05/06/2026 – Wellesley Hills Memorial Hospital
WELLESLEY HILLS MEMORIAL HOSPITAL
55 Washington Street, Wellesley, MA 02481 | (781) 555-2900
PALLIATIVE CARE CONSULTATION NOTE
Date of Consult: 05/06/2026 at 2:15 PM Consulted by: Dr. Gregory Lin (Oncology)
PATIENT
Whitman, Charles Edward | MRN: 713802645 | DOB: 09/08/1946 (Age 79)
SSN: 017-88-4501 | Sex: M | Race: White | Ethnicity: Not Hispanic/Latino
Language: English | Marital: Married
Address: 12 Cliff Road, Wellesley, MA 02481
Phone: (781) 555-7788 | Email: c.whitman.test@example.com
DESIGNATED CONTACTS
Wife: Whitman, Eleanor | (781) 555-7789 | Decision Partner (DP) per HCPOA
Son: Whitman, Gregory | (508) 555-3340 | Other Authorized (OA) — alternate proxy
INSURANCE
Blue Cross Blue Shield of MA Medex | Policy: BCB-713-2210-46
REFERRAL
Source: Inpatient consultation request from hospitalist service
Reason: Goals of care discussion, symptom management, and disposition planning
REASON FOR CONSULT
Mr. Whitman is a 79-year-old man with stage IV gastric adenocarcinoma admitted with gastric outlet obstruction and recurrent vomiting. Primary team indicates further directed therapy is not appropriate. Palliative care consulted for symptom management, goals-of-care discussion, and disposition planning.
PALLIATIVE CARE ASSESSMENT
Symptoms: Epigastric pain 5/10, partially controlled. Nausea severe, refractory to oral agents. Anxiety mild. Functional decline: PPS 40%, mostly bedbound, requires assist with ADLs.
Psychosocial: Patient alert and engaged. Wife Eleanor (DP) present. Patient voices wish to focus on comfort and time with family.
RECOMMENDATIONS
1. Transition to comfort-focused care; discussed and accepted by patient and family.
2. Initiate hospice referral — home hospice preferred per patient and family.
3. Optimize pain regimen; morphine scheduled with PRN breakthrough.
4. Social work consult for home support resources and equipment ordering.
Gregory Lin, MD, Palliative Care | 05/06/2026 at 2:15 PM
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Document Summary
79yo M with stage IV gastric adenocarcinoma; palliative care consult for symptom management, goals of care, and hospice transition planning.
Category
Clinical Records
05/06/2026 · Wellesley Hills Memorial Hospital
Patient
NEW RECORDCharles Whitman
Male · 79 yrs · DOB 09/08/1946
Patient Demographics
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Referral Details
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Routing & priority
Suggested from service area · Norfolk County → Boston branch
Suggested: Stage IV gastric adenocarcinoma
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Scheduling
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