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 39 0000, ref SDS 38 0000.
161102 -
161103 - White blood cell count from test two days ago is low, but doctor
161104 - approved treatment today based on results of another test today
161105 - showing white blood cell count is rising.  As a result, Millie
161106 - completed the 4th cycel of phase II chemotherapy treatment which ends
161107 - work on the the original recovery plan.  Blood test shows CA 15-3 has
161108 - increased 4 points to 41. ref SDS 0 F48G  Nurse scheduled meeting with
161109 - the doctor for 021206. ref SDS 0 KR5H
161110 -
161111 -
161112 -
161113 -
161115 -  ..
1612 -
1613 -
1614 - Progress
1615 -
161501 - Recovery Progress CA 15-3 Cancer Marker Rises Above Target Level
161502 - CA 15-3 Cancer Marker Above Target Level Progress Toward Recovery
161503 -
161504 - Follow up ref SDS 39 SQ5I, ref SDS 38 SQ5I.
161505 -
161506 - Millie got a call last night saying blood test on Monday, 021202,
161507 - shows white blood cells are too low.  Like the situation on 021113 the
161508 - doctor wants Millie to have another blood test to determine if
161509 - treatment needs to be delayed for another week.
161511 -  ..
161512 - Results of CA 15-3 for the test on 021202 shows 41 today, ref SDS 0
161513 - F48G, which is an increase from the prior test that showed 36,
161514 - reported on 021113. ref SDS 39 F4XV
161516 -      ..
161517 -     The nurse, Sharee, scheduled a meeting with the doctor on 021206
161518 -     1430 to review progress and implications of CA 15-3.
161519 -
161521 -  ..
161522 - Millie got the blood test.
161523 -
161525 -  ..
1616 -
1617 -
1618 - 1204
1619 -
161901 - We went to a restaraunt across the street and had lunch.
161902 -
161903 - After lunch, there was still an hour before Millie's treatment, so
161904 - she walked through the hospital looking at exhibits on display in
161905 - various lobbies.
161907 -  ..
161908 - When we got back to the chemotherapy department the nurse said Millie
161909 - has been approved for treatment because the white blood cell count in
161910 - the blood test today has jumped to 6.9.
161911 -
161912 -
161914 -  ..
161915 - White Blood Cell Count Too Low, Treatment Given
161916 -
161917 - Follow up ref SDS 39 LY3G, ref SDS 38 LY3G.
161918 -
161919 - Sharee is the nurse today.  She did a great job, like Bella on 021113,
161920 - and like Linda on 021023.
161922 -  ..
161923 - On 020318, Sharee was very helpful and effective scheduling Millie's
161924 - first meeting with the Oncology Department. ref SDS 8 0R3X
161925 -
161926 -
161927 -
161931 -
161932 -             **  Walnut Creek Medical Center  **
161934 -  ..
161935 - Follow Up Letter   Requested
161936 - Letter Code        LA1
161938 -     ..
161939 -    @CBC
161940 -     WBC x 10-.3             6.9  K/uL      (      3.5  -     12.5 )
161941 -     RBC x 10-.6             3.84 M/uL      (      3.60 -      5.70)
161942 -     Hemoglobin             11.9  g/dL      (     11.5  -     15.0 )
161943 -     Hematocrit             35.1  %         (     34    -     46.0 )
161944 -     MCV                    90    fL        (     80    -    100   )
161945 -     RDW              H     14.4  %         (     11.9  -     14.3 )
161946 -     Plt x 10-.3           292    K/uL      (    140    -    400   )
161947 -     Granulocytes     H     87    %         (     50    -     70   )
161948 -     Lymphocytes      L     10    %         (     20    -     50   )
161949 -     Monocyte                2    %         (      1    -     14   )
161950 -     Eosinophils             0    %         (      0    -      4   )
161951 -     Basophils               0    %         (      0    -      2   )
161952 -     Manual Diff?        Chemo
161953 -    @MDIF
161954 -     Diff Method      Auto DIF
161955 -
161959 -
161960 -                 Park Shadelands Medical Center
161962 -  ..
