Transcript

<div><b>Doctor</b>: Good morning, Mrs. Sharma. It's good to see you again. How have you been feeling since our last session?</div><br><div><b>Patient</b>: Good morning, doctor. Honestly, not great. The pain in my left hand has gotten worse. It's sharp, constant, and sometimes it feels like it's burning from the inside. And I don't know how to say this. I've started seeing things that aren't there.</div><br><div><b>Doctor</b>: I'm really sorry to hear that. Let's take things one at a time. About the hand pain that's likely due to nerve involvement from the cancer spreading. I'll adjust your pain medication and add a nerve pain reliever. Something like gabapentin may help ease that burning sensation.</div><br><div><b>Patient</b>: Thank you. That pain has been unbearable at times.</div><br><div><b>Doctor</b>: I can imagine. Now, about the hallucinations are you seeing or hearing things? And how often does it happen?</div><br><div><b>Patient</b>: Mostly at night. I sometimes see people in my room or hear voices calling my name. I know they're not real, but it's terrifying.</div><br><div><b>Doctor</b>: That sounds distressing. It could be a side effect of the hydrosopioids or just the progression of the illness. I'll refer you to our palliative care psychiatrist. Meanwhile, I'll reduce your opioid slightly and introduce a low dose of halopiridol. It should help manage the hallucinations.</div><br><div><b>Patient</b>: Thank you, doctor. It's just been so hard. I feel like I'm losing control.</div><br><div><b>Doctor</b>: You're not alone, Mrs. Sharma. We're here to support you every step of the way. We'll keep monitoring and adjusting things to give you as much comfort and peace as possible.</div><br><div><b>Patient</b>: I'm grateful for that, really.</div><br>