CONTACTS 

SUBJECTS
Glutamine Prescribe Tingling Finger Tips Left Hand Side Effect Taxol
Chemotherapy Taxol Avastin Bevacizamub VEGF Treatments Begin Today 2
Blood Tests Cause Big Welt on Right Forearm Difficulty Finding Vein

0905 -
0905 -    ..
0906 - Summary/Objective
0907 -
090701 - Follow up ref SDS 21 0000. ref SDS 20 0000.
090702 -
090703 -
090704 -
090705 -
090706 -
090708 -  ..
0908 -
0909 -
0910 - Progress
0911 -
091101 - Cecilia is the nurse today.
091103 -  ..
091104 - Millie had blood drawn here at the Chemotherapy Infusion clinic
091105 - yesterday.
091106 -
091107 -
091109 -  ..
0912 -
0913 -
0914 - 1355
0915 -
091501 - Glutamine Prescribe Tingling Tip Fingers Left Hand Side Effect
091502 - Tingling Tip Fingers Left Hand Side Effect Prescribe Glutamine
091503 -
091504 - Rosalie visited.
091506 -  ..
091507 - Millie explained experiencing some tingling in the tip of a finger on
091508 - her left hand.
091510 -  ..
091511 - Rosalie recommended that Millie visit a GNC and purchase Glutamine,
091512 - and take the medicine the day before treatment.  This is evidently a
091513 - common side effect of Taxol.
091515 -  ..
091516 - Glutamine is taken in 10 MGs 3 times a day the day before treatment
091517 - and then for the next 3 days.
091518 -
091519 -     [On 040729 Rosalie clarifies procedure using Glutamine.
091520 -     ref SDS 22 019A
091521 -
091522 -     [On 050809 Millie tries Glutamine to reduce side effects of Taxol
091523 -     and capecitabine (Xeloda) treatment causing tingling in the feet
091524 -     (toes), hands, and discoloration of finger nails, fingers
091525 -     crinkling, peeling, bleeing. ref SDS 23 6X81
091527 -  ..
091528 - Rosalie advised that this condition is common to Taxol, and it can
091529 - become progressively worse, without treatment.  Diana commented that
091530 - not everyone responds to Glutamine.  Rosalie said that about 60% to
091531 - 70% of patients are helped by this treatment.
091532 -
091533 -
091535 -  ..
091536 - Pain Left Side of Head Neck Arm 20 Minutes Not Side Effect of Chemo
091537 -
091538 - Millie, also, reported that yesterday she experienced a moderate (more
091539 - than mild, less than severe) an ache along her left side of her head,
091540 - down her neck and her left arm.  This condition lasted for about 20
091541 - minutes, then it subsided.
091543 -  ..
091544 - Rosalie she is unaware of a remedy for this condition.
091545 -
091546 -
091547 -
091548 -
091549 -
091550 -
0916 -

SUBJECTS
Blood Tests White Cell Count Good 2nd Cycle 1st Treatment Chemothera
Urine Tests No Evident Problems
Blood Test Results Pass for Treatment

1305 -
130601 -  ..
130602 - Blood Counts Normal Dose Chemotherapy Taxol Adjusted Lower
130603 -
130604 - Follow up ref SDS 21 Q659, ref SDS 20 Q659.
130605 -
130606 - Millie requested report on blood test taken yesterday?
130608 -  ..
130609 - Barbara later submitted the report showing...
130610 -
130611 -    Patient   Provider  Category   View      FR Date   To Date
130617 -     ..
130618 -    Procedure              Results             Reference Range
130620 -     ..
130622 -
130623 -                  ** Walnut Creek Medical Center **
130625 -     ..
130626 -    @CBC
130627 -    WBC x 10-3               5.5 K/uL           3.5   -     12.5
130628 -    RBC x 10-6    L         3.51 M/uL           3.60  -      5.10
130629 -    Hemoglobin              11.6 g/dL          11.5   -     15.0
130630 -    Hematocrit    L         33.6 %             34.0   -     46.0
130631 -    MCV                       96 fL            80.0   -    100.0
130632 -    RDW           H         14.5 %             11.9   -     14.3
130633 -    Plt x10-3                228 K/uL         140     -    400
130634 -     ..
130635 -    Neutrophils   L           45 %             50     -     70
130636 -    Lymphocytes               40 %             20     -     50
130637 -    Monocyte                   5 %              0     -     11
130638 -    Eosinophil    H           10 %              0     -      4
130639 -    Basophil                   1 %              0     -      2
130640 -    Manual Diff?         NOT REQ
130642 -     ..
130643 -    @MDIF
130644 -    Diff Method         Auto Dif
130646 -     ..
130649 -     ..
130650 -    Ferritin                 285 mgML          11.5   -     15.0
130651 -    Ferritin                 285 mgML          11.5   -     15.0
130652 -
130653 -
130654 -
130655 -
1307 -

SUBJECTS
CA 15-3 78 Smaller Rise than 10 Points Reported on 040318

1403 -
140401 -  ..
140402 - CA 15-3 Rises to 54 from 47
140403 -
140404 - Follow up ref SDS 21 2N5J, ref SDS 20 2N5J.
140405 -
140406 - CA 15-3 was not taken today. ref SDS 0 O18H
140407 -
140408 -
140409 -
140410 -
1405 -

