Changing symptoms during oxygen-supported care

CAPTIONS / IMAGE LABELS MYYL Breast cancer PATIENT FOLLOW-UP RECORDS Zheng Xiuqing · · Fuzhou, Fujian English translation · Original medical images retained CASE RECORD · Breast cancer · Age not supplied Ms Zheng had advanced breast cancer with metastases. Her family sought consultation after a critical-illness notice. She needed oxygen and had a pulse of 130, cough, difficulty breathing and fever. FOLLOW-UP The family reported some improvement in fever, breathing, urination and back discomfort while the patient was receiving oxygen and other treatment. Weakness and blood-streaked sputum also appear in the chats. The original collage mixes pulse and blood-pressure labels; those figures should be checked before use as a clinical trend. CHAT PANEL S042-P01 Zheng Qing · Family consultation group 9 Jun AM 11:49 Voice message: 37 seconds. 37″ Voice message: 20 seconds. 20″ She is doing very badly. Breathing is very difficult. What should we do? Is her heart rate still rising? Her heart is beating very fast. What is it now? 130. Before treatment Is there any medicine to slow her heartbeat? Voice message: 30 seconds. 30″ Hold to talk CHAT PANEL S042-P02 Zheng Qing · Family consultation group 9 Jun 16:13 The Chinese medicine has arrived. Is there a set order for taking the four medicines? 9 Jun 16:19 No. Medicine started on 9 June Thank you. 9 Jun开始服药 We will start taking it right away. Voice message: 20 seconds. 20″ Voice message: 11 seconds. 11″ 9 Jun 16:26 Hold to talk CHAT PANEL S042-P03 Zheng Qing · Family consultation group 9 Jun 17:34 Voice message: 17 seconds. 17″ Hello. Since my mother started the Chinese medicine, she has been coughing up a lot of phlegm. Is that normal? What should we do? That is normal. It is a detox reaction and a good sign. Have her lie on her side to avoid choking on the phlegm. Pay attention to this at night too. Understood. Patient / family update Can we use a manual suction device? Yes. 9 Jun 18:20 Hello. My mother is coughing up blood-streaked phlegm. Does that mean she is getting worse? No. Hold to talk CHAT PANEL S042-P04 Zheng Qing · Family consultation group 9 Jun 18:26 Red streaks of blood are coming out with the phlegm. Voice message: 28 seconds. 28″ Voice message: 6 seconds. 6″ Voice message: 18 seconds. Family update 18″ Hello, doctor. The amount is small. After the first dose, she has been sleeping and seems quite settled, quiet and comfortable. Thank you. If it really helps, I am very grateful. Voice message: 29 seconds. 29″ Voice message: 10 seconds. 10″ Yes. She stays in bed every day and cannot walk. Is that normal? She has no strength and even sitting up is exhausting. She keeps lying in bed. Current symptoms 9 Jun 19:17 Hold to talk CHAT PANEL S042-P05 Hold to talk Zheng Qing · Family consultation group She usually receives infusions at home for nutrition and inflammation. Is there any conflict with the Chinese medicine? Voice message: 2 seconds. 2″ 9 Jun 20:14 Voice message: 19 seconds. Family reports a better day 19″ Thank you. I do not know whether it is psychological or whether she feels comforted and hopeful, but my mother seems quite well today. If you can help her, I will come to Sichuan to thank you. Voice message: 11 seconds. 11″ Voice message: 11 seconds. 11″ Voice message: 11 seconds. 11″ Okay, thank you. If there is something I do not understand, may I ask again? Sorry to bother you every day. CHAT PANEL S042-P06 Hold to talk Zheng Qing · Family consultation group Earlier message (cropped) 10 Jun AM 09:53 On oxygen · pulse reported as 104 This is her blood pressure now. What should we do? Her heart rate has come down a little. It was 130 yesterday. She is very weak. What can she take for low blood counts? Can she have fish soup? The prescription already addresses this. Once things are stable, we can consider extra treatment if it is still low. For now, add eggs, meat and red dates to her meals. CHAT PANEL S042-P07 Hold to talk Zheng Qing · Family consultation group What is the Western medicine called? Rivaroxaban. Okay. 12 Jun 14:41 Monitor photo · pulse reading 108 This is my mother's blood pressure today. She is still very tired. Her legs ache and feel weak, and she cannot stand on her own. How can this be relieved? 12 Jun 14:47 I asked the director. It is best not to take this, because the Chinese medicine promotes circulation and has a similar effect. Reply to: Rivaroxaban CHAT PANEL S042-P08 Hold to talk Zheng Qing · Family consultation group 17 Jun 13:50 Okay. 18 Jun AM 09:19 Day 10 · pulse 61 Original monitor reading retained Hello. Is my mother's blood pressure normal? 18 Jun AM 09:26 The director has just looked. The readings are normal. 18 Jun AM 09:35 Thank you. 20 Jun AM 10:57 How many days of medicine are left? [cropped]