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Patient Care Handouts help you to take care of yourself or someone else after you've seen a healthcare provider, and tell when to call for help. Abdominal Trauma in Pregnancy Discharge Instructions. ( English | Spanish ) Chronic Obstructive Pulmonary Disease (COPD), Including Emphysema.This information sheet describes surgery for removal of the spleen (splenectomy) and what to expect before and after the operation. An operation to remove the His post-splenectomy vaccines including pneumococcal, HiB, DISCHARGE INSTRUCTIONS: The patient was instructed to contact us with any questions or