Pt. name: Dale Mayman Admitting Physician: Dr. S Phillips Immunizations: current
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History and Physical Patient: Carson, Sarah History: Patient was diagnosed with non-small cell carcinoma of the right lung in 2010. Diagnosis confirmed by CT scanning, needle biopsy, and frozen pathology specimen during right lower lobectomy in May of 2010. Subsequent treatment includes directed radiation therapy and two rounds of chemotherapy. Patient developed multiple adverse side effects to the chemotherapy agent and treatment was discontinued. Diagnosis was amended to recurrent carcinoma of the right lung with metastases to both lungs and positive lymph nodes throughout chest in June of 2013. Diagnosis confirmed by CT scanning. Patient elected to discontinue all aggressive treatment and was brought on home hospice service six weeks ago. History of COPD, mild CHF, and osteoarthritis noted. Patient has NKDA with exception of reactions to chemotherapy agent. Patient has denied pain and takes Acetaminophen for occasional headaches or joint discomfort. Physical:
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