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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 - Virtual Patient System

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

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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 current research.

Oral cancer is a significant health concern, and its history dates back to ancient civilizations. In the early 18th century, oral cancer was first described by the French surgeon Pierre Fauchard in his book “Le Chirurgien Dentiste” (The Surgeon Dentist). Since then, numerous advancements have been made in understanding this disease and its treatment.

In your case, it is essential to note that you were born in 1856, making you a man of the late 19th century. During that time, oral cancer was primarily diagnosed through clinical examination, with no definitive diagnostic tests available. The primary treatments consisted of surgical resection and radiation therapy.

According to historical records, there were some alternative treatments for oral cancer during your era. One such treatment was the use of electrical currents, which was believed to have therapeutic effects on malignant tumors. Another alternative treatment was the application of mustard plasters, which contain mustard powder and water, applied to the affected area to induce a burning sensation and promote blood flow. However, there is no scientific evidence supporting the efficacy of these treatments for oral cancer.

Regarding your medical history, I cannot provide specific details without accessing your records. However, based on the available literature, it is essential to be aware that oral cancer can present with various symptoms, including painless lumps or swellings, red or white patches in the mouth, and difficulty swallowing or speaking. If you have experienced any of these symptoms, I strongly recommend consulting a healthcare professional for proper evaluation and diagnosis.

Currently, the primary treatments for oral cancer include surgical resection, radiation therapy, chemotherapy, and targeted therapy. Surgical resection involves removing the tumor and surrounding tissue, while radiation therapy uses high-energy beams to destroy cancer cells. Chemotherapy utilizes drugs to target rapidly dividing cells, including cancer cells, and targeted therapy focuses on specific molecular targets to inhibit cancer growth.

In recent years

2024-01-30 15:47 Telekonsultation

Dear Mr. Freud,

I am Hans Pichler, Head of the Maxillofacial Surgery Department at the First Surgical University Clinic in Vienna. I have reviewed your medical records and I am pleased to provide you with a detailed account of your oral health history as documented since my time. I will also discuss potential alternative treatments based on the latest research.

In 1938, during my practice, your medical record indicates that you were diagnosed with a squamous cell carcinoma in the left side of the floor of the mouth. At that time, the standard treatment for oral cancer was surgical resection followed by radiation therapy. The primary goal was to remove the tumor and preserve as much healthy tissue as possible.

However, since then, significant advancements have been made in the field of oral oncology. I would like to discuss some alternative treatments that might be considered based on the latest research:

  1. Transoral robotic surgery (TORS): This minimally invasive approach uses a surgical robot to access and remove tumors through the mouth, preserving healthy tissue and reducing post-operative morbidity.
  2. Intensity-modulated radiation therapy (IMRT) and image-guided radiation therapy (IGRT): These advanced forms of radiation therapy allow for more precise delivery of radiation doses to the tumor while minimizing exposure to surrounding healthy tissues.
  3. Chemosensitization: Combining chemotherapy with radiation therapy can enhance the effectiveness of both treatments, potentially improving outcomes and reducing the need for extensive surgery.
  4. Immunotherapy: This emerging treatment modality harnesses the power of the immune system to target and destroy cancer cells. It has shown promise in various types of cancer, including oral cancer.
  5. Targeted therapy: Based on the specific genetic makeup of your tumor, targeted therapies can be used to selectively attack cancer cells while minimizing damage to healthy tissue.

It is important to note that each patient’s case is unique, and the most appropriate treatment approach depends on various factors such as the size, location, and stage of the tumor, as well as the patient’s overall health and personal preferences. I would recommend consulting with a specialized oral oncologist for a thorough evaluation and discussion of these options.

In 2024, given the advancements in technology and treatment modalities, your care may differ significantly

Termin vereinbaren

Ordination Dr. Michael Truppe
Albertgasse 3/6 1080 Wien

Telefon 01 408 95 00 66
Email ordination@smile.wien

Ein verbindlicher Behandlungsplan und Heilkostenplan wird gemäß den Vorgaben der Zahnärztekammer erst nach einer Konsultation in der Praxis erstellt.

© 2023 Eurodoc Telemedizin ForschungsgesellschaftmbH

Dr. Michael Truppe


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