CONTACTS 

SUBJECTS
Johnson, MD Meeting Reports No Evidence Distant Metastasis
CA 15-3 Blood Tests Show 36 Significant Drop into 30s
Chemo Therapy Treatments Scheduled to Begin 021002 1400
Chemotherapy Treatment Taxotere Today
White Blood Cell Count from Test Today OK 10.1 Nupogen Will Not be Ne
Blood Test on 020511 Showed that White Blood Cells Too Low for Chemot
White Blood Cell Count Too Low Again Treatment Performed 2nd Phase Ch

1609 -
1609 -    ..
1610 - Summary/Objective
1611 -
161101 - Follow up ref SDS 38 0000, ref SDS 37 0000.
161102 -
161103 - White blood cell count from test a week ago is low, but doctor
161104 - approved treatment today based on test results showing white blood
161105 - cell count is rising.  The nurse had difficulty finding a vein,
161106 - eventually got help and treatment was performed, as scheduled.
161107 -
161108 -
161109 -
161110 -
161112 -  ..
1612 -
1613 -
1614 - Progress
1615 -
161501 - Recovery Progress CA 15-3 Cancer Marker Drops to Target Level
161502 - CA 15-3 Cancer Marker Drops to Target Level Progress Toward Recovery
161503 -
161504 - Follow up ref SDS 38 SQ5I, ref SDS 37 SQ5I.
161505 -
161506 - Millie got a call last night saying blood test on Monday, 011111,
161507 - shows white blood cells are at 1.9.  This is lower than the last time
161508 - her count was lower than desired for treatment.  At that time, the
161509 - doctor approved treatment to proceed without another test, but since
161510 - the count is even lower this time, the doctor wants Millie to have
161511 - another blood test to determine if treatment needs to be delayed for
161512 - another week, and Millie given Nupogin to raise the white blood cell
161513 - count.
161515 -  ..
161516 - Results of CA 15-3 for the test on 021102 shows 36 today, ref SDS 0
161517 - F48G, which is an increase from the prior test that showed 33,
161518 - reported on 021023. ref SDS 38 SQ5I
161519 -
161520 -      [On 021204 CA 15-3 rises again from 36 to 41. ref SDS 39 SP5G
161521 -
161522 -      [On 021206 the doctor advances schedule of PET scan to January
161523 -      and schedules another blood test to evaluate CA 15-3 for trend.
161524 -      ref SDS 40 TS3H and ref SDS 40 LK5L
161526 -  ..
161527 - So, the first order of business is whether Millie will have a
161528 - treatment at all today.
161530 -  ..
161531 - Millie got the blood test.
161532 -
161534 -  ..
1616 -
1617 -
1618 - 1404
1619 -
161901 - We went to a restaraunt across the street and had lunchl.
161902 -
161903 - When we got back the nurse said Millie has been approved for
161904 - treatment because the white blood cell count in the blood test today
161905 - has jumped to 5.9.
161906 -
161908 -  ..
161909 - White Blood Cell Count Too Low, Treatment Given
161910 -
161911 - Follow up ref SDS 38 LY3G, ref SDS 37 LY3G.
161912 -
161913 - Bella is the nurse today.  She did a great job, like Linda on 021023.
161914 -
161916 -  ..
161921 -
161922 -             **  Walnut Creek Medical Center  **
161924 -  ..
161925 - Follow Up Letter   Test in Lab
161927 -     ..
161928 -    @CBC
161929 -     WBC x 10-.3             5.6  K/uL      (      3.5  -     12.5 )
161930 -     RBC x 10-.6      L      3.53 M/uL      (      3.60 -      5.70)
161931 -     Hemoglobin       L     11.3  g/dL      (     11.5  -     15.0 )
161932 -     Hematocrit       L     31.9  %         (     34    -     46.0 )
161933 -     MCV                    90    fL        (     80    -    100   )
161934 -     RDW                    14.3  %         (     11.9  -     14.3 )
161935 -     Plt x 10-.3           287    K/uL      (    140    -    400   )
161936 -     Granulocytes     H     85    %         (     50    -     70   )
161937 -     Lymphocytes      L     12    %         (     20    -     50   )
161938 -     Monocyte                3    %         (      1    -     14   )
161939 -     Eosinophils             0    %         (      0    -      4   )
161940 -     Basophils               0    %         (      0    -      2   )
161941 -     Manual Diff?      Not REQ
161942 -    @MDIF
161943 -     Diff Method      Auto DIF
161944 -
161949 -
161950 -                 Park Shadelands Medical Center
161952 -  ..
