Anastasia Zherlitsyna — timeline

"MEDICAL CENTER "DOBROBUT-CLINIC" LLC.

License of MoH of Ukraine Series AE # 282543 as of 15.10.2013

Adult outpatient department

Day patient department

Instrumental diagnostics

Laboratory investigations

044/097 495 2 888

5288

Contact center

Emergency

Other:

decreased mental activity, difficulty concentrating;

daytime sleepiness with satisfactory duration and quality of night sleep;

a feeling of unsystematic dizziness, which decreases in the lying position.

According to the patient, the symptoms continue during May-June 2023, about 2 weeks ago she had a worsening of her condition - headache and systemic dizziness in the afternoon, the symptoms regressed after taking IBUPROFEN, during the last 7 days mental weakness persists, the patient cannot show normal mental activity, after an examination by a clinical oncologist, sent to coordinate recommendations;

16/6/2023 MRI of the brain - control - reduction of the previously known focal lesion in the left occipital region to a volume of 11x7.5x7.5mm;

from 4/5/2023 continues taking IMATINIB;

1/2023 appointment of ELIQUIS instead of АСК.

Right-handed. IT specialist.

The patient had no allergic reaction.

Bad habits: smoking

The last CT scan of the chest was performed

The last time the study of external respiration was conducted

GIST of the stomach with secondary liver damage.

Treatment with Pazopanib with the development of posterior reversible encephalopathy syndrome 13/1/2023, positive dynamics of changes in the left occipital region according to MRI data 16/6/2023.

Symptoms of headache and dizziness are more comparable to the side effect of IMATINIB.

1. Mode of rational physical and mental workload, clear separation of work and leisure; observance of the daily regime, compliance with the rules of food hygiene, informational hygiene.

2. Avoid overwork.

3. Avoid long breaks between meals.

4. Optimum mode of fluid consumption, preferably fortified drink.

5. Refusal to smoke!!!

6. Follow a mobile lifestyle, in particular, increase daily aerobic exercise (walking up to 7-8 thousand steps).

7. Continue taking ELIQUIS in the recommended doses.

APPROVED

Order of the Ministry of Health of Ukraine

February 14, 2012 No. 110

(as amended by the order

of the Ministry of Health of Ukraine

dated December 9, 2020 No. 2837)

The name of the ministry, other executive body, enterprise, institution, organization to whose management the health care institution belongs

Ministry of Health of Ukraine

Name and location (full mailing address) of the health care facility where the form is being filled out

Dobrobut Polyclinic Medical Center LLC

Code according to USREOU 38806862

Address: 04211, Kyiv, Volodymyr Ivasyuk Ave., 16V

Form of primary accounting documentation

No. 003-6/o

APPROVED

Order of the Ministry of Health of Ukraine

from February 14, 2012 No. 110

INFORMED VOLUNTARY CONSENT OF THE PATIENT

FOR DIAGNOSTIC, TREATMENT AND SURGERY AND ANESTHESIA

I, Zherlitsyna Anastasia Stanislavivna received information about the nature of my disease, the peculiarities of its course, diagnosis and treatment at the Dobrobut Polyclinic Medical Center LLC

(the name of the health care institution)

I am familiar with the examination and treatment plan. I received a full explanation about the nature, purpose, approximate duration of the diagnostic and treatment process and about possible adverse consequences during its implementation, about the need to observe the regimen determined by the doctor during the treatment process. I undertake to immediately notify the attending physician of any deterioration in well-being.

I am informed that non-compliance with the recommendations of the attending physician, the regimen of taking the prescribed drugs, uncontrolled self-medication can complicate the treatment process and negatively affect the state of health.

I was given information in an accessible form about the probable course of the disease and the consequences in case of refusal of treatment.

I had the opportunity to ask any questions that interested me regarding the state of health, the course of the disease and treatment, and I received answers to them.

I, Zherlitsyna Anastasia Stanislavivna, agree with the proposed treatment plan.