Creating a Medical History
Create a medical history
Store on a password protected thumb drive
Include the following format
Relevant Medical History
Surgeries and Medical Events by decades/years
The above should include childhood illnesses, accidents, organ problems, etc.
Myeloma Diagnosis and treatment by date
Date of diagnosis
Treatment plan- Name of drugs, length of treatment, date of relapse/ or changes.
Kind of stem cell transplant if received? (Autologous or Allogeneic) and associated chemo/drugs, name of hospital.
Blood or platelet transfusions?
Kind of remission (Complete response, partial response or no response)
Date of relapse
Bisphosphonates schedule if any
Myeloma related medical events
Shingles /Herpes Zoster?
Problems with heart, lungs, kidneys, or other major body organs
Bone fractures or lesions
All current medications with dosage level and schedules
Relevant Family History
Contact information for all relevant doctors Names, phone numbers, hospitals,
You may need this information if you visit an emergency room in your hometown or elsewhere. An ER doctor may prefer consulting with your physician before treating you. Moreover, you will want all records of your ER visit sent to your oncologist. Include name, clinic address and phone numbers or email addresses.
Template download for Microsoft Word
Template download for Corel Wordperfect
Plain text template