### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
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.

### output:

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, Chat Doctor. Ly/