7/26/18 Oncology Visit

Will only be 1/3 of the usual dose due to age
Should not affect physical abilities
Will loose hair
Some fatigue, possible nausea
May cause dry eyes
Will be every 3 weeks as tolerated
Goal is to help prevent shortness of breath and any pain, not curable
Options at this point are chemo or hospice
After 4-6 months of chemo, may have some tingling in fingers
Within first 3 days of treatment may feel nausea, after 1.5 weeks may feel fatigue indicating white blood cell count is low
Will do regular blood work and urinalysis to check for infections and white blood counts
Will recommend/order labs to be done at home
Prior to starting chemo, will need a urinalysis to check for any UTI, will treat to resolve prior to starting chemo
From today it will be at least 2 weeks for approval before can start chemo
Grandpa wants to try chemo at this time
Needs bone transfusion prior to chemo, cant do during chemo

Face rash – possible acne infection, cream doesn’t seem to be working. Doctor recommends to discontinue.
Took pictures of rash, will send to dermatologist friend to see if consult needed or recommended treatment
She will order consult if necessary
Anita will call doctor office with name of cream (Flurorouracil)
Do not use until further notice

Urinalysis and urine cultures ASAP
Usual PSA/LDH levels for prior to last visit
Bone infusion ASAP
Chemotherapy (may take 2 weeks for approval, if copay issues they will help find foundations for payment)
Routine WBC and UA lab work to be done at home

Published by delynfraley