161963 - Follow Up Letter   Requested
161964 - Letter Code        LA1
161965 -
161966 -                      **   Regional Lab   **
161968 -      ..
161969 -     Alkaline Phos          52.0  U/L       (     47.0  -    137   )
161970 -     Bili, Tot Adult         0.4  mg/dl     (      0.2  -      1.2 )
161971 -     Credatinine             0.8  mg/dl     (           -<     1.2 )
161972 -     CA 15-3          H       41  U/mL      (           -<    31   )
161973 -     ALT (SGPT)               23  U/L       (           -<    40   )
161974 -
161979 -
161980 -                      **   Regional Lab   **
161981 -
161982 -    CBC
161983 -     WBC x 10-.3      L      1.9  K/uL      (      3.5  -     12.5 )
161984 -     RBC x 10-.6             3.69 M/uL      (      3.60 -      5.70)
161985 -     Hemoglobin       L     11.0  g/dL      (     11.5  -     15.0 )
161986 -     Hematocrit             34.1  %         (     34    -     46.0 )
161987 -     MCV                    92    fL        (     80    -    100   )
161988 -     RDW                    14.0  %         (     11.9  -     14.3 )
161989 -     Plt x 10-.3           270    K/uL      (    140    -    400   )
161990 -    ADIF                TEST CANCELLED
161991 -    MDIFR
161992 -     Seg Neutrophila        42    %         (     50    -     70   )
161993 -     Lymphocytes            40    %         (     20    -     50   )
161994 -     Monocyte         H     14    %         (      1    -     11   )
161995 -     Eosinophils             3    %         (      0    -      4   )
161996 -     Basophils               1    %         (      0    -      2   )
161997 -     RBC Morphology     Normal
161998 -     PLT Estimate       ADEQUATE
161999 -     Corr WBC x 10-3  L      1.9  K/uL      (      3.5  -     12.5 )
162000 -
162001 -
162002 -
162004 -  ..
1621 -
1622 -
1623 - 1349
1624 -
162401 - Benadryl Treatment Begun
162402 - Vein in Right Arm Difficult to Find
162403 -
162404 - Follow up ref SDS 39 F45A, ref SDS 38 BW5J.
162405 -
162406 - Sharee took less than 5 minutes to configure intravenous transfusion
162407 - for chemotherapy treatment today.
162408 -
162409 -
162411 -  ..
1625 -
1626 -
1627 - 1415
1628 -
162801 - Taxotere Treatment
162802 -
162803 - Follow up ref SDS 39 F5Z5.
162804 -
162805 - This went very smoothly today.
162807 -  ..
162808 - Treatment today is the 4th cycle of phase II treatment with Taxotere
162809 - begun on 021002, ref SDS 37 XA5N, and completes the original plan for
162810 - recovery scheduled by the doctor on 020405, ref SDS 12 549R, based on
162811 - the meeting held 020321. ref SDS 10 FX7F  This is the 6th cycle of
162812 - Taxotere, because treatment was switched on 020610 after only 2 cycles
162813 - of Adriamycin and Cytoxan (AC) to complete phase 1 adjuvant treatment
162814 - with 2 cycles of Taxotere, as reported on 021002. ref SDS 37 SP6M
162816 -  ..
162817 - Per above, scheduled meeting with the doctor on 021206 to ask about
162818 - implications from rising CA 15-3 marker from 33 to 36 and now to 41,
162819 - per above. ref SDS 0 F48G
162820 -
162822 -  ..
162823 - Schedule for Completing 2nd Phase Chemotherapy Treatment
162824 -
162825 - Follow up ref SDS 39 PW5F, ref SDS 38 PW5F.
162826 -
162827 -      021206   1430    WCR  Meeting the doctor
162828 -
162829 -
162830 -
162831 -
162832 -
162833 -
162834 -
162835 -
162836 -
162837 -
1629 -