Author: delynfraley

Dr. Most called Anita 7/28 to follow up on appointment from 7/26/18. Dr. Most showed pictures of grandpa's face to 2 dermatologists. Both say he has a staph infection and a fungal infection. Immediately discontinue cream (if not already done so) Informed that cream was stopped 7/26/18 PM. Needs antibiotic and possibly a cream right… Continue reading 7/28/18 Call with Dr. Most

Vitals Weight: 168.4, last time was 181lbs Blood pressure: 131/70 PSA level: 486, last time 407.8 LDH: 318 (LDH level indicates tumor activity, should be 121-220) Reviewed / Discussed Chemotherapy 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… Continue reading 7/26/18 Oncology Visit

Went for regularly scheduled catheter change. Doctor reported catheter inserted at hospital still looks good so no need to change it. Scheduled appointment for end of July.

Catheter issues, one cap came off one of the tubes, corrected

Follow up from hospital No concerns regarding preliminary lab results Discussed arthritis in shoulder, reviewed recent x-ray. Informed him of Oncology visit 6/27 and chemo recommendations. Discussed that Grandpa has not reached a decision. Kolli discussed that options at this point are chemo or hospice. Kolli recommended ensure plus to help provide strength. (Delyn purchased… Continue reading 6/28/18 PCP

Weight: 181 pounds PSA Levels: 407.8 (drawn 6/11/18) Last PSA 204.8 in April 2018 Receptionist requested hospital records today Discussed pain, Grandpa takes Aleeve for pain since Norco doesn’t work. Dr. Most prescribed Percocet. Says to take 1 at night, and 1 during day for breakthrough pain Dr. Most concerned with pulmonary nodules (located at… Continue reading 6/27/18 Oncology

Unable to void urine, admitted for high white blood cell count and hematuria (blood in urine). Discharged 6/26/18 2018-06.26 Hospital Discharge Instructions

Discontinue Zytiga, start Xtandi as Zytiga does not seem to be helping.

No notes taken

PSA 74 now, was 230 at last visit Continue zytiga Radiation on hold for now Can take Tylenol or Motrin when in pain, won’t cause constipation. Appetite: eating good still Should take prune juice No GI because he is improving Urinary issues due to old age Radiation and surgery have equal outcomes. It would be… Continue reading 11/15/17 Oncology