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Vitamin B6 and B12, s/l and game-a-pinto.Cancer patient has tingling/numbnes in feet and hands.TIA!!

Posted By: me on 2009-04-28
In Reply to:

Subject: Vitamin B6 and B12, s/l and game-a-pinto.Cancer patient has tingling/numbnes in feet and hands.TIA!!




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People do paraffin dips for arthritic hands and feet all the time. nm
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Subject: s/l patient has *fickling* of the flexor tendons of both hands???nm

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Subject: Are you in the hands? The back? Doing an exam or talking about a patient's test? nm

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Subject: HELP please vitamin D increases the s/l aftosis death of breast cancer cells Thanks! nm

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Subject: Patient's feet bother him - sm

he has a history of S/L neural viral mitosis?  New doc for me.  Thanks!
Yes, the patient has vitamin D deficiency.
Subject: Yes, the patient has vitamin D deficiency.

He says "hypovitamin D emia" but ... not sure that's a word.
Lycopene is a vitamin supplement. Is the patient on other herbals or vitamins? nm
Subject: Lycopene is a vitamin supplement. Is the patient on other herbals or vitamins? nm

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Examining feet = *Feet are 1 to 1 in distribution*....TIA
Subject: Examining feet = *Feet are 1 to 1 in distribution*....TIA

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cancer patient med
Subject: cancer patient med

MEDICATIONS:  Trazodone, Rispiridol, (what sounds like "Vandryl ") and over-the-counter medications including Colace, Tylenol and Centrum Silver. 


 


I only need help with the medication which sounds like Vandryl.  I have spent too many minutes Googling.


 


Help please!


Does this patient have a dx of cancer? NM
Subject: Does this patient have a dx of cancer? NM


If this is a cancer patient, there is Evoxac
Subject: If this is a cancer patient, there is Evoxac


Patient with breast cancer is to
Subject: Patient with breast cancer is to

undergo a s/l boostfield?
patient with ovarian cancer sm
Subject: patient with ovarian cancer sm

Recurrent ovarian cancer currently with symptomatic ascites and decreased urine output.  It is likely that the patient is currently "A-THIRD-SPACING" from her ascites and is somewhat intravascularly depleted. We will therefore admit the patient for IV fluid hydration and give her a liter bolus. 


For the life of me, I can't hear anything else.  What is this? 


This patient with rectal cancer has
Subject: This patient with rectal cancer has

no rectal bleeding, incontinence, urgency or s/l pan nis sim a. Thanks for any ideas.
patient with breast cancer - please sm
Subject: patient with breast cancer - please sm

Currently, she has had little side effects from the chemo, mainly nausea and vomiting which s/l halgo took care of. Thanks

RX in patient with pancreatic cancer s/l ferlexa.
Subject: RX in patient with pancreatic cancer s/l ferlexa.


Caragrape mouthwash for cancer patient? TIA!
Subject: Caragrape mouthwash for cancer patient? TIA!

:)
Two questions on lung cancer patient report
Subject: Two questions on lung cancer patient report

My questions are in two sentences one after the other.  Sometimes he says period but then really continues on with the same sentence, so I'm not sure if the first sentence is really a complete sentence or not, so the sentence before basically said a PET scan revealed an increase in the size of the hypermetabolic subcarinal lymph node, consistent with subcarinal metastases. 


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2.  "There was a small right level 2 node that has become [s/l non rye valk] consistent with an evolving inflammatory process." 


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Subject: His baseline is clear. ??clerins is 74. Cancer patient.


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Subject: doctor lists ALL medications the patient is on (she has cancer) s/l ear-bar-ca-tin.

d
tingling?
Subject: tingling?


tingling maybe??
Subject: tingling maybe??

maybe tinnitus??
the patient is S/P lumpectomy / ____ biopsy for breast cancer.
Subject: the patient is S/P lumpectomy / ____ biopsy for breast cancer.

This doc keeps saying what sounds like:


lumpectomy / "center node" biopsy or "sentinel" biopsy?


He is a mush-mouth.  Any help appreciated!!!


Does this patient have cancer? If so, do they state what type? Almost sounds like a new drug
Subject: Does this patient have cancer? If so, do they state what type? Almost sounds like a new drug

therapy? It would help to know the diagnosis. Does the doc state what the diagnosis is?
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Subject: Oh, and patient has Alzheimer's, CAD status post MI and colon cancer TIA again, nm

**
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Subject: If the patient has prostate cancer and is having brachytherapy or seed implantations it would be BIC therapy


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Subject: patient with breast cancer status post lumpectomy and s/l *XOT*? Thanks nm


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Subject: patient with breast cancer. skin reveals no evidence of *poterauge*??? thanks. nm

nm
He says earlier the patient has prostate cancer metastatic to the bone, so I'm thinking it's p
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Maybe that is what she is trying to describe.
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Subject: Fun word game called Mad Gab.

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Subject: "When the Name of the Game is Saving Keystrokes" or sm

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Subject: sacral sulci. sorry. Watching game. nm


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Subject: could it be Sudoku - a number puzzle game.

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Sorry, Lynx is for hands and wrists
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nm
strength testing of the hands?
Subject: strength testing of the hands?

Pt has numbness in neck and forearm.  Dr. states that "patient has normal apposition of thumb and fingers.  Normal S/L "aller or almer" strength testing of the hands.


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THANKS


My hands automatically changed it to
Subject: My hands automatically changed it to

electrocautery - handy of them.

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Subject: I think there's something called "mechanic's hands"

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s/l perinocial space of hands where clubbing occurs
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nm
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Subject: This is grip strength bilaterally. The others were on separate hands.


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DIAGNOSIS: Rheumatoid arthritis.

STATUS: Post surgery on 11/19/08 consisting of s/l linspole mass excisions on bilateral hands.

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Subject: From cancer.org: "Sutent isn't the only drug making inroads against kidney cancer. Sorafenib (Nexavar), ..."


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Subject: See inside for colon cancer staging per the American Cancer Society.

http://www.cancer.org/docroot/CRI/content/CRI_2_4_3X_How_is_colon_and_rectum_cancer_staged.asp
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Subject: http://www.cancer.gov/ is a great reference (National Cancer Institute)


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Subject: She has pancreatic cancer and a history of breast cancer.


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Subject: MD Anderson is a cancer center so if hysterectomy is for cancer, I would go with that one.

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6 feet.
Subject: 6 feet.

x
5 feet
Subject: 5 feet


feet or foot?
Subject: feet or foot?

doc says 5 foot 4 inches.........should it be 5 feet 4 inches?