CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 7 0000, ref SDS 6 000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Drove to Kaiser and met with Rosalie.  She did not mention having
040902 - received Millie's letter on 040415 that confirmed the decisions to get
040903 - a Tumor Board hearing, and to have a port catheter installed.
040904 - ref SDS 5 J77L
040906 -  ..
040907 - Rosallie submitted more documents and reviewed the protocol.
040908 - ref SDS 3 BK8M  She explained side effects again, supplementing
040909 - previous review on 040402, when Roslie cited slight nose bleeds as the
040910 - most common problem patients have on the Avastin trial. ref SDS 3 V77O
040912 -  ..
040913 - Millie provided a urine sample, which is required for participation
040914 - the Avastin study.
040916 -  ..
040917 - Millie asked how many other patients at the Kaiser Walnut Creek
040918 - hospital are being treated with Avastin?
040920 -  ..
040921 - Rosalie seemed to say 10 - 12.
040922 -
040923 -
040924 -
040926 -  ..
0410 -
0411 -
0412 - 1210
0413 -
041301 - Chemotherapy Begins Avasting Trial Protocol Treat Cancer in Neck
041302 -
041303 - Rosalie took Millie into the Chemotherapy Infusion Clinic, and
041304 - introduced Vicki, who is the nurse today for Millie who will give her
041305 - the treatment.
041307 -  ..
041308 - This begins the first treatment for the first cycle of taxol and
041309 - bevacizumab (Avastin) in the trial protocol to treat breast cancer
041310 - reported on 040309, ref SDS 1 0001, and carrying out plans on 040402,
041311 - ref SDS 4 IM6J, and previously on 040318. ref SDS 2 PU6M
041313 -  ..
041314 - The treatment center was bursting with activity, much busier than we
041315 - remembered from treatments in 2002.  There were no empty chairs, and
041316 - the nurses were in constant motion tending to patients.
041318 -  ..
041319 - Vickie took two vials of blood samples from Millie's right arm.
041321 -  ..
041322 - Millie complimented Vicki on finding a vein quickly and with minimal
041323 - discomfort.  This has been an issue previously, which led to Millie
041324 - getting a port to reduce trauma from needles in her right arm,
041325 - reported on 040318. ref SDS 2 CO3G
041327 -  ..
041328 - Vicki noted from Millie's chart that a port catheter was installed
041329 - yesterday in Martinez. ref SDS 7 0001  She commented that on prior
041330 - assignments with other hospitals the port has been used immediately.
041331 - Kaiser has a policy of waiting a week, which therefore required Vicki
041332 - to place a needle for an IV into a vein in Millie's right hand.
041333 -
041334 -
041336 -  ..
0414 -
0415 -
0416 - 1226
0417 -
041701 - Vicki started Millie on an intravenous medication that is a
041702 - preparation for Taxol.  This will take about 20 - 30 minutes, then
041703 - there will be another preparation medication, Benadryl, for another 10
041704 - minutes or so.  After that Taxol will be administered for about 90
041705 - minutes on this first treatment.  Subsequent treatments will speed the
041706 - rate of administering the medication, based on experience showing
041707 - tolerance for Taxol.
041709 -  ..
041710 - After Taxol, Bevacizumab (Avastin) will be administered.
041711 -
041712 -
041714 -  ..
0418 -
0419 -
0420 - 1405
0421 -
042101 - Stephanie Aguliar stopped and visited with Millie for about 5 minutes
042102 - or so, following up the visit in Doctor Johnson's office when we met
042103 - on 040416. ref SDS 6 2T65  Stephanie explained that part of her job is
042104 - to prepare the fluid samples for submission to the lab.  This entails
042105 - "spinning" the blood to separate the serum, and the it is the serum
042106 - that goes to the lab.
042108 -  ..
042109 - Rosalie also stopped by once or twice to say hello, and asked Millie
042110 - if everything is going okay.
042112 -  ..
042113 - Rosalie walked through the treatment area several times to visit other
042114 - patients and nurses.
042116 -  ..
042117 - Doctor Johnson also said hello to Millie, but did not stop and talk.
042118 -
042119 -
042120 -
042122 -  ..
0422 -
0423 -
0424 - 1430
0425 -
042501 - Vicki switched from Taxol to Bevacizumab (Avastin - VEGF)
042502 -
042503 - This is the second part of the treatment which is the trial protocol.
042504 -
042505 -
042507 -  ..
0426 -
0427 -
0428 - 1530
0429 -
042901 - Bevecizumab completed.  Vicki was on a break, so another nurse,
042902 - connected a "flushing" solution to the IV.  She said this would take
042903 - about 5 minutes.
042905 -  ..
042906 - After about 15 minutes, we asked another nurse about progress.
042908 -  ..
042909 - The nurse inspected the equipment and said that the treatment was
042910 - concluded.  She removed the IV, and Millie and reviewed documentation
042911 - to ensure Millie has the schedule of coming meetings.
042912 -
042913 -
042914 -
042916 -  ..
0430 -
0431 -
0432 - 1600
0433 -
043301 - Left the hospital and arrived home OA 1635.
043302 -
043303 -
043304 -
043305 -
043306 -
043307 -
043308 -
043309 -
043310 -
0434 -