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Observation Of Palliative Treatment

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I am asked to see this patient to assist with symptom management and exploration of palliative treatment options in the setting of the patient's complex medical illnesses. A review of the medical records indicates that the patient suffer from multiple medical illnesses including metastatic breast cancer metastatic to the liver bone, chronic HTN, chronic Afib managed with medication, chronic stable GERD, UTI managed with ABT and pain. She was recently admitted to TMC for nausea and vomiting. Diagnostic work up indicates innumerable metastases to the liver and pancreas with ascites and LFT’s were elevated. She is followed by oncologist in Palm Beach Gardens for her cancer.
At today’s visit the patient is accompanied by her son and caregiver.

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