Rebecca Perl, from Maryland, has been diagnosed with non-Hodgkin's lymphoma in 1995. Rebecca has a two year old son and she is a health science reporter. Her body has not responded to the last six months of radiation and chemotherapy. Rebecca and her husband Tom are going to Omaha, Nebraska. At the University of Nebraska Medical Center Rebecca will receive a bone marrow transplant and a round of chemotherapy(Perl,1995).
Rebecca and Tom head to Omaha, when they get to the hospital, the medical staff begin tests and blood work. Rebecca says, "I'm tired of being poked and prodded"(Perl, 1995). Rebecca states that she never thought she would be the one in the hospital because her husband had a kidney transplant, her brother was diagnosed with leukemia, and she is a health reporter(Perl,1995). On December 10th, Rebecca found out that her previous chemotherapy had not made the tumor any smaller(Perl,1995). Rebecca starts a more powerful form of chemotherapy, but later she finds out that it is not shrinking the tumor either, so her stem cells are filtered out of her blood and they are saved until after her chemotherapy. Rebecca finally has her transplant and soon after she starts feeling very sick. She said, " I feel fragile, anxious, and sick"(Perl,1995). Rebecca admits to Lorraine Brazier, her friend Graham's wife, that if it was not for her son she probably would not fight as hard for her life(Perl,1995). Two days after the transplant, Rebecca is back in the hospital because her heart rate reached 190 beats per minute. Since it is unknown what may have caused her heart rate to increase the doctors decide they are not going to treat the condition. Four days after Rebecca's transplant she is diagnosed with RSV and she was isolated. She had to be on a machine and wear a mask for eighteen hours a day. Finally Rebecca receives some good news, the stem cells that were transplanted are growing and reproducing new cells(Perl,1995).
Eleven days after the transplant, Rebecca is released from the hospital, and she is excited to be returning home. Four days after Rebecca returns home, she calls to check on her friend Graham and she is upset when she finds out he has passed away. Rebecca returns to Dr. Vose for a checkup and he delivers good news. One year after treatment, Rebecca's lymph node is back to its normal size(Perl,1995).
Diane was a patient of Dr. Timothy Quill, who was diagnosed with acute myelomonocytic leukemia. Diane overcame alcoholism and had vaginal cancer in her youth. She had been under his care for a period of 8 years, during which an intimate doctor-patient bond had been established. It was Dr. Quill’s observation that “she was an incredibly clear, at times brutally honest, thinker and communicator.” This observation became especially cogent after Diane heard of her diagnosis. Dr. Quill informed her of the diagnosis, and of the possible treatments. This series of treatments entailed multiple chemotherapy sessions, followed by a bone marrow transplant, accompanied by an array of ancillary treatments. At the end of this series of treatments, the survival rate was 25%, and it was further complicated in Diane’s case by the absence of a closely matched bone-marrow donor. Diane chose not to receive treatment, desiring to spend whatever time she had left outside of the hospital. Dr. Quill met with her several times to ensure that she didn’t change her mind, and he had Diane meet with a psychologist with whom she had met before. Then Diane complicated the case by informing Dr. Quill that she be able to control the time of her death, avoiding the loss of dignity and discomfort which would precede her death. Dr. Quinn informed her of the Hemlock Society, and shortly afterwards, Diane called Dr. Quinn with a request for barbiturates, complaining of insomnia. Dr. Quinn gave her the prescription and informed her how to use them to sleep, and the amount necessary to commit suicide. Diane called all of her friends to say goodbye, including Dr. Quinn, and took her life two days after they met.
It was the Christmas holiday season of 2013 and Uncle Sonny was healthy, happy, and full of vigor. Uncle Sonny was 58-year-old weighing 180 pounds and standing at a height of 5.10 inches. However, the family watched in utter desperation as Uncle Sonny’s body mass and height degenerate gradually to 92 pounds and 5.8 inches respectively. The most devastating scenario for the family was watching Uncle Sonny waste away on the hospital bed while looking hopeless and dull. The man who was full of energy and life was now a tired decrepit, with an expressionless demeanor. The doctor’s diagnosis was Hodgkin 's Lymphoma (HL), a form of cancer whose treatment affects the body’s ability to fight other infections. Despite the deleterious health effects of Hodgkin 's Lymphoma, early-stage and advanced Hodgkin 's Lymphoma is curable.
Lastly, in step seven we “monitor, evaluate, and document the decision” (p.166). As I made my personal decision, it is not the final decision. Next Thursday, the physicians, foster parents, myself, and Lori will all meet to determine what decision will be made for Lori to receive or not to receive the bone marrow transplant. This will give everyone time to research and determine what decision they think is best for Lori, and be able to explain
Four months after Louise was initially diagnosed with skin cancer, her doctor gave her even more bad news. She found out that the cancer had spread to her brain and ovaries. The doctors also stated that Louise would be lucky if she lived a few more months. She is spending the last few months of her life warning people about the dangers of tanning.
