ONCOLOGY FOLLOWUP HPIP NOTE
Patient Name:
PEACE, Samuel Tyler
Referring Physician:
Jennifer Hutto, MD
Date of Visit:
19 April 2023
Sex/Age:
M/59
DOB:
11 January 1964
HISTORY: Mr. Peace, 59-years-old, is post resection of tumor bed for a high grade, soft tissue sarcoma of posterolateral chest wall. He has done quite well at home. His appetite is good. He is
having no pain and no problems with function of either extremity. He has not yet returned to work.
PHYSICAL EXAMINATION: On exam his scar is well healed, nontender, and mobile. There are no appreciable masses or ecchymoses.
IMPRESSION: Final pathology shows no residual sarcoma. (I have absolutely no idea what he says here.)
PLAN: I explained to Mr. Peace that the margins of position are clear. To discuss whether or not it would be prudent to consider to adjuvant chemotherapy. Given that a relatively small primary
tumor and complete excision, I would find it difficult to justify conventional chemotherapy for soft tissue sarcoma. He is going to follow up again with Dr. Hutto in her clinic to discuss chemotherapy. I would like to see the patient again in one month with repeat chest x-ray. My recommendation would be to proceed with monthly follow up with repeat chest x-ray and physical examination. I am releasing Mr. Peace back to work with light duty for the next month. He is not to lift more than 10 lbs. Return to see me in six weeks.
_____________________
Savant Oswalt, MD, Hematology/Oncology
SO:OF
D: 4/10/2023
T: 4/10/2023
C: Jennifer Hutto, MD, Cardiac Surgery
