Zainab J. Al Lawati, MD
Beaumont Hospital, Dearborn
Dearborn, Michigan, United States
Riley Smith, MD
Brain Injury Medicine Fellowship Director
Beaumont Medical Group
Taylor, Michigan, United States
This is a case study of a 56y.o. male with squamous cell cancer of tongue managed with glossectomy, chemotherapy and radiotherapy, presented with seizure and infective endocarditis with a 21 mm aortic valve vegetation and underwent sternotomy and aortic valve replacement (AVR). He was started on 6 weeks of IV antibiotics. Post-op course was complicated by sternal infection, bradycardia with agonal breathing and a weak pulse for which the patient underwent cardiopulmonary resuscitation CPR and achieved return of spontaneous circulation (ROSC) and was re-intubated and managed with antibiotics. He had a tracheostomy placed and undergone aggressive pulmonary toileting and suctioning in acute care. As the patient was stabilized he was transferred to in patient rehabilitation.
This report illustrates the significance of Physiatry involvement in management of cancer patients as most cancer patients experience some deconditioning that results in physical challenges. As the prognosis for most types of cancers improves, it becomes more important to ensure that all cancer patients regain maximum function in the broadest sense to maximize their independence.