SUBJECTS
Prepare for Treatment Connect Equipment for Port Catheter
Tagiment Dexatron Administered to Prevent Alergic Reaction to Taxol
Port Catheter Required 3 Tried to Connect Infusion Equipment Prepare

1705 -
1706 - 1314
170701 -  ..
170702 - Preparation for Treatment Required One (1) Attempt to Connect Port
170703 -
170704 - Follow up ref SDS 21 EB7J, ref SDS 20 EB7J.
170705 -
170706 - Millie reported problems yesterday getting blood to flow from the
170707 - port for the blood tests.  Evidently this was cleared by additional
170708 - "flushing."
170710 -  ..
170711 - Celilia was effective connecting the port to the equipment that links
170712 - to the infusion tubing.
170714 -  ..
170715 - She reported that blood flows normally today from the port.
170717 -  ..
170718 - Celilia brought Compazine pill for nausea.
170719 -
170720 -
170722 -  ..
1708 -
1709 -
1710 - 1318
1711 -
171101 - Saline started.
171102 -
171103 -
171105 -  ..
1712 -
1713 -
1714 - 1328
1715 -
171501 - Tagamet and Decadron administered prior to Taxol for prevention of
171502 - allergic reaction.
171503 -
171504 -
171505 -
171507 -  ..
1716 -
1717 -
1718 - 1335
1719 -
171901 - Benadryl started.
171902 -
171903 - Anne said the order of Benadryl and Tagamet and Decadron is not
171904 - critical.
171905 -
171907 -  ..
1720 -
1721 -
1722 - 1339
1723 -
172301 - Benadryl transfusion failing; system sounds alert.  Nurse comes by
172302 - and notices that a valve or other setting was not configured.  System
172303 - adjusted, and transfusion commences.
172304 -
172305 -
172306 -
172308 -  ..
1724 -
1725 -
1726 - 1353
1727 -
172701 - Benadryl completed.
172702 -
172703 - Anne wants to weigh Millie, because Cecilia did not record weight at
172704 - beginning of treatment.  Anne gets busy with other patients.
172706 -  ..
172707 - Diana helps.
172709 -  ..
172710 - Rosalie came by and looked at Millie's record.  She said that since
172711 - they have a recent weight for Millie, it is not necessary to weigh
172712 - her again today.
172714 -  ..
172715 - Millie feeling sleepy from Benadryl today.
172717 -  ..
172718 - Speech a little slurred.
172720 -  ..
172721 - Millie requests blanket to keep warm.
172723 -  ..
172724 - Seems different from last week.
172725 -
172726 -
172727 -
1728 -

SUBJECTS
Taxol Treatment Delayed 30 Minutes Because Lab Has Not Prepared Trea

1803 -
1804 - 1401
180501 -  ..
180502 - Taxol Dosage Normal Because Blood Counts Above Targets
180503 -
180504 - Follow up ref SDS 21 4N5M, ref SDS 20 4N5M.
180505 -
180506 - Taxol is started by Diana
180508 -  ..
180509 - Anne advised dosage is normal today, because blood counts are normal
180510 - again, per above, ref SDS 21 0N7Q, continuing conditions from last
180511 - treatment on 040629. ref SDS 20 4N5M
180512 -
180513 -
180514 -
180516 -  ..
1806 -
1807 -
1808 - 1450
1809 -
180901 - Vitals taken by Anne...
180902 -
180903 -    Blood pressure:  159 83
180905 -     ..
180906 -    Pulse........... 63
180908 -     ..
180909 -    Resperation.....
180910 -
180911 -
180912 -
180913 -
180915 -  ..
1810 -
1811 -
1812 - 1425
1813 -
181301 - Beth takes blood pressure and temperature again.
181302 -
181303 -    Blood pressure:  175 82
181305 -     ..
181306 -    Pulse........... 55
181308 -     ..
181309 -    Resperation.....
181310 -
181311 -
181313 -  ..
1814 -
1815 -
1816 - 1444
1817 -
181701 - Vitals again by Beth
181702 -
181703 -    Blood pressure:  155 84
181705 -     ..
181706 -    Pulse........... 56
181708 -     ..
181709 -    Resperation.....
181710 -
181711 -
181712 -
181713 -
181715 -  ..
1818 -
1819 -
1820 - 1430
1821 -
182101 - Taxol completed alarm sounds.
182102 -
182103 -
182104 -
182105 -
182106 -
182107 -
1822 -

SUBJECTS
Avastin Treatment Without Blood Pressure Testing

1903 -
1904 - 1304
190501 -  ..
190502 - Avastin Treatment Without Blood Pressure Testing
190503 -
190504 - Follow up ref SDS 21 PV4H, ref SDS 20 PV4H.
190505 -
190506 - No Avastin today.
190507 -
190508 -
190509 -
190510 -
1906 -

SUBJECTS
Tired Wobbly on Feet after Treatment In Asleep by 1900

2003 -
2004 - 1337
200501 -  ..
200502 - Alert Energetic After Treatment Marked Change from Prior Treatments
200503 -
200504 - Follow up ref SDS 21 F54N, ref SDS 20 F54N.
200505 -
200506 -
200507 -
200508 -
200509 -
200510 -
200511 -
2006 -