A Case Study

I did talk with him about my concern regarding the lesions that are close to the eye and I felt it was very important that he be seen by ophthalmology and this was arranged for him today. He will keep that appointment this afternoon over at Eyesight. I talked about antiviral therapy as he is within a couple days of the onset. He was written for Valtrex 1000 mg three times daily for seven days. In addition, prednisone 10 mg tablets, 40 mg for two days, then 20 mg for two days, then 10 mg for two days. I reviewed the case with Brett Rankin, MD, as I was concerned with the lesions in the ear and my concerns regarding the possibility of this leading to a Ramsay Hunt syndrome. Currently as his hearing is unchanged and there is no facial paralysis issues, I am hoping that will not be worry with the steroids and the antiviral therapy starting. Dr. Rankin talked about doing a hearing evaluation to ensure there is no asymmetry between his two ears, even though the patient perceived that his hearing was okay and that will be arranged for him. He knows he will be contacted by Dr. Rankin's office for that. He knows to contact me if his symptoms worsen in any way. We did talk about the potential complications and he is aware of what to be looking for. A viral culture was performed to confirm the diagnoses, but he understands that may take time to return the results to us. He will monitor symptoms in the

PHYSICAL EXAMINATION: HEENT: Tympanic membranes and external auditory canals are within normal limits. Throat is clear with no gingival lesions. He is ______________. No obvious proliferate retinopoathy. NECK: No carotid bruit. No thyroid enlargement. LUNGS: Clear to auscultation. HEART: No S3, S4 or murmurs. ABDOMEN: Soft with no organomegaly. Normal bowel sounds. FEET: Good dorsalis and posterior tibial pulses bilaterally. Left foot has no abrasions, lesions, sores or ulcers. Right foot shows obvious deformity from previous break. He has an area located between his second and third metatarsal head that has clearly been an abscess that has broken through. He also has an obvious foot ulcer located over the instep of his right foot, full thickness. There is tracking to the broken foot, to which the ulcer area is connected and there is a question of osteomyelitis in this area.

He was previously treated with anti-inflammatories and physical therapy. He continued to work. He was seen by an orthopedist and had a corticosteroid

Childhood cancer is two of the most devastating words any parent can hear regarding their child. A child that was diagnosed with cancer in the early 1960s rarely survived and typically led to death. St. Jude Children’s Research Hospital understood this concern. When the hospital was created the childhood cancer survival rate was less than 20%. Today, through research and discoveries the rate has raised to 80%.

Acute lymphoblastic leukemia is one of the most common childhood cancer, but also, one of the most curable. Acute lymphoblastic leukemia is a blood cancer that affects the white blood cells which causes them to build up in the liver, spleen and lymph nodes. (St. Jude's research hospital) Another case, is about a toddler, named Mark, who wasn’t even two years old, at the time and had developed a slight limp. At first, the doctor’s were not concerned and had told his mother, Rita, that he would get better over time. But, she was not convinced, she was later referred to a specialist, who performed a CT scan. Which, later showed a tumor in Mark’s head. “The family received a referral and arrived at St. Jude in January 2010. At St. Jude, further testing was done and a discovery was made: Mark’s tumor was actually a very rare type of bone cancer, in the Ewing sarcoma family of tumors- not brain cancer as originally believed” (StJude.org) If it wasn’t for St. Jude or the mother then Mark may not have lived and be over five years cancer free. “It’s like a miracle. Everything is given to the family here for free without any expectation,” Rita said…. “I wish every nation in the world would have a St.Jude,” said Rita. “That way, everyone would have a chance” “ (StJude.org). This just shows how much it means to the families and the children. The place that

Mr. .J. is a 30 year old Caucasian male presented to the Emergency Department with symptoms of myalgia, fever, rash, swollen glands, leukopenia, and thrombocytopenia. Mr. J. reported fever and sore throat started about a week ago and the rash presented today. Mr. J. stated “I thought I had the flu but I am not feeling any better and now I have a rash, that’s why I decided to come to the E.D.”. (Health and Human Services panel, 2013)

