A lung-cancer follow-up after targeted treatment

CAPTIONS / IMAGE LABELS MYYL Lung cancer PATIENT FOLLOW-UP RECORDS Luo Diqin · 45 · Guiyang, Guizhou English translation · Original medical images retained CASE RECORD · Lung cancer · 45 Luo Diqin was diagnosed with lung cancer in 2023 and received targeted therapy in a clinical trial for more than two years before reported resistance. She had also tried Chinese medicine locally. Symptoms included right pleural fluid, cough, chest tightness, breathlessness, dry or bitter mouth, fatigue, poor appetite and sleep. The source lists a right lung lesion of 54 × 42 mm and a left upper-lobe finding of 5 × 3 mm. FOLLOW-UP The account records starting medication on 8 May. She reported less coughing of blood and normal bowel movements, followed by less coughing and better energy by day eight. A later report described a smaller right lung lesion and no longer identified the small left upper-lobe finding. Prior targeted therapy remains part of the treatment history. CHAT PANEL S097-P01 Original clinical record image retained. CHAT PANEL S097-P02 Luo Diqin · Lung cancer Yes. 8 May 19:22 The medicine arrived intact. She took it at noon and in the afternoon. 8 May 20:38 She just coughed up phlegm with a little blood. What could be causing this, doctor? 9 May AM 09:50 Blood in the phlegm? Yes, a little blood. It happened once yesterday. With lung cancer, vigorous coughing can injure small blood vessels in the lungs… [message cropped] CHAT PANEL S097-P03 Luo Diqin · Lung cancer Okay. I did not take a photo yesterday. There has been no more blood since. Okay. Thank you, doctor. You are welcome. Tue 10:16 How has she been taking the medicine these past few days? On time and at the prescribed dose? Tue Yes. Her cough has not eased since starting it. Her bowel movements are better, but her appetite is down and she coughs when sleeping. Tue 11:30 Thank you for helping her with the medicine. This is the first course and it has only been a few days. In traditional Chinese medicine, the lungs and bowel are considered connected and able to affect each other. Better bowel movements suggest improvement there, and the lungs are gradually changing too. I think the direction is positive, so try not to worry. CHAT PANEL S097-P04 Luo Diqin · Lung cancer Yes, doctor. She has taken it for five days. Tue 14:21 Okay. Continue following the prescribed instructions. Thank you. Please keep updating me. Tue 14:30 Okay. Tue 14:34 Okay. AM 10:23 Has it been eight days now? How is she doing on the medicine? AM 11:57 The cough is a little better. When she coughs, she feels short of breath. She is eating poorly with little appetite, but has more energy than before. Bowel movements are normal.