Welch Company
San Francisco, CA


S U M M A R Y


DIARY: May 20, 2002 09:50 AM Monday; Rod Welch

Millie at Kaiser for 2nd chemotherapy phase I treatment.

1...Summary/Objective
2...Neupogen 5 Day Treatment Medication Prescribed Increase Blood Counts


..............
Click here to comment!

CONTACTS 

SUBJECTS
White Blood Cell Condition Blood Test Shows Too Low Doctor Johnson A

1003 -
1003 -    ..
1004 - Summary/Objective
1005 -
100501 - Follow up ref SDS 16 0000, ref SDS 14 0000.
100502 -
100503 - Millie got a call this morning saying the blood test she had on
100504 - Saturday, 020518 shows her white blood cell count is still too low
100505 - for a chemotherapy.  The hospital wants her to have another blood
100506 - test this morning to see if the problem has cleared itself.
100508 -  ..
100509 - We drove to hospital in Walnut Creek.
100511 -  ..
100512 - Millie got another blood test.
100513 -
100515 -  ..
1006 -
1007 -
1008 - 1145
1009 -
100901 - Millie checked in at the Oncology department.  At about 1215 she was
100902 - taken into the chemotherapy room for her 2nd treatment.
100904 -  ..
100905 - White blood cell (WBC) count shown by the blood test this morning was
100906 - still too low.  The primary care physician decided to proceed with
100907 - treatment, because counts were close to the target level.
100908 -
100909 -        [On 050128 Kaiser calculates a composite value of 1500 from
100910 -        blood counts to decide patients are safe for treatment.
100911 -        ref SDS 17 TZ3N
100913 -  ..
100914 - The nurse, Linda, administered the first treatment, watching to
100915 - observe any adverse effects, including bleeding.  This took about 20
100916 - minutes or so.
100918 -  ..
100919 - She then connected a 2nd phase of treatment as a conventional IV.
100920 - This took another 30 minutes or so.  The entire procedure lasted
100921 - until about 1330, including time for setup.
100923 -  ..
100924 - We learned today that CA 15-3 cancer marker has increased from 81 to
100925 - over 117.
100926 -
100928 -  ..
100929 - Neupogen 5 Day Treatment Medication Prescribed Increase Blood Counts
100930 -
100931 - After the chemotherapy treatment, Linda showed Millie how to
100932 - self-administer shots of Neupogen treatments she needs for the next 5
100933 - days, beginning tomorrow in the evening, in order to treat the low
100934 - white blood cell condition, per above. ref SDS 0 0001
100936 -  ..
100937 - The nurse explained Neupogen comes preloaded in a disposable syrenge,
100938 - so the patient does not need training nor have to worry about how to
100939 - draw fluid from a vial into the syrenge in the correct amount.
100940 -
100941 -     [On 050415 Millie had to self-administer Neupogen treatments again
100942 -     for starting treatments with Taxotere and capecitabine.
100943 -     ref SDS 18 SQ4H
100945 -  ..
100946 - Millie practiced applying the needle mechanism, and Linda made a few
100947 - corrections to ensure proper application.  This shot is not applied to
100948 - a vein, but in a fatty tissue area, either on the leg, or in the
100949 - stomache area.  Sounds like they are recommending the stomache area
100950 - where there is fatty tissue.
100952 -  ..
100953 - The next chemotherapy treatments will be....
100954 -
100955 -
100956 -                   020610    1230
100957 -
100958 -                   020701    1230
100959 -
100960 -
100961 -
100962 -
100963 -
1010 -
1011 -