161953 - Follow Up Letter   Requested
161954 - Letter Code        LA1
161955 -
161956 -                      **   Regional Lab   **
161958 -      ..
161959 -     Alkaline Phos          57.0  U/L       (     47.0  -    137   )
161960 -     Bili, Tot Adult         0.4  mg/dl     (      0.2  -      1.2 )
161961 -     Credatinine             0.8  mg/dl     (           -<     1.2 )
161962 -     CA 15-3          H       36  U/mL      (           -<    31   )
161963 -     ALT (SGPT)               21  U/L       (           -<    40   )
161964 -
161969 -
161970 -                      **   Regional Lab   **
161971 -
161972 -    CBC
161973 -     WBC x 10-.3      L      1.9  K/uL      (      3.5  -     12.5 )
161974 -     RBC x 10-.6      L      3.55 M/uL      (      3.60 -      5.70)
161975 -     Hemoglobin       L     10.8  g/dL      (     11.5  -     15.0 )
161976 -     Hematocrit       L     33.2  %         (     34    -     46.0 )
161977 -     MCV                    94    fL        (     80    -    100   )
161978 -     RDW                    14.3  %         (     11.9  -     14.3 )
161979 -     Plt x 10-.3           278    K/uL      (    140    -    400   )
161980 -    ADIF                TEST CANCELLED
161981 -    MDIFR
161982 -     Seg Neutrophila        51    %         (     50    -     70   )
161983 -     Lymphocytes            37    %         (     20    -     50   )
161984 -     Monocyte               10    %         (      1    -     14   )
161985 -     Eosinophils             2    %         (      0    -      4   )
161986 -     Ovalocyutes     *       1+             (      0    -      2   )
161987 -     PLT Estimate       ADEQUATE
161988 -
161989 -
161990 -
161991 -
161993 -  ..
1620 -
1621 -
1622 - 1403
1623 -
162301 - Benadryl Treatment Begun
162302 - Vein in Right Arm Difficult to Find
162303 -
162304 - Follow up ref SDS 38 BW5J, ref SDS 37 BW5J.
162305 -
162306 - Bella took less than 5 minutes to configure intravenous transfusion
162307 - for chemotherapy treatment today.
162308 -
162309 -
162311 -  ..
1624 -
1625 -
1626 - 1418
1627 -
162701 - Taxotere Treatment
162702 -
162703 - This went very smoothly today.
162705 -  ..
162706 - During treatment today, the doctor walked through the complex.  He
162707 - waved, but did not have time to visit with the patient, so Millie was
162708 - unable to ask about implications of the rise in CA 15-3 from 33 to 36,
162709 - as shown in the report on the blood test dated 021102, per above.
162710 - ref SDS 0 F48G
162712 -  ..
162713 - Hopefully, today's treatment will bring this down to the target range
162714 - of below 31.
162715 -
162716 -    [On 021204 CA 15-3 rose again; scheduled meeting with Doctor
162717 -    Johnson to review options. ref SDS 39 F5Z5
162718 -
162720 -  ..
162721 - Schedule for Completing 2nd Phase Chemotherapy Treatment
162722 -
162723 - Follow up ref SDS 38 PW5F, ref SDS 37 PW5F.
162724 -
162725 -      021204   1400    WCR  ONC   Chemo             Taxotere
162726 -
162727 -
162728 -
162729 -
162730 -
162731 -
162732 -
162733 -
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162735 -
1628 -