CONTACTS 

SUBJECTS
Treatment Recovery 9 Month Program Chemo Therapy and Radiation
Prognosis Good and Bad Factors for Treatment and Recovery Extending L
Questions on Treatment by Carol Meyer Millie's Niece a Nurse

0605 -    ..
0606 - Summary/Objective
0607 -
060701 - Follow up ref SDS 2 FX7F.
060702 -
060703 - Received ref DRT 1 0001 from Carol Meyer, Millie's niece.
060704 -
060705 - Carol suggests several important questions to review with Doctor
060706 - Johnson....
060707 -       ..
060708 -    1. Prognosis of this particular breast cancer? What kind of
060709 -       results has he seen in other patients with this particular
060710 -       cancer? ref DRT 1 VI5K
060711 -
060712 -          On 020321 Doctor Johnson showed Millie a chart from the AJCC
060713 -          that seems to indicate an 78% survival without treatment for
060714 -          Millie's condition. ref SDS 2 EE6L
060715 -       ..
060716 -    2. Treatment (have him explain the drugs and how they work in
060717 -       tandem with the radiation), ref DRT 1 0P6G, and the
060718 -
060719 -          On 020321 Doctor Johnson indicated a pharmacist will explain
060720 -          drugs. ref SDS 2 6T34  Perhaps Doctor Johnson can address
060721 -          this as well.
060722 -       ..
060723 -       Alternatives if this first treatment plan is not
060724 -       successful.
060725 -       ..
060726 -       How long will it take before he knows if the treatment has
060727 -       been successful? In other words...is it 6 months post chemo? or
060728 -       when? ref DRT 1 EP6K
060729 -       ..
060730 -    3. What tests will he be doing during the chemo/radiation(if
060731 -       that is incorporated in the treatment plan) to determine if the
060732 -       radiation/chemo drugs are working? ref DRT 1 PP6N
060733 -
060734 -          On 020318 PET scan tests are explained as monitoring response
060735 -          to a given regimen and providing early feedback on its
060736 -          efficacy. ref SDS 1 RO6I
060737 -       ..
060738 -    4. What kind of preventative measures will he be prescribing
060739 -       to help you tolerate the chemo drugs? (anti-emetics,pain meds,
060740 -       etc.), ref DRT 1 KP7H
060741 -       ..
060742 -    5. What can you do now to help tolerate the chemotherapy?
060743 -       ref DRT 1 EQ7K
060744 -       ..
060745 -       In other words if mouth sores are a side affect is there a
060746 -       certain brand of tooth paste or mouthwash that may help in
060747 -       preparation. I know there is, even a special toothbrush can be
060748 -       purchased. I don't know if your chemo drugs cause that
060749 -       particular side affect. ref DRT 1 Y07W
060750 -       ..
060751 -       Also, any dietary needs that may help. ref DRT 1 YR8G
060752 -
060753 -          On 020321 Doctor Johson is quoted in an interview for Member
060754 -          News explaining dietary counseling is provided for a balanced
060755 -          oncology practice at the Walunt Creek Kaiser Hospital.
060756 -          ref SDS 2 FQ9G
060757 -       ..
060758 -    6. I don't know if you are working Aunt Millie but, I would
060759 -       ask your Doctor if he feels you should. I know some chemo drugs
060760 -       bring your immune system down somewhat making you susceptable to
060761 -       getting ill especially, if you are around lots of people. Just a
060762 -       thought.
060763 -  ..
060764 -    7. Remember to get your journal going.
060765 -
060766 -
060767 -        [On 020404 Pam discusses use of the journal and advantage of
060768 -        focusing on the bottom line based on test results. ref SDS 3
060769 -        0001
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