THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700


S U M M A R Y


DIARY: May 16, 2001 10:38 AM Wednesday; Rod Welch

Called Kathleen at hospital on treatment planning for lung cancer.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Kathleen and Bob                  ~
Mother & Bob
Patti and Pablito Utzurim
Robin Partee

0707 -
0707 -    ..
0708 - Summary/Objective
0709 -
070901 - Follow up ref SDS 16 0000, ref SDS 15 0000.
070902 -
070903 -
070904 -                 Arroyo Grande Community Hospital
070905 -                 345 South Halcyon Road
070906 -                 Arroyo Grande, CA  93430
070907 -                 805 473 7650
070908 -
070909 -
070910 - Nurse said Kathleen is sleeping, and so is the visitor, who must be
070911 - Mother.
070912 -
070913 -
070914 -  ..
0710 -
0711 -
0712 - 2014
0713 -
071301 - Received copy of letter, ref DRT 1 0001, from Patty to Ed and the rest
071302 - of the family, explaining results of surgery on 010513.  Patty
071303 - says....
071304 -
071305 -      Mom's surgery was basically just like my Dad's.  Open/Close -
071306 -      which means that they couldn't do anything.  Once they got in
071307 -      there to actually see what was going on, it was much worse than
071308 -      anticipated.  The tumor in not only in her lung, but has spread
071309 -      out side and it is spreading to her heart.  There is a
071310 -      possibility of Chemo and Radiation Therapy.  She will be meeting
071311 -      with an Oncologist to discuss her options.  Mom is being strong
071312 -      and saying that she knew that something was wrong and that she
071313 -      expected this and that she is ready, however she also says that
071314 -      this usually happens to "other" people and so I don't think
071315 -      reality has really hit yet.  I am going back and forth with that
071316 -      myself.  All for now, Love to all...
071317 -
071318 - This responds to a letter from Ed on 010513. ref DRT 1 0002
071319 -
071320 -     The ICCU nurse discussed the correlation between Kath's surgery,
071321 -     and Bob's situation, on Monday. ref SDS 15 0U6J
071322 -
071323 -     [On 010517 Kath was discharged from the hospital and went home.
071324 -     ref SDS 17 0001
071325 -
071326 -  ..
071327 - Received a second letter from Patty, ref DRT 2 0001, also addressed
071328 - to Ed, and to the rest of the family.
071329 -
071330 - Patty reports good news that Kathleen has been moved from ICCU to a
071331 - regular room, because she is recovering faster than expected.
071332 -
071333 - Patty explains plan for 3 Chemo therapy treatments to try to shrink
071334 - the tumor and then operate to remove it, per discussion with Kathleen
071335 - yeaterday. ref SDS 16 KP4M
071336 -
071337 - The new # to reach Kath in the hospital is.....
071338 -
071339 -
071340 -                        805/489-4261 room 33A
071341 -
071342 -
071343 -
0714 -
0715 -
0716 - 2041
0717 -
071701 - Called Kath.
071702 -
071703 - She likes her new room.  It has interesting wallpaper; the design
071704 - seems homey and pleasant.
071705 -
071706 - Congratulated Kath on early release from the ICCU, indicating stronger
071707 - than expected recovery from surgery.  Kath said she is feeling pretty
071708 - good, and may get to go home tomorrow.
071709 -
071710 -      [On 010517 Kath was discharged. ref SDS 17 0001
071711 -
071712 - Ed called today, and Kath had a nice visit.  They talked for a long
071713 - time.  Kath really enjoyed hearing from Ed.
071714 - ..
071715 - Kath has received 14 pages of paper on the treatment plan
071716 - proposed by Doctor Palchek, the oncologist.
071717 -
071718 - Kath would like someone else to read through it as a check on her
071719 - understanding, so she can discuss it effectively with the doctor.
071720 -
071721 -    [On 010517 Kath will ask Patty to make the review. ref SDS 17 MX5L
071722 -
071723 -    [On 010520 Patty reviewed Palcheck's information. ref SDS 18 Q45G
071724 -
071725 - Kath understands the doctor is proposing two sessions of chemo
071726 - therapy, one a week, for two weeks, evidently beginning next week.
071727 -
071728 - A cat scan will be done the third week, and if the cancer has reduced
071729 - enough, then surgery may be attempted to remove the cancer.  If not,
071730 - then radiation treatment may be tried.
071731 -
071732 -    [On 010517 Patty and Pabilto have discovered additional treatment
071733 -    ideas; Kath will consider other opinions. ref SDS 17 PK5H
071734 -
071735 -    [On 010522 Patty relates information from a contact who explains
071736 -    theory of chemo therapy and surgery proposed by Palchek.
071737 -    ref SDS 19 TV5G
071738 -
071739 -    Since the CAT scan was incorrect disclosing the size of the tumor
071740 -    prior to the initial surgery on 010514, as reported by Doctor
071741 -    Hioshi, ref SDS 15 SQ5I, how can it provide guidance for a 2nd
071742 -    surgery? ref SDS 15 SQ5I  In other words, the medical team expected
071743 -    to find a small enough turmor to enable surgical removal the first
071744 -    time, based on the CAT scan.
071745 -
071746 -    What will be done differently the second time to make the same
071747 -    process successful, after failing the first time?
071748 -
071749 - Talked to Mother.
071750 -
071751 - She had a successful visit to the pain doctor in San Louis Obispo
071752 - yesterday.
071753 -
071754 - Her shoulders and hips are feeling much better as a result of
071755 - injections.  She will get injections in her knees in a few days, or
071756 - next week.
071757 -
071758 - Mother feels better about Kathleen now that a treatment plan is being
071759 - pursued, and is looking forward to bringing Kath home hopefully
071760 - tomorrow, but soon.  Kath's fast recovery from surgery is a good sign
071761 - she is strongh enough for the rigorous treatment coming up, including
071762 - undergoing another surgery.
071763 -
071764 - Mother is glad Rita is coming down for a visit.
071765 -
071766 - Millie and I will coordinate so we are not visiting at the same time
071767 - as everybody else.
071768 -
071769 - Actually, Rita is staying at a motel.  Millie and I could do the same,
071770 - so we are not a burden on the household.
071771 -
071772 -
071773 -  ..
0718 -
0719 -
0720 - 2043 called Robin
0721 -
072101 - She will talk to Kathleen tomorrow about making a copy of the stuff
072102 - the doctor submitted on Kathleen's treatment plan.  If Kath is
072103 - agreeable, Robin will make a copy and mail to me for review, to
072104 - discuss with Kath.
072105 -
072106 - Robin said Mother and Kathleen sleep quite a bit, even before Kath's
072107 - latest problem.
072108 -
072109 -     [On 010517 called Robin and advised Patty is making a review of
072110 -     the 14 pages, so not necessary to submit. ref SDS 17 VX5J
072111 -
072112 -
072113 -
072114 -
072115 -
072116 -
072117 -
072118 -
072119 -
0722 -