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  • Follow-Up Note Patient: Medical Record Number: M205877 Account Number: V8285985

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    Sharon Hill has completed 9 of 12 chemotherapy infusions and has experienced increasing neuropathy problems. Her neuropathy has worsened with her recent treatment and she is now having trouble picking up small items, though she can still perform other activities. While her diarrhea has improved, she has more fatigue lasting 10 days. Her vital signs are stable and labs allow continued treatment. The doctor reduces the dose of oxaliplatin due to increasing neurotoxicity and plans to finish the final treatments and begin follow-ups if tolerated.

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    Sharon Hill has completed 9 of 12 chemotherapy infusions and has experienced increasing neuropathy problems. Her neuropathy has worsened with her recent treatment and she is now having trouble picking up small items, though she can still perform other activities. While her diarrhea has improved, she has more fatigue lasting 10 days. Her vital signs are stable and labs allow continued treatment. The doctor reduces the dose of oxaliplatin due to increasing neurotoxicity and plans to finish the final treatments and begin follow-ups if tolerated.

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    28 views1 page

    Follow-Up Note Patient: Medical Record Number: M205877 Account Number: V8285985

    Uploaded by

    manibrinda
    Sharon Hill has completed 9 of 12 chemotherapy infusions and has experienced increasing neuropathy problems. Her neuropathy has worsened with her recent treatment and she is now having trouble picking up small items, though she can still perform other activities. While her diarrhea has improved, she has more fatigue lasting 10 days. Her vital signs are stable and labs allow continued treatment. The doctor reduces the dose of oxaliplatin due to increasing neurotoxicity and plans to finish the final treatments and begin follow-ups if tolerated.

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    <DB-Dictated by:PENKE>

    <DD-Dictated date:11/30/10>
    <DT-Dictated time:0909>
    <TB-Transcribed by:MNIAZ>
    <TD-Transcribed date:11/30/10>
    <TT-Transcribed time:2218>
    <PN-Pt Name:HILL,SHARON>
    <MR-Medical Record #:M205877>
    <AN-Account#:V8285985>
    <RT-Report type:CFUN.CCC>

    FOLLOW-UP NOTE

    Patient: HILL, SHARON

    Medical Record Number: M205877


    Account Number: V8285985

    DOB: 04/29/1942

    DATE: 11/30/2010

    Sharon has now completed 9 of 12 infusions of FOLFOX. She has had increasing
    problems with neuropathy. The last treatment induced more cold, induced neuropathy
    <___> in the past. She is also started to have trouble picking up small items. She is
    still able to <___>. She does not have painful neuropathy. The reduction in 5-FU was
    able to diminish the problem of diarrhea and she usually only has one loose stool a day.
    She has some increased fatigue that has lasted for about 10 days. Fortunately, she has
    not had myelosuppression or infection.

    She weighs 96 kg. Skin is warm and dry. No rash is noted. No stomatitis is evident.
    Vital signs are stable. She is afebrile.

    Labs reviewed and are acceptable for treatment. It appears to me that she is having
    increasing neurotoxicity. I am going to reduce the dose of oxaliplatin today. If she does
    well then we will complete her treatments on December 27, 2010 then began quarterly
    followups.
    Transcribed by: V_PR_GHT10/

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