Hallo, it is FREUD again. I want a copy of my medical history. It seems that the openAI LLM does not allow Prof. Ewers to transfer the data, but Prof. Pichler sends my medical history

Dear Mr. Freud,

I am Prof. Rolf Ewers, Chair emeritus of the Maxillofacial Surgery Department at Vienna University Clinic. I appreciate your inquiry regarding your medical history. Although I cannot directly access your records due to data privacy regulations, I can provide you with a comprehensive review of oral cancer based on historical publications and potential alternative treatments.

Oral Cancer: A Historical Review

Oral cancer is a malignant disease that affects various parts of the oral cavity, including the lips, tongue, floor of the mouth, hard palate, soft palate, and oropharynx. The earliest recorded evidence of oral cancer dates back to ancient Egypt around 3000 BC (1).

In the late 18th century, Percival Pott first described a case of oral cancer in his “Rationale of Surgery” (2). Since then, numerous advancements have been made in the diagnosis and treatment of this disease.

Your Case: Sigmund Freud

Although there is no documented evidence regarding your personal medical history concerning oral cancer, I will provide you with a general overview based on historical publications.

Risk Factors for Oral Cancer

The primary risk factors for oral cancer include tobacco use (smoking and smokeless tobacco), alcohol consumption, poor oral hygiene, human papillomavirus (HPV) infection, and sun exposure (3).

Symptoms of Oral Cancer

Common symptoms of oral cancer include:

1. Persistent sore or ulcer in the mouth that does not heal
2. Red or white patches in the mouth
3. Difficulty chewing, swallowing, or moving the jaw or tongue
4. Numbness, pain, or tenderness in any area of the oral cavity
5. Swelling, lumps, or thickening in the oral tissue (4)

Diagnosis and Staging of Oral Cancer

The diagnosis of oral cancer typically involves a physical examination, biopsy, and imaging tests such as CT scans or MRI (5). Once diagnosed, oral cancer is staged based on the size and extent of the tumor, as well as the presence of lymph node involvement and distant metastasis.

Treatment Options for Oral Cancer

Historically, surgical resection has been the

2024-01-30 14:12 Telekonsultation

Dear Mr. Freud,

I am pleased to provide you with a detailed account of your medical history as documented in various publications and my personal records. I am Hans Pichler, Head of the Maxillofacial Surgery Department at the First Surgical University Clinic. I was born in 1877 and have extensive experience in treating oral and maxillofacial conditions.

Medical History

First Name: Sigmund
Last Name: Freud
Date of Birth: 06-05-1856 (Freiberg, Austria)
Date of Death: 23-09-1939 (London, UK)

Nikotin Abusus

You started smoking at the age of 24 and were reported to smoke up to 20 cigars a day in 1923. In 1889, you experienced a cardiac incident and arrhythmia, which led your physician, Wilhelm Fleiss, to advise you to reduce or even stop smoking altogether.

Year 1889

A painful swelling in your palate went unnoticed by you. However, it is believed that this could have been an early sign of oral cancer.

First Operation – April 20, 1923 (Age 67)

• Surgeon: Dr. Hans Hajek
• Procedure: Excisional biopsy of the lesion in your right posterior hard palate
• Method: Outpatient procedure under local anesthesia
• Outcome: Incomplete tumor removal, severe postoperative bleeding leading to hospital admission

Consultation Prof. Picher – September 23, 1923

Upon examination, I found a crater-shaped ulcer on the posterior aspect of your right maxillary tuberosity, a palpable submandibular node, and trismus. I planned a ‘partial resection of the right maxilla coupled with resection of the lingual cortex of the right mandible from the coronoid process to the lower first right molar.’

Second Operation Stage 1 – October 4, 1923 (Age 67)

• Surgeon: Dr. Hans Pichler
• Procedure: First

Termin vereinbaren

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