:30:05
All right.
:30:07
Let's say it's Friday morning.
:30:10
"Grand rounds" is what they call it.
:30:14
Action!
:30:18
- Dr. Bearing.
- Dr. Kelekian.
:30:21
How are you feeling today?
:30:23
- Fine.
- Great, just great.
:30:25
Very late detection,
stage is four upon admission.
:30:28
Hexamethophosphacil
with Vinplatin to potentiate.
:30:30
Hex at 300 milligrams per meter squared,
Vin at 100.
:30:35
Today is cycle four, day three.
:30:37
All cycles are at the full dose.
:30:39
Primary site is here, behind the left ovary.
:30:42
Metastases are suspected
in the peritoneal cavity...
:30:45
mainly in this area here.
:30:46
Full lymphatic involvement.
At the time of first-look surgery...
:30:49
a large part of the tumor was de-bulked...
:30:51
mainly in this area here.
Left and right ovaries...
:30:54
fallopian tubes, uterus, all out.
:30:57
Evidence of primary-site shrinkage.
:30:59
Shrinking in metastases
has not been documented.
:31:01
Primary mass frankly palpable,
in pelvic exam...
:31:05
all through here.
:31:07
Excellent command of details. Okay.
:31:11
Problem areas with Hex and Vin?
:31:13
- Myelosuppression...
- Myelosuppression...
:31:14
lowering blood-cell counts.
:31:17
With this combination of agents,
nephrotoxicity will be next.
:31:20
Anybody else?
:31:24
Side effects?
:31:26
Nausea, vomiting.
:31:28
- Jason?
- Routine.
:31:30
- Pain while urinating.
- Routine.
:31:32
- Psychological depression?
- No way.
:31:34
Anything else?
:31:35
Other complaints with Hex and Vin?
:31:39
Come on.
:31:42
- Mouth sores?
- Not yet.
:31:45
- Skin rash?
- No.
:31:48
Why do we waste our time, Dr. Bearing?
:31:50
I do not know, Dr. Kelekian.
:31:53
Use your eyes.
:31:59
Good grief.