The importance behind this health issue is that major advances in medicine haven’t significantly improved survivor rates nor have medical advances reduced the number of cancer cases per year in children under 18 years of age (Curtin, Minino, Anderson, 2016).“Congressman McCaul is a father of five and knows that every parent’s worst nightmare is their children receiving a life-threatening cancer diagnosis. Growing up, his childhood best friend lost his battle to cancer. It wasn’t fair then and it isn’t fair now. Congressman McCaul founded the Childhood Cancer

Ever since my mom died of lymphoma about 5 1/2 years ago, I have always been interested in other people’s cancer stories and their reactions like Fault in Our Stars or Me, Earl, and the Dying Girl. Jeffery’s reactions are most mature to any others that I have ever seen. Most people wouldn’t make anything close to an attempt, but Jeffery does ten times more. His side effects of his treatments are math abilities and a small limp. Jordan Sonnenblick experienced cancer in his life with a student that he previously had when he was an English teacher. The reason I chose this book is mainly because this is the sequel to a book that I previously read, Drums, Girls, & Dangerous Pie. Also, the synopsis or description of the book looked interesting.

Dr. Riley Tux stared out the tall window at the snowy field beside the hospital. The late afternoon sky was dark with smoky clouds, heavy with more snow on the way. He looked back at his best friend, Myles, lying in a hospital bed. Myles, only 30 years old and healthy his entire life, was now somehow dying. Myles had been in the International Kingdom Hospital for almost two full days now. He had been seen by multiple different doctors, including Dr. Tux, tested in any possible way, and not one of them could figure out what was killing him. Myles looked as if he was in awful pain. He had hard, swelling lumps on his neck, inner thighs, under his arms, and around his feet. They grew to the size of a baseball. They started to turn black, split

Leukemia is “a malignant progressive disease in which the bone marrow and other blood-forming organs produce increased numbers of immature or abnormal leukocytes. These suppress the production of normal blood cells, leading to anemia and other symptoms.”An estimated combined total of 162,020 people in the U.S. are expected to be diagnosed with leukemia, 60,192 people die, 14% live in remission and my father is just another statistic. When I was nine years old, my father was diagnosed with Leukemia, an illness that at the time I did not understand. This left my mother raising two kids and working two jobs to make ends meet. Throughout this time of never ending hospital visits, I experienced the kindness and care provided to us by my father’s doctors - something that until this day I will never forget.

As I entered our home, J.P. was on the phone with his family. His tearfully conversation told me he had terminal cancer. Under this circumstance J.P. was uncertain of the type of cancer diagnosed. Attending a follow up appointment we were informed he had staged 4 terminal Non-Hodgkin’s Lymphoma cancer. I cried with him for a short time. Knowing that our son Jason would be home soon from high school. We pulled ourselves together to give Jason the diagnosis. Our faith journey towards healing began that evening.

some machinery and he ended up being in the ICU for two weeks. The doctor had ordered for

It turned out to be the wrong specialist. My grandmother told one of her friends (who happened to be a nurse), and she suggested my dad go to pulmonary specialist. So, my father reluctantly scheduled an appointment at Ellis Hospital. Thank god he did. After a few scans and a few blood tests, the doctors found three blood clots in my father’s body. Dad had a clot in both of his lungs, and one in his leg. The worst was yet to come. The doctors were not pleased with his blood results. He had a very low white blood cell count, and his platelet levels were low as well. They needed to find the cause. One doctor had an idea. The doctors did what is called a bone marrow extract, this is when they drill a needle into your hip, through the bone, and take out bone marrow. The results were not something I wanted to hear. I was at my grandmother’s house at the time when my father called. The doctors found cancer, Acute Leukemia, and it was traveling through my father’s entire blood stream.

All doctors are not created equal, find the right doctor. It may save your child’s life.

Jack woke up one morning not feeling well. He felt very weak and could not get out of bed. His mother decided to take him to the doctors. The doctors took many tests to figure out what was making him feel that way. After about an hour or two the doctors got the results back from a blood test. Results that would change Jack’s childhood for the worse. Jack has been diagnosed with Leukemia, a blood cancer. Of course, Jack was not sure what that meant but, his parents became worried beyond belief with the long road ahead of them. Scientists and researchers were all involved in the discovery of Leukemia cancer, which increased knowledge of this cancer, decreased deaths and discovered treatments, and started charity groups to fund research.