Conduct disorder Case M, wife 11/07/43

Date

Doctor / Hospital

Treatment

Comments

Medication

07/08/97

Internist / Peripheral hospital

Colonoscopy

Laboratory & Dad

Anal polyp / tumor ulcerative process coecum / liver dysfunction / intra-hepatic bile ducts dilated pancreatic looks somewhat sharply.

Reference Daniel Den Hoed (DDH)

07/28/97

Surgeon / DDH.

ERCP

Narrowed distal common bile choledo-Chus, with proximal dilatation due to a mass. Pancreatic duct could not be displayed. Also in duo-enum ulcer seen: adenocarcinoma.

08/12/97

Surgeon / DDH.

Preparing for surgery

08/13/97

26/08/97

Surgeon / DDH.

Operations

Dismissal from DDH

Right ongeclompiceerde hemicolectomie (1 ^st primary tumor) and pancreatitis cricoduodenectomie ^(2nd primary tumor). Colon and pancreaskopcarcinoom

05/01/98

Obstetrician / hospital-see Peripheral

Preparing for surgery

Having previously identified endometrial carcinoma ^(3rd primary tumor)

01/06/98

12/01/98

Gynaecologist / Peripheral hospital

Operation

Discharge from hospital

Extra abdominal fascial uterus extirpation because of endo-metrium cancer.

Provera 100mg

Later increased

Provera 200mg

07/03/98

09/07/98

Surgeon / Peripheral hospital

Contingency care and infusion therapy

Discharge from hospital

This follows an abdominal various mirrors that show a match with ileus.

Because of upper abdominal symptoms, a CT scan. One large and two small satelietmetastasen high in the liver lobe ventrally located

16/07/98

Surgeon / DDH.

Consultation hour

There is a liver metastasis, most likely a result of duodenumcarcinoom.

This is only available palliative chemotherapy

On the advice of several specialists and physicians after careful consideration, decided not to start chemotherapy, but an ortho molecular treatment. Some things in close consultation with Surgeon / DDH decided.