<s>[INST] I often run a temp of 96.6 to 97.7. I had a primary brain tumor , an Oligodendroglioma grade 2/3 almost 10 years ago and was treated with Radiation Tx X 52 Guy(?) and Chemo with Temodar which I had severe reactions to and had to have IV antiemetics and steroids administered. I take Lamictal 150 mg BID for seizure d/o, Topamax 25 mg BID (higher doses causes severe nausea) for headaches, Lisinopril, Metoporolol tartrate, Aldactone , Prilosec , Metformin, and Vitamin B12 q month IM.Was diagnosed with Type ll Daibetes last year and started on Metformin in August 2011. Liver enzymes fluccuates. GB removed, TAH w/BSO years ago and appendectomy done in May of this year. Husband died in 1997 of Hep C which he contracted while in the military 20 years before. My tests for Hep C always were neg and have recieved immunizations and am UTD on all vaccines. I am tired now. It stresses me to type so many words with errors and try to correct them as I go. Can you believe I was an RN for 38 years now I have cognitive disorders or a learning disorder as my neuropsychologist states it. [/INST] Hi,Thank you for posting your query.It is unfortunate that you have developed multiple medical problems, and on are multiple medications.However, I appreciate your ability to cope with them and lead a good life.Cognitive dysfunction, in your case, is related to the brain tumor and effects of radiation on the brain.You would benefit from psychotherapy, cognitive training, and regular exercises.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY:  BLOG: </s>