text:  ON ADMISSION  On admission   Thomas was well-appearing though slightly sleepy with jaundice . He had bilateral breath sounds that were clear and equal . The heart rate was regular without murmur   and pulses were 2 and symmetrical . The abdomen was soft and nontender with no hepatosplenomegaly . His weight was 3.505  7 pounds    12 ounces  on readmission . He had normal male genitalia with bilaterally descended testes . His hips were stable . His tone was normal with normal neonatal reflexes . He is tolerating his feedings well . SUMMARY OF HOSPITAL COURSE  RESPIRATORY  Without issues on this admission . Breath sounds are clear and equal . CARDIOVASCULAR  Without issues on this admission . He had a regular heart rate and rhythm   no murmur   and pulses were 2 and symmetric . FLUIDS   ELECTROLYTES AND NUTRITION  Alleyne birth weight was 3.710 kg  8 pounds    3 ounces . His weight on this admission was 3.505 kg  7 pounds    12 ounces . Linda is breast feeding every 3 hours and supplementing with expressed breast milk . He is feeding well . His discharge weight is 3585 grams  7 pounds 13 ounces  . GASTROINTESTINAL  Alleyne bilirubin on 2018-05-09 was 10.4  at which time he was discharged to home . At the primary pediatrician s office on 2018-05-12 his bilirubin had been 23   at which time he was readmitted to the HealthSouth Rehab Hospital of Western Mass. and double phototherapy was started . His bilirubin on 05-13 was 18.4  and on 05-14 it was 14.7 . Phototherapy was discontinued on 2018-05-14   and a rebound bilirubin will be checked in the pediatrician s office . HEMATOLOGY  The hematocrit on 05-12 was 48.7 with a reticulocyte count of 1.9   and his blood type is O    Coombs negative . INFECTIOUS DISEASE  No issues on this admission . NEUROLOGICAL  The infant has been appropriate for gestational age . 