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History And Management Of Present Illness

1975 words - 8 pages

HISTORY AND MANAGEMENT OF PRESENT ILLNESS
Mr. G., is a 56-year-old, African American male, born in Estill, South Carolina, and is currently residing in the inner city of Bridgeport, CT. Mr. G., doesn’t’ have a primary physician nor has he been to a doctor since his teenage years, therefore he has a very limited past medical/surgical history. He doesn’t have a high school education, having dropped out of school in 5th grade to work alongside his father to make ends meet for him and his other siblings, after his mother passed away from unknown causes. He worked in construction throughout most of his teenage years up until 8 years ago. He was being laid off from his job and unable to find work because of his lack of education. He is now supported by his wife and lives with her and their 5 kids and 4 grandchildren. He is a heavy drinker and smoker with a history of a pack a day since he was 21 and 5-10 beer a day. His wife is now the “head of the household” and struggles to make ends meet to take care of her large family. About one month ago, he started complaining of severe knee pain to his wife. He refused to go the hospital. As days went on, and about 2 weeks after the start of the knee pain, his knee started to swell and the pain increased, almost unbearable to the point that Mr. G could not ambulate. His family urged him to go to the hospital and threatened him that if he did not go and seek medical attention that they would call the ambulance. He finally decided to go the hospital. After an array of diagnostic labs, exams, and test, (tumor markers, biopsy, bone scan), Mr. G was diagnosed with bone cancer of the knee. He was referred to another hospital more specialized in Cancer care. There he was started immediately on chemotherapy. He remained on chemotherapy for 3 months, in which he experienced severe fatigueness, appetite lost, and overall body weakness. In this time, his medical bills started to pile up at home because he did not have health insurance. His wife decided to work double to help pay off the bills but they were starting to become too much for her to handle. He stopped chemotherapy shortly after due to the financial burden and inability to continue to pay for treatment. Two months later, Mr. G returned to the hospital after complaining of chest pain, coughing up blood, increased fatigueness, and shortness of breath. After having x-rays done, physicians discovered the cancer had metastasized and spread aggressively throughout his whole body including a heavy presence in his lungs. It was unclear if the cancer originated in his lungs before it spread to his knee and went unnoticed by previous physicians. The x-ray showed that the cancer in his lungs might have been there for months, possibly before his knee. He was diagnosed with terminal stage 4 cancer and given 6 months to live. His families although devastated by the news, are very supportive of Mr. G, and willing to receive any assistance possible to make their...

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