A later self-reported follow-up after an eventful start

CAPTIONS / IMAGE LABELS MYYL Lung cancer PATIENT FOLLOW-UP RECORDS Zhang Liling · 66 · Fuyang, Anhui English translation · Original medical images retained CASE RECORD · Lung cancer · 66 Zhang Liling, from Fuyang, Anhui, had previously received targeted therapy. The May record lists a lung lesion of 31 × 27.5 mm and a left frontal-lobe brain finding; the July lung measurement was 32 × 28 mm. She sought care in August. Weakness and coughing of blood continued during part of the follow-up. These symptoms and the staff's responses remain in the original conversation sequence. The late-August account lists a lung lesion of 32 × 19 mm and says the earlier left frontal-lobe finding was no longer identified. After seven courses, the December account reports no recurrence of the previously described brain finding, a smaller primary lung lesion, improved symptoms, and normal eating and sleep. The original reports and messages remain in place. CHAT PANEL S185-P01 Zhang Liling · Lung cancer 8 Aug PM 3:31 Day 3: patient reports weakness and coughing up blood Voice message: 19 seconds. 19″ Today is my third day taking the Chinese medicine. I feel unwell and weak all over, with less strength than before. I just coughed up blood. I had never done that before; it started after taking this medicine. What color was the blood? For example: bright red, dark red, purplish red or black? Voice message: 13 seconds. 13″ I had never coughed or brought up phlegm before. Today was the first time. I am worried and frightened. Should I go to hospital? Voice message: 19 seconds. 19″ There is no need. You have lung cancer with brain metastases. Chinese medicine aims to deal with the underlying problem, rather than only suppress symptoms. To address it, the body needs to expel the unwanted material inside; there is a process to go through. CHAT PANEL S185-P02 Voice message: 21 seconds. 21″ Since I was diagnosed with lung cancer in May, I have hardly coughed or brought up phlegm. This is the first time. I am very frightened. Are you saying I should not go to hospital for an examination? Voice message: 25 seconds. 25″ There is no need. Think of the toxins in the lungs as phlegm. If they are not expelled, they remain and grow until the lungs cannot hold them, and then coughing starts. The director's medicine is now helping to loosen and gradually expel some of that phlegm. Voice message: 16 seconds. 16″ I did not feel this before. Now, if I sit for a long time, my right leg, foot and ankle go numb. Voice message: 5 seconds. 5″ It is mainly because the circulation of qi and blood is still not smooth. Voice message: 8 seconds. 8″ So I should not worry? Is it okay? Should I go to hospital to be checked? CHAT PANEL S185-P03 Voice message: 24 seconds. 24″ He said the brain metastasis can no longer be seen. There is only a small lipoma at the original site. The metastatic tumor is gone. Shall I send you the examination reports to look at? Patient reports: brain lesion no longer visible; lung tumor smaller Voice message: 8 seconds. 8″ He said the lesion that had spread from the lung cancer to the brain can no longer be seen. Voice message: 17 seconds. 17″ The lung tumor was 32 × 28 mm. It is now 32 × 19 mm. He said it is a little smaller than before. CHAT PANEL S185-P04 How have you been recently? noon 12:02 Voice message: 11 seconds. 11″ Good afternoon, Mr Li. I just got home and saw your message. Thank you for checking in. I have been fairly well recently. Voice message: 30 seconds. Patient reports normal blood tests 30″ I was discharged a few days ago after examinations in hospital: a chest CT, contrast-enhanced brain MRI, blood count and other tests. They took six tubes of blood and checked many items—perhaps fifty or more. They were all normal. CHAT PANEL S185-P05 Zhang Liling · Lung cancer The brain metastasis can no longer be seen; that tumor is gone. In the lung, the length is now half what it was, and the width has decreased by a few millimeters. Eating, sleeping and my overall condition are okay. Thank you for your concern, Mr Li. Patient reports less pain and better eating and sleeping Voice message: 28 seconds. 28″ I had headaches earlier in 2025, but they are gone now. The area of the tumor in my right lung used to hurt, and that pain is gone too. Daily life has returned to normal. Thank you, Mr Li.