Stage I -One lymph node region. Stage IE is when one area or organ other than the lymph nodes are affected. Stage II is two or more lymph node regions that are close to each other and on the same side of the diaphragm. Stage IIE is one organ or area other than the lymph nodes and one or more lymph node regions nearby the affected organ or area and possibly one or more lymph node regions that are on the same side of the diaphragm. Stage III is several lymph node regions both above and below the diaphragm. Stage IIIE is one organ or area other than the lymph nodes and several lymph node regions both above and below the diaphragm. Stage IV is widespread disease in one or more organs or areas other than the lymph nodes and possibly one or more lymph node regions. NHL is further broken down into two categories (Category A. and B.) depending on whether the person is experiencing certain symptoms. A Category is when the patient does not have a fever, excessive night sweating, and weight loss are present. B Category patients can experience fever, excessive night sweating, and weight
dissemination happens earlier, more often, and more quickly than Hodgkin lymphoma. Clinical signs depend on the location in the body and the extent of involvement. Visible signs seen in Hodgkin lymphoma may be present in NHL. Because most children with non-Hodgkin's lymphoma have this disease throughout a large amount of their body a diagnosis through staging is unnecessary. Bone marrow aspiration and CT scans of the lungs and GI organs are recommended. Current treatments include an aggressive approach using irradiation and chemotherapy. Almost the same as leukemic therapy. Nursing care is just like the care discussed with nursing care of a child cancer which is mostly directed toward managing the side effects of the chemotherapy
Review of the medical record indicates that she was diagnosed with stage 3 rectal cancer with Mets to bones in 2013 and was treated with radiation treatments. Her last radiation treatment was in March. She is followed by Dr Lederman in New York and locally by Dr Patel. After her radiation therapy she developed lymphedema and pain to left lower extremity. She is follow by healthy lymphatic agency and was being followed by Dr DeBonet for pain. She has a history of rectal cancer with metastatic to bones and kidney.
Further back than two decades from the present moment, a beautiful woman blended flawlessly into the immaculate ottoman she lied upon; limp and colorless. Claiming each moment as an opportunity to retch up any remaining poisons, she also savored each minute as an opening for somber thoughts. Succeeding into only her mid-thirties, my mother was not near surrendering in her battle against Hodgkin's Lymphoma, and she was even further from anticipating any predestinations. Toxins recycling through her veins, she could barely imagine the following minute, let alone the ringing of a bell to signify the end of her treatment. And even though she was eventually able to grasp onto that bell, she still not able to grasp onto the doctor's unfortunate news
She’s been struggling everyday of her life for the past 10 years; battling and fighting this horrible disease has made it hard on her and her family. The cancer has now metastasized, making it difficult for her to take care of everyday responsibilities and participate in daily activities. Her 13-year-old daughter is watching as her mother suffers and becomes brittle and weak.
Rebecca is a 31yo G2 P1001 who was seen for an ultrasound evaluation and FTS. She overall denies any major medical disorders other than she is hypothyroid and on replacement therapy. She also has a history of a LEEP procedure but that occurred in 2012. She did have a full-term delivery over 2 years later that went to 39 ½ weeks with an 8 lb 12 oz infant. Overall on today’s assessment, she has no complaints.
Immunotherapies combat cancer by utilizing the body’s own immune system. By activating the immune system to specifically target cancer cells, many of the side effects of conventional chemotherapies due to the nonspecific killing of healthy cells, such as hair loss, are avoided. The most common non-Hodgkin lymphoma (NHL) is Diffuse large B-cell lymphoma (DLBCL), which comprises approximately 30% of all new diagnoses.1 The median age of those presenting is mid-60s. The cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) chemotherapy regimen has been the foundation of treatment since its development in the 1970s.2 CHOP has remained the standard of care since attempts to improve outcomes with more intensive chemotherapy regimens failed
Cancer, the dreaded six letter word that will affect almost everyone at some point in their life; whether cancer is theirs or a loved one’s. What happens when the cancer the doctors said was gone comes back only a year later and this time worse than before? For Mary Williams, this just so happened to be her case. Her malignant melanoma is back and this time an unspoken ‘terminal’ is present in the diagnosis. As a mother of two young girls, eight and eleven years old, Williams is given no choice but to fight. It does help that her team of doctors are from New York’s elite cancer treatment facility Memorial Sloan Kettering Cancer Center which is known to be working on a new drug on melanoma patients. So when she is offered to be in a once-in-a-lifetime
The pregnancy was completely normal up until about two months before her due date. That December, Macie noticed a lump on her collarbone that was quite abnormal. She made an appointment to see the doctor a few weeks later because the lump was not going away. Macie obtained multiple doctors’ opinions and ended up getting the lymph node removed for diagnosis. The test results showed that Macie had stage 2 Lymphoma, which is cancer in the lymph nodes. At this point she was eight months pregnant, so they were not permitted to begin treatment for her cancer. Evie was born premature on Thursday February 3, 2014. Macie had the port in which the chemotherapy would go into her body through put in on the next Monday. One week after Macie had a caesarean section, she started chemotherapy
When the chemo started she lost all of her hair as expected. She started to get sick from the chemo but after the first couple treatments, she started to get better. It was a lot easier for her to get sick when around other people who were sick because of the chemo.
We arrived at the emergency room only to find several people already there. Joey was begging me to do something to stop the pain in his back; we waited and waited and waited. Finally, in total anger and despair I set out to find someone to help. The doctor came over, examined him and asked me several questions; it was slowly becoming apparent to me that this doctor did not have any answers. Meanwhile I was growing more concerned about the unknown; what was wrong with my child? The doctor, obviously puzzled by the situation, decided to run a CBC (complete blood count). This took what felt like an eternity, suddenly the doctor became somewhat evasive, almost secretive. I was exasperated, determined to find out what was wrong with Joey’s lab report. I inched my way over behind the curtain, so I could overhear bits and pieces of the doctor’s conversation. They were discussing things like a low hemoglobin count and a high white blood cell count, then I heard it, the most devastating word I have ever heard a doctor say-Leukemia.