceration during a procedure, not elsewhere classified Pulmonary collapse Other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation Other emphysema Malignant neoplasm of lower lobe, bronchus or lung Orthostatic hypotension Accidental cut, puncture, perforation or hemorrhage during surgical operation Family history of malignant neoplasm of trachea, bronchus, and lung Family history of malignant neoplasm of other respiratory and intrathoracic organs