Lymphoma

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Wed Jan 9, 2024

  • 80-90% of terminal cases report constipation
  • Paradoxical diarrhea - overflow diarrhea around hard stool. Par 2 [1]
  • Anal fissure - tearing of ass
  • Assessment, no pun intended, for 'functional constipation' involves the 25% rule [2]
  • Shits aren't well addressed for cancer patients - [3]
  • Should a brain cancer treatment patient go to the ER for serious constipation - Could be serious if no shit for 1 week - [4]. If no BM after 1-2 days of laxative, go to ER.
  • Fecal impaction - [5]. Suggested order is laxative followed by physical means. Careful about complications. Can take days to weeks to form over time [6]
  • Dulcolax (bisacodyl) forces shit out. Miralax (polyethylene glycol) softens it first, takes longer. [7]
  • Miralax works by softening shit with water by making stomach feed water into the shit. [8]
  • Mechanism for hardening is sucking of water out the intestine walls, making shit hard. This occurs from retarded bowel movement. [9]

Mon Nov 25, 2024

  • Forwarded Kaia's AETNA cara manager release form to HJ so MJ can communicate with AETNA
  • Should I ask if HJ wants to set up portal at Neurosurgens of NJ by phone? I can call to find out about treatment scheduling before doing this.
  • Kessler will check if insurance covers treatment.

Fri Nov 22, 2024

  • Called MyChart tech support via Barnabas
  • Called Barnabas regarding records. Sounds like HIPPA Release, talked to Kenya. We can do so, they just send a text to patient with release form. Called legal re PoA. LM with David Mebbins.
  • Totaled car insurance worked out
  • Setting up appointment with Dr. Liu and Dr Brown.
  • Sent intake info to Kessler Rehab for eye work, occupational therapy - prescription, insurance, doctor info.
  • Sent blood work prescription to criel@firstcarenj.com as We just talked on the phone. Please find the bloodwork prescription attached. Do you need anything else from us. Hieronim

Mon Nov 18, 2024

  • RWJBH MyChart - online login [10]. Tech support - [1-833-764-3570.]
  • Epic - promoting 'zero events of preventable harm'. Includes billing and scheduling.
  • RWJBarnabas Health HIE - only available to doctors and providers.
  • Hospital - [11]
  • [12] RWJ Barnabas Health
  • What patient record system does barnabas use?
  • Medical records rights - [13]
  • Patient portal is accessible for patient on smartphone. [14]
  • Is patient file accessible in realtime? [15]
  • Is patient file accessible to patient? [16]. HIPPA privacy rule.
  • Get the patient file. Patient can do it.
  • Get the source.
  • No standard procedure exists for PCNSL. [17]
  • What kind of lymphomas occur in the brain? [18]
  • What kinds of brain tumors exist? 120 types. [19]
  • CAT, PET, bone biopsy, blood, genetic tests.
  • Are all lymphomas in the brain called CNS lymphomas? Yes [20]
  • CNS lymphomas - [21]
  • Start with visitor desk.
  • Admin staff outside of nurse?
  • Probably there a round by the doctor is around? Ask nurse when he is making his rounds.
  • Is brain lymphoma the same as lymphoma in the brain? [[22]
  • What is the typical treatment for lymphoma once tumor is removed? Chemo, ratiation, immunotherapy drugs, stem cell treatment, or no treatment. [23]
  • When is he getting out of the hospital?
    • What kind of care
  • Chemo cycle is for ex 28 days - 1-3 days, then off. Or 3 week - day 1 and 8, and all else is off.
  • What exams are we waiting for?
  • What will the exams show?
  • What will the exams not show.
  • What is the proposed treatment from here?
  • What results are we waiting for?
  • For each result, what are the courses of action?
  • When is chemo starting?
  • What is the expected schedule for chemo? Number of times? Does the intensity change?
  • What are typical complications that happen?

Sat Nov 16, 2024

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