The patient is oxygen dependent because of pleurodesis since 1 month. She is suffering from breathlessness after talc pleurodesis. She has metastatic breast cancer with distant spread to the lung and liver. There is residual pleural effusion along with bilateral lower lobe consolidation. She has pleurodesis related inflammation, interstitial pneumonia as well as interstitial lung disease due to pleural disease showing ground glass opacification. She has talc related leg injury. Patient is currently on tablet Methylprednisolone 16 mg every day. Along with this, she is taking tablet Mucinac 600 mg daily thrice a day. Blood reports, current x-rays and CT scans are attached for your reference. His CT chest is suggestive of patchy areas of consolidation along with bilateral pleural effusion. Doctors are not sure about the reason for breathlessness. I need your valuable opinion to treat this breathlessness. Kindly help.
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I have read all the reports (attachment removed to protect patient identity) including your CT scan. It is very sad to be in such a situation with multiple problems.
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Earlier she took Piptaz 4 mg IV 2 times daily for 14 days. Currently, she is having tablet Medrol 16 mg once daily and not taking any antibiotics. Now, I am thinking to give her tablet Pirfenex 200 mg tds along with tablet Medrol 16 mg. Will this help her? Does she need any antibiotics? Please suggest. Thank you.
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Thanks for getting back